{ "resourceType" : "StructureDefinition", "id" : "PhdDeviceMetric", "language" : "en", "text" : { "status" : "extensions", "div" : "

Generated Narrative: StructureDefinition PhdDeviceMetric

\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
NameFlagsCard.TypeDescription & Constraints\"doco\"
\".\"\".\" DeviceMetric 0..*DeviceMetricMeasurement, calculation or setting capability of a medical device
\".\"\".\"\".\" Slices for extension Content/Rules for all slices
\".\"\".\"\".\"\".\" extension:Accuracy 0..1QuantityNumeric Accuracy
URL: http://hl7.org/fhir/uv/phd/StructureDefinition/Accuracy
\".\"\".\"\".\"\".\" extension:Confidence95 0..1RangeConfidence95
URL: http://hl7.org/fhir/uv/phd/StructureDefinition/Confidence95
\".\"\".\"\".\" operationalStatus 0..1codeon | off | standby | unknown
\".\"\".\"\".\" category 1..1CodeableConceptThe kind of metric represented
\".\"\".\"\".\" type
\".\"\".\"\".\"\".\" Slices for coding 1..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:system
\".\"\".\"\".\"\".\"\".\" coding:All Slices Content/Rules for all slices
\".\"\".\"\".\"\".\"\".\"\".\" system 0..1uriIdentity of the terminology system
\".\"\".\"\".\"\".\"\".\"\".\" code 0..1codeSymbol in syntax defined by the system
\".\"\".\"\".\"\".\"\".\" coding:MDCType 1..1CodingThe 11073-10101 MDC code for the metric
\".\"\".\"\".\"\".\"\".\"\".\" system 1..1uriIdentity of the terminology system
Required Pattern: urn:iso:std:iso:11073:10101
\".\"\".\"\".\"\".\"\".\"\".\" code 1..1codeSymbol in syntax defined by the system
\".\"\".\"\".\"\".\" text 0..1stringIt is recommended to display at least the reference identifier for the MDC code.
\".\"\".\"\".\" device 1..1Reference(PhdDevice)The device to which this DeviceMetric applies
\".\"\".\"\".\" unit 0..1CodeableConceptUnit of Measure for the Metric
\".\"\".\"\".\" measurementFrequency 0..1QuantityIndicates how often the metric is taken or recorded

\"doco\" Documentation for this format
" }, "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg", "valueCode" : "dev" }, { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm", "valueInteger" : 1, "_valueInteger" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom", "valueCanonical" : "http://hl7.org/fhir/uv/phd/ImplementationGuide/hl7.fhir.uv.phd" }] } }, { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode" : "trial-use", "_valueCode" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom", "valueCanonical" : "http://hl7.org/fhir/uv/phd/ImplementationGuide/hl7.fhir.uv.phd" }] } }], "url" : "http://hl7.org/fhir/uv/phd/StructureDefinition/PhdDeviceMetric", "identifier" : [{ "system" : "urn:ietf:rfc:3986", "value" : "urn:oid:2.16.840.1.113883.4.642.40.73.42.11" }], "version" : "3.0.0-draft", "name" : "PhdDeviceMetric", "status" : "active", "date" : "2026-08-20T11:48:35+00:00", "publisher" : "HL7 International / Devices", "contact" : [{ "name" : "HL7 International / Devices", "telecom" : [{ "system" : "url", "value" : "http://www.hl7.org/Special/committees/healthcaredevices" }] }], "description" : "Profile for the DeviceMetric for a PHD", "jurisdiction" : [{ "coding" : [{ "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm", "code" : "001" }] }], "purpose" : "This resource captures the device metric for a single type of observation that a PHD device can generate.", "fhirVersion" : "6.0.0-ballot5", "mapping" : [{ "identity" : "IEEE-11073-10206-PhdDeviceMetric", "uri" : "https://sagroups.ieee.org/11073/phd-wg", "name" : "IEEE-11073-10206 ACOM to FHIR PhdDeviceMetric" }, { "identity" : "w5", "uri" : "http://hl7.org/fhir/fivews", "name" : "FiveWs Pattern Mapping" }, { "identity" : "BICEPS", "uri" : "urn:iso:std:iso:11073:10207", "name" : "ISO/IEEE 11073-10207: Domain Information and Service Model for Service-Oriented Point-of-Care Medical Device Communication" }, { "identity" : "DIM", "uri" : "urn:iso:std:iso:11073:10201", "name" : "ISO/IEEE 11073-10201: Domain Information Model" }, { "identity" : "ACOM", "uri" : "urn:iso:std:iso:11073:10206", "name" : "ISO/IEEE 11073-10206: Personal health device communication--Abstract content information model" }, { "identity" : "rim", "uri" : "http://hl7.org/v3", "name" : "RIM Mapping" }], "kind" : "resource", "abstract" : false, "type" : "DeviceMetric", "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DeviceMetric", "derivation" : "constraint", "snapshot" : { "extension" : [{ "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version", "valueString" : "6.0.0-ballot5" }], "element" : [{ "id" : "DeviceMetric", "path" : "DeviceMetric", "short" : "Measurement, calculation or setting capability of a medical device", "definition" : "This resource contains at least an MDC type code for the observation that can be generated by the PHD.", "comment" : "The DeviceMetric resource is derived from the ISO/IEEE 11073-10201 Domain Information Model standard, but is more widely applicable.", "min" : 0, "max" : "*", "base" : { "path" : "DeviceMetric", "min" : 0, "max" : "*" }, "constraint" : [{ "key" : "dom-2", "severity" : "error", "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources", "expression" : "contained.contained.empty()", "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource" }, { "key" : "dom-3", "severity" : "error", "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource", "expression" : "contained.where((('#'+id.trace('id') in %resource.descendants().select(reference | as(uri))) or descendants().where(reference='#' | as(uri)='#').exists()).not()).trace('unmatched', id).empty()", "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource" }, { "key" : "dom-4", "severity" : "error", "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated", "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()", "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource" }, { "key" : "dom-5", "severity" : "error", "human" : "If a resource is contained in another resource, it SHALL NOT have a security label", "expression" : "contained.meta.security.empty()", "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource" }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice", "valueBoolean" : true }, { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation", "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time." }], "key" : "dom-6", "severity" : "warning", "human" : "A resource should have narrative for robust management", "expression" : "text.`div`.exists()", "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource" }], "mustSupport" : false, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "IEEE-11073-10206-PhdDeviceMetric", "map" : "ACOM" }, { "identity" : "rim", "map" : "Entity, Role, or Act" }, { "identity" : "w5", "map" : "administrative.device" }, { "identity" : "BICEPS", "map" : "MetricDescriptor" }, { "identity" : "DIM", "map" : "Metric" }] }, { "id" : "DeviceMetric.id", "path" : "DeviceMetric.id", "short" : "Logical id of this artifact", "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.", "comment" : "Within the context of the FHIR RESTful interactions, the resource has an id except for cases like the create and conditional update. Otherwise, the use of the resource id depends on the given use case.", "min" : 0, "max" : "1", "base" : { "path" : "Resource.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "id" }], "code" : "http://hl7.org/fhirpath/System.String" }], "mustSupport" : false, "isModifier" : false, "isSummary" : true }, { "id" : "DeviceMetric.meta", "path" : "DeviceMetric.meta", "short" : "Metadata about the resource", "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.", "min" : 0, "max" : "1", "base" : { "path" : "Resource.meta", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Meta" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : true }, { "id" : "DeviceMetric.implicitRules", "path" : "DeviceMetric.implicitRules", "short" : "A set of rules under which this content was created", "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. For DomainResources, if more than one implicitRules policy applies, additional policies may be conveyed using the [additionalImplicitRules](https://build.fhir.org/ig/HL7/fhir-extensions/StructureDefinition-additionalImplicitRules.html) extension.", "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of its narrative along with other profiles, value sets, etc.", "min" : 0, "max" : "1", "base" : { "path" : "Resource.implicitRules", "min" : 0, "max" : "1" }, "type" : [{ "code" : "uri" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : true, "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies its meaning or interpretation", "isSummary" : true }, { "id" : "DeviceMetric.language", "path" : "DeviceMetric.language", "short" : "Language of the resource content", "definition" : "The base language in which the resource is written.", "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).", "min" : 0, "max" : "1", "base" : { "path" : "Resource.language", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "Language" }], "strength" : "required", "description" : "IETF language tag for a human language", "valueSet" : "http://hl7.org/fhir/ValueSet/all-languages|6.0.0-ballot5", "additional" : [{ "purpose" : "starter", "valueSet" : "http://hl7.org/fhir/ValueSet/languages|6.0.0-ballot5" }] } }, { "id" : "DeviceMetric.text", "path" : "DeviceMetric.text", "short" : "Text summary of the resource, for human interpretation", "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.", "comment" : "Contained resources do not have a narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.", "alias" : ["narrative", "html", "xhtml", "display"], "min" : 0, "max" : "1", "base" : { "path" : "DomainResource.text", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Narrative" }], "condition" : ["dom-6"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "Act.text?" }] }, { "id" : "DeviceMetric.contained", "path" : "DeviceMetric.contained", "short" : "Contained, inline Resources", "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, nor can they have their own independent transaction scope. This is allowed to be a Parameters resource if and only if it is referenced by a resource that provides context/meaning.", "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags in their meta elements, but SHALL NOT have security labels. Contained resources may be a resource type defined in the FHIR specification, or an [additional resource](http://build.fhir.org/resource.html#additional).", "alias" : ["inline resources", "anonymous resources", "contained resources"], "min" : 0, "max" : "*", "base" : { "path" : "DomainResource.contained", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Resource" }], "condition" : ["dom-2", "dom-4", "dom-3", "dom-5"], "mustSupport" : false, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "DeviceMetric.extension", "path" : "DeviceMetric.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and managable, 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.", "comment" : "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.", "alias" : ["extensions", "user content"], "min" : 0, "max" : "*", "base" : { "path" : "DomainResource.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "DeviceMetric.extension:Accuracy", "path" : "DeviceMetric.extension", "sliceName" : "Accuracy", "short" : "Numeric Accuracy", "definition" : "The accuracy of a measurable quantity.", "min" : 0, "max" : "1", "base" : { "path" : "DomainResource.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension", "profile" : ["http://hl7.org/fhir/uv/phd/StructureDefinition/Accuracy"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : false }, { "id" : "DeviceMetric.extension:Confidence95", "path" : "DeviceMetric.extension", "sliceName" : "Confidence95", "short" : "Confidence95", "definition" : "The Confidence 95 range of a measurable quantity.", "min" : 0, "max" : "1", "base" : { "path" : "DomainResource.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension", "profile" : ["http://hl7.org/fhir/uv/phd/StructureDefinition/Confidence95"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : false }, { "id" : "DeviceMetric.modifierExtension", "path" : "DeviceMetric.modifierExtension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Extensions that cannot be ignored", "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).", "comment" : "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.", "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://build.fhir.org/extensibility.html#modifierExtension).", "alias" : ["extensions", "user content"], "min" : 0, "max" : "*", "base" : { "path" : "DomainResource.modifierExtension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : true, "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them", "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "DeviceMetric.identifier", "path" : "DeviceMetric.identifier", "short" : "Instance identifier", "definition" : "Instance identifiers assigned to a device, by the device or gateway software, manufacturers, other organizations or owners. For example, handle ID.", "comment" : "For identifiers assigned to a device by the device or gateway software, the `system` element of the identifier should be set to any identifier of the device.", "min" : 0, "max" : "*", "base" : { "path" : "DeviceMetric.identifier", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Identifier" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "w5", "map" : "FiveWs.identifier" }] }, { "id" : "DeviceMetric.status", "path" : "DeviceMetric.status", "short" : "active | inactive | entered-in-error | unknown", "definition" : "Indicates current state of the record.", "comment" : "Unknown does not represent \"other\" - one of the defined statuses must apply. Unknown is used when the authoring system is not sure what the current status is.", "min" : 1, "max" : "1", "base" : { "path" : "DeviceMetric.status", "min" : 1, "max" : "1" }, "type" : [{ "code" : "code" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : true, "isModifierReason" : "This element is labeled as a modifier because the status contains the codes entered-in-error and inactive that mark the resource as not currently valid.", "isSummary" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "DeviceMetricStatus" }], "strength" : "required", "description" : "Describes the status of the DeviceMetric.", "valueSet" : "http://hl7.org/fhir/ValueSet/metric-status|6.0.0-ballot5" }, "mapping" : [{ "identity" : "w5", "map" : "FiveWs.status" }] }, { "id" : "DeviceMetric.operationalStatus", "path" : "DeviceMetric.operationalStatus", "short" : "on | off | standby | unknown", "definition" : "Indicates current operational state of the device. For example: On, Off, Standby, etc.", "comment" : "For a PHD device the operational status is only known when it is communicating. It is recommended to leave this field out.", "min" : 0, "max" : "1", "base" : { "path" : "DeviceMetric.operationalStatus", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "meaningWhenMissing" : "If absent, the operational status of the device is unknown.", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "DeviceMetricOperationalStatus" }], "strength" : "required", "description" : "Describes the operational status of the DeviceMetric.", "valueSet" : "http://hl7.org/fhir/ValueSet/metric-operational-status|6.0.0-ballot5" }, "mapping" : [{ "identity" : "BICEPS", "map" : "Metric/ActivationState" }, { "identity" : "DIM", "map" : "Metric::Metric-Status" }] }, { "id" : "DeviceMetric.category", "path" : "DeviceMetric.category", "short" : "The kind of metric represented", "definition" : "Indicates the category of the observation generation process. A DeviceMetric can be, for example, a setting, measurement, or calculation.", "comment" : "When the category can be derived from the type of the DeviceMetric it can be filled in on creation. Otherwise it can be filled in by updating the DeviceMetric resource when the PHD generates an observation of that type. It can be set to #unspecified until known.", "min" : 1, "max" : "1", "base" : { "path" : "DeviceMetric.category", "min" : 1, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "DeviceMetricCategory" }], "strength" : "extensible", "description" : "Describes the category of the metric.", "valueSet" : "http://terminology.hl7.org/ValueSet/metric-category" }, "mapping" : [{ "identity" : "IEEE-11073-10206-PhdDeviceMetric", "map" : "filled in when this can be derived from the SystemInfo.observation-type-list[i]" }, { "identity" : "w5", "map" : "FiveWs.class" }, { "identity" : "BICEPS", "map" : "MetricDescriptor/MetricCategory" }, { "identity" : "ACOM", "map" : "Filled in when this can be derived from SystemInfo.observation-type-list[i]" }, { "identity" : "DIM", "map" : "Metric::Metric-Specification::category" }] }, { "id" : "DeviceMetric.type", "path" : "DeviceMetric.type", "short" : "Identity of metric, for example Heart Rate or PEEP Setting", "definition" : "Describes the type of the metric. For example: Heart Rate, PEEP Setting, etc.", "comment" : "`DeviceMetric.type` can be referred to either IEEE 11073-10101 or LOINC.", "min" : 1, "max" : "1", "base" : { "path" : "DeviceMetric.type", "min" : 1, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "MetricType" }], "strength" : "preferred", "description" : "IEEE 11073-10101", "valueSet" : "http://terminology.hl7.org/ValueSet/devicemetric-type" }, "mapping" : [{ "identity" : "w5", "map" : "FiveWs.what[x]" }, { "identity" : "BICEPS", "map" : "MetricDescriptor/Type" }, { "identity" : "ACOM", "map" : "SystemInfo.observation-type-list[i]" }, { "identity" : "DIM", "map" : "type = VMO::Type\ntype.text = VMO::Label-String" }] }, { "id" : "DeviceMetric.type.id", "path" : "DeviceMetric.type.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" }], "code" : "http://hl7.org/fhirpath/System.String" }], "condition" : ["ele-1"], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "DeviceMetric.type.extension", "path" : "DeviceMetric.type.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "May 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 managable, 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.", "comment" : "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.", "alias" : ["extensions", "user content"], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "DeviceMetric.type.coding", "path" : "DeviceMetric.type.coding", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "system" }], "rules" : "open" }, "short" : "Code defined by a terminology system", "definition" : "A reference to a code defined by a terminology system.", "comment" : "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.", "requirements" : "Allows for alternative encodings within a code system, and translations to other code systems.", "min" : 1, "max" : "*", "base" : { "path" : "CodeableConcept.coding", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Coding" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.1-8, C*E.10-22" }, { "identity" : "rim", "map" : "union(., ./translation)" }, { "identity" : "orim", "map" : "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" }] }, { "id" : "DeviceMetric.type.coding.id", "path" : "DeviceMetric.type.coding.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" }], "code" : "http://hl7.org/fhirpath/System.String" }], "condition" : ["ele-1"], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "DeviceMetric.type.coding.extension", "path" : "DeviceMetric.type.coding.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "May 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 managable, 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.", "comment" : "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.", "alias" : ["extensions", "user content"], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "DeviceMetric.type.coding.system", "path" : "DeviceMetric.type.coding.system", "short" : "Identity of the terminology system", "definition" : "The identification of the code system that defines the meaning of the symbol in the code.", "comment" : "The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should be an absolute reference to some definition that establishes the system clearly and unambiguously.", "requirements" : "Need to be unambiguous about the source of the definition of the symbol.", "min" : 0, "max" : "1", "base" : { "path" : "Coding.system", "min" : 0, "max" : "1" }, "type" : [{ "code" : "uri" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "IEEE-11073-10206-PhdDeviceMetric", "map" : "urn:iso:std:iso:11073:10101" }, { "identity" : "v2", "map" : "C*E.3" }, { "identity" : "rim", "map" : "./codeSystem" }, { "identity" : "orim", "map" : "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" }] }, { "id" : "DeviceMetric.type.coding.version", "path" : "DeviceMetric.type.coding.version", "short" : "Version of the system - if relevant", "definition" : "The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.", "comment" : "Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.", "min" : 0, "max" : "1", "base" : { "path" : "Coding.version", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.7" }, { "identity" : "rim", "map" : "./codeSystemVersion" }, { "identity" : "orim", "map" : "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" }] }, { "id" : "DeviceMetric.type.coding.code", "path" : "DeviceMetric.type.coding.code", "short" : "Symbol in syntax defined by the system", "definition" : "A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).", "requirements" : "Need to refer to a particular code in the system.", "min" : 0, "max" : "1", "base" : { "path" : "Coding.code", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "condition" : ["cod-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "IEEE-11073-10206-PhdDeviceMetric", "map" : "SystemInfo.observation-type-list[i]" }, { "identity" : "v2", "map" : "C*E.1" }, { "identity" : "rim", "map" : "./code" }, { "identity" : "orim", "map" : "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" }] }, { "id" : "DeviceMetric.type.coding.display", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "DeviceMetric.type.coding.display", "short" : "Representation defined by the system", "definition" : "A representation of the meaning of the code in the system, following the rules of the system.", "requirements" : "Need to be able to carry a human-readable meaning of the code for readers that do not know the system.", "min" : 0, "max" : "1", "base" : { "path" : "Coding.display", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "condition" : ["cod-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.2 - but note this is not well followed" }, { "identity" : "rim", "map" : "CV.displayName" }, { "identity" : "orim", "map" : "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName" }] }, { "id" : "DeviceMetric.type.coding.userSelected", "path" : "DeviceMetric.type.coding.userSelected", "short" : "If this coding was chosen directly by the user", "definition" : "Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).", "comment" : "Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.", "requirements" : "This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.", "min" : 0, "max" : "1", "base" : { "path" : "Coding.userSelected", "min" : 0, "max" : "1" }, "type" : [{ "code" : "boolean" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "Sometimes implied by being first" }, { "identity" : "rim", "map" : "CD.codingRationale" }, { "identity" : "orim", "map" : "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [ fhir:source \"true\"; fhir:target dt:CDCoding.codingRationale\\#O ]" }] }, { "id" : "DeviceMetric.type.coding:MDCType", "path" : "DeviceMetric.type.coding", "sliceName" : "MDCType", "short" : "The 11073-10101 MDC code for the metric", "definition" : "This MDC code expresses the observation type of the metric.", "comment" : "This information is provided by any ACOM/GHS PHD device.", "requirements" : "Allows for alternative encodings within a code system, and translations to other code systems.", "min" : 1, "max" : "1", "base" : { "path" : "CodeableConcept.coding", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Coding" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.1-8, C*E.10-22" }, { "identity" : "rim", "map" : "union(., ./translation)" }, { "identity" : "orim", "map" : "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" }] }, { "id" : "DeviceMetric.type.coding:MDCType.id", "path" : "DeviceMetric.type.coding.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" }], "code" : "http://hl7.org/fhirpath/System.String" }], "condition" : ["ele-1"], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "DeviceMetric.type.coding:MDCType.extension", "path" : "DeviceMetric.type.coding.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "May 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 managable, 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.", "comment" : "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.", "alias" : ["extensions", "user content"], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "DeviceMetric.type.coding:MDCType.system", "path" : "DeviceMetric.type.coding.system", "short" : "Identity of the terminology system", "definition" : "The identification of the code system that defines the meaning of the symbol in the code.", "comment" : "The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should be an absolute reference to some definition that establishes the system clearly and unambiguously.", "requirements" : "Need to be unambiguous about the source of the definition of the symbol.", "min" : 1, "max" : "1", "base" : { "path" : "Coding.system", "min" : 0, "max" : "1" }, "type" : [{ "code" : "uri" }], "patternUri" : "urn:iso:std:iso:11073:10101", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.3" }, { "identity" : "rim", "map" : "./codeSystem" }, { "identity" : "orim", "map" : "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" }] }, { "id" : "DeviceMetric.type.coding:MDCType.version", "path" : "DeviceMetric.type.coding.version", "short" : "Version of the system - if relevant", "definition" : "The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.", "comment" : "Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.", "min" : 0, "max" : "1", "base" : { "path" : "Coding.version", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.7" }, { "identity" : "rim", "map" : "./codeSystemVersion" }, { "identity" : "orim", "map" : "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" }] }, { "id" : "DeviceMetric.type.coding:MDCType.code", "path" : "DeviceMetric.type.coding.code", "short" : "Symbol in syntax defined by the system", "definition" : "A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).", "comment" : "Required for all measurements", "requirements" : "Need to refer to a particular code in the system.", "min" : 1, "max" : "1", "base" : { "path" : "Coding.code", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "condition" : ["cod-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.1" }, { "identity" : "rim", "map" : "./code" }, { "identity" : "orim", "map" : "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" }] }, { "id" : "DeviceMetric.type.coding:MDCType.display", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "DeviceMetric.type.coding.display", "short" : "Representation defined by the system", "definition" : "A representation of the meaning of the code in the system, following the rules of the system.", "requirements" : "Need to be able to carry a human-readable meaning of the code for readers that do not know the system.", "min" : 0, "max" : "1", "base" : { "path" : "Coding.display", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "condition" : ["cod-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.2 - but note this is not well followed" }, { "identity" : "rim", "map" : "CV.displayName" }, { "identity" : "orim", "map" : "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName" }] }, { "id" : "DeviceMetric.type.coding:MDCType.userSelected", "path" : "DeviceMetric.type.coding.userSelected", "short" : "If this coding was chosen directly by the user", "definition" : "Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).", "comment" : "Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.", "requirements" : "This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.", "min" : 0, "max" : "1", "base" : { "path" : "Coding.userSelected", "min" : 0, "max" : "1" }, "type" : [{ "code" : "boolean" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "Sometimes implied by being first" }, { "identity" : "rim", "map" : "CD.codingRationale" }, { "identity" : "orim", "map" : "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [ fhir:source \"true\"; fhir:target dt:CDCoding.codingRationale\\#O ]" }] }, { "id" : "DeviceMetric.type.text", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "DeviceMetric.type.text", "short" : "It is recommended to display at least the reference identifier for the MDC code.", "definition" : "A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.", "comment" : "Very often the text is the same as a displayName of one of the codings.", "requirements" : "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.", "min" : 0, "max" : "1", "base" : { "path" : "CodeableConcept.text", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.9. But note many systems use C*E.2 for this" }, { "identity" : "rim", "map" : "./originalText[mediaType/code=\"text/plain\"]/data" }, { "identity" : "orim", "map" : "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText" }] }, { "id" : "DeviceMetric.device", "path" : "DeviceMetric.device", "short" : "The device to which this DeviceMetric applies", "definition" : "The device to which this DeviceMetric applies. The referenced device could be a top-level device or a component of a device.", "comment" : "If the reference is not to a top-level device, the top-level device is reached through the device's `parent` element (possibly recursively).", "min" : 1, "max" : "1", "base" : { "path" : "DeviceMetric.device", "min" : 1, "max" : "1" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/uv/phd/StructureDefinition/PhdDevice"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "w5", "map" : "FiveWs.subject" }] }, { "id" : "DeviceMetric.unit", "path" : "DeviceMetric.unit", "short" : "Unit of Measure for the Metric", "definition" : "Describes the unit that an observed value determined for this metric will have. For example: Percent, Seconds, etc.", "comment" : "When the type of the observation is numeric or compound numeric, the unit could be filled in as well. This should be a UCUM code, but when that is not known, it can be an MDC code. This field can be updated by the gateway when an observation of the corresponding type is generated by the PHD.", "min" : 0, "max" : "1", "base" : { "path" : "DeviceMetric.unit", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "MetricUnit" }], "strength" : "preferred", "description" : "IEEE 11073-10101", "valueSet" : "http://hl7.org/fhir/ValueSet/ucum-units|6.0.0-ballot5" }, "mapping" : [{ "identity" : "IEEE-11073-10206-PhdDeviceMetric", "map" : "UCUM unit used for SystemInfo.observation-type-list[i] observations" }, { "identity" : "BICEPS", "map" : "MetricDescriptor/Unit" }, { "identity" : "ACOM", "map" : "UCUM unit used for SystemInfo.observation-type-list[i] observations" }, { "identity" : "DIM", "map" : "unit = Metric::Unit-Code\nunit.text = Unit::Label-String" }] }, { "id" : "DeviceMetric.color", "path" : "DeviceMetric.color", "short" : "Preferred color for displaying the metric", "definition" : "The preferred color associated with the metric (e.g., display color). This is often used to aid clinicians to track and identify parameter types by color. In practice, consider a Patient Monitor that has ECG/HR and Pleth; the metrics are displayed in different characteristic colors, such as HR in blue, BP in green, and PR and SpO2 in magenta.", "min" : 0, "max" : "1", "base" : { "path" : "DeviceMetric.color", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "meaningWhenMissing" : "If absent, there is no preferred color for rendering.", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : false, "binding" : { "strength" : "extensible", "description" : "Identifies the typical color of representation.", "valueSet" : "http://terminology.hl7.org/ValueSet/color-codes" }, "mapping" : [{ "identity" : "DIM", "map" : "Metric::Color" }] }, { "id" : "DeviceMetric.measurementFrequency", "path" : "DeviceMetric.measurementFrequency", "short" : "Indicates how often the metric is taken or recorded", "definition" : "The frequency at which the metric is taken or recorded. Devices measure metrics at a wide range of frequencies; for example, an ECG might sample measurements in the millisecond range, while an NIBP might trigger only once an hour. Less often, the measurementFrequency is based on a unit other than time, such as distance (e.g., for a measuring wheel). The update period could be different than the measurement frequency, if the device does not update the published observed value with the same frequency as it was measured.", "comment" : "when this information is provided by a GHS device in an Observation Schedule descriptor, it should be filled in here as well.", "min" : 0, "max" : "1", "base" : { "path" : "DeviceMetric.measurementFrequency", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Quantity" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "BICEPS", "map" : "MetricDescriptor/DeterminationPeriod" }, { "identity" : "DIM", "map" : "value = Metric::Measure-Period::value or Metric::Metric-Specification::update-period\nunit = Metric::Measure-Period::unit-code" }] }, { "id" : "DeviceMetric.availability", "path" : "DeviceMetric.availability", "short" : "The continuity of the metric (e.g., measurement)", "definition" : "Indicates whether the metric is derived (measured) by a continuous means or by an intermittent means.", "comment" : "For example, a gauge on a pressurized vessel showing current pressure is a continuous measurement, while a thermometer that produces readings on demand is an intermittent measurement. Note that metric availability is typically a static characteristic and is distinct from the operational status.", "min" : 0, "max" : "1", "base" : { "path" : "DeviceMetric.availability", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "DeviceMetricAvailability" }], "strength" : "extensible", "description" : "Describes the availability of the metric", "valueSet" : "http://terminology.hl7.org/ValueSet/metric-availability" }, "mapping" : [{ "identity" : "BICEPS", "map" : "MetricDescriptor/MetricAvailability" }] }, { "id" : "DeviceMetric.calibration", "path" : "DeviceMetric.calibration", "short" : "Describes the calibrations that have been performed or that are required to be performed", "definition" : "Describes the calibrations that have been performed or that are required to be performed.", "min" : 0, "max" : "*", "base" : { "path" : "DeviceMetric.calibration", "min" : 0, "max" : "*" }, "type" : [{ "code" : "BackboneElement" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children or both", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : false }, { "id" : "DeviceMetric.calibration.id", "path" : "DeviceMetric.calibration.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" }], "code" : "http://hl7.org/fhirpath/System.String" }], "condition" : ["ele-1"], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "DeviceMetric.calibration.extension", "path" : "DeviceMetric.calibration.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "May 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 managable, 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.", "comment" : "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.", "alias" : ["extensions", "user content"], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "DeviceMetric.calibration.modifierExtension", "path" : "DeviceMetric.calibration.modifierExtension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Extensions that cannot be ignored even if unrecognized", "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, 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. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).", "comment" : "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.", "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://build.fhir.org/extensibility.html#modifierExtension).", "alias" : ["extensions", "user content", "modifiers"], "min" : 0, "max" : "*", "base" : { "path" : "BackboneElement.modifierExtension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : true, "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them", "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "DeviceMetric.calibration.type", "path" : "DeviceMetric.calibration.type", "short" : "The method of calibration", "definition" : "Describes the type of the calibration method.", "min" : 0, "max" : "1", "base" : { "path" : "DeviceMetric.calibration.type", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "DeviceMetricCalibrationType" }], "strength" : "extensible", "description" : "Describes the type of a metric calibration.", "valueSet" : "http://terminology.hl7.org/ValueSet/metric-calibration-type" }, "mapping" : [{ "identity" : "DIM", "map" : "Metric::Metric-Calibration::cal-type" }] }, { "id" : "DeviceMetric.calibration.state", "path" : "DeviceMetric.calibration.state", "short" : "Calibration state of the metric (e.g., calibration needed)", "definition" : "Describes the state of the calibration.", "min" : 0, "max" : "1", "base" : { "path" : "DeviceMetric.calibration.state", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "meaningWhenMissing" : "If absent, the calibration state is unknown.", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "DeviceMetricCalibrationState" }], "strength" : "extensible", "description" : "Describes the state of a metric calibration.", "valueSet" : "http://terminology.hl7.org/ValueSet/metric-calibration-state" }, "mapping" : [{ "identity" : "DIM", "map" : "Metric::Metric-Calibration::cal-state" }] }, { "id" : "DeviceMetric.calibration.time", "path" : "DeviceMetric.calibration.time", "short" : "Describes the time last calibration has been performed", "definition" : "Describes the time last calibration has been performed.", "min" : 0, "max" : "1", "base" : { "path" : "DeviceMetric.calibration.time", "min" : 0, "max" : "1" }, "type" : [{ "code" : "instant" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : false, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "DIM", "map" : "Metric::Metric-Calibration::cal-time" }] }] }, "differential" : { "element" : [{ "id" : "DeviceMetric", "path" : "DeviceMetric", "definition" : "This resource contains at least an MDC type code for the observation that can be generated by the PHD.", "mapping" : [{ "identity" : "IEEE-11073-10206-PhdDeviceMetric", "map" : "ACOM" }] }, { "id" : "DeviceMetric.extension:Accuracy", "path" : "DeviceMetric.extension", "sliceName" : "Accuracy", "min" : 0, "max" : "1", "type" : [{ "code" : "Extension", "profile" : ["http://hl7.org/fhir/uv/phd/StructureDefinition/Accuracy"] }] }, { "id" : "DeviceMetric.extension:Confidence95", "path" : "DeviceMetric.extension", "sliceName" : "Confidence95", "min" : 0, "max" : "1", "type" : [{ "code" : "Extension", "profile" : ["http://hl7.org/fhir/uv/phd/StructureDefinition/Confidence95"] }] }, { "id" : "DeviceMetric.operationalStatus", "path" : "DeviceMetric.operationalStatus", "comment" : "For a PHD device the operational status is only known when it is communicating. It is recommended to leave this field out." }, { "id" : "DeviceMetric.category", "path" : "DeviceMetric.category", "comment" : "When the category can be derived from the type of the DeviceMetric it can be filled in on creation. Otherwise it can be filled in by updating the DeviceMetric resource when the PHD generates an observation of that type. It can be set to #unspecified until known.", "mapping" : [{ "identity" : "IEEE-11073-10206-PhdDeviceMetric", "map" : "filled in when this can be derived from the SystemInfo.observation-type-list[i]" }] }, { "id" : "DeviceMetric.type.coding", "path" : "DeviceMetric.type.coding", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "system" }], "rules" : "open" }, "min" : 1 }, { "id" : "DeviceMetric.type.coding.system", "path" : "DeviceMetric.type.coding.system", "mapping" : [{ "identity" : "IEEE-11073-10206-PhdDeviceMetric", "map" : "urn:iso:std:iso:11073:10101" }] }, { "id" : "DeviceMetric.type.coding.code", "path" : "DeviceMetric.type.coding.code", "mapping" : [{ "identity" : "IEEE-11073-10206-PhdDeviceMetric", "map" : "SystemInfo.observation-type-list[i]" }] }, { "id" : "DeviceMetric.type.coding:MDCType", "path" : "DeviceMetric.type.coding", "sliceName" : "MDCType", "short" : "The 11073-10101 MDC code for the metric", "definition" : "This MDC code expresses the observation type of the metric.", "comment" : "This information is provided by any ACOM/GHS PHD device.", "min" : 1, "max" : "1" }, { "id" : "DeviceMetric.type.coding:MDCType.system", "path" : "DeviceMetric.type.coding.system", "min" : 1, "patternUri" : "urn:iso:std:iso:11073:10101" }, { "id" : "DeviceMetric.type.coding:MDCType.code", "path" : "DeviceMetric.type.coding.code", "comment" : "Required for all measurements", "min" : 1 }, { "id" : "DeviceMetric.type.text", "path" : "DeviceMetric.type.text", "short" : "It is recommended to display at least the reference identifier for the MDC code." }, { "id" : "DeviceMetric.device", "path" : "DeviceMetric.device", "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/uv/phd/StructureDefinition/PhdDevice"] }] }, { "id" : "DeviceMetric.unit", "path" : "DeviceMetric.unit", "comment" : "When the type of the observation is numeric or compound numeric, the unit could be filled in as well. This should be a UCUM code, but when that is not known, it can be an MDC code. This field can be updated by the gateway when an observation of the corresponding type is generated by the PHD.", "mapping" : [{ "identity" : "IEEE-11073-10206-PhdDeviceMetric", "map" : "UCUM unit used for SystemInfo.observation-type-list[i] observations" }] }, { "id" : "DeviceMetric.measurementFrequency", "path" : "DeviceMetric.measurementFrequency", "comment" : "when this information is provided by a GHS device in an Observation Schedule descriptor, it should be filled in here as well." }] } }