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 0.2.6 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
What is the process to get to product family specific artefacts?
Step 1: MindMap
The following mindmap collects and sorts all aspects around blood pressure that are necessary for
a correct interpretation and clinical use.
It has to be recognized that some artifacts (eg. reference range) are abbreviated, and the corresponding details
must be duplicated. Unfortunately, PlantUML mindmaps do not allow for cross-links to denote that.
The following diagram aggregates all aspects that can be found somewhere.
It tries to arrange them in a way that helps to understand the semantics,
and to sort them.
For the moment, additional explanatory text has not been duplicated from other sources for copyright and IP reasons.
It can be expected, that this will be done later on.
Special Aspects for "Profile Subsets"
generic/advanced set allowing to convey all types of blood pressurements
constrained to "standard measurements" that are commonly used on panels (so excluding specific ones), eg. at arm + sitting + in rest
special clinical measurements, eg. artery
average values
…
Step 2: Information Model
The aforementioned details are now aggregated in form of classes and linked together.
The important items are in bold:
Step 3: Hierarchy for Blood Pressure Profiles with regard to Vital Signs (informative)
The possible values for blood pressure measurements have to be instantiated in different ways.
In combination with vital signs it forms a hierarchy:
The general blood pressure profile on top accumulates all possible details in one profile.
It allows for capturing every blood pressure measurement.
Discussions has revealed that not every blood pressure measurement belongs to the vital sign category.
Only specific measurements, eg. in rest with no exertion, can be used as vital signs as it is shown in a panel.
Therefore, the BP panel is a specialisation of vital signs but not all other BP measurements.
It is also questionable whether the country-specific core is really necessary?!
Step 4: Technology Binding (ITS)
How to represent the same information in different standards?