| Left: | US Core BMI Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-bmi) |
| Right: | Twenty Four Hour Blood Pressure (http://hl7.org/fhir/us/vitals/StructureDefinition/twenty-four-hour-blood-pressure) |
| Error | StructureDefinition.url | Values for url differ: 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-bmi' vs 'http://hl7.org/fhir/us/vitals/StructureDefinition/twenty-four-hour-blood-pressure' |
| Error | StructureDefinition.version | Values for version differ: '6.1.0' vs '2.0.0' |
| Information | StructureDefinition.name | Values for name differ: 'USCoreBMIProfile' vs 'TwentyFourHourBloodPressure' |
| Information | StructureDefinition.title | Values for title differ: 'US Core BMI Profile' vs 'Twenty Four Hour Blood Pressure' |
| Information | StructureDefinition.status | Values for status differ: 'active' vs 'draft' |
| Information | StructureDefinition.date | Values for date differ: '2020-11-17' vs '2023-07-18T14:07:06+00:00' |
| Information | StructureDefinition.publisher | Values for publisher differ: 'HL7 International - Cross-Group Projects' vs 'HL7 International - Clinical Information Modeling Initiative' |
| Information | StructureDefinition.copyright | Values for copyright differ: 'Used by permission of HL7 International, all rights reserved Creative Commons License' vs 'Logica Health, all rights reserved Creative Commons License' |
| Information | StructureDefinition.jurisdiction | Removed the item 'urn:iso:std:iso:3166#US' |
| Information | StructureDefinition.jurisdiction | Added the item 'http://unstats.un.org/unsd/methods/m49/m49.htm#001' |
| Error | StructureDefinition.baseDefinition | Values for baseDefinition differ: 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-vital-signs' vs 'http://hl7.org/fhir/StructureDefinition/vitalsigns' |
| Warning | Observation | Elements differ in short: 'US Core Body Mass Index (BMI) Profile' vs 'FHIR Vital Signs Profile' |
| Warning | Observation | Elements differ in definition: '\-' vs 'The FHIR Vitals Signs profile sets minimum expectations for the Observation Resource to record, search and fetch the vital signs associated with a patient.' |
| Warning | Observation | Elements differ in comments: '\-' vs 'Used for simple observations such as device measurements, laboratory atomic results, vital signs, height, weight, smoking status, comments, etc. Other resources are used to provide context for observations such as laboratory reports, etc.' |
| Warning | Observation.extension | Elements differ in short: 'Additional content defined by implementations' vs 'Extension' |
| Warning | Observation.extension | Elements differ in definition: 'May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.' vs 'An Extension' |
| Warning | Observation.status | Elements differ in short: '(USCDI) registered | preliminary | final | amended +' vs 'registered | preliminary | final | amended +' |
| Warning | Observation.category | Elements differ in short: '(USCDI) Classification of type of observation' vs 'Classification of type of observation' |
| Warning | Observation.code | Elements differ in short: '(USCDI) Coded Responses from C-CDA Vital Sign Results' vs 'Blood pressure panel 24 hour mean' |
| Warning | Observation.code | Elements differ in description: 'The vital sign codes from the base FHIR and US Core Vital Signs.' vs 'This identifies the vital sign result type.' |
| Warning | Observation.code | Elements differ in description: 'The vital sign codes from the base FHIR and US Core Vital Signs.' vs 'This identifies the vital sign result type.' |
| Warning | Observation.subject | Elements differ in short: '(USCDI) Who and/or what the observation is about' vs 'Who and/or what the observation is about' |
| Warning | Observation.effective[x] | Elements differ in short: '(USCDI) Often just a dateTime for Vital Signs' vs 'The dates and times over which the 24 hour period falls.' |
| Warning | Observation.value[x] | Elements differ in short: '(USCDI) Vital Signs Value' vs 'Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.' |
| Warning | Observation.value[x] | Elements differ in definition: 'Vital Signs value are typically recorded using the Quantity data type.' vs 'Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.' |
| Information | Observation.value[x] | Element maximum cardinalities differ: '1' vs '0' |
| Warning | Observation.dataAbsentReason | Elements differ in short: '(USCDI) Why the result is missing' vs 'Why the result is missing' |
| Warning | Observation.bodySite | Elements differ in definition for mustSupport: 'false' vs 'true' |
| Warning | Observation.bodySite | Elements differ in binding.description: 'Codes describing anatomical locations. May include laterality.' vs 'A set of codes that describe where on/in the body an observation or procedure took place' |
| Warning | Observation.method | Elements differ in definition for mustSupport: 'false' vs 'true' |
| Warning | Observation.method | Elements differ in binding.description: 'Methods for simple observations.' vs 'A set of codes that describe the method used to measure a blood pressure' |
| Information | Observation.specimen | Element maximum cardinalities differ: '1' vs '0' |
| Warning | Observation.device | Elements differ in short: '(Measurement) Device' vs 'Blood Pressure Device' |
| Warning | Observation.device | Elements differ in definition for mustSupport: 'false' vs 'true' |
| Warning | Observation.component | Elements differ in short: '(USCDI) Component observations' vs 'Blood pressure components' |
| Warning | Observation.component | Elements differ in definition: 'Used when reporting component observation such as systolic and diastolic blood pressure.' vs 'Used when reporting systolic and diastolic blood pressure.' |
| Information | Observation.component | Element minimum cardinalities differ: '0' vs '1' |
| Warning | Observation.component.code | Elements differ in short: '(USCDI) Type of component observation (code / type)' vs 'Type of component observation (code / type)' |
| Warning | Observation.component.code | Elements differ in description: 'The vital sign codes from the base FHIR and US Core Vital Signs.' vs 'This identifies the vital sign result type.' |
| Warning | Observation.component.code | Elements differ in description: 'The vital sign codes from the base FHIR and US Core Vital Signs.' vs 'This identifies the vital sign result type.' |
| Warning | Observation.component.value[x] | Elements differ in short: '(USCDI) Vital Sign Component Value' vs 'Vital Sign Value recorded with UCUM' |
| Warning | Observation.component.value[x] | Elements differ in definition: 'Vital Signs value are typically recorded using the Quantity data type. For supporting observations such as cuff size could use other datatypes such as CodeableConcept.' vs 'Vital Sign Value recorded with UCUM.' |
| Warning | Observation.component.dataAbsentReason | Elements differ in short: '(USCDI) Why the component result is missing' vs 'Why the component result is missing' |
| Name | Value | Comments | |
|---|---|---|---|
 abstract | false | ||
| baseDefinition | http://hl7.org/fhir/us/core/StructureDefinition/us-core-vital-signs | http://hl7.org/fhir/StructureDefinition/vitalsigns |
|
| copyright | Used by permission of HL7 International, all rights reserved Creative Commons License | Logica Health, all rights reserved Creative Commons License |
|
| date | 2020-11-17 | 2023-07-18T14:07:06+00:00 |
|
| description | To promote interoperability and adoption through common implementation, this profile sets minimum expectations for the Observation resource to record, search, and fetch Body Mass Index (BMI) observations with a standard LOINC code and UCUM units of measure. It is based on the US Core Vital Signs Profile and identifies which *additional* core elements, extensions, vocabularies, and value sets **SHALL** be present and constrains the way the elements are used when using the profile. It provides the floor for standards development for specific use cases. | An average blood pressure (systolic and diastolic) over a twenty four hour period. |
|
| experimental | false |
| |
| fhirVersion | 4.0.1 | ||
| jurisdiction | |||
 jurisdiction[0] | urn:iso:std:iso:3166#US |
| |
 jurisdiction[1] | http://unstats.un.org/unsd/methods/m49/m49.htm#001 |
| |
| kind | resource | ||
| name | USCoreBMIProfile | TwentyFourHourBloodPressure |
|
| publisher | HL7 International - Cross-Group Projects | HL7 International - Clinical Information Modeling Initiative |
|
| purpose | |||
| status | active | draft |
|
| title | US Core BMI Profile | Twenty Four Hour Blood Pressure |
|
| type | Observation | ||
| url | http://hl7.org/fhir/us/core/StructureDefinition/us-core-bmi | http://hl7.org/fhir/us/vitals/StructureDefinition/twenty-four-hour-blood-pressure |
|
| version | 6.1.0 | 2.0.0 |
|
| Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | L Type | L Description & Constraints | Comments | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
 Observation | C | 0..* | USCoreVitalSignsProfile | US Core Body Mass Index (BMI) Profile | C | 0..* | observation-vitalsigns | FHIR Vital Signs Profile |
| ||||||||
| id | Σ | 0..1 | id | Logical id of this artifact | Σ | 0..1 | id | Logical id of this artifact | |||||||||
| meta | Σ | 0..1 | Meta | Metadata about the resource | Σ | 0..1 | Meta | Metadata about the resource | |||||||||
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ?!Σ | 0..1 | uri | A set of rules under which this content was created | |||||||||
| language | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
| 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
| |||||||||||
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||||||||
| contained | 0..* | Resource | Contained, inline Resources | 0..* | Resource | Contained, inline Resources | |||||||||||
 extension | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Extension Slice: Unordered, Open by value:url |
| ||||||||||
 modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ?! | 0..* | Extension | Extensions that cannot be ignored | |||||||||
| identifier | Σ | 0..* | Identifier | Business Identifier for observation | Σ | 0..* | Identifier | Business Identifier for observation | |||||||||
| basedOn | Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order | 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 | Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event | |||||||||
| status | ?!SΣ | 1..1 | code | (USCDI) registered | preliminary | final | amended + Binding: ?? (required) | ?!SΣ | 1..1 | code | registered | preliminary | final | amended + Binding: ?? (required) |
| ||||||||
| Slices for category | S | 1..* | CodeableConcept | (USCDI) Classification of type of observation Slice: Unordered, Open by value:coding.code, value:coding.system Binding: ?? (preferred): Codes for high level observation categories. | S | 1..* | CodeableConcept | Classification of type of observation Slice: Unordered, Open by value:coding.code, value:coding.system Binding: ?? (preferred): Codes for high level observation categories. |
| ||||||||
| code | SΣ | 1..1 | CodeableConcept | (USCDI) Coded Responses from C-CDA Vital Sign Results Binding: ?? (extensible): The vital sign codes from the base FHIR and US Core Vital Signs. Required Pattern: {"coding":[{"system":"http://loinc.org","code":"39156-5"}]} | SΣ | 1..1 | CodeableConcept | Blood pressure panel 24 hour mean Binding: ?? (extensible): This identifies the vital sign result type. Required Pattern: {"coding":[{"system":"http://loinc.org","code":"97844-5"}]} |
| ||||||||
| subject | SΣ | 1..1 | Reference(US Core Patient Profile) | (USCDI) Who and/or what the observation is about | 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 | 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 | Σ | 0..1 | Reference(Encounter) | Healthcare event during which this observation is made | |||||||||
| effective[x] | SΣC | 1..1 | dateTime S, Period | (USCDI) Often just a dateTime for Vital Signs | SΣC | 1..1 | Period | The dates and times over which the 24 hour period falls. |
| ||||||||
| issued | Σ | 0..1 | instant | Date/Time this version was made available | 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 | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Who is responsible for the observation | |||||||||
| Slices for value[x] | SΣC | 0..1 | Quantity S, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | (USCDI) Vital Signs Value Slice: Unordered, Open by type:$this Binding: ?? (extensible): Common UCUM units for recording Vital Signs. | SΣC | 0..0 |
| ||||||||||
| dataAbsentReason | SC | 0..1 | CodeableConcept | (USCDI) Why the result is missing Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing. | SC | 0..1 | CodeableConcept | Why the result is missing Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
| ||||||||
| interpretation | 0..* | CodeableConcept | High, low, normal, etc. Binding: ?? (extensible): Codes identifying interpretations of observations. | 0..* | CodeableConcept | High, low, normal, etc. Binding: ?? (extensible): Codes identifying interpretations of observations. | |||||||||||
| note | 0..* | Annotation | Comments about the observation | 0..* | Annotation | Comments about the observation | |||||||||||
| bodySite | 0..1 | CodeableConcept | Observed body part Binding: ?? (example): Codes describing anatomical locations. May include laterality. | S | 0..1 | CodeableConcept | Observed body part Binding: ?? (extensible): A set of codes that describe where on/in the body an observation or procedure took place |
| |||||||||
| method | 0..1 | CodeableConcept | How it was done Binding: ?? (example): Methods for simple observations. | S | 0..1 | CodeableConcept | How it was done Binding: ?? (extensible): A set of codes that describe the method used to measure a blood pressure |
| |||||||||
| specimen | 0..1 | Reference(Specimen) | Specimen used for this observation | 0..0 |
| ||||||||||||
| device | 0..1 | Reference(Device | DeviceMetric) | (Measurement) Device | S | 0..1 | Reference(Blood Pressure Device) | Blood Pressure Device |
| |||||||||
 referenceRange | C | 0..* | BackboneElement | Provides guide for interpretation | C | 0..* | BackboneElement | Provides guide for interpretation | |||||||||
 id | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
| low | C | 0..1 | ?? | Low Range, if relevant | C | 0..1 | ?? | Low Range, if relevant | |||||||||
| high | C | 0..1 | ?? | High Range, if relevant | C | 0..1 | ?? | High Range, if relevant | |||||||||
| type | 0..1 | CodeableConcept | Reference range qualifier Binding: ?? (preferred): Code for the meaning of a reference range. | 0..1 | CodeableConcept | Reference range qualifier Binding: ?? (preferred): Code for the meaning of a reference range. | |||||||||||
| appliesTo | 0..* | CodeableConcept | Reference range population Binding: ?? (example): Codes identifying the population the reference range applies to. | 0..* | CodeableConcept | Reference range population Binding: ?? (example): Codes identifying the population the reference range applies to. | |||||||||||
| age | 0..1 | Range | Applicable age range, if relevant | 0..1 | Range | Applicable age range, if relevant | |||||||||||
| text | 0..1 | string | Text based reference range in an observation | 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 | 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 | Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | MolecularSequence | Vital Signs Profile) | Related measurements the observation is made from | |||||||||
 component | SΣC | 0..* | BackboneElement | (USCDI) Component observations | SΣC | 1..* | BackboneElement | Blood pressure components Slice: Unordered, Open by pattern:code |
| ||||||||
 id | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
| code | SΣ | 1..1 | CodeableConcept | (USCDI) Type of component observation (code / type) Binding: ?? (extensible): The vital sign codes from the base FHIR and US Core Vital Signs. | SΣ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: ?? (extensible): This identifies the vital sign result type. |
| ||||||||
| value[x] | SΣC | 0..1 | Quantity S, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | (USCDI) Vital Sign Component Value Binding: ?? (extensible): Common UCUM units for recording Vital Signs. | SΣC | 0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Vital Sign Value recorded with UCUM Binding: ?? (required): Common UCUM units for recording Vital Signs. |
| ||||||||
| dataAbsentReason | SC | 0..1 | CodeableConcept | (USCDI) Why the component result is missing Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing. | SC | 0..1 | CodeableConcept | Why the component result is missing Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
| ||||||||
| interpretation | 0..* | CodeableConcept | High, low, normal, etc. Binding: ?? (extensible): Codes identifying interpretations of observations. | 0..* | CodeableConcept | High, low, normal, etc. Binding: ?? (extensible): Codes identifying interpretations of observations. | |||||||||||
 referenceRange | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||||||||
| Documentation for this format | |||||||||||||||||