MedMij:V2018.03 FHIR VitalSigns - Bewerkingsoverzicht

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Ardon Toonstra: Versie 15582 van Ardon Toonstra (overleg) ongedaan gemaakt

2018-07-25T14:28:51Z

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Ardon Toonstra: /* Message Resource content */

2018-07-25T14:28:08Z

‎Message Resource content

Ardon Toonstra: /* Use case: Send Vital Signs */

2018-07-18T13:41:32Z

‎Use case: Send Vital Signs

Ardon Toonstra op 7 mei 2018 om 14:08

2018-05-07T14:08:01Z

Maarten Ligtvoet: Copy of Vdraft

2018-05-07T09:12:10Z

Copy of Vdraft

Nieuwe pagina

{{#customtitle:MedMij FHIR use case Vital Signs}}
{{IssueBox|Work in progress - See offical publication here: https://informatiestandaarden.nictiz.nl/wiki/MedMij:Vcurrent_FHIR_IG .}}

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__TOC__

=Introduction=
[[Bestand:Functioneel-02.png|link=MedMij:V2018.03_Ontwerpen |100px|rechts|Functional design|Go to functional design]]

This use case is mainly based on the HL7 FHIR vital signs specification - http://hl7.org/fhir/STU3/observation-vitalsigns.html. The HL7 FHIR vital signs specification is extended with profiles of ZIB concepts that represent vital signs. These profiles are derived from the official [http://hl7.org/fhir/observation-vitalsigns.html HL7 Vital Signs profiles]. The purpose of these profiles is to add additional concepts that are not in the vital sign profiles but are provided in the corresponding ZIB. Moreover, these derived profiles include ZIB to FHIR mappings.

'''Technical note:'''

Because the base [http://hl7.org/fhir/vitalsigns.html vital signs] profile constrains the <code>.code</code> and the <code>.component.code</code> to the datatype quantity it is not possible to add additional ZIB concepts. A GForge [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=13796 issue] is created to address this problem. This issue will most likely be resolved with FHIR version STU4. However, to address this problem now the base vital signs panel is copied, the datatype constrains removed and published under a different canonical URL. The HL7 vital sign profiles bloodpressure, bodyweight, and oxygensaturation are copied, the StructureDefinition.baseDefinition adjusted and published under a different canonical URL because they are in the chain of derived profiles and the component.code needs to be used for these vital signs.

Use cases:
* [[MedMij:V2018.03_FHIR_VitalSigns#Use_case:_Retrieve_Vital_Signs|Retrieve vital signs]]
* [[MedMij:V2018.03_FHIR_VitalSigns#Use_case:_Send_Vital_Signs|Send vital signs]]

=Actors involved=
{| class="wikitable"
! colspan="2" style="text-align:left;" | Persons
! colspan="2" style="text-align:left;" | Systems
! colspan="2" style="text-align:left;" | FHIR Capability Statements
|-
! style="text-align:left;" |Name
! style="text-align:left;" |Description
! style="text-align:left;" |Name
! style="text-align:left;" |Description
! style="text-align:left;" |Name
! style="text-align:left;" |Description
|-
| Patient
| The user of a personal healthcare enviorment.
| PHR
| Personal health record
|[[Bestand: Verwijzing.png| 20px]] [https://simplifier.net/NictizSTU3/vitalsigns-clientcapabilities CapabilityStatement: Client]
| Vital Signs client requirements
|-
| Healthcare professional
| The user of a XIS
| XIS
| Healthcare information system
|[[Bestand: Verwijzing.png| 20px]] [https://simplifier.net/NictizSTU3/vitalsigns-servercapabilities CapabilityStatement: Server]
| Vital Signs server requirements
|}

=Use case: Retrieve Vital Signs=
{{FHIR-IG-Afsprakenstelsel-Note}}

==Introduction==
The retrieve vital signs transaction is used by the PHR to retrieve vital signs from the XIS.

==Actors==
{| class="wikitable" "cellpadding="10"
! style="text-align:left;"| '''Transaction group'''
! style="text-align:left;"| '''Transaction'''
! style="text-align:left;"| '''Actor'''
! style="text-align:left;"| '''Role'''
|-
|style="background-color: white;vertical-align:top;" rowspan="2"|Retrieve Vital Signs(PULL)
|style="background-color: white;vertical-align:top;"|Retrieve vital signs request
|style="background-color: white;vertical-align:top;"|Patient (using a PHR)
|style="background-color: white;vertical-align:top;"|Request vital signs from the XIS
|-
|style="background-color: white;vertical-align:top;"|Retrieve vital signs response
|style="background-color: white;vertical-align:top;"|Healthcare professional (using a XIS)
|style="background-color: white;vertical-align:top;"|Serves vital signs to the PHR
|}

==Invocations==
===PHR: request message===
The request message represents an HTTP GET parameterized query from the PHR to the XIS.

====Trigger Events====
When the patient(PHR) wants to obtain vital signs, it issues a retrieve vital signs request message.

====Message Semantics====
'''Search'''

The PHR executes an HTTP GET conform to the FHIR [http://hl7.org/fhir/http.html RESTfull] and [http://hl7.org/fhir/search.html search] specification against the XIS's Observation endpoint. This search query URL is configurable by the PHR and has the following format.

<pre>
GET [base]/Observation?[parameters]{&_format=[mime-type]}
</pre>

'''Search Parameters'''

The PHR may supply, and the XIS shall be capable of processing, all query parameters listed below. These search parameters are a selection of the defined search parameters by the HL7 FHIR specification search parameters of [http://hl7.org/fhir/STU3/observation.html#search Observation].

{| class="wikitable"
! colspan="3" style="font-weight: bold; text-align:left;" | Observation
|-
| style="font-weight: bold;" | Name
| style="font-weight: bold;" | Type
| style="font-weight: bold;" | Description
|-
| category
| token
| The classification of the type of observation
|-
| code
| token
| The code of the observation type
|-
| date
| date
| Obtained date/time. If the obtained element is a period, a date that falls in the period
|}

'''Example searches'''

The PHR should be able to fetch all of a patient's vital signs by searching on:
# category (all vital signs),
# category and date,
# code (specific vital sign),
# code and date.
<pre>1. GET [base]/Observation?category=vital-signs
2. GET [base]/Observation?category=vital-signs&date=[date]{&date=[date]}
3. GET [base]/Observation?code[vital sign LOINC{,LOINC2,LOINC3,...}]
4. GET [base]/Observation?code=[vital sign LOINC{,LOINC2,LOINC3,...}]&date=[date]{&date=[date]}
</pre>
The following table lists vital signs that have a corresponding ZIB. The column 'LOINC code' shows the LOINC code that can be used in the search query. Other possible codes, including the codes mentioned here, can be found [http://hl7.org/fhir/STU3/observation-vitalsigns.html#vitals-table here].

{| class="wikitable"
|-style="font-weight: bold; "
||ZIB ||LOINC code
|-
|BloodPressure||85354-9
|-
| BodyWeight||29463-7
|-
| BodyHeight||8302-2
|-
| BodyTemperature||8310-5
|-
| Oxygenation, saturation, SpO2||59408-5
|-
| HeartRate||8867-4
|-
| Glucose|| 41604-0 (fasting) <br/> 14743-9 (general) <br/> 14760-3 (post-meal)
|}
=====Expected Actions=====
The XIS shall process the query to find and return the vital signs matching the provided query parameters.

===XIS: response message===
The XIS returns an HTTP Status code appropriate to the processing as well as a Bundle of matching vital signs Observation.

====Trigger Events====
The XIS completed processing of the retrieve vital signs request message.

====Message Semantics====
Based on the retrieve vital signs request message processing results, the XIS will either return an error or success. When the XIS needs to report an error, it shall use HTTP error response codes and shall include a FHIR OperationOutcome resource with more details on the failure. If the request message is processed successfully, whether or not vital signs are found or generated, the HTTP status code shall be 200.

''Response Class:''
* Status 200: successful operation
* Status 400: invalid parameter
* Status 401/4xx: unauthorized request
* Status 403: insufficient scope

If the XIS is sending warnings, the Bundle resource shall also contain a FHIR OperationOutcome resource that contains those warnings. The FHIR specification describes the relevant sections:
*[http://hl7.org/fhir/STU3/observation-vitalsigns.html Vital Signs Profile]
*[http://hl7.org/fhir/STU3/http.html RESTful API framework]
*[http://hl7.org/fhir/STU3/search.html Search]
*[http://hl7.org/fhir/STU3/bundle.html Bundle resource]
*[http://hl7.org/fhir/STU3/operationoutcome.html OperationOutcome resource]

=====Message Resource content=====
The body of the response message shall be a Bundle of type 'searchset' containing all matching vital sign Observations as entries. If no Observations are found, a Bundle of type 'searchset' shall be returned without any Observation as entries.

In the table below, the vital sign ZIB's and their respective profiles are listed. Other vital signs profiles, without a corresponding ZIB, are can be found in the [http://hl7.org/fhir/STU3/observation-vitalsigns.html HL7 FHIR specification.]

All returned resources to the PHR SHALL include their related profile canonical URL in the meta.profile element in order to show compliance. The Observation resources in the response message SHALL be a valid instance of these profiles.

{| class="wikitable"
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|style="width:150px;"|ZIB name NL||style="width:150px;"|ZIB name EN||style="width:150px;"|FHIR Resource||style="width:450px;"|FHIR profile
|-style="vertical-align:top; background-color: #E3E3E3;
|-
| Bloeddruk||BloodPressure||Observation||[https://simplifier.net/NictizSTU3-Zib2017/zib-BloodPressure http://nictiz.nl/fhir/StructureDefinition/zib-BloodPressure]
|-
| LichaamsGewicht||BodyWeight||Observation||[https://simplifier.net/NictizSTU3-Zib2017/zib-BodyWeight http://nictiz.nl/fhir/StructureDefinition/zib-BodyWeight]
|-
| LichaamsLengte||BodyHeight||Observation||[https://simplifier.net/NictizSTU3-Zib2017/zib-BodyHeight http://nictiz.nl/fhir/StructureDefinition/zib-BodyHeight]
|-
| Lichaamstemperatuur||BodyTemperature||Observation||[https://simplifier.net/NictizSTU3-Zib2017/zib-BodyTemperature http://nictiz.nl/fhir/StructureDefinition/zib-BodyTemperature]
|-
| O2Saturatie||oxygenation, saturation, SpO2||Observation||[https://simplifier.net/NictizSTU3-Zib2017/zib-OxygenSaturation http://nictiz.nl/fhir/StructureDefinition/zib-OxygenSaturation]
|-
| Hartfrequentie||HeartRate||Observation||[https://simplifier.net/NictizSTU3-Zib2017/zib-HeartRate http://nictiz.nl/fhir/StructureDefinition/zib-HeartRate]
|-
| -||-||Observation||[https://simplifier.net/NictizSTU3/BloodGlucose/~overview http://nictiz.nl/fhir/StructureDefinition/bloodGlucoseSelfMeasurement]
|}

====Expected Actions====
The PHR processes the results according to application-defined rules.

==Interactions, operations, search parameters==
===Interactions===
The following logical interactions are needed for the retrieve medication information transaction:
* [http://hl7.org/fhir/STU3/http.html#search Search]

===Operations===
No operations are defined or needed for this transaction.

===Search parameters===
The following search parameter types and search result parameters need to be supported for this transaction.

Search parameter types:
* [http://hl7.org/fhir/STU3/search.html#token token]
* [http://hl7.org/fhir/STU3/search.html#date date]

=Use case: Send Vital Signs=
{{IssueBox|Currently, PUSH is not supported by 'the Afsprakenstelsel'. The below guidance is subject to change.}}
==Introduction==
The send vital signs transaction is used by the PHR to send vital signs to the XIS.

==Actors==
{| class="wikitable" "cellpadding="10"
! style="text-align:left;"| '''Transaction group'''
! style="text-align:left;"| '''Transaction'''
! style="text-align:left;"| '''Actor'''
! style="text-align:left;"| '''Role'''
|-
|style="background-color: white;vertical-align:top;" rowspan="2"|Send Vital Signs(PUSH)
|style="background-color: white;vertical-align:top;"|Send vital signs request
|style="background-color: white;vertical-align:top;"|Patient (using a PHR)
|style="background-color: white;vertical-align:top;"|Sends vital signs to the XIS
|-
|style="background-color: white;vertical-align:top;"|Send vital signs response
|style="background-color: white;vertical-align:top;"|Healthcare professional (using a XIS)
|style="background-color: white;vertical-align:top;"|Receives vital signs from the PHR
|}

==Invocations==
===PHR: request message===
The send vital sings request message uses the HTTP POST method on the target XIS's base.

====Trigger Events====
This message is invoked when the PHR needs to send one or more vital signs observations to the XIS.

====Message Semantics====
Because sending vital signs will most likely consist of multiple Observations, a batch/transaction transaction is used. This allows for creating a set of resources in a single interaction.

A batch interaction is performed by an HTTP POST command as shown:

<pre>POST [base] {?_format=[mime-type]}</pre>

The body of the post submission is a Bundle with Bundle.type = batch. Each entry carries request details (Bundle.entry.request) that provides the HTTP details of the action in order to inform the system processing the batch or what to do for the entry (note: the request is optional, but SHOULD be present). Every bundle.entry creates a resource using an HTTP POST method. The resource of this entry shall be the vital sign observation.

'''Links:'''

* [http://hl7.org/fhir/STU3/http.html#transaction batch]
* [http://hl7.org/fhir/STU3/http.html#create create]

The vital signs data send to the XIS SHALL conform to the matching vital sign profile. The table below lists profiles that represent ZIBs that can be used for vital sign information exchange. If no matching vital sign ZIB profile is present, vital sign profiles listed in the [http://hl7.org/fhir/STU3/observation-vitalsigns.html FHIR specification] can be used. Other vital sign concepts are currently out of scope for this use case.

The resources in the response message SHALL be a valid instance of these profiles. All resources SHALL include their related profile canonical URL in the meta.profile element in order to show compliance.

{| class="wikitable" width="1200px"
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|style="width:150px;"|ZIB name NL||style="width:150px;"|ZIB name EN||style="width:150px;"|FHIR Resource||style="width:450px;"|FHIR Profile
|-style="vertical-align:top; background-color: #E3E3E3;
|-
| Bloeddruk||BloodPressure||Observation||[https://simplifier.net/NictizSTU3/zib-BloodPressure http://nictiz.nl/fhir/StructureDefinition/zib-BloodPressure]
|-
| LichaamsGewicht||BodyWeight||Observation||[https://simplifier.net/NictizSTU3/zib-BodyWeight http://nictiz.nl/fhir/StructureDefinition/zib-BodyWeight]
|-
| LichaamsLengte||BodyHeight||Observation||[https://simplifier.net/NictizSTU3/zib-BodyHeight http://nictiz.nl/fhir/StructureDefinition/zib-BodyHeight]
|-
| Lichaamstemperatuur||BodyTemperature||Observation||[https://simplifier.net/NictizSTU3/zib-BodyTemperature http://nictiz.nl/fhir/StructureDefinition/zib-BodyTemperature]
|-
| O2Saturatie||oxygenation, saturation, SpO2||Observation||[https://simplifier.net/NictizSTU3/zib-OxygenSaturation http://nictiz.nl/fhir/StructureDefinition/zib-OxygenSaturation]
|-
| Hartfrequentie||HeartRate||Observation||[https://simplifier.net/NictizSTU3/zib-HeartRate http://nictiz.nl/fhir/StructureDefinition/zib-HeartRate]
|-
| Glucose||Glucose||Observation||[https://simplifier.net/NictizSTU3/BloodGlucose/~overview http://nictiz.nl/fhir/StructureDefinition/bloodGlucoseSelfMeasurement]
|-
|}

=====Expected Actions=====
On receipt of the submission, the XIS shall validate the resources and respond with an appropriate HTTP code. If the XIS encounters any errors or if validation fails, the XIS shall return an error as documented in the Message Semantics of the response message.

===XIS: response message===
The XIS returns an HTTP Status code appropriate to the processing outcome and returns a Bundle, of type batch-response, that contains one entry for each entry in the request, in the same order, with the outcome of processing the entry.

====Trigger Events====
The XIS completed processing of the send vital signs request message.

====Message Semantics====
The XIS SHALL return a Bundle with type set to batch-response that contains one entry for each entry in the request, in the same order, with the outcome of processing the entry.

A client may use the returned Bundle to track the outcomes of processing the entry, and the identities assigned to the resources by the server. Each entry element SHALL contain a response element which details the outcome of processing the entry - the HTTP status code, and the location and ETag header values, which are used for identifying and versioning the resources. In addition, a resource may be included in the entry, as specified by the Prefer header.

When the resource syntax or data is incorrect or invalid, and cannot be used to create a new resource, the server returns a 400 Bad Request HTTP status code. When the server rejects the content of the resource because of business rules, the server returns a 422 Unprocessable Entity error HTTP status code. In either case, the server SHOULD include a response body containing an OperationOutcome with detailed error messages describing the reason for the error.

Common HTTP Status codes returned on FHIR-related errors (in addition to normal HTTP errors related to security, header and content type negotiation issues):

* 400 Bad Request - resource could not be parsed or failed basic FHIR validation rules
* 404 Not Found - resource type not supported, or not a FHIR end-point
* 422 Unprocessable Entity - the proposed resource violated applicable FHIR profiles or server business rules. This should be accompanied by an OperationOutcome resource providing additional detail

Read more:
[http://hl7.org/fhir/STU3/http.html#create create]
[http://hl7.org/fhir/STU3/http.html#transaction batch]

====Expected Actions====
The PHR processes the results according to application-defined rules.

==Interactions, operations, search parameters==
===Interactions===
The following logical interactions are needed for the retrieve medication information transaction:
* [http://hl7.org/fhir/STU3/http.html#create create]
* [http://hl7.org/fhir/STU3/http.html#transaction batch/transaction]

===Operations===
No operations are defined or needed for this transaction.

===Search parameters===
No search parameters are defined or needed for this transaction.

[[categorie:MedMij FHIR Use Cases]]

@@ Regel 42: / Regel 42: @@
 | PHR
 | Personal health record
-|[[Bestand: Verwijzing.png| 20px]] {{Simplifier|http://nictiz.nl/fhir/CapabilityStatement/vitalsigns-clientcapabilities|title=CapabilityStatement: Client|scope=nictiz.fhir.nl.stu3.zib2015@1.0.0}}
+|[[Bestand: Verwijzing.png| 20px]] {{Simplifier|http://nictiz.nl/fhir/CapabilityStatement/vitalsigns-clientcapabilities|nictiz.fhir.nl.stu3.zib2015|pkgVersion=1.0.0|title=CapabilityStatement: Client}}
 | Vital Signs client requirements
 |-
@@ Regel 49: / Regel 49: @@
 | XIS
 | Healthcare information system
-|[[Bestand: Verwijzing.png| 20px]] {{Simplifier|http://nictiz.nl/fhir/CapabilityStatement/vitalsigns-servercapabilities|title=CapabilityStatement: Server|scope=nictiz.fhir.nl.stu3.zib2015@1.0.0}}
+|[[Bestand: Verwijzing.png| 20px]] {{Simplifier|http://nictiz.nl/fhir/CapabilityStatement/vitalsigns-servercapabilities|nictiz.fhir.nl.stu3.zib2015|pkgVersion=1.0.0|title=CapabilityStatement: Server}}
 | Vital Signs server requirements
 |}
@@ Regel 185: / Regel 185: @@
 |-style="vertical-align:top; background-color: #E3E3E3;
 |-
-| Bloeddruk||BloodPressure||Observation||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-BloodPressure|scope=nictiz.fhir.nl.stu3.zib2015@1.0.0}}
+| Bloeddruk||BloodPressure||Observation||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-BloodPressure|nictiz.fhir.nl.stu3.zib2015|pkgVersion=1.0.0}}
 |-
-| LichaamsGewicht||BodyWeight||Observation||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-BodyWeight|scope=nictiz.fhir.nl.stu3.zib2015@1.0.0}}
+| LichaamsGewicht||BodyWeight||Observation||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-BodyWeight|nictiz.fhir.nl.stu3.zib2015|pkgVersion=1.0.0}}
 |-
-| LichaamsLengte||BodyHeight||Observation||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-BodyHeight|scope=nictiz.fhir.nl.stu3.zib2015@1.0.0}}
+| LichaamsLengte||BodyHeight||Observation||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-BodyHeight|nictiz.fhir.nl.stu3.zib2015|pkgVersion=1.0.0}}
 |-
-| Lichaamstemperatuur||BodyTemperature||Observation||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-BodyTemperature|scope=nictiz.fhir.nl.stu3.zib2015@1.0.0}}
+| Lichaamstemperatuur||BodyTemperature||Observation||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-BodyTemperature|nictiz.fhir.nl.stu3.zib2015|pkgVersion=1.0.0}}
 |-
-| O2Saturatie||oxygenation, saturation, SpO2||Observation||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-OxygenSaturation|scope=nictiz.fhir.nl.stu3.zib2015@1.0.0}}
+| O2Saturatie||oxygenation, saturation, SpO2||Observation||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-OxygenSaturation|nictiz.fhir.nl.stu3.zib2015|pkgVersion=1.0.0}}
 |-
-| Hartfrequentie||HeartRate||Observation||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-HeartRate|scope=nictiz.fhir.nl.stu3.zib2015@1.0.0}}
+| Hartfrequentie||HeartRate||Observation||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-HeartRate|nictiz.fhir.nl.stu3.zib2015|pkgVersion=1.0.0}}
 |-
-| -||-||Observation||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bloodGlucoseSelfMeasurement|scope=nictiz.fhir.nl.stu3.zib2015@1.0.0}}
+| -||-||Observation||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bloodGlucoseSelfMeasurement|nictiz.fhir.nl.stu3.zib2015|pkgVersion=1.0.0}}
 |}
@@ Regel 269: / Regel 269: @@
 |-style="vertical-align:top; background-color: #E3E3E3;
 |-
-| Bloeddruk||BloodPressure||Observation||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-BloodPressure|scope=nictiz.fhir.nl.stu3.zib2015@1.0.0}}
+| Bloeddruk||BloodPressure||Observation||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-BloodPressure|nictiz.fhir.nl.stu3.zib2015|pkgVersion=1.0.0}}
 |-
-| LichaamsGewicht||BodyWeight||Observation||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-BodyWeight|scope=nictiz.fhir.nl.stu3.zib2015@1.0.0}}
+| LichaamsGewicht||BodyWeight||Observation||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-BodyWeight|nictiz.fhir.nl.stu3.zib2015|pkgVersion=1.0.0}}
 |-
-| LichaamsLengte||BodyHeight||Observation||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-BodyHeight|scope=nictiz.fhir.nl.stu3.zib2015@1.0.0}}
+| LichaamsLengte||BodyHeight||Observation||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-BodyHeight|nictiz.fhir.nl.stu3.zib2015|pkgVersion=1.0.0}}
 |-
-| Lichaamstemperatuur||BodyTemperature||Observation||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-BodyTemperature|scope=nictiz.fhir.nl.stu3.zib2015@1.0.0}}
+| Lichaamstemperatuur||BodyTemperature||Observation||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-BodyTemperature|nictiz.fhir.nl.stu3.zib2015|pkgVersion=1.0.0}}
 |-
-| O2Saturatie||oxygenation, saturation, SpO2||Observation||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-OxygenSaturation|scope=nictiz.fhir.nl.stu3.zib2015@1.0.0}}
+| O2Saturatie||oxygenation, saturation, SpO2||Observation||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-OxygenSaturation|nictiz.fhir.nl.stu3.zib2015|pkgVersion=1.0.0}}
 |-
-| Hartfrequentie||HeartRate||Observation||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-HeartRate|scope=nictiz.fhir.nl.stu3.zib2015@1.0.0}}
+| Hartfrequentie||HeartRate||Observation||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/zib-HeartRate|nictiz.fhir.nl.stu3.zib2015|pkgVersion=1.0.0}}
 |-
-| Glucose||Glucose||Observation||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bloodGlucoseSelfMeasurement|scope=nictiz.fhir.nl.stu3.zib2015@1.0.0}}
+| Glucose||Glucose||Observation||{{Simplifier|http://nictiz.nl/fhir/StructureDefinition/bloodGlucoseSelfMeasurement|nictiz.fhir.nl.stu3.zib2015|pkgVersion=1.0.0}}
 |-
 |}

← Oudere versie		Versie van 20 jul 2020 om 01:14
Regel 1:		Regel 1:
−	{{~~#customtitle~~:MedMij FHIR use case Vital Signs}}	+	{{DISPLAYTITLE:MedMij FHIR use case Vital Signs}}

	[[Bestand:MedMij2.png \|link=https://www.medmij.nl/\|rechts\|Naar medmij.nl]]		[[Bestand:MedMij2.png \|link=https://www.medmij.nl/\|rechts\|Naar medmij.nl]]

← Oudere versie		Versie van 7 mei 2018 om 14:08
Regel 1:		Regel 1:
	{{#customtitle:MedMij FHIR use case Vital Signs}}		{{#customtitle:MedMij FHIR use case Vital Signs}}
−	~~{{IssueBox\|Work in progress - See offical publication here: https://informatiestandaarden.nictiz.nl/wiki/MedMij:Vcurrent_FHIR_IG .}}~~

	[[Bestand:MedMij2.png \|link=https://www.medmij.nl/\|rechts\|Naar medmij.nl]]		[[Bestand:MedMij2.png \|link=https://www.medmij.nl/\|rechts\|Naar medmij.nl]]

@@ Regel 195: / Regel 195: @@
 | O2Saturatie||oxygenation, saturation, SpO2||Observation||[https://simplifier.net/NictizSTU3-Zib2017/zib-OxygenSaturation http://nictiz.nl/fhir/StructureDefinition/zib-OxygenSaturation]
 |-
-| Polsfrequentie||PulseRate||Observation||[https://simplifier.net/nictizstu3-zib2017/zib-pulserate http://nictiz.nl/fhir/StructureDefinition/zib-PulseRate]
+| Hartfrequentie||HeartRate||Observation||[https://simplifier.net/NictizSTU3-Zib2017/zib-HeartRate http://nictiz.nl/fhir/StructureDefinition/zib-HeartRate]
 |-
 | -||-||Observation||[https://simplifier.net/NictizSTU3/BloodGlucose/~overview http://nictiz.nl/fhir/StructureDefinition/bloodGlucoseSelfMeasurement]

@@ Regel 219: / Regel 219: @@
 =Use case: Send Vital Signs=
 ==Introduction==
 The send vital signs transaction is used by the PHR to send vital signs to the XIS.