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: Twenty Four Hour Blood Pressure

Official URL: http://hl7.org/fhir/us/vitals/StructureDefinition/twenty-four-hour-blood-pressure | Version: 2.0.0
Draft as of 2024-10-09 | Computable Name: TwentyFourHourBloodPressure
Copyright/Legal: Logica Health, all rights reserved Creative Commons License

An average blood pressure (systolic and diastolic) over a twenty four hour period.

### Scope

This blood pressure profile is used to capture an average blood pressure (systolic and diastolic) over a period of twenty four hours.

There are LOINC codes for the systolic and diastolic components.

#### About the extensions

Body Position - This is used to capture an individual's body position while taking a blood pressure. Ususally "sitting".

Exercise Association - This is used to capture an individual's excercise status while taking blood pressure. Usually "at rest".

observation-deviceCode - This is an intentional separation from the Observation.device backbone element. Used for when only a device type needs to be recorded without the use of another resource. Because the values of this extension span both device type and cuff size, the cardinality of this element has been set to 0..2.

Measurement Setting - This is used to capture the location (not body site) where the measurement(s) took place; At home, hospital, clinic, etc.

#### Example

Twenty Four Hour Blood Pressure

#### Value Sets

Value Set | Purpose
--- | ---
Body Position value set | This value set is used to result the Body Position extension.
Exertion Phase value set | This value set is used to result the Exercise Association extension.
Blood Pressure Device Type value set | This value set contains concepts used to result the type of device used to measure a body blood pressure, referencing the SNOMED Code 23591000205102 “Blood pressure device type (observable entity)" and the LOINC term “Type of Blood pressure device” 41901-0.
Blood Pressure Measurement Site value set | This value set contains a constrained list body location values used to result the body location where a blood pressure was measured, referencing the SNOMED Code 2281000205100 “Blood pressure measurement site (observable entity)” and the LOINC term "Blood pressure measurement site", 41904-4.
Blood Pressure Method value set | This value set contains concepts used to result the method used for a blood pressure measurement, referencing the SNOMED Code 2291000205103 “Blood pressure method (observable entity)” and the LOINC term "Blood pressure method" 8357-6.
Measurement Setting value set | This value set is used to result the Mesurement Setting extension.

Usage:

- Examples for this Resource Profile: Observation/TwentyFourHourBloodPressure-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-vitalsigns

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Observation |  | 0..* | observation-vitalsigns | FHIR Vital Signs Profile
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
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)
MeasurementSetting | S | 0..1 | CodeableConcept | Measurement setting URL: http://hl7.org/fhir/us/vitals/StructureDefinition/MeasurementSettingExt Binding: Measurement Setting value set (extensible)
code |  | 1..1 | CodeableConcept | Blood pressure panel 24 hour mean Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 97844-5
effective[x] |  | 1..1 | Period | The dates and times over which the 24 hour period falls.
value[x] |  | 0..0 |  |
bodySite | S | 0..1 | CodeableConcept | Observed body part Binding: Blood Pressure Measurement Body Location Precoordinated value set (extensible): A set of codes that describe where on/in the body an observation or procedure took place
method | S | 0..1 | CodeableConcept | How it was done Binding: Blood Pressure Measurement Method value set (extensible): A set of codes that describe the method used to measure a blood pressure
specimen |  | 0..0 |  |
device | S | 0..1 | Reference(Blood Pressure Device) | Blood Pressure Device
Slices for component |  | 1..* | BackboneElement | Blood pressure components Slice: Unordered, Open by pattern:code
component:SystolicBP24HMean |  | 1..1 | BackboneElement | Systolic blood pressure 24 hour mean
code |  | 1..1 | CodeableConcept | Systolic blood pressure 24 hour mean Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8490-5
value[x] |  | 0..1 | Quantity | Vital Sign Value recorded with UCUM
value | S | 1..1 | decimal | Numerical value (with implicit precision)
unit | S | 1..1 | string | Unit representation
system | S | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code | S | 1..1 | code | Coded form of the unit Fixed Value: mm[Hg]
component:DiastolicBP24HMean |  | 0..1 | BackboneElement | Diastolic blood pressure 24 hour mean
code |  | 1..1 | CodeableConcept | Diastolic blood pressure 24 hour mean Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8472-3
value[x] |  | 0..1 | Quantity | Vital Sign Value recorded with UCUM
value | S | 1..1 | decimal | Numerical value (with implicit precision)
unit | S | 1..1 | string | Unit representation
system | S | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code | S | 1..1 | code | Coded form of the unit Fixed Value: mm[Hg]
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet | URI
Observation.extension:BodyPosition.value[x] | extensible | BodyPositionvalueset `http://hl7.org/fhir/us/vitals/ValueSet/bodyPositionVS` from this IG
Observation.bodySite | extensible | BloodPressureMeasurementBodyLocationPrecoodinated `http://hl7.org/fhir/us/vitals/ValueSet/bpmeasbodylocationprecoord` from this IG
Observation.method | extensible | BloodPressureMeasurementMethodvalueset `http://hl7.org/fhir/us/vitals/ValueSet/bpMeasMethodVS` from this IG

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Observation | C | 0..* | observation-vitalsigns | FHIR Vital Signs 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
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)
MeasurementSetting | S | 0..1 | CodeableConcept | Measurement setting URL: http://hl7.org/fhir/us/vitals/StructureDefinition/MeasurementSettingExt Binding: Measurement Setting 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 | Blood pressure panel 24 hour mean Binding: VitalSigns (extensible): This identifies the vital sign result type. 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: 97844-5
subject | S Σ | 1..1 | Reference(Patient) | Who and/or what the observation is about
effective[x] | S Σ C | 1..1 | Period | The dates and times over which the 24 hour period falls. vs-1: if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day
dataAbsentReason | S C | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
bodySite | S | 0..1 | CodeableConcept | Observed body part Binding: Blood Pressure Measurement Body Location Precoordinated value set (extensible): A set of codes that describe where on/in the body an observation or procedure took place
method | S | 0..1 | CodeableConcept | How it was done Binding: Blood Pressure Measurement Method value set (extensible): A set of codes that describe the method used to measure a blood pressure
device | S | 0..1 | Reference(Blood Pressure Device) | Blood Pressure Device
Slices for component | S Σ C | 1..* | BackboneElement | Blood pressure components Slice: Unordered, Open by pattern:code vs-3: If there is no a value a data absent reason must be present
component:All Slices |  |  |  | Content/Rules for all slices
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.
component:SystolicBP24HMean | S Σ C | 1..1 | BackboneElement | Systolic blood pressure 24 hour mean 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 | Systolic blood pressure 24 hour mean Binding: VitalSigns (extensible): This identifies the vital sign result type. 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: 8490-5
value[x] | S Σ C | 0..1 | Quantity | Vital Sign Value recorded with UCUM Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs.
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 form of the unit Fixed Value: mm[Hg]
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.
component:DiastolicBP24HMean | S Σ C | 0..1 | BackboneElement | Diastolic blood pressure 24 hour mean 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 | Diastolic blood pressure 24 hour mean Binding: VitalSigns (extensible): This identifies the vital sign result type. 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: 8472-3
value[x] | S Σ C | 0..1 | Quantity | Vital Sign Value recorded with UCUM Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs.
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 form of the unit Fixed Value: mm[Hg]
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 / Code | URI
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 | Pattern: LOINC Code 97844-5 `http://hl7.org/fhir/ValueSet/observation-vitalsignresult` from the FHIR Standard
Observation.dataAbsentReason | extensible | DataAbsentReason `http://hl7.org/fhir/ValueSet/data-absent-reason` from the FHIR Standard
Observation.bodySite | extensible | BloodPressureMeasurementBodyLocationPrecoodinated `http://hl7.org/fhir/us/vitals/ValueSet/bpmeasbodylocationprecoord` from this IG
Observation.method | extensible | BloodPressureMeasurementMethodvalueset `http://hl7.org/fhir/us/vitals/ValueSet/bpMeasMethodVS` 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
Observation.component:SystolicBP24HMean.code | extensible | Pattern: LOINC Code 8490-5 `http://hl7.org/fhir/ValueSet/observation-vitalsignresult` from the FHIR Standard
Observation.component:SystolicBP24HMean.value[x] | extensible | VitalSignsUnits `http://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.1` from the FHIR Standard
Observation.component:SystolicBP24HMean.value[x].comparator | required | QuantityComparator `http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1` from the FHIR Standard
Observation.component:SystolicBP24HMean.dataAbsentReason | extensible | DataAbsentReason `http://hl7.org/fhir/ValueSet/data-absent-reason` from the FHIR Standard
Observation.component:DiastolicBP24HMean.code | extensible | Pattern: LOINC Code 8472-3 `http://hl7.org/fhir/ValueSet/observation-vitalsignresult` from the FHIR Standard
Observation.component:DiastolicBP24HMean.value[x] | extensible | VitalSignsUnits `http://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.1` from the FHIR Standard
Observation.component:DiastolicBP24HMean.value[x].comparator | required | QuantityComparator `http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1` from the FHIR Standard
Observation.component:DiastolicBP24HMean.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-vitalsigns | FHIR Vital Signs 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
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)
MeasurementSetting | S | 0..1 | CodeableConcept | Measurement setting URL: http://hl7.org/fhir/us/vitals/StructureDefinition/MeasurementSettingExt Binding: Measurement Setting 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 | Blood pressure panel 24 hour mean Binding: VitalSigns (extensible): This identifies the vital sign result type. 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: 97844-5
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
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 | Period | The dates and times over which the 24 hour period falls. vs-1: if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day
issued | Σ | 0..1 | instant | Date/Time this version was made available
performer | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Who is responsible for the observation
dataAbsentReason | 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: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
note |  | 0..* | Annotation | Comments about the observation
bodySite | S | 0..1 | CodeableConcept | Observed body part Binding: Blood Pressure Measurement Body Location Precoordinated value set (extensible): A set of codes that describe where on/in the body an observation or procedure took place
method | S | 0..1 | CodeableConcept | How it was done Binding: Blood Pressure Measurement Method value set (extensible): A set of codes that describe the method used to measure a blood pressure
device | S | 0..1 | Reference(Blood Pressure Device) | Blood Pressure Device
referenceRange | C | 0..* | BackboneElement | Provides guide for interpretation obs-3: Must have at least a low or a high or text
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
low | C | 0..1 | SimpleQuantity | Low Range, if relevant
high | C | 0..1 | SimpleQuantity | High Range, if relevant
type |  | 0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
appliesTo |  | 0..* | CodeableConcept | Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
age |  | 0..1 | Range | Applicable age range, if relevant
text |  | 0..1 | string | Text based reference range in an observation
hasMember | Σ | 0..* | Reference(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
Slices for component | S Σ C | 1..* | BackboneElement | Blood pressure components Slice: Unordered, Open by pattern:code vs-3: If there is no a value a data absent reason must be present
component:All Slices |  |  |  | Content/Rules for all slices
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | 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
component:SystolicBP24HMean | S Σ C | 1..1 | BackboneElement | Systolic blood pressure 24 hour mean 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 | Systolic blood pressure 24 hour mean Binding: VitalSigns (extensible): This identifies the vital sign result type. 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: 8490-5
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
value[x] | S Σ C | 0..1 | Quantity | Vital Sign Value recorded with UCUM Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs.
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 form of the unit Fixed Value: mm[Hg]
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
component:DiastolicBP24HMean | S Σ C | 0..1 | BackboneElement | Diastolic blood pressure 24 hour mean 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 | Diastolic blood pressure 24 hour mean Binding: VitalSigns (extensible): This identifies the vital sign result type. 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: 8472-3
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
value[x] | S Σ C | 0..1 | Quantity | Vital Sign Value recorded with UCUM Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs.
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 form of the unit Fixed Value: mm[Hg]
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 / Code | URI
Observation.language | preferred | CommonLanguages
Additional Bindings | Purpose
AllLanguages | Max Binding
`http://hl7.org/fhir/ValueSet/languages` from the FHIR Standard
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 | Pattern: LOINC Code 97844-5 `http://hl7.org/fhir/ValueSet/observation-vitalsignresult` from the FHIR Standard
Observation.dataAbsentReason | extensible | DataAbsentReason `http://hl7.org/fhir/ValueSet/data-absent-reason` from the FHIR Standard
Observation.interpretation | extensible | ObservationInterpretationCodes `http://hl7.org/fhir/ValueSet/observation-interpretation` from the FHIR Standard
Observation.bodySite | extensible | BloodPressureMeasurementBodyLocationPrecoodinated `http://hl7.org/fhir/us/vitals/ValueSet/bpmeasbodylocationprecoord` from this IG
Observation.method | extensible | BloodPressureMeasurementMethodvalueset `http://hl7.org/fhir/us/vitals/ValueSet/bpMeasMethodVS` 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
Observation.component:SystolicBP24HMean.code | extensible | Pattern: LOINC Code 8490-5 `http://hl7.org/fhir/ValueSet/observation-vitalsignresult` from the FHIR Standard
Observation.component:SystolicBP24HMean.value[x] | extensible | VitalSignsUnits `http://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.1` from the FHIR Standard
Observation.component:SystolicBP24HMean.value[x].comparator | required | QuantityComparator `http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1` from the FHIR Standard
Observation.component:SystolicBP24HMean.dataAbsentReason | extensible | DataAbsentReason `http://hl7.org/fhir/ValueSet/data-absent-reason` from the FHIR Standard
Observation.component:SystolicBP24HMean.interpretation | extensible | ObservationInterpretationCodes `http://hl7.org/fhir/ValueSet/observation-interpretation` from the FHIR Standard
Observation.component:DiastolicBP24HMean.code | extensible | Pattern: LOINC Code 8472-3 `http://hl7.org/fhir/ValueSet/observation-vitalsignresult` from the FHIR Standard
Observation.component:DiastolicBP24HMean.value[x] | extensible | VitalSignsUnits `http://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.1` from the FHIR Standard
Observation.component:DiastolicBP24HMean.value[x].comparator | required | QuantityComparator `http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1` from the FHIR Standard
Observation.component:DiastolicBP24HMean.dataAbsentReason | extensible | DataAbsentReason `http://hl7.org/fhir/ValueSet/data-absent-reason` from the FHIR Standard
Observation.component:DiastolicBP24HMean.interpretation | extensible | ObservationInterpretationCodes `http://hl7.org/fhir/ValueSet/observation-interpretation` from the FHIR Standard

This structure is derived from observation-vitalsigns

Summary

Mandatory: 2 elements(8 nested mandatory elements)
Must-Support: 13 elements
Fixed: 4 elements
Prohibited: 2 elements

Structures

This structure refers to these other structures:

- Blood Pressure Device (http://hl7.org/fhir/us/vitals/StructureDefinition/bp-device)

Extensions

This structure refers to these extensions:

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

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of Observation.component

Differential View

This structure is derived from observation-vitalsigns

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Observation |  | 0..* | observation-vitalsigns | FHIR Vital Signs Profile
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
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)
MeasurementSetting | S | 0..1 | CodeableConcept | Measurement setting URL: http://hl7.org/fhir/us/vitals/StructureDefinition/MeasurementSettingExt Binding: Measurement Setting value set (extensible)
code |  | 1..1 | CodeableConcept | Blood pressure panel 24 hour mean Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 97844-5
effective[x] |  | 1..1 | Period | The dates and times over which the 24 hour period falls.
value[x] |  | 0..0 |  |
bodySite | S | 0..1 | CodeableConcept | Observed body part Binding: Blood Pressure Measurement Body Location Precoordinated value set (extensible): A set of codes that describe where on/in the body an observation or procedure took place
method | S | 0..1 | CodeableConcept | How it was done Binding: Blood Pressure Measurement Method value set (extensible): A set of codes that describe the method used to measure a blood pressure
specimen |  | 0..0 |  |
device | S | 0..1 | Reference(Blood Pressure Device) | Blood Pressure Device
Slices for component |  | 1..* | BackboneElement | Blood pressure components Slice: Unordered, Open by pattern:code
component:SystolicBP24HMean |  | 1..1 | BackboneElement | Systolic blood pressure 24 hour mean
code |  | 1..1 | CodeableConcept | Systolic blood pressure 24 hour mean Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8490-5
value[x] |  | 0..1 | Quantity | Vital Sign Value recorded with UCUM
value | S | 1..1 | decimal | Numerical value (with implicit precision)
unit | S | 1..1 | string | Unit representation
system | S | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code | S | 1..1 | code | Coded form of the unit Fixed Value: mm[Hg]
component:DiastolicBP24HMean |  | 0..1 | BackboneElement | Diastolic blood pressure 24 hour mean
code |  | 1..1 | CodeableConcept | Diastolic blood pressure 24 hour mean Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8472-3
value[x] |  | 0..1 | Quantity | Vital Sign Value recorded with UCUM
value | S | 1..1 | decimal | Numerical value (with implicit precision)
unit | S | 1..1 | string | Unit representation
system | S | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code | S | 1..1 | code | Coded form of the unit Fixed Value: mm[Hg]
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet | URI
Observation.extension:BodyPosition.value[x] | extensible | BodyPositionvalueset `http://hl7.org/fhir/us/vitals/ValueSet/bodyPositionVS` from this IG
Observation.bodySite | extensible | BloodPressureMeasurementBodyLocationPrecoodinated `http://hl7.org/fhir/us/vitals/ValueSet/bpmeasbodylocationprecoord` from this IG
Observation.method | extensible | BloodPressureMeasurementMethodvalueset `http://hl7.org/fhir/us/vitals/ValueSet/bpMeasMethodVS` from this IG

Key Elements View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Observation | C | 0..* | observation-vitalsigns | FHIR Vital Signs 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
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)
MeasurementSetting | S | 0..1 | CodeableConcept | Measurement setting URL: http://hl7.org/fhir/us/vitals/StructureDefinition/MeasurementSettingExt Binding: Measurement Setting 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 | Blood pressure panel 24 hour mean Binding: VitalSigns (extensible): This identifies the vital sign result type. 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: 97844-5
subject | S Σ | 1..1 | Reference(Patient) | Who and/or what the observation is about
effective[x] | S Σ C | 1..1 | Period | The dates and times over which the 24 hour period falls. vs-1: if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day
dataAbsentReason | S C | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
bodySite | S | 0..1 | CodeableConcept | Observed body part Binding: Blood Pressure Measurement Body Location Precoordinated value set (extensible): A set of codes that describe where on/in the body an observation or procedure took place
method | S | 0..1 | CodeableConcept | How it was done Binding: Blood Pressure Measurement Method value set (extensible): A set of codes that describe the method used to measure a blood pressure
device | S | 0..1 | Reference(Blood Pressure Device) | Blood Pressure Device
Slices for component | S Σ C | 1..* | BackboneElement | Blood pressure components Slice: Unordered, Open by pattern:code vs-3: If there is no a value a data absent reason must be present
component:All Slices |  |  |  | Content/Rules for all slices
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.
component:SystolicBP24HMean | S Σ C | 1..1 | BackboneElement | Systolic blood pressure 24 hour mean 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 | Systolic blood pressure 24 hour mean Binding: VitalSigns (extensible): This identifies the vital sign result type. 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: 8490-5
value[x] | S Σ C | 0..1 | Quantity | Vital Sign Value recorded with UCUM Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs.
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 form of the unit Fixed Value: mm[Hg]
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.
component:DiastolicBP24HMean | S Σ C | 0..1 | BackboneElement | Diastolic blood pressure 24 hour mean 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 | Diastolic blood pressure 24 hour mean Binding: VitalSigns (extensible): This identifies the vital sign result type. 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: 8472-3
value[x] | S Σ C | 0..1 | Quantity | Vital Sign Value recorded with UCUM Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs.
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 form of the unit Fixed Value: mm[Hg]
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 / Code | URI
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 | Pattern: LOINC Code 97844-5 `http://hl7.org/fhir/ValueSet/observation-vitalsignresult` from the FHIR Standard
Observation.dataAbsentReason | extensible | DataAbsentReason `http://hl7.org/fhir/ValueSet/data-absent-reason` from the FHIR Standard
Observation.bodySite | extensible | BloodPressureMeasurementBodyLocationPrecoodinated `http://hl7.org/fhir/us/vitals/ValueSet/bpmeasbodylocationprecoord` from this IG
Observation.method | extensible | BloodPressureMeasurementMethodvalueset `http://hl7.org/fhir/us/vitals/ValueSet/bpMeasMethodVS` 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
Observation.component:SystolicBP24HMean.code | extensible | Pattern: LOINC Code 8490-5 `http://hl7.org/fhir/ValueSet/observation-vitalsignresult` from the FHIR Standard
Observation.component:SystolicBP24HMean.value[x] | extensible | VitalSignsUnits `http://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.1` from the FHIR Standard
Observation.component:SystolicBP24HMean.value[x].comparator | required | QuantityComparator `http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1` from the FHIR Standard
Observation.component:SystolicBP24HMean.dataAbsentReason | extensible | DataAbsentReason `http://hl7.org/fhir/ValueSet/data-absent-reason` from the FHIR Standard
Observation.component:DiastolicBP24HMean.code | extensible | Pattern: LOINC Code 8472-3 `http://hl7.org/fhir/ValueSet/observation-vitalsignresult` from the FHIR Standard
Observation.component:DiastolicBP24HMean.value[x] | extensible | VitalSignsUnits `http://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.1` from the FHIR Standard
Observation.component:DiastolicBP24HMean.value[x].comparator | required | QuantityComparator `http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1` from the FHIR Standard
Observation.component:DiastolicBP24HMean.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-vitalsigns | FHIR Vital Signs 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
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)
MeasurementSetting | S | 0..1 | CodeableConcept | Measurement setting URL: http://hl7.org/fhir/us/vitals/StructureDefinition/MeasurementSettingExt Binding: Measurement Setting 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 | Blood pressure panel 24 hour mean Binding: VitalSigns (extensible): This identifies the vital sign result type. 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: 97844-5
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
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 | Period | The dates and times over which the 24 hour period falls. vs-1: if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day
issued | Σ | 0..1 | instant | Date/Time this version was made available
performer | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Who is responsible for the observation
dataAbsentReason | 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: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
note |  | 0..* | Annotation | Comments about the observation
bodySite | S | 0..1 | CodeableConcept | Observed body part Binding: Blood Pressure Measurement Body Location Precoordinated value set (extensible): A set of codes that describe where on/in the body an observation or procedure took place
method | S | 0..1 | CodeableConcept | How it was done Binding: Blood Pressure Measurement Method value set (extensible): A set of codes that describe the method used to measure a blood pressure
device | S | 0..1 | Reference(Blood Pressure Device) | Blood Pressure Device
referenceRange | C | 0..* | BackboneElement | Provides guide for interpretation obs-3: Must have at least a low or a high or text
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
low | C | 0..1 | SimpleQuantity | Low Range, if relevant
high | C | 0..1 | SimpleQuantity | High Range, if relevant
type |  | 0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
appliesTo |  | 0..* | CodeableConcept | Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
age |  | 0..1 | Range | Applicable age range, if relevant
text |  | 0..1 | string | Text based reference range in an observation
hasMember | Σ | 0..* | Reference(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
Slices for component | S Σ C | 1..* | BackboneElement | Blood pressure components Slice: Unordered, Open by pattern:code vs-3: If there is no a value a data absent reason must be present
component:All Slices |  |  |  | Content/Rules for all slices
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | 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
component:SystolicBP24HMean | S Σ C | 1..1 | BackboneElement | Systolic blood pressure 24 hour mean 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 | Systolic blood pressure 24 hour mean Binding: VitalSigns (extensible): This identifies the vital sign result type. 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: 8490-5
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
value[x] | S Σ C | 0..1 | Quantity | Vital Sign Value recorded with UCUM Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs.
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 form of the unit Fixed Value: mm[Hg]
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
component:DiastolicBP24HMean | S Σ C | 0..1 | BackboneElement | Diastolic blood pressure 24 hour mean 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 | Diastolic blood pressure 24 hour mean Binding: VitalSigns (extensible): This identifies the vital sign result type. 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: 8472-3
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
value[x] | S Σ C | 0..1 | Quantity | Vital Sign Value recorded with UCUM Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs.
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 form of the unit Fixed Value: mm[Hg]
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 / Code | URI
Observation.language | preferred | CommonLanguages
Additional Bindings | Purpose
AllLanguages | Max Binding
`http://hl7.org/fhir/ValueSet/languages` from the FHIR Standard
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 | Pattern: LOINC Code 97844-5 `http://hl7.org/fhir/ValueSet/observation-vitalsignresult` from the FHIR Standard
Observation.dataAbsentReason | extensible | DataAbsentReason `http://hl7.org/fhir/ValueSet/data-absent-reason` from the FHIR Standard
Observation.interpretation | extensible | ObservationInterpretationCodes `http://hl7.org/fhir/ValueSet/observation-interpretation` from the FHIR Standard
Observation.bodySite | extensible | BloodPressureMeasurementBodyLocationPrecoodinated `http://hl7.org/fhir/us/vitals/ValueSet/bpmeasbodylocationprecoord` from this IG
Observation.method | extensible | BloodPressureMeasurementMethodvalueset `http://hl7.org/fhir/us/vitals/ValueSet/bpMeasMethodVS` 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
Observation.component:SystolicBP24HMean.code | extensible | Pattern: LOINC Code 8490-5 `http://hl7.org/fhir/ValueSet/observation-vitalsignresult` from the FHIR Standard
Observation.component:SystolicBP24HMean.value[x] | extensible | VitalSignsUnits `http://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.1` from the FHIR Standard
Observation.component:SystolicBP24HMean.value[x].comparator | required | QuantityComparator `http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1` from the FHIR Standard
Observation.component:SystolicBP24HMean.dataAbsentReason | extensible | DataAbsentReason `http://hl7.org/fhir/ValueSet/data-absent-reason` from the FHIR Standard
Observation.component:SystolicBP24HMean.interpretation | extensible | ObservationInterpretationCodes `http://hl7.org/fhir/ValueSet/observation-interpretation` from the FHIR Standard
Observation.component:DiastolicBP24HMean.code | extensible | Pattern: LOINC Code 8472-3 `http://hl7.org/fhir/ValueSet/observation-vitalsignresult` from the FHIR Standard
Observation.component:DiastolicBP24HMean.value[x] | extensible | VitalSignsUnits `http://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.1` from the FHIR Standard
Observation.component:DiastolicBP24HMean.value[x].comparator | required | QuantityComparator `http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1` from the FHIR Standard
Observation.component:DiastolicBP24HMean.dataAbsentReason | extensible | DataAbsentReason `http://hl7.org/fhir/ValueSet/data-absent-reason` from the FHIR Standard
Observation.component:DiastolicBP24HMean.interpretation | extensible | ObservationInterpretationCodes `http://hl7.org/fhir/ValueSet/observation-interpretation` from the FHIR Standard

This structure is derived from observation-vitalsigns

Summary

Mandatory: 2 elements(8 nested mandatory elements)
Must-Support: 13 elements
Fixed: 4 elements
Prohibited: 2 elements

Structures

This structure refers to these other structures:

- Blood Pressure Device (http://hl7.org/fhir/us/vitals/StructureDefinition/bp-device)

Extensions

This structure refers to these extensions:

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

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of Observation.component

Other representations of profile: CSV, Excel, Schematron