This structure is derived from Observationvitalsignsbase.

Summary

10.1.18.12.2 Summary of the Mandatory Requirements

1. One instance of Observation.code.coding which must have
   • a fixed Observation.code.coding.system = 'http://loinc.org'
   • a fixed Observation.code.coding.code = '85353-1'
   • additional Coding repetitions representing a more specific code for the measurement obtained MAY be included in Observation.code.
2. A fixed Observation.organizer = 'true'
3. No value in Observation.value[x]
4. A minimum of two Vitals Sign Observation references in Observation.hasMember (a "panel" is always expected to have more than one member observation)

Mandatory: 1 element
Must-Support: 2 elements
Fixed Value: 1 element
Prohibited: 1 element

This indicates the differences between this profile and the base Observationvitalsignsbase structure.

Name	Flags	Card.	Type	Description & Constraints
Observation		0..*	Observationvitalsignsbase	FHIR Vital Signs Panel Profile
code	S	1..1	CodeableConcept	Vital Signs Panel Binding: Vital Signs - Panel (preferred): This identifies the set of LOINC codes that are appropriate for representing a panel of vital sign measurements in Observation.code. 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
organizer		1..1	boolean	This observation organizes/groups a set of sub-observations Fixed Value: true
value[x]		0..0		The quantity for the vital sign being observed.
hasMember	S	2..*	Reference(Observation)	Used when reporting observations included in a vital signs panel
Documentation for this format

This provides the consolidated view (aka snapshot) of the profile after applying the changes in this profile to the base Observationvitalsignsbase structure.

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	Observationvitalsignsbase	FHIR Vital Signs Panel 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: All Languages (required): IETF language tag for a human language Additional Bindings Purpose Common Languages Starter
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
identifier	Σ	0..*	Identifier	Business Identifier for observation
basedOn	Σ	0..*	Reference(CarePlan | DeviceRequest | MedicationRequest | NutritionOrder | ServiceRequest)	Fulfills plan, proposal or order
triggeredBy		0..*	BackboneElement	Triggering observation(s)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Slice: Unordered, Open by value:url
observation	Σ	1..1	Reference(Observation)	Triggering observation
type	Σ	1..1	code	reflex | repeat | re-run Binding: triggered Bytype (required): The type of TriggeredBy Observation.
reason		0..1	string	Reason that the observation was triggered
partOf	Σ	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)	Part of referenced event
status	?!SΣ	1..1	code	registered | in-process | specimen-in-process | preliminary | final | amended | corrected | appended | cancelled | entered-in-error | unknown | cannot-be-obtained Binding: Observation Status (required): Codes providing the status of an observation.
statusReason		0..1	CodeableConcept	Reason for current status Binding: Observation Status Reason (example): Codes identifying the reason for the current state of an observation.
Slices for category	S	1..*	CodeableConcept	Classification of type of observation Slice: Unordered, Open by pattern:$this Binding: Observation Category Codes (preferred): Codes for high level observation categories.
category:VSCat	S	1..1	CodeableConcept	Classification of type of observation Binding: Observation Category Codes (preferred): Codes for high level observation categories. 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://terminology.hl7.org/CodeSystem/observation-category
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: vital-signs
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
code	SΣC	1..1	CodeableConcept	Vital Signs Panel Binding: Vital Signs - Panel (preferred): This identifies the set of LOINC codes that are appropriate for representing a panel of vital sign measurements in Observation.code. 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: 85353-1
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	?!Σ	0..*	Reference(Resource)	What the observation is about, when it is not about the subject of record
organizer	ΣC	1..1	boolean	This observation organizes/groups a set of sub-observations Fixed Value: true
encounter	Σ	0..1	Reference(Encounter)	Healthcare event during which this observation is made. If you need to place the observation within one or more episodes of care, use the workflow-episodeOfCare extension
effective[x]	SΣC	1..1	dateTime	Vital Signs are point in time measurements and are recorded using the dateTime data type
issued	Σ	0..1	instant	Date/Time this version was made available
performer	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson | HealthcareService | Group)	Who is responsible for the observation
dataAbsentReason	C	0..1	CodeableConcept	Why the result value is missing Binding: Data Absent Reason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc Binding: Observation Interpretation Codes (extensible): Codes identifying interpretations of observations.
context		0..*	CodeableReference(Resource)	Context for understanding the observation Binding: Observation Context Codes (example): Codes identifying contextual factors that affect interpretation of observations.
note		0..*	Annotation	Comments about the observation
bodySite		0..1	CodeableConcept	DEPRECATED: Observed body part
bodyStructure		0..*	CodeableReference(BodyStructure)	Observed body structure Binding: SNOMED CT Body Structures (example): SNOMED CT Body Structures
method		0..1	CodeableConcept	How it was done Binding: Observation Methods (example): Methods for simple observations.
specimen	C	0..1	Reference(Specimen | Group)	Specimen used for this observation
device		0..1	Reference(Device | DeviceMetric)	A reference to the device that generates the measurements or the device settings for the device
supportingDevice		0..*	CodeableReference(Device)	Device supporting generation of the measurement Binding: Device Type (example): Type of device supporting the generation of the measurement.
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 Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Slice: Unordered, Open by value:url
low	C	0..1	Quantity	Low Range, if relevant
high	C	0..1	Quantity	High Range, if relevant
normalValue		0..1	CodeableConcept	Normal value, if relevant Binding: Observation Reference Range Normal Value Codes (example): Codes identifying the normal value of the observation.
type		0..1	CodeableConcept	Reference range qualifier Binding: Observation Reference Range Meaning Codes (preferred): Code for the meaning of a reference range.
appliesTo		0..*	CodeableConcept	Reference range population Binding: Observation Reference Range Applies To Codes (example): Codes identifying the population the reference range applies to.
age		0..1	Range	Applicable age range, if relevant
text	C	0..1	markdown	Text based reference range in an observation
hasMember	SΣ	2..*	Reference(Observation)	Used when reporting observations included in a vital signs panel
derivedFrom	Σ	0..*	Reference(DocumentReference | Observation)	Related resource from which the observation is made
component	ΣC	0..*	BackboneElement	Component results
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Slice: Unordered, Open by value:url
code	ΣC	1..1	CodeableConcept	Vital Sign measurement or component Binding: LOINC codes with Observation or Both (example): Codes identifying names of simple observations.
Slices for value[x]	ΣC	0..1		The value for the vital sign component being observed. Slice: Unordered, Open by type:$this
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
valueAttachment			Attachment
value[x]:valueQuantity	ΣC	0..1	Quantity	Vital Sign component value recorded as a component with UCUM (preferred) Binding: UCUM units - for recording Vital Signs and components. (preferred): UCUM units - for recording Vital Signs and components.
dataAbsentReason	C	0..1	CodeableConcept	Why the component result value is missing Binding: Data Absent Reason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc Binding: Observation Interpretation Codes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result value
Documentation for this format

<!-- Observationvitalspanel -->

<Observation xmlns="http://hl7.org/fhir"
>
  <!-- from Element: extension -->
 <id value="[id]"/><!-- 0..1 Logical id of this artifact -->
 <meta><!-- I 0..1 Meta Metadata about the resource --></meta>
 <implicitRules value="[uri]"/><!-- I 0..1 A set of rules under which this content was created -->
 <language value="[code]"/><!-- I 0..1 Language of the resource content   -->
 <text><!-- I 0..1 Narrative 
     Text summary of the resource, for human interpretation --></text>
 <contained><!-- 0..* Resource Contained, inline Resources --></contained>
 <-- modifierExtension sliced by value:url  in the specified orderOpen-->
 <identifier><!-- I 0..* Identifier 
     Business Identifier for observation --></identifier>
 <basedOn><!-- I 0..* Reference(CarePlan) Fulfills plan, proposal or order --></basedOn>
 <triggeredBy> I 0..* BackboneElement  <!-- I 0..* Triggering observation(s) -->
  <-- modifierExtension sliced by value:url  in the specified orderOpen-->
  <observation><!-- I 1..1 Reference(Observation) 
      Triggering observation --></observation>
  <type value="[code]"/><!-- I 1..1 reflex | repeat | re-run   -->
  <reason value="[string]"/><!-- I 0..1 Reason that the observation was triggered -->
 </triggeredBy>
 <partOf><!-- I 0..* Reference(MedicationAdministration) Part of referenced event --></partOf>
 <status value="[code]"/><!-- I 1..1 registered | in-process | specimen-in-process | preliminary | final | amended | corrected | appended | cancelled | entered-in-error | unknown | cannot-be-obtained   -->
 <statusReason><!-- I 0..1 CodeableConcept Reason for current status   --></statusReason>
 <-- category sliced by pattern:$this  in the specified orderOpen-->
 <category><!-- I 1..1 CodeableConcept Classification of  type of observation   --></category>
 <code><!-- I 1..1 CodeableConcept Vital Signs Panel   --></code>
 <subject><!-- I 1..1 Reference(Patient) 
     Who and/or what the observation is about --></subject>
 <focus><!-- I 0..* Reference(Resource) 
     What the observation is about, when it is not about the subject of record --></focus>
 <organizer value="[boolean]"/><!-- I 1..1 This observation organizes/groups a set of sub-observations -->
 <encounter><!-- I 0..1 Reference(Encounter) 
     Healthcare event during which this observation is made. If you need to place the observation within one or more episodes of care, use the workflow-episodeOfCare extension --></encounter>
 <effectiveDateTime value="[dateTime]"/><!-- I 1..1 
     Vital Signs are point in time measurements and are recorded using the dateTime data type -->
 <issued value="[instant]"/><!-- I 0..1 Date/Time this version was made available -->
 <performer><!-- I 0..* Reference(Practitioner) 
     Who is responsible for the observation --></performer>
 <valueQuantity><!-- I 0..0 Quantity The quantity for the vital sign being observed.   --></valueQuantity>
 <dataAbsentReason><!-- I 0..1 CodeableConcept Why the result value is missing   --></dataAbsentReason>
 <interpretation><!-- I 0..* CodeableConcept High, low, normal, etc   --></interpretation>
 <context><!-- I 0..* CodeableReference Context for understanding the observation   --></context>
 <note><!-- I 0..* Annotation Comments about the observation --></note>
 <bodySite><!-- I 0..1 CodeableConcept 
     DEPRECATED: Observed body part --></bodySite>
 <bodyStructure><!-- I 0..* CodeableReference Observed body structure   --></bodyStructure>
 <method><!-- I 0..1 CodeableConcept How it was done   --></method>
 <specimen><!-- I 0..1 Reference(Specimen) Specimen used for this observation --></specimen>
 <device><!-- I 0..1 Reference(Device) 
     A reference to the device that generates the measurements or the device settings for the device --></device>
 <supportingDevice><!-- I 0..* CodeableReference Device supporting generation of the measurement   --></supportingDevice>
 <referenceRange> I 0..* BackboneElement  <!-- I 0..* Provides guide for interpretation -->
  <-- modifierExtension sliced by value:url  in the specified orderOpen-->
  <low><!-- I 0..1 Quantity 
      Low Range, if relevant --></low>
  <high><!-- I 0..1 Quantity 
      High Range, if relevant --></high>
  <normalValue><!-- I 0..1 CodeableConcept Normal value, if relevant   --></normalValue>
  <type><!-- I 0..1 CodeableConcept Reference range qualifier   --></type>
  <appliesTo><!-- I 0..* CodeableConcept Reference range population   --></appliesTo>
  <age><!-- I 0..1 Range 
      Applicable age range, if relevant --></age>
  <text value="[markdown]"/><!-- I 0..1 Text based reference range in an observation -->
 </referenceRange>
 <hasMember><!-- I 2..* Reference(Observation) 
     Used when reporting observations included in a vital signs panel --></hasMember>
 <derivedFrom><!-- I 0..* Reference(DocumentReference) 
     Related resource from which the observation is made --></derivedFrom>
 <component> I 0..* BackboneElement  <!-- I 0..* Component results -->
  <-- modifierExtension sliced by value:url  in the specified orderOpen-->
  <code><!-- I 1..1 CodeableConcept Vital Sign measurement or component   --></code>
  <-- value[x] sliced by type:$this  in the specified orderOpen-->
  <valueQuantity><!-- I 0..1 Quantity Vital Sign component value recorded as a component with UCUM (preferred)    --></valueQuantity>
  <dataAbsentReason><!-- I 0..1 CodeableConcept Why the component result value is missing   --></dataAbsentReason>
  <interpretation><!-- I 0..* CodeableConcept High, low, normal, etc   --></interpretation>
  <referenceRange><!-- See http://hl7.org/fhir/StructureDefinition/Observation#Observation.referenceRange  Provides guide for interpretation of component result value --></referenceRange>
 </component>
</Observation>

{ // Observationvitalspanel
  // from Element: extension
    "meta" : { Meta }, // IMetadata about the resource
    "implicitRules" : "<uri>", // IA set of rules under which this content was created
    "language" : "<code>", // ILanguage of the resource content
    "text" : { Narrative }, // IText summary of the resource, for human interpretation
    "contained" : [{ Resource }], //Contained, inline Resources
    "extension" : [ //  sliced by value:url  in the specified order, Open ]
    "modifierExtension" : [ //  sliced by value:url  in the specified order, Open ]
    "identifier" : [{ Identifier }], // IBusiness Identifier for observation
    "basedOn" : [{ Reference(CarePlan) }], // IFulfills plan, proposal or order
    "triggeredBy" : [{ BackboneElement }], // ITriggering observation(s)
    "partOf" : [{ Reference(MedicationAdministration) }], // IPart of referenced event
    "status" : "<code>", // I R! registered | in-process | specimen-in-process | preliminary | final | amended | corrected | appended | cancelled | entered-in-error | unknown | cannot-be-obtained
    "statusReason" : { CodeableConcept }, // IReason for current status
    "category" : [ //  sliced by pattern:$this  in the specified order, Open 
      { // Classification of  type of observation // I R! 
        // from Element: extension
      }
    ],
    "code" : { CodeableConcept }, // I R! Vital Signs Panel
    "subject" : { Reference(Patient) }, // I R! Who and/or what the observation is about
    "focus" : [{ Reference(Resource) }], // IWhat the observation is about, when it is not about the subject of record
    "organizer" : true, // I R! 
    "encounter" : { Reference(Encounter) }, // IHealthcare event during which this observation is made. If you need to place the observation within one or more episodes of care, use the workflow-episodeOfCare extension
    "effectiveDateTime" : "<dateTime>", // I R! Vital Signs are point in time measurements and are recorded using the dateTime data type
    "issued" : "<instant>", // IDate/Time this version was made available
    "performer" : [{ Reference(Practitioner) }], // IWho is responsible for the observation
    "dataAbsentReason" : { CodeableConcept }, // IWhy the result value is missing
    "interpretation" : [{ CodeableConcept }], // IHigh, low, normal, etc
    "context" : [{ CodeableReference(Resource) }], // IContext for understanding the observation
    "note" : [{ Annotation }], // IComments about the observation
    "bodySite" : { CodeableConcept }, // IDEPRECATED: Observed body part
    "bodyStructure" : [{ CodeableReference(BodyStructure) }], // IObserved body structure
    "method" : { CodeableConcept }, // IHow it was done
    "specimen" : { Reference(Specimen) }, // ISpecimen used for this observation
    "device" : { Reference(Device) }, // IA reference to the device that generates the measurements or the device settings for the device
    "supportingDevice" : [{ CodeableReference(Device) }], // IDevice supporting generation of the measurement
    "referenceRange" : [{ BackboneElement }], // IProvides guide for interpretation
    "hasMember" : [{ Reference(Observation) }], // I R! Used when reporting observations included in a vital signs panel
    "derivedFrom" : [{ Reference(DocumentReference) }], // IRelated resource from which the observation is made
    "component" : [{ BackboneElement }], // IComponent results
  }

Summary

10.1.18.12.3 Summary of the Mandatory Requirements

1. One instance of Observation.code.coding which must have
   • a fixed Observation.code.coding.system = 'http://loinc.org'
   • a fixed Observation.code.coding.code = '85353-1'
   • additional Coding repetitions representing a more specific code for the measurement obtained MAY be included in Observation.code.
2. A fixed Observation.organizer = 'true'
3. No value in Observation.value[x]
4. A minimum of two Vitals Sign Observation references in Observation.hasMember (a "panel" is always expected to have more than one member observation)

Mandatory: 1 element
Must-Support: 2 elements
Fixed Value: 1 element
Prohibited: 1 element

This provides the consolidated view (aka snapshot) of the profile after applying the changes in this profile to the base Observationvitalsignsbase structure.

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	Observationvitalsignsbase	FHIR Vital Signs Panel 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: All Languages (required): IETF language tag for a human language Additional Bindings Purpose Common Languages Starter
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
identifier	Σ	0..*	Identifier	Business Identifier for observation
basedOn	Σ	0..*	Reference(CarePlan | DeviceRequest | MedicationRequest | NutritionOrder | ServiceRequest)	Fulfills plan, proposal or order
triggeredBy		0..*	BackboneElement	Triggering observation(s)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Slice: Unordered, Open by value:url
observation	Σ	1..1	Reference(Observation)	Triggering observation
type	Σ	1..1	code	reflex | repeat | re-run Binding: triggered Bytype (required): The type of TriggeredBy Observation.
reason		0..1	string	Reason that the observation was triggered
partOf	Σ	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)	Part of referenced event
status	?!SΣ	1..1	code	registered | in-process | specimen-in-process | preliminary | final | amended | corrected | appended | cancelled | entered-in-error | unknown | cannot-be-obtained Binding: Observation Status (required): Codes providing the status of an observation.
statusReason		0..1	CodeableConcept	Reason for current status Binding: Observation Status Reason (example): Codes identifying the reason for the current state of an observation.
Slices for category	S	1..*	CodeableConcept	Classification of type of observation Slice: Unordered, Open by pattern:$this Binding: Observation Category Codes (preferred): Codes for high level observation categories.
category:VSCat	S	1..1	CodeableConcept	Classification of type of observation Binding: Observation Category Codes (preferred): Codes for high level observation categories. 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://terminology.hl7.org/CodeSystem/observation-category
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: vital-signs
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
code	SΣC	1..1	CodeableConcept	Vital Signs Panel Binding: Vital Signs - Panel (preferred): This identifies the set of LOINC codes that are appropriate for representing a panel of vital sign measurements in Observation.code. 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: 85353-1
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	?!Σ	0..*	Reference(Resource)	What the observation is about, when it is not about the subject of record
organizer	ΣC	1..1	boolean	This observation organizes/groups a set of sub-observations Fixed Value: true
encounter	Σ	0..1	Reference(Encounter)	Healthcare event during which this observation is made. If you need to place the observation within one or more episodes of care, use the workflow-episodeOfCare extension
effective[x]	SΣC	1..1	dateTime	Vital Signs are point in time measurements and are recorded using the dateTime data type
issued	Σ	0..1	instant	Date/Time this version was made available
performer	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson | HealthcareService | Group)	Who is responsible for the observation
dataAbsentReason	C	0..1	CodeableConcept	Why the result value is missing Binding: Data Absent Reason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc Binding: Observation Interpretation Codes (extensible): Codes identifying interpretations of observations.
context		0..*	CodeableReference(Resource)	Context for understanding the observation Binding: Observation Context Codes (example): Codes identifying contextual factors that affect interpretation of observations.
note		0..*	Annotation	Comments about the observation
bodySite		0..1	CodeableConcept	DEPRECATED: Observed body part
bodyStructure		0..*	CodeableReference(BodyStructure)	Observed body structure Binding: SNOMED CT Body Structures (example): SNOMED CT Body Structures
method		0..1	CodeableConcept	How it was done Binding: Observation Methods (example): Methods for simple observations.
specimen	C	0..1	Reference(Specimen | Group)	Specimen used for this observation
device		0..1	Reference(Device | DeviceMetric)	A reference to the device that generates the measurements or the device settings for the device
supportingDevice		0..*	CodeableReference(Device)	Device supporting generation of the measurement Binding: Device Type (example): Type of device supporting the generation of the measurement.
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 Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Slice: Unordered, Open by value:url
low	C	0..1	Quantity	Low Range, if relevant
high	C	0..1	Quantity	High Range, if relevant
normalValue		0..1	CodeableConcept	Normal value, if relevant Binding: Observation Reference Range Normal Value Codes (example): Codes identifying the normal value of the observation.
type		0..1	CodeableConcept	Reference range qualifier Binding: Observation Reference Range Meaning Codes (preferred): Code for the meaning of a reference range.
appliesTo		0..*	CodeableConcept	Reference range population Binding: Observation Reference Range Applies To Codes (example): Codes identifying the population the reference range applies to.
age		0..1	Range	Applicable age range, if relevant
text	C	0..1	markdown	Text based reference range in an observation
hasMember	SΣ	2..*	Reference(Observation)	Used when reporting observations included in a vital signs panel
derivedFrom	Σ	0..*	Reference(DocumentReference | Observation)	Related resource from which the observation is made
component	ΣC	0..*	BackboneElement	Component results
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Slice: Unordered, Open by value:url
code	ΣC	1..1	CodeableConcept	Vital Sign measurement or component Binding: LOINC codes with Observation or Both (example): Codes identifying names of simple observations.
Slices for value[x]	ΣC	0..1		The value for the vital sign component being observed. Slice: Unordered, Open by type:$this
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
valueAttachment			Attachment
value[x]:valueQuantity	ΣC	0..1	Quantity	Vital Sign component value recorded as a component with UCUM (preferred) Binding: UCUM units - for recording Vital Signs and components. (preferred): UCUM units - for recording Vital Signs and components.
dataAbsentReason	C	0..1	CodeableConcept	Why the component result value is missing Binding: Data Absent Reason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc Binding: Observation Interpretation Codes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result value
Documentation for this format

<!-- Observationvitalspanel -->

<Observation xmlns="http://hl7.org/fhir"
>
  <!-- from Element: extension -->
 <id value="[id]"/><!-- 0..1 Logical id of this artifact -->
 <meta><!-- I 0..1 Meta Metadata about the resource --></meta>
 <implicitRules value="[uri]"/><!-- I 0..1 A set of rules under which this content was created -->
 <language value="[code]"/><!-- I 0..1 Language of the resource content   -->
 <text><!-- I 0..1 Narrative 
     Text summary of the resource, for human interpretation --></text>
 <contained><!-- 0..* Resource Contained, inline Resources --></contained>
 <-- modifierExtension sliced by value:url  in the specified orderOpen-->
 <identifier><!-- I 0..* Identifier 
     Business Identifier for observation --></identifier>
 <basedOn><!-- I 0..* Reference(CarePlan) Fulfills plan, proposal or order --></basedOn>
 <triggeredBy> I 0..* BackboneElement  <!-- I 0..* Triggering observation(s) -->
  <-- modifierExtension sliced by value:url  in the specified orderOpen-->
  <observation><!-- I 1..1 Reference(Observation) 
      Triggering observation --></observation>
  <type value="[code]"/><!-- I 1..1 reflex | repeat | re-run   -->
  <reason value="[string]"/><!-- I 0..1 Reason that the observation was triggered -->
 </triggeredBy>
 <partOf><!-- I 0..* Reference(MedicationAdministration) Part of referenced event --></partOf>
 <status value="[code]"/><!-- I 1..1 registered | in-process | specimen-in-process | preliminary | final | amended | corrected | appended | cancelled | entered-in-error | unknown | cannot-be-obtained   -->
 <statusReason><!-- I 0..1 CodeableConcept Reason for current status   --></statusReason>
 <-- category sliced by pattern:$this  in the specified orderOpen-->
 <category><!-- I 1..1 CodeableConcept Classification of  type of observation   --></category>
 <code><!-- I 1..1 CodeableConcept Vital Signs Panel   --></code>
 <subject><!-- I 1..1 Reference(Patient) 
     Who and/or what the observation is about --></subject>
 <focus><!-- I 0..* Reference(Resource) 
     What the observation is about, when it is not about the subject of record --></focus>
 <organizer value="[boolean]"/><!-- I 1..1 This observation organizes/groups a set of sub-observations -->
 <encounter><!-- I 0..1 Reference(Encounter) 
     Healthcare event during which this observation is made. If you need to place the observation within one or more episodes of care, use the workflow-episodeOfCare extension --></encounter>
 <effectiveDateTime value="[dateTime]"/><!-- I 1..1 
     Vital Signs are point in time measurements and are recorded using the dateTime data type -->
 <issued value="[instant]"/><!-- I 0..1 Date/Time this version was made available -->
 <performer><!-- I 0..* Reference(Practitioner) 
     Who is responsible for the observation --></performer>
 <valueQuantity><!-- I 0..0 Quantity The quantity for the vital sign being observed.   --></valueQuantity>
 <dataAbsentReason><!-- I 0..1 CodeableConcept Why the result value is missing   --></dataAbsentReason>
 <interpretation><!-- I 0..* CodeableConcept High, low, normal, etc   --></interpretation>
 <context><!-- I 0..* CodeableReference Context for understanding the observation   --></context>
 <note><!-- I 0..* Annotation Comments about the observation --></note>
 <bodySite><!-- I 0..1 CodeableConcept 
     DEPRECATED: Observed body part --></bodySite>
 <bodyStructure><!-- I 0..* CodeableReference Observed body structure   --></bodyStructure>
 <method><!-- I 0..1 CodeableConcept How it was done   --></method>
 <specimen><!-- I 0..1 Reference(Specimen) Specimen used for this observation --></specimen>
 <device><!-- I 0..1 Reference(Device) 
     A reference to the device that generates the measurements or the device settings for the device --></device>
 <supportingDevice><!-- I 0..* CodeableReference Device supporting generation of the measurement   --></supportingDevice>
 <referenceRange> I 0..* BackboneElement  <!-- I 0..* Provides guide for interpretation -->
  <-- modifierExtension sliced by value:url  in the specified orderOpen-->
  <low><!-- I 0..1 Quantity 
      Low Range, if relevant --></low>
  <high><!-- I 0..1 Quantity 
      High Range, if relevant --></high>
  <normalValue><!-- I 0..1 CodeableConcept Normal value, if relevant   --></normalValue>
  <type><!-- I 0..1 CodeableConcept Reference range qualifier   --></type>
  <appliesTo><!-- I 0..* CodeableConcept Reference range population   --></appliesTo>
  <age><!-- I 0..1 Range 
      Applicable age range, if relevant --></age>
  <text value="[markdown]"/><!-- I 0..1 Text based reference range in an observation -->
 </referenceRange>
 <hasMember><!-- I 2..* Reference(Observation) 
     Used when reporting observations included in a vital signs panel --></hasMember>
 <derivedFrom><!-- I 0..* Reference(DocumentReference) 
     Related resource from which the observation is made --></derivedFrom>
 <component> I 0..* BackboneElement  <!-- I 0..* Component results -->
  <-- modifierExtension sliced by value:url  in the specified orderOpen-->
  <code><!-- I 1..1 CodeableConcept Vital Sign measurement or component   --></code>
  <-- value[x] sliced by type:$this  in the specified orderOpen-->
  <valueQuantity><!-- I 0..1 Quantity Vital Sign component value recorded as a component with UCUM (preferred)    --></valueQuantity>
  <dataAbsentReason><!-- I 0..1 CodeableConcept Why the component result value is missing   --></dataAbsentReason>
  <interpretation><!-- I 0..* CodeableConcept High, low, normal, etc   --></interpretation>
  <referenceRange><!-- See http://hl7.org/fhir/StructureDefinition/Observation#Observation.referenceRange  Provides guide for interpretation of component result value --></referenceRange>
 </component>
</Observation>

{ // Observationvitalspanel
  // from Element: extension
    "meta" : { Meta }, // IMetadata about the resource
    "implicitRules" : "<uri>", // IA set of rules under which this content was created
    "language" : "<code>", // ILanguage of the resource content
    "text" : { Narrative }, // IText summary of the resource, for human interpretation
    "contained" : [{ Resource }], //Contained, inline Resources
    "extension" : [ //  sliced by value:url  in the specified order, Open ]
    "modifierExtension" : [ //  sliced by value:url  in the specified order, Open ]
    "identifier" : [{ Identifier }], // IBusiness Identifier for observation
    "basedOn" : [{ Reference(CarePlan) }], // IFulfills plan, proposal or order
    "triggeredBy" : [{ BackboneElement }], // ITriggering observation(s)
    "partOf" : [{ Reference(MedicationAdministration) }], // IPart of referenced event
    "status" : "<code>", // I R! registered | in-process | specimen-in-process | preliminary | final | amended | corrected | appended | cancelled | entered-in-error | unknown | cannot-be-obtained
    "statusReason" : { CodeableConcept }, // IReason for current status
    "category" : [ //  sliced by pattern:$this  in the specified order, Open 
      { // Classification of  type of observation // I R! 
        // from Element: extension
      }
    ],
    "code" : { CodeableConcept }, // I R! Vital Signs Panel
    "subject" : { Reference(Patient) }, // I R! Who and/or what the observation is about
    "focus" : [{ Reference(Resource) }], // IWhat the observation is about, when it is not about the subject of record
    "organizer" : true, // I R! 
    "encounter" : { Reference(Encounter) }, // IHealthcare event during which this observation is made. If you need to place the observation within one or more episodes of care, use the workflow-episodeOfCare extension
    "effectiveDateTime" : "<dateTime>", // I R! Vital Signs are point in time measurements and are recorded using the dateTime data type
    "issued" : "<instant>", // IDate/Time this version was made available
    "performer" : [{ Reference(Practitioner) }], // IWho is responsible for the observation
    "dataAbsentReason" : { CodeableConcept }, // IWhy the result value is missing
    "interpretation" : [{ CodeableConcept }], // IHigh, low, normal, etc
    "context" : [{ CodeableReference(Resource) }], // IContext for understanding the observation
    "note" : [{ Annotation }], // IComments about the observation
    "bodySite" : { CodeableConcept }, // IDEPRECATED: Observed body part
    "bodyStructure" : [{ CodeableReference(BodyStructure) }], // IObserved body structure
    "method" : { CodeableConcept }, // IHow it was done
    "specimen" : { Reference(Specimen) }, // ISpecimen used for this observation
    "device" : { Reference(Device) }, // IA reference to the device that generates the measurements or the device settings for the device
    "supportingDevice" : [{ CodeableReference(Device) }], // IDevice supporting generation of the measurement
    "referenceRange" : [{ BackboneElement }], // IProvides guide for interpretation
    "hasMember" : [{ Reference(Observation) }], // I R! Used when reporting observations included in a vital signs panel
    "derivedFrom" : [{ Reference(DocumentReference) }], // IRelated resource from which the observation is made
    "component" : [{ BackboneElement }], // IComponent results
  }