Intersection of http://hl7.org/fhir/us/core/StructureDefinition/us-core-vital-signs and http://hl7.org/fhir/us/pacio-cs/StructureDefinition/pacio-csc

This is the set of resources that conform to both US Core Vital Signs Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-vital-signs) and PACIO Cognitive Status Collection (http://hl7.org/fhir/us/pacio-cs/StructureDefinition/pacio-csc).

Structure

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*		left: US Core Vital Signs Profile; right: Measurements and simple assertions dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management 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.
meta	Σ	0..1	Meta	Metadata about the resource ele-1: All FHIR elements must have a @value or children
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
language		0..1	code	Language of the resource content Binding: ?? (preferred): A human language. Additional Bindings Purpose ?? Max Binding ele-1: All FHIR elements must have a @value or children
text		0..1	Narrative	Text summary of the resource, for human interpretation ele-1: All FHIR elements must have a @value or children
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	left: Additional content defined by implementations; right: Extension ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
identifier	Σ	0..*	Identifier	Business Identifier for observation ele-1: All FHIR elements must have a @value or children
basedOn	Σ	0..*	Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	left: Fulfills plan, proposal or order; right: Currently not used in CognitiveStatusCollection. ele-1: All FHIR elements must have a @value or children
partOf	Σ	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)	left: Part of referenced event; right: Currently not used in CognitiveStatusCollection. ele-1: All FHIR elements must have a @value or children
status	?!SΣ	1..1	code	left: registered | preliminary | final | amended +; right: Should have the value 'final' when all the observatons are complete and there are no further actions needed. Otherwise, another value from the value set may appropriately be used. Binding: ?? (required): Codes providing the status of an observation. ele-1: All FHIR elements must have a @value or children
category	S	1..*	CodeableConcept	left: Classification of type of observation; right: A second category code may be used along with the code “functioning”. For example, for assessment tool/survey instrument observations use “survey” as a second code. Binding: ?? (preferred): Codes for high level observation categories. ele-1: All FHIR elements must have a @value or children
code	SΣ	1..1	CodeableConcept	left: Coded vital sign result type; right: For a Post-Acute Care structured assessment resource such as an instrument or screen, use a LOINC code to identify the instrument/screen name or panel/section title to indicate the kind of assessment. Binding Description (No ValueSet): (extensible): Vital sign result types ele-1: All FHIR elements must have a @value or children
subject	SΣ	1..1	Reference(US Core Patient Profile)	left: Who and/or what the observation is about; right: Should only reference a Patient resource. ele-1: All FHIR elements must have a @value or children
focus	Σ	0..*	Reference(Resource)	left: What the observation is about, when it is not about the subject of record; right: Currently not used in CognitiveStatusCollection. ele-1: All FHIR elements must have a @value or children
encounter	Σ	0..1	Reference(US Core Encounter Profile)	Healthcare event during which this observation is made ele-1: All FHIR elements must have a @value or children
effective[x]	SΣC	1..1		left: Often just a dateTime for Vital Signs; right: Clinical relevant time for an assessment such as cognitive assessments performed with structured evaluation tools is the time the evaluation occurs, i.e., when the clinician obtains the answers entered in the tool. However, the only timing available may be when then tool is completed by the clinician. That timing is generally documented as a point in time (dateTime). ele-1: All FHIR elements must have a @value or children vs-1: if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day
effectiveDateTime			dateTime S
effectivePeriod			Period
issued	Σ	0..1	instant	left: Date/Time this version was made available; right: Currently not used in CognitiveStatusCollection. ele-1: All FHIR elements must have a @value or children
performer	Σ	1..*	Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Organization Profile)	left: Who is responsible for the observation; right: The person who performed the assessment. The preferred way to specify the performer is to use the PractitionerRole resource to provide both the practitioner and organization. ele-1: All FHIR elements must have a @value or children
value[x]	SΣ	0..1		left: Vital Signs Value; right: If used, should use the CodeableConcept datatype whenever possible to provide a suitable code to define the concept for the observation data. When capturing a collection of related observations, typically this field is not used. If the outcome of an assessment includes one or more summary scores, leave this field unused and use the 'hasMember' field to point to one or more Observation resources with each of which has a score provided in the 'value' field. Binding: ?? (extensible): Common UCUM units for recording Vital Signs. ele-1: All FHIR elements must have a @value or children
valueQuantity			Quantity S
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
dataAbsentReason	S	0..1	CodeableConcept	left: Why the result is missing; right: Currently not used in CognitiveStatusCollection. Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing. ele-1: All FHIR elements must have a @value or children
interpretation		0..*	CodeableConcept	left: High, low, normal, etc.; right: Currently not used in CognitiveStatusCollection. Binding: ?? (extensible): Codes identifying interpretations of observations. ele-1: All FHIR elements must have a @value or children
note		0..*	Annotation	Comments about the observation ele-1: All FHIR elements must have a @value or children
bodySite		0..1	CodeableConcept	left: Observed body part; right: Currently not used in CognitiveStatusCollection. Binding: ?? (example): Codes describing anatomical locations. May include laterality. ele-1: All FHIR elements must have a @value or children
method		0..1	CodeableConcept	left: How it was done; right: Currently not used in CognitiveStatusCollection. Binding: ?? (example): Methods for simple observations. ele-1: All FHIR elements must have a @value or children
specimen		0..1	Reference(Specimen)	left: Specimen used for this observation; right: Currently not used in CognitiveStatusCollection. ele-1: All FHIR elements must have a @value or children
device		0..1	Reference(Device | DeviceMetric)	left: (Measurement) Device; right: Currently not used in CognitiveStatusCollection. ele-1: All FHIR elements must have a @value or children
referenceRange	C	0..*	BackboneElement	left: Provides guide for interpretation; right: Currently not used in CognitiveStatusCollection. ele-1: All FHIR elements must have a @value or children obs-3: Must have at least a low or a high or text
extension		0..*	Extension	Additional content defined by implementations ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
low		0..1	??	Low Range, if relevant ele-1: All FHIR elements must have a @value or children
high		0..1	??	High Range, if relevant ele-1: All FHIR elements must have a @value or children
type		0..1	CodeableConcept	Reference range qualifier Binding: ?? (preferred): Code for the meaning of a reference range. ele-1: All FHIR elements must have a @value or children
appliesTo		0..*	CodeableConcept	Reference range population Binding: ?? (example): Codes identifying the population the reference range applies to. ele-1: All FHIR elements must have a @value or children
age		0..1	Range	Applicable age range, if relevant ele-1: All FHIR elements must have a @value or children
text		0..1	string	Text based reference range in an observation ele-1: All FHIR elements must have a @value or children
hasMember	SΣ	0..*		left: Used when reporting vital signs panel components; right: Each cognitive status observation in the collection. ele-1: All FHIR elements must have a @value or children
derivedFrom	SΣ	0..*		left: Related measurements the observation is made from; right: Should point back to the SDC QuestionnaireResponse that this resource is derived from. ele-1: All FHIR elements must have a @value or children
component	SΣC	0..*	BackboneElement	left: Component observations; right: Currently not used in CognitiveStatusCollection. ele-1: All FHIR elements must have a @value or children vs-3: If there is no a value a data absent reason must be present
extension		0..*	Extension	Additional content defined by implementations ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
code	SΣ	1..1	CodeableConcept	left: Coded vital sign result type; right: Type of component observation (code / type) Binding: ?? (extensible): Vital sign result types ele-1: All FHIR elements must have a @value or children
value[x]	SΣ	0..1		left: Vital Sign Component Value; right: Actual component result Binding: ?? (extensible): Common UCUM units for recording Vital Signs. ele-1: All FHIR elements must have a @value or children
valueQuantity			Quantity S
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
dataAbsentReason	S	0..1	CodeableConcept	Why the component result is missing Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing. ele-1: All FHIR elements must have a @value or children
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ?? (extensible): Codes identifying interpretations of observations. ele-1: All FHIR elements must have a @value or children
referenceRange		0..*		Provides guide for interpretation of component result ele-1: All FHIR elements must have a @value or children
Documentation for this format