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

## Profiles

The following Profiles and have been defined for this implementation guide.

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

### Extensions

The following extensions have been defined as part of the Vital Signs implementation Guide. A registry of standard extensions can be found in the FHIR specification and additional extensions may be registered on the HL7 FHIR registry at http://hl7.org/fhir/registry.

#### A note about value bindings in the extensions

Some of the extensions defined below do not have value set bindings included. This is because the extension may be used in more than one profile and the values needed are specific to the context of the containing profile. For example, the Associated Situation extension is used in both the Body Temperature profile as well as the Body Weight profile. The values for Associated Situation will differ between these two contexts. For Body Temperature the values are things like "post exercise" but for Body Weight they're things like "With prosthetic" or "undressed".

This guide references the following extensions.

Associated Situation
Blood Pressure Cuff Size
Exercise Association
Measurement Protocol
Measurement Setting
Observation - Body Position
Observation - Device Type
Sensor Description
Sleep Status