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

## Resource Profile: Vital Signs Panel

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

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.

### Scope

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.

#### About the Observation.interpretation binding

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:

- Examples for this Resource Profile: Observation/VitalSignsPanel-example

### Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

- Differential Table
- Key Elements Table
- Snapshot Table
- Statistics/References
- All

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

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet | URI
Observation.interpretation | extensible | DefinedLimitsvalueset `http://hl7.org/fhir/us/vitals/ValueSet/definedLimitsVS` from 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 | ?!S Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
code | S Σ | 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 | S Σ | 1..1 | Reference(Patient) | Who and/or what the observation is about
effective[x] | S Σ | 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

#### Terminology Bindings

Path | Conformance | ValueSet / Code | URI
Observation.status | required | ObservationStatus `http://hl7.org/fhir/ValueSet/observation-status|4.0.1` from the FHIR Standard
Observation.code | example | Pattern: LOINC Code 85353-1 `http://hl7.org/fhir/ValueSet/observation-codes` from the FHIR Standard
Observation.interpretation | extensible | DefinedLimitsvalueset `http://hl7.org/fhir/us/vitals/ValueSet/definedLimitsVS` from this IG
Observation.component.code | example | LOINCCodes (a valid code from LOINC) `http://hl7.org/fhir/ValueSet/observation-codes` from 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.
Additional Bindings | Purpose
AllLanguages | Max Binding
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 | ?!S Σ | 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 | S Σ | 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 | S Σ | 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] | S Σ | 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

#### Terminology Bindings

Path | Conformance | ValueSet / Code | URI
Observation.language | preferred | CommonLanguages
Additional Bindings | Purpose
AllLanguages | Max Binding
`http://hl7.org/fhir/ValueSet/languages` from the FHIR Standard
Observation.status | required | ObservationStatus `http://hl7.org/fhir/ValueSet/observation-status|4.0.1` from the FHIR Standard
Observation.category | preferred | ObservationCategoryCodes `http://hl7.org/fhir/ValueSet/observation-category` from the FHIR Standard
Observation.code | example | Pattern: LOINC Code 85353-1 `http://hl7.org/fhir/ValueSet/observation-codes` from the FHIR Standard
Observation.interpretation | extensible | DefinedLimitsvalueset `http://hl7.org/fhir/us/vitals/ValueSet/definedLimitsVS` from this IG
Observation.referenceRange.type | preferred | ObservationReferenceRangeMeaningCodes `http://hl7.org/fhir/ValueSet/referencerange-meaning` from the FHIR Standard
Observation.referenceRange.appliesTo | example | ObservationReferenceRangeAppliesToCodes `http://hl7.org/fhir/ValueSet/referencerange-appliesto` from the FHIR Standard
Observation.component.code | example | LOINCCodes (a valid code from LOINC) `http://hl7.org/fhir/ValueSet/observation-codes` from the FHIR Standard
Observation.component.dataAbsentReason | extensible | DataAbsentReason `http://hl7.org/fhir/ValueSet/data-absent-reason` from the FHIR Standard
Observation.component.interpretation | extensible | ObservationInterpretationCodes `http://hl7.org/fhir/ValueSet/observation-interpretation` from 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:

- Oxygen Saturation in Arterial Blood by Pulse Oximetry (http://hl7.org/fhir/us/vitals/StructureDefinition/oxygen-saturation-arterial-blood-pulseOx)
- Body Weight (http://hl7.org/fhir/us/vitals/StructureDefinition/body-weight)
- Head Occipital-Frontal Circumference by Tape Measure (http://hl7.org/fhir/us/vitals/StructureDefinition/head-occipital-frontal-circumference)
- Body Height (http://hl7.org/fhir/us/vitals/StructureDefinition/height)
- Body Length (http://hl7.org/fhir/us/vitals/StructureDefinition/body-length)
- Body Temperature (http://hl7.org/fhir/us/vitals/StructureDefinition/body-temperature)
- Blood Pressure Panel (http://hl7.org/fhir/us/vitals/StructureDefinition/blood-pressure-panel)
- Heart Rate (http://hl7.org/fhir/us/vitals/StructureDefinition/heart-rate)
- Respiratory Rate (http://hl7.org/fhir/us/vitals/StructureDefinition/respiratory-rate)
- Body Mass Index (http://hl7.org/fhir/us/vitals/StructureDefinition/body-mass-index)

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of Observation.hasMember (Closed)

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

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet | URI
Observation.interpretation | extensible | DefinedLimitsvalueset `http://hl7.org/fhir/us/vitals/ValueSet/definedLimitsVS` from 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 | ?!S Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
code | S Σ | 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 | S Σ | 1..1 | Reference(Patient) | Who and/or what the observation is about
effective[x] | S Σ | 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

#### Terminology Bindings

Path | Conformance | ValueSet / Code | URI
Observation.status | required | ObservationStatus `http://hl7.org/fhir/ValueSet/observation-status|4.0.1` from the FHIR Standard
Observation.code | example | Pattern: LOINC Code 85353-1 `http://hl7.org/fhir/ValueSet/observation-codes` from the FHIR Standard
Observation.interpretation | extensible | DefinedLimitsvalueset `http://hl7.org/fhir/us/vitals/ValueSet/definedLimitsVS` from this IG
Observation.component.code | example | LOINCCodes (a valid code from LOINC) `http://hl7.org/fhir/ValueSet/observation-codes` from 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.
Additional Bindings | Purpose
AllLanguages | Max Binding
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 | ?!S Σ | 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 | S Σ | 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 | S Σ | 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] | S Σ | 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

#### Terminology Bindings

Path | Conformance | ValueSet / Code | URI
Observation.language | preferred | CommonLanguages
Additional Bindings | Purpose
AllLanguages | Max Binding
`http://hl7.org/fhir/ValueSet/languages` from the FHIR Standard
Observation.status | required | ObservationStatus `http://hl7.org/fhir/ValueSet/observation-status|4.0.1` from the FHIR Standard
Observation.category | preferred | ObservationCategoryCodes `http://hl7.org/fhir/ValueSet/observation-category` from the FHIR Standard
Observation.code | example | Pattern: LOINC Code 85353-1 `http://hl7.org/fhir/ValueSet/observation-codes` from the FHIR Standard
Observation.interpretation | extensible | DefinedLimitsvalueset `http://hl7.org/fhir/us/vitals/ValueSet/definedLimitsVS` from this IG
Observation.referenceRange.type | preferred | ObservationReferenceRangeMeaningCodes `http://hl7.org/fhir/ValueSet/referencerange-meaning` from the FHIR Standard
Observation.referenceRange.appliesTo | example | ObservationReferenceRangeAppliesToCodes `http://hl7.org/fhir/ValueSet/referencerange-appliesto` from the FHIR Standard
Observation.component.code | example | LOINCCodes (a valid code from LOINC) `http://hl7.org/fhir/ValueSet/observation-codes` from the FHIR Standard
Observation.component.dataAbsentReason | extensible | DataAbsentReason `http://hl7.org/fhir/ValueSet/data-absent-reason` from the FHIR Standard
Observation.component.interpretation | extensible | ObservationInterpretationCodes `http://hl7.org/fhir/ValueSet/observation-interpretation` from 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:

- Oxygen Saturation in Arterial Blood by Pulse Oximetry (http://hl7.org/fhir/us/vitals/StructureDefinition/oxygen-saturation-arterial-blood-pulseOx)
- Body Weight (http://hl7.org/fhir/us/vitals/StructureDefinition/body-weight)
- Head Occipital-Frontal Circumference by Tape Measure (http://hl7.org/fhir/us/vitals/StructureDefinition/head-occipital-frontal-circumference)
- Body Height (http://hl7.org/fhir/us/vitals/StructureDefinition/height)
- Body Length (http://hl7.org/fhir/us/vitals/StructureDefinition/body-length)
- Body Temperature (http://hl7.org/fhir/us/vitals/StructureDefinition/body-temperature)
- Blood Pressure Panel (http://hl7.org/fhir/us/vitals/StructureDefinition/blood-pressure-panel)
- Heart Rate (http://hl7.org/fhir/us/vitals/StructureDefinition/heart-rate)
- Respiratory Rate (http://hl7.org/fhir/us/vitals/StructureDefinition/respiratory-rate)
- Body Mass Index (http://hl7.org/fhir/us/vitals/StructureDefinition/body-mass-index)

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of Observation.hasMember (Closed)

Other representations of profile: CSV, Excel, Schematron