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ValueSet: Blood Glucose Measurement from LOINC

Official URL: https://gematik.de/fhir/hddt/ValueSet/hddt-miv-blood-glucose-measurement				Version: 1.0.0-rc2
Active as of 2026-03-04				Computable Name: HddtMivBloodGlucoseMeasurement
Copyright/Legal: gematik GmbH. This material contains content from LOINC. LOINC is copyright ©1995, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and is available at no cost under the license at http://loinc.org/license. LOINC® is a registered United States trademark of Regenstrief Institute, Inc.

Dieses ValueSet ist Teil der Health Device Data Transfer Spezifikation (HDDT), die Profile, Operationen und ValueSets für den Datenaustausch zwischen Hilfsmitteln und digitalen Gesundheitsanwendungen (DiGA) definiert. Zentrales Element der HDDT-Spezifikation sind Mandatory Interoperable Values (MIVs). MIVs sind Klassen von Messwerten, die zu definierten Anwendungsfällen und Zwecken von DiGA beitragen.

Das ValueSet HddtMivBloodGlucoseMeasurement definiert den Mandatory Interoperable Value (MIV) "Blood Glucose Measurement". Die Definition besteht aus

• dieser Beschreibung, die die Semantik und die bestimmenden Merkmale des MIV liefert
• einer Menge von LOINC-Codes, die MIV-konforme Messklassifikationen entlang der LOINC-Achsen Komponente, System, Skala und Methode definieren

Der MIV Blood Glucose Measurement umfasst Werte aus „blutigen Messungen“, z. B. mit kapillarem Blut aus der Fingerkuppe. Die Messungen erfolgen gemäß Versorgungsplan (z. B. Blutzuckermessung vor jeder Mahlzeit) oder ad hoc (z. B. bei Unwohlsein des Patienten, was auf eine Hypoglykämie hindeuten kann). DiGA-Anwendungsfälle, die durch diesen MIV abgedeckt werden, erfordern sehr genaue Glukosewerte, die für therapeutische Entscheidungen geeignet sind.

Das ValueSet für den MIV Blood Glucose Measurement enthält LOINC-Codes für Blutzuckermessungen mit Blut oder Plasma als Referenzmethoden, wobei die Werte als Masse/Volumen und Mol/Volumen angegeben werden. Zusätzlich sind granularere LOINC-Codes für „Glukose im Kapillarblut mittels Glukometer“ als Masse/Volumen und Mol/Volumen enthalten, da diese Codes bereits von mehreren Herstellern von Glukometern verwendet werden.

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This ValueSet is part of the Health Device Data Transfer specification (HDDT) which defines profiles, operations, and value sets for sharing data between medical aids and digital health applications (DiGA). Core of the HDDT specification are Mandatory Interoperable Values (MIVs). MIVs are classes of measurements that contribute to defined use cases and purposes of DiGA.

The ValueSet HddtMivBloodGlucoseMeasurement defines the Mandatory Interoperable Value (MIV) "Blood Glucose Measurement". The definition is made up from

• this description which provides the semantics and defining characteristics of the MIV
• a set of LOINC codes that define MIV-compliant measurement classifications along the LOINC axes component, system, scale and method

The MIV Blood Glucose Measurement covers values from "bloody measurements" e.g. using capillary blood from the finger tip. Measurements are performed based on a care plan (e.g. measuring blood sugar before each meal) or ad hoc (e.g. a patient feeling dim what may be an indicator for a hypoglycamia). DiGA use cases served by this MIV require glucose values that are very acurate and therefore suited for therapeutical decision making.

The ValueSet for the MIV Blood Glucose Measurement contains LOINC codes for blood glucose measurements using blood or plasma as reference methods with the values provided as mass/volume and moles/volume. In addition more granular LOINC codes for "Glucose in Capillary blood by Glucometer" provided as mass/volume and moles/volume are included with the value set because these codes are already in use by several manufacturers of glucometers.

References

• Observation – Blood Glucose Measurement

Logical Definition (CLD)

 

Expansion

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Explanation of the columns that may appear on this page:

Level	A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies
System	The source of the definition of the code (when the value set draws in codes defined elsewhere)
Code	The code (used as the code in the resource instance)
Display	The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application
Definition	An explanation of the meaning of the concept
Comments	Additional notes about how to use the code