0.9.0 - ballotNormative-2 Norway flag

NoDomainVitalSigns - Local Development build (v0.9.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: no-domain-VitalSigns-Observation-heartrate Profile

Official URL: http://hl7.no/fhir/no-domain/vitalsigns/StructureDefinition/no-domain-VitalSigns-Observation-heartrate Version: 0.9.0
Draft as of 2025-01-28 Computable Name: NoDomainVitalSignsObservationHeartRate

Copyright/Legal: Some content in this profile builds on the heart rate archetype: Puls/Hjertefrekvens, Publisert arketype [Internet]. openEHR Norge, Nasjonal IKT Clinical Knowledge Manager [sitert: 2024-12-04]. Hentet fra: https://arketyper.no/ckm/archetypes/1078.36.2293

Domain profile for Norwegian Vital Signs Observation Heart Rate information.
To be used for recording the rate and associated attributes for a heart beat. This profile describes how to use a SNOMED code to indicate that the measurement is a general heart rate measurement, and not a more specific measurement of the actual heart beat or pulse reading.

Basisprofile for Norwegian VitalSigns Observation Heart Rate information. Defined by The Norwegian Directorate of eHealth and HL7 Norway. The profile adds Norwegian specific property information and further explanation of the use for the data-elements in a Norwegian VitalSigns Observation Heart Rate.

Usages:

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* observation-heartrate FHIR Heart Rate Profile
Constraints: obs-6, obs-7, vs-2
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:heartRhythmIrregularity 0..1 Coding Extension
URL: http://hl7.no/fhir/no-domain/vitalsigns/StructureDefinition/NoDomainVitalSignsHeartRhythmIrregularityExtension
Binding: NoDomainVitalSignsHeartRhythmIrregularity-ValueSet (required)
.... extension:confoundingFactor 0..1 CodeableConcept Additional issues or factors that may impact for the measurement
URL: http://hl7.no/fhir/no-domain/vitalsigns/StructureDefinition/NoDomainVitalSignsConfoundingFactorExtension
.... extension:clinicalDescription 0..1 Annotation Narrative description about the heart beat.
URL: http://hl7.no/fhir/no-domain/vitalsigns/StructureDefinition/NoDomainVitalSignsClinicalDescriptionExtension
.... extension:BodyPosition 0..1 Coding The body position of the subject during the observation.
URL: http://hl7.no/fhir/no-domain/vitalsigns/StructureDefinition/NoDomainVitalSignsHeartRatePulseBodyPositionExtension
Binding: NoDomainVitalSignsHeartRatePulseBodyPosition-ValueSet (required)
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for category S 1..* CodeableConcept Classification of type of observation
Slice: Unordered, Open by value:coding.code, value:coding.system
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
.... category:VSCat S 1..1 CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
..... coding SΣ 1..* Coding Code defined by a terminology system
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... code SΣ 1..1 code Symbol in syntax defined by the system
Fixed Value: vital-signs
... code SΣ 1..1 CodeableConcept Heart Rate
Binding: VitalSigns (extensible): This identifies the vital sign result type.
.... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:code, value:system
..... coding:HeartRateCode Σ 1..1 Coding Code defined by a terminology system
...... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: 8867-4
..... coding:HeartRateSNOMEDCode Σ 0..1 Coding Code defined by a terminology system
...... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: 364075005
... subject SΣ 1..1 Reference(Patient | no-basis-Patient) Who and/or what the observation is about
... effective[x] SΣC 1..1 Often just a dateTime for Vital Signs
Constraints: vs-1
.... effectiveDateTime dateTime
.... effectivePeriod Period
... Slices for performer Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) Who is responsible for the observation
Slice: Unordered, Open by type:type
.... performer:Author Σ 0..* Reference(Practitioner | PractitionerRole | CareTeam | Patient | RelatedPerson | no-basis-Practitioner | no-basis-PractitionerRole) Who is responsible for the observation
.... performer:organization Σ 0..* Reference(Organization | no-basis-Organization) Who is responsible for the observation
... Slices for value[x] SΣC 0..1 Quantity Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.
Slice: Unordered, Closed by type:$this
.... value[x]:valueQuantity SΣC 0..1 Quantity The rate of the heart beat, measured in beats per minute.
..... value SΣ 1..1 decimal Numerical value (with implicit precision)
..... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
..... unit SΣ 1..1 string Unit representation
..... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
..... code SΣ 1..1 code Coded responses from the common UCUM units for vital signs value set.
Fixed Value: /min
... dataAbsentReason SC 0..1 CodeableConcept Why the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
... bodySite 0..1 CodeableConcept Observed body part
Binding: NoDomainVitalSignsHeartRateBodySite-ValueSet (extensible)
.... coding Σ 0..* Coding Code defined by a terminology system
Binding: NoDomainVitalSignsHeartRateBodySite-ValueSet (extensible)
... method 0..1 CodeableConcept How it was done
Binding: NoDomainVitalSignsHeartRateMeasurementMethod-ValueSet (extensible)
.... coding Σ 0..* Coding Code defined by a terminology system
Binding: NoDomainVitalSignsHeartRateMeasurementMethod-ValueSet (extensible)
... component SΣC 0..* BackboneElement Used when reporting systolic and diastolic blood pressure.
Constraints: vs-3
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code SΣ 1..1 CodeableConcept Type of component observation (code / type)
Binding: VitalSigns (extensible): This identifies the vital sign result type.
.... value[x] SΣC 0..1 Vital Sign Value recorded with UCUM
Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs.
..... valueQuantity Quantity
..... valueCodeableConcept CodeableConcept
..... valueString string
..... valueBoolean boolean
..... valueInteger integer
..... valueRange Range
..... valueRatio Ratio
..... valueSampledData SampledData
..... valueTime time
..... valueDateTime dateTime
..... valuePeriod Period
.... dataAbsentReason SC 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Observation.statusrequiredObservationStatus
http://hl7.org/fhir/ValueSet/observation-status|4.0.1
From the FHIR Standard
Observation.categorypreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
From the FHIR Standard
Observation.category:VSCatpreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
From the FHIR Standard
Observation.codeextensibleVitalSigns
http://hl7.org/fhir/ValueSet/observation-vitalsignresult
From the FHIR Standard
Observation.value[x]:valueQuantity.comparatorrequiredQuantityComparator
http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1
From the FHIR Standard
Observation.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
From the FHIR Standard
Observation.bodySiteextensibleNoDomainVitalSignsHeartRateBodySiteValueSet
http://hl7.no/fhir/no-domain/vitalsigns/ValueSet/NoDomainVitalSignsHeartRateBodySiteValueSet
From this IG
Observation.bodySite.codingextensibleNoDomainVitalSignsHeartRateBodySiteValueSet
http://hl7.no/fhir/no-domain/vitalsigns/ValueSet/NoDomainVitalSignsHeartRateBodySiteValueSet
From this IG
Observation.methodextensibleNoDomainVitalSignsHeartRateMeasurementMethodValueSet
http://hl7.no/fhir/no-domain/vitalsigns/ValueSet/NoDomainVitalSignsHeartRateMeasurementMethodValueSet
From this IG
Observation.method.codingextensibleNoDomainVitalSignsHeartRateMeasurementMethodValueSet
http://hl7.no/fhir/no-domain/vitalsigns/ValueSet/NoDomainVitalSignsHeartRateMeasurementMethodValueSet
From this IG
Observation.component.codeextensibleVitalSigns
http://hl7.org/fhir/ValueSet/observation-vitalsignresult
From the FHIR Standard
Observation.component.value[x]extensibleVitalSignsUnits
http://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.1
From the FHIR Standard
Observation.component.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
From the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorObservationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorObservationIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorObservationIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorObservationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceObservationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
obs-6errorObservationdataAbsentReason SHALL only be present if Observation.value[x] is not present
: dataAbsentReason.empty() or value.empty()
obs-7errorObservationIf Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
: value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
vs-1errorObservation.effective[x]if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day
: $this is dateTime implies $this.toString().length() >= 10
vs-2errorObservationIf there is no component or hasMember element then either a value[x] or a data absent reason must be present.
: (component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists())
vs-3errorObservation.componentIf there is no a value a data absent reason must be present
: value.exists() or dataAbsentReason.exists()

 

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