# US Core Pediatric Head Occipital Frontal Circumference Percentile Profile - US Core Implementation Guide v8.0.1

* [**Table of Contents**](toc.md)
* [**Artifacts Summary**](artifacts.md)
* **US Core Pediatric Head Occipital Frontal Circumference Percentile Profile**

## Resource Profile: US Core Pediatric Head Occipital Frontal Circumference Percentile Profile 

| | | |
| :--- | :--- | :--- |
| *Official URL*:http://hl7.org/fhir/us/core/StructureDefinition/head-occipital-frontal-circumference-percentile | *Version*:8.0.1 | |
| * Standards status: *[Trial-use](http://hl7.org/fhir/R4/versions.html#std-process) | [Maturity Level](http://hl7.org/fhir/versions.html#maturity): 3 | *Computable Name*:USCorePediatricHeadOccipitalFrontalCircumferencePercentileProfile |
| *Other Identifiers:*OID:2.16.840.1.113883.4.642.40.2.42.66 | | |
| **Copyright/Legal**: Used by permission of HL7 International, all rights reserved Creative Commons License | | |

 
The US Core Pediatric Head Occipital Frontal Circumference Percentile Profile inherits from the US Core Vital Signs Profile. This profile sets minimum expectations for the Observation resource to record, search, and fetch pediatric head occipital frontal circumference (OFC) percentile observations associated with a patient from birth to 37 Months of age using a standard LOINC code and UCUM units of measure. It specifies which **additional** core elements, extensions, vocabularies, and value sets **SHALL** be present in the resource and constrains how the elements are used. Providing the floor for standards development for specific use cases promotes interoperability and adoption. 

**Usages:**

* Examples for this Profile: [Observation/ofc-percentile](Observation-ofc-percentile.md)
* CapabilityStatements using this Profile: [US Core Client CapabilityStatement](CapabilityStatement-us-core-client.md) and [US Core Server CapabilityStatement](CapabilityStatement-us-core-server.md)

You can also check for [usages in the FHIR IG Statistics](https://packages2.fhir.org/xig/hl7.fhir.us.core|current/StructureDefinition/head-occipital-frontal-circumference-percentile)

**Changes since version 7.0.0:**

* No changes

### Formal Views of Profile Content

 [Description of Profiles, Differentials, Snapshots and how the different presentations work](http://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#structure-definitions). 

 

Other representations of profile: [CSV](StructureDefinition-head-occipital-frontal-circumference-percentile.csv), [Excel](StructureDefinition-head-occipital-frontal-circumference-percentile.xlsx), [Schematron](StructureDefinition-head-occipital-frontal-circumference-percentile.sch) 

### Notes:

-------

**Quick Start**  

-------

Below is an overview of the required Server RESTful FHIR interactions for this profile - for example, search and read operations - when supporting the US Core interactions to access this profile's information (Profile Support + Interaction Support). Note that systems that support only US Core Profiles (Profile Only Support) are not required to support these interactions. See the [US Core Server CapabilityStatement](CapabilityStatement-us-core-server.md) for a complete list of supported RESTful interactions for this IG.

* See the [Scopes Format](scopes.md#scopes-format) section for a description of the SMART scopes syntax.
* See the [Search Syntax](general-guidance.md#search-syntax) section for a description of the US Core search syntax.
* See the [General Requirements](general-requirements.md) section for additional rules and expectations when a Server requires status parameters.
* See the [General Guidance](general-guidance.md) section for additional guidance on searching for multiple patients.

#### US Core Scopes

Servers providing access to vital signs data **SHALL** support these [US Core SMART Scopes](scopes.md#smart-scopes):

* [resource level scopes](http://hl7.org/fhir/smart-app-launch/STU2.2/scopes-and-launch-context.html#scopes-for-requesting-clinical-data): `<patient|user|system>/Observation.rs`
* [granular scopes](http://hl7.org/fhir/smart-app-launch/STU2.2/scopes-and-launch-context.html#finer-grained-resource-constraints-using-search-parameters): `<patient|user|system>/Observation.rs?category=http://terminology.hl7.org/CodeSystem/observation-category|vital-signs`

#### Mandatory Search Parameters:

The following search parameters and search parameter combinations SHALL be supported:

1. **SHALL** support searching using the combination of the **[`patient`](SearchParameter-us-core-observation-patient.md)** and **[`category`](SearchParameter-us-core-observation-category.md)** search parameters:`GET [base]/Observation?patient={Type/}[id]&category=http://terminology.hl7.org/CodeSystem/observation-category|vital-signs`Example:
1. GET [base]/Observation?patient=1134281&category=http://terminology.hl7.org/CodeSystem/observation-category|vital-signs
**Implementation Notes:** Fetches a bundle of all Observation resources for the specified patient and a category code = `vital-signs` ([how to search by reference](http://hl7.org/fhir/R4/search.html#reference) and [how to search by token](http://hl7.org/fhir/R4/search.html#token))
1. **SHALL**support searching using the combination of the**[`patient`](SearchParameter-us-core-observation-patient.md)**and**[`code`](SearchParameter-us-core-observation-code.md)**search parameters:
* including optional support for **OR** search on `code` (e.g.`code={system|}[code],{system|}[code],...`)
`GET [base]/Observation?patient={Type/}[id]&code={system|}[code]{,{system|}[code],...}`Example:
1. GET [base]/Observation?patient=1186747&code=http://loinc.org|29463-7,http://loinc.org|9843-4,http://loinc.org|8289-1
**Implementation Notes:** Fetches a bundle of all Observation resources for the specified patient and observation code(s). **SHOULD** support search by multiple codes. The Observation `code` parameter searches `Observation.code only. ([how to search by reference](http://hl7.org/fhir/R4/search.html#reference) and [how to search by token](http://hl7.org/fhir/R4/search.html#token))
1. **SHALL**support searching using the combination of the**[`patient`](SearchParameter-us-core-observation-patient.md)**and**[`category`](SearchParameter-us-core-observation-category.md)**and**[`date`](SearchParameter-us-core-observation-date.md)**search parameters:
* including support for these `date` comparators: `gt,lt,ge,le`
* including optional support for **AND** search on `date` (e.g.`date=[date]&date=[date]]&...`)
`GET [base]/Observation?patient={Type/}[id]&category=http://terminology.hl7.org/CodeSystem/observation-category|vital-signs&date={gt|lt|ge|le}[date]{&date={gt|lt|ge|le}[date]&...}`Example:
1. GET [base]/Observation?patient=1134281&category=http://terminology.hl7.org/CodeSystem/observation-category|vital-signs&date=ge2020-01-01T00:00:00Z
**Implementation Notes:** Fetches a bundle of all Observation resources for the specified patient and date and a category code = `vital-signs` ([how to search by reference](http://hl7.org/fhir/R4/search.html#reference) and [how to search by token](http://hl7.org/fhir/R4/search.html#token) and [how to search by date](http://hl7.org/fhir/R4/search.html#date))

#### Optional Search Parameters:

The following search parameter combinations **SHOULD** be supported:

1. **SHOULD**support searching using the combination of the**[`patient`](SearchParameter-us-core-observation-patient.md)**and**[`category`](SearchParameter-us-core-observation-category.md)**and**[`status`](SearchParameter-us-core-observation-status.md)**search parameters:
* including support for **OR** search on `status` (e.g.`status={system|}[code],{system|}[code],...`)
`GET [base]/Observation?patient={Type/}[id]&category=http://terminology.hl7.org/CodeSystem/observation-category|vital-signs&status={system|}[code]{,{system|}[code],...}`Example:
1. GET [base]/Observation?patient=1134281&category=http://terminology.hl7.org/CodeSystem/observation-category|vital-signs&status=final
**Implementation Notes:** Fetches a bundle of all Observation resources for the specified patient and category and status ([how to search by reference](http://hl7.org/fhir/R4/search.html#reference) and [how to search by token](http://hl7.org/fhir/R4/search.html#token))
1. **SHOULD**support searching using the combination of the**[`patient`](SearchParameter-us-core-observation-patient.md)**and**[`category`](SearchParameter-us-core-observation-category.md)**and**[`_lastUpdated`](SearchParameter-us-core-observation-lastupdated.md)**search parameters:
* including support for these `_lastUpdated` comparators: `gt,lt,ge,le`
* including optional support for **AND** search on `_lastUpdated` (e.g.`_lastUpdated=[date]&_lastUpdated=[date]]&...`)
`GET [base]/Observation?patient={Type/}[id]&category={system|}[code]&_lastUpdated={gt|lt|ge|le}[date]{&_lastUpdated={gt|lt|ge|le}[date]&...}`Example:
1. GET [base]/Observation?patient=1134281&category=http://terminology.hl7.org/CodeSystem/observation-category|vital-signs&_lastUpdated=ge2024-01-01T00:00:00Z
**Implementation Notes:** Fetches a bundle of all Observation resources for the specified patient and category and _lastUpdated. See the US Core General Guidance page for [Searching Using lastUpdated](general-guidance.md#searching-using-lastupdated). ([how to search by reference](http://hl7.org/fhir/R4/search.html#reference) and [how to search by token](http://hl7.org/fhir/R4/search.html#token) and [how to search by date](http://hl7.org/fhir/R4/search.html#date))
1. **SHOULD**support searching using the combination of the**[`patient`](SearchParameter-us-core-observation-patient.md)**and**[`code`](SearchParameter-us-core-observation-code.md)**and**[`date`](SearchParameter-us-core-observation-date.md)**search parameters:
* including optional support for **OR** search on `code` (e.g.`code={system|}[code],{system|}[code],...`)
* including support for these `date` comparators: `gt,lt,ge,le`
* including optional support for **AND** search on `date` (e.g.`date=[date]&date=[date]]&...`)
`GET [base]/Observation?patient={Type/}[id]&code={system|}[code]{,{system|}[code],...}&date={gt|lt|ge|le}[date]{&date={gt|lt|ge|le}[date]&...}`Example:
1. GET [base]/Observation?patient=1186747&code=http://loinc.org|29463-7,http://loinc.org|9843-4,http://loinc.org|8289-1&date=ge2020-01-01T00:00:00Z
**Implementation Notes:** Fetches a bundle of all Observation resources for the specified patient and date and report code(s). **SHOULD** support search by multiple codes. ([how to search by reference](http://hl7.org/fhir/R4/search.html#reference) and [how to search by token](http://hl7.org/fhir/R4/search.html#token) and [how to search by date](http://hl7.org/fhir/R4/search.html#date))



## Resource Content

```json
{
  "resourceType" : "StructureDefinition",
  "id" : "head-occipital-frontal-circumference-percentile",
  "extension" : [{
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
    "valueCode" : "cgp"
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
    "valueInteger" : 3,
    "_valueInteger" : {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
        "valueCanonical" : "http://hl7.org/fhir/us/core/ImplementationGuide/hl7.fhir.us.core"
      }]
    }
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
    "valueCode" : "trial-use",
    "_valueCode" : {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
        "valueCanonical" : "http://hl7.org/fhir/us/core/ImplementationGuide/hl7.fhir.us.core"
      }]
    }
  }],
  "url" : "http://hl7.org/fhir/us/core/StructureDefinition/head-occipital-frontal-circumference-percentile",
  "identifier" : [{
    "system" : "urn:ietf:rfc:3986",
    "value" : "urn:oid:2.16.840.1.113883.4.642.40.2.42.66"
  }],
  "version" : "8.0.1",
  "name" : "USCorePediatricHeadOccipitalFrontalCircumferencePercentileProfile",
  "title" : "US Core Pediatric Head Occipital Frontal Circumference Percentile Profile",
  "status" : "active",
  "experimental" : false,
  "date" : "2023-10-17",
  "publisher" : "HL7 International / Cross-Group Projects",
  "contact" : [{
    "name" : "HL7 International / Cross-Group Projects",
    "telecom" : [{
      "system" : "url",
      "value" : "http://www.hl7.org/Special/committees/cgp"
    },
    {
      "system" : "email",
      "value" : "cgp@lists.HL7.org"
    }]
  }],
  "description" : "The US Core Pediatric Head Occipital Frontal Circumference Percentile Profile inherits from the US Core Vital Signs Profile. This profile sets minimum expectations for the Observation resource to record, search,  and fetch pediatric head occipital frontal circumference (OFC) percentile observations associated with a patient from birth to 37 Months of age using a standard LOINC code and UCUM units of measure. It specifies which *additional*  core elements, extensions,  vocabularies, and value sets **SHALL** be present in the resource and constrains how the elements are used. Providing the floor for standards development for specific use cases promotes interoperability and adoption.",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "urn:iso:std:iso:3166",
      "code" : "US"
    }]
  }],
  "copyright" : "Used by permission of HL7 International, all rights reserved Creative Commons License",
  "fhirVersion" : "4.0.1",
  "mapping" : [{
    "identity" : "workflow",
    "uri" : "http://hl7.org/fhir/workflow",
    "name" : "Workflow Pattern"
  },
  {
    "identity" : "sct-concept",
    "uri" : "http://snomed.info/conceptdomain",
    "name" : "SNOMED CT Concept Domain Binding"
  },
  {
    "identity" : "v2",
    "uri" : "http://hl7.org/v2",
    "name" : "HL7 v2 Mapping"
  },
  {
    "identity" : "rim",
    "uri" : "http://hl7.org/v3",
    "name" : "RIM Mapping"
  },
  {
    "identity" : "w5",
    "uri" : "http://hl7.org/fhir/fivews",
    "name" : "FiveWs Pattern Mapping"
  },
  {
    "identity" : "sct-attr",
    "uri" : "http://snomed.org/attributebinding",
    "name" : "SNOMED CT Attribute Binding"
  }],
  "kind" : "resource",
  "abstract" : false,
  "type" : "Observation",
  "baseDefinition" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-vital-signs",
  "derivation" : "constraint",
  "differential" : {
    "element" : [{
      "id" : "Observation",
      "path" : "Observation",
      "short" : "US Core Pediatric Head Occipital Frontal Circumference Percentile Profile",
      "mustSupport" : false
    },
    {
      "id" : "Observation.code",
      "path" : "Observation.code",
      "short" : "Head Occipital Frontal circumference Percentile",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "patternCodeableConcept" : {
        "coding" : [{
          "system" : "http://loinc.org",
          "code" : "8289-1"
        }]
      },
      "mustSupport" : true
    },
    {
      "id" : "Observation.valueQuantity",
      "path" : "Observation.valueQuantity",
      "short" : "Vital Signs Value",
      "min" : 0,
      "max" : "1",
      "mustSupport" : true
    },
    {
      "id" : "Observation.valueQuantity.value",
      "path" : "Observation.valueQuantity.value",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "decimal"
      }],
      "mustSupport" : true
    },
    {
      "id" : "Observation.valueQuantity.unit",
      "path" : "Observation.valueQuantity.unit",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "string"
      }],
      "mustSupport" : true
    },
    {
      "id" : "Observation.valueQuantity.system",
      "path" : "Observation.valueQuantity.system",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "uri"
      }],
      "fixedUri" : "http://unitsofmeasure.org",
      "mustSupport" : true
    },
    {
      "id" : "Observation.valueQuantity.code",
      "path" : "Observation.valueQuantity.code",
      "short" : "Coded responses from the common UCUM units for vital signs value set.",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "code"
      }],
      "fixedCode" : "%",
      "mustSupport" : true
    }]
  }
}

```
