Vital Signs with Qualifying Elements
2.0.0 - ci-build
Vital Signs with Qualifying Elements
2.0.0 - ci-build
Vital Signs with Qualifying Elements, published by HL7 International - Clinical Information Modeling Initiative. This is not an authorized publication; it is the continuous build for version 2.0.0). This version is based on the current content of https://github.com/HL7/cimi-vital-signs/ and changes regularly. See the Directory of published versions
| Official URL: http://hl7.org/fhir/us/vitals/StructureDefinition/blood-pressure-panel | Version: 2.0.0 | |||
| Draft as of 2023-07-18 | Computable Name: BloodPressurePanel | |||
Copyright/Legal: Logica Health, all rights reserved Creative Commons License |
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Blood Pressure Panel; a grouping of systolic, diastolic, and mean arterial blood pressure components.
The Blood Pressure Panel profile contains three observations, systolic, diastolic, and mean arterial blood pressure. These are slices of the component element (Observation.component) and the value (Observation.value) has been constrained out (cardinality set to 0). Systolic and Diastolic blood pressures are commonly stored together as a “blood pressure”. There are times when a mean arterial pressure needs to be stored also, so it was included. The only required observation of the three is Systolic BP. By doing so the panel may be used to record any combination of Systolic + Diastolic, Systolic only, or all three. This negates the need to create individual FHIR profiles for any of the three.
In addition, This profile contains the following qualifying observations (extensions) with associated SNOMED CT value sets:
Body Position - This is used to capture an individual’s body position while taking a blood pressure. Usually “sitting”.
Exercise Association - This is used to capture an individual’s exercise status while taking blood pressure. Usually “at rest”.
Measurement Setting - This is used to capture the location (not body site) where the measurement(s) took place; At home, hospital, clinic, etc.
Sleep Status - This is used to capture whether or not the measurement was taken while the subject was asleep or awake.
This profile references a Blood Pressure Device profile of the Device resource in Observation.device. The Blood Pressure Device profile is designed to be used specifically for blood pressure observations and includes an extension for Blood Pressure Cuff Size.
Mean Arterial Pressure is a calculated observation based on the Systolic and Diastolic blood pressure measurements and is defined as the average pressure in an individual’s arteries during one cardiac cycle. It is not an average of several measurements.
Its formula is (SystolicBP + 2(DiastolicBP)) divided by 3; (SBP + 2(DBP))/3. There are times when this needs to be known so it is included as an optional component in this panel.
The following examples are provided to illustrate conformant resource content to this profile.
| FHIR path and element binding | Text Description | Code | Terminology |
|---|---|---|---|
| Observation.code | Blood Pressure Panel with all children optional | 85354-9 | LOINC |
| Observation.component.code | Systolic Blood Pressure | 8480-6 | LOINC |
| Observation.component.code | Diastolic BloodPressure Meas | 8462-4 | LOINC |
| Body Position extension bindings and values | |||
| Observation.extension(bodyPositionExt) mapping | Body position with respect to gravity | 8361-8 | LOINC |
| Observation.extension(bodyPositionExt).value | Supine body position (finding) | 40199007 | SNOMED CT |
| FHIR path and element binding | Text Description | Code | Terminology |
|---|---|---|---|
| Observation.code | Blood Pressure Panel with all children optional | 85354-9 | LOINC |
| Observation.component.code | Systolic blood pressure | 8480-6 | LOINC |
| Cuff size value | |||
| Observation.device.extension(BloodPressureCuffSize).value | Blood pressure cuff, adult size (physical object) | 720737000 | SNOMED CT |
| Body Site bindings and value | |||
| Observation.bodySite | Body location qualifier | 39112-8 | LOINC |
| bodySite.value | Structure of left brachial artery (body structure) | 723961002 | SNOMED CT |
| Value Set | Purpose |
|---|---|
| Body Position value set | This value set contains concepts used to result the patient's body position, referencing the SNOMED Code 397155001 Body position (observable entity) and the LOINC term "Body position with respect to gravity" 8361-8. This is used in the BodyPositionExt extension. |
| Blood Pressure Device Type value set | This value set contains concepts used to result the type of device used to measure a body blood pressure, referencing the SNOMED Code 23591000205102 “Blood pressure device type (observable entity)" and the LOINC term “Type of Blood pressure device” 41901-0. This is used in the observation-deviceCode extension. |
| Blood Pressure Measurement Site value set | This value set contains a constrained list body location values used to result the body location where a blood pressure was measured, referencing the SNOMED Code 2281000205100 “Blood pressure measurement site (observable entity)” and the LOINC term "Blood pressure measurement site", 41904-4. This is used in the bodySite backbone element. |
| Blood Pressure Method value set | This value set contains concepts used to result the method used for a blood pressure measurement, referencing the SNOMED Code 2291000205103 “Blood pressure method (observable entity)” and the LOINC term "Blood pressure method" 8357-6. This is used in the method backbone element. |
| Exertion Phase value Set | The purpose of the value set is to document exercise associated with a measurement. Resulting LOINC code 74008-4 "Exercise intensity". This is used in the ExerciseAssociationExt extension. |
| Sleep Status value set | This value set contains values used to indicate the state of wakefulness during measurement. This is used in the SleepStatusExt extension. |
| Measurement Setting value set | This value set is used to result the Measurement Setting extension. |
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from Observation
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Observation | 0..* | Observation | Measurements and simple assertions | |
  Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
  bodyPosition | S | 0..1 | CodeableConcept | Body Position URL: http://hl7.org/fhir/StructureDefinition/observation-bodyPosition |
   value[x] | 1..1 | CodeableConcept | Value of extension Binding: Body Position value set (extensible) | |
| sleepStatus | S | 0..1 | CodeableConcept | Sleep Status URL: http://hl7.org/fhir/us/vitals/StructureDefinition/SleepStatusExt Binding: Sleep Status value set (extensible) |
| exerciseAssociation | S | 0..1 | CodeableConcept | Exercise Association URL: http://hl7.org/fhir/us/vitals/StructureDefinition/ExerciseAssociationExt Binding: Exertion Phase value set (extensible) |
| MeasurementSetting | S | 0..1 | CodeableConcept | Measurement setting URL: http://hl7.org/fhir/us/vitals/StructureDefinition/MeasurementSettingExt Binding: Measurement Setting value set (extensible) |
| status | S | 1..1 | code | registered | preliminary | final | amended + |
| category | ||||
 coding | ||||
 system | 0..1 | uri | Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/observation-category | |
 code | 0..1 | code | Symbol in syntax defined by the system Required Pattern: vital-signs | |
| code | 1..1 | CodeableConcept | Blood pressure panel with all children optional Required Pattern: At least the following | |
 coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 85354-9 | |
 subject | S | 1..1 | Reference(Patient) | Who and/or what the observation is about |
| effective[x] | S | 1..1 | dateTime, Period, Timing, instant | Clinically relevant time/time-period for observation |
| value[x] | 0..0 | |||
| interpretation | 0..1 | CodeableConcept | High, low, normal, etc. Binding: Numeric Result Interpretation value set (extensible) | |
| bodySite | S | 0..1 | CodeableConcept | Observed body part Binding: Blood Pressure Measurement Body Location Precoordinated value set (extensible): A set of codes that describe where on/in the body an observation or procedure took place |
| method | S | 0..1 | CodeableConcept | How it was done Binding: Blood Pressure Measurement Method value set (extensible): A set of codes that describe the method used to measure a blood pressure |
| specimen | 0..0 | |||
| device | S | 0..1 | Reference(Blood Pressure Device) | Blood Pressure Device |
 Slices for component | S | 1..* | BackboneElement | Blood pressure components Slice: Unordered, Open by value:code |
 component:SystolicBP | 1..1 | BackboneElement | Systolic Blood Pressure | |
  code | S | 1..1 | CodeableConcept | Systolic blood pressure Required Pattern: At least the following |
 coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8480-6 | |
  value[x] | S | 0..1 | Quantity | Actual component result |
| value | S | 1..1 | decimal | Numerical value (with implicit precision) |
| unit | S | 1..1 | string | Unit representation |
| system | S | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org |
| code | S | 1..1 | code | Coded form of the unit Fixed Value: mm[Hg] |
| component:DiastolicBP | 0..1 | BackboneElement | Diastolic Blood Pressure | |
| code | S | 1..1 | CodeableConcept | Diastolic blood pressure Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8462-4 | |
| value[x] | S | 0..1 | Quantity | Actual component result |
| value | S | 1..1 | decimal | Numerical value (with implicit precision) |
| unit | S | 1..1 | string | Unit representation |
| system | S | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org |
| code | S | 1..1 | code | Coded form of the unit Fixed Value: mm[Hg] |
 component:MeanArterialBP | S | 0..1 | BackboneElement | Mean Arterial Blood Pressure |
| code | S | 1..1 | CodeableConcept | Mean blood pressure Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8478-0 | |
| value[x] | S | 0..1 | Quantity | Actual component result |
| value | S | 1..1 | decimal | Numerical value (with implicit precision) |
| unit | S | 1..1 | string | Unit representation |
| system | S | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org |
| code | S | 1..1 | code | Coded form of the unit Fixed Value: mm[Hg] |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| Observation.extension:bodyPosition.value[x] | extensible | BodyPositionvalueset |
| Observation.interpretation | extensible | NumericResultInterpretationNom |
| Observation.bodySite | extensible | BloodPressureMeasurementBodyLocationPrecoodinated |
| Observation.method | extensible | BloodPressureMeasurementMethodvalueset |
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Observation | C | 0..* | Observation | Measurements and simple assertions |
 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 | |
| bodyPosition | S | 0..1 | CodeableConcept | Body Position URL: http://hl7.org/fhir/StructureDefinition/observation-bodyPosition |
 extension | 0..0 | |||
| url | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/observation-bodyPosition" | |
| value[x] | 1..1 | CodeableConcept | Value of extension Binding: Body Position value set (extensible) | |
| sleepStatus | S | 0..1 | CodeableConcept | Sleep Status URL: http://hl7.org/fhir/us/vitals/StructureDefinition/SleepStatusExt Binding: Sleep Status value set (extensible) |
| exerciseAssociation | S | 0..1 | CodeableConcept | Exercise Association URL: http://hl7.org/fhir/us/vitals/StructureDefinition/ExerciseAssociationExt Binding: Exertion Phase value set (extensible) |
| MeasurementSetting | S | 0..1 | CodeableConcept | Measurement setting URL: http://hl7.org/fhir/us/vitals/StructureDefinition/MeasurementSettingExt Binding: Measurement Setting value set (extensible) |
 modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| status | ?!SΣ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. |
| code | Σ | 1..1 | CodeableConcept | Blood pressure panel with all children optional Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 85354-9 | |
| subject | SΣ | 1..1 | Reference(Patient) | Who and/or what the observation is about |
 effective[x] | SΣ | 1..1 | Clinically relevant time/time-period for observation | |
| effectiveDateTime | dateTime | |||
| effectivePeriod | Period | |||
| effectiveTiming | Timing | |||
| effectiveInstant | instant | |||
| interpretation | 0..1 | CodeableConcept | High, low, normal, etc. Binding: Numeric Result Interpretation value set (extensible) | |
| bodySite | S | 0..1 | CodeableConcept | Observed body part Binding: Blood Pressure Measurement Body Location Precoordinated value set (extensible): A set of codes that describe where on/in the body an observation or procedure took place |
| method | S | 0..1 | CodeableConcept | How it was done Binding: Blood Pressure Measurement Method value set (extensible): A set of codes that describe the method used to measure a blood pressure |
| device | S | 0..1 | Reference(Blood Pressure Device) | Blood Pressure Device |
| Slices for component | SΣ | 1..* | BackboneElement | Blood pressure components Slice: Unordered, Open by value:code |
| component:All Slices | Content/Rules for all slices | |||
 modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
 code | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. |
| component:SystolicBP | Σ | 1..1 | BackboneElement | Systolic Blood Pressure |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | SΣ | 1..1 | CodeableConcept | Systolic blood pressure Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8480-6 | |
| value[x] | SΣ | 0..1 | Quantity | Actual component result |
| 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 form of the unit Fixed Value: mm[Hg] |
| component:DiastolicBP | Σ | 0..1 | BackboneElement | Diastolic Blood Pressure |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | SΣ | 1..1 | CodeableConcept | Diastolic blood pressure Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8462-4 | |
| value[x] | SΣ | 0..1 | Quantity | Actual component result |
| 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 form of the unit Fixed Value: mm[Hg] |
| component:MeanArterialBP | SΣ | 0..1 | BackboneElement | Mean Arterial Blood Pressure |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | SΣ | 1..1 | CodeableConcept | Mean blood pressure Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8478-0 | |
| value[x] | SΣ | 0..1 | Quantity | Actual component result |
| 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 form of the unit Fixed Value: mm[Hg] |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code |
| Observation.extension:bodyPosition.value[x] | extensible | BodyPositionvalueset |
| Observation.status | required | ObservationStatus |
| Observation.code | example | Pattern: LOINC code 85354-9 |
| Observation.interpretation | extensible | NumericResultInterpretationNom |
| Observation.bodySite | extensible | BloodPressureMeasurementBodyLocationPrecoodinated |
| Observation.method | extensible | BloodPressureMeasurementMethodvalueset |
| Observation.component.code | example | LOINCCodes (a valid code from LOINC) |
| Observation.component:SystolicBP.code | example | Pattern: LOINC code 8480-6 |
| Observation.component:SystolicBP.value[x].comparator | required | QuantityComparator |
| Observation.component:DiastolicBP.code | example | Pattern: LOINC code 8462-4 |
| Observation.component:DiastolicBP.value[x].comparator | required | QuantityComparator |
| Observation.component:MeanArterialBP.code | example | Pattern: LOINC code 8478-0 |
| Observation.component:MeanArterialBP.value[x].comparator | required | QuantityComparator |
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Observation | C | 0..* | Observation | Measurements and simple assertions | ||||
| id | Σ | 0..1 | id | Logical id of this artifact | ||||
| meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained | 0..* | Resource | Contained, inline Resources | |||||
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| bodyPosition | S | 0..1 | CodeableConcept | Body Position URL: http://hl7.org/fhir/StructureDefinition/observation-bodyPosition | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..0 | |||||||
| url | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/observation-bodyPosition" | |||||
| value[x] | 1..1 | CodeableConcept | Value of extension Binding: Body Position value set (extensible) | |||||
| sleepStatus | S | 0..1 | CodeableConcept | Sleep Status URL: http://hl7.org/fhir/us/vitals/StructureDefinition/SleepStatusExt Binding: Sleep Status value set (extensible) | ||||
| exerciseAssociation | S | 0..1 | CodeableConcept | Exercise Association URL: http://hl7.org/fhir/us/vitals/StructureDefinition/ExerciseAssociationExt Binding: Exertion Phase value set (extensible) | ||||
| MeasurementSetting | S | 0..1 | CodeableConcept | Measurement setting URL: http://hl7.org/fhir/us/vitals/StructureDefinition/MeasurementSettingExt Binding: Measurement Setting value set (extensible) | ||||
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier | Σ | 0..* | Identifier | Business Identifier for observation | ||||
| basedOn | Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order | ||||
| partOf | Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event | ||||
| status | ?!SΣ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. | ||||
| category | 0..* | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding | Σ | 0..* | Coding | Code defined by a terminology system | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system | Σ | 0..1 | uri | Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/observation-category | ||||
| version | Σ | 0..1 | string | Version of the system - if relevant | ||||
| code | Σ | 0..1 | code | Symbol in syntax defined by the system Required Pattern: vital-signs | ||||
| display | Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text | Σ | 0..1 | string | Plain text representation of the concept | ||||
| code | Σ | 1..1 | CodeableConcept | Blood pressure panel with all children optional Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 85354-9 | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| subject | SΣ | 1..1 | Reference(Patient) | Who and/or what the observation is about | ||||
| focus | ΣTU | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record | ||||
| encounter | Σ | 0..1 | Reference(Encounter) | Healthcare event during which this observation is made | ||||
| effective[x] | SΣ | 1..1 | Clinically relevant time/time-period for observation | |||||
| effectiveDateTime | dateTime | |||||||
| effectivePeriod | Period | |||||||
| effectiveTiming | Timing | |||||||
| effectiveInstant | instant | |||||||
| issued | Σ | 0..1 | instant | Date/Time this version was made available | ||||
| performer | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Who is responsible for the observation | ||||
| dataAbsentReason | C | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
| interpretation | 0..1 | CodeableConcept | High, low, normal, etc. Binding: Numeric Result Interpretation value set (extensible) | |||||
| note | 0..* | Annotation | Comments about the observation | |||||
| bodySite | S | 0..1 | CodeableConcept | Observed body part Binding: Blood Pressure Measurement Body Location Precoordinated value set (extensible): A set of codes that describe where on/in the body an observation or procedure took place | ||||
| method | S | 0..1 | CodeableConcept | How it was done Binding: Blood Pressure Measurement Method value set (extensible): A set of codes that describe the method used to measure a blood pressure | ||||
| device | S | 0..1 | Reference(Blood Pressure Device) | Blood Pressure Device | ||||
| referenceRange | C | 0..* | BackboneElement | Provides guide for interpretation | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| low | C | 0..1 | SimpleQuantity | Low Range, if relevant | ||||
| high | C | 0..1 | SimpleQuantity | High Range, if relevant | ||||
| type | 0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range. | |||||
| appliesTo | 0..* | CodeableConcept | Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to. | |||||
| age | 0..1 | Range | Applicable age range, if relevant | |||||
| text | 0..1 | string | Text based reference range in an observation | |||||
| hasMember | Σ | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group | ||||
| derivedFrom | Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | Related measurements the observation is made from | ||||
| Slices for component | SΣ | 1..* | BackboneElement | Blood pressure components Slice: Unordered, Open by value:code | ||||
| component:All Slices | Content/Rules for all slices | |||||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. | ||||
| value[x] | Σ | 0..1 | Actual component result | |||||
| valueQuantity | Quantity | |||||||
| valueCodeableConcept | CodeableConcept | |||||||
| valueString | string | |||||||
| valueBoolean | boolean | |||||||
| valueInteger | integer | |||||||
| valueRange | Range | |||||||
| valueRatio | Ratio | |||||||
| valueSampledData | SampledData | |||||||
| valueTime | time | |||||||
| valueDateTime | dateTime | |||||||
| valuePeriod | Period | |||||||
| dataAbsentReason | C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
| interpretation | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
| referenceRange | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
| component:SystolicBP | Σ | 1..1 | BackboneElement | Systolic Blood Pressure | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code | SΣ | 1..1 | CodeableConcept | Systolic blood pressure Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8480-6 | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| value[x] | SΣ | 0..1 | Quantity | Actual component result | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| 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 form of the unit Fixed Value: mm[Hg] | ||||
| dataAbsentReason | C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
| interpretation | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
| referenceRange | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
| component:DiastolicBP | Σ | 0..1 | BackboneElement | Diastolic Blood Pressure | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code | SΣ | 1..1 | CodeableConcept | Diastolic blood pressure Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8462-4 | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| value[x] | SΣ | 0..1 | Quantity | Actual component result | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| 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 form of the unit Fixed Value: mm[Hg] | ||||
| dataAbsentReason | C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
| interpretation | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
| referenceRange | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
| component:MeanArterialBP | SΣ | 0..1 | BackboneElement | Mean Arterial Blood Pressure | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code | SΣ | 1..1 | CodeableConcept | Mean blood pressure Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8478-0 | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| value[x] | SΣ | 0..1 | Quantity | Actual component result | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| 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 form of the unit Fixed Value: mm[Hg] | ||||
| dataAbsentReason | C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
| interpretation | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
| referenceRange | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | ||||
| Observation.language | preferred | CommonLanguages
| ||||
| Observation.extension:bodyPosition.value[x] | extensible | BodyPositionvalueset | ||||
| Observation.status | required | ObservationStatus | ||||
| Observation.category | preferred | ObservationCategoryCodes | ||||
| Observation.code | example | Pattern: LOINC code 85354-9 | ||||
| Observation.dataAbsentReason | extensible | DataAbsentReason | ||||
| Observation.interpretation | extensible | NumericResultInterpretationNom | ||||
| Observation.bodySite | extensible | BloodPressureMeasurementBodyLocationPrecoodinated | ||||
| Observation.method | extensible | BloodPressureMeasurementMethodvalueset | ||||
| Observation.referenceRange.type | preferred | ObservationReferenceRangeMeaningCodes | ||||
| Observation.referenceRange.appliesTo | example | ObservationReferenceRangeAppliesToCodes | ||||
| Observation.component.code | example | LOINCCodes (a valid code from LOINC) | ||||
| Observation.component.dataAbsentReason | extensible | DataAbsentReason | ||||
| Observation.component.interpretation | extensible | ObservationInterpretationCodes | ||||
| Observation.component:SystolicBP.code | example | Pattern: LOINC code 8480-6 | ||||
| Observation.component:SystolicBP.value[x].comparator | required | QuantityComparator | ||||
| Observation.component:SystolicBP.dataAbsentReason | extensible | DataAbsentReason | ||||
| Observation.component:SystolicBP.interpretation | extensible | ObservationInterpretationCodes | ||||
| Observation.component:DiastolicBP.code | example | Pattern: LOINC code 8462-4 | ||||
| Observation.component:DiastolicBP.value[x].comparator | required | QuantityComparator | ||||
| Observation.component:DiastolicBP.dataAbsentReason | extensible | DataAbsentReason | ||||
| Observation.component:DiastolicBP.interpretation | extensible | ObservationInterpretationCodes | ||||
| Observation.component:MeanArterialBP.code | example | Pattern: LOINC code 8478-0 | ||||
| Observation.component:MeanArterialBP.value[x].comparator | required | QuantityComparator | ||||
| Observation.component:MeanArterialBP.dataAbsentReason | extensible | DataAbsentReason | ||||
| Observation.component:MeanArterialBP.interpretation | extensible | ObservationInterpretationCodes |
This structure is derived from Observation
Summary
Mandatory: 4 elements (12 nested mandatory elements)
Must-Support: 30 elements
Fixed Value: 6 elements
Prohibited: 2 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from Observation
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Observation | 0..* | Observation | Measurements and simple assertions | |
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| bodyPosition | S | 0..1 | CodeableConcept | Body Position URL: http://hl7.org/fhir/StructureDefinition/observation-bodyPosition |
| value[x] | 1..1 | CodeableConcept | Value of extension Binding: Body Position value set (extensible) | |
| sleepStatus | S | 0..1 | CodeableConcept | Sleep Status URL: http://hl7.org/fhir/us/vitals/StructureDefinition/SleepStatusExt Binding: Sleep Status value set (extensible) |
| exerciseAssociation | S | 0..1 | CodeableConcept | Exercise Association URL: http://hl7.org/fhir/us/vitals/StructureDefinition/ExerciseAssociationExt Binding: Exertion Phase value set (extensible) |
| MeasurementSetting | S | 0..1 | CodeableConcept | Measurement setting URL: http://hl7.org/fhir/us/vitals/StructureDefinition/MeasurementSettingExt Binding: Measurement Setting value set (extensible) |
| status | S | 1..1 | code | registered | preliminary | final | amended + |
| category | ||||
| coding | ||||
| system | 0..1 | uri | Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/observation-category | |
| code | 0..1 | code | Symbol in syntax defined by the system Required Pattern: vital-signs | |
| code | 1..1 | CodeableConcept | Blood pressure panel with all children optional Required Pattern: At least the following | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 85354-9 | |
| subject | S | 1..1 | Reference(Patient) | Who and/or what the observation is about |
| effective[x] | S | 1..1 | dateTime, Period, Timing, instant | Clinically relevant time/time-period for observation |
| value[x] | 0..0 | |||
| interpretation | 0..1 | CodeableConcept | High, low, normal, etc. Binding: Numeric Result Interpretation value set (extensible) | |
| bodySite | S | 0..1 | CodeableConcept | Observed body part Binding: Blood Pressure Measurement Body Location Precoordinated value set (extensible): A set of codes that describe where on/in the body an observation or procedure took place |
| method | S | 0..1 | CodeableConcept | How it was done Binding: Blood Pressure Measurement Method value set (extensible): A set of codes that describe the method used to measure a blood pressure |
| specimen | 0..0 | |||
| device | S | 0..1 | Reference(Blood Pressure Device) | Blood Pressure Device |
| Slices for component | S | 1..* | BackboneElement | Blood pressure components Slice: Unordered, Open by value:code |
| component:SystolicBP | 1..1 | BackboneElement | Systolic Blood Pressure | |
| code | S | 1..1 | CodeableConcept | Systolic blood pressure Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8480-6 | |
| value[x] | S | 0..1 | Quantity | Actual component result |
| value | S | 1..1 | decimal | Numerical value (with implicit precision) |
| unit | S | 1..1 | string | Unit representation |
| system | S | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org |
| code | S | 1..1 | code | Coded form of the unit Fixed Value: mm[Hg] |
| component:DiastolicBP | 0..1 | BackboneElement | Diastolic Blood Pressure | |
| code | S | 1..1 | CodeableConcept | Diastolic blood pressure Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8462-4 | |
| value[x] | S | 0..1 | Quantity | Actual component result |
| value | S | 1..1 | decimal | Numerical value (with implicit precision) |
| unit | S | 1..1 | string | Unit representation |
| system | S | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org |
| code | S | 1..1 | code | Coded form of the unit Fixed Value: mm[Hg] |
| component:MeanArterialBP | S | 0..1 | BackboneElement | Mean Arterial Blood Pressure |
| code | S | 1..1 | CodeableConcept | Mean blood pressure Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8478-0 | |
| value[x] | S | 0..1 | Quantity | Actual component result |
| value | S | 1..1 | decimal | Numerical value (with implicit precision) |
| unit | S | 1..1 | string | Unit representation |
| system | S | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org |
| code | S | 1..1 | code | Coded form of the unit Fixed Value: mm[Hg] |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| Observation.extension:bodyPosition.value[x] | extensible | BodyPositionvalueset |
| Observation.interpretation | extensible | NumericResultInterpretationNom |
| Observation.bodySite | extensible | BloodPressureMeasurementBodyLocationPrecoodinated |
| Observation.method | extensible | BloodPressureMeasurementMethodvalueset |
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Observation | C | 0..* | Observation | Measurements and simple assertions |
| 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 | |
| bodyPosition | S | 0..1 | CodeableConcept | Body Position URL: http://hl7.org/fhir/StructureDefinition/observation-bodyPosition |
| extension | 0..0 | |||
| url | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/observation-bodyPosition" | |
| value[x] | 1..1 | CodeableConcept | Value of extension Binding: Body Position value set (extensible) | |
| sleepStatus | S | 0..1 | CodeableConcept | Sleep Status URL: http://hl7.org/fhir/us/vitals/StructureDefinition/SleepStatusExt Binding: Sleep Status value set (extensible) |
| exerciseAssociation | S | 0..1 | CodeableConcept | Exercise Association URL: http://hl7.org/fhir/us/vitals/StructureDefinition/ExerciseAssociationExt Binding: Exertion Phase value set (extensible) |
| MeasurementSetting | S | 0..1 | CodeableConcept | Measurement setting URL: http://hl7.org/fhir/us/vitals/StructureDefinition/MeasurementSettingExt Binding: Measurement Setting value set (extensible) |
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| status | ?!SΣ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. |
| code | Σ | 1..1 | CodeableConcept | Blood pressure panel with all children optional Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 85354-9 | |
| subject | SΣ | 1..1 | Reference(Patient) | Who and/or what the observation is about |
| effective[x] | SΣ | 1..1 | Clinically relevant time/time-period for observation | |
| effectiveDateTime | dateTime | |||
| effectivePeriod | Period | |||
| effectiveTiming | Timing | |||
| effectiveInstant | instant | |||
| interpretation | 0..1 | CodeableConcept | High, low, normal, etc. Binding: Numeric Result Interpretation value set (extensible) | |
| bodySite | S | 0..1 | CodeableConcept | Observed body part Binding: Blood Pressure Measurement Body Location Precoordinated value set (extensible): A set of codes that describe where on/in the body an observation or procedure took place |
| method | S | 0..1 | CodeableConcept | How it was done Binding: Blood Pressure Measurement Method value set (extensible): A set of codes that describe the method used to measure a blood pressure |
| device | S | 0..1 | Reference(Blood Pressure Device) | Blood Pressure Device |
| Slices for component | SΣ | 1..* | BackboneElement | Blood pressure components Slice: Unordered, Open by value:code |
| component:All Slices | Content/Rules for all slices | |||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. |
| component:SystolicBP | Σ | 1..1 | BackboneElement | Systolic Blood Pressure |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | SΣ | 1..1 | CodeableConcept | Systolic blood pressure Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8480-6 | |
| value[x] | SΣ | 0..1 | Quantity | Actual component result |
| 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 form of the unit Fixed Value: mm[Hg] |
| component:DiastolicBP | Σ | 0..1 | BackboneElement | Diastolic Blood Pressure |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | SΣ | 1..1 | CodeableConcept | Diastolic blood pressure Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8462-4 | |
| value[x] | SΣ | 0..1 | Quantity | Actual component result |
| 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 form of the unit Fixed Value: mm[Hg] |
| component:MeanArterialBP | SΣ | 0..1 | BackboneElement | Mean Arterial Blood Pressure |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | SΣ | 1..1 | CodeableConcept | Mean blood pressure Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8478-0 | |
| value[x] | SΣ | 0..1 | Quantity | Actual component result |
| 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 form of the unit Fixed Value: mm[Hg] |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code |
| Observation.extension:bodyPosition.value[x] | extensible | BodyPositionvalueset |
| Observation.status | required | ObservationStatus |
| Observation.code | example | Pattern: LOINC code 85354-9 |
| Observation.interpretation | extensible | NumericResultInterpretationNom |
| Observation.bodySite | extensible | BloodPressureMeasurementBodyLocationPrecoodinated |
| Observation.method | extensible | BloodPressureMeasurementMethodvalueset |
| Observation.component.code | example | LOINCCodes (a valid code from LOINC) |
| Observation.component:SystolicBP.code | example | Pattern: LOINC code 8480-6 |
| Observation.component:SystolicBP.value[x].comparator | required | QuantityComparator |
| Observation.component:DiastolicBP.code | example | Pattern: LOINC code 8462-4 |
| Observation.component:DiastolicBP.value[x].comparator | required | QuantityComparator |
| Observation.component:MeanArterialBP.code | example | Pattern: LOINC code 8478-0 |
| Observation.component:MeanArterialBP.value[x].comparator | required | QuantityComparator |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Observation | C | 0..* | Observation | Measurements and simple assertions | ||||
| id | Σ | 0..1 | id | Logical id of this artifact | ||||
| meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained | 0..* | Resource | Contained, inline Resources | |||||
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| bodyPosition | S | 0..1 | CodeableConcept | Body Position URL: http://hl7.org/fhir/StructureDefinition/observation-bodyPosition | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..0 | |||||||
| url | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/observation-bodyPosition" | |||||
| value[x] | 1..1 | CodeableConcept | Value of extension Binding: Body Position value set (extensible) | |||||
| sleepStatus | S | 0..1 | CodeableConcept | Sleep Status URL: http://hl7.org/fhir/us/vitals/StructureDefinition/SleepStatusExt Binding: Sleep Status value set (extensible) | ||||
| exerciseAssociation | S | 0..1 | CodeableConcept | Exercise Association URL: http://hl7.org/fhir/us/vitals/StructureDefinition/ExerciseAssociationExt Binding: Exertion Phase value set (extensible) | ||||
| MeasurementSetting | S | 0..1 | CodeableConcept | Measurement setting URL: http://hl7.org/fhir/us/vitals/StructureDefinition/MeasurementSettingExt Binding: Measurement Setting value set (extensible) | ||||
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier | Σ | 0..* | Identifier | Business Identifier for observation | ||||
| basedOn | Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order | ||||
| partOf | Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event | ||||
| status | ?!SΣ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. | ||||
| category | 0..* | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding | Σ | 0..* | Coding | Code defined by a terminology system | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system | Σ | 0..1 | uri | Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/observation-category | ||||
| version | Σ | 0..1 | string | Version of the system - if relevant | ||||
| code | Σ | 0..1 | code | Symbol in syntax defined by the system Required Pattern: vital-signs | ||||
| display | Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text | Σ | 0..1 | string | Plain text representation of the concept | ||||
| code | Σ | 1..1 | CodeableConcept | Blood pressure panel with all children optional Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 85354-9 | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| subject | SΣ | 1..1 | Reference(Patient) | Who and/or what the observation is about | ||||
| focus | ΣTU | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record | ||||
| encounter | Σ | 0..1 | Reference(Encounter) | Healthcare event during which this observation is made | ||||
| effective[x] | SΣ | 1..1 | Clinically relevant time/time-period for observation | |||||
| effectiveDateTime | dateTime | |||||||
| effectivePeriod | Period | |||||||
| effectiveTiming | Timing | |||||||
| effectiveInstant | instant | |||||||
| issued | Σ | 0..1 | instant | Date/Time this version was made available | ||||
| performer | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Who is responsible for the observation | ||||
| dataAbsentReason | C | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
| interpretation | 0..1 | CodeableConcept | High, low, normal, etc. Binding: Numeric Result Interpretation value set (extensible) | |||||
| note | 0..* | Annotation | Comments about the observation | |||||
| bodySite | S | 0..1 | CodeableConcept | Observed body part Binding: Blood Pressure Measurement Body Location Precoordinated value set (extensible): A set of codes that describe where on/in the body an observation or procedure took place | ||||
| method | S | 0..1 | CodeableConcept | How it was done Binding: Blood Pressure Measurement Method value set (extensible): A set of codes that describe the method used to measure a blood pressure | ||||
| device | S | 0..1 | Reference(Blood Pressure Device) | Blood Pressure Device | ||||
| referenceRange | C | 0..* | BackboneElement | Provides guide for interpretation | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| low | C | 0..1 | SimpleQuantity | Low Range, if relevant | ||||
| high | C | 0..1 | SimpleQuantity | High Range, if relevant | ||||
| type | 0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range. | |||||
| appliesTo | 0..* | CodeableConcept | Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to. | |||||
| age | 0..1 | Range | Applicable age range, if relevant | |||||
| text | 0..1 | string | Text based reference range in an observation | |||||
| hasMember | Σ | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group | ||||
| derivedFrom | Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | Related measurements the observation is made from | ||||
| Slices for component | SΣ | 1..* | BackboneElement | Blood pressure components Slice: Unordered, Open by value:code | ||||
| component:All Slices | Content/Rules for all slices | |||||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. | ||||
| value[x] | Σ | 0..1 | Actual component result | |||||
| valueQuantity | Quantity | |||||||
| valueCodeableConcept | CodeableConcept | |||||||
| valueString | string | |||||||
| valueBoolean | boolean | |||||||
| valueInteger | integer | |||||||
| valueRange | Range | |||||||
| valueRatio | Ratio | |||||||
| valueSampledData | SampledData | |||||||
| valueTime | time | |||||||
| valueDateTime | dateTime | |||||||
| valuePeriod | Period | |||||||
| dataAbsentReason | C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
| interpretation | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
| referenceRange | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
| component:SystolicBP | Σ | 1..1 | BackboneElement | Systolic Blood Pressure | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code | SΣ | 1..1 | CodeableConcept | Systolic blood pressure Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8480-6 | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| value[x] | SΣ | 0..1 | Quantity | Actual component result | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| 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 form of the unit Fixed Value: mm[Hg] | ||||
| dataAbsentReason | C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
| interpretation | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
| referenceRange | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
| component:DiastolicBP | Σ | 0..1 | BackboneElement | Diastolic Blood Pressure | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code | SΣ | 1..1 | CodeableConcept | Diastolic blood pressure Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8462-4 | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| value[x] | SΣ | 0..1 | Quantity | Actual component result | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| 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 form of the unit Fixed Value: mm[Hg] | ||||
| dataAbsentReason | C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
| interpretation | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
| referenceRange | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
| component:MeanArterialBP | SΣ | 0..1 | BackboneElement | Mean Arterial Blood Pressure | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code | SΣ | 1..1 | CodeableConcept | Mean blood pressure Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8478-0 | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| value[x] | SΣ | 0..1 | Quantity | Actual component result | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| 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 form of the unit Fixed Value: mm[Hg] | ||||
| dataAbsentReason | C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
| interpretation | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
| referenceRange | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | ||||
| Observation.language | preferred | CommonLanguages
| ||||
| Observation.extension:bodyPosition.value[x] | extensible | BodyPositionvalueset | ||||
| Observation.status | required | ObservationStatus | ||||
| Observation.category | preferred | ObservationCategoryCodes | ||||
| Observation.code | example | Pattern: LOINC code 85354-9 | ||||
| Observation.dataAbsentReason | extensible | DataAbsentReason | ||||
| Observation.interpretation | extensible | NumericResultInterpretationNom | ||||
| Observation.bodySite | extensible | BloodPressureMeasurementBodyLocationPrecoodinated | ||||
| Observation.method | extensible | BloodPressureMeasurementMethodvalueset | ||||
| Observation.referenceRange.type | preferred | ObservationReferenceRangeMeaningCodes | ||||
| Observation.referenceRange.appliesTo | example | ObservationReferenceRangeAppliesToCodes | ||||
| Observation.component.code | example | LOINCCodes (a valid code from LOINC) | ||||
| Observation.component.dataAbsentReason | extensible | DataAbsentReason | ||||
| Observation.component.interpretation | extensible | ObservationInterpretationCodes | ||||
| Observation.component:SystolicBP.code | example | Pattern: LOINC code 8480-6 | ||||
| Observation.component:SystolicBP.value[x].comparator | required | QuantityComparator | ||||
| Observation.component:SystolicBP.dataAbsentReason | extensible | DataAbsentReason | ||||
| Observation.component:SystolicBP.interpretation | extensible | ObservationInterpretationCodes | ||||
| Observation.component:DiastolicBP.code | example | Pattern: LOINC code 8462-4 | ||||
| Observation.component:DiastolicBP.value[x].comparator | required | QuantityComparator | ||||
| Observation.component:DiastolicBP.dataAbsentReason | extensible | DataAbsentReason | ||||
| Observation.component:DiastolicBP.interpretation | extensible | ObservationInterpretationCodes | ||||
| Observation.component:MeanArterialBP.code | example | Pattern: LOINC code 8478-0 | ||||
| Observation.component:MeanArterialBP.value[x].comparator | required | QuantityComparator | ||||
| Observation.component:MeanArterialBP.dataAbsentReason | extensible | DataAbsentReason | ||||
| Observation.component:MeanArterialBP.interpretation | extensible | ObservationInterpretationCodes |
This structure is derived from Observation
Summary
Mandatory: 4 elements (12 nested mandatory elements)
Must-Support: 30 elements
Fixed Value: 6 elements
Prohibited: 2 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron
IG © 2021+ HL7 International - Clinical Information Modeling Initiative. Package hl7.fhir.us.vitals#2.0.0 based on FHIR 4.0.1. Generated 2023-07-18
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