BeModelObservationDiabetes - XML Representation - HL7 FHIR Implementation Guide: Transversal Clinical Core v1.2.0

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 - XML Profile

Draft as of 2024-11-22
XML representation of the BeModelObservationDiabetes logical model.
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<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="BeModelObservationDiabetes"/>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: StructureDefinition BeModelObservationDiabetes</b></p><a name="BeModelObservationDiabetes"> </a><a name="hcBeModelObservationDiabetes"> </a><a name="BeModelObservationDiabetes-en-US"> </a><table border="0" cellpadding="0" cellspacing="0" style="border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;"><tr style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top"><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="The logical name of the element">Name</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Information about the use of the element">Flags</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Minimum and Maximum # of times the element can appear in the instance">Card.</a></th><th style="width: 100px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Reference to the type of the element">Type</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Additional information about the element">Description &amp; Constraints</a><span style="float: right"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format"><img src="data:image/png;base64,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" alt="doco" style="background-color: inherit"/></a></span></th></tr><tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-BeModelObservationDiabetes-definitions.html#BeModelObservationDiabetes" title="BeModelObservationDiabetes">BeModelObservationDiabetes</a><a name="BeModelObservationDiabetes"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">*</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://build.fhir.org/types.html#Base">Base</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">BeModelObservationDiabetes<br/><span style="font-weight:bold">Instances of this logical model are not marked to be the target of a Reference</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-BeModelObservationDiabetes-definitions.html#BeModelObservationDiabetes.UniqueIdentifier" title="Unique observation business identifier.">UniqueIdentifier</a><a name="BeModelObservationDiabetes.UniqueIdentifier"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#Identifier">Identifier</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Unique observation business identifier.</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: white; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a href="StructureDefinition-BeModelObservationDiabetes-definitions.html#BeModelObservationDiabetes.RecordedDate" title="Date of encoding of the observation by the Recorder. (DateTime format) See management rule 13.">RecordedDate</a><a name="BeModelObservationDiabetes.RecordedDate"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#dateTime">dateTime</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Date of encoding of the observation by the Recorder. (DateTime format) See management rule 13.</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-BeModelObservationDiabetes-definitions.html#BeModelObservationDiabetes.ObservationPeriod" title="Date or observation period (e.g. 27/11/2023) (DateTime format)">ObservationPeriod</a><a name="BeModelObservationDiabetes.ObservationPeriod"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#Period">Period</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Date or observation period (e.g. 27/11/2023) (DateTime format)</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-BeModelObservationDiabetes-definitions.html#BeModelObservationDiabetes.Patient" title="Is the unique identifier of the patient. The unique identifier must be the National Patient Register Number (NISS) [1].">Patient</a><a name="BeModelObservationDiabetes.Patient"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#Identifier">Identifier</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Is the unique identifier of the patient. The unique identifier must be the National Patient Register Number (NISS) [1].</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-BeModelObservationDiabetes-definitions.html#BeModelObservationDiabetes.Recorder" title=" 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.">Recorder</a><a name="BeModelObservationDiabetes.Recorder"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#Identifier">Identifier</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"> 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.</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-BeModelObservationDiabetes-definitions.html#BeModelObservationDiabetes.Category" title="698472009 “Glucose monitoring” (FR) (invariant)See VS_Obs_Dia_Category ">Category</a><a name="BeModelObservationDiabetes.Category"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..*</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">698472009 “Glucose monitoring” (FR) (invariant)See VS_Obs_Dia_Category <br/></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a href="StructureDefinition-BeModelObservationDiabetes-definitions.html#BeModelObservationDiabetes.Status" title="445665009 “Final report” - invariant. See VS_Obs_Diab_Status Status">Status</a><a name="BeModelObservationDiabetes.Status"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#code">code</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">445665009 “Final report” - invariant. See VS_Obs_Diab_Status Status</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-BeModelObservationDiabetes-definitions.html#BeModelObservationDiabetes.Code" title="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">Code</a><a name="BeModelObservationDiabetes.Code"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">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</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-BeModelObservationDiabetes-definitions.html#BeModelObservationDiabetes.Value" title="Derived value. Value[x]">Value</a><a name="BeModelObservationDiabetes.Value"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#Quantity">Quantity</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Derived value. Value[x]</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-BeModelObservationDiabetes-definitions.html#BeModelObservationDiabetes.ReferenceRange" title="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 ">ReferenceRange</a><a name="BeModelObservationDiabetes.ReferenceRange"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#Range">Range</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">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 <br/></td></tr>
<tr><td colspan="5" class="hierarchy"><br/><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format"><img src="data:image/png;base64,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" alt="doco" style="background-color: inherit"/> Documentation for this format</a></td></tr></table></div>
  </text>
  <url
       value="https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/BeModelObservationDiabetes"/>
  <version value="1.2.0"/>
  <name value="BeModelObservationDiabetes"/>
  <status value="draft"/>
  <date value="2024-11-22T16:55:35+00:00"/>
  <publisher value="eHealth Platform"/>
  <contact>
    <name value="eHealth Platform"/>
    <telecom>
      <system value="url"/>
      <value value="https://www.ehealth.fgov.be"/>
    </telecom>
    <telecom>
      <system value="email"/>
      <value value="message-structure@www.ehealth.fgov.be"/>
    </telecom>
  </contact>
  <contact>
    <name value="Message-Structure"/>
    <telecom>
      <system value="email"/>
      <value value="message-structure@www.ehealth.fgov.be"/>
      <use value="work"/>
    </telecom>
  </contact>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="BE"/>
      <display value="Belgium"/>
    </coding>
  </jurisdiction>
  <fhirVersion value="4.0.1"/>
  <kind value="logical"/>
  <abstract value="false"/>
  <type
        value="https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/BeModelObservationDiabetes"/>
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Base"/>
  <derivation value="specialization"/>
  <snapshot>
    <element id="BeModelObservationDiabetes">
      <path value="BeModelObservationDiabetes"/>
      <short value="BeModelObservationDiabetes"/>
      <definition value="BeModelObservationDiabetes"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Base"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <isModifier value="false"/>
    </element>
    <element id="BeModelObservationDiabetes.UniqueIdentifier">
      <path value="BeModelObservationDiabetes.UniqueIdentifier"/>
      <short value="Unique observation business identifier."/>
      <definition value="Unique observation business identifier."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="BeModelObservationDiabetes.UniqueIdentifier"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Identifier"/>
      </type>
    </element>
    <element id="BeModelObservationDiabetes.RecordedDate">
      <path value="BeModelObservationDiabetes.RecordedDate"/>
      <short
             value="Date of encoding of the observation by the Recorder. (DateTime format) See management rule 13."/>
      <definition
                  value="Date of encoding of the observation by the Recorder. (DateTime format) See management rule 13."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="BeModelObservationDiabetes.RecordedDate"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="dateTime"/>
      </type>
    </element>
    <element id="BeModelObservationDiabetes.ObservationPeriod">
      <path value="BeModelObservationDiabetes.ObservationPeriod"/>
      <short
             value="Date or observation period (e.g. 27/11/2023) (DateTime format)"/>
      <definition
                  value="Date or observation period (e.g. 27/11/2023) (DateTime format)"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="BeModelObservationDiabetes.ObservationPeriod"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Period"/>
      </type>
    </element>
    <element id="BeModelObservationDiabetes.Patient">
      <path value="BeModelObservationDiabetes.Patient"/>
      <short
             value="Is the unique identifier of the patient. The unique identifier must be the National Patient Register Number (NISS) [1]."/>
      <definition
                  value="Is the unique identifier of the patient. The unique identifier must be the National Patient Register Number (NISS) [1]."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="BeModelObservationDiabetes.Patient"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Identifier"/>
      </type>
    </element>
    <element id="BeModelObservationDiabetes.Recorder">
      <path value="BeModelObservationDiabetes.Recorder"/>
      <short
             value=" 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."/>
      <definition
                  value=" 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."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="BeModelObservationDiabetes.Recorder"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Identifier"/>
      </type>
    </element>
    <element id="BeModelObservationDiabetes.Category">
      <path value="BeModelObservationDiabetes.Category"/>
      <short
             value="698472009 “Glucose monitoring” (FR) (invariant)See VS_Obs_Dia_Category "/>
      <definition
                  value="698472009 “Glucose monitoring” (FR) (invariant)See VS_Obs_Dia_Category"/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="BeModelObservationDiabetes.Category"/>
        <min value="1"/>
        <max value="*"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
    </element>
    <element id="BeModelObservationDiabetes.Status">
      <path value="BeModelObservationDiabetes.Status"/>
      <short
             value="445665009 “Final report” - invariant. See VS_Obs_Diab_Status Status"/>
      <definition
                  value="445665009 “Final report” - invariant. See VS_Obs_Diab_Status Status"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="BeModelObservationDiabetes.Status"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
    </element>
    <element id="BeModelObservationDiabetes.Code">
      <path value="BeModelObservationDiabetes.Code"/>
      <short
             value="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"/>
      <definition
                  value="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"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="BeModelObservationDiabetes.Code"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
    </element>
    <element id="BeModelObservationDiabetes.Value">
      <path value="BeModelObservationDiabetes.Value"/>
      <short value="Derived value. Value[x]"/>
      <definition value="Derived value. Value[x]"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="BeModelObservationDiabetes.Value"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Quantity"/>
      </type>
    </element>
    <element id="BeModelObservationDiabetes.ReferenceRange">
      <path value="BeModelObservationDiabetes.ReferenceRange"/>
      <short
             value="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 "/>
      <definition
                  value="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"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="BeModelObservationDiabetes.ReferenceRange"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Range"/>
      </type>
    </element>
  </snapshot>
  <differential>
    <element id="BeModelObservationDiabetes">
      <path value="BeModelObservationDiabetes"/>
      <short value="BeModelObservationDiabetes"/>
      <definition value="BeModelObservationDiabetes"/>
    </element>
    <element id="BeModelObservationDiabetes.UniqueIdentifier">
      <path value="BeModelObservationDiabetes.UniqueIdentifier"/>
      <short value="Unique observation business identifier."/>
      <definition value="Unique observation business identifier."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Identifier"/>
      </type>
    </element>
    <element id="BeModelObservationDiabetes.RecordedDate">
      <path value="BeModelObservationDiabetes.RecordedDate"/>
      <short
             value="Date of encoding of the observation by the Recorder. (DateTime format) See management rule 13."/>
      <definition
                  value="Date of encoding of the observation by the Recorder. (DateTime format) See management rule 13."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="dateTime"/>
      </type>
    </element>
    <element id="BeModelObservationDiabetes.ObservationPeriod">
      <path value="BeModelObservationDiabetes.ObservationPeriod"/>
      <short
             value="Date or observation period (e.g. 27/11/2023) (DateTime format)"/>
      <definition
                  value="Date or observation period (e.g. 27/11/2023) (DateTime format)"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Period"/>
      </type>
    </element>
    <element id="BeModelObservationDiabetes.Patient">
      <path value="BeModelObservationDiabetes.Patient"/>
      <short
             value="Is the unique identifier of the patient. The unique identifier must be the National Patient Register Number (NISS) [1]."/>
      <definition
                  value="Is the unique identifier of the patient. The unique identifier must be the National Patient Register Number (NISS) [1]."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Identifier"/>
      </type>
    </element>
    <element id="BeModelObservationDiabetes.Recorder">
      <path value="BeModelObservationDiabetes.Recorder"/>
      <short
             value=" 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."/>
      <definition
                  value=" 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."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Identifier"/>
      </type>
    </element>
    <element id="BeModelObservationDiabetes.Category">
      <path value="BeModelObservationDiabetes.Category"/>
      <short
             value="698472009 “Glucose monitoring” (FR) (invariant)See VS_Obs_Dia_Category "/>
      <definition
                  value="698472009 “Glucose monitoring” (FR) (invariant)See VS_Obs_Dia_Category "/>
      <min value="1"/>
      <max value="*"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
    </element>
    <element id="BeModelObservationDiabetes.Status">
      <path value="BeModelObservationDiabetes.Status"/>
      <short
             value="445665009 “Final report” - invariant. See VS_Obs_Diab_Status Status"/>
      <definition
                  value="445665009 “Final report” - invariant. See VS_Obs_Diab_Status Status"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
    </element>
    <element id="BeModelObservationDiabetes.Code">
      <path value="BeModelObservationDiabetes.Code"/>
      <short
             value="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"/>
      <definition
                  value="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"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
    </element>
    <element id="BeModelObservationDiabetes.Value">
      <path value="BeModelObservationDiabetes.Value"/>
      <short value="Derived value. Value[x]"/>
      <definition value="Derived value. Value[x]"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Quantity"/>
      </type>
    </element>
    <element id="BeModelObservationDiabetes.ReferenceRange">
      <path value="BeModelObservationDiabetes.ReferenceRange"/>
      <short
             value="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 "/>
      <definition
                  value="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 "/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Range"/>
      </type>
    </element>
  </differential>
</StructureDefinition>