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/vital-signs-panel | Version: 2.0.0 | |||
| Draft as of 2024-10-09 | Computable Name: VitalSignsPanel | |||
Copyright/Legal: Logica Health, all rights reserved Creative Commons License |
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A vital signs panel as defined by Logica Health. It includes Oxygen Saturation via Pulse Oximetry, Oxygen Saturation in Arterial blood, body height, body length, body weight, body temperature, blood pressure panel, heart rate, respiratory rate, head-occcipital/frontal circumference, oxygen saturation via pulse oximetry, and body mass index.
The Vital Signs Panel is a collection of vital signs measurements as defined in the LOINC panel 85353-1, Vital signs, weight, height, head circumference, oxygen saturation and BMI panel. Some of the measurements in this panel may not be considered as true vital signs but are included due to their inclusion in the LOINC panel.
The Observation.interpretation - The use of interpretation at the panel level was requested by the subject matter experts that contributed to the project. Currently the only value that could apply to all of the measurements in the panel (and subsequently the only value in the value set binding) is "Within defined limits". We will add to the value set for this element as we receive and validate more suggestions. This element and the value of "Within defined limits" should not be used if any of the components has a differing interpretation.
Usage:
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 | |
  status |
S | 1..1 | code | registered | preliminary | final | amended + |
 code |
S | 1..1 | CodeableConcept | Vital signs, weight, height, head circumference, oxygen saturation, and BMI panel Required Pattern: At least the following |
   coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
 system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
 code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 85353-1 | |
 subject |
S | 1..1 | Reference(Patient) | Who and/or what the observation is about |
| effective[x] |
S | 1..1 | dateTime, Period, Timing, instant | Clinically relevant time/time-period for observation |
| value[x] |
0..0 | |||
| dataAbsentReason |
0..0 | |||
| interpretation |
0..* | CodeableConcept | High, low, normal, etc. Binding: Defined Limits value set (extensible) | |
| bodySite |
0..0 | |||
| method |
0..0 | |||
| specimen |
0..0 | |||
| device |
0..0 | |||
| referenceRange |
0..0 | |||
 Slices for hasMember |
0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group Slice: Unordered, Closed by profile:resolve() | |
  hasMember:OxygenSaturationArterialBloodPulseOx |
0..1 | Reference(Oxygen Saturation in Arterial Blood by Pulse Oximetry) | Related resource that belongs to the Observation group | |
| hasMember:BodyWeight |
0..1 | Reference(Body Weight) | Related resource that belongs to the Observation group | |
| hasMember:HeadOccipitalFrontalCircumference |
0..1 | Reference(Head Occipital-Frontal Circumference by Tape Measure) | Related resource that belongs to the Observation group | |
| hasMember:Height |
0..1 | Reference(Body Height) | Related resource that belongs to the Observation group | |
| hasMember:BodyLength |
0..1 | Reference(Body Length) | Related resource that belongs to the Observation group | |
| hasMember:BodyTemperature |
0..1 | Reference(Body Temperature) | Related resource that belongs to the Observation group | |
| hasMember:BloodPressurePanel |
0..1 | Reference(Blood Pressure Panel) | Related resource that belongs to the Observation group | |
| hasMember:HeartRate |
0..1 | Reference(Heart Rate) | Related resource that belongs to the Observation group | |
| hasMember:RespiratoryRate |
0..1 | Reference(Respiratory Rate) | Related resource that belongs to the Observation group | |
 hasMember:BodyMassIndex |
0..1 | Reference(Body Mass Index) | Related resource that belongs to the Observation group | |
| component |
0..0 | |||
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| Observation.interpretation | extensible | DefinedLimitsvaluesethttp://hl7.org/fhir/us/vitals/ValueSet/definedLimitsVSfrom 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 |
 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 |
SΣ | 1..1 | CodeableConcept | Vital signs, weight, height, head circumference, oxygen saturation, and BMI panel 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: 85353-1 | |
| 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 | |||
| interpretation |
0..* | CodeableConcept | High, low, normal, etc. Binding: Defined Limits value set (extensible) | |
| Slices for hasMember |
Σ | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group Slice: Unordered, Closed by profile:resolve() |
| hasMember:OxygenSaturationArterialBloodPulseOx |
Σ | 0..1 | Reference(Oxygen Saturation in Arterial Blood by Pulse Oximetry) | Related resource that belongs to the Observation group |
| hasMember:BodyWeight |
Σ | 0..1 | Reference(Body Weight) | Related resource that belongs to the Observation group |
| hasMember:HeadOccipitalFrontalCircumference |
Σ | 0..1 | Reference(Head Occipital-Frontal Circumference by Tape Measure) | Related resource that belongs to the Observation group |
| hasMember:Height |
Σ | 0..1 | Reference(Body Height) | Related resource that belongs to the Observation group |
| hasMember:BodyLength |
Σ | 0..1 | Reference(Body Length) | Related resource that belongs to the Observation group |
| hasMember:BodyTemperature |
Σ | 0..1 | Reference(Body Temperature) | Related resource that belongs to the Observation group |
| hasMember:BloodPressurePanel |
Σ | 0..1 | Reference(Blood Pressure Panel) | Related resource that belongs to the Observation group |
| hasMember:HeartRate |
Σ | 0..1 | Reference(Heart Rate) | Related resource that belongs to the Observation group |
| hasMember:RespiratoryRate |
Σ | 0..1 | Reference(Respiratory Rate) | Related resource that belongs to the Observation group |
| hasMember:BodyMassIndex |
Σ | 0..1 | Reference(Body Mass Index) | Related resource that belongs to the Observation group |
| 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 85353-1http://hl7.org/fhir/ValueSet/observation-codesfrom the FHIR Standard | |
| Observation.interpretation | extensible | DefinedLimitsvaluesethttp://hl7.org/fhir/us/vitals/ValueSet/definedLimitsVSfrom this IG | |
| Observation.component.code | example | LOINCCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codesfrom 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 | |||||
 extension |
0..* | Extension | Additional content defined by implementations | |||||
| 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. | |||||
| code |
SΣ | 1..1 | CodeableConcept | Vital signs, weight, height, head circumference, oxygen saturation, and BMI panel 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: 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 | ||||
| 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 | ||||
| interpretation |
0..* | CodeableConcept | High, low, normal, etc. Binding: Defined Limits value set (extensible) | |||||
| note |
0..* | Annotation | Comments about the observation | |||||
| Slices for hasMember |
Σ | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group Slice: Unordered, Closed by profile:resolve() | ||||
| hasMember:OxygenSaturationArterialBloodPulseOx |
Σ | 0..1 | Reference(Oxygen Saturation in Arterial Blood by Pulse Oximetry) | Related resource that belongs to the Observation group | ||||
| hasMember:BodyWeight |
Σ | 0..1 | Reference(Body Weight) | Related resource that belongs to the Observation group | ||||
| hasMember:HeadOccipitalFrontalCircumference |
Σ | 0..1 | Reference(Head Occipital-Frontal Circumference by Tape Measure) | Related resource that belongs to the Observation group | ||||
| hasMember:Height |
Σ | 0..1 | Reference(Body Height) | Related resource that belongs to the Observation group | ||||
| hasMember:BodyLength |
Σ | 0..1 | Reference(Body Length) | Related resource that belongs to the Observation group | ||||
| hasMember:BodyTemperature |
Σ | 0..1 | Reference(Body Temperature) | Related resource that belongs to the Observation group | ||||
| hasMember:BloodPressurePanel |
Σ | 0..1 | Reference(Blood Pressure Panel) | Related resource that belongs to the Observation group | ||||
| hasMember:HeartRate |
Σ | 0..1 | Reference(Heart Rate) | Related resource that belongs to the Observation group | ||||
| hasMember:RespiratoryRate |
Σ | 0..1 | Reference(Respiratory Rate) | Related resource that belongs to the Observation group | ||||
| hasMember:BodyMassIndex |
Σ | 0..1 | Reference(Body Mass Index) | 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 | ||||
| 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 85353-1http://hl7.org/fhir/ValueSet/observation-codesfrom the FHIR Standard | ||||
| Observation.interpretation | extensible | DefinedLimitsvaluesethttp://hl7.org/fhir/us/vitals/ValueSet/definedLimitsVSfrom 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 |
This structure is derived from Observation
Summary
Mandatory: 2 elements
Must-Support: 4 elements
Prohibited: 8 elements
Structures
This structure refers to these other structures:
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 | |
| status |
S | 1..1 | code | registered | preliminary | final | amended + |
| code |
S | 1..1 | CodeableConcept | Vital signs, weight, height, head circumference, oxygen saturation, and BMI panel Required Pattern: At least the following |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 85353-1 | |
| subject |
S | 1..1 | Reference(Patient) | Who and/or what the observation is about |
| effective[x] |
S | 1..1 | dateTime, Period, Timing, instant | Clinically relevant time/time-period for observation |
| value[x] |
0..0 | |||
| dataAbsentReason |
0..0 | |||
| interpretation |
0..* | CodeableConcept | High, low, normal, etc. Binding: Defined Limits value set (extensible) | |
| bodySite |
0..0 | |||
| method |
0..0 | |||
| specimen |
0..0 | |||
| device |
0..0 | |||
| referenceRange |
0..0 | |||
| Slices for hasMember |
0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group Slice: Unordered, Closed by profile:resolve() | |
| hasMember:OxygenSaturationArterialBloodPulseOx |
0..1 | Reference(Oxygen Saturation in Arterial Blood by Pulse Oximetry) | Related resource that belongs to the Observation group | |
| hasMember:BodyWeight |
0..1 | Reference(Body Weight) | Related resource that belongs to the Observation group | |
| hasMember:HeadOccipitalFrontalCircumference |
0..1 | Reference(Head Occipital-Frontal Circumference by Tape Measure) | Related resource that belongs to the Observation group | |
| hasMember:Height |
0..1 | Reference(Body Height) | Related resource that belongs to the Observation group | |
| hasMember:BodyLength |
0..1 | Reference(Body Length) | Related resource that belongs to the Observation group | |
| hasMember:BodyTemperature |
0..1 | Reference(Body Temperature) | Related resource that belongs to the Observation group | |
| hasMember:BloodPressurePanel |
0..1 | Reference(Blood Pressure Panel) | Related resource that belongs to the Observation group | |
| hasMember:HeartRate |
0..1 | Reference(Heart Rate) | Related resource that belongs to the Observation group | |
| hasMember:RespiratoryRate |
0..1 | Reference(Respiratory Rate) | Related resource that belongs to the Observation group | |
| hasMember:BodyMassIndex |
0..1 | Reference(Body Mass Index) | Related resource that belongs to the Observation group | |
| component |
0..0 | |||
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| Observation.interpretation | extensible | DefinedLimitsvaluesethttp://hl7.org/fhir/us/vitals/ValueSet/definedLimitsVSfrom 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 |
| 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 |
SΣ | 1..1 | CodeableConcept | Vital signs, weight, height, head circumference, oxygen saturation, and BMI panel 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: 85353-1 | |
| 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 | |||
| interpretation |
0..* | CodeableConcept | High, low, normal, etc. Binding: Defined Limits value set (extensible) | |
| Slices for hasMember |
Σ | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group Slice: Unordered, Closed by profile:resolve() |
| hasMember:OxygenSaturationArterialBloodPulseOx |
Σ | 0..1 | Reference(Oxygen Saturation in Arterial Blood by Pulse Oximetry) | Related resource that belongs to the Observation group |
| hasMember:BodyWeight |
Σ | 0..1 | Reference(Body Weight) | Related resource that belongs to the Observation group |
| hasMember:HeadOccipitalFrontalCircumference |
Σ | 0..1 | Reference(Head Occipital-Frontal Circumference by Tape Measure) | Related resource that belongs to the Observation group |
| hasMember:Height |
Σ | 0..1 | Reference(Body Height) | Related resource that belongs to the Observation group |
| hasMember:BodyLength |
Σ | 0..1 | Reference(Body Length) | Related resource that belongs to the Observation group |
| hasMember:BodyTemperature |
Σ | 0..1 | Reference(Body Temperature) | Related resource that belongs to the Observation group |
| hasMember:BloodPressurePanel |
Σ | 0..1 | Reference(Blood Pressure Panel) | Related resource that belongs to the Observation group |
| hasMember:HeartRate |
Σ | 0..1 | Reference(Heart Rate) | Related resource that belongs to the Observation group |
| hasMember:RespiratoryRate |
Σ | 0..1 | Reference(Respiratory Rate) | Related resource that belongs to the Observation group |
| hasMember:BodyMassIndex |
Σ | 0..1 | Reference(Body Mass Index) | Related resource that belongs to the Observation group |
| 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 85353-1http://hl7.org/fhir/ValueSet/observation-codesfrom the FHIR Standard | |
| Observation.interpretation | extensible | DefinedLimitsvaluesethttp://hl7.org/fhir/us/vitals/ValueSet/definedLimitsVSfrom this IG | |
| Observation.component.code | example | LOINCCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codesfrom 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 | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| 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. | |||||
| code |
SΣ | 1..1 | CodeableConcept | Vital signs, weight, height, head circumference, oxygen saturation, and BMI panel 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: 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 | ||||
| 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 | ||||
| interpretation |
0..* | CodeableConcept | High, low, normal, etc. Binding: Defined Limits value set (extensible) | |||||
| note |
0..* | Annotation | Comments about the observation | |||||
| Slices for hasMember |
Σ | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group Slice: Unordered, Closed by profile:resolve() | ||||
| hasMember:OxygenSaturationArterialBloodPulseOx |
Σ | 0..1 | Reference(Oxygen Saturation in Arterial Blood by Pulse Oximetry) | Related resource that belongs to the Observation group | ||||
| hasMember:BodyWeight |
Σ | 0..1 | Reference(Body Weight) | Related resource that belongs to the Observation group | ||||
| hasMember:HeadOccipitalFrontalCircumference |
Σ | 0..1 | Reference(Head Occipital-Frontal Circumference by Tape Measure) | Related resource that belongs to the Observation group | ||||
| hasMember:Height |
Σ | 0..1 | Reference(Body Height) | Related resource that belongs to the Observation group | ||||
| hasMember:BodyLength |
Σ | 0..1 | Reference(Body Length) | Related resource that belongs to the Observation group | ||||
| hasMember:BodyTemperature |
Σ | 0..1 | Reference(Body Temperature) | Related resource that belongs to the Observation group | ||||
| hasMember:BloodPressurePanel |
Σ | 0..1 | Reference(Blood Pressure Panel) | Related resource that belongs to the Observation group | ||||
| hasMember:HeartRate |
Σ | 0..1 | Reference(Heart Rate) | Related resource that belongs to the Observation group | ||||
| hasMember:RespiratoryRate |
Σ | 0..1 | Reference(Respiratory Rate) | Related resource that belongs to the Observation group | ||||
| hasMember:BodyMassIndex |
Σ | 0..1 | Reference(Body Mass Index) | 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 | ||||
| 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 85353-1http://hl7.org/fhir/ValueSet/observation-codesfrom the FHIR Standard | ||||
| Observation.interpretation | extensible | DefinedLimitsvaluesethttp://hl7.org/fhir/us/vitals/ValueSet/definedLimitsVSfrom 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 |
This structure is derived from Observation
Summary
Mandatory: 2 elements
Must-Support: 4 elements
Prohibited: 8 elements
Structures
This structure refers to these other structures:
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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