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

## Artifacts Summary

This page provides a list of the FHIR artifacts defined as part of this implementation guide.

### Structures: Resource Profiles

These define constraints on FHIR resources for systems conforming to this implementation guide.

Average Blood Pressure | A calculated average of two or more blood pressure readings in a specified time period or according to a specified algorithm or protocol. The average blood pressure has a systolic and a diastolic component.
Blood Pressure Device | A profile of the Device resource used specifically for blood pressure devices and includes an extension for blood pressure cuff size.
Blood Pressure Panel | Blood Pressure Panel; a grouping of systolic, diastolic, and mean arterial blood pressure components.
Body Height | The measurement in centimeters or feet and inches from the top of the head to the heel, usually while standing.
Body Length | The measurement in centimeters or inches from the top of the head to bottom of the heel, taken while lying down.
Body Mass Index | A numerical index based on an individual's weight in kilograms divided by the square of their height in meters.
Body Temperature | The measured heat of an individual's body.
Body Weight | The measured mass of an individual's body.
Head Occipital-Frontal Circumference by Tape Measure | The measured length around and individual's head via a tape measure using the frontal-occipital plane.
Heart Rate | The number of heart beats in a minute.
Oxygen Saturation in Arterial Blood by Pulse Oximetry | A measurement of the percentage to which oxygen is bound to hemoglobin in arterial blood via pulse oximetry.
Oxygen Saturation in Arterial blood, method not specified | A measurement of the percentage to which oxygen is bound to hemoglobin in arterial blood.
Respiratory Rate | The measured number of breaths taken in a minute.
Twenty Four Hour Blood Pressure | An average blood pressure (systolic and diastolic) over a twenty four hour period.
Vital Signs Panel | 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.

### Structures: Extension Definitions

These define constraints on FHIR data types for systems conforming to this implementation guide.

Associated Situation | Situations that may affect the measurement or assessment.
Blood Pressure Cuff Size | The size of pressure cuff used to measure blood pressure.
Exercise Association | The exercise state associated with the measurement.
Measurement Protocol | The system or defined process used in a measurement.
Measurement Setting | The location or setting the subject was in when the measurement was obtained. For example, home, clinic, hospital. etc.
Sensor Description | The kind of sensor used to measure the oxygen saturation.
Sleep Status | The state of wakefulness during the measurement.

### Terminology: Value Sets

These define sets of codes used by systems conforming to this implementation guide.

Associated Situation value set | SELECT SNOMED CT code system values and temporary code system values that describe situations to be considered when interpreting measuerd values.
Blood Pressure Cuff Size value set | SELECT SNOMED CT code system values that describe the size of blood pressure cuff in use.
Blood Pressure Measurement Body Location Precoordinated value set | SELECT SNOMED CT code system values that describe the location on the body where the blood pressure was measured.
Blood Pressure Measurement Device value set | SELECT SNOMED CT code system values that describe the isntrument used to measure the blood pressure.
Blood Pressure Measurement Method value set | SELECT SNOMED CT code system values that describe how a blood pressure was measured.
Body Position value set | SELECT SNOMED CT code system values the position in which the individual was in during a measurement.
Body Temperature Associated Situation value set | SELECT SNOMED CT code system values and temporary code system values that describe situations surrounding a body temperature measurement.
Body Temperature Measurement Body Location value set | SELECT SNOMED CT code system values that describe where on the body the temperature was measured.
Body Temperature Measurement Device value set | SELECT SNOMED CT code system values and temporary code system values that describe the instrument used to measure the body temperature.
Defined Limits value set | Select SNOMED CT codes that dsecribe that a measured value does not fall outside those defined by a specific protocol.
Exertion Phase value set | SELECT SNOMED CT code system values that contains terms for exercise associated with a measurement.
Heart Rate Measurement Body Location Precoordinated value set | SELECT SNOMED CT code system values that describe where on the body the heart rate was measured.
Heart Rate Measurement Device value set | SELECT SNOMED CT code system values that describe the instrument used to measure the heart rate.
Heart Rate Measurement Method value set | SELECT SNOMED CT code system values that describe how the heart rate was measured.
Height Body Position value set | SELECT SNOMED CT code system values that describe the position the individual was in during the height measurement.
Height Length Measurement Device value set | SELECT SNOMED CT code system values that describe the instrument used to measure the body height/length.
Height Length Measurement Method value set | SELECT SNOMED CT code system values that describe how the height/length was measured.
Length Units of Measure value set | SELECT UCUM code system values that give the units of measure for the value of a measured length.
Low Only Numeric Result Interpretation value set | A valueset of interpretation codes that contains only lower than normal terms.
Measurement Protocol value set | Temporary cody system values that describe teh set of rules used for a given measurement procedure.
Measurement Setting value set | SELECT SNOMED CT code system values that contains terms that indicate the surroundings the individual was in during the measurement (i.e. home, clinic, hospital, etc.).
Numeric Result Interpretation value set | The HL7 V3:ObservationInterpretation code set (OID: 2.16.840.1.113883.5.83) that describes interpretations associated with a measured value.
Numeric Result Interpretation without panic values, value set | The HL7 V3:ObservationInterpretation code set (OID: 2.16.840.1.113883.5.83) that describes interpretations associated with a measured value, constrained to terms that are not those associated with 'panic' terms.
Oxygen Saturation Body Location value set | Select SNOMED CT codes. An set of codes for the location at which oxygen saturation was assessed.
Respiratory Rate Measurement Device value set | SELECT SNOMED CT code system values that describe instruments used to measure respiratory rates.
Respiratory Rate Measurement Method value set | SELECT SNOMED CT code system values that describe how the respiratory rate was measured.
Sensor Description value set | SELECT SNOMED CT code system values that describe the kind of sensore used to measure an oxygen saturation via pulse oximetry.
Sleep Status value set | SELECT SNOMED CT code system values that contains terms used to indicate the state of wakefulness during measurement.
Temperature Units of Measure value set | SELECT UCUM code system values that describe the units of measure associated with a temperature value.
Weight Measurement Device value set | SELECT SNOMED CT code system values that descibe the instrument used to measure the body weight.
Weight Units of Measure value set | SELECT UCUM code system values that desceibe the units of measure associated with the measured weight value.

### Terminology: Code Systems

These define new code systems used by systems conforming to this implementation guide.

HSPC Organization Type Code System | The set of codes that describe a kind of organization.
Measurement Protocol Temporary Code System | This is a temporary code system for terms that are not yet defined in either SNOMED CT nor Solor. This will be deprecated when the terms are defined in either of those systems.
SNOMED CT Solor Extension Temporary Code System | A set of codes that are defined in the Solor extension to the SNOMED CT code system. To be used until they are adopted by SNOMED CT.

### Example: Example Instances

These are example instances that show what data produced and consumed by systems conforming with this implementation guide might look like.

AverageBloodPressure-example | Average Blood Pressure example
BPDevice1-example | Blood Pressure Device example 1
BPDevice2-example | Blood Pressure Device example number 2
BloodPressurePanel-example | Blood Pressure Panel example
TwentyFourHourBloodPressure-example | 24 hour blood pressure example
VitalSignsPanel-example | Vital Signs Panel example
bmi-example | Body Mass Index example
bodyLength-example | Body Length example
bodyTemperature-example | Body Temperature example
bodyWeight-example | Body Weight example
headCircumference-example | Head Circumference example
heartRate-example | Heart Rate example
height-example | Height example
oxygenSaturation-example | Oxygen Saturation in Arterial blood
oxygenSaturationPulseOx-example | Oxygen Saturation via Pulse Oximetry example
patient-example | Patient example
practitioner-example | Practitioner example
respiratoryRate-example | Respiratory Rate example