Blood Pressure Cross-Country Cross-Language Cross-Paradigm (Demo) IG
0.2.1 - ci-build

Blood Pressure Cross-Country Cross-Language Cross-Paradigm (Demo) IG, published by FO. This guide is not an authorized publication; it is the continuous build for version 0.2.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/frankoemig/bloodpressure/ and changes regularly. See the Directory of published versions

Artifacts Summary

This page provides a list of the FHIR artifacts defined as part of this implementation guide.

Abstract Logical Models for Content

Following the LMs independent from any standard.

Blood Pressure LM

This is the Logical Model for Blood Pressure

v2.x LMs

The following Logical Models are created for transmitting the data using v2.x

Blood Pressure Diastolic (Profile) in v2

v2 Profile: Diastolic Blood Pressure

Blood Pressure Main (Profile) in v2

v2 Profile: Main Blood Pressure Measurement

Blood Pressure Systolic (Profile) in v2

v2 Profile: Systolic Blood Pressure

Exertion to Blood Pressure Measurement (Profile) in v2

v2 Profile: Exertion to Blood Pressure Measurement

Location of Blood Pressure Measurement (Profile) in v2

v2 Profile: Location of Blood Pressure Measurement

Mean Arterial Blood Pressure (Profile) in v2

v2 Profile: Mean Arterial Blood Pressure

Pulse Pressure Blood Pressure (Profile) in v2

v2 Profile: Pulse Pressure Blood Pressure

Supplementary Models

The following models only needed to help with the specification itself.

LM for an abstract segment

This LM operates as a base for adding further fields and to aggregate into segment groups

OBX Blood Pressure Segment Group

This profile should describe in which way the segment instances for PID, OBX and REL belong together

OBX Segment LM

LM for relevant attributes of OBX Segment (Observation in v2.x)

PID Segment LM

LM for relevant attributes of PID Segment (Patient in v2.x)

REL Segment LM

LM for relevant attributes of REL Segment (Patient in v2.x)

Segment Group LM

Segment Group for Blood Pressure Observations

V3/CDA LMs

The following models are used with HL7 V3/CDA. Unfortunately, they are not yet worked out.

LM for CDA representation

This is a draft LM for CDA. (It still requires modifications comparable to the OBX representation in form of slicing.)

FHIR Profiles (old/current)

The FHIR profiles are in current use and requires modification.

Blood Pressure in ISiK

Blood Pressure according to ISiK

US Core Blood Pressure Profile

US Core Blood Pressure Profile inherits from the US Core Vital Signs Profile. This profile sets minimum expectations for the Observation resource to record, search, and fetch diastolic and systolic blood pressure observations with standard LOINC codes and UCUM units of measure. It specifies which additional core elements, extensions, vocabularies, and value sets SHALL be present in the resource and constrains how the elements are used. Providing the floor for standards development for specific use cases promotes interoperability and adoption.

FHIR Profiles (new)

The proposals for (new(/updated) FHIR profiles.

US Core Blood Pressure Profile (modified, using extensions)

US Core Blood Pressure Profile inherits from the US Core Vital Signs Profile. This profile sets minimum expectations for the Observation resource to record, search, and fetch diastolic and systolic blood pressure observations with standard LOINC codes and UCUM units of measure. It specifies which additional core elements, extensions, vocabularies, and value sets SHALL be present in the resource and constrains how the elements are used. Providing the floor for standards development for specific use cases promotes interoperability and adoption.

This is the modified version - not yet fully complete/verified!!!!

US Core Blood Pressure Profile (modified, using more components, alternative version)

This is the modified version - not yet fully complete/verified!!!!

In contrast to the other version, this one uses more components instead of extensions…

Structures: Resource Profiles

These define constraints on FHIR resources for systems conforming to this implementation guide.

US Core Vital Signs (modified)

This is a draft of the modified version for vital signs - not yet fully complete/verified!!!!

Structures: Extension Definitions

These define constraints on FHIR data types for systems conforming to this implementation guide.

Body Weight to be considered

Body Weight to be considered for correct interpretation (has to be replaced by proper BW observation profile)

Consciousness

Consciousness

Diastolic

Disastolic

Exertion

Exertion

Medication to be considered

Medication to be considered for correct interpretation

Systolic

Systolic

Terminology: Value Sets

These define sets of codes used by systems conforming to this implementation guide.

Anaesthesia

Anaesthesia

Blood Pressure Units

Units for measuring Blood Pressure

Body Position

Position of the Body during measurement

Consciousness

Consciousness

Cuff Size

Cuff Size

Cuff Type

Cuff Type

Exertion

Exertion

Interpretation

Interpretation (to be replaced by V3 VS)

Location

Location

Measurement Setting value set

The environment in which the measurment was performed or observed.

Observation Category

Observation Category

Observation Codes

Observation Codes

Observation Vital Signs Category

Observation Vital Signs Blood Pressure Category

Observation Vital Signs Category

Observation Vital Signs Category

Position

Position

Vital Signs Blood Pressure Category Codes

Value Set for Blood Pressure Category

Vital Signs Blood Pressure Codes

Codes to measure BP; more codes to be added

Vital Signs Diastolic Blood Pressure Codes

Codes to measure diastolic BP; codes still to be added

Vital Signs Mean Arterial Blood Pressure Codes

Codes to measure mean arterial systolic BP; codes still to be added

Vital Signs Pulse Blood Pressure Codes

Codes to measure pulse BP; codes still to be added

Vital Signs Systolic Blood Pressure Codes

Codes to measure systolic BP; codes still to be added

v2 Data Types

v2 Data Types

Terminology: Code Systems

These define new code systems used by systems conforming to this implementation guide.

Anaesthesia

Anaesthesia

Consciousness

Consciousness

Cuff Size

Cuff Size

Cuff Type

Cuff Type

Exertion

Exertion

Location

Location

Observation Category

Observation Category

Observation Codes

Observation Codes (for temporary use only; to be replaced later on)

Position

Position

v2 Data Types

v2 Data Types (for observations)

Example: Example Instances

These are example instances that show what data produced and consumed by systems conforming with this implementation guide might look like.

BloodPressureExample

This is a very draft example of a bloodpressure measurement and still needs a lot of more details.

Patient1

Sample Patient to fulfill reference

Practitioner1

Sample Practitioner to fulfill reference