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: VitalSignsPanel - Mappings

Draft as of 2024-10-09

Mappings for the vital-signs-panel resource profile.

### Mappings for Workflow Pattern (http://hl7.org/fhir/workflow)

VitalSignsPanel
Observation | Event
identifier | Event.identifier
basedOn | Event.basedOn
partOf | Event.partOf
status | Event.status
code | Event.code
subject | Event.subject
encounter | Event.context
effective[x] | Event.occurrence[x]
performer | Event.performer.actor

### Mappings for SNOMED CT Concept Domain Binding (http://snomed.info/conceptdomain)

VitalSignsPanel
Observation | < 363787002 |Observable entity|
status | < 445584004 |Report by finality status|
code | < 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
interpretation | < 260245000 |Findings values|

### Mappings for HL7 v2 Mapping (http://hl7.org/v2)

VitalSignsPanel
Observation | OBX
identifier | OBX.21 For OBX segments from systems without OBX-21 support a combination of ORC/OBR and OBX must be negotiated between trading partners to uniquely identify the OBX segment. Depending on how V2 has been implemented each of these may be an option: 1) OBR-3 + OBX-3 + OBX-4 or 2) OBR-3 + OBR-4 + OBX-3 + OBX-4 or 2) some other way to uniquely ID the OBR/ORC + OBX-3 + OBX-4.
basedOn | ORC
partOf | Varies by domain
status | OBX-11
code | OBX-3
subject | PID-3
focus | OBX-3
encounter | PV1
effective[x] | OBX-14, and/or OBX-19 after v2.4 (depends on who observation made)
issued | OBR.22 (or MSH.7), or perhaps OBX-19 (depends on who observation made)
performer | OBX.15 / (Practitioner) OBX-16, PRT-5:PRT-4='RO' / (Device) OBX-18 , PRT-10:PRT-4='EQUIP' / (Organization) OBX-23, PRT-8:PRT-4='PO'
interpretation | OBX-8
note | NTE.3 (partner NTE to OBX, or sometimes another (child?) OBX)
hasMember | Relationships established by OBX-4 usage
hasMember (OxygenSaturationArterialBloodPulseOx) | Relationships established by OBX-4 usage
hasMember (BodyWeight) | Relationships established by OBX-4 usage
hasMember (HeadOccipitalFrontalCircumference) | Relationships established by OBX-4 usage
hasMember (Height) | Relationships established by OBX-4 usage
hasMember (BodyLength) | Relationships established by OBX-4 usage
hasMember (BodyTemperature) | Relationships established by OBX-4 usage
hasMember (BloodPressurePanel) | Relationships established by OBX-4 usage
hasMember (HeartRate) | Relationships established by OBX-4 usage
hasMember (RespiratoryRate) | Relationships established by OBX-4 usage
hasMember (BodyMassIndex) | Relationships established by OBX-4 usage
derivedFrom | Relationships established by OBX-4 usage

### Mappings for RIM Mapping (http://hl7.org/v3)

VitalSignsPanel
Observation | Entity. Role, or Act, Observation[classCode=OBS, moodCode=EVN]
text | Act.text?
contained | N/A
extension | N/A
modifierExtension | N/A
identifier | id
basedOn | .inboundRelationship[typeCode=COMP].source[moodCode=EVN]
partOf | .outboundRelationship[typeCode=FLFS].target
status | status Amended & Final are differentiated by whether it is the subject of a ControlAct event with a type of "revise"
category | .outboundRelationship[typeCode="COMP].target[classCode="LIST", moodCode="EVN"].code
code | code
subject | participation[typeCode=RTGT]
focus | participation[typeCode=SBJ]
encounter | inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]
effective[x] | effectiveTime
issued | participation[typeCode=AUT].time
performer | participation[typeCode=PRF]
interpretation | interpretationCode
note | subjectOf.observationEvent[code="annotation"].value
hasMember | outBoundRelationship
hasMember (OxygenSaturationArterialBloodPulseOx) | outBoundRelationship
hasMember (BodyWeight) | outBoundRelationship
hasMember (HeadOccipitalFrontalCircumference) | outBoundRelationship
hasMember (Height) | outBoundRelationship
hasMember (BodyLength) | outBoundRelationship
hasMember (BodyTemperature) | outBoundRelationship
hasMember (BloodPressurePanel) | outBoundRelationship
hasMember (HeartRate) | outBoundRelationship
hasMember (RespiratoryRate) | outBoundRelationship
hasMember (BodyMassIndex) | outBoundRelationship
derivedFrom | .targetObservation

### Mappings for FiveWs Pattern Mapping (http://hl7.org/fhir/fivews)

VitalSignsPanel
Observation |
identifier | FiveWs.identifier
status | FiveWs.status
category | FiveWs.class
code | FiveWs.what[x]
subject | FiveWs.subject[x], FiveWs.subject
focus | FiveWs.subject[x], FiveWs.subject
encounter | FiveWs.context
effective[x] | FiveWs.done[x]
issued | FiveWs.recorded
performer | FiveWs.actor

### Mappings for SNOMED CT Attribute Binding (http://snomed.org/attributebinding)

VitalSignsPanel
Observation |
code | 116680003 |Is a|
interpretation | 363713009 |Has interpretation|