FHIR IG Statistics: StructureDefinition/zib-Respiration

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{
  "resourceType": "StructureDefinition",
  "id": "zib-Respiration",
  "url": "http://nictiz.nl/fhir/StructureDefinition/zib-Respiration",
  "version": "1.0.3",
  "name": "Zib Respiration",
  "title": "HCIM Respiration",
  "status": "active",
  "publisher": "Nictiz",
  "contact": [
    {
      "name": "Nictiz",
      "telecom": [
        {
          "system": "url",
          "value": "https://www.nictiz.nl",
          "use": "work"
        }
      ]
    }
  ],
  "description": "An Observation resource as defined by the Dutch HCIM Respiration v3.1(2017EN).\r\n\r\nDuring breathing or respiration, air flows to and from the lungs, where gas exchange occurs, absorbing oxygen from the air into the blood and exhaling carbon dioxide into the air. Observations of spontaneous breathing, usually registered as part of the observation of vital functions.",
  "purpose": "# Purpose of HCIM\r\nObserving a person’s spontaneous breathing, including recording breathing frequency, depth and rhythm, is done to gain an indication of the health condition of the patient’s pulmonary system.\r\n\r\n# Purpose of this profile\r\nThis profile defines the main building block for observing a patient's respiratory parameters, including spontaneous breathing and info about administered oxygen (via the extension zib-Respiration-AdministeredOxygen). It is complemented by the profiles zib-Respiration-AdministeredOxygen-MedicalDevice (DeviceUseStatement) and zib-Respiration-AdministeredOxygen-MedicalDeviceProduct (Device) to register the device used to administer extra oxygen.",
  "copyright": "CC0",
  "fhirVersion": "3.0.2",
  "mapping": [
    {
      "identity": "hcim-respiration-v3.1-2017EN",
      "uri": "https://zibs.nl/wiki/Respiration-v3.1(2017EN)",
      "name": "HCIM Respiration-v3.1(2017EN)"
    }
  ],
  "kind": "resource",
  "abstract": false,
  "type": "Observation",
  "baseDefinition": "http://fhir.nl/fhir/StructureDefinition/nl-core-observation",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Observation",
        "path": "Observation",
        "mapping": [
          {
            "identity": "hcim-respiration-v3.1-2017EN",
            "map": "NL-CM:12.5.1",
            "comment": "Respiration"
          }
        ]
      },
      {
        "id": "Observation.extension",
        "path": "Observation.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Observation.extension:AdministeredOxygen",
        "path": "Observation.extension",
        "sliceName": "AdministeredOxygen",
        "short": "AdministeredOxygen",
        "definition": "Container of the AdministeredOxygen concept. This container contains all data elements of the AdministeredOxygen concept.",
        "alias": [
          "ToegediendeZuurstof"
        ],
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": "http://nictiz.nl/fhir/StructureDefinition/zib-Respiration-AdministeredOxygen"
          }
        ],
        "mapping": [
          {
            "identity": "hcim-respiration-v3.1-2017EN",
            "map": "NL-CM:12.5.8",
            "comment": "AdministeredOxygen"
          }
        ]
      },
      {
        "id": "Observation.extension:AdministeredOxygen.extension:extraOxygenAdministration",
        "path": "Observation.extension.extension",
        "sliceName": "extraOxygenAdministration"
      },
      {
        "id": "Observation.extension:AdministeredOxygen.extension:extraOxygenAdministration.valueBoolean:valueBoolean",
        "path": "Observation.extension.extension.valueBoolean",
        "sliceName": "valueBoolean",
        "short": "ExtraOxygenAdministration",
        "definition": "An indication stating whether the patient is given extra oxygen. In that event, additional information can be recorded in the concepts that are part of the AdministeredOxygen container.",
        "alias": [
          "ExtraZuurstofToediening"
        ],
        "mapping": [
          {
            "identity": "hcim-respiration-v3.1-2017EN",
            "map": "NL-CM:12.5.12",
            "comment": "ExtraOxygenAdministration"
          }
        ]
      },
      {
        "id": "Observation.extension:AdministeredOxygen.extension:flowRate",
        "path": "Observation.extension.extension",
        "sliceName": "flowRate"
      },
      {
        "id": "Observation.extension:AdministeredOxygen.extension:flowRate.valueQuantity:valueQuantity",
        "path": "Observation.extension.extension.valueQuantity",
        "sliceName": "valueQuantity",
        "short": "FlowRate",
        "definition": "The amount of administered oxygen. The value is between 0.0 and 50.0 l/min.",
        "alias": [
          "FlowRate"
        ],
        "example": [
          {
            "label": "Example of flow rate",
            "valueQuantity": {
              "value": 2,
              "unit": "l/min",
              "system": "http://unitsofmeasure.org",
              "code": "l/min"
            }
          }
        ],
        "mapping": [
          {
            "identity": "hcim-respiration-v3.1-2017EN",
            "map": "NL-CM:12.5.10",
            "comment": "FlowRate"
          }
        ]
      },
      {
        "id": "Observation.extension:AdministeredOxygen.extension:flowRate.valueQuantity:valueQuantity.value",
        "path": "Observation.extension.extension.valueQuantity.value",
        "minValueDecimal": 0,
        "maxValueDecimal": 50
      },
      {
        "id": "Observation.extension:AdministeredOxygen.extension:fiO2",
        "path": "Observation.extension.extension",
        "sliceName": "fiO2"
      },
      {
        "id": "Observation.extension:AdministeredOxygen.extension:fiO2.valueQuantity:valueQuantity",
        "path": "Observation.extension.extension.valueQuantity",
        "sliceName": "valueQuantity",
        "short": "FiO2",
        "definition": "The fractional concentration of inspired oxygen. Value is between 0.0 and 1.0, with a normal value of 0.21 (no extra oxygen administered).",
        "alias": [
          "FiO2"
        ],
        "example": [
          {
            "label": "Example of FiO2",
            "valueQuantity": {
              "value": 0.29,
              "unit": "{fraction}",
              "system": "http://unitsofmeasure.org"
            }
          }
        ],
        "mapping": [
          {
            "identity": "hcim-respiration-v3.1-2017EN",
            "map": "NL-CM:12.5.9",
            "comment": "FiO2"
          }
        ]
      },
      {
        "id": "Observation.extension:AdministeredOxygen.extension:fiO2.valueQuantity:valueQuantity.value",
        "path": "Observation.extension.extension.valueQuantity.value",
        "minValueDecimal": 0,
        "maxValueDecimal": 1
      },
      {
        "id": "Observation.extension:AdministeredOxygen.url",
        "path": "Observation.extension.url",
        "fixedUri": "http://nictiz.nl/fhir/StructureDefinition/zib-Respiration-AdministeredOxygen"
      },
      {
        "id": "Observation.code.coding",
        "path": "Observation.code.coding",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "code"
            }
          ],
          "rules": "open"
        },
        "min": 1
      },
      {
        "id": "Observation.code.coding:RespiratoryAssessment",
        "path": "Observation.code.coding",
        "sliceName": "RespiratoryAssessment",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Observation.code.coding:RespiratoryAssessment.system",
        "path": "Observation.code.coding.system",
        "min": 1,
        "fixedUri": "http://snomed.info/sct"
      },
      {
        "id": "Observation.code.coding:RespiratoryAssessment.code",
        "path": "Observation.code.coding.code",
        "min": 1,
        "fixedCode": "422834003"
      },
      {
        "id": "Observation.code.coding:RespiratoryAssessment.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Observation.code.coding.display",
        "defaultValueString": "Respiratory assessment"
      },
      {
        "id": "Observation.effective[x]:effectiveDateTime",
        "path": "Observation.effectiveDateTime",
        "sliceName": "effectiveDateTime",
        "short": "BreathingDateTime",
        "definition": "Date and if possible time of measurement.",
        "alias": [
          "AdemhalingDatumTijd"
        ],
        "min": 1,
        "type": [
          {
            "code": "dateTime"
          }
        ],
        "mapping": [
          {
            "identity": "hcim-respiration-v3.1-2017EN",
            "map": "NL-CM:12.5.4",
            "comment": "BreathingDateTime"
          }
        ]
      },
      {
        "id": "Observation.comment",
        "path": "Observation.comment",
        "short": "Comment",
        "definition": "Comment on additional factors that can influence breathing such as the extent of fear, pain, nutrition in the case of infants or a tracheostomy.",
        "alias": [
          "Toelichting"
        ],
        "mapping": [
          {
            "identity": "hcim-respiration-v3.1-2017EN",
            "map": "NL-CM:12.5.3",
            "comment": "Comment"
          }
        ]
      },
      {
        "id": "Observation.component",
        "path": "Observation.component",
        "slicing": {
          "discriminator": [
            {
              "type": "pattern",
              "path": "code"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Observation.component:BreathingFrequency",
        "path": "Observation.component",
        "sliceName": "BreathingFrequency",
        "max": "1"
      },
      {
        "id": "Observation.component:BreathingFrequency.code",
        "path": "Observation.component.code",
        "patternCodeableConcept": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "9279-1"
            }
          ]
        }
      },
      {
        "id": "Observation.component:BreathingFrequency.value[x]:valueQuantity",
        "path": "Observation.component.valueQuantity",
        "sliceName": "valueQuantity",
        "short": "BreathingFrequency",
        "definition": "The value of the measured breathing frequency. The breathing frequency is the number of breaths per minute.",
        "alias": [
          "Ademfrequentie"
        ],
        "type": [
          {
            "code": "Quantity"
          }
        ],
        "example": [
          {
            "label": "Example of breathing frequency",
            "valueQuantity": {
              "value": 15,
              "unit": "breaths per minute",
              "system": "http://unitsofmeasure.org",
              "code": "{breaths}/min"
            }
          }
        ],
        "mapping": [
          {
            "identity": "hcim-respiration-v3.1-2017EN",
            "map": "NL-CM:12.5.2",
            "comment": "BreathingFrequency"
          }
        ]
      },
      {
        "id": "Observation.component:Rhythm",
        "path": "Observation.component",
        "sliceName": "Rhythm",
        "max": "1"
      },
      {
        "id": "Observation.component:Rhythm.code",
        "path": "Observation.component.code",
        "patternCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "48064009"
            }
          ]
        }
      },
      {
        "id": "Observation.component:Rhythm.value[x]:valueCodeableConcept",
        "path": "Observation.component.valueCodeableConcept",
        "sliceName": "valueCodeableConcept",
        "short": "Rhythm",
        "definition": "The rhythm or regularity of breathing.",
        "alias": [
          "Ritme"
        ],
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "extensible",
          "description": "RitmeCodelijst",
          "valueSetReference": {
            "reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.5.1--20171231000000",
            "display": "RitmeCodelijst"
          }
        },
        "mapping": [
          {
            "identity": "hcim-respiration-v3.1-2017EN",
            "map": "NL-CM:12.5.5",
            "comment": "Rhythm"
          }
        ]
      },
      {
        "id": "Observation.component:Depth",
        "path": "Observation.component",
        "sliceName": "Depth",
        "max": "1"
      },
      {
        "id": "Observation.component:Depth.code",
        "path": "Observation.component.code",
        "patternCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "271626009"
            }
          ]
        }
      },
      {
        "id": "Observation.component:Depth.value[x]:valueCodeableConcept",
        "path": "Observation.component.valueCodeableConcept",
        "sliceName": "valueCodeableConcept",
        "short": "Depth",
        "definition": "The depth of the breaths.",
        "alias": [
          "Diepte"
        ],
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "extensible",
          "description": "DiepteCodelijst",
          "valueSetReference": {
            "reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.5.2--20171231000000",
            "display": "DiepteCodelijst"
          }
        },
        "mapping": [
          {
            "identity": "hcim-respiration-v3.1-2017EN",
            "map": "NL-CM:12.5.6",
            "comment": "Depth"
          }
        ]
      },
      {
        "id": "Observation.component:DeviatingBreathingPattern",
        "path": "Observation.component",
        "sliceName": "DeviatingBreathingPattern",
        "max": "1"
      },
      {
        "id": "Observation.component:DeviatingBreathingPattern.code",
        "path": "Observation.component.code",
        "patternCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "278907009"
            }
          ]
        }
      },
      {
        "id": "Observation.component:DeviatingBreathingPattern.value[x]:valueCodeableConcept",
        "path": "Observation.component.valueCodeableConcept",
        "sliceName": "valueCodeableConcept",
        "short": "DeviatingBreathingPattern",
        "definition": "Specific, abnormal breathing patterns.",
        "alias": [
          "AfwijkendAdemhalingspatroon"
        ],
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "extensible",
          "description": "AfwijkendAdemhalingspatroonCodelijst",
          "valueSetReference": {
            "reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.5.3--20171231000000",
            "display": "AfwijkendAdemhalingspatroonCodelijst"
          }
        },
        "mapping": [
          {
            "identity": "hcim-respiration-v3.1-2017EN",
            "map": "NL-CM:12.5.7",
            "comment": "DeviatingBreathingPattern"
          }
        ]
      }
    ]
  }
}