Vital Signs with Qualifying Elements
2.0.0 - ci-build International flag

Vital Signs with Qualifying Elements, published by HL7 International - Clinical Information Modeling Initiative. This guide is not an authorized publication; it is the continuous build for version 2.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. 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

Resource Profile: Vital Signs Panel

Official URL: http://hl7.org/fhir/us/vitals/StructureDefinition/vital-signs-panel Version: 2.0.0
Draft as of 2024-10-09 Computable Name: VitalSignsPanel

Copyright/Legal: Logica Health, all rights reserved Creative Commons License

A vital signs panel as defined by Logica Health. It includes Oxygen Saturation via Pulse Oximetry, Oxygen Saturation in Arterial blood, body height, body length, body weight, body temperature, blood pressure panel, heart rate, respiratory rate, head-occcipital/frontal circumference, oxygen saturation via pulse oximetry, and body mass index.

Scope

The Vital Signs Panel is a collection of vital signs measurements as defined in the LOINC panel 85353-1, Vital signs, weight, height, head circumference, oxygen saturation and BMI panel. Some of the measurements in this panel may not be considered as true vital signs but are included due to their inclusion in the LOINC panel.

About the Observation.interpretation binding

The Observation.interpretation - The use of interpretation at the panel level was requested by the subject matter experts that contributed to the project.  Currently the only value that could apply to all of the measurements in the panel (and subsequently the only value in the value set binding) is "Within defined limits".  We will add to the value set for this element as we receive and validate more suggestions. This element and the value of "Within defined limits" should not be used if any of the components has a differing interpretation.

Usage:

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from Observation

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 0..* Observation Measurements and simple assertions
... status S 1..1 code registered | preliminary | final | amended +
... code S 1..1 CodeableConcept Vital signs, weight, height, head circumference, oxygen saturation, and BMI panel
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: 85353-1
... subject S 1..1 Reference(Patient) Who and/or what the observation is about
... value[x] 0..0
... dataAbsentReason 0..0
... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: Defined Limits value set (extensible)
... bodySite 0..0
... method 0..0
... specimen 0..0
... device 0..0
... referenceRange 0..0
... Slices for hasMember 0..* Reference(Observation | QuestionnaireResponse | MolecularSequence) Related resource that belongs to the Observation group
Slice: Unordered, Closed by profile:resolve()
.... hasMember:OxygenSaturationArterialBloodPulseOx 0..1 Reference(Oxygen Saturation in Arterial Blood by Pulse Oximetry) Related resource that belongs to the Observation group
.... hasMember:BodyWeight 0..1 Reference(Body Weight) Related resource that belongs to the Observation group
.... hasMember:HeadOccipitalFrontalCircumference 0..1 Reference(Head Occipital-Frontal Circumference by Tape Measure) Related resource that belongs to the Observation group
.... hasMember:Height 0..1 Reference(Body Height) Related resource that belongs to the Observation group
.... hasMember:BodyLength 0..1 Reference(Body Length) Related resource that belongs to the Observation group
.... hasMember:BodyTemperature 0..1 Reference(Body Temperature) Related resource that belongs to the Observation group
.... hasMember:BloodPressurePanel 0..1 Reference(Blood Pressure Panel) Related resource that belongs to the Observation group
.... hasMember:HeartRate 0..1 Reference(Heart Rate) Related resource that belongs to the Observation group
.... hasMember:RespiratoryRate 0..1 Reference(Respiratory Rate) Related resource that belongs to the Observation group
.... hasMember:BodyMassIndex 0..1 Reference(Body Mass Index) Related resource that belongs to the Observation group
... component 0..0

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Observation.interpretationextensibleDefinedLimitsvalueset
http://hl7.org/fhir/us/vitals/ValueSet/definedLimitsVS
from this IG

 

Other representations of profile: CSV, Excel, Schematron