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/body-temperature | Version: 2.0.0 | |||
| Draft as of 2023-07-18 | Computable Name: BodyTemperature | |||
Copyright/Legal: Logica Health, all rights reserved Creative Commons License |
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The measured heat of an individual’s body.
The Body Temperature profile contains one observation, temperature. In addition, this profile contains the following qualifying observations with associated SNOMED CT value sets: observation-deviceCode and MeasurementSetting.
The following examples are provided to illustrate conformant resource content to this profile.
| FHIR path and element binding | Text Description | Code | Terminology |
|---|---|---|---|
| Observation.code | Temperature | 8310-5 | LOINC |
| Observation.bodySite.value | Rectum structure (body structure) | 34402009 | SNOMED CT |
| Value Set | Purpose |
|---|---|
| Body Temperature Measurement Device value set | Body temperature is taken, and the user records measurement method or instrument used to evaluate the temperature. It combines method and device values because they often overlap in EHR documentation systems. |
| Body Temperature Measurement Body Location value set | SELECT SNOMED CT code system values that describe where on the body the temperature was measured. |
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from observation-bodytemp
| Path | Conformance | ValueSet |
| Observation.extension:measurmentDevice.value[x] | extensible | BodyTemperatureMeasurementDevicevalueset |
| Observation.extension:associatedSituation.value[x]:valueCodeableConcept | example | BodyTempAssociatedSituationvalueset |
| Observation.value[x]:valueQuantity.code | required | TemperatureUOMVS |
| Observation.interpretation | extensible | NumericResultInterpretationNom |
| Observation.bodySite | extensible | BodyTemperatureMeasurementBodyLocationvalueset |
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Observation | C | 0..* | observation-bodytemp | FHIR Body Temperature Profile |
  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 | |
  measurmentDevice | S | 0..1 | CodeableConcept | Measurement Device Type URL: http://hl7.org/fhir/StructureDefinition/observation-deviceCode Binding: FHIRDeviceTypes (example) |
  extension | 0..0 | |||
| url | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/observation-deviceCode" | |
  value[x] | 1..1 | CodeableConcept | Value of extension Binding: Body Temperature Measurement Device 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) |
| associatedSituation | S | 0..1 | CodeableConcept | Associated situation URL: http://hl7.org/fhir/us/vitals/StructureDefinition/AssociatedSituationExt |
| extension | 0..0 | |||
| url | 1..1 | uri | "http://hl7.org/fhir/us/vitals/StructureDefinition/AssociatedSituationExt" | |
  Slices for value[x] | 0..1 | CodeableConcept | Value of extension Slice: Unordered, Closed by type:$this | |
  value[x]:valueCodeableConcept | 0..1 | CodeableConcept | Value of extension Binding: Body Temperature Associated Situation value set (example) | |
 modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| status | ?!SΣ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required) |
| Slices for category | S | 1..* | CodeableConcept | Classification of type of observation Slice: Unordered, Open by value:coding.code, value:coding.system Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. |
 category:VSCat | S | 1..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. |
| coding | SΣ | 1..* | Coding | Code defined by a terminology system |
| system | SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category |
 code | SΣ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: vital-signs |
| code | SΣ | 1..1 | CodeableConcept | Body temperature Binding: VitalSigns (extensible): This identifies the vital sign result type. |
 Slices for coding | Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:code, value:system |
| coding:BodyTempCode | Σ | 1..1 | Coding | Code defined by a terminology system |
| system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org |
| code | Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8310-5 |
 subject | SΣ | 1..1 | Reference(Patient) | Who and/or what the observation is about |
 effective[x] | SΣC | 1..1 | Often just a dateTime for Vital Signs | |
| effectiveDateTime | dateTime | |||
| effectivePeriod | Period | |||
| Slices for value[x] | SΣC | 0..1 | Quantity | Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept. Slice: Unordered, Closed by type:$this |
| value[x]:valueQuantity | SΣC | 0..1 | Quantity | Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept. |
| 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 responses from the common UCUM units for vital signs value set. Binding: Temperature Units of Measure value set (required) |
| dataAbsentReason | SC | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
| interpretation | 0..* | CodeableConcept | High, low, normal, etc. Binding: Numeric Result Interpretation value set (extensible) | |
| bodySite | S | 0..1 | CodeableConcept | Observed body part Binding: Body Temperature Measurement Body Location value set (extensible) |
| component | SΣC | 0..* | BackboneElement | Used when reporting systolic and diastolic blood pressure. |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | SΣ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: VitalSigns (extensible): This identifies the vital sign result type. |
| value[x] | SΣC | 0..1 | Vital Sign Value recorded with UCUM Binding: VitalSignsUnits (required): Common UCUM units for recording Vital Signs. | |
| valueQuantity | Quantity | |||
| valueCodeableConcept | CodeableConcept | |||
| valueString | string | |||
| valueBoolean | boolean | |||
| valueInteger | integer | |||
| valueRange | Range | |||
| valueRatio | Ratio | |||
| valueSampledData | SampledData | |||
| valueTime | time | |||
| valueDateTime | dateTime | |||
| valuePeriod | Period | |||
| dataAbsentReason | SC | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| Observation.extension:measurmentDevice.value[x] | extensible | BodyTemperatureMeasurementDevicevalueset |
| Observation.extension:associatedSituation.value[x]:valueCodeableConcept | example | BodyTempAssociatedSituationvalueset |
| Observation.status | required | ObservationStatus |
| Observation.category | preferred | ObservationCategoryCodes |
| Observation.category:VSCat | preferred | ObservationCategoryCodes |
| Observation.code | extensible | VitalSigns |
| Observation.value[x]:valueQuantity.comparator | required | QuantityComparator |
| Observation.value[x]:valueQuantity.code | required | TemperatureUOMVS |
| Observation.dataAbsentReason | extensible | DataAbsentReason |
| Observation.interpretation | extensible | NumericResultInterpretationNom |
| Observation.bodySite | extensible | BodyTemperatureMeasurementBodyLocationvalueset |
| Observation.component.code | extensible | VitalSigns |
| Observation.component.value[x] | required | VitalSignsUnits |
| Observation.component.dataAbsentReason | extensible | DataAbsentReason |
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Observation | C | 0..* | observation-bodytemp | FHIR Body Temperature Profile | ||||
| 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 | |||||
| measurmentDevice | S | 0..1 | CodeableConcept | Measurement Device Type URL: http://hl7.org/fhir/StructureDefinition/observation-deviceCode Binding: FHIRDeviceTypes (example) | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..0 | |||||||
| url | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/observation-deviceCode" | |||||
| value[x] | 1..1 | CodeableConcept | Value of extension Binding: Body Temperature Measurement Device 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) | ||||
| associatedSituation | S | 0..1 | CodeableConcept | Associated situation URL: http://hl7.org/fhir/us/vitals/StructureDefinition/AssociatedSituationExt | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..0 | |||||||
| url | 1..1 | uri | "http://hl7.org/fhir/us/vitals/StructureDefinition/AssociatedSituationExt" | |||||
| Slices for value[x] | 0..1 | CodeableConcept | Value of extension Slice: Unordered, Closed by type:$this | |||||
| value[x]:valueCodeableConcept | 0..1 | CodeableConcept | Value of extension Binding: Body Temperature Associated Situation value set (example) | |||||
| 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) | ||||
| Slices for category | S | 1..* | CodeableConcept | Classification of type of observation Slice: Unordered, Open by value:coding.code, value:coding.system Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | ||||
| category:VSCat | S | 1..1 | 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 | SΣ | 1..* | 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 | SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category | ||||
| version | Σ | 0..1 | string | Version of the system - if relevant | ||||
| code | SΣ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 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 | SΣ | 1..1 | CodeableConcept | Body temperature Binding: VitalSigns (extensible): This identifies the vital sign result type. | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| Slices for coding | Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:code, value:system | ||||
| coding:BodyTempCode | Σ | 1..1 | 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 | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | ||||
| version | Σ | 0..1 | string | Version of the system - if relevant | ||||
| code | Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8310-5 | ||||
| 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 | ||||
| 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] | SΣC | 1..1 | Often just a dateTime for Vital Signs | |||||
| effectiveDateTime | dateTime | |||||||
| effectivePeriod | Period | |||||||
| 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 | ||||
| Slices for value[x] | SΣC | 0..1 | Quantity | Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept. Slice: Unordered, Closed by type:$this | ||||
| value[x]:valueQuantity | SΣC | 0..1 | Quantity | Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept. | ||||
| 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 responses from the common UCUM units for vital signs value set. Binding: Temperature Units of Measure value set (required) | ||||
| dataAbsentReason | SC | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
| interpretation | 0..* | 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: Body Temperature Measurement Body Location value set (extensible) | ||||
| method | 0..1 | CodeableConcept | How it was done Binding: ObservationMethods (example): Methods for simple observations. | |||||
| specimen | 0..1 | Reference(Specimen) | Specimen used for this observation | |||||
| device | 0..1 | Reference(Device | DeviceMetric) | (Measurement) 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(QuestionnaireResponse | MolecularSequence | Vital Signs Profile) | Used when reporting vital signs panel components | ||||
| derivedFrom | Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | MolecularSequence | Vital Signs Profile) | Related measurements the observation is made from | ||||
| component | SΣC | 0..* | BackboneElement | Used when reporting systolic and 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 | Type of component observation (code / type) Binding: VitalSigns (extensible): This identifies the vital sign result type. | ||||
| value[x] | SΣC | 0..1 | Vital Sign Value recorded with UCUM Binding: VitalSignsUnits (required): Common UCUM units for recording Vital Signs. | |||||
| valueQuantity | Quantity | |||||||
| valueCodeableConcept | CodeableConcept | |||||||
| valueString | string | |||||||
| valueBoolean | boolean | |||||||
| valueInteger | integer | |||||||
| valueRange | Range | |||||||
| valueRatio | Ratio | |||||||
| valueSampledData | SampledData | |||||||
| valueTime | time | |||||||
| valueDateTime | dateTime | |||||||
| valuePeriod | Period | |||||||
| dataAbsentReason | SC | 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 | ||||
| Observation.language | preferred | CommonLanguages
| ||||
| Observation.extension:measurmentDevice.value[x] | extensible | BodyTemperatureMeasurementDevicevalueset | ||||
| Observation.extension:associatedSituation.value[x]:valueCodeableConcept | example | BodyTempAssociatedSituationvalueset | ||||
| Observation.status | required | ObservationStatus | ||||
| Observation.category | preferred | ObservationCategoryCodes | ||||
| Observation.category:VSCat | preferred | ObservationCategoryCodes | ||||
| Observation.code | extensible | VitalSigns | ||||
| Observation.value[x]:valueQuantity.comparator | required | QuantityComparator | ||||
| Observation.value[x]:valueQuantity.code | required | TemperatureUOMVS | ||||
| Observation.dataAbsentReason | extensible | DataAbsentReason | ||||
| Observation.interpretation | extensible | NumericResultInterpretationNom | ||||
| Observation.bodySite | extensible | BodyTemperatureMeasurementBodyLocationvalueset | ||||
| Observation.method | example | ObservationMethods | ||||
| Observation.referenceRange.type | preferred | ObservationReferenceRangeMeaningCodes | ||||
| Observation.referenceRange.appliesTo | example | ObservationReferenceRangeAppliesToCodes | ||||
| Observation.component.code | extensible | VitalSigns | ||||
| Observation.component.value[x] | required | VitalSignsUnits | ||||
| Observation.component.dataAbsentReason | extensible | DataAbsentReason | ||||
| Observation.component.interpretation | extensible | ObservationInterpretationCodes |
This structure is derived from observation-bodytemp
Differential View
This structure is derived from observation-bodytemp
| Path | Conformance | ValueSet |
| Observation.extension:measurmentDevice.value[x] | extensible | BodyTemperatureMeasurementDevicevalueset |
| Observation.extension:associatedSituation.value[x]:valueCodeableConcept | example | BodyTempAssociatedSituationvalueset |
| Observation.value[x]:valueQuantity.code | required | TemperatureUOMVS |
| Observation.interpretation | extensible | NumericResultInterpretationNom |
| Observation.bodySite | extensible | BodyTemperatureMeasurementBodyLocationvalueset |
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Observation | C | 0..* | observation-bodytemp | FHIR Body Temperature Profile |
| 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 | |
| measurmentDevice | S | 0..1 | CodeableConcept | Measurement Device Type URL: http://hl7.org/fhir/StructureDefinition/observation-deviceCode Binding: FHIRDeviceTypes (example) |
| extension | 0..0 | |||
| url | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/observation-deviceCode" | |
| value[x] | 1..1 | CodeableConcept | Value of extension Binding: Body Temperature Measurement Device 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) |
| associatedSituation | S | 0..1 | CodeableConcept | Associated situation URL: http://hl7.org/fhir/us/vitals/StructureDefinition/AssociatedSituationExt |
| extension | 0..0 | |||
| url | 1..1 | uri | "http://hl7.org/fhir/us/vitals/StructureDefinition/AssociatedSituationExt" | |
| Slices for value[x] | 0..1 | CodeableConcept | Value of extension Slice: Unordered, Closed by type:$this | |
| value[x]:valueCodeableConcept | 0..1 | CodeableConcept | Value of extension Binding: Body Temperature Associated Situation value set (example) | |
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| status | ?!SΣ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required) |
| Slices for category | S | 1..* | CodeableConcept | Classification of type of observation Slice: Unordered, Open by value:coding.code, value:coding.system Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. |
| category:VSCat | S | 1..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. |
| coding | SΣ | 1..* | Coding | Code defined by a terminology system |
| system | SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category |
| code | SΣ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: vital-signs |
| code | SΣ | 1..1 | CodeableConcept | Body temperature Binding: VitalSigns (extensible): This identifies the vital sign result type. |
| Slices for coding | Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:code, value:system |
| coding:BodyTempCode | Σ | 1..1 | Coding | Code defined by a terminology system |
| system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org |
| code | Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8310-5 |
| subject | SΣ | 1..1 | Reference(Patient) | Who and/or what the observation is about |
| effective[x] | SΣC | 1..1 | Often just a dateTime for Vital Signs | |
| effectiveDateTime | dateTime | |||
| effectivePeriod | Period | |||
| Slices for value[x] | SΣC | 0..1 | Quantity | Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept. Slice: Unordered, Closed by type:$this |
| value[x]:valueQuantity | SΣC | 0..1 | Quantity | Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept. |
| 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 responses from the common UCUM units for vital signs value set. Binding: Temperature Units of Measure value set (required) |
| dataAbsentReason | SC | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
| interpretation | 0..* | CodeableConcept | High, low, normal, etc. Binding: Numeric Result Interpretation value set (extensible) | |
| bodySite | S | 0..1 | CodeableConcept | Observed body part Binding: Body Temperature Measurement Body Location value set (extensible) |
| component | SΣC | 0..* | BackboneElement | Used when reporting systolic and diastolic blood pressure. |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | SΣ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: VitalSigns (extensible): This identifies the vital sign result type. |
| value[x] | SΣC | 0..1 | Vital Sign Value recorded with UCUM Binding: VitalSignsUnits (required): Common UCUM units for recording Vital Signs. | |
| valueQuantity | Quantity | |||
| valueCodeableConcept | CodeableConcept | |||
| valueString | string | |||
| valueBoolean | boolean | |||
| valueInteger | integer | |||
| valueRange | Range | |||
| valueRatio | Ratio | |||
| valueSampledData | SampledData | |||
| valueTime | time | |||
| valueDateTime | dateTime | |||
| valuePeriod | Period | |||
| dataAbsentReason | SC | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| Observation.extension:measurmentDevice.value[x] | extensible | BodyTemperatureMeasurementDevicevalueset |
| Observation.extension:associatedSituation.value[x]:valueCodeableConcept | example | BodyTempAssociatedSituationvalueset |
| Observation.status | required | ObservationStatus |
| Observation.category | preferred | ObservationCategoryCodes |
| Observation.category:VSCat | preferred | ObservationCategoryCodes |
| Observation.code | extensible | VitalSigns |
| Observation.value[x]:valueQuantity.comparator | required | QuantityComparator |
| Observation.value[x]:valueQuantity.code | required | TemperatureUOMVS |
| Observation.dataAbsentReason | extensible | DataAbsentReason |
| Observation.interpretation | extensible | NumericResultInterpretationNom |
| Observation.bodySite | extensible | BodyTemperatureMeasurementBodyLocationvalueset |
| Observation.component.code | extensible | VitalSigns |
| Observation.component.value[x] | required | VitalSignsUnits |
| Observation.component.dataAbsentReason | extensible | DataAbsentReason |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Observation | C | 0..* | observation-bodytemp | FHIR Body Temperature Profile | ||||
| 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 | |||||
| measurmentDevice | S | 0..1 | CodeableConcept | Measurement Device Type URL: http://hl7.org/fhir/StructureDefinition/observation-deviceCode Binding: FHIRDeviceTypes (example) | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..0 | |||||||
| url | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/observation-deviceCode" | |||||
| value[x] | 1..1 | CodeableConcept | Value of extension Binding: Body Temperature Measurement Device 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) | ||||
| associatedSituation | S | 0..1 | CodeableConcept | Associated situation URL: http://hl7.org/fhir/us/vitals/StructureDefinition/AssociatedSituationExt | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..0 | |||||||
| url | 1..1 | uri | "http://hl7.org/fhir/us/vitals/StructureDefinition/AssociatedSituationExt" | |||||
| Slices for value[x] | 0..1 | CodeableConcept | Value of extension Slice: Unordered, Closed by type:$this | |||||
| value[x]:valueCodeableConcept | 0..1 | CodeableConcept | Value of extension Binding: Body Temperature Associated Situation value set (example) | |||||
| 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) | ||||
| Slices for category | S | 1..* | CodeableConcept | Classification of type of observation Slice: Unordered, Open by value:coding.code, value:coding.system Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | ||||
| category:VSCat | S | 1..1 | 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 | SΣ | 1..* | 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 | SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category | ||||
| version | Σ | 0..1 | string | Version of the system - if relevant | ||||
| code | SΣ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 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 | SΣ | 1..1 | CodeableConcept | Body temperature Binding: VitalSigns (extensible): This identifies the vital sign result type. | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| Slices for coding | Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:code, value:system | ||||
| coding:BodyTempCode | Σ | 1..1 | 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 | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | ||||
| version | Σ | 0..1 | string | Version of the system - if relevant | ||||
| code | Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8310-5 | ||||
| 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 | ||||
| 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] | SΣC | 1..1 | Often just a dateTime for Vital Signs | |||||
| effectiveDateTime | dateTime | |||||||
| effectivePeriod | Period | |||||||
| 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 | ||||
| Slices for value[x] | SΣC | 0..1 | Quantity | Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept. Slice: Unordered, Closed by type:$this | ||||
| value[x]:valueQuantity | SΣC | 0..1 | Quantity | Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept. | ||||
| 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 responses from the common UCUM units for vital signs value set. Binding: Temperature Units of Measure value set (required) | ||||
| dataAbsentReason | SC | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
| interpretation | 0..* | 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: Body Temperature Measurement Body Location value set (extensible) | ||||
| method | 0..1 | CodeableConcept | How it was done Binding: ObservationMethods (example): Methods for simple observations. | |||||
| specimen | 0..1 | Reference(Specimen) | Specimen used for this observation | |||||
| device | 0..1 | Reference(Device | DeviceMetric) | (Measurement) 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(QuestionnaireResponse | MolecularSequence | Vital Signs Profile) | Used when reporting vital signs panel components | ||||
| derivedFrom | Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | MolecularSequence | Vital Signs Profile) | Related measurements the observation is made from | ||||
| component | SΣC | 0..* | BackboneElement | Used when reporting systolic and 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 | Type of component observation (code / type) Binding: VitalSigns (extensible): This identifies the vital sign result type. | ||||
| value[x] | SΣC | 0..1 | Vital Sign Value recorded with UCUM Binding: VitalSignsUnits (required): Common UCUM units for recording Vital Signs. | |||||
| valueQuantity | Quantity | |||||||
| valueCodeableConcept | CodeableConcept | |||||||
| valueString | string | |||||||
| valueBoolean | boolean | |||||||
| valueInteger | integer | |||||||
| valueRange | Range | |||||||
| valueRatio | Ratio | |||||||
| valueSampledData | SampledData | |||||||
| valueTime | time | |||||||
| valueDateTime | dateTime | |||||||
| valuePeriod | Period | |||||||
| dataAbsentReason | SC | 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 | ||||
| Observation.language | preferred | CommonLanguages
| ||||
| Observation.extension:measurmentDevice.value[x] | extensible | BodyTemperatureMeasurementDevicevalueset | ||||
| Observation.extension:associatedSituation.value[x]:valueCodeableConcept | example | BodyTempAssociatedSituationvalueset | ||||
| Observation.status | required | ObservationStatus | ||||
| Observation.category | preferred | ObservationCategoryCodes | ||||
| Observation.category:VSCat | preferred | ObservationCategoryCodes | ||||
| Observation.code | extensible | VitalSigns | ||||
| Observation.value[x]:valueQuantity.comparator | required | QuantityComparator | ||||
| Observation.value[x]:valueQuantity.code | required | TemperatureUOMVS | ||||
| Observation.dataAbsentReason | extensible | DataAbsentReason | ||||
| Observation.interpretation | extensible | NumericResultInterpretationNom | ||||
| Observation.bodySite | extensible | BodyTemperatureMeasurementBodyLocationvalueset | ||||
| Observation.method | example | ObservationMethods | ||||
| Observation.referenceRange.type | preferred | ObservationReferenceRangeMeaningCodes | ||||
| Observation.referenceRange.appliesTo | example | ObservationReferenceRangeAppliesToCodes | ||||
| Observation.component.code | extensible | VitalSigns | ||||
| Observation.component.value[x] | required | VitalSignsUnits | ||||
| Observation.component.dataAbsentReason | extensible | DataAbsentReason | ||||
| Observation.component.interpretation | extensible | ObservationInterpretationCodes |
This structure is derived from observation-bodytemp
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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