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: Blood Pressure Panel

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

Blood Pressure Panel; a grouping of systolic, diastolic, and mean arterial blood pressure components.

### Scope

The Blood Pressure Panel profile contains three observations, systolic, diastolic, and mean arterial blood pressure. These are slices of the component element (Observation.component) and the value (Observation.value) has been constrained out (cardinality set to 0). Systolic and Diastolic blood pressures are commonly stored together as a “blood pressure”. There are times when a mean arterial pressure needs to be stored also, so it was included. The only required observation of the three is Systolic BP. By doing so the panel may be used to record any combination of Systolic + Diastolic, Systolic only, or all three. This negates the need to create individual FHIR profiles for any of the three.

#### About the extensions

In addition, This profile contains the following qualifying observations (extensions) with associated SNOMED CT value sets:

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

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

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

Sleep Status - This is used to capture whether or not the measurement was taken while the subject was asleep or awake.

#### Observation.device

This profile references a Blood Pressure Device profile of the Device resource in Observation.device. The Blood Pressure Device profile is designed to be used specifically for blood pressure observations and includes an extension for Blood Pressure Cuff Size.

#### About Mean Arterial Pressure

Mean Arterial Pressure is a calculated observation based on the Systolic and Diastolic blood pressure measurements and is defined as the average pressure in an individual's arteries during one cardiac cycle. It is not an average of several measurements.

Its formula is (SystolicBP + 2(DiastolicBP)) divided by 3; (SBP + 2(DBP))/3. There are times when this needs to be known so it is included as an optional component in this panel.

#### Example

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

- Blood Pressure Example

#### Use Cases

#### 1. Blood pressure taken while in a lying position

FHIR path and element binding | Text Description | Code | Terminology
--- | --- | --- | ---
Observation.code | Blood Pressure Panel with all children optional | 85354-9 | LOINC
Observation.component.code | Systolic Blood Pressure | 8480-6 | LOINC
Observation.component.code | Diastolic BloodPressure Meas | 8462-4 | LOINC
Body Position extension bindings and values
Observation.extension(bodyPositionExt) mapping | Body position with respect to gravity | 8361-8 | LOINC
Observation.extension(bodyPositionExt).value | Supine body position (finding) | 40199007 | SNOMED CT

#### 2. Blood Pressure taken with an adult size cuff via left brachial artery

FHIR path and element binding | Text Description | Code | Terminology
--- | --- | --- | ---
Observation.code | Blood Pressure Panel with all children optional | 85354-9 | LOINC
Observation.component.code | Systolic blood pressure | 8480-6 | LOINC
Cuff size value
Observation.device.extension(BloodPressureCuffSize).value | Blood pressure cuff, adult size (physical object) | 720737000 | SNOMED CT
Body Site bindings and value
Observation.bodySite | Body location qualifier | 39112-8 | LOINC
bodySite.value | Structure of left brachial artery (body structure) | 723961002 | 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. This is used in the BodyPositionExt 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. This is used in the observation-deviceCode extension.
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. This is used in the bodySite backbone element.
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. This is used in the method backbone element.
Exertion Phase value Set | The purpose of the value set is to document exercise associated with a measurement. Resulting LOINC code 74008-4 "Exercise intensity". This is used in the ExerciseAssociationExt extension.
Sleep Status value set | This value set contains values used to indicate the state of wakefulness during measurement. This is used in the SleepStatusExt extension.
Measurement Setting value set | This value set is used to result the Measurement Setting extension.

### Mandatory and Must Support Data Elements

#### Each resource must have

- Observation.category (fixed to Vital Signs category)
- Observation.code (fixed to LOINC code 85354-9)
- Observation.subject
- Observation.effective
- Observation.component (Systolic Blood Pressure, LOINC 8480-6)
- Observation.status

#### Each resource must support

- Body Position extension
- Exercise Association extension
- Observation.device (reference to Blood Pressure Device profile)
- Sleep Status extension
- Measurement Setting extension
- all components, including component.code and component.valueQuantity (value, unit, system, and code)

Usage:

- Refer to this Resource Profile: Vital Signs Panel
- Examples for this Resource Profile: Observation/BloodPressurePanel-example

### Formal Views of Profile Content

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

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

This structure is derived from Observation

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Observation |  | 0..* | Observation | Measurements and simple assertions
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)
sleepStatus | S | 0..1 | CodeableConcept | Sleep Status URL: http://hl7.org/fhir/us/vitals/StructureDefinition/SleepStatusExt Binding: Sleep Status 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)
status | S | 1..1 | code | registered | preliminary | final | amended +
category |  |  |  |
coding |  |  |  |
system |  | 0..1 | uri | Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/observation-category
code |  | 0..1 | code | Symbol in syntax defined by the system Required Pattern: vital-signs
code |  | 1..1 | CodeableConcept | Blood pressure panel with all children optional 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: 85354-9
subject | S | 1..1 | Reference(Patient) | Who and/or what the observation is about
effective[x] | S | 1..1 | dateTime, Period, Timing, instant | Clinically relevant time/time-period for observation
value[x] |  | 0..0 |  |
interpretation |  | 0..1 | CodeableConcept | High, low, normal, etc. Binding: Numeric Result Interpretation value set (extensible)
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 | S | 1..* | BackboneElement | Blood pressure components Slice: Unordered, Open by value:code
component:SystolicBP |  | 1..1 | BackboneElement | Systolic Blood Pressure
code | S | 1..1 | CodeableConcept | Systolic blood pressure 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: 8480-6
value[x] | S | 0..1 | Quantity | Actual component result
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:DiastolicBP |  | 0..1 | BackboneElement | Diastolic Blood Pressure
code | S | 1..1 | CodeableConcept | Diastolic blood pressure 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: 8462-4
value[x] | S | 0..1 | Quantity | Actual component result
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:MeanArterialBP | S | 0..1 | BackboneElement | Mean Arterial Blood Pressure
code | S | 1..1 | CodeableConcept | Mean blood pressure 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: 8478-0
value[x] | S | 0..1 | Quantity | Actual component result
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.interpretation | extensible | NumericResultInterpretationNom `http://hl7.org/fhir/us/vitals/ValueSet/NumericResultIntVS` 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 | Measurements and simple assertions obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
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)
sleepStatus | S | 0..1 | CodeableConcept | Sleep Status URL: http://hl7.org/fhir/us/vitals/StructureDefinition/SleepStatusExt Binding: Sleep Status 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)
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!S Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
code | Σ | 1..1 | CodeableConcept | Blood pressure panel with all children optional Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 85354-9
subject | S Σ | 1..1 | Reference(Patient) | Who and/or what the observation is about
effective[x] | S Σ | 1..1 |  | Clinically relevant time/time-period for observation
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
effectiveTiming |  |  | Timing |
effectiveInstant |  |  | instant |
interpretation |  | 0..1 | CodeableConcept | High, low, normal, etc. Binding: Numeric Result Interpretation value set (extensible)
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 | 1..* | BackboneElement | Blood pressure components Slice: Unordered, Open by value:code
component:All Slices |  |  |  | Content/Rules for all slices
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
component:SystolicBP | Σ | 1..1 | BackboneElement | Systolic Blood Pressure
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S Σ | 1..1 | CodeableConcept | Systolic blood pressure Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8480-6
value[x] | S Σ | 0..1 | Quantity | Actual component result
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]
component:DiastolicBP | Σ | 0..1 | BackboneElement | Diastolic Blood Pressure
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S Σ | 1..1 | CodeableConcept | Diastolic blood pressure Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8462-4
value[x] | S Σ | 0..1 | Quantity | Actual component result
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]
component:MeanArterialBP | S Σ | 0..1 | BackboneElement | Mean Arterial Blood Pressure
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S Σ | 1..1 | CodeableConcept | Mean blood pressure Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8478-0
value[x] | S Σ | 0..1 | Quantity | Actual component result
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]
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.code | example | Pattern: LOINC Code 85354-9 `http://hl7.org/fhir/ValueSet/observation-codes` from the FHIR Standard
Observation.interpretation | extensible | NumericResultInterpretationNom `http://hl7.org/fhir/us/vitals/ValueSet/NumericResultIntVS` 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
Observation.component.code | example | LOINCCodes (a valid code from LOINC) `http://hl7.org/fhir/ValueSet/observation-codes` from the FHIR Standard
Observation.component:SystolicBP.code | example | Pattern: LOINC Code 8480-6 `http://hl7.org/fhir/ValueSet/observation-codes` from the FHIR Standard
Observation.component:SystolicBP.value[x].comparator | required | QuantityComparator `http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1` from the FHIR Standard
Observation.component:DiastolicBP.code | example | Pattern: LOINC Code 8462-4 `http://hl7.org/fhir/ValueSet/observation-codes` from the FHIR Standard
Observation.component:DiastolicBP.value[x].comparator | required | QuantityComparator `http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1` from the FHIR Standard
Observation.component:MeanArterialBP.code | example | Pattern: LOINC Code 8478-0 `http://hl7.org/fhir/ValueSet/observation-codes` from the FHIR Standard
Observation.component:MeanArterialBP.value[x].comparator | required | QuantityComparator `http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1` from the FHIR Standard

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Observation | C | 0..* | Observation | Measurements and simple assertions obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation
contained |  | 0..* | Resource | Contained, inline Resources
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)
sleepStatus | S | 0..1 | CodeableConcept | Sleep Status URL: http://hl7.org/fhir/us/vitals/StructureDefinition/SleepStatusExt Binding: Sleep Status 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)
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | Business Identifier for observation
basedOn | Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order
partOf | Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event
status | ?!S Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
category |  | 0..* | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
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 | Σ | 0..* | 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 | 0..1 | uri | Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/observation-category
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 0..1 | code | Symbol in syntax defined by the system Required Pattern: 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 | Σ | 1..1 | CodeableConcept | Blood pressure panel with all children optional Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 85354-9
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
subject | S Σ | 1..1 | Reference(Patient) | Who and/or what the observation is about
focus | Σ | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record
encounter | Σ | 0..1 | Reference(Encounter) | Healthcare event during which this observation is made
effective[x] | S Σ | 1..1 |  | Clinically relevant time/time-period for observation
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
effectiveTiming |  |  | Timing |
effectiveInstant |  |  | instant |
issued | Σ | 0..1 | instant | Date/Time this version was made available
performer | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Who is responsible for the observation
dataAbsentReason | C | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation |  | 0..1 | CodeableConcept | High, low, normal, etc. Binding: Numeric Result Interpretation value set (extensible)
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(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group
derivedFrom | Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | Related measurements the observation is made from
Slices for component | S Σ | 1..* | BackboneElement | Blood pressure components Slice: Unordered, Open by value:code
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 | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
value[x] | Σ | 0..1 |  | Actual component result
valueQuantity |  |  | Quantity |
valueCodeableConcept |  |  | CodeableConcept |
valueString |  |  | string |
valueBoolean |  |  | boolean |
valueInteger |  |  | integer |
valueRange |  |  | Range |
valueRatio |  |  | Ratio |
valueSampledData |  |  | SampledData |
valueTime |  |  | time |
valueDateTime |  |  | dateTime |
valuePeriod |  |  | Period |
dataAbsentReason | 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:SystolicBP | Σ | 1..1 | BackboneElement | Systolic Blood Pressure
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 Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8480-6
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 | 0..1 | Quantity | Actual component result
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 | 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:DiastolicBP | Σ | 0..1 | BackboneElement | Diastolic Blood Pressure
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 Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8462-4
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 | 0..1 | Quantity | Actual component result
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 | 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:MeanArterialBP | S Σ | 0..1 | BackboneElement | Mean Arterial Blood Pressure
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 | Mean blood pressure Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8478-0
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 | 0..1 | Quantity | Actual component result
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 | 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.code | example | Pattern: LOINC Code 85354-9 `http://hl7.org/fhir/ValueSet/observation-codes` 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 | 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 | example | LOINCCodes (a valid code from LOINC) `http://hl7.org/fhir/ValueSet/observation-codes` from the FHIR Standard
Observation.component.dataAbsentReason | extensible | DataAbsentReason `http://hl7.org/fhir/ValueSet/data-absent-reason` from the FHIR Standard
Observation.component.interpretation | extensible | ObservationInterpretationCodes `http://hl7.org/fhir/ValueSet/observation-interpretation` from the FHIR Standard
Observation.component:SystolicBP.code | example | Pattern: LOINC Code 8480-6 `http://hl7.org/fhir/ValueSet/observation-codes` from the FHIR Standard
Observation.component:SystolicBP.value[x].comparator | required | QuantityComparator `http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1` from the FHIR Standard
Observation.component:SystolicBP.dataAbsentReason | extensible | DataAbsentReason `http://hl7.org/fhir/ValueSet/data-absent-reason` from the FHIR Standard
Observation.component:SystolicBP.interpretation | extensible | ObservationInterpretationCodes `http://hl7.org/fhir/ValueSet/observation-interpretation` from the FHIR Standard
Observation.component:DiastolicBP.code | example | Pattern: LOINC Code 8462-4 `http://hl7.org/fhir/ValueSet/observation-codes` from the FHIR Standard
Observation.component:DiastolicBP.value[x].comparator | required | QuantityComparator `http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1` from the FHIR Standard
Observation.component:DiastolicBP.dataAbsentReason | extensible | DataAbsentReason `http://hl7.org/fhir/ValueSet/data-absent-reason` from the FHIR Standard
Observation.component:DiastolicBP.interpretation | extensible | ObservationInterpretationCodes `http://hl7.org/fhir/ValueSet/observation-interpretation` from the FHIR Standard
Observation.component:MeanArterialBP.code | example | Pattern: LOINC Code 8478-0 `http://hl7.org/fhir/ValueSet/observation-codes` from the FHIR Standard
Observation.component:MeanArterialBP.value[x].comparator | required | QuantityComparator `http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1` from the FHIR Standard
Observation.component:MeanArterialBP.dataAbsentReason | extensible | DataAbsentReason `http://hl7.org/fhir/ValueSet/data-absent-reason` from the FHIR Standard
Observation.component:MeanArterialBP.interpretation | extensible | ObservationInterpretationCodes `http://hl7.org/fhir/ValueSet/observation-interpretation` from the FHIR Standard

This structure is derived from Observation

Summary

Mandatory: 4 elements(12 nested mandatory elements)
Must-Support: 30 elements
Fixed: 6 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/SleepStatusExt
- http://hl7.org/fhir/us/vitals/StructureDefinition/ExerciseAssociationExt
- 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

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Observation |  | 0..* | Observation | Measurements and simple assertions
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)
sleepStatus | S | 0..1 | CodeableConcept | Sleep Status URL: http://hl7.org/fhir/us/vitals/StructureDefinition/SleepStatusExt Binding: Sleep Status 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)
status | S | 1..1 | code | registered | preliminary | final | amended +
category |  |  |  |
coding |  |  |  |
system |  | 0..1 | uri | Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/observation-category
code |  | 0..1 | code | Symbol in syntax defined by the system Required Pattern: vital-signs
code |  | 1..1 | CodeableConcept | Blood pressure panel with all children optional 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: 85354-9
subject | S | 1..1 | Reference(Patient) | Who and/or what the observation is about
effective[x] | S | 1..1 | dateTime, Period, Timing, instant | Clinically relevant time/time-period for observation
value[x] |  | 0..0 |  |
interpretation |  | 0..1 | CodeableConcept | High, low, normal, etc. Binding: Numeric Result Interpretation value set (extensible)
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 | S | 1..* | BackboneElement | Blood pressure components Slice: Unordered, Open by value:code
component:SystolicBP |  | 1..1 | BackboneElement | Systolic Blood Pressure
code | S | 1..1 | CodeableConcept | Systolic blood pressure 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: 8480-6
value[x] | S | 0..1 | Quantity | Actual component result
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:DiastolicBP |  | 0..1 | BackboneElement | Diastolic Blood Pressure
code | S | 1..1 | CodeableConcept | Diastolic blood pressure 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: 8462-4
value[x] | S | 0..1 | Quantity | Actual component result
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:MeanArterialBP | S | 0..1 | BackboneElement | Mean Arterial Blood Pressure
code | S | 1..1 | CodeableConcept | Mean blood pressure 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: 8478-0
value[x] | S | 0..1 | Quantity | Actual component result
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.interpretation | extensible | NumericResultInterpretationNom `http://hl7.org/fhir/us/vitals/ValueSet/NumericResultIntVS` 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 | Measurements and simple assertions obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
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)
sleepStatus | S | 0..1 | CodeableConcept | Sleep Status URL: http://hl7.org/fhir/us/vitals/StructureDefinition/SleepStatusExt Binding: Sleep Status 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)
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!S Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
code | Σ | 1..1 | CodeableConcept | Blood pressure panel with all children optional Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 85354-9
subject | S Σ | 1..1 | Reference(Patient) | Who and/or what the observation is about
effective[x] | S Σ | 1..1 |  | Clinically relevant time/time-period for observation
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
effectiveTiming |  |  | Timing |
effectiveInstant |  |  | instant |
interpretation |  | 0..1 | CodeableConcept | High, low, normal, etc. Binding: Numeric Result Interpretation value set (extensible)
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 | 1..* | BackboneElement | Blood pressure components Slice: Unordered, Open by value:code
component:All Slices |  |  |  | Content/Rules for all slices
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
component:SystolicBP | Σ | 1..1 | BackboneElement | Systolic Blood Pressure
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S Σ | 1..1 | CodeableConcept | Systolic blood pressure Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8480-6
value[x] | S Σ | 0..1 | Quantity | Actual component result
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]
component:DiastolicBP | Σ | 0..1 | BackboneElement | Diastolic Blood Pressure
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S Σ | 1..1 | CodeableConcept | Diastolic blood pressure Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8462-4
value[x] | S Σ | 0..1 | Quantity | Actual component result
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]
component:MeanArterialBP | S Σ | 0..1 | BackboneElement | Mean Arterial Blood Pressure
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S Σ | 1..1 | CodeableConcept | Mean blood pressure Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8478-0
value[x] | S Σ | 0..1 | Quantity | Actual component result
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]
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.code | example | Pattern: LOINC Code 85354-9 `http://hl7.org/fhir/ValueSet/observation-codes` from the FHIR Standard
Observation.interpretation | extensible | NumericResultInterpretationNom `http://hl7.org/fhir/us/vitals/ValueSet/NumericResultIntVS` 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
Observation.component.code | example | LOINCCodes (a valid code from LOINC) `http://hl7.org/fhir/ValueSet/observation-codes` from the FHIR Standard
Observation.component:SystolicBP.code | example | Pattern: LOINC Code 8480-6 `http://hl7.org/fhir/ValueSet/observation-codes` from the FHIR Standard
Observation.component:SystolicBP.value[x].comparator | required | QuantityComparator `http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1` from the FHIR Standard
Observation.component:DiastolicBP.code | example | Pattern: LOINC Code 8462-4 `http://hl7.org/fhir/ValueSet/observation-codes` from the FHIR Standard
Observation.component:DiastolicBP.value[x].comparator | required | QuantityComparator `http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1` from the FHIR Standard
Observation.component:MeanArterialBP.code | example | Pattern: LOINC Code 8478-0 `http://hl7.org/fhir/ValueSet/observation-codes` from the FHIR Standard
Observation.component:MeanArterialBP.value[x].comparator | required | QuantityComparator `http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1` from the FHIR Standard

Snapshot View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Observation | C | 0..* | Observation | Measurements and simple assertions obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation
contained |  | 0..* | Resource | Contained, inline Resources
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)
sleepStatus | S | 0..1 | CodeableConcept | Sleep Status URL: http://hl7.org/fhir/us/vitals/StructureDefinition/SleepStatusExt Binding: Sleep Status 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)
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | Business Identifier for observation
basedOn | Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order
partOf | Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event
status | ?!S Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
category |  | 0..* | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
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 | Σ | 0..* | 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 | 0..1 | uri | Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/observation-category
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 0..1 | code | Symbol in syntax defined by the system Required Pattern: 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 | Σ | 1..1 | CodeableConcept | Blood pressure panel with all children optional Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 85354-9
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
subject | S Σ | 1..1 | Reference(Patient) | Who and/or what the observation is about
focus | Σ | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record
encounter | Σ | 0..1 | Reference(Encounter) | Healthcare event during which this observation is made
effective[x] | S Σ | 1..1 |  | Clinically relevant time/time-period for observation
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
effectiveTiming |  |  | Timing |
effectiveInstant |  |  | instant |
issued | Σ | 0..1 | instant | Date/Time this version was made available
performer | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Who is responsible for the observation
dataAbsentReason | C | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation |  | 0..1 | CodeableConcept | High, low, normal, etc. Binding: Numeric Result Interpretation value set (extensible)
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(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group
derivedFrom | Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | Related measurements the observation is made from
Slices for component | S Σ | 1..* | BackboneElement | Blood pressure components Slice: Unordered, Open by value:code
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 | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
value[x] | Σ | 0..1 |  | Actual component result
valueQuantity |  |  | Quantity |
valueCodeableConcept |  |  | CodeableConcept |
valueString |  |  | string |
valueBoolean |  |  | boolean |
valueInteger |  |  | integer |
valueRange |  |  | Range |
valueRatio |  |  | Ratio |
valueSampledData |  |  | SampledData |
valueTime |  |  | time |
valueDateTime |  |  | dateTime |
valuePeriod |  |  | Period |
dataAbsentReason | 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:SystolicBP | Σ | 1..1 | BackboneElement | Systolic Blood Pressure
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 Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8480-6
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 | 0..1 | Quantity | Actual component result
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 | 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:DiastolicBP | Σ | 0..1 | BackboneElement | Diastolic Blood Pressure
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 Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8462-4
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 | 0..1 | Quantity | Actual component result
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 | 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:MeanArterialBP | S Σ | 0..1 | BackboneElement | Mean Arterial Blood Pressure
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 | Mean blood pressure Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8478-0
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 | 0..1 | Quantity | Actual component result
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 | 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.code | example | Pattern: LOINC Code 85354-9 `http://hl7.org/fhir/ValueSet/observation-codes` 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 | 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 | example | LOINCCodes (a valid code from LOINC) `http://hl7.org/fhir/ValueSet/observation-codes` from the FHIR Standard
Observation.component.dataAbsentReason | extensible | DataAbsentReason `http://hl7.org/fhir/ValueSet/data-absent-reason` from the FHIR Standard
Observation.component.interpretation | extensible | ObservationInterpretationCodes `http://hl7.org/fhir/ValueSet/observation-interpretation` from the FHIR Standard
Observation.component:SystolicBP.code | example | Pattern: LOINC Code 8480-6 `http://hl7.org/fhir/ValueSet/observation-codes` from the FHIR Standard
Observation.component:SystolicBP.value[x].comparator | required | QuantityComparator `http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1` from the FHIR Standard
Observation.component:SystolicBP.dataAbsentReason | extensible | DataAbsentReason `http://hl7.org/fhir/ValueSet/data-absent-reason` from the FHIR Standard
Observation.component:SystolicBP.interpretation | extensible | ObservationInterpretationCodes `http://hl7.org/fhir/ValueSet/observation-interpretation` from the FHIR Standard
Observation.component:DiastolicBP.code | example | Pattern: LOINC Code 8462-4 `http://hl7.org/fhir/ValueSet/observation-codes` from the FHIR Standard
Observation.component:DiastolicBP.value[x].comparator | required | QuantityComparator `http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1` from the FHIR Standard
Observation.component:DiastolicBP.dataAbsentReason | extensible | DataAbsentReason `http://hl7.org/fhir/ValueSet/data-absent-reason` from the FHIR Standard
Observation.component:DiastolicBP.interpretation | extensible | ObservationInterpretationCodes `http://hl7.org/fhir/ValueSet/observation-interpretation` from the FHIR Standard
Observation.component:MeanArterialBP.code | example | Pattern: LOINC Code 8478-0 `http://hl7.org/fhir/ValueSet/observation-codes` from the FHIR Standard
Observation.component:MeanArterialBP.value[x].comparator | required | QuantityComparator `http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1` from the FHIR Standard
Observation.component:MeanArterialBP.dataAbsentReason | extensible | DataAbsentReason `http://hl7.org/fhir/ValueSet/data-absent-reason` from the FHIR Standard
Observation.component:MeanArterialBP.interpretation | extensible | ObservationInterpretationCodes `http://hl7.org/fhir/ValueSet/observation-interpretation` from the FHIR Standard

This structure is derived from Observation

Summary

Mandatory: 4 elements(12 nested mandatory elements)
Must-Support: 30 elements
Fixed: 6 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/SleepStatusExt
- http://hl7.org/fhir/us/vitals/StructureDefinition/ExerciseAssociationExt
- 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