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<MetaDataVersion xmlns="http://www.cdisc.org/ns/odm/v2.0" OID="MDV.BC.BLOOD_PRESSURE" Name="Example Biomedical Concept in ODMv2: Blood Pressure">
    <ItemGroupDef OID="IG.BC.BLOOD_PRESSURE" Name="Biomedical Concept Blood Pressure" Type="Concept" Repeating="No">
        <Description>
            <TranslatedText xml:lang="en">Example Biomedical Concept: Blood Pressure</TranslatedText>
            <TranslatedText xml:lang="de">Beispiel Biomedizinisches Konzept: Blutdruck</TranslatedText>
        </Description>
        <!-- Demonstrates the use of "nested" ItemGroups -->
        <ItemGroupRef ItemGroupOID="IG.SYSTOLIC_BP" Mandatory="Yes"/>
        <ItemGroupRef ItemGroupOID="IG.DIASTOLIC_BP" Mandatory="Yes"/>
    </ItemGroupDef>
    <!-- separate ItemGroups for diastolic and systolic blood pressure -->
    <ItemGroupDef OID="IG.SYSTOLIC_BP" Name="Systolic Blood Pressure Measurement" Repeating="No">
        <Description>
            <TranslatedText xml:lang="en">Systolic Blood Pressure</TranslatedText>
            <TranslatedText xml:lang="de">Systolischer Blutdruck</TranslatedText>
        </Description>
        <ItemRef ItemOID="IT.BP_VALUE" Mandatory="Yes" UnitsItemOID="IT.BP_UNITS"/>
        <ItemRef ItemOID="IT.BP_POSITION" Mandatory="Yes"/>
        <ItemRef ItemOID="IT.BP_LOCATION" Mandatory="No"/>
        <ItemRef ItemOID="IT.BP_LOCATION_LATERALITY" Mandatory="No"/>
    </ItemGroupDef>
    <ItemGroupDef OID="IG.DIASTOLIC_BP" Name="Systolic Blood Pressure Measurement" Repeating="No">
        <Description>
            <TranslatedText xml:lang="en">Diastolic Blood Pressure</TranslatedText>
            <TranslatedText xml:lang="de">Diastolischer Blutdruck</TranslatedText>
        </Description>
        <ItemRef ItemOID="IT.BP_VALUE" Mandatory="Yes" UnitsItemOID="IT.BP_UNITS"/>
        <ItemRef ItemOID="IT.BP_POSITION" Mandatory="Yes"/>
        <ItemRef ItemOID="IT.BP_LOCATION" Mandatory="No"/>
        <ItemRef ItemOID="IT.BP_LOCATION_LATERALITY" Mandatory="No"/>
    </ItemGroupDef>
    <!-- Remark: the alternative would probably have been to have a repeating ItemGroup that repeats over "Systolic" and "Diastolic -->
    <!-- Item definitions -->
    <ItemDef OID="IT.BP_VALUE" Name="Blood Pressure Value" DataType="decimal">
        <Description>
            <TranslatedText xml:lang="en">Blood Pressure Value</TranslatedText>
            <TranslatedText xml:lang="de">Blutdruckwert</TranslatedText>
        </Description>
        <!-- In the case of a Biomedical Question, would one also add the child element "Question", or is that "operational" -->
    </ItemDef>
    <ItemDef OID="IT.BP_UNITS" Name="Units for blood pressure" DataType="text">
        <Description>
            <TranslatedText xml:lang="en">Blood Pressure Unit</TranslatedText>
            <TranslatedText xml:lang="de">Blutdruck Einheit</TranslatedText>
        </Description>
        <CodeListRef CodeListOID="CL.C71620.UNIT.SUBSET"/>
    </ItemDef>
    <ItemDef OID="IT.BP_POSITION" Name="Body Position" DataType="text">
        <Description>
            <TranslatedText xml:lang="en">Body Position</TranslatedText>
            <TranslatedText xml:lang="de">Körperposition</TranslatedText>
        </Description>
        <CodeListRef CodeListOID="CL.C71148.POSITION.SUBSET"/>
    </ItemDef>
    <ItemDef OID="IT.BP_LOCATION" Name="Body Location" DataType="text">
        <Description>
            <TranslatedText xml:lang="en">Body Location</TranslatedText>
            <TranslatedText xml:lang="de">Körperteil</TranslatedText>
        </Description>
        <CodeListRef CodeListOID="CL.C74456.LOC.SUBSET"/>
    </ItemDef>
    <ItemDef OID="IT.BP_LOCATION_LATERALITY" Name="Laterality" DataType="text">
        <Description>
            <TranslatedText xml:lang="en">Laterality</TranslatedText>
            <TranslatedText xml:lang="de">Lateralität</TranslatedText>
        </Description>
        <CodeListRef CodeListOID="CL.C99073.LAT.SUBSET"/>
    </ItemDef>
    
    <!-- CodeLists -->
    <CodeList OID="CL.C71148.POSITION.SUBSET" Name="Position" DataType="text">
        <Description>
            <TranslatedText xml:lang="en">Codelist subset from CDISC codelist C71148 for blood pressure, limited to "SITTING", "STANDING", "SUPINE"</TranslatedText>
        </Description>
        <CodeListItem CodedValue="SITTING">
            <Decode>
                <TranslatedText xml:lang="en">Sitting</TranslatedText>
                <TranslatedText xml:lang="de">Sitzend</TranslatedText>
            </Decode>
            <Coding Code="C62122" System="https://www.cdisc.org/standards/terminology" SystemName="CDISC/NCI CT" SystemVersion="2022-03-25"/>
        </CodeListItem>
        <CodeListItem CodedValue="STANDING">
            <Decode>
                <TranslatedText xml:lang="en">Standing</TranslatedText>
                <TranslatedText xml:lang="de">Stehend</TranslatedText>
            </Decode>
            <Coding Code="C62166" System="https://www.cdisc.org/standards/terminology" SystemName="CDISC/NCI CT" SystemVersion="2022-03-25"/>
        </CodeListItem>
        <CodeListItem CodedValue="SUPINE">
            <Decode>
                <TranslatedText xml:lang="en">Supine</TranslatedText>
                <TranslatedText xml:lang="de">In Rückenlage</TranslatedText>
            </Decode>
            <Coding Code="C62167" System="https://www.cdisc.org/standards/terminology" SystemName="CDISC/NCI CT" SystemVersion="2022-03-25"/>
        </CodeListItem>
        <Coding Code="C71148" System="https://www.cdisc.org/standards/terminology" SystemName="CDISC/NCI CT" SystemVersion="2022-03-25"/>
    </CodeList>
    <CodeList OID="CL.C74456.LOC.SUBSET" Name="Anatomical Location" DataType="text">
        <Description>
            <TranslatedText xml:lang="en">Codelist subset from CDISC codelist C74456 for blood pressure, limited to "ARM", and "ANKLE JOINT"</TranslatedText>
        </Description>
        <CodeListItem CodedValue="ARM">
            <Decode>
                <TranslatedText xml:lang="en">Arm</TranslatedText>
                <TranslatedText xml:lang="de">Oberarm</TranslatedText>
            </Decode>
            <Coding Code="C32141" System="https://www.cdisc.org/standards/terminology" SystemName="CDISC/NCI CT" SystemVersion="2022-03-25"/>
        </CodeListItem>
        <CodeListItem CodedValue="ANKLE JOINT">
            <Decode>
                <TranslatedText xml:lang="en">Ankle joint</TranslatedText>
                <TranslatedText xml:lang="de">Knöchel</TranslatedText>
            </Decode>
            <Coding Code="C32078" System="https://www.cdisc.org/standards/terminology" SystemName="CDISC/NCI CT" SystemVersion="2022-03-25"/>
        </CodeListItem>
        <Coding Code="C74456" System="https://www.cdisc.org/standards/terminology" SystemName="CDISC/NCI CT" SystemVersion="2022-03-25"/>
    </CodeList>
    <CodeList OID="CL.C99073.LAT.SUBSET" Name="Laterality" DataType="text">
        <Description>
            <TranslatedText xml:lang="en">Codelist subset from CDISC codelist C99073 for blood pressure, limited to "LEFT" and "RIGHT"</TranslatedText>
        </Description>
        <CodeListItem CodedValue="LEFT">
            <Decode>
                <TranslatedText xml:lang="en">Left</TranslatedText>
                <TranslatedText xml:lang="de">Links</TranslatedText>
            </Decode>
            <Coding Code="C25229" System="https://www.cdisc.org/standards/terminology" SystemName="CDISC/NCI CT" SystemVersion="2022-03-25"/>
        </CodeListItem>
        <CodeListItem CodedValue="RIGHT">
            <Decode>
                <TranslatedText xml:lang="en">Right</TranslatedText>
                <TranslatedText xml:lang="de">Rechts</TranslatedText>
            </Decode>
        </CodeListItem>
        <Coding Code="C99073" System="https://www.cdisc.org/standards/terminology" SystemName="CDISC/NCI CT" SystemVersion="2022-03-25"/>
    </CodeList>
    <CodeList OID="CL.C71620.UNIT" Name="Blood Pressure Unit" DataType="text">
        <Description>
            <TranslatedText xml:lang="en">Codelist subset from CDISC codelist C99073 for blood pressure, limited to "mmHg", "cmHg" and "Pa"</TranslatedText>
        </Description>
        <CodeListItem CodedValue="mmHg">
            <Decode>
                <TranslatedText xml:lang="en">mmHg</TranslatedText>
                <TranslatedText xml:lang="de">mmHg</TranslatedText>
            </Decode>
            <Coding Code="C49670" System="https://www.cdisc.org/standards/terminology" SystemName="CDISC/NCI CT" SystemVersion="2022-03-25"/>
            <!-- UCUM equivalent, especially useful for EHR retrieval/mapping -->
            <Coding Code="mm[Hg]" System="http://unitsofmeasure.org" SystemName="UCUM"/>
        </CodeListItem>
        <CodeListItem CodedValue="cmHg">
            <Decode>
                <TranslatedText xml:lang="en">cmHg</TranslatedText>
                <TranslatedText xml:lang="de">cmHg</TranslatedText>
            </Decode>
            <Coding Code="C147129" System="https://www.cdisc.org/standards/terminology" SystemName="CDISC/NCI CT" SystemVersion="2022-03-25"/>
            <!-- UCUM equivalent, especially useful for EHR retrieval/mapping -->
            <Coding Code="cm[Hg]" System="http://unitsofmeasure.org" SystemName="UCUM"/>
        </CodeListItem>
        <CodeListItem CodedValue="Pa">
            <Decode>
                <TranslatedText xml:lang="en">Pa</TranslatedText>
                <TranslatedText xml:lang="de">Pa</TranslatedText>
            </Decode>
            <Coding Code="C42547" System="https://www.cdisc.org/standards/terminology" SystemName="CDISC/NCI CT" SystemVersion="2022-03-25"/>
            <!-- UCUM equivalent, especially useful for EHR retrieval/mapping -->
            <Coding Code="Pa" System="http://unitsofmeasure.org" SystemName="UCUM"/>
        </CodeListItem>
        <Coding Code="C71620" System="https://www.cdisc.org/standards/terminology" SystemName="CDISC/NCI CT" SystemVersion="2022-03-25"/>
    </CodeList>
</MetaDataVersion>
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