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: Respiratory Rate

Official URL: http://hl7.org/fhir/us/vitals/StructureDefinition/respiratory-rate | Version: 2.0.0
Draft as of 2024-10-09 | Computable Name: ResiratoryRate
Copyright/Legal: Logica Health, all rights reserved Creative Commons License

The measured number of breaths taken in a minute.

### Scope

The Respiratory Rate profile contains one observation, respiratory rate. In addition, this profile contains the following qualifying observations with associated SNOMED CT value sets: observation-deviceCode, BodyPosition, ExerciseAssociation, and MeasurementSetting.

#### Examples

The following examples are provided to illustrate conformant resource content to this profile.

- Respiratory Rate Example

#### Use Cases

#### 1. Respiratory rate taken with patient sleeping in a supine position.

FHIR path and element binding | Text Description | Code | Terminology
--- | --- | --- | ---
Observation.code | Respiratory Rate | 9279-1 | LOINC
Body Position extension bindings
Observation.extension(bodyPositionExt) mapping | Body position with respect to gravity | 8361-8 | LOINC
Observation.extension(bodyPositionExt) value sets | Body position value set (foundation metadata concept) | 81000205109 | SNOMED CT Solor extension
Body Position value set | 2.16.840.1.113762.1.4.1181.38 | VSAC
Observation.extension(bodyPositionExt).value | Supine body position (finding) | 40199007 | SNOMED CT
Sleep Status extension bindings
Observation.extension(sleepStatusExt) mapping | Sleep Status | need to request LOINC code | LOINC
Observation.extension(sleepStatusExt) value sets | Sleep Status Refset | 24011000205104 | SNOMED CT Solor extension
Observation.extension(sleepStatusExt).value | Asleep (finding) | 248220008 | SNOMED CT

#### 2. Respiratory Rate taken during exercise.

FHIR path and element binding | Text Description | Code | Terminology
--- | --- | --- | ---
Observation.code | Respiratory Rate | 9279-1 | LOINC
Exercise Association extension bindings
Observation.extension(exerciseAssociationExt) mapping | Exercise Association | 8361-8 | LOINC
Observation.extension(exerciseAssociationExt).value | During exercise (qualifier value) | 309604004 | SNOMED CT

#### Value Sets

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.
Respiratory Rate Measurement Device value set | This value set contains concepts used to result the type of device used to measure a heart rate, referencing the LOINC term "Type of Breath rate device" 9277-5.
Respiratory Rate Measurement Method | This value set contains concepts used to result the method used for a respiratory rate measurement, referencing the LOINC term "Breath rate method” 9275-9.
Exertion Phase value set | This values set is used to result the Exercise Association extension.
Measurement Setting value set | This value set is used to result the Measurement Setting extension.
Abnormal Interpretation Numeric Nominal value set | This value set is used to result the interpretation backbone element.

Usage:

- Refer to this Resource Profile: Vital Signs Panel
- Examples for this Resource Profile: Observation/respiratoryRate-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-resprate

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Observation |  | 0..* | observation-resprate | FHIR Respiratory Rate Profile
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
measurementDevice | S | 0..1 | (Complex) | Measurement Device Type URL: http://hl7.org/fhir/StructureDefinition/observation-deviceCode
value[x] |  | 1..1 | CodeableConcept | Value of extension Binding: Respiratory Rate Measurement Device value set (extensible)
BodyPosition | S | 0..1 | (Complex) | Body Position URL: http://hl7.org/fhir/StructureDefinition/observation-bodyPosition
value[x] |  | 1..1 | CodeableConcept | Value of extension Binding: Body Position value set (extensible)
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)
sleepStatus | S | 0..1 | CodeableConcept | Sleep Status URL: http://hl7.org/fhir/us/vitals/StructureDefinition/SleepStatusExt Binding: Sleep Status value set (extensible)
code |  | 1..1 | CodeableConcept | Respiratory rate
interpretation |  | 0..* | CodeableConcept | High, low, normal, etc. Binding: Numeric Result Interpretation value set (extensible)
method | S | 0..1 | CodeableConcept | How it was done Binding: Respiratory Rate Measurement Method value set (extensible)
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet | URI
Observation.extension:measurementDevice.value[x] | extensible | RespiratoryRateMeasurementDevicevalueset `http://hl7.org/fhir/us/vitals/ValueSet/respiratoryRateMeasDeviceVS` from this IG
Observation.extension:BodyPosition.value[x] | extensible | BodyPositionvalueset `http://hl7.org/fhir/us/vitals/ValueSet/bodyPositionVS` from this IG
Observation.interpretation | extensible | NumericResultInterpretationNom `http://hl7.org/fhir/us/vitals/ValueSet/NumericResultIntVS` from this IG
Observation.method | extensible | RespiratoryRateMeasurementMethodvalueset `http://hl7.org/fhir/us/vitals/ValueSet/respiratoryRateMeasMethodVS` from this IG

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Observation | C | 0..* | observation-resprate | FHIR Respiratory Rate Profile 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 vs-2: If there is no component or hasMember element then either a value[x] or a data absent reason must 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
measurementDevice | S | 0..1 | (Complex) | Measurement Device Type URL: http://hl7.org/fhir/StructureDefinition/observation-deviceCode
extension |  | 0..0 |  |
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/observation-deviceCode"
value[x] |  | 1..1 | CodeableConcept | Value of extension Binding: Respiratory Rate Measurement Device value set (extensible)
BodyPosition | S | 0..1 | (Complex) | Body Position URL: http://hl7.org/fhir/StructureDefinition/observation-bodyPosition
extension |  | 0..0 |  |
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/observation-bodyPosition"
value[x] |  | 1..1 | CodeableConcept | Value of extension Binding: Body Position value set (extensible)
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)
sleepStatus | S | 0..1 | CodeableConcept | Sleep Status URL: http://hl7.org/fhir/us/vitals/StructureDefinition/SleepStatusExt Binding: Sleep Status value set (extensible)
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!S Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required)
Slices for category | S | 1..* | CodeableConcept | Classification of type of observation Slice: Unordered, Open by value:coding.code, value:coding.system Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
category:VSCat | S | 1..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
coding | S Σ | 1..* | Coding | Code defined by a terminology system
system | S Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
code | S Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: vital-signs
code | S Σ | 1..1 | CodeableConcept | Respiratory rate Binding: VitalSigns (extensible): This identifies the vital sign result type.
Slices for coding | Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:code, value:system
coding:RespRateCode | Σ | 1..1 | Coding | Code defined by a terminology system
system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code | Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 9279-1
subject | S Σ | 1..1 | Reference(Patient) | Who and/or what the observation is about
effective[x] | S Σ C | 1..1 |  | Often just a dateTime for Vital Signs vs-1: if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
Slices for value[x] | S Σ C | 0..1 | Quantity | Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept. Slice: Unordered, Closed by type:$this
value[x]:valueQuantity | S Σ C | 0..1 | Quantity | Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.
value | S Σ | 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 | S Σ | 1..1 | string | Unit representation
system | S Σ C | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code | S Σ | 1..1 | code | Coded responses from the common UCUM units for vital signs value set. Fixed Value: /min
dataAbsentReason | S 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: Numeric Result Interpretation value set (extensible)
method | S | 0..1 | CodeableConcept | How it was done Binding: Respiratory Rate Measurement Method value set (extensible)
component | S Σ C | 0..* | BackboneElement | Used when reporting systolic and diastolic blood pressure. vs-3: If there is no a value a data absent reason must be present
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: VitalSigns (extensible): This identifies the vital sign result type.
value[x] | S Σ C | 0..1 |  | Vital Sign Value recorded with UCUM Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs.
valueQuantity |  |  | Quantity |
valueCodeableConcept |  |  | CodeableConcept |
valueString |  |  | string |
valueBoolean |  |  | boolean |
valueInteger |  |  | integer |
valueRange |  |  | Range |
valueRatio |  |  | Ratio |
valueSampledData |  |  | SampledData |
valueTime |  |  | time |
valueDateTime |  |  | dateTime |
valuePeriod |  |  | Period |
dataAbsentReason | S C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
Observation.extension:measurementDevice.value[x] | extensible | RespiratoryRateMeasurementDevicevalueset `http://hl7.org/fhir/us/vitals/ValueSet/respiratoryRateMeasDeviceVS` from this IG
Observation.extension:BodyPosition.value[x] | extensible | BodyPositionvalueset `http://hl7.org/fhir/us/vitals/ValueSet/bodyPositionVS` from this IG
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.category:VSCat | preferred | ObservationCategoryCodes `http://hl7.org/fhir/ValueSet/observation-category` from the FHIR Standard
Observation.code | extensible | VitalSigns `http://hl7.org/fhir/ValueSet/observation-vitalsignresult` from the FHIR Standard
Observation.value[x]:valueQuantity.comparator | required | QuantityComparator `http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1` from the FHIR Standard
Observation.dataAbsentReason | extensible | DataAbsentReason `http://hl7.org/fhir/ValueSet/data-absent-reason` from the FHIR Standard
Observation.interpretation | extensible | NumericResultInterpretationNom `http://hl7.org/fhir/us/vitals/ValueSet/NumericResultIntVS` from this IG
Observation.method | extensible | RespiratoryRateMeasurementMethodvalueset `http://hl7.org/fhir/us/vitals/ValueSet/respiratoryRateMeasMethodVS` from this IG
Observation.component.code | extensible | VitalSigns `http://hl7.org/fhir/ValueSet/observation-vitalsignresult` from the FHIR Standard
Observation.component.value[x] | extensible | VitalSignsUnits `http://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.1` from the FHIR Standard
Observation.component.dataAbsentReason | extensible | DataAbsentReason `http://hl7.org/fhir/ValueSet/data-absent-reason` from the FHIR Standard

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Observation | C | 0..* | observation-resprate | FHIR Respiratory Rate Profile 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 vs-2: If there is no component or hasMember element then either a value[x] or a data absent reason must 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
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
measurementDevice | S | 0..1 | (Complex) | Measurement Device Type URL: http://hl7.org/fhir/StructureDefinition/observation-deviceCode
id |  | 0..1 | id | Unique id for inter-element referencing
extension |  | 0..0 |  |
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/observation-deviceCode"
value[x] |  | 1..1 | CodeableConcept | Value of extension Binding: Respiratory Rate Measurement Device value set (extensible)
BodyPosition | S | 0..1 | (Complex) | Body Position URL: http://hl7.org/fhir/StructureDefinition/observation-bodyPosition
id |  | 0..1 | id | Unique id for inter-element referencing
extension |  | 0..0 |  |
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/observation-bodyPosition"
value[x] |  | 1..1 | CodeableConcept | Value of extension Binding: Body Position value set (extensible)
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)
sleepStatus | S | 0..1 | CodeableConcept | Sleep Status URL: http://hl7.org/fhir/us/vitals/StructureDefinition/SleepStatusExt Binding: Sleep Status 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 | ?!S Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required)
Slices for category | S | 1..* | CodeableConcept | Classification of type of observation Slice: Unordered, Open by value:coding.code, value:coding.system Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
category:VSCat | S | 1..1 | 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 | S Σ | 1..* | 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 | S Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
version | Σ | 0..1 | string | Version of the system - if relevant
code | S Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 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 | S Σ | 1..1 | CodeableConcept | Respiratory rate Binding: VitalSigns (extensible): This identifies the vital sign result type.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding | Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:code, value:system
coding:RespRateCode | Σ | 1..1 | 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 | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 9279-1
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
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 C | 1..1 |  | Often just a dateTime for Vital Signs vs-1: if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
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
Slices for value[x] | S Σ C | 0..1 | Quantity | Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept. Slice: Unordered, Closed by type:$this
value[x]:valueQuantity | S Σ C | 0..1 | Quantity | Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.
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 | S Σ | 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 | S Σ | 1..1 | string | Unit representation
system | S Σ C | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code | S Σ | 1..1 | code | Coded responses from the common UCUM units for vital signs value set. Fixed Value: /min
dataAbsentReason | S 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: Numeric Result Interpretation value set (extensible)
note |  | 0..* | Annotation | Comments about the observation
bodySite |  | 0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
method | S | 0..1 | CodeableConcept | How it was done Binding: Respiratory Rate Measurement Method value set (extensible)
specimen |  | 0..1 | Reference(Specimen) | Specimen used for this observation
device |  | 0..1 | Reference(Device | DeviceMetric) | (Measurement) 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(QuestionnaireResponse | MolecularSequence | Vital Signs Profile) | Used when reporting vital signs panel components
derivedFrom | Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | MolecularSequence | Vital Signs Profile) | Related measurements the observation is made from
component | S Σ C | 0..* | BackboneElement | Used when reporting systolic and diastolic blood pressure. vs-3: If there is no a value a data absent reason must be present
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 | S Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: VitalSigns (extensible): This identifies the vital sign result type.
value[x] | S Σ C | 0..1 |  | Vital Sign Value recorded with UCUM Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs.
valueQuantity |  |  | Quantity |
valueCodeableConcept |  |  | CodeableConcept |
valueString |  |  | string |
valueBoolean |  |  | boolean |
valueInteger |  |  | integer |
valueRange |  |  | Range |
valueRatio |  |  | Ratio |
valueSampledData |  |  | SampledData |
valueTime |  |  | time |
valueDateTime |  |  | dateTime |
valuePeriod |  |  | Period |
dataAbsentReason | S 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

#### Terminology Bindings

Path | Conformance | ValueSet | URI
Observation.language | preferred | CommonLanguages
Additional Bindings | Purpose
AllLanguages | Max Binding
`http://hl7.org/fhir/ValueSet/languages` from the FHIR Standard
Observation.extension:measurementDevice.value[x] | extensible | RespiratoryRateMeasurementDevicevalueset `http://hl7.org/fhir/us/vitals/ValueSet/respiratoryRateMeasDeviceVS` from this IG
Observation.extension:BodyPosition.value[x] | extensible | BodyPositionvalueset `http://hl7.org/fhir/us/vitals/ValueSet/bodyPositionVS` from this IG
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.category:VSCat | preferred | ObservationCategoryCodes `http://hl7.org/fhir/ValueSet/observation-category` from the FHIR Standard
Observation.code | extensible | VitalSigns `http://hl7.org/fhir/ValueSet/observation-vitalsignresult` from the FHIR Standard
Observation.value[x]:valueQuantity.comparator | required | QuantityComparator `http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1` from the FHIR Standard
Observation.dataAbsentReason | extensible | DataAbsentReason `http://hl7.org/fhir/ValueSet/data-absent-reason` from the FHIR Standard
Observation.interpretation | extensible | NumericResultInterpretationNom `http://hl7.org/fhir/us/vitals/ValueSet/NumericResultIntVS` from this IG
Observation.bodySite | example | SNOMEDCTBodyStructures `http://hl7.org/fhir/ValueSet/body-site` from the FHIR Standard
Observation.method | extensible | RespiratoryRateMeasurementMethodvalueset `http://hl7.org/fhir/us/vitals/ValueSet/respiratoryRateMeasMethodVS` 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 | extensible | VitalSigns `http://hl7.org/fhir/ValueSet/observation-vitalsignresult` from the FHIR Standard
Observation.component.value[x] | extensible | VitalSignsUnits `http://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.1` 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-resprate

Summary

Must-Support: 6 elements

Extensions

This structure refers to these extensions:

- http://hl7.org/fhir/StructureDefinition/observation-deviceCode
- http://hl7.org/fhir/StructureDefinition/observation-bodyPosition
- http://hl7.org/fhir/us/vitals/StructureDefinition/ExerciseAssociationExt
- http://hl7.org/fhir/us/vitals/StructureDefinition/MeasurementSettingExt
- http://hl7.org/fhir/us/vitals/StructureDefinition/SleepStatusExt

Differential View

This structure is derived from observation-resprate

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Observation |  | 0..* | observation-resprate | FHIR Respiratory Rate Profile
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
measurementDevice | S | 0..1 | (Complex) | Measurement Device Type URL: http://hl7.org/fhir/StructureDefinition/observation-deviceCode
value[x] |  | 1..1 | CodeableConcept | Value of extension Binding: Respiratory Rate Measurement Device value set (extensible)
BodyPosition | S | 0..1 | (Complex) | Body Position URL: http://hl7.org/fhir/StructureDefinition/observation-bodyPosition
value[x] |  | 1..1 | CodeableConcept | Value of extension Binding: Body Position value set (extensible)
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)
sleepStatus | S | 0..1 | CodeableConcept | Sleep Status URL: http://hl7.org/fhir/us/vitals/StructureDefinition/SleepStatusExt Binding: Sleep Status value set (extensible)
code |  | 1..1 | CodeableConcept | Respiratory rate
interpretation |  | 0..* | CodeableConcept | High, low, normal, etc. Binding: Numeric Result Interpretation value set (extensible)
method | S | 0..1 | CodeableConcept | How it was done Binding: Respiratory Rate Measurement Method value set (extensible)
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet | URI
Observation.extension:measurementDevice.value[x] | extensible | RespiratoryRateMeasurementDevicevalueset `http://hl7.org/fhir/us/vitals/ValueSet/respiratoryRateMeasDeviceVS` from this IG
Observation.extension:BodyPosition.value[x] | extensible | BodyPositionvalueset `http://hl7.org/fhir/us/vitals/ValueSet/bodyPositionVS` from this IG
Observation.interpretation | extensible | NumericResultInterpretationNom `http://hl7.org/fhir/us/vitals/ValueSet/NumericResultIntVS` from this IG
Observation.method | extensible | RespiratoryRateMeasurementMethodvalueset `http://hl7.org/fhir/us/vitals/ValueSet/respiratoryRateMeasMethodVS` from this IG

Key Elements View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Observation | C | 0..* | observation-resprate | FHIR Respiratory Rate Profile 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 vs-2: If there is no component or hasMember element then either a value[x] or a data absent reason must 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
measurementDevice | S | 0..1 | (Complex) | Measurement Device Type URL: http://hl7.org/fhir/StructureDefinition/observation-deviceCode
extension |  | 0..0 |  |
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/observation-deviceCode"
value[x] |  | 1..1 | CodeableConcept | Value of extension Binding: Respiratory Rate Measurement Device value set (extensible)
BodyPosition | S | 0..1 | (Complex) | Body Position URL: http://hl7.org/fhir/StructureDefinition/observation-bodyPosition
extension |  | 0..0 |  |
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/observation-bodyPosition"
value[x] |  | 1..1 | CodeableConcept | Value of extension Binding: Body Position value set (extensible)
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)
sleepStatus | S | 0..1 | CodeableConcept | Sleep Status URL: http://hl7.org/fhir/us/vitals/StructureDefinition/SleepStatusExt Binding: Sleep Status value set (extensible)
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!S Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required)
Slices for category | S | 1..* | CodeableConcept | Classification of type of observation Slice: Unordered, Open by value:coding.code, value:coding.system Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
category:VSCat | S | 1..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
coding | S Σ | 1..* | Coding | Code defined by a terminology system
system | S Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
code | S Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: vital-signs
code | S Σ | 1..1 | CodeableConcept | Respiratory rate Binding: VitalSigns (extensible): This identifies the vital sign result type.
Slices for coding | Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:code, value:system
coding:RespRateCode | Σ | 1..1 | Coding | Code defined by a terminology system
system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code | Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 9279-1
subject | S Σ | 1..1 | Reference(Patient) | Who and/or what the observation is about
effective[x] | S Σ C | 1..1 |  | Often just a dateTime for Vital Signs vs-1: if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
Slices for value[x] | S Σ C | 0..1 | Quantity | Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept. Slice: Unordered, Closed by type:$this
value[x]:valueQuantity | S Σ C | 0..1 | Quantity | Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.
value | S Σ | 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 | S Σ | 1..1 | string | Unit representation
system | S Σ C | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code | S Σ | 1..1 | code | Coded responses from the common UCUM units for vital signs value set. Fixed Value: /min
dataAbsentReason | S 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: Numeric Result Interpretation value set (extensible)
method | S | 0..1 | CodeableConcept | How it was done Binding: Respiratory Rate Measurement Method value set (extensible)
component | S Σ C | 0..* | BackboneElement | Used when reporting systolic and diastolic blood pressure. vs-3: If there is no a value a data absent reason must be present
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: VitalSigns (extensible): This identifies the vital sign result type.
value[x] | S Σ C | 0..1 |  | Vital Sign Value recorded with UCUM Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs.
valueQuantity |  |  | Quantity |
valueCodeableConcept |  |  | CodeableConcept |
valueString |  |  | string |
valueBoolean |  |  | boolean |
valueInteger |  |  | integer |
valueRange |  |  | Range |
valueRatio |  |  | Ratio |
valueSampledData |  |  | SampledData |
valueTime |  |  | time |
valueDateTime |  |  | dateTime |
valuePeriod |  |  | Period |
dataAbsentReason | S C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
Observation.extension:measurementDevice.value[x] | extensible | RespiratoryRateMeasurementDevicevalueset `http://hl7.org/fhir/us/vitals/ValueSet/respiratoryRateMeasDeviceVS` from this IG
Observation.extension:BodyPosition.value[x] | extensible | BodyPositionvalueset `http://hl7.org/fhir/us/vitals/ValueSet/bodyPositionVS` from this IG
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.category:VSCat | preferred | ObservationCategoryCodes `http://hl7.org/fhir/ValueSet/observation-category` from the FHIR Standard
Observation.code | extensible | VitalSigns `http://hl7.org/fhir/ValueSet/observation-vitalsignresult` from the FHIR Standard
Observation.value[x]:valueQuantity.comparator | required | QuantityComparator `http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1` from the FHIR Standard
Observation.dataAbsentReason | extensible | DataAbsentReason `http://hl7.org/fhir/ValueSet/data-absent-reason` from the FHIR Standard
Observation.interpretation | extensible | NumericResultInterpretationNom `http://hl7.org/fhir/us/vitals/ValueSet/NumericResultIntVS` from this IG
Observation.method | extensible | RespiratoryRateMeasurementMethodvalueset `http://hl7.org/fhir/us/vitals/ValueSet/respiratoryRateMeasMethodVS` from this IG
Observation.component.code | extensible | VitalSigns `http://hl7.org/fhir/ValueSet/observation-vitalsignresult` from the FHIR Standard
Observation.component.value[x] | extensible | VitalSignsUnits `http://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.1` from the FHIR Standard
Observation.component.dataAbsentReason | extensible | DataAbsentReason `http://hl7.org/fhir/ValueSet/data-absent-reason` from the FHIR Standard

Snapshot View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Observation | C | 0..* | observation-resprate | FHIR Respiratory Rate Profile 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 vs-2: If there is no component or hasMember element then either a value[x] or a data absent reason must 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
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
measurementDevice | S | 0..1 | (Complex) | Measurement Device Type URL: http://hl7.org/fhir/StructureDefinition/observation-deviceCode
id |  | 0..1 | id | Unique id for inter-element referencing
extension |  | 0..0 |  |
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/observation-deviceCode"
value[x] |  | 1..1 | CodeableConcept | Value of extension Binding: Respiratory Rate Measurement Device value set (extensible)
BodyPosition | S | 0..1 | (Complex) | Body Position URL: http://hl7.org/fhir/StructureDefinition/observation-bodyPosition
id |  | 0..1 | id | Unique id for inter-element referencing
extension |  | 0..0 |  |
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/observation-bodyPosition"
value[x] |  | 1..1 | CodeableConcept | Value of extension Binding: Body Position value set (extensible)
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)
sleepStatus | S | 0..1 | CodeableConcept | Sleep Status URL: http://hl7.org/fhir/us/vitals/StructureDefinition/SleepStatusExt Binding: Sleep Status 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 | ?!S Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required)
Slices for category | S | 1..* | CodeableConcept | Classification of type of observation Slice: Unordered, Open by value:coding.code, value:coding.system Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
category:VSCat | S | 1..1 | 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 | S Σ | 1..* | 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 | S Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
version | Σ | 0..1 | string | Version of the system - if relevant
code | S Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 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 | S Σ | 1..1 | CodeableConcept | Respiratory rate Binding: VitalSigns (extensible): This identifies the vital sign result type.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding | Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:code, value:system
coding:RespRateCode | Σ | 1..1 | 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 | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 9279-1
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
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 C | 1..1 |  | Often just a dateTime for Vital Signs vs-1: if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
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
Slices for value[x] | S Σ C | 0..1 | Quantity | Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept. Slice: Unordered, Closed by type:$this
value[x]:valueQuantity | S Σ C | 0..1 | Quantity | Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.
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 | S Σ | 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 | S Σ | 1..1 | string | Unit representation
system | S Σ C | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code | S Σ | 1..1 | code | Coded responses from the common UCUM units for vital signs value set. Fixed Value: /min
dataAbsentReason | S 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: Numeric Result Interpretation value set (extensible)
note |  | 0..* | Annotation | Comments about the observation
bodySite |  | 0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
method | S | 0..1 | CodeableConcept | How it was done Binding: Respiratory Rate Measurement Method value set (extensible)
specimen |  | 0..1 | Reference(Specimen) | Specimen used for this observation
device |  | 0..1 | Reference(Device | DeviceMetric) | (Measurement) 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(QuestionnaireResponse | MolecularSequence | Vital Signs Profile) | Used when reporting vital signs panel components
derivedFrom | Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | MolecularSequence | Vital Signs Profile) | Related measurements the observation is made from
component | S Σ C | 0..* | BackboneElement | Used when reporting systolic and diastolic blood pressure. vs-3: If there is no a value a data absent reason must be present
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 | S Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: VitalSigns (extensible): This identifies the vital sign result type.
value[x] | S Σ C | 0..1 |  | Vital Sign Value recorded with UCUM Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs.
valueQuantity |  |  | Quantity |
valueCodeableConcept |  |  | CodeableConcept |
valueString |  |  | string |
valueBoolean |  |  | boolean |
valueInteger |  |  | integer |
valueRange |  |  | Range |
valueRatio |  |  | Ratio |
valueSampledData |  |  | SampledData |
valueTime |  |  | time |
valueDateTime |  |  | dateTime |
valuePeriod |  |  | Period |
dataAbsentReason | S 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

#### Terminology Bindings

Path | Conformance | ValueSet | URI
Observation.language | preferred | CommonLanguages
Additional Bindings | Purpose
AllLanguages | Max Binding
`http://hl7.org/fhir/ValueSet/languages` from the FHIR Standard
Observation.extension:measurementDevice.value[x] | extensible | RespiratoryRateMeasurementDevicevalueset `http://hl7.org/fhir/us/vitals/ValueSet/respiratoryRateMeasDeviceVS` from this IG
Observation.extension:BodyPosition.value[x] | extensible | BodyPositionvalueset `http://hl7.org/fhir/us/vitals/ValueSet/bodyPositionVS` from this IG
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.category:VSCat | preferred | ObservationCategoryCodes `http://hl7.org/fhir/ValueSet/observation-category` from the FHIR Standard
Observation.code | extensible | VitalSigns `http://hl7.org/fhir/ValueSet/observation-vitalsignresult` from the FHIR Standard
Observation.value[x]:valueQuantity.comparator | required | QuantityComparator `http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1` from the FHIR Standard
Observation.dataAbsentReason | extensible | DataAbsentReason `http://hl7.org/fhir/ValueSet/data-absent-reason` from the FHIR Standard
Observation.interpretation | extensible | NumericResultInterpretationNom `http://hl7.org/fhir/us/vitals/ValueSet/NumericResultIntVS` from this IG
Observation.bodySite | example | SNOMEDCTBodyStructures `http://hl7.org/fhir/ValueSet/body-site` from the FHIR Standard
Observation.method | extensible | RespiratoryRateMeasurementMethodvalueset `http://hl7.org/fhir/us/vitals/ValueSet/respiratoryRateMeasMethodVS` 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 | extensible | VitalSigns `http://hl7.org/fhir/ValueSet/observation-vitalsignresult` from the FHIR Standard
Observation.component.value[x] | extensible | VitalSignsUnits `http://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.1` 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-resprate

Summary

Must-Support: 6 elements

Extensions

This structure refers to these extensions:

- http://hl7.org/fhir/StructureDefinition/observation-deviceCode
- http://hl7.org/fhir/StructureDefinition/observation-bodyPosition
- http://hl7.org/fhir/us/vitals/StructureDefinition/ExerciseAssociationExt
- http://hl7.org/fhir/us/vitals/StructureDefinition/MeasurementSettingExt
- http://hl7.org/fhir/us/vitals/StructureDefinition/SleepStatusExt

Other representations of profile: CSV, Excel, Schematron