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 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
| Official URL: http://hl7.org/fhir/us/vitals/StructureDefinition/average-blood-pressure | Version: 2.0.0 | |||
| Draft as of 2024-10-09 | Computable Name: AverageBloodPressure | |||
Copyright/Legal: Logica Health, all rights reserved Creative Commons License |
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A calculated average of two or more blood pressure readings in a specified time period or according to a specified algorithm or protocol. The average blood pressure has a systolic and a diastolic component.
This blood pressure profile is used to capture the calculated average blood pressure from a set of individual measurements.
The expectation for the extensions in this profile is that if populated, they qualify each of the individual measurements used to calculate the average blood pressure. For example, if the body position give in an intance of the this profile is "sitting" then the body position for either the systolic or diastolic blood pressures is "sitting".
Body Position - This is used to capture an individual's body position while taking a blood pressure.
Exercise Association - This is used to capture an individual's excercise status while taking blood pressure.
Measurement Setting - This is used to capture the location (not body site) where the measurement(s) took place; At home, hospital, clinic, etc.
Measurement Protocol - This is used to capture a set of rules used for the calculation of the blood pressure average; the number of measurments to be obtained, the time interval between measurements, the overall period for the measurements, and any instructions such as "take while sitting, after five minutes", etc.. This can be institution specific, provider specific, clinical society specific (i.e. AMA), etc.
| Value Set | Purpose |
|---|---|
| Body Position value set | This value set contains concepts used to result the patient's body position, referencing the SNOMED Code 397155001 Body position (observable entity) and the LOINC term "Body position with respect to gravity" 8361-8. |
| Blood Pressure Device Type value set | This value set contains concepts used to result the type of device used to measure a body blood pressure, referencing the SNOMED Code 23591000205102 “Blood pressure device type (observable entity)" and the LOINC term “Type of Blood pressure device” 41901-0. |
| Blood Pressure Measurement Site value set | This value set contains a constrained list body location values used to result the body location where a blood pressure was measured, referencing the SNOMED Code 2281000205100 “Blood pressure measurement site (observable entity)” and the LOINC term "Blood pressure measurement site", 41904-4. |
| Blood Pressure Method value set | This value set contains concepts used to result the method used for a blood pressure measurement, referencing the SNOMED Code 2291000205103 “Blood pressure method (observable entity)” and the LOINC term "Blood pressure method" 8357-6. |
| Exertion Phase value set | The purpose of the value set is to document exercise associated with a measurement. Resulting LOINC code 74008-4 "Exercise intensity". |
| Sleep Status value set | This value set contains values used to indicate the state of wakefulness during measurement. |
| Measurement Setting value set | This value set is used to result the Measurement Setting extension. |
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from Observation
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Observation |
0..* | Observation | Measurements and simple assertions | |
  Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
   BodyPosition |
S | 0..1 | CodeableConcept | Body Position URL: http://hl7.org/fhir/StructureDefinition/observation-bodyPosition |
| exerciseAssociation |
S | 0..1 | CodeableConcept | Exercise Association URL: http://hl7.org/fhir/us/vitals/StructureDefinition/ExerciseAssociationExt Binding: Exertion Phase 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) |
 MeasurementProtocol |
S | 0..1 | CodeableConcept | Rules and algorithm for Average Blood Pressure calculation. URL: http://hl7.org/fhir/us/vitals/StructureDefinition/MeasurementProtocolExt Binding: Measurement Protocol value set (extensible) |
  status |
S | 1..1 | code | registered | preliminary | final | amended + |
| category |
||||
 coding |
||||
 system |
0..1 | uri | Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/observation-category | |
 code |
0..1 | code | Symbol in syntax defined by the system Required Pattern: vital-signs | |
| code |
1..1 | CodeableConcept | Blood pressure panel; mean systolic and mean diastolic pressures 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: 96607-7 | |
 subject |
S | 1..1 | Reference(Patient) | Who and/or what the observation is about |
| effective[x] |
S | 1..1 | dateTime, Period, Timing, instant | Clinically relevant time/time-period for observation |
| value[x] |
0..0 | |||
| bodySite |
S | 0..1 | CodeableConcept | Observed body part Binding: Blood Pressure Measurement Body Location Precoordinated value set (extensible): A set of codes that describe where on/in the body an observation or procedure took place |
| method |
S | 0..1 | CodeableConcept | How it was done Binding: Blood Pressure Measurement Method value set (extensible): A set of codes that describe the method used to measure a blood pressure |
| specimen |
0..0 | |||
| device |
S | 0..1 | Reference(Blood Pressure Device) | Blood Pressure Device |
 Slices for component |
S | 1..* | BackboneElement | Blood pressure components Slice: Unordered, Open by pattern:code |
 component:SystolicBP |
1..1 | BackboneElement | Systolic blood pressure mean | |
  code |
S | 1..1 | CodeableConcept | Systolic blood pressure mean 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: 96608-5 | |
  value[x] |
S | 0..1 | Quantity | Actual component result |
| value |
S | 1..1 | decimal | Numerical value (with implicit precision) |
| unit |
S | 1..1 | string | Unit representation |
| system |
S | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org |
| code |
S | 1..1 | code | Coded form of the unit Fixed Value: mm[Hg] |
 component:DiastolicBP |
0..1 | BackboneElement | Diastolic blood pressure mean | |
| code |
S | 1..1 | CodeableConcept | Diastolic blood pressure mean 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: 96609-3 | |
| value[x] |
S | 0..1 | Quantity | Actual component result |
| value |
S | 1..1 | decimal | Numerical value (with implicit precision) |
| unit |
S | 1..1 | string | Unit representation |
| system |
S | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org |
| code |
S | 1..1 | code | Coded form of the unit Fixed Value: mm[Hg] |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| Observation.bodySite | extensible | BloodPressureMeasurementBodyLocationPrecoodinatedhttp://hl7.org/fhir/us/vitals/ValueSet/bpmeasbodylocationprecoordfrom this IG | |
| Observation.method | extensible | BloodPressureMeasurementMethodvaluesethttp://hl7.org/fhir/us/vitals/ValueSet/bpMeasMethodVSfrom this IG |
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Observation |
C | 0..* | Observation | Measurements and simple assertions obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present |
 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 | |
| BodyPosition |
S | 0..1 | CodeableConcept | Body Position URL: http://hl7.org/fhir/StructureDefinition/observation-bodyPosition |
| exerciseAssociation |
S | 0..1 | CodeableConcept | Exercise Association URL: http://hl7.org/fhir/us/vitals/StructureDefinition/ExerciseAssociationExt Binding: Exertion Phase 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) |
| MeasurementProtocol |
S | 0..1 | CodeableConcept | Rules and algorithm for Average Blood Pressure calculation. URL: http://hl7.org/fhir/us/vitals/StructureDefinition/MeasurementProtocolExt Binding: Measurement Protocol value set (extensible) |
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
| status |
?!SΣ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. |
| code |
Σ | 1..1 | CodeableConcept | Blood pressure panel; mean systolic and mean diastolic pressures Binding: LOINCCodes (example): Codes identifying names of simple observations. 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: 96607-7 | |
| subject |
SΣ | 1..1 | Reference(Patient) | Who and/or what the observation is about |
 effective[x] |
SΣ | 1..1 | Clinically relevant time/time-period for observation | |
| effectiveDateTime |
dateTime | |||
| effectivePeriod |
Period | |||
| effectiveTiming |
Timing | |||
| effectiveInstant |
instant | |||
| bodySite |
S | 0..1 | CodeableConcept | Observed body part Binding: Blood Pressure Measurement Body Location Precoordinated value set (extensible): A set of codes that describe where on/in the body an observation or procedure took place |
| method |
S | 0..1 | CodeableConcept | How it was done Binding: Blood Pressure Measurement Method value set (extensible): A set of codes that describe the method used to measure a blood pressure |
| device |
S | 0..1 | Reference(Blood Pressure Device) | Blood Pressure Device |
| Slices for component |
SΣ | 1..* | BackboneElement | Blood pressure components Slice: Unordered, Open by pattern:code |
| component:All Slices |
Content/Rules for all slices | |||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code |
Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. |
| component:SystolicBP |
Σ | 1..1 | BackboneElement | Systolic blood pressure mean |
 modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code |
SΣ | 1..1 | CodeableConcept | Systolic blood pressure mean Binding: LOINCCodes (example): Codes identifying names of simple observations. 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: 96608-5 | |
| value[x] |
SΣ | 0..1 | Quantity | Actual component result |
| 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 form of the unit Fixed Value: mm[Hg] |
| component:DiastolicBP |
Σ | 0..1 | BackboneElement | Diastolic blood pressure mean |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code |
SΣ | 1..1 | CodeableConcept | Diastolic blood pressure mean Binding: LOINCCodes (example): Codes identifying names of simple observations. 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: 96609-3 | |
| value[x] |
SΣ | 0..1 | Quantity | Actual component result |
| 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 form of the unit Fixed Value: mm[Hg] |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI |
| Observation.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|4.0.1from the FHIR Standard | |
| Observation.code | example | Pattern: LOINC Code 96607-7http://hl7.org/fhir/ValueSet/observation-codesfrom the FHIR Standard | |
| Observation.bodySite | extensible | BloodPressureMeasurementBodyLocationPrecoodinatedhttp://hl7.org/fhir/us/vitals/ValueSet/bpmeasbodylocationprecoordfrom this IG | |
| Observation.method | extensible | BloodPressureMeasurementMethodvaluesethttp://hl7.org/fhir/us/vitals/ValueSet/bpMeasMethodVSfrom this IG | |
| Observation.component.code | example | LOINCCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codesfrom the FHIR Standard | |
| Observation.component:SystolicBP.code | example | Pattern: LOINC Code 96608-5http://hl7.org/fhir/ValueSet/observation-codesfrom the FHIR Standard | |
| Observation.component:SystolicBP.value[x].comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1from the FHIR Standard | |
| Observation.component:DiastolicBP.code | example | Pattern: LOINC Code 96609-3http://hl7.org/fhir/ValueSet/observation-codesfrom the FHIR Standard | |
| Observation.component:DiastolicBP.value[x].comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1from the FHIR Standard |
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Observation |
C | 0..* | Observation | Measurements and simple assertions obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present | ||||
| 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 | |||||
| BodyPosition |
S | 0..1 | CodeableConcept | Body Position URL: http://hl7.org/fhir/StructureDefinition/observation-bodyPosition | ||||
| exerciseAssociation |
S | 0..1 | CodeableConcept | Exercise Association URL: http://hl7.org/fhir/us/vitals/StructureDefinition/ExerciseAssociationExt Binding: Exertion Phase 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) | ||||
| MeasurementProtocol |
S | 0..1 | CodeableConcept | Rules and algorithm for Average Blood Pressure calculation. URL: http://hl7.org/fhir/us/vitals/StructureDefinition/MeasurementProtocolExt Binding: Measurement Protocol value set (extensible) | ||||
| 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): Codes providing the status of an observation. | ||||
| category |
0..* | 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 |
Σ | 0..* | 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 | 0..1 | uri | Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/observation-category | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
Σ | 0..1 | code | Symbol in syntax defined by the system Required Pattern: 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 |
Σ | 1..1 | CodeableConcept | Blood pressure panel; mean systolic and mean diastolic pressures Binding: LOINCCodes (example): Codes identifying names of simple observations. 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: 96607-7 | |||||
| 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 | ||||
| encounter |
Σ | 0..1 | Reference(Encounter) | Healthcare event during which this observation is made | ||||
| effective[x] |
SΣ | 1..1 | Clinically relevant time/time-period for observation | |||||
| effectiveDateTime |
dateTime | |||||||
| effectivePeriod |
Period | |||||||
| effectiveTiming |
Timing | |||||||
| effectiveInstant |
instant | |||||||
| 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 | ||||
| dataAbsentReason |
C | 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: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
| note |
0..* | Annotation | Comments about the observation | |||||
| bodySite |
S | 0..1 | CodeableConcept | Observed body part Binding: Blood Pressure Measurement Body Location Precoordinated value set (extensible): A set of codes that describe where on/in the body an observation or procedure took place | ||||
| method |
S | 0..1 | CodeableConcept | How it was done Binding: Blood Pressure Measurement Method value set (extensible): A set of codes that describe the method used to measure a blood pressure | ||||
| device |
S | 0..1 | Reference(Blood Pressure Device) | Blood Pressure Device | ||||
| referenceRange |
C | 0..* | BackboneElement | Provides guide for interpretation obs-3: Must have at least a low or a high or text | ||||
| 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(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group | ||||
| derivedFrom |
Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | Related measurements the observation is made from | ||||
| Slices for component |
SΣ | 1..* | BackboneElement | Blood pressure components Slice: Unordered, Open by pattern:code | ||||
| component:All Slices |
Content/Rules for all slices | |||||||
| 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 |
Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. | ||||
| value[x] |
Σ | 0..1 | Actual component result | |||||
| valueQuantity |
Quantity | |||||||
| valueCodeableConcept |
CodeableConcept | |||||||
| valueString |
string | |||||||
| valueBoolean |
boolean | |||||||
| valueInteger |
integer | |||||||
| valueRange |
Range | |||||||
| valueRatio |
Ratio | |||||||
| valueSampledData |
SampledData | |||||||
| valueTime |
time | |||||||
| valueDateTime |
dateTime | |||||||
| valuePeriod |
Period | |||||||
| dataAbsentReason |
C | 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 | |||||
| component:SystolicBP |
Σ | 1..1 | BackboneElement | Systolic blood pressure mean | ||||
| 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 | Systolic blood pressure mean Binding: LOINCCodes (example): Codes identifying names of simple observations. 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: 96608-5 | |||||
| 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 | |||||
| value[x] |
SΣ | 0..1 | Quantity | Actual component result | ||||
| 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 form of the unit Fixed Value: mm[Hg] | ||||
| dataAbsentReason |
C | 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 | |||||
| component:DiastolicBP |
Σ | 0..1 | BackboneElement | Diastolic blood pressure mean | ||||
| 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 | Diastolic blood pressure mean Binding: LOINCCodes (example): Codes identifying names of simple observations. 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: 96609-3 | |||||
| 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 | |||||
| value[x] |
SΣ | 0..1 | Quantity | Actual component result | ||||
| 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 form of the unit Fixed Value: mm[Hg] | ||||
| dataAbsentReason |
C | 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 / Code | URI | |||
| Observation.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| Observation.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|4.0.1from the FHIR Standard | ||||
| Observation.category | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-categoryfrom the FHIR Standard | ||||
| Observation.code | example | Pattern: LOINC Code 96607-7http://hl7.org/fhir/ValueSet/observation-codesfrom the FHIR Standard | ||||
| Observation.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom the FHIR Standard | ||||
| Observation.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretationfrom the FHIR Standard | ||||
| Observation.bodySite | extensible | BloodPressureMeasurementBodyLocationPrecoodinatedhttp://hl7.org/fhir/us/vitals/ValueSet/bpmeasbodylocationprecoordfrom this IG | ||||
| Observation.method | extensible | BloodPressureMeasurementMethodvaluesethttp://hl7.org/fhir/us/vitals/ValueSet/bpMeasMethodVSfrom this IG | ||||
| Observation.referenceRange.type | preferred | ObservationReferenceRangeMeaningCodeshttp://hl7.org/fhir/ValueSet/referencerange-meaningfrom the FHIR Standard | ||||
| Observation.referenceRange.appliesTo | example | ObservationReferenceRangeAppliesToCodeshttp://hl7.org/fhir/ValueSet/referencerange-appliestofrom the FHIR Standard | ||||
| Observation.component.code | example | LOINCCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codesfrom the FHIR Standard | ||||
| Observation.component.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom the FHIR Standard | ||||
| Observation.component.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretationfrom the FHIR Standard | ||||
| Observation.component:SystolicBP.code | example | Pattern: LOINC Code 96608-5http://hl7.org/fhir/ValueSet/observation-codesfrom the FHIR Standard | ||||
| Observation.component:SystolicBP.value[x].comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1from the FHIR Standard | ||||
| Observation.component:SystolicBP.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom the FHIR Standard | ||||
| Observation.component:SystolicBP.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretationfrom the FHIR Standard | ||||
| Observation.component:DiastolicBP.code | example | Pattern: LOINC Code 96609-3http://hl7.org/fhir/ValueSet/observation-codesfrom the FHIR Standard | ||||
| Observation.component:DiastolicBP.value[x].comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1from the FHIR Standard | ||||
| Observation.component:DiastolicBP.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom the FHIR Standard | ||||
| Observation.component:DiastolicBP.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretationfrom the FHIR Standard |
This structure is derived from Observation
Summary
Mandatory: 4 elements(8 nested mandatory elements)
Must-Support: 23 elements
Fixed: 4 elements
Prohibited: 2 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from Observation
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Observation |
0..* | Observation | Measurements and simple assertions | |
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| BodyPosition |
S | 0..1 | CodeableConcept | Body Position URL: http://hl7.org/fhir/StructureDefinition/observation-bodyPosition |
| exerciseAssociation |
S | 0..1 | CodeableConcept | Exercise Association URL: http://hl7.org/fhir/us/vitals/StructureDefinition/ExerciseAssociationExt Binding: Exertion Phase 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) |
| MeasurementProtocol |
S | 0..1 | CodeableConcept | Rules and algorithm for Average Blood Pressure calculation. URL: http://hl7.org/fhir/us/vitals/StructureDefinition/MeasurementProtocolExt Binding: Measurement Protocol value set (extensible) |
| status |
S | 1..1 | code | registered | preliminary | final | amended + |
| category |
||||
| coding |
||||
| system |
0..1 | uri | Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/observation-category | |
| code |
0..1 | code | Symbol in syntax defined by the system Required Pattern: vital-signs | |
| code |
1..1 | CodeableConcept | Blood pressure panel; mean systolic and mean diastolic pressures 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: 96607-7 | |
| subject |
S | 1..1 | Reference(Patient) | Who and/or what the observation is about |
| effective[x] |
S | 1..1 | dateTime, Period, Timing, instant | Clinically relevant time/time-period for observation |
| value[x] |
0..0 | |||
| bodySite |
S | 0..1 | CodeableConcept | Observed body part Binding: Blood Pressure Measurement Body Location Precoordinated value set (extensible): A set of codes that describe where on/in the body an observation or procedure took place |
| method |
S | 0..1 | CodeableConcept | How it was done Binding: Blood Pressure Measurement Method value set (extensible): A set of codes that describe the method used to measure a blood pressure |
| specimen |
0..0 | |||
| device |
S | 0..1 | Reference(Blood Pressure Device) | Blood Pressure Device |
| Slices for component |
S | 1..* | BackboneElement | Blood pressure components Slice: Unordered, Open by pattern:code |
| component:SystolicBP |
1..1 | BackboneElement | Systolic blood pressure mean | |
| code |
S | 1..1 | CodeableConcept | Systolic blood pressure mean 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: 96608-5 | |
| value[x] |
S | 0..1 | Quantity | Actual component result |
| value |
S | 1..1 | decimal | Numerical value (with implicit precision) |
| unit |
S | 1..1 | string | Unit representation |
| system |
S | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org |
| code |
S | 1..1 | code | Coded form of the unit Fixed Value: mm[Hg] |
| component:DiastolicBP |
0..1 | BackboneElement | Diastolic blood pressure mean | |
| code |
S | 1..1 | CodeableConcept | Diastolic blood pressure mean 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: 96609-3 | |
| value[x] |
S | 0..1 | Quantity | Actual component result |
| value |
S | 1..1 | decimal | Numerical value (with implicit precision) |
| unit |
S | 1..1 | string | Unit representation |
| system |
S | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org |
| code |
S | 1..1 | code | Coded form of the unit Fixed Value: mm[Hg] |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| Observation.bodySite | extensible | BloodPressureMeasurementBodyLocationPrecoodinatedhttp://hl7.org/fhir/us/vitals/ValueSet/bpmeasbodylocationprecoordfrom this IG | |
| Observation.method | extensible | BloodPressureMeasurementMethodvaluesethttp://hl7.org/fhir/us/vitals/ValueSet/bpMeasMethodVSfrom this IG |
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Observation |
C | 0..* | Observation | Measurements and simple assertions obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present |
| 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 | |
| BodyPosition |
S | 0..1 | CodeableConcept | Body Position URL: http://hl7.org/fhir/StructureDefinition/observation-bodyPosition |
| exerciseAssociation |
S | 0..1 | CodeableConcept | Exercise Association URL: http://hl7.org/fhir/us/vitals/StructureDefinition/ExerciseAssociationExt Binding: Exertion Phase 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) |
| MeasurementProtocol |
S | 0..1 | CodeableConcept | Rules and algorithm for Average Blood Pressure calculation. URL: http://hl7.org/fhir/us/vitals/StructureDefinition/MeasurementProtocolExt Binding: Measurement Protocol value set (extensible) |
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
| status |
?!SΣ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. |
| code |
Σ | 1..1 | CodeableConcept | Blood pressure panel; mean systolic and mean diastolic pressures Binding: LOINCCodes (example): Codes identifying names of simple observations. 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: 96607-7 | |
| subject |
SΣ | 1..1 | Reference(Patient) | Who and/or what the observation is about |
| effective[x] |
SΣ | 1..1 | Clinically relevant time/time-period for observation | |
| effectiveDateTime |
dateTime | |||
| effectivePeriod |
Period | |||
| effectiveTiming |
Timing | |||
| effectiveInstant |
instant | |||
| bodySite |
S | 0..1 | CodeableConcept | Observed body part Binding: Blood Pressure Measurement Body Location Precoordinated value set (extensible): A set of codes that describe where on/in the body an observation or procedure took place |
| method |
S | 0..1 | CodeableConcept | How it was done Binding: Blood Pressure Measurement Method value set (extensible): A set of codes that describe the method used to measure a blood pressure |
| device |
S | 0..1 | Reference(Blood Pressure Device) | Blood Pressure Device |
| Slices for component |
SΣ | 1..* | BackboneElement | Blood pressure components Slice: Unordered, Open by pattern:code |
| component:All Slices |
Content/Rules for all slices | |||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code |
Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. |
| component:SystolicBP |
Σ | 1..1 | BackboneElement | Systolic blood pressure mean |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code |
SΣ | 1..1 | CodeableConcept | Systolic blood pressure mean Binding: LOINCCodes (example): Codes identifying names of simple observations. 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: 96608-5 | |
| value[x] |
SΣ | 0..1 | Quantity | Actual component result |
| 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 form of the unit Fixed Value: mm[Hg] |
| component:DiastolicBP |
Σ | 0..1 | BackboneElement | Diastolic blood pressure mean |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code |
SΣ | 1..1 | CodeableConcept | Diastolic blood pressure mean Binding: LOINCCodes (example): Codes identifying names of simple observations. 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: 96609-3 | |
| value[x] |
SΣ | 0..1 | Quantity | Actual component result |
| 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 form of the unit Fixed Value: mm[Hg] |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI |
| Observation.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|4.0.1from the FHIR Standard | |
| Observation.code | example | Pattern: LOINC Code 96607-7http://hl7.org/fhir/ValueSet/observation-codesfrom the FHIR Standard | |
| Observation.bodySite | extensible | BloodPressureMeasurementBodyLocationPrecoodinatedhttp://hl7.org/fhir/us/vitals/ValueSet/bpmeasbodylocationprecoordfrom this IG | |
| Observation.method | extensible | BloodPressureMeasurementMethodvaluesethttp://hl7.org/fhir/us/vitals/ValueSet/bpMeasMethodVSfrom this IG | |
| Observation.component.code | example | LOINCCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codesfrom the FHIR Standard | |
| Observation.component:SystolicBP.code | example | Pattern: LOINC Code 96608-5http://hl7.org/fhir/ValueSet/observation-codesfrom the FHIR Standard | |
| Observation.component:SystolicBP.value[x].comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1from the FHIR Standard | |
| Observation.component:DiastolicBP.code | example | Pattern: LOINC Code 96609-3http://hl7.org/fhir/ValueSet/observation-codesfrom the FHIR Standard | |
| Observation.component:DiastolicBP.value[x].comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1from the FHIR Standard |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Observation |
C | 0..* | Observation | Measurements and simple assertions obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present | ||||
| 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 | |||||
| BodyPosition |
S | 0..1 | CodeableConcept | Body Position URL: http://hl7.org/fhir/StructureDefinition/observation-bodyPosition | ||||
| exerciseAssociation |
S | 0..1 | CodeableConcept | Exercise Association URL: http://hl7.org/fhir/us/vitals/StructureDefinition/ExerciseAssociationExt Binding: Exertion Phase 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) | ||||
| MeasurementProtocol |
S | 0..1 | CodeableConcept | Rules and algorithm for Average Blood Pressure calculation. URL: http://hl7.org/fhir/us/vitals/StructureDefinition/MeasurementProtocolExt Binding: Measurement Protocol value set (extensible) | ||||
| 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): Codes providing the status of an observation. | ||||
| category |
0..* | 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 |
Σ | 0..* | 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 | 0..1 | uri | Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/observation-category | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
Σ | 0..1 | code | Symbol in syntax defined by the system Required Pattern: 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 |
Σ | 1..1 | CodeableConcept | Blood pressure panel; mean systolic and mean diastolic pressures Binding: LOINCCodes (example): Codes identifying names of simple observations. 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: 96607-7 | |||||
| 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 | ||||
| encounter |
Σ | 0..1 | Reference(Encounter) | Healthcare event during which this observation is made | ||||
| effective[x] |
SΣ | 1..1 | Clinically relevant time/time-period for observation | |||||
| effectiveDateTime |
dateTime | |||||||
| effectivePeriod |
Period | |||||||
| effectiveTiming |
Timing | |||||||
| effectiveInstant |
instant | |||||||
| 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 | ||||
| dataAbsentReason |
C | 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: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
| note |
0..* | Annotation | Comments about the observation | |||||
| bodySite |
S | 0..1 | CodeableConcept | Observed body part Binding: Blood Pressure Measurement Body Location Precoordinated value set (extensible): A set of codes that describe where on/in the body an observation or procedure took place | ||||
| method |
S | 0..1 | CodeableConcept | How it was done Binding: Blood Pressure Measurement Method value set (extensible): A set of codes that describe the method used to measure a blood pressure | ||||
| device |
S | 0..1 | Reference(Blood Pressure Device) | Blood Pressure Device | ||||
| referenceRange |
C | 0..* | BackboneElement | Provides guide for interpretation obs-3: Must have at least a low or a high or text | ||||
| 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(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group | ||||
| derivedFrom |
Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | Related measurements the observation is made from | ||||
| Slices for component |
SΣ | 1..* | BackboneElement | Blood pressure components Slice: Unordered, Open by pattern:code | ||||
| component:All Slices |
Content/Rules for all slices | |||||||
| 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 |
Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. | ||||
| value[x] |
Σ | 0..1 | Actual component result | |||||
| valueQuantity |
Quantity | |||||||
| valueCodeableConcept |
CodeableConcept | |||||||
| valueString |
string | |||||||
| valueBoolean |
boolean | |||||||
| valueInteger |
integer | |||||||
| valueRange |
Range | |||||||
| valueRatio |
Ratio | |||||||
| valueSampledData |
SampledData | |||||||
| valueTime |
time | |||||||
| valueDateTime |
dateTime | |||||||
| valuePeriod |
Period | |||||||
| dataAbsentReason |
C | 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 | |||||
| component:SystolicBP |
Σ | 1..1 | BackboneElement | Systolic blood pressure mean | ||||
| 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 | Systolic blood pressure mean Binding: LOINCCodes (example): Codes identifying names of simple observations. 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: 96608-5 | |||||
| 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 | |||||
| value[x] |
SΣ | 0..1 | Quantity | Actual component result | ||||
| 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 form of the unit Fixed Value: mm[Hg] | ||||
| dataAbsentReason |
C | 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 | |||||
| component:DiastolicBP |
Σ | 0..1 | BackboneElement | Diastolic blood pressure mean | ||||
| 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 | Diastolic blood pressure mean Binding: LOINCCodes (example): Codes identifying names of simple observations. 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: 96609-3 | |||||
| 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 | |||||
| value[x] |
SΣ | 0..1 | Quantity | Actual component result | ||||
| 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 form of the unit Fixed Value: mm[Hg] | ||||
| dataAbsentReason |
C | 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 / Code | URI | |||
| Observation.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| Observation.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|4.0.1from the FHIR Standard | ||||
| Observation.category | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-categoryfrom the FHIR Standard | ||||
| Observation.code | example | Pattern: LOINC Code 96607-7http://hl7.org/fhir/ValueSet/observation-codesfrom the FHIR Standard | ||||
| Observation.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom the FHIR Standard | ||||
| Observation.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretationfrom the FHIR Standard | ||||
| Observation.bodySite | extensible | BloodPressureMeasurementBodyLocationPrecoodinatedhttp://hl7.org/fhir/us/vitals/ValueSet/bpmeasbodylocationprecoordfrom this IG | ||||
| Observation.method | extensible | BloodPressureMeasurementMethodvaluesethttp://hl7.org/fhir/us/vitals/ValueSet/bpMeasMethodVSfrom this IG | ||||
| Observation.referenceRange.type | preferred | ObservationReferenceRangeMeaningCodeshttp://hl7.org/fhir/ValueSet/referencerange-meaningfrom the FHIR Standard | ||||
| Observation.referenceRange.appliesTo | example | ObservationReferenceRangeAppliesToCodeshttp://hl7.org/fhir/ValueSet/referencerange-appliestofrom the FHIR Standard | ||||
| Observation.component.code | example | LOINCCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codesfrom the FHIR Standard | ||||
| Observation.component.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom the FHIR Standard | ||||
| Observation.component.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretationfrom the FHIR Standard | ||||
| Observation.component:SystolicBP.code | example | Pattern: LOINC Code 96608-5http://hl7.org/fhir/ValueSet/observation-codesfrom the FHIR Standard | ||||
| Observation.component:SystolicBP.value[x].comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1from the FHIR Standard | ||||
| Observation.component:SystolicBP.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom the FHIR Standard | ||||
| Observation.component:SystolicBP.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretationfrom the FHIR Standard | ||||
| Observation.component:DiastolicBP.code | example | Pattern: LOINC Code 96609-3http://hl7.org/fhir/ValueSet/observation-codesfrom the FHIR Standard | ||||
| Observation.component:DiastolicBP.value[x].comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1from the FHIR Standard | ||||
| Observation.component:DiastolicBP.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom the FHIR Standard | ||||
| Observation.component:DiastolicBP.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretationfrom the FHIR Standard |
This structure is derived from Observation
Summary
Mandatory: 4 elements(8 nested mandatory elements)
Must-Support: 23 elements
Fixed: 4 elements
Prohibited: 2 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
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 2024-10-09
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