HL7 FHIR Implementation Guide: Transversal Clinical Core
1.2.0 - STU1 Belgium flag

HL7 FHIR Implementation Guide: Transversal Clinical Core, published by eHealth Platform. This guide is not an authorized publication; it is the continuous build for version 1.2.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-be/core-clinical/ and changes regularly. See the Directory of published versions

Logical Model: BeModelObservationDiabetes

Official URL: https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/BeModelObservationDiabetes Version: 1.2.0
Draft as of 2024-11-22 Computable Name: BeModelObservationDiabetes

Usage:

  • This Logical Model Profile is not used by any profiles in this Implementation Guide

Formal Views of Profile Content

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

This structure is derived from Base

NameFlagsCard.TypeDescription & Constraintsdoco
.. BeModelObservationDiabetes 0..* Base BeModelObservationDiabetes
Instances of this logical model are not marked to be the target of a Reference
... UniqueIdentifier 1..1 Identifier Unique observation business identifier.
... RecordedDate 1..1 dateTime Date of encoding of the observation by the Recorder. (DateTime format) See management rule 13.
... ObservationPeriod 1..1 Period Date or observation period (e.g. 27/11/2023) (DateTime format)
... Recorder 1..1 Identifier Is the unique identifier (national register number)[1] of the health professional or organization (company number) which encodes the information and takes responsibility for its content.
... Category 1..* CodeableConcept 698472009 “Glucose monitoring” (FR) (invariant)See VS_Obs_Dia_Category
... Status 0..1 code 445665009 “Final report” - invariant. See VS_Obs_Diab_Status Status
... Code 1..1 CodeableConcept Code corresponding to the derived value (coding to be established by SNOMED CT). Ex: AGP-PGATAR Time Above Range, TIR Time In Range…See VS_Obs_Diab_Code
... Value 1..1 Quantity Derived value. Value[x]
... ReferenceRange 0..* Range Structure composed of reference elements allowing the interpretation of measurements:·        ReferenceRange.Low (0...1)·        ReferenceRange.High (0...1)·        ReferenceRange.AppliesTo (0...*)We automatically work according to the ADA standards which define target value intervals for the following derived observations: Coded1 Coefficient of Variation2 Days Sensor Worn3% Data Captured4 TAR % (Time above range - very high)5 TAR % (Time above range - high)6 SHOOTING % (Time in Range)7 TBR % (Time below range - low)8 TBR % (Time below range - very low)By observation code derived from this list, we will potentially find:A) Target - reference interval to indicate the target lower limit (“Low”) and upper limit (“High”).Note that these limits do not depend on the diabetes category.For example: for TIR, it is recommended that the blood glucose value be at least 70% of the time in the “normal” range.So for ReferenceRange “TIR_REF”→ TIR_REF.Low = 70%→ TIR_REF.High = 100%B) filter - application interval with a lower limit and an upper limit to filter the measurement observations considered in the calculation of the derived value. This defines the range of counted values. These ranges may vary by diabetes category.For example: the “normal” range is between 70 mg/dL and 180 mg/dL for category 1 and 3, and between 63 mg/dL and 140 mg/dL for category 2.So for ReferenceRange “TIR_REF”→ TIR_REF.AppliesTo(CAT1, ≥70 mg/dL, ≤180 mg/dL)→ TIR_REF.AppliesTo(CAT2, ≥63 mg/dL, ≤140 mg/dL)→ TIR_REF.AppliesTo(CAT3, ≥70 mg/dL, ≤180 mg/dL)As we base ourselves on ADA standards, there is little point in passing all this information for each observation.If, however, a doctor changes values ​​(target and/or filter) for a specific patient AND you want to communicate these changes outside of your patient file, this mechanism provides the means.See VS_Obs_Diab_Ref

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. BeModelObservationDiabetes 0..* Base BeModelObservationDiabetes
Instances of this logical model are not marked to be the target of a Reference
... UniqueIdentifier 1..1 Identifier Unique observation business identifier.
... RecordedDate 1..1 dateTime Date of encoding of the observation by the Recorder. (DateTime format) See management rule 13.
... ObservationPeriod 1..1 Period Date or observation period (e.g. 27/11/2023) (DateTime format)
... Recorder 1..1 Identifier Is the unique identifier (national register number)[1] of the health professional or organization (company number) which encodes the information and takes responsibility for its content.
... Category 1..* CodeableConcept 698472009 “Glucose monitoring” (FR) (invariant)See VS_Obs_Dia_Category
... Status 0..1 code 445665009 “Final report” - invariant. See VS_Obs_Diab_Status Status
... Code 1..1 CodeableConcept Code corresponding to the derived value (coding to be established by SNOMED CT). Ex: AGP-PGATAR Time Above Range, TIR Time In Range…See VS_Obs_Diab_Code
... Value 1..1 Quantity Derived value. Value[x]
... ReferenceRange 0..* Range Structure composed of reference elements allowing the interpretation of measurements:·        ReferenceRange.Low (0...1)·        ReferenceRange.High (0...1)·        ReferenceRange.AppliesTo (0...*)We automatically work according to the ADA standards which define target value intervals for the following derived observations: Coded1 Coefficient of Variation2 Days Sensor Worn3% Data Captured4 TAR % (Time above range - very high)5 TAR % (Time above range - high)6 SHOOTING % (Time in Range)7 TBR % (Time below range - low)8 TBR % (Time below range - very low)By observation code derived from this list, we will potentially find:A) Target - reference interval to indicate the target lower limit (“Low”) and upper limit (“High”).Note that these limits do not depend on the diabetes category.For example: for TIR, it is recommended that the blood glucose value be at least 70% of the time in the “normal” range.So for ReferenceRange “TIR_REF”→ TIR_REF.Low = 70%→ TIR_REF.High = 100%B) filter - application interval with a lower limit and an upper limit to filter the measurement observations considered in the calculation of the derived value. This defines the range of counted values. These ranges may vary by diabetes category.For example: the “normal” range is between 70 mg/dL and 180 mg/dL for category 1 and 3, and between 63 mg/dL and 140 mg/dL for category 2.So for ReferenceRange “TIR_REF”→ TIR_REF.AppliesTo(CAT1, ≥70 mg/dL, ≤180 mg/dL)→ TIR_REF.AppliesTo(CAT2, ≥63 mg/dL, ≤140 mg/dL)→ TIR_REF.AppliesTo(CAT3, ≥70 mg/dL, ≤180 mg/dL)As we base ourselves on ADA standards, there is little point in passing all this information for each observation.If, however, a doctor changes values ​​(target and/or filter) for a specific patient AND you want to communicate these changes outside of your patient file, this mechanism provides the means.See VS_Obs_Diab_Ref

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. BeModelObservationDiabetes 0..* Base BeModelObservationDiabetes
Instances of this logical model are not marked to be the target of a Reference
... UniqueIdentifier 1..1 Identifier Unique observation business identifier.
... RecordedDate 1..1 dateTime Date of encoding of the observation by the Recorder. (DateTime format) See management rule 13.
... ObservationPeriod 1..1 Period Date or observation period (e.g. 27/11/2023) (DateTime format)
... Recorder 1..1 Identifier Is the unique identifier (national register number)[1] of the health professional or organization (company number) which encodes the information and takes responsibility for its content.
... Category 1..* CodeableConcept 698472009 “Glucose monitoring” (FR) (invariant)See VS_Obs_Dia_Category
... Status 0..1 code 445665009 “Final report” - invariant. See VS_Obs_Diab_Status Status
... Code 1..1 CodeableConcept Code corresponding to the derived value (coding to be established by SNOMED CT). Ex: AGP-PGATAR Time Above Range, TIR Time In Range…See VS_Obs_Diab_Code
... Value 1..1 Quantity Derived value. Value[x]
... ReferenceRange 0..* Range Structure composed of reference elements allowing the interpretation of measurements:·        ReferenceRange.Low (0...1)·        ReferenceRange.High (0...1)·        ReferenceRange.AppliesTo (0...*)We automatically work according to the ADA standards which define target value intervals for the following derived observations: Coded1 Coefficient of Variation2 Days Sensor Worn3% Data Captured4 TAR % (Time above range - very high)5 TAR % (Time above range - high)6 SHOOTING % (Time in Range)7 TBR % (Time below range - low)8 TBR % (Time below range - very low)By observation code derived from this list, we will potentially find:A) Target - reference interval to indicate the target lower limit (“Low”) and upper limit (“High”).Note that these limits do not depend on the diabetes category.For example: for TIR, it is recommended that the blood glucose value be at least 70% of the time in the “normal” range.So for ReferenceRange “TIR_REF”→ TIR_REF.Low = 70%→ TIR_REF.High = 100%B) filter - application interval with a lower limit and an upper limit to filter the measurement observations considered in the calculation of the derived value. This defines the range of counted values. These ranges may vary by diabetes category.For example: the “normal” range is between 70 mg/dL and 180 mg/dL for category 1 and 3, and between 63 mg/dL and 140 mg/dL for category 2.So for ReferenceRange “TIR_REF”→ TIR_REF.AppliesTo(CAT1, ≥70 mg/dL, ≤180 mg/dL)→ TIR_REF.AppliesTo(CAT2, ≥63 mg/dL, ≤140 mg/dL)→ TIR_REF.AppliesTo(CAT3, ≥70 mg/dL, ≤180 mg/dL)As we base ourselves on ADA standards, there is little point in passing all this information for each observation.If, however, a doctor changes values ​​(target and/or filter) for a specific patient AND you want to communicate these changes outside of your patient file, this mechanism provides the means.See VS_Obs_Diab_Ref

doco Documentation for this format

This structure is derived from Base

Summary

Mandatory: 0 element(8 nested mandatory elements)

Differential View

This structure is derived from Base

NameFlagsCard.TypeDescription & Constraintsdoco
.. BeModelObservationDiabetes 0..* Base BeModelObservationDiabetes
Instances of this logical model are not marked to be the target of a Reference
... UniqueIdentifier 1..1 Identifier Unique observation business identifier.
... RecordedDate 1..1 dateTime Date of encoding of the observation by the Recorder. (DateTime format) See management rule 13.
... ObservationPeriod 1..1 Period Date or observation period (e.g. 27/11/2023) (DateTime format)
... Recorder 1..1 Identifier Is the unique identifier (national register number)[1] of the health professional or organization (company number) which encodes the information and takes responsibility for its content.
... Category 1..* CodeableConcept 698472009 “Glucose monitoring” (FR) (invariant)See VS_Obs_Dia_Category
... Status 0..1 code 445665009 “Final report” - invariant. See VS_Obs_Diab_Status Status
... Code 1..1 CodeableConcept Code corresponding to the derived value (coding to be established by SNOMED CT). Ex: AGP-PGATAR Time Above Range, TIR Time In Range…See VS_Obs_Diab_Code
... Value 1..1 Quantity Derived value. Value[x]
... ReferenceRange 0..* Range Structure composed of reference elements allowing the interpretation of measurements:·        ReferenceRange.Low (0...1)·        ReferenceRange.High (0...1)·        ReferenceRange.AppliesTo (0...*)We automatically work according to the ADA standards which define target value intervals for the following derived observations: Coded1 Coefficient of Variation2 Days Sensor Worn3% Data Captured4 TAR % (Time above range - very high)5 TAR % (Time above range - high)6 SHOOTING % (Time in Range)7 TBR % (Time below range - low)8 TBR % (Time below range - very low)By observation code derived from this list, we will potentially find:A) Target - reference interval to indicate the target lower limit (“Low”) and upper limit (“High”).Note that these limits do not depend on the diabetes category.For example: for TIR, it is recommended that the blood glucose value be at least 70% of the time in the “normal” range.So for ReferenceRange “TIR_REF”→ TIR_REF.Low = 70%→ TIR_REF.High = 100%B) filter - application interval with a lower limit and an upper limit to filter the measurement observations considered in the calculation of the derived value. This defines the range of counted values. These ranges may vary by diabetes category.For example: the “normal” range is between 70 mg/dL and 180 mg/dL for category 1 and 3, and between 63 mg/dL and 140 mg/dL for category 2.So for ReferenceRange “TIR_REF”→ TIR_REF.AppliesTo(CAT1, ≥70 mg/dL, ≤180 mg/dL)→ TIR_REF.AppliesTo(CAT2, ≥63 mg/dL, ≤140 mg/dL)→ TIR_REF.AppliesTo(CAT3, ≥70 mg/dL, ≤180 mg/dL)As we base ourselves on ADA standards, there is little point in passing all this information for each observation.If, however, a doctor changes values ​​(target and/or filter) for a specific patient AND you want to communicate these changes outside of your patient file, this mechanism provides the means.See VS_Obs_Diab_Ref

doco Documentation for this format

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. BeModelObservationDiabetes 0..* Base BeModelObservationDiabetes
Instances of this logical model are not marked to be the target of a Reference
... UniqueIdentifier 1..1 Identifier Unique observation business identifier.
... RecordedDate 1..1 dateTime Date of encoding of the observation by the Recorder. (DateTime format) See management rule 13.
... ObservationPeriod 1..1 Period Date or observation period (e.g. 27/11/2023) (DateTime format)
... Recorder 1..1 Identifier Is the unique identifier (national register number)[1] of the health professional or organization (company number) which encodes the information and takes responsibility for its content.
... Category 1..* CodeableConcept 698472009 “Glucose monitoring” (FR) (invariant)See VS_Obs_Dia_Category
... Status 0..1 code 445665009 “Final report” - invariant. See VS_Obs_Diab_Status Status
... Code 1..1 CodeableConcept Code corresponding to the derived value (coding to be established by SNOMED CT). Ex: AGP-PGATAR Time Above Range, TIR Time In Range…See VS_Obs_Diab_Code
... Value 1..1 Quantity Derived value. Value[x]
... ReferenceRange 0..* Range Structure composed of reference elements allowing the interpretation of measurements:·        ReferenceRange.Low (0...1)·        ReferenceRange.High (0...1)·        ReferenceRange.AppliesTo (0...*)We automatically work according to the ADA standards which define target value intervals for the following derived observations: Coded1 Coefficient of Variation2 Days Sensor Worn3% Data Captured4 TAR % (Time above range - very high)5 TAR % (Time above range - high)6 SHOOTING % (Time in Range)7 TBR % (Time below range - low)8 TBR % (Time below range - very low)By observation code derived from this list, we will potentially find:A) Target - reference interval to indicate the target lower limit (“Low”) and upper limit (“High”).Note that these limits do not depend on the diabetes category.For example: for TIR, it is recommended that the blood glucose value be at least 70% of the time in the “normal” range.So for ReferenceRange “TIR_REF”→ TIR_REF.Low = 70%→ TIR_REF.High = 100%B) filter - application interval with a lower limit and an upper limit to filter the measurement observations considered in the calculation of the derived value. This defines the range of counted values. These ranges may vary by diabetes category.For example: the “normal” range is between 70 mg/dL and 180 mg/dL for category 1 and 3, and between 63 mg/dL and 140 mg/dL for category 2.So for ReferenceRange “TIR_REF”→ TIR_REF.AppliesTo(CAT1, ≥70 mg/dL, ≤180 mg/dL)→ TIR_REF.AppliesTo(CAT2, ≥63 mg/dL, ≤140 mg/dL)→ TIR_REF.AppliesTo(CAT3, ≥70 mg/dL, ≤180 mg/dL)As we base ourselves on ADA standards, there is little point in passing all this information for each observation.If, however, a doctor changes values ​​(target and/or filter) for a specific patient AND you want to communicate these changes outside of your patient file, this mechanism provides the means.See VS_Obs_Diab_Ref

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. BeModelObservationDiabetes 0..* Base BeModelObservationDiabetes
Instances of this logical model are not marked to be the target of a Reference
... UniqueIdentifier 1..1 Identifier Unique observation business identifier.
... RecordedDate 1..1 dateTime Date of encoding of the observation by the Recorder. (DateTime format) See management rule 13.
... ObservationPeriod 1..1 Period Date or observation period (e.g. 27/11/2023) (DateTime format)
... Recorder 1..1 Identifier Is the unique identifier (national register number)[1] of the health professional or organization (company number) which encodes the information and takes responsibility for its content.
... Category 1..* CodeableConcept 698472009 “Glucose monitoring” (FR) (invariant)See VS_Obs_Dia_Category
... Status 0..1 code 445665009 “Final report” - invariant. See VS_Obs_Diab_Status Status
... Code 1..1 CodeableConcept Code corresponding to the derived value (coding to be established by SNOMED CT). Ex: AGP-PGATAR Time Above Range, TIR Time In Range…See VS_Obs_Diab_Code
... Value 1..1 Quantity Derived value. Value[x]
... ReferenceRange 0..* Range Structure composed of reference elements allowing the interpretation of measurements:·        ReferenceRange.Low (0...1)·        ReferenceRange.High (0...1)·        ReferenceRange.AppliesTo (0...*)We automatically work according to the ADA standards which define target value intervals for the following derived observations: Coded1 Coefficient of Variation2 Days Sensor Worn3% Data Captured4 TAR % (Time above range - very high)5 TAR % (Time above range - high)6 SHOOTING % (Time in Range)7 TBR % (Time below range - low)8 TBR % (Time below range - very low)By observation code derived from this list, we will potentially find:A) Target - reference interval to indicate the target lower limit (“Low”) and upper limit (“High”).Note that these limits do not depend on the diabetes category.For example: for TIR, it is recommended that the blood glucose value be at least 70% of the time in the “normal” range.So for ReferenceRange “TIR_REF”→ TIR_REF.Low = 70%→ TIR_REF.High = 100%B) filter - application interval with a lower limit and an upper limit to filter the measurement observations considered in the calculation of the derived value. This defines the range of counted values. These ranges may vary by diabetes category.For example: the “normal” range is between 70 mg/dL and 180 mg/dL for category 1 and 3, and between 63 mg/dL and 140 mg/dL for category 2.So for ReferenceRange “TIR_REF”→ TIR_REF.AppliesTo(CAT1, ≥70 mg/dL, ≤180 mg/dL)→ TIR_REF.AppliesTo(CAT2, ≥63 mg/dL, ≤140 mg/dL)→ TIR_REF.AppliesTo(CAT3, ≥70 mg/dL, ≤180 mg/dL)As we base ourselves on ADA standards, there is little point in passing all this information for each observation.If, however, a doctor changes values ​​(target and/or filter) for a specific patient AND you want to communicate these changes outside of your patient file, this mechanism provides the means.See VS_Obs_Diab_Ref

doco Documentation for this format

This structure is derived from Base

Summary

Mandatory: 0 element(8 nested mandatory elements)

 

Other representations of profile: CSV, Excel