Lithuanian Vital Signs Implementation Guide
0.0.1 - ci-build Lithuania vėliava

Lithuanian Vital Signs Implementation Guide, published by Lithuanian Medical Library. This guide is not an authorized publication; it is the continuous build for version 0.0.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7LT/ig-lt-vitalsigns/ and changes regularly. See the Directory of published versions

Resursų profilis: Blood Pressure Panel

Oficialus URL: https://hl7.lt/fhir/vitalsigns/StructureDefinition/blood-pressure-panel Versija: 1.0.0
Mašiniškai apdorojamas pavadinimas: BloodPressurePanel

Autorių teisės/Teisinė informacija: MIT

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

Usages:

You can also check for usages in the FHIR IG Statistics

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NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* ObservationLt(0.3.0) Measurements and simple assertions
Constraints: obs-6, obs-7, obs-8
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
.... extension:sleepStatus S 0..1 CodeableConcept Sleep Status
URL: https://hl7.lt/fhir/vitalsigns/StructureDefinition/sleep-status
Binding: SleepStatusVitalSigns (1.0.0) (extensible)
Constraints: ext-1
.... extension:exerciseAssociation S 0..1 CodeableConcept Exercise Association
URL: https://hl7.lt/fhir/vitalsigns/StructureDefinition/exercise-association
Binding: ExertionPhase (1.0.0) (extensible)
Constraints: ext-1
.... extension:measurementSetting S 0..1 CodeableConcept Measurement setting
URL: https://hl7.lt/fhir/vitalsigns/StructureDefinition/measurement-setting
Binding: MeasurementEnvironment (1.0.0) (extensible)
Constraints: ext-1
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... identifier SΣ 0..* Identifier Business Identifier for observation
... instantiates[x] SΣ 0..1 canonical(ObservationDefinition), Reference(ObservationDefinition) Instantiates FHIR ObservationDefinition
... basedOn SΣ 0..1 Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
... triggeredBy S 0..* BackboneElement Triggering observation(s)
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... observation Σ 1..1 Reference(ObservationLt(0.3.0)) Triggering observation
.... type Σ 1..1 code reflex | repeat | re-run
Binding: TriggeredBytype (required): The type of TriggeredBy Observation.
.... reason S 0..1 string Reason that the observation was triggered
... partOf SΣ 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy | GenomicStudy) Part of referenced event
... status ?!SΣ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.
... Slices for category S 2..* CodeableConcept Classification of type of observation
Slice: Unordered, Open by pattern:$this
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
.... category:VSCat S 1..1 CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.

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://terminology.hl7.org/CodeSystem/observation-category
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: vital-signs
...... 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
.... category:BPCategory S 1..1 CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.

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
... code SΣC 1..1 CodeableConcept Blood Pressure
Binding: LOINCCodes (example): Codes identifying names of simple observations.
.... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:LOINC SΣ 1..1 Coding Blood Pressure Panel (LOINC)
Binding: BloodPressurePanelObservation (6.0.0) (preferred)
...... system Σ 1..1 uri Identity of the terminology system
Required Pattern: http://loinc.org
..... coding:SNOMED Σ 0..1 Coding Blood Pressure Panel (SNOMED CT)
Binding: BloodPressurePanelObservationSNOMED (1.0.0) (extensible)
...... system Σ 1..1 uri Identity of the terminology system
Required Pattern: http://snomed.info/sct
... subject SΣ 0..1 Reference(PatientLt(0.3.0) | LocationLt(0.3.0) | OrganizationLt(0.3.0) | Procedure | PractitionerLt(0.3.0) | Medication) Who and/or what the observation is about
... focus SΣ 0..* Reference(Resource) What the observation is about, when it is not about the subject of record
... encounter SΣ 0..1 Reference(EncounterLt(0.3.0)) Healthcare event during which this observation is made
... effective[x] SΣC 1..1 dateTime Vital Signs are point in time measurements and are recorded using the dateTime data type
... issued SΣ 0..1 instant Date/Time this version was made available
... performer SΣ 0..* Reference(PractitionerLt(0.3.0) | PractitionerRoleLt(0.3.0) | OrganizationLt(0.3.0)) Who is responsible for the observation
... dataAbsentReason SC 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: NumericResultInterpretation (1.0.0) (extensible)
... note S 0..* Annotation Comments about the observation
... bodyStructure SC 0..1 Reference(Body Structure for Blood Pressure(0.0.1)) Describe body characteristics where on/in body an observation or procedure took place
... method S 0..1 CodeableConcept How it was done
Binding: BloodPressureMeasurementMethod (1.0.0) (extensible): A set of codes that describe the method used to measure a blood pressure
... device S 0..1 Reference(Device for Blood Pressure Measurement(1.0.0)) Blood Pressure Device
... referenceRange SC 0..* BackboneElement Provides guide for interpretation
Constraints: obs-3
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... low SC 0..1 SimpleQuantity(5.0.0) Low Range, if relevant
.... high SC 0..1 SimpleQuantity(5.0.0) High Range, if relevant
.... normalValue S 0..1 CodeableConcept Normal value, if relevant
Binding: ObservationReferenceRangeNormalValueCodes (extensible): Codes identifying the normal value of the observation.
.... age S 0..1 Range Applicable age range, if relevant
.... text SC 0..1 markdown Text based reference range in an observation
... hasMember SΣ 0..* Reference(ObservationLt(0.3.0) | QuestionnaireResponse) Related resource that belongs to the Observation group
... derivedFrom SΣ 0..* Reference(DocumentReference | ImagingStudy | QuestionnaireResponse | ObservationLt(0.3.0)) Related resource from which the observation is made
... Slices for component SΣC 2..* BackboneElement Used when reporting systolic and diastolic blood pressure.
Slice: Unordered, Open by value:extension.url, pattern:extension.value
.... component:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... code SΣC 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
..... value[x] SΣ 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
...... valueAttachment Attachment
...... valueReference Reference(MolecularSequence)
.... component:SystolicBP SΣC 1..1 BackboneElement Component results
Constraints: vsp-3-sbp
..... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url, value:value
Constraints: ext-1
...... extension:SBPCode 1..1 (Complex) Classification of type of observation component
URL: http://hl7.org/fhir/StructureDefinition/observation-componentCategory
Constraints: ext-1
....... extension 0..0 Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
....... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/observation-componentCategory"
....... value[x] 1..1 CodeableConcept Value of extension
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories of the component.
Required Pattern: At least the following
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... code SΣC 1..1 CodeableConcept Systolic Blood Pressure
Binding: LOINCCodes (example): Codes identifying names of simple observations.
...... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
....... coding:LOINC SΣ 1..1 Coding Systolic BP (LOINC)
Binding: BloodPressureSystolicObservation (6.0.0) (preferred)
........ system Σ 1..1 uri Identity of the terminology system
Required Pattern: http://loinc.org
....... coding:SNOMED Σ 0..1 Coding Systolic BP (SNOMED CT)
Binding: BloodPressureSystolicObservationSNOMED (1.0.0) (extensible)
........ system Σ 1..1 uri Identity of the terminology system
Required Pattern: http://snomed.info/sct
..... value[x] SΣC 0..1 Quantity Vital Sign Systolic BP Component Value recorded with UCUM mm[Hg]
Binding: BloodPressureUnit (6.0.0) (required)
...... value SΣ 1..1 decimal Numerical value (with implicit precision)
...... comparator ?!Σ 0..1 code < | <= | >= | > | ad - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit SΣ 1..1 string Unit representation
...... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
...... code SΣC 1..1 code Coded form of the unit
Fixed Value: mm[Hg]
..... dataAbsentReason SC 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
.... component:DiastolicBP SΣC 1..1 BackboneElement Component results
Constraints: vsp-3-dbp
..... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url, pattern:value
Constraints: ext-1
...... extension:DBPCode 1..1 (Complex) Classification of type of observation component
URL: http://hl7.org/fhir/StructureDefinition/observation-componentCategory
Constraints: ext-1
....... extension 0..0 Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
....... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/observation-componentCategory"
....... value[x] 1..1 CodeableConcept Value of extension
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories of the component.
Required Pattern: At least the following
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... code SΣC 1..1 CodeableConcept Diastolic Blood Pressure
Binding: LOINCCodes (example): Codes identifying names of simple observations.
...... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
....... coding:LOINC SΣ 1..1 Coding Diastolic BP (LOINC)
Binding: BloodPressureDiastolicObservation (6.0.0) (preferred)
........ system Σ 1..1 uri Identity of the terminology system
Required Pattern: http://loinc.org
....... coding:SNOMED Σ 0..1 Coding Diastolic BP (SNOMED CT)
Binding: BloodPressureDiastolicObservationSNOMED (1.0.0) (extensible)
........ system Σ 1..1 uri Identity of the terminology system
Required Pattern: http://snomed.info/sct
..... value[x] SΣC 0..1 Quantity Vital Sign DiastolicBP BP Component Value recorded with UCUM mm[Hg]
Binding: BloodPressureUnit (6.0.0) (required)
...... value SΣ 1..1 decimal Numerical value (with implicit precision)
...... comparator ?!Σ 0..1 code < | <= | >= | > | ad - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit SΣ 1..1 string Unit representation
...... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
...... code SΣC 1..1 code Coded form of the unit
Fixed Value: mm[Hg]
..... dataAbsentReason SC 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
.... component:MeanArterialBP SΣC 0..1 BackboneElement Mean Arterial Blood Pressure
..... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url, value:value
Constraints: ext-1
...... extension:MeanCode 1..1 (Complex) Classification of type of observation component
URL: http://hl7.org/fhir/StructureDefinition/observation-componentCategory
Constraints: ext-1
....... extension 0..0 Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
....... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/observation-componentCategory"
....... value[x] 1..1 CodeableConcept Value of extension
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories of the component.
Required Pattern: At least the following
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... code SΣC 1..1 CodeableConcept Mean blood pressure
Binding: LOINCCodes (example): Codes identifying names of simple observations.
...... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
....... coding:LOINC SΣ 1..1 Coding Mean BP (LOINC)
Binding: BloodPressureMeanObservation (1.0.0) (preferred)
........ system Σ 1..1 uri Identity of the terminology system
Required Pattern: http://loinc.org
....... coding:SNOMED Σ 0..1 Coding Mean BP (SNOMED CT)
Binding: BloodPressureMeanObservationSNOMED (1.0.0) (extensible)
........ system Σ 1..1 uri Identity of the terminology system
Required Pattern: http://snomed.info/sct
..... value[x] SΣ 0..1 Quantity Actual component result
...... value SΣ 1..1 decimal Numerical value (with implicit precision)
...... comparator ?!Σ 0..1 code < | <= | >= | > | ad - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit SΣ 1..1 string Unit representation
...... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
...... code SΣC 1..1 code Coded form of the unit
Fixed Value: mm[Hg]

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.triggeredBy.​type Base required triggered Bytype 📍5.0.0 FHIR Std.
Observation.status Base required Observation Status 📍5.0.0 FHIR Std.
Observation.category Base preferred Observation Category Codes 📍5.0.0 FHIR Std.
Observation.category:VSCat Base preferred Observation Category Codes 📍5.0.0 FHIR Std.
Observation.category:BPCategory Base preferred Observation Category Codes 📍5.0.0 FHIR Std.
Observation.code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.code.coding:LOINC Base preferred BP Panel observation codes 📍6.0.0 This IG
Observation.code.coding:SNOMED Base extensible Blood Pressure Panel observation codes (SNOMED CT) 📍1.0.0 This IG
Observation.dataAbsentReason Base extensible Data Absent Reason 📍5.0.0 FHIR Std.
Observation.interpretation Base extensible Numeric Result Interpretation value set 📍1.0.0 This IG
Observation.method Base extensible Blood Pressure Measurement Method 📍1.0.0 This IG
Observation.referenceRange.​normalValue Base extensible Observation Reference Range Normal Value Codes 📍5.0.0 FHIR Std.
Observation.component.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component:SystolicBP.​extension:SBPCode.value[x] Base preferred Observation Category Codes 📍5.0.0 FHIR Std.
Observation.component:SystolicBP.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component:SystolicBP.​code.coding:LOINC Base preferred BP Systolic observation codes 📍6.0.0 This IG
Observation.component:SystolicBP.​code.coding:SNOMED Base extensible BP Systolic observation codes (SNOMED CT) 📍1.0.0 This IG
Observation.component:SystolicBP.​value[x] Base required Blood Pressure Units 📍6.0.0 This IG
Observation.component:SystolicBP.​value[x].comparator Base required QuantityComparator 📍5.0.0 FHIR Std.
Observation.component:SystolicBP.​dataAbsentReason Base extensible Data Absent Reason 📍5.0.0 FHIR Std.
Observation.component:DiastolicBP.​extension:DBPCode.value[x] Base preferred Observation Category Codes 📍5.0.0 FHIR Std.
Observation.component:DiastolicBP.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component:DiastolicBP.​code.coding:LOINC Base preferred BP Diastolic observation codes 📍6.0.0 This IG
Observation.component:DiastolicBP.​code.coding:SNOMED Base extensible BP Diastolic observation codes (SNOMED CT) 📍1.0.0 This IG
Observation.component:DiastolicBP.​value[x] Base required Blood Pressure Units 📍6.0.0 This IG
Observation.component:DiastolicBP.​value[x].comparator Base required QuantityComparator 📍5.0.0 FHIR Std.
Observation.component:DiastolicBP.​dataAbsentReason Base extensible Data Absent Reason 📍5.0.0 FHIR Std.
Observation.component:MeanArterialBP.​extension:MeanCode.value[x] Base preferred Observation Category Codes 📍5.0.0 FHIR Std.
Observation.component:MeanArterialBP.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component:MeanArterialBP.​code.coding:LOINC Base preferred BP Mean observation codes (LOINC) 📍1.0.0 This IG
Observation.component:MeanArterialBP.​code.coding:SNOMED Base extensible BP Mean observation codes (SNOMED CT) 📍1.0.0 This IG
Observation.component:MeanArterialBP.​value[x].comparator Base required QuantityComparator 📍5.0.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Observation If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Observation 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 contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Observation If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Observation If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Observation A resource should have narrative for robust management text.`div`.exists()
ele-1 error Observation.implicitRules, Observation.extension, Observation.extension:sleepStatus, Observation.extension:exerciseAssociation, Observation.extension:measurementSetting, Observation.modifierExtension, Observation.identifier, Observation.instantiates[x], Observation.basedOn, Observation.triggeredBy, Observation.triggeredBy.modifierExtension, Observation.triggeredBy.observation, Observation.triggeredBy.type, Observation.triggeredBy.reason, Observation.partOf, Observation.status, Observation.category, Observation.category:VSCat, Observation.category:BPCategory, Observation.code, Observation.code.coding, Observation.code.coding:LOINC, Observation.code.coding:LOINC.system, Observation.code.coding:SNOMED, Observation.code.coding:SNOMED.system, Observation.subject, Observation.focus, Observation.encounter, Observation.effective[x], Observation.issued, Observation.performer, Observation.dataAbsentReason, Observation.interpretation, Observation.note, Observation.bodyStructure, Observation.method, Observation.device, Observation.referenceRange, Observation.referenceRange.modifierExtension, Observation.referenceRange.low, Observation.referenceRange.high, Observation.referenceRange.normalValue, Observation.referenceRange.age, Observation.referenceRange.text, Observation.hasMember, Observation.derivedFrom, Observation.component, Observation.component.modifierExtension, Observation.component.code, Observation.component.value[x], Observation.component:SystolicBP, Observation.component:SystolicBP.extension, Observation.component:SystolicBP.extension:SBPCode, Observation.component:SystolicBP.extension:SBPCode.value[x], Observation.component:SystolicBP.modifierExtension, Observation.component:SystolicBP.code, Observation.component:SystolicBP.code.coding, Observation.component:SystolicBP.code.coding:LOINC, Observation.component:SystolicBP.code.coding:LOINC.system, Observation.component:SystolicBP.code.coding:SNOMED, Observation.component:SystolicBP.code.coding:SNOMED.system, Observation.component:SystolicBP.value[x], Observation.component:SystolicBP.value[x].value, Observation.component:SystolicBP.value[x].comparator, Observation.component:SystolicBP.value[x].unit, Observation.component:SystolicBP.value[x].system, Observation.component:SystolicBP.value[x].code, Observation.component:SystolicBP.dataAbsentReason, Observation.component:DiastolicBP, Observation.component:DiastolicBP.extension, Observation.component:DiastolicBP.extension:DBPCode, Observation.component:DiastolicBP.extension:DBPCode.value[x], Observation.component:DiastolicBP.modifierExtension, Observation.component:DiastolicBP.code, Observation.component:DiastolicBP.code.coding, Observation.component:DiastolicBP.code.coding:LOINC, Observation.component:DiastolicBP.code.coding:LOINC.system, Observation.component:DiastolicBP.code.coding:SNOMED, Observation.component:DiastolicBP.code.coding:SNOMED.system, Observation.component:DiastolicBP.value[x], Observation.component:DiastolicBP.value[x].value, Observation.component:DiastolicBP.value[x].comparator, Observation.component:DiastolicBP.value[x].unit, Observation.component:DiastolicBP.value[x].system, Observation.component:DiastolicBP.value[x].code, Observation.component:DiastolicBP.dataAbsentReason, Observation.component:MeanArterialBP, Observation.component:MeanArterialBP.extension, Observation.component:MeanArterialBP.extension:MeanCode, Observation.component:MeanArterialBP.extension:MeanCode.value[x], Observation.component:MeanArterialBP.modifierExtension, Observation.component:MeanArterialBP.code, Observation.component:MeanArterialBP.code.coding, Observation.component:MeanArterialBP.code.coding:LOINC, Observation.component:MeanArterialBP.code.coding:LOINC.system, Observation.component:MeanArterialBP.code.coding:SNOMED, Observation.component:MeanArterialBP.code.coding:SNOMED.system, Observation.component:MeanArterialBP.value[x], Observation.component:MeanArterialBP.value[x].value, Observation.component:MeanArterialBP.value[x].comparator, Observation.component:MeanArterialBP.value[x].unit, Observation.component:MeanArterialBP.value[x].system, Observation.component:MeanArterialBP.value[x].code All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error Observation.extension, Observation.extension:sleepStatus, Observation.extension:exerciseAssociation, Observation.extension:measurementSetting, Observation.modifierExtension, Observation.triggeredBy.modifierExtension, Observation.referenceRange.modifierExtension, Observation.component.modifierExtension, Observation.component:SystolicBP.extension, Observation.component:SystolicBP.extension:SBPCode, Observation.component:SystolicBP.modifierExtension, Observation.component:DiastolicBP.extension, Observation.component:DiastolicBP.extension:DBPCode, Observation.component:DiastolicBP.modifierExtension, Observation.component:MeanArterialBP.extension, Observation.component:MeanArterialBP.extension:MeanCode, Observation.component:MeanArterialBP.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()
obs-3 error Observation.referenceRange Must have at least a low or a high or text low.exists() or high.exists() or text.exists()
obs-6 error Observation dataAbsentReason SHALL only be present if Observation.value[x] is not present dataAbsentReason.empty() or value.empty()
obs-7 error Observation If Observation.component.code is the same as Observation.code, then Observation.value SHALL NOT be present (the Observation.component.value[x] holds the value). value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
obs-8 error Observation bodyStructure SHALL only be present if Observation.bodySite is not present bodySite.exists() implies bodyStructure.empty()
vsp-3-dbp error Observation.component:DiastolicBP If the diastolic BP component exists and there is no component value a component data absent reason must be present. component.all(value.exists() or dataAbsentReason.exists())
vsp-3-sbp error Observation.component:SystolicBP If the systolic BP component exists and there is no component value a component data absent reason must be present. component.all(value.exists() or dataAbsentReason.exists())

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation 0..* ObservationLt(0.3.0) Measurements and simple assertions
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:sleepStatus S 0..1 CodeableConcept Sleep Status
URL: https://hl7.lt/fhir/vitalsigns/StructureDefinition/sleep-status
Binding: SleepStatusVitalSigns (1.0.0) (extensible)
.... extension:exerciseAssociation S 0..1 CodeableConcept Exercise Association
URL: https://hl7.lt/fhir/vitalsigns/StructureDefinition/exercise-association
Binding: ExertionPhase (1.0.0) (extensible)
.... extension:measurementSetting S 0..1 CodeableConcept Measurement setting
URL: https://hl7.lt/fhir/vitalsigns/StructureDefinition/measurement-setting
Binding: MeasurementEnvironment (1.0.0) (extensible)
... Slices for category 2..* CodeableConcept Classification of type of observation
Slice: Unordered, Open by pattern:$this
.... category:VSCat S 1..1 CodeableConcept Classification of type of observation
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://terminology.hl7.org/CodeSystem/observation-category
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: vital-signs
.... category:BPCategory 1..1 CodeableConcept Classification of type of observation
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
... code 1..1 CodeableConcept Blood Pressure
.... Slices for coding 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:LOINC S 1..1 Coding Blood Pressure Panel (LOINC)
Binding: BloodPressurePanelObservation (6.0.0) (preferred)
...... system 1..1 uri Identity of the terminology system
Required Pattern: http://loinc.org
..... coding:SNOMED 0..1 Coding Blood Pressure Panel (SNOMED CT)
Binding: BloodPressurePanelObservationSNOMED (1.0.0) (extensible)
...... system 1..1 uri Identity of the terminology system
Required Pattern: http://snomed.info/sct
... value[x] 0..0 Actual result
... interpretation 0..1 CodeableConcept High, low, normal, etc
Binding: NumericResultInterpretation (1.0.0) (extensible)
... bodySite 0..0 Observed body part
... bodyStructure 0..1 Reference(Body Structure for Blood Pressure(0.0.1)) Describe body characteristics where on/in body an observation or procedure took place
... method S 0..1 CodeableConcept How it was done
Binding: BloodPressureMeasurementMethod (1.0.0) (extensible): A set of codes that describe the method used to measure a blood pressure
... specimen 0..0 Specimen used for this observation
... device 0..1 Reference(Device for Blood Pressure Measurement(1.0.0)) Blood Pressure Device
... Slices for component 2..* BackboneElement Used when reporting systolic and diastolic blood pressure.
Slice: Unordered, Open by value:extension.url, pattern:extension.value
.... component:SystolicBP SC 1..1 BackboneElement Component results
..... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url, value:value
...... extension:SBPCode 1..1 (Complex) Classification of type of observation component
URL: http://hl7.org/fhir/StructureDefinition/observation-componentCategory
....... value[x] 1..1 CodeableConcept Value of extension
Required Pattern: At least the following
..... code 1..1 CodeableConcept Systolic Blood Pressure
...... Slices for coding 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
....... coding:LOINC S 1..1 Coding Systolic BP (LOINC)
Binding: BloodPressureSystolicObservation (6.0.0) (preferred)
........ system 1..1 uri Identity of the terminology system
Required Pattern: http://loinc.org
....... coding:SNOMED 0..1 Coding Systolic BP (SNOMED CT)
Binding: BloodPressureSystolicObservationSNOMED (1.0.0) (extensible)
........ system 1..1 uri Identity of the terminology system
Required Pattern: http://snomed.info/sct
..... value[x] C 0..1 Quantity Vital Sign Systolic BP Component Value recorded with UCUM mm[Hg]
Binding: BloodPressureUnit (6.0.0) (required)
...... 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]
..... dataAbsentReason SC 0..1 CodeableConcept Why the component result is missing
.... component:DiastolicBP SC 1..1 BackboneElement Component results
..... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url, pattern:value
...... extension:DBPCode 1..1 (Complex) Classification of type of observation component
URL: http://hl7.org/fhir/StructureDefinition/observation-componentCategory
....... value[x] 1..1 CodeableConcept Value of extension
Required Pattern: At least the following
..... code 1..1 CodeableConcept Diastolic Blood Pressure
...... Slices for coding 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
....... coding:LOINC S 1..1 Coding Diastolic BP (LOINC)
Binding: BloodPressureDiastolicObservation (6.0.0) (preferred)
........ system 1..1 uri Identity of the terminology system
Required Pattern: http://loinc.org
....... coding:SNOMED 0..1 Coding Diastolic BP (SNOMED CT)
Binding: BloodPressureDiastolicObservationSNOMED (1.0.0) (extensible)
........ system 1..1 uri Identity of the terminology system
Required Pattern: http://snomed.info/sct
..... value[x] C 0..1 Quantity Vital Sign DiastolicBP BP Component Value recorded with UCUM mm[Hg]
Binding: BloodPressureUnit (6.0.0) (required)
...... 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]
..... dataAbsentReason SC 0..1 CodeableConcept Why the component result is missing
.... component:MeanArterialBP S 0..1 BackboneElement Mean Arterial Blood Pressure
..... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url, value:value
...... extension:MeanCode 1..1 (Complex) Classification of type of observation component
URL: http://hl7.org/fhir/StructureDefinition/observation-componentCategory
....... value[x] 1..1 CodeableConcept Value of extension
Required Pattern: At least the following
..... code 1..1 CodeableConcept Mean blood pressure
...... Slices for coding 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
....... coding:LOINC S 1..1 Coding Mean BP (LOINC)
Binding: BloodPressureMeanObservation (1.0.0) (preferred)
........ system 1..1 uri Identity of the terminology system
Required Pattern: http://loinc.org
....... coding:SNOMED 0..1 Coding Mean BP (SNOMED CT)
Binding: BloodPressureMeanObservationSNOMED (1.0.0) (extensible)
........ system 1..1 uri Identity of the terminology system
Required Pattern: http://snomed.info/sct
..... value[x] 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]

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Observation.code.coding:LOINC Base preferred BP Panel observation codes 📍6.0.0 This IG
Observation.code.coding:SNOMED Base extensible Blood Pressure Panel observation codes (SNOMED CT) 📍1.0.0 This IG
Observation.interpretation Base extensible Numeric Result Interpretation value set 📍1.0.0 This IG
Observation.method Base extensible Blood Pressure Measurement Method 📍1.0.0 This IG
Observation.component:SystolicBP.​code.coding:LOINC Base preferred BP Systolic observation codes 📍6.0.0 This IG
Observation.component:SystolicBP.​code.coding:SNOMED Base extensible BP Systolic observation codes (SNOMED CT) 📍1.0.0 This IG
Observation.component:SystolicBP.​value[x] Base required Blood Pressure Units 📍6.0.0 This IG
Observation.component:DiastolicBP.​code.coding:LOINC Base preferred BP Diastolic observation codes 📍6.0.0 This IG
Observation.component:DiastolicBP.​code.coding:SNOMED Base extensible BP Diastolic observation codes (SNOMED CT) 📍1.0.0 This IG
Observation.component:DiastolicBP.​value[x] Base required Blood Pressure Units 📍6.0.0 This IG
Observation.component:MeanArterialBP.​code.coding:LOINC Base preferred BP Mean observation codes (LOINC) 📍1.0.0 This IG
Observation.component:MeanArterialBP.​code.coding:SNOMED Base extensible BP Mean observation codes (SNOMED CT) 📍1.0.0 This IG

Constraints

Id Grade Path(s) Description Expression
vsp-3-dbp error Observation.component:DiastolicBP If the diastolic BP component exists and there is no component value a component data absent reason must be present. component.all(value.exists() or dataAbsentReason.exists())
vsp-3-sbp error Observation.component:SystolicBP If the systolic BP component exists and there is no component value a component data absent reason must be present. component.all(value.exists() or dataAbsentReason.exists())
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* ObservationLt(0.3.0) Measurements and simple assertions
Constraints: obs-6, obs-7, obs-8
... 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: AllLanguages (required): IETF language tag for a human language
Additional BindingsPurpose
CommonLanguages Starter
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
.... extension:sleepStatus S 0..1 CodeableConcept Sleep Status
URL: https://hl7.lt/fhir/vitalsigns/StructureDefinition/sleep-status
Binding: SleepStatusVitalSigns (1.0.0) (extensible)
Constraints: ext-1
.... extension:exerciseAssociation S 0..1 CodeableConcept Exercise Association
URL: https://hl7.lt/fhir/vitalsigns/StructureDefinition/exercise-association
Binding: ExertionPhase (1.0.0) (extensible)
Constraints: ext-1
.... extension:measurementSetting S 0..1 CodeableConcept Measurement setting
URL: https://hl7.lt/fhir/vitalsigns/StructureDefinition/measurement-setting
Binding: MeasurementEnvironment (1.0.0) (extensible)
Constraints: ext-1
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... identifier SΣ 0..* Identifier Business Identifier for observation
... instantiates[x] SΣ 0..1 canonical(ObservationDefinition), Reference(ObservationDefinition) Instantiates FHIR ObservationDefinition
... basedOn SΣ 0..1 Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
... triggeredBy S 0..* BackboneElement Triggering observation(s)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... observation Σ 1..1 Reference(ObservationLt(0.3.0)) Triggering observation
.... type Σ 1..1 code reflex | repeat | re-run
Binding: TriggeredBytype (required): The type of TriggeredBy Observation.
.... reason S 0..1 string Reason that the observation was triggered
... partOf SΣ 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy | GenomicStudy) Part of referenced event
... status ?!SΣ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.
... Slices for category S 2..* CodeableConcept Classification of type of observation
Slice: Unordered, Open by pattern:$this
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
.... category:VSCat S 1..1 CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.

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://terminology.hl7.org/CodeSystem/observation-category
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: vital-signs
...... 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
.... category:BPCategory S 1..1 CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.

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
... code SΣC 1..1 CodeableConcept Blood Pressure
Binding: LOINCCodes (example): Codes identifying names of simple observations.
.... id 0..1 id Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
.... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:LOINC SΣ 1..1 Coding Blood Pressure Panel (LOINC)
Binding: BloodPressurePanelObservation (6.0.0) (preferred)
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
...... system Σ 1..1 uri Identity of the terminology system
Required Pattern: http://loinc.org
...... version Σ 0..1 string Version of the system - if relevant
...... code ΣC 0..1 code Symbol in syntax defined by the system
...... display ΣC 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:SNOMED Σ 0..1 Coding Blood Pressure Panel (SNOMED CT)
Binding: BloodPressurePanelObservationSNOMED (1.0.0) (extensible)
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
...... system Σ 1..1 uri Identity of the terminology system
Required Pattern: http://snomed.info/sct
...... version Σ 0..1 string Version of the system - if relevant
...... code ΣC 0..1 code Symbol in syntax defined by the system
...... display ΣC 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
... subject SΣ 0..1 Reference(PatientLt(0.3.0) | LocationLt(0.3.0) | OrganizationLt(0.3.0) | Procedure | PractitionerLt(0.3.0) | Medication) Who and/or what the observation is about
... focus SΣ 0..* Reference(Resource) What the observation is about, when it is not about the subject of record
... encounter SΣ 0..1 Reference(EncounterLt(0.3.0)) Healthcare event during which this observation is made
... effective[x] SΣC 1..1 dateTime Vital Signs are point in time measurements and are recorded using the dateTime data type
... issued SΣ 0..1 instant Date/Time this version was made available
... performer SΣ 0..* Reference(PractitionerLt(0.3.0) | PractitionerRoleLt(0.3.0) | OrganizationLt(0.3.0)) Who is responsible for the observation
... dataAbsentReason SC 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: NumericResultInterpretation (1.0.0) (extensible)
... note S 0..* Annotation Comments about the observation
... bodyStructure SC 0..1 Reference(Body Structure for Blood Pressure(0.0.1)) Describe body characteristics where on/in body an observation or procedure took place
... method S 0..1 CodeableConcept How it was done
Binding: BloodPressureMeasurementMethod (1.0.0) (extensible): A set of codes that describe the method used to measure a blood pressure
... device S 0..1 Reference(Device for Blood Pressure Measurement(1.0.0)) Blood Pressure Device
... referenceRange SC 0..* BackboneElement Provides guide for interpretation
Constraints: obs-3
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... low SC 0..1 SimpleQuantity(5.0.0) Low Range, if relevant
.... high SC 0..1 SimpleQuantity(5.0.0) High Range, if relevant
.... normalValue S 0..1 CodeableConcept Normal value, if relevant
Binding: ObservationReferenceRangeNormalValueCodes (extensible): Codes identifying the normal value of the observation.
.... 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 S 0..1 Range Applicable age range, if relevant
.... text SC 0..1 markdown Text based reference range in an observation
... hasMember SΣ 0..* Reference(ObservationLt(0.3.0) | QuestionnaireResponse) Related resource that belongs to the Observation group
... derivedFrom SΣ 0..* Reference(DocumentReference | ImagingStudy | QuestionnaireResponse | ObservationLt(0.3.0)) Related resource from which the observation is made
... Slices for component SΣC 2..* BackboneElement Used when reporting systolic and diastolic blood pressure.
Slice: Unordered, Open by value:extension.url, pattern:extension.value
.... 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
Constraints: ext-1
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... code SΣC 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
..... value[x] SΣ 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
...... valueAttachment Attachment
...... valueReference Reference(MolecularSequence)
..... dataAbsentReason 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 SΣC 1..1 BackboneElement Component results
Constraints: vsp-3-sbp
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url, value:value
Constraints: ext-1
...... extension:SBPCode 1..1 (Complex) Classification of type of observation component
URL: http://hl7.org/fhir/StructureDefinition/observation-componentCategory
Constraints: ext-1
....... id 0..1 id Unique id for inter-element referencing
....... extension 0..0 Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
....... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/observation-componentCategory"
....... value[x] 1..1 CodeableConcept Value of extension
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories of the component.
Required Pattern: At least the following
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... code SΣC 1..1 CodeableConcept Systolic Blood Pressure
Binding: LOINCCodes (example): Codes identifying names of simple observations.
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
...... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
....... coding:LOINC SΣ 1..1 Coding Systolic BP (LOINC)
Binding: BloodPressureSystolicObservation (6.0.0) (preferred)
........ id 0..1 id Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
........ system Σ 1..1 uri Identity of the terminology system
Required Pattern: http://loinc.org
........ version Σ 0..1 string Version of the system - if relevant
........ code ΣC 0..1 code Symbol in syntax defined by the system
........ display ΣC 0..1 string Representation defined by the system
........ userSelected Σ 0..1 boolean If this coding was chosen directly by the user
....... coding:SNOMED Σ 0..1 Coding Systolic BP (SNOMED CT)
Binding: BloodPressureSystolicObservationSNOMED (1.0.0) (extensible)
........ id 0..1 id Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
........ system Σ 1..1 uri Identity of the terminology system
Required Pattern: http://snomed.info/sct
........ version Σ 0..1 string Version of the system - if relevant
........ code ΣC 0..1 code Symbol in syntax defined by the system
........ display ΣC 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
..... value[x] SΣC 0..1 Quantity Vital Sign Systolic BP Component Value recorded with UCUM mm[Hg]
Binding: BloodPressureUnit (6.0.0) (required)
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
...... value SΣ 1..1 decimal Numerical value (with implicit precision)
...... comparator ?!Σ 0..1 code < | <= | >= | > | ad - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit SΣ 1..1 string Unit representation
...... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
...... code SΣC 1..1 code Coded form of the unit
Fixed Value: mm[Hg]
..... dataAbsentReason SC 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 SΣC 1..1 BackboneElement Component results
Constraints: vsp-3-dbp
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url, pattern:value
Constraints: ext-1
...... extension:DBPCode 1..1 (Complex) Classification of type of observation component
URL: http://hl7.org/fhir/StructureDefinition/observation-componentCategory
Constraints: ext-1
....... id 0..1 id Unique id for inter-element referencing
....... extension 0..0 Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
....... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/observation-componentCategory"
....... value[x] 1..1 CodeableConcept Value of extension
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories of the component.
Required Pattern: At least the following
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... code SΣC 1..1 CodeableConcept Diastolic Blood Pressure
Binding: LOINCCodes (example): Codes identifying names of simple observations.
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
...... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
....... coding:LOINC SΣ 1..1 Coding Diastolic BP (LOINC)
Binding: BloodPressureDiastolicObservation (6.0.0) (preferred)
........ id 0..1 id Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
........ system Σ 1..1 uri Identity of the terminology system
Required Pattern: http://loinc.org
........ version Σ 0..1 string Version of the system - if relevant
........ code ΣC 0..1 code Symbol in syntax defined by the system
........ display ΣC 0..1 string Representation defined by the system
........ userSelected Σ 0..1 boolean If this coding was chosen directly by the user
....... coding:SNOMED Σ 0..1 Coding Diastolic BP (SNOMED CT)
Binding: BloodPressureDiastolicObservationSNOMED (1.0.0) (extensible)
........ id 0..1 id Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
........ system Σ 1..1 uri Identity of the terminology system
Required Pattern: http://snomed.info/sct
........ version Σ 0..1 string Version of the system - if relevant
........ code ΣC 0..1 code Symbol in syntax defined by the system
........ display ΣC 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
..... value[x] SΣC 0..1 Quantity Vital Sign DiastolicBP BP Component Value recorded with UCUM mm[Hg]
Binding: BloodPressureUnit (6.0.0) (required)
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
...... value SΣ 1..1 decimal Numerical value (with implicit precision)
...... comparator ?!Σ 0..1 code < | <= | >= | > | ad - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit SΣ 1..1 string Unit representation
...... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
...... code SΣC 1..1 code Coded form of the unit
Fixed Value: mm[Hg]
..... dataAbsentReason SC 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 SΣC 0..1 BackboneElement Mean Arterial Blood Pressure
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url, value:value
Constraints: ext-1
...... extension:MeanCode 1..1 (Complex) Classification of type of observation component
URL: http://hl7.org/fhir/StructureDefinition/observation-componentCategory
Constraints: ext-1
....... id 0..1 id Unique id for inter-element referencing
....... extension 0..0 Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
....... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/observation-componentCategory"
....... value[x] 1..1 CodeableConcept Value of extension
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories of the component.
Required Pattern: At least the following
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... code SΣC 1..1 CodeableConcept Mean blood pressure
Binding: LOINCCodes (example): Codes identifying names of simple observations.
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
...... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
....... coding:LOINC SΣ 1..1 Coding Mean BP (LOINC)
Binding: BloodPressureMeanObservation (1.0.0) (preferred)
........ id 0..1 id Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
........ system Σ 1..1 uri Identity of the terminology system
Required Pattern: http://loinc.org
........ version Σ 0..1 string Version of the system - if relevant
........ code ΣC 0..1 code Symbol in syntax defined by the system
........ display ΣC 0..1 string Representation defined by the system
........ userSelected Σ 0..1 boolean If this coding was chosen directly by the user
....... coding:SNOMED Σ 0..1 Coding Mean BP (SNOMED CT)
Binding: BloodPressureMeanObservationSNOMED (1.0.0) (extensible)
........ id 0..1 id Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
........ system Σ 1..1 uri Identity of the terminology system
Required Pattern: http://snomed.info/sct
........ version Σ 0..1 string Version of the system - if relevant
........ code ΣC 0..1 code Symbol in syntax defined by the system
........ display ΣC 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
..... value[x] SΣ 0..1 Quantity Actual component result
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
...... value SΣ 1..1 decimal Numerical value (with implicit precision)
...... comparator ?!Σ 0..1 code < | <= | >= | > | ad - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit SΣ 1..1 string Unit representation
...... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
...... code SΣC 1..1 code Coded form of the unit
Fixed Value: mm[Hg]
..... dataAbsentReason 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

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.language Base required All Languages 📍5.0.0 FHIR Std.
Observation.triggeredBy.​type Base required triggered Bytype 📍5.0.0 FHIR Std.
Observation.status Base required Observation Status 📍5.0.0 FHIR Std.
Observation.category Base preferred Observation Category Codes 📍5.0.0 FHIR Std.
Observation.category:VSCat Base preferred Observation Category Codes 📍5.0.0 FHIR Std.
Observation.category:BPCategory Base preferred Observation Category Codes 📍5.0.0 FHIR Std.
Observation.code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.code.coding:LOINC Base preferred BP Panel observation codes 📍6.0.0 This IG
Observation.code.coding:SNOMED Base extensible Blood Pressure Panel observation codes (SNOMED CT) 📍1.0.0 This IG
Observation.dataAbsentReason Base extensible Data Absent Reason 📍5.0.0 FHIR Std.
Observation.interpretation Base extensible Numeric Result Interpretation value set 📍1.0.0 This IG
Observation.method Base extensible Blood Pressure Measurement Method 📍1.0.0 This IG
Observation.referenceRange.​normalValue Base extensible Observation Reference Range Normal Value Codes 📍5.0.0 FHIR Std.
Observation.referenceRange.​type Base preferred Observation Reference Range Meaning Codes 📍5.0.0 FHIR Std.
Observation.referenceRange.​appliesTo Base example Observation Reference Range Applies To Codes 📍5.0.0 FHIR Std.
Observation.component.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component.​dataAbsentReason Base extensible Data Absent Reason 📍5.0.0 FHIR Std.
Observation.component.​interpretation Base extensible Observation Interpretation Codes 📍5.0.0 FHIR Std.
Observation.component:SystolicBP.​extension:SBPCode.value[x] Base preferred Observation Category Codes 📍5.0.0 FHIR Std.
Observation.component:SystolicBP.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component:SystolicBP.​code.coding:LOINC Base preferred BP Systolic observation codes 📍6.0.0 This IG
Observation.component:SystolicBP.​code.coding:SNOMED Base extensible BP Systolic observation codes (SNOMED CT) 📍1.0.0 This IG
Observation.component:SystolicBP.​value[x] Base required Blood Pressure Units 📍6.0.0 This IG
Observation.component:SystolicBP.​value[x].comparator Base required QuantityComparator 📍5.0.0 FHIR Std.
Observation.component:SystolicBP.​dataAbsentReason Base extensible Data Absent Reason 📍5.0.0 FHIR Std.
Observation.component:SystolicBP.​interpretation Base extensible Observation Interpretation Codes 📍5.0.0 FHIR Std.
Observation.component:DiastolicBP.​extension:DBPCode.value[x] Base preferred Observation Category Codes 📍5.0.0 FHIR Std.
Observation.component:DiastolicBP.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component:DiastolicBP.​code.coding:LOINC Base preferred BP Diastolic observation codes 📍6.0.0 This IG
Observation.component:DiastolicBP.​code.coding:SNOMED Base extensible BP Diastolic observation codes (SNOMED CT) 📍1.0.0 This IG
Observation.component:DiastolicBP.​value[x] Base required Blood Pressure Units 📍6.0.0 This IG
Observation.component:DiastolicBP.​value[x].comparator Base required QuantityComparator 📍5.0.0 FHIR Std.
Observation.component:DiastolicBP.​dataAbsentReason Base extensible Data Absent Reason 📍5.0.0 FHIR Std.
Observation.component:DiastolicBP.​interpretation Base extensible Observation Interpretation Codes 📍5.0.0 FHIR Std.
Observation.component:MeanArterialBP.​extension:MeanCode.value[x] Base preferred Observation Category Codes 📍5.0.0 FHIR Std.
Observation.component:MeanArterialBP.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component:MeanArterialBP.​code.coding:LOINC Base preferred BP Mean observation codes (LOINC) 📍1.0.0 This IG
Observation.component:MeanArterialBP.​code.coding:SNOMED Base extensible BP Mean observation codes (SNOMED CT) 📍1.0.0 This IG
Observation.component:MeanArterialBP.​value[x].comparator Base required QuantityComparator 📍5.0.0 FHIR Std.
Observation.component:MeanArterialBP.​dataAbsentReason Base extensible Data Absent Reason 📍5.0.0 FHIR Std.
Observation.component:MeanArterialBP.​interpretation Base extensible Observation Interpretation Codes 📍5.0.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Observation If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Observation 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 contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Observation If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Observation If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Observation A resource should have narrative for robust management text.`div`.exists()
ele-1 error Observation.meta, Observation.implicitRules, Observation.language, Observation.text, Observation.extension, Observation.extension:sleepStatus, Observation.extension:exerciseAssociation, Observation.extension:measurementSetting, Observation.modifierExtension, Observation.identifier, Observation.instantiates[x], Observation.basedOn, Observation.triggeredBy, Observation.triggeredBy.extension, Observation.triggeredBy.modifierExtension, Observation.triggeredBy.observation, Observation.triggeredBy.type, Observation.triggeredBy.reason, Observation.partOf, Observation.status, Observation.category, Observation.category:VSCat, Observation.category:BPCategory, Observation.code, Observation.code.extension, Observation.code.coding, Observation.code.coding:LOINC, Observation.code.coding:LOINC.extension, Observation.code.coding:LOINC.system, Observation.code.coding:LOINC.version, Observation.code.coding:LOINC.code, Observation.code.coding:LOINC.display, Observation.code.coding:LOINC.userSelected, Observation.code.coding:SNOMED, Observation.code.coding:SNOMED.extension, Observation.code.coding:SNOMED.system, Observation.code.coding:SNOMED.version, Observation.code.coding:SNOMED.code, Observation.code.coding:SNOMED.display, Observation.code.coding:SNOMED.userSelected, Observation.code.text, Observation.subject, Observation.focus, Observation.encounter, Observation.effective[x], Observation.issued, Observation.performer, Observation.dataAbsentReason, Observation.interpretation, Observation.note, Observation.bodyStructure, Observation.method, Observation.device, Observation.referenceRange, Observation.referenceRange.extension, Observation.referenceRange.modifierExtension, Observation.referenceRange.low, Observation.referenceRange.high, Observation.referenceRange.normalValue, Observation.referenceRange.type, Observation.referenceRange.appliesTo, Observation.referenceRange.age, Observation.referenceRange.text, Observation.hasMember, Observation.derivedFrom, Observation.component, Observation.component.extension, Observation.component.modifierExtension, Observation.component.code, Observation.component.value[x], Observation.component.dataAbsentReason, Observation.component.interpretation, Observation.component.referenceRange, Observation.component:SystolicBP, Observation.component:SystolicBP.extension, Observation.component:SystolicBP.extension:SBPCode, Observation.component:SystolicBP.extension:SBPCode.value[x], Observation.component:SystolicBP.modifierExtension, Observation.component:SystolicBP.code, Observation.component:SystolicBP.code.extension, Observation.component:SystolicBP.code.coding, Observation.component:SystolicBP.code.coding:LOINC, Observation.component:SystolicBP.code.coding:LOINC.extension, Observation.component:SystolicBP.code.coding:LOINC.system, Observation.component:SystolicBP.code.coding:LOINC.version, Observation.component:SystolicBP.code.coding:LOINC.code, Observation.component:SystolicBP.code.coding:LOINC.display, Observation.component:SystolicBP.code.coding:LOINC.userSelected, Observation.component:SystolicBP.code.coding:SNOMED, Observation.component:SystolicBP.code.coding:SNOMED.extension, Observation.component:SystolicBP.code.coding:SNOMED.system, Observation.component:SystolicBP.code.coding:SNOMED.version, Observation.component:SystolicBP.code.coding:SNOMED.code, Observation.component:SystolicBP.code.coding:SNOMED.display, Observation.component:SystolicBP.code.coding:SNOMED.userSelected, Observation.component:SystolicBP.code.text, Observation.component:SystolicBP.value[x], Observation.component:SystolicBP.value[x].extension, Observation.component:SystolicBP.value[x].value, Observation.component:SystolicBP.value[x].comparator, Observation.component:SystolicBP.value[x].unit, Observation.component:SystolicBP.value[x].system, Observation.component:SystolicBP.value[x].code, Observation.component:SystolicBP.dataAbsentReason, Observation.component:SystolicBP.interpretation, Observation.component:SystolicBP.referenceRange, Observation.component:DiastolicBP, Observation.component:DiastolicBP.extension, Observation.component:DiastolicBP.extension:DBPCode, Observation.component:DiastolicBP.extension:DBPCode.value[x], Observation.component:DiastolicBP.modifierExtension, Observation.component:DiastolicBP.code, Observation.component:DiastolicBP.code.extension, Observation.component:DiastolicBP.code.coding, Observation.component:DiastolicBP.code.coding:LOINC, Observation.component:DiastolicBP.code.coding:LOINC.extension, Observation.component:DiastolicBP.code.coding:LOINC.system, Observation.component:DiastolicBP.code.coding:LOINC.version, Observation.component:DiastolicBP.code.coding:LOINC.code, Observation.component:DiastolicBP.code.coding:LOINC.display, Observation.component:DiastolicBP.code.coding:LOINC.userSelected, Observation.component:DiastolicBP.code.coding:SNOMED, Observation.component:DiastolicBP.code.coding:SNOMED.extension, Observation.component:DiastolicBP.code.coding:SNOMED.system, Observation.component:DiastolicBP.code.coding:SNOMED.version, Observation.component:DiastolicBP.code.coding:SNOMED.code, Observation.component:DiastolicBP.code.coding:SNOMED.display, Observation.component:DiastolicBP.code.coding:SNOMED.userSelected, Observation.component:DiastolicBP.code.text, Observation.component:DiastolicBP.value[x], Observation.component:DiastolicBP.value[x].extension, Observation.component:DiastolicBP.value[x].value, Observation.component:DiastolicBP.value[x].comparator, Observation.component:DiastolicBP.value[x].unit, Observation.component:DiastolicBP.value[x].system, Observation.component:DiastolicBP.value[x].code, Observation.component:DiastolicBP.dataAbsentReason, Observation.component:DiastolicBP.interpretation, Observation.component:DiastolicBP.referenceRange, Observation.component:MeanArterialBP, Observation.component:MeanArterialBP.extension, Observation.component:MeanArterialBP.extension:MeanCode, Observation.component:MeanArterialBP.extension:MeanCode.value[x], Observation.component:MeanArterialBP.modifierExtension, Observation.component:MeanArterialBP.code, Observation.component:MeanArterialBP.code.extension, Observation.component:MeanArterialBP.code.coding, Observation.component:MeanArterialBP.code.coding:LOINC, Observation.component:MeanArterialBP.code.coding:LOINC.extension, Observation.component:MeanArterialBP.code.coding:LOINC.system, Observation.component:MeanArterialBP.code.coding:LOINC.version, Observation.component:MeanArterialBP.code.coding:LOINC.code, Observation.component:MeanArterialBP.code.coding:LOINC.display, Observation.component:MeanArterialBP.code.coding:LOINC.userSelected, Observation.component:MeanArterialBP.code.coding:SNOMED, Observation.component:MeanArterialBP.code.coding:SNOMED.extension, Observation.component:MeanArterialBP.code.coding:SNOMED.system, Observation.component:MeanArterialBP.code.coding:SNOMED.version, Observation.component:MeanArterialBP.code.coding:SNOMED.code, Observation.component:MeanArterialBP.code.coding:SNOMED.display, Observation.component:MeanArterialBP.code.coding:SNOMED.userSelected, Observation.component:MeanArterialBP.code.text, Observation.component:MeanArterialBP.value[x], Observation.component:MeanArterialBP.value[x].extension, Observation.component:MeanArterialBP.value[x].value, Observation.component:MeanArterialBP.value[x].comparator, Observation.component:MeanArterialBP.value[x].unit, Observation.component:MeanArterialBP.value[x].system, Observation.component:MeanArterialBP.value[x].code, Observation.component:MeanArterialBP.dataAbsentReason, Observation.component:MeanArterialBP.interpretation, Observation.component:MeanArterialBP.referenceRange All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error Observation.extension, Observation.extension:sleepStatus, Observation.extension:exerciseAssociation, Observation.extension:measurementSetting, Observation.modifierExtension, Observation.triggeredBy.extension, Observation.triggeredBy.modifierExtension, Observation.code.extension, Observation.code.coding:LOINC.extension, Observation.code.coding:SNOMED.extension, Observation.referenceRange.extension, Observation.referenceRange.modifierExtension, Observation.component.extension, Observation.component.modifierExtension, Observation.component:SystolicBP.extension, Observation.component:SystolicBP.extension:SBPCode, Observation.component:SystolicBP.modifierExtension, Observation.component:SystolicBP.code.extension, Observation.component:SystolicBP.code.coding:LOINC.extension, Observation.component:SystolicBP.code.coding:SNOMED.extension, Observation.component:SystolicBP.value[x].extension, Observation.component:DiastolicBP.extension, Observation.component:DiastolicBP.extension:DBPCode, Observation.component:DiastolicBP.modifierExtension, Observation.component:DiastolicBP.code.extension, Observation.component:DiastolicBP.code.coding:LOINC.extension, Observation.component:DiastolicBP.code.coding:SNOMED.extension, Observation.component:DiastolicBP.value[x].extension, Observation.component:MeanArterialBP.extension, Observation.component:MeanArterialBP.extension:MeanCode, Observation.component:MeanArterialBP.modifierExtension, Observation.component:MeanArterialBP.code.extension, Observation.component:MeanArterialBP.code.coding:LOINC.extension, Observation.component:MeanArterialBP.code.coding:SNOMED.extension, Observation.component:MeanArterialBP.value[x].extension Must have either extensions or value[x], not both extension.exists() != value.exists()
obs-3 error Observation.referenceRange Must have at least a low or a high or text low.exists() or high.exists() or text.exists()
obs-6 error Observation dataAbsentReason SHALL only be present if Observation.value[x] is not present dataAbsentReason.empty() or value.empty()
obs-7 error Observation If Observation.component.code is the same as Observation.code, then Observation.value SHALL NOT be present (the Observation.component.value[x] holds the value). value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
obs-8 error Observation bodyStructure SHALL only be present if Observation.bodySite is not present bodySite.exists() implies bodyStructure.empty()
vsp-3-dbp error Observation.component:DiastolicBP If the diastolic BP component exists and there is no component value a component data absent reason must be present. component.all(value.exists() or dataAbsentReason.exists())
vsp-3-sbp error Observation.component:SystolicBP If the systolic BP component exists and there is no component value a component data absent reason must be present. component.all(value.exists() or dataAbsentReason.exists())

Summary

Mandatory: 18 elements(21 nested mandatory elements)
Must-Support: 26 elements
Fixed: 6 elements
Prohibited: 3 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Observation.category
  • The element 1 is sliced based on the value of Observation.code.coding
  • SD_SUMMARY_SLICE_few
  • The element 1 is sliced based on the value of Observation.component.code.coding

Pagrindinių elementų peržiūra

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* ObservationLt(0.3.0) Measurements and simple assertions
Constraints: obs-6, obs-7, obs-8
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
.... extension:sleepStatus S 0..1 CodeableConcept Sleep Status
URL: https://hl7.lt/fhir/vitalsigns/StructureDefinition/sleep-status
Binding: SleepStatusVitalSigns (1.0.0) (extensible)
Constraints: ext-1
.... extension:exerciseAssociation S 0..1 CodeableConcept Exercise Association
URL: https://hl7.lt/fhir/vitalsigns/StructureDefinition/exercise-association
Binding: ExertionPhase (1.0.0) (extensible)
Constraints: ext-1
.... extension:measurementSetting S 0..1 CodeableConcept Measurement setting
URL: https://hl7.lt/fhir/vitalsigns/StructureDefinition/measurement-setting
Binding: MeasurementEnvironment (1.0.0) (extensible)
Constraints: ext-1
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... identifier SΣ 0..* Identifier Business Identifier for observation
... instantiates[x] SΣ 0..1 canonical(ObservationDefinition), Reference(ObservationDefinition) Instantiates FHIR ObservationDefinition
... basedOn SΣ 0..1 Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
... triggeredBy S 0..* BackboneElement Triggering observation(s)
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... observation Σ 1..1 Reference(ObservationLt(0.3.0)) Triggering observation
.... type Σ 1..1 code reflex | repeat | re-run
Binding: TriggeredBytype (required): The type of TriggeredBy Observation.
.... reason S 0..1 string Reason that the observation was triggered
... partOf SΣ 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy | GenomicStudy) Part of referenced event
... status ?!SΣ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.
... Slices for category S 2..* CodeableConcept Classification of type of observation
Slice: Unordered, Open by pattern:$this
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
.... category:VSCat S 1..1 CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.

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://terminology.hl7.org/CodeSystem/observation-category
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: vital-signs
...... 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
.... category:BPCategory S 1..1 CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.

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
... code SΣC 1..1 CodeableConcept Blood Pressure
Binding: LOINCCodes (example): Codes identifying names of simple observations.
.... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:LOINC SΣ 1..1 Coding Blood Pressure Panel (LOINC)
Binding: BloodPressurePanelObservation (6.0.0) (preferred)
...... system Σ 1..1 uri Identity of the terminology system
Required Pattern: http://loinc.org
..... coding:SNOMED Σ 0..1 Coding Blood Pressure Panel (SNOMED CT)
Binding: BloodPressurePanelObservationSNOMED (1.0.0) (extensible)
...... system Σ 1..1 uri Identity of the terminology system
Required Pattern: http://snomed.info/sct
... subject SΣ 0..1 Reference(PatientLt(0.3.0) | LocationLt(0.3.0) | OrganizationLt(0.3.0) | Procedure | PractitionerLt(0.3.0) | Medication) Who and/or what the observation is about
... focus SΣ 0..* Reference(Resource) What the observation is about, when it is not about the subject of record
... encounter SΣ 0..1 Reference(EncounterLt(0.3.0)) Healthcare event during which this observation is made
... effective[x] SΣC 1..1 dateTime Vital Signs are point in time measurements and are recorded using the dateTime data type
... issued SΣ 0..1 instant Date/Time this version was made available
... performer SΣ 0..* Reference(PractitionerLt(0.3.0) | PractitionerRoleLt(0.3.0) | OrganizationLt(0.3.0)) Who is responsible for the observation
... dataAbsentReason SC 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: NumericResultInterpretation (1.0.0) (extensible)
... note S 0..* Annotation Comments about the observation
... bodyStructure SC 0..1 Reference(Body Structure for Blood Pressure(0.0.1)) Describe body characteristics where on/in body an observation or procedure took place
... method S 0..1 CodeableConcept How it was done
Binding: BloodPressureMeasurementMethod (1.0.0) (extensible): A set of codes that describe the method used to measure a blood pressure
... device S 0..1 Reference(Device for Blood Pressure Measurement(1.0.0)) Blood Pressure Device
... referenceRange SC 0..* BackboneElement Provides guide for interpretation
Constraints: obs-3
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... low SC 0..1 SimpleQuantity(5.0.0) Low Range, if relevant
.... high SC 0..1 SimpleQuantity(5.0.0) High Range, if relevant
.... normalValue S 0..1 CodeableConcept Normal value, if relevant
Binding: ObservationReferenceRangeNormalValueCodes (extensible): Codes identifying the normal value of the observation.
.... age S 0..1 Range Applicable age range, if relevant
.... text SC 0..1 markdown Text based reference range in an observation
... hasMember SΣ 0..* Reference(ObservationLt(0.3.0) | QuestionnaireResponse) Related resource that belongs to the Observation group
... derivedFrom SΣ 0..* Reference(DocumentReference | ImagingStudy | QuestionnaireResponse | ObservationLt(0.3.0)) Related resource from which the observation is made
... Slices for component SΣC 2..* BackboneElement Used when reporting systolic and diastolic blood pressure.
Slice: Unordered, Open by value:extension.url, pattern:extension.value
.... component:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... code SΣC 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
..... value[x] SΣ 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
...... valueAttachment Attachment
...... valueReference Reference(MolecularSequence)
.... component:SystolicBP SΣC 1..1 BackboneElement Component results
Constraints: vsp-3-sbp
..... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url, value:value
Constraints: ext-1
...... extension:SBPCode 1..1 (Complex) Classification of type of observation component
URL: http://hl7.org/fhir/StructureDefinition/observation-componentCategory
Constraints: ext-1
....... extension 0..0 Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
....... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/observation-componentCategory"
....... value[x] 1..1 CodeableConcept Value of extension
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories of the component.
Required Pattern: At least the following
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... code SΣC 1..1 CodeableConcept Systolic Blood Pressure
Binding: LOINCCodes (example): Codes identifying names of simple observations.
...... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
....... coding:LOINC SΣ 1..1 Coding Systolic BP (LOINC)
Binding: BloodPressureSystolicObservation (6.0.0) (preferred)
........ system Σ 1..1 uri Identity of the terminology system
Required Pattern: http://loinc.org
....... coding:SNOMED Σ 0..1 Coding Systolic BP (SNOMED CT)
Binding: BloodPressureSystolicObservationSNOMED (1.0.0) (extensible)
........ system Σ 1..1 uri Identity of the terminology system
Required Pattern: http://snomed.info/sct
..... value[x] SΣC 0..1 Quantity Vital Sign Systolic BP Component Value recorded with UCUM mm[Hg]
Binding: BloodPressureUnit (6.0.0) (required)
...... value SΣ 1..1 decimal Numerical value (with implicit precision)
...... comparator ?!Σ 0..1 code < | <= | >= | > | ad - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit SΣ 1..1 string Unit representation
...... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
...... code SΣC 1..1 code Coded form of the unit
Fixed Value: mm[Hg]
..... dataAbsentReason SC 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
.... component:DiastolicBP SΣC 1..1 BackboneElement Component results
Constraints: vsp-3-dbp
..... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url, pattern:value
Constraints: ext-1
...... extension:DBPCode 1..1 (Complex) Classification of type of observation component
URL: http://hl7.org/fhir/StructureDefinition/observation-componentCategory
Constraints: ext-1
....... extension 0..0 Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
....... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/observation-componentCategory"
....... value[x] 1..1 CodeableConcept Value of extension
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories of the component.
Required Pattern: At least the following
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... code SΣC 1..1 CodeableConcept Diastolic Blood Pressure
Binding: LOINCCodes (example): Codes identifying names of simple observations.
...... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
....... coding:LOINC SΣ 1..1 Coding Diastolic BP (LOINC)
Binding: BloodPressureDiastolicObservation (6.0.0) (preferred)
........ system Σ 1..1 uri Identity of the terminology system
Required Pattern: http://loinc.org
....... coding:SNOMED Σ 0..1 Coding Diastolic BP (SNOMED CT)
Binding: BloodPressureDiastolicObservationSNOMED (1.0.0) (extensible)
........ system Σ 1..1 uri Identity of the terminology system
Required Pattern: http://snomed.info/sct
..... value[x] SΣC 0..1 Quantity Vital Sign DiastolicBP BP Component Value recorded with UCUM mm[Hg]
Binding: BloodPressureUnit (6.0.0) (required)
...... value SΣ 1..1 decimal Numerical value (with implicit precision)
...... comparator ?!Σ 0..1 code < | <= | >= | > | ad - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit SΣ 1..1 string Unit representation
...... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
...... code SΣC 1..1 code Coded form of the unit
Fixed Value: mm[Hg]
..... dataAbsentReason SC 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
.... component:MeanArterialBP SΣC 0..1 BackboneElement Mean Arterial Blood Pressure
..... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url, value:value
Constraints: ext-1
...... extension:MeanCode 1..1 (Complex) Classification of type of observation component
URL: http://hl7.org/fhir/StructureDefinition/observation-componentCategory
Constraints: ext-1
....... extension 0..0 Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
....... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/observation-componentCategory"
....... value[x] 1..1 CodeableConcept Value of extension
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories of the component.
Required Pattern: At least the following
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... code SΣC 1..1 CodeableConcept Mean blood pressure
Binding: LOINCCodes (example): Codes identifying names of simple observations.
...... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
....... coding:LOINC SΣ 1..1 Coding Mean BP (LOINC)
Binding: BloodPressureMeanObservation (1.0.0) (preferred)
........ system Σ 1..1 uri Identity of the terminology system
Required Pattern: http://loinc.org
....... coding:SNOMED Σ 0..1 Coding Mean BP (SNOMED CT)
Binding: BloodPressureMeanObservationSNOMED (1.0.0) (extensible)
........ system Σ 1..1 uri Identity of the terminology system
Required Pattern: http://snomed.info/sct
..... value[x] SΣ 0..1 Quantity Actual component result
...... value SΣ 1..1 decimal Numerical value (with implicit precision)
...... comparator ?!Σ 0..1 code < | <= | >= | > | ad - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit SΣ 1..1 string Unit representation
...... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
...... code SΣC 1..1 code Coded form of the unit
Fixed Value: mm[Hg]

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.triggeredBy.​type Base required triggered Bytype 📍5.0.0 FHIR Std.
Observation.status Base required Observation Status 📍5.0.0 FHIR Std.
Observation.category Base preferred Observation Category Codes 📍5.0.0 FHIR Std.
Observation.category:VSCat Base preferred Observation Category Codes 📍5.0.0 FHIR Std.
Observation.category:BPCategory Base preferred Observation Category Codes 📍5.0.0 FHIR Std.
Observation.code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.code.coding:LOINC Base preferred BP Panel observation codes 📍6.0.0 This IG
Observation.code.coding:SNOMED Base extensible Blood Pressure Panel observation codes (SNOMED CT) 📍1.0.0 This IG
Observation.dataAbsentReason Base extensible Data Absent Reason 📍5.0.0 FHIR Std.
Observation.interpretation Base extensible Numeric Result Interpretation value set 📍1.0.0 This IG
Observation.method Base extensible Blood Pressure Measurement Method 📍1.0.0 This IG
Observation.referenceRange.​normalValue Base extensible Observation Reference Range Normal Value Codes 📍5.0.0 FHIR Std.
Observation.component.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component:SystolicBP.​extension:SBPCode.value[x] Base preferred Observation Category Codes 📍5.0.0 FHIR Std.
Observation.component:SystolicBP.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component:SystolicBP.​code.coding:LOINC Base preferred BP Systolic observation codes 📍6.0.0 This IG
Observation.component:SystolicBP.​code.coding:SNOMED Base extensible BP Systolic observation codes (SNOMED CT) 📍1.0.0 This IG
Observation.component:SystolicBP.​value[x] Base required Blood Pressure Units 📍6.0.0 This IG
Observation.component:SystolicBP.​value[x].comparator Base required QuantityComparator 📍5.0.0 FHIR Std.
Observation.component:SystolicBP.​dataAbsentReason Base extensible Data Absent Reason 📍5.0.0 FHIR Std.
Observation.component:DiastolicBP.​extension:DBPCode.value[x] Base preferred Observation Category Codes 📍5.0.0 FHIR Std.
Observation.component:DiastolicBP.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component:DiastolicBP.​code.coding:LOINC Base preferred BP Diastolic observation codes 📍6.0.0 This IG
Observation.component:DiastolicBP.​code.coding:SNOMED Base extensible BP Diastolic observation codes (SNOMED CT) 📍1.0.0 This IG
Observation.component:DiastolicBP.​value[x] Base required Blood Pressure Units 📍6.0.0 This IG
Observation.component:DiastolicBP.​value[x].comparator Base required QuantityComparator 📍5.0.0 FHIR Std.
Observation.component:DiastolicBP.​dataAbsentReason Base extensible Data Absent Reason 📍5.0.0 FHIR Std.
Observation.component:MeanArterialBP.​extension:MeanCode.value[x] Base preferred Observation Category Codes 📍5.0.0 FHIR Std.
Observation.component:MeanArterialBP.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component:MeanArterialBP.​code.coding:LOINC Base preferred BP Mean observation codes (LOINC) 📍1.0.0 This IG
Observation.component:MeanArterialBP.​code.coding:SNOMED Base extensible BP Mean observation codes (SNOMED CT) 📍1.0.0 This IG
Observation.component:MeanArterialBP.​value[x].comparator Base required QuantityComparator 📍5.0.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Observation If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Observation 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 contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Observation If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Observation If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Observation A resource should have narrative for robust management text.`div`.exists()
ele-1 error Observation.implicitRules, Observation.extension, Observation.extension:sleepStatus, Observation.extension:exerciseAssociation, Observation.extension:measurementSetting, Observation.modifierExtension, Observation.identifier, Observation.instantiates[x], Observation.basedOn, Observation.triggeredBy, Observation.triggeredBy.modifierExtension, Observation.triggeredBy.observation, Observation.triggeredBy.type, Observation.triggeredBy.reason, Observation.partOf, Observation.status, Observation.category, Observation.category:VSCat, Observation.category:BPCategory, Observation.code, Observation.code.coding, Observation.code.coding:LOINC, Observation.code.coding:LOINC.system, Observation.code.coding:SNOMED, Observation.code.coding:SNOMED.system, Observation.subject, Observation.focus, Observation.encounter, Observation.effective[x], Observation.issued, Observation.performer, Observation.dataAbsentReason, Observation.interpretation, Observation.note, Observation.bodyStructure, Observation.method, Observation.device, Observation.referenceRange, Observation.referenceRange.modifierExtension, Observation.referenceRange.low, Observation.referenceRange.high, Observation.referenceRange.normalValue, Observation.referenceRange.age, Observation.referenceRange.text, Observation.hasMember, Observation.derivedFrom, Observation.component, Observation.component.modifierExtension, Observation.component.code, Observation.component.value[x], Observation.component:SystolicBP, Observation.component:SystolicBP.extension, Observation.component:SystolicBP.extension:SBPCode, Observation.component:SystolicBP.extension:SBPCode.value[x], Observation.component:SystolicBP.modifierExtension, Observation.component:SystolicBP.code, Observation.component:SystolicBP.code.coding, Observation.component:SystolicBP.code.coding:LOINC, Observation.component:SystolicBP.code.coding:LOINC.system, Observation.component:SystolicBP.code.coding:SNOMED, Observation.component:SystolicBP.code.coding:SNOMED.system, Observation.component:SystolicBP.value[x], Observation.component:SystolicBP.value[x].value, Observation.component:SystolicBP.value[x].comparator, Observation.component:SystolicBP.value[x].unit, Observation.component:SystolicBP.value[x].system, Observation.component:SystolicBP.value[x].code, Observation.component:SystolicBP.dataAbsentReason, Observation.component:DiastolicBP, Observation.component:DiastolicBP.extension, Observation.component:DiastolicBP.extension:DBPCode, Observation.component:DiastolicBP.extension:DBPCode.value[x], Observation.component:DiastolicBP.modifierExtension, Observation.component:DiastolicBP.code, Observation.component:DiastolicBP.code.coding, Observation.component:DiastolicBP.code.coding:LOINC, Observation.component:DiastolicBP.code.coding:LOINC.system, Observation.component:DiastolicBP.code.coding:SNOMED, Observation.component:DiastolicBP.code.coding:SNOMED.system, Observation.component:DiastolicBP.value[x], Observation.component:DiastolicBP.value[x].value, Observation.component:DiastolicBP.value[x].comparator, Observation.component:DiastolicBP.value[x].unit, Observation.component:DiastolicBP.value[x].system, Observation.component:DiastolicBP.value[x].code, Observation.component:DiastolicBP.dataAbsentReason, Observation.component:MeanArterialBP, Observation.component:MeanArterialBP.extension, Observation.component:MeanArterialBP.extension:MeanCode, Observation.component:MeanArterialBP.extension:MeanCode.value[x], Observation.component:MeanArterialBP.modifierExtension, Observation.component:MeanArterialBP.code, Observation.component:MeanArterialBP.code.coding, Observation.component:MeanArterialBP.code.coding:LOINC, Observation.component:MeanArterialBP.code.coding:LOINC.system, Observation.component:MeanArterialBP.code.coding:SNOMED, Observation.component:MeanArterialBP.code.coding:SNOMED.system, Observation.component:MeanArterialBP.value[x], Observation.component:MeanArterialBP.value[x].value, Observation.component:MeanArterialBP.value[x].comparator, Observation.component:MeanArterialBP.value[x].unit, Observation.component:MeanArterialBP.value[x].system, Observation.component:MeanArterialBP.value[x].code All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error Observation.extension, Observation.extension:sleepStatus, Observation.extension:exerciseAssociation, Observation.extension:measurementSetting, Observation.modifierExtension, Observation.triggeredBy.modifierExtension, Observation.referenceRange.modifierExtension, Observation.component.modifierExtension, Observation.component:SystolicBP.extension, Observation.component:SystolicBP.extension:SBPCode, Observation.component:SystolicBP.modifierExtension, Observation.component:DiastolicBP.extension, Observation.component:DiastolicBP.extension:DBPCode, Observation.component:DiastolicBP.modifierExtension, Observation.component:MeanArterialBP.extension, Observation.component:MeanArterialBP.extension:MeanCode, Observation.component:MeanArterialBP.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()
obs-3 error Observation.referenceRange Must have at least a low or a high or text low.exists() or high.exists() or text.exists()
obs-6 error Observation dataAbsentReason SHALL only be present if Observation.value[x] is not present dataAbsentReason.empty() or value.empty()
obs-7 error Observation If Observation.component.code is the same as Observation.code, then Observation.value SHALL NOT be present (the Observation.component.value[x] holds the value). value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
obs-8 error Observation bodyStructure SHALL only be present if Observation.bodySite is not present bodySite.exists() implies bodyStructure.empty()
vsp-3-dbp error Observation.component:DiastolicBP If the diastolic BP component exists and there is no component value a component data absent reason must be present. component.all(value.exists() or dataAbsentReason.exists())
vsp-3-sbp error Observation.component:SystolicBP If the systolic BP component exists and there is no component value a component data absent reason must be present. component.all(value.exists() or dataAbsentReason.exists())

Skirtumų rinkinių peržiūra

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation 0..* ObservationLt(0.3.0) Measurements and simple assertions
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:sleepStatus S 0..1 CodeableConcept Sleep Status
URL: https://hl7.lt/fhir/vitalsigns/StructureDefinition/sleep-status
Binding: SleepStatusVitalSigns (1.0.0) (extensible)
.... extension:exerciseAssociation S 0..1 CodeableConcept Exercise Association
URL: https://hl7.lt/fhir/vitalsigns/StructureDefinition/exercise-association
Binding: ExertionPhase (1.0.0) (extensible)
.... extension:measurementSetting S 0..1 CodeableConcept Measurement setting
URL: https://hl7.lt/fhir/vitalsigns/StructureDefinition/measurement-setting
Binding: MeasurementEnvironment (1.0.0) (extensible)
... Slices for category 2..* CodeableConcept Classification of type of observation
Slice: Unordered, Open by pattern:$this
.... category:VSCat S 1..1 CodeableConcept Classification of type of observation
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://terminology.hl7.org/CodeSystem/observation-category
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: vital-signs
.... category:BPCategory 1..1 CodeableConcept Classification of type of observation
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
... code 1..1 CodeableConcept Blood Pressure
.... Slices for coding 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:LOINC S 1..1 Coding Blood Pressure Panel (LOINC)
Binding: BloodPressurePanelObservation (6.0.0) (preferred)
...... system 1..1 uri Identity of the terminology system
Required Pattern: http://loinc.org
..... coding:SNOMED 0..1 Coding Blood Pressure Panel (SNOMED CT)
Binding: BloodPressurePanelObservationSNOMED (1.0.0) (extensible)
...... system 1..1 uri Identity of the terminology system
Required Pattern: http://snomed.info/sct
... value[x] 0..0 Actual result
... interpretation 0..1 CodeableConcept High, low, normal, etc
Binding: NumericResultInterpretation (1.0.0) (extensible)
... bodySite 0..0 Observed body part
... bodyStructure 0..1 Reference(Body Structure for Blood Pressure(0.0.1)) Describe body characteristics where on/in body an observation or procedure took place
... method S 0..1 CodeableConcept How it was done
Binding: BloodPressureMeasurementMethod (1.0.0) (extensible): A set of codes that describe the method used to measure a blood pressure
... specimen 0..0 Specimen used for this observation
... device 0..1 Reference(Device for Blood Pressure Measurement(1.0.0)) Blood Pressure Device
... Slices for component 2..* BackboneElement Used when reporting systolic and diastolic blood pressure.
Slice: Unordered, Open by value:extension.url, pattern:extension.value
.... component:SystolicBP SC 1..1 BackboneElement Component results
..... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url, value:value
...... extension:SBPCode 1..1 (Complex) Classification of type of observation component
URL: http://hl7.org/fhir/StructureDefinition/observation-componentCategory
....... value[x] 1..1 CodeableConcept Value of extension
Required Pattern: At least the following
..... code 1..1 CodeableConcept Systolic Blood Pressure
...... Slices for coding 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
....... coding:LOINC S 1..1 Coding Systolic BP (LOINC)
Binding: BloodPressureSystolicObservation (6.0.0) (preferred)
........ system 1..1 uri Identity of the terminology system
Required Pattern: http://loinc.org
....... coding:SNOMED 0..1 Coding Systolic BP (SNOMED CT)
Binding: BloodPressureSystolicObservationSNOMED (1.0.0) (extensible)
........ system 1..1 uri Identity of the terminology system
Required Pattern: http://snomed.info/sct
..... value[x] C 0..1 Quantity Vital Sign Systolic BP Component Value recorded with UCUM mm[Hg]
Binding: BloodPressureUnit (6.0.0) (required)
...... 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]
..... dataAbsentReason SC 0..1 CodeableConcept Why the component result is missing
.... component:DiastolicBP SC 1..1 BackboneElement Component results
..... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url, pattern:value
...... extension:DBPCode 1..1 (Complex) Classification of type of observation component
URL: http://hl7.org/fhir/StructureDefinition/observation-componentCategory
....... value[x] 1..1 CodeableConcept Value of extension
Required Pattern: At least the following
..... code 1..1 CodeableConcept Diastolic Blood Pressure
...... Slices for coding 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
....... coding:LOINC S 1..1 Coding Diastolic BP (LOINC)
Binding: BloodPressureDiastolicObservation (6.0.0) (preferred)
........ system 1..1 uri Identity of the terminology system
Required Pattern: http://loinc.org
....... coding:SNOMED 0..1 Coding Diastolic BP (SNOMED CT)
Binding: BloodPressureDiastolicObservationSNOMED (1.0.0) (extensible)
........ system 1..1 uri Identity of the terminology system
Required Pattern: http://snomed.info/sct
..... value[x] C 0..1 Quantity Vital Sign DiastolicBP BP Component Value recorded with UCUM mm[Hg]
Binding: BloodPressureUnit (6.0.0) (required)
...... 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]
..... dataAbsentReason SC 0..1 CodeableConcept Why the component result is missing
.... component:MeanArterialBP S 0..1 BackboneElement Mean Arterial Blood Pressure
..... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url, value:value
...... extension:MeanCode 1..1 (Complex) Classification of type of observation component
URL: http://hl7.org/fhir/StructureDefinition/observation-componentCategory
....... value[x] 1..1 CodeableConcept Value of extension
Required Pattern: At least the following
..... code 1..1 CodeableConcept Mean blood pressure
...... Slices for coding 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
....... coding:LOINC S 1..1 Coding Mean BP (LOINC)
Binding: BloodPressureMeanObservation (1.0.0) (preferred)
........ system 1..1 uri Identity of the terminology system
Required Pattern: http://loinc.org
....... coding:SNOMED 0..1 Coding Mean BP (SNOMED CT)
Binding: BloodPressureMeanObservationSNOMED (1.0.0) (extensible)
........ system 1..1 uri Identity of the terminology system
Required Pattern: http://snomed.info/sct
..... value[x] 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]

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Observation.code.coding:LOINC Base preferred BP Panel observation codes 📍6.0.0 This IG
Observation.code.coding:SNOMED Base extensible Blood Pressure Panel observation codes (SNOMED CT) 📍1.0.0 This IG
Observation.interpretation Base extensible Numeric Result Interpretation value set 📍1.0.0 This IG
Observation.method Base extensible Blood Pressure Measurement Method 📍1.0.0 This IG
Observation.component:SystolicBP.​code.coding:LOINC Base preferred BP Systolic observation codes 📍6.0.0 This IG
Observation.component:SystolicBP.​code.coding:SNOMED Base extensible BP Systolic observation codes (SNOMED CT) 📍1.0.0 This IG
Observation.component:SystolicBP.​value[x] Base required Blood Pressure Units 📍6.0.0 This IG
Observation.component:DiastolicBP.​code.coding:LOINC Base preferred BP Diastolic observation codes 📍6.0.0 This IG
Observation.component:DiastolicBP.​code.coding:SNOMED Base extensible BP Diastolic observation codes (SNOMED CT) 📍1.0.0 This IG
Observation.component:DiastolicBP.​value[x] Base required Blood Pressure Units 📍6.0.0 This IG
Observation.component:MeanArterialBP.​code.coding:LOINC Base preferred BP Mean observation codes (LOINC) 📍1.0.0 This IG
Observation.component:MeanArterialBP.​code.coding:SNOMED Base extensible BP Mean observation codes (SNOMED CT) 📍1.0.0 This IG

Constraints

Id Grade Path(s) Description Expression
vsp-3-dbp error Observation.component:DiastolicBP If the diastolic BP component exists and there is no component value a component data absent reason must be present. component.all(value.exists() or dataAbsentReason.exists())
vsp-3-sbp error Observation.component:SystolicBP If the systolic BP component exists and there is no component value a component data absent reason must be present. component.all(value.exists() or dataAbsentReason.exists())

Momentinės kopijos peržiūraView

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* ObservationLt(0.3.0) Measurements and simple assertions
Constraints: obs-6, obs-7, obs-8
... 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: AllLanguages (required): IETF language tag for a human language
Additional BindingsPurpose
CommonLanguages Starter
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
.... extension:sleepStatus S 0..1 CodeableConcept Sleep Status
URL: https://hl7.lt/fhir/vitalsigns/StructureDefinition/sleep-status
Binding: SleepStatusVitalSigns (1.0.0) (extensible)
Constraints: ext-1
.... extension:exerciseAssociation S 0..1 CodeableConcept Exercise Association
URL: https://hl7.lt/fhir/vitalsigns/StructureDefinition/exercise-association
Binding: ExertionPhase (1.0.0) (extensible)
Constraints: ext-1
.... extension:measurementSetting S 0..1 CodeableConcept Measurement setting
URL: https://hl7.lt/fhir/vitalsigns/StructureDefinition/measurement-setting
Binding: MeasurementEnvironment (1.0.0) (extensible)
Constraints: ext-1
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... identifier SΣ 0..* Identifier Business Identifier for observation
... instantiates[x] SΣ 0..1 canonical(ObservationDefinition), Reference(ObservationDefinition) Instantiates FHIR ObservationDefinition
... basedOn SΣ 0..1 Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
... triggeredBy S 0..* BackboneElement Triggering observation(s)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... observation Σ 1..1 Reference(ObservationLt(0.3.0)) Triggering observation
.... type Σ 1..1 code reflex | repeat | re-run
Binding: TriggeredBytype (required): The type of TriggeredBy Observation.
.... reason S 0..1 string Reason that the observation was triggered
... partOf SΣ 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy | GenomicStudy) Part of referenced event
... status ?!SΣ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.
... Slices for category S 2..* CodeableConcept Classification of type of observation
Slice: Unordered, Open by pattern:$this
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
.... category:VSCat S 1..1 CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.

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://terminology.hl7.org/CodeSystem/observation-category
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: vital-signs
...... 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
.... category:BPCategory S 1..1 CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.

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
... code SΣC 1..1 CodeableConcept Blood Pressure
Binding: LOINCCodes (example): Codes identifying names of simple observations.
.... id 0..1 id Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
.... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:LOINC SΣ 1..1 Coding Blood Pressure Panel (LOINC)
Binding: BloodPressurePanelObservation (6.0.0) (preferred)
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
...... system Σ 1..1 uri Identity of the terminology system
Required Pattern: http://loinc.org
...... version Σ 0..1 string Version of the system - if relevant
...... code ΣC 0..1 code Symbol in syntax defined by the system
...... display ΣC 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:SNOMED Σ 0..1 Coding Blood Pressure Panel (SNOMED CT)
Binding: BloodPressurePanelObservationSNOMED (1.0.0) (extensible)
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
...... system Σ 1..1 uri Identity of the terminology system
Required Pattern: http://snomed.info/sct
...... version Σ 0..1 string Version of the system - if relevant
...... code ΣC 0..1 code Symbol in syntax defined by the system
...... display ΣC 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
... subject SΣ 0..1 Reference(PatientLt(0.3.0) | LocationLt(0.3.0) | OrganizationLt(0.3.0) | Procedure | PractitionerLt(0.3.0) | Medication) Who and/or what the observation is about
... focus SΣ 0..* Reference(Resource) What the observation is about, when it is not about the subject of record
... encounter SΣ 0..1 Reference(EncounterLt(0.3.0)) Healthcare event during which this observation is made
... effective[x] SΣC 1..1 dateTime Vital Signs are point in time measurements and are recorded using the dateTime data type
... issued SΣ 0..1 instant Date/Time this version was made available
... performer SΣ 0..* Reference(PractitionerLt(0.3.0) | PractitionerRoleLt(0.3.0) | OrganizationLt(0.3.0)) Who is responsible for the observation
... dataAbsentReason SC 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: NumericResultInterpretation (1.0.0) (extensible)
... note S 0..* Annotation Comments about the observation
... bodyStructure SC 0..1 Reference(Body Structure for Blood Pressure(0.0.1)) Describe body characteristics where on/in body an observation or procedure took place
... method S 0..1 CodeableConcept How it was done
Binding: BloodPressureMeasurementMethod (1.0.0) (extensible): A set of codes that describe the method used to measure a blood pressure
... device S 0..1 Reference(Device for Blood Pressure Measurement(1.0.0)) Blood Pressure Device
... referenceRange SC 0..* BackboneElement Provides guide for interpretation
Constraints: obs-3
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... low SC 0..1 SimpleQuantity(5.0.0) Low Range, if relevant
.... high SC 0..1 SimpleQuantity(5.0.0) High Range, if relevant
.... normalValue S 0..1 CodeableConcept Normal value, if relevant
Binding: ObservationReferenceRangeNormalValueCodes (extensible): Codes identifying the normal value of the observation.
.... 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 S 0..1 Range Applicable age range, if relevant
.... text SC 0..1 markdown Text based reference range in an observation
... hasMember SΣ 0..* Reference(ObservationLt(0.3.0) | QuestionnaireResponse) Related resource that belongs to the Observation group
... derivedFrom SΣ 0..* Reference(DocumentReference | ImagingStudy | QuestionnaireResponse | ObservationLt(0.3.0)) Related resource from which the observation is made
... Slices for component SΣC 2..* BackboneElement Used when reporting systolic and diastolic blood pressure.
Slice: Unordered, Open by value:extension.url, pattern:extension.value
.... 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
Constraints: ext-1
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... code SΣC 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
..... value[x] SΣ 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
...... valueAttachment Attachment
...... valueReference Reference(MolecularSequence)
..... dataAbsentReason 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 SΣC 1..1 BackboneElement Component results
Constraints: vsp-3-sbp
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url, value:value
Constraints: ext-1
...... extension:SBPCode 1..1 (Complex) Classification of type of observation component
URL: http://hl7.org/fhir/StructureDefinition/observation-componentCategory
Constraints: ext-1
....... id 0..1 id Unique id for inter-element referencing
....... extension 0..0 Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
....... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/observation-componentCategory"
....... value[x] 1..1 CodeableConcept Value of extension
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories of the component.
Required Pattern: At least the following
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... code SΣC 1..1 CodeableConcept Systolic Blood Pressure
Binding: LOINCCodes (example): Codes identifying names of simple observations.
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
...... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
....... coding:LOINC SΣ 1..1 Coding Systolic BP (LOINC)
Binding: BloodPressureSystolicObservation (6.0.0) (preferred)
........ id 0..1 id Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
........ system Σ 1..1 uri Identity of the terminology system
Required Pattern: http://loinc.org
........ version Σ 0..1 string Version of the system - if relevant
........ code ΣC 0..1 code Symbol in syntax defined by the system
........ display ΣC 0..1 string Representation defined by the system
........ userSelected Σ 0..1 boolean If this coding was chosen directly by the user
....... coding:SNOMED Σ 0..1 Coding Systolic BP (SNOMED CT)
Binding: BloodPressureSystolicObservationSNOMED (1.0.0) (extensible)
........ id 0..1 id Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
........ system Σ 1..1 uri Identity of the terminology system
Required Pattern: http://snomed.info/sct
........ version Σ 0..1 string Version of the system - if relevant
........ code ΣC 0..1 code Symbol in syntax defined by the system
........ display ΣC 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
..... value[x] SΣC 0..1 Quantity Vital Sign Systolic BP Component Value recorded with UCUM mm[Hg]
Binding: BloodPressureUnit (6.0.0) (required)
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
...... value SΣ 1..1 decimal Numerical value (with implicit precision)
...... comparator ?!Σ 0..1 code < | <= | >= | > | ad - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit SΣ 1..1 string Unit representation
...... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
...... code SΣC 1..1 code Coded form of the unit
Fixed Value: mm[Hg]
..... dataAbsentReason SC 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 SΣC 1..1 BackboneElement Component results
Constraints: vsp-3-dbp
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url, pattern:value
Constraints: ext-1
...... extension:DBPCode 1..1 (Complex) Classification of type of observation component
URL: http://hl7.org/fhir/StructureDefinition/observation-componentCategory
Constraints: ext-1
....... id 0..1 id Unique id for inter-element referencing
....... extension 0..0 Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
....... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/observation-componentCategory"
....... value[x] 1..1 CodeableConcept Value of extension
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories of the component.
Required Pattern: At least the following
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... code SΣC 1..1 CodeableConcept Diastolic Blood Pressure
Binding: LOINCCodes (example): Codes identifying names of simple observations.
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
...... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
....... coding:LOINC SΣ 1..1 Coding Diastolic BP (LOINC)
Binding: BloodPressureDiastolicObservation (6.0.0) (preferred)
........ id 0..1 id Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
........ system Σ 1..1 uri Identity of the terminology system
Required Pattern: http://loinc.org
........ version Σ 0..1 string Version of the system - if relevant
........ code ΣC 0..1 code Symbol in syntax defined by the system
........ display ΣC 0..1 string Representation defined by the system
........ userSelected Σ 0..1 boolean If this coding was chosen directly by the user
....... coding:SNOMED Σ 0..1 Coding Diastolic BP (SNOMED CT)
Binding: BloodPressureDiastolicObservationSNOMED (1.0.0) (extensible)
........ id 0..1 id Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
........ system Σ 1..1 uri Identity of the terminology system
Required Pattern: http://snomed.info/sct
........ version Σ 0..1 string Version of the system - if relevant
........ code ΣC 0..1 code Symbol in syntax defined by the system
........ display ΣC 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
..... value[x] SΣC 0..1 Quantity Vital Sign DiastolicBP BP Component Value recorded with UCUM mm[Hg]
Binding: BloodPressureUnit (6.0.0) (required)
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
...... value SΣ 1..1 decimal Numerical value (with implicit precision)
...... comparator ?!Σ 0..1 code < | <= | >= | > | ad - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit SΣ 1..1 string Unit representation
...... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
...... code SΣC 1..1 code Coded form of the unit
Fixed Value: mm[Hg]
..... dataAbsentReason SC 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 SΣC 0..1 BackboneElement Mean Arterial Blood Pressure
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url, value:value
Constraints: ext-1
...... extension:MeanCode 1..1 (Complex) Classification of type of observation component
URL: http://hl7.org/fhir/StructureDefinition/observation-componentCategory
Constraints: ext-1
....... id 0..1 id Unique id for inter-element referencing
....... extension 0..0 Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
....... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/observation-componentCategory"
....... value[x] 1..1 CodeableConcept Value of extension
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories of the component.
Required Pattern: At least the following
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... code SΣC 1..1 CodeableConcept Mean blood pressure
Binding: LOINCCodes (example): Codes identifying names of simple observations.
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
...... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
....... coding:LOINC SΣ 1..1 Coding Mean BP (LOINC)
Binding: BloodPressureMeanObservation (1.0.0) (preferred)
........ id 0..1 id Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
........ system Σ 1..1 uri Identity of the terminology system
Required Pattern: http://loinc.org
........ version Σ 0..1 string Version of the system - if relevant
........ code ΣC 0..1 code Symbol in syntax defined by the system
........ display ΣC 0..1 string Representation defined by the system
........ userSelected Σ 0..1 boolean If this coding was chosen directly by the user
....... coding:SNOMED Σ 0..1 Coding Mean BP (SNOMED CT)
Binding: BloodPressureMeanObservationSNOMED (1.0.0) (extensible)
........ id 0..1 id Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
........ system Σ 1..1 uri Identity of the terminology system
Required Pattern: http://snomed.info/sct
........ version Σ 0..1 string Version of the system - if relevant
........ code ΣC 0..1 code Symbol in syntax defined by the system
........ display ΣC 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
..... value[x] SΣ 0..1 Quantity Actual component result
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
...... value SΣ 1..1 decimal Numerical value (with implicit precision)
...... comparator ?!Σ 0..1 code < | <= | >= | > | ad - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit SΣ 1..1 string Unit representation
...... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
...... code SΣC 1..1 code Coded form of the unit
Fixed Value: mm[Hg]
..... dataAbsentReason 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

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.language Base required All Languages 📍5.0.0 FHIR Std.
Observation.triggeredBy.​type Base required triggered Bytype 📍5.0.0 FHIR Std.
Observation.status Base required Observation Status 📍5.0.0 FHIR Std.
Observation.category Base preferred Observation Category Codes 📍5.0.0 FHIR Std.
Observation.category:VSCat Base preferred Observation Category Codes 📍5.0.0 FHIR Std.
Observation.category:BPCategory Base preferred Observation Category Codes 📍5.0.0 FHIR Std.
Observation.code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.code.coding:LOINC Base preferred BP Panel observation codes 📍6.0.0 This IG
Observation.code.coding:SNOMED Base extensible Blood Pressure Panel observation codes (SNOMED CT) 📍1.0.0 This IG
Observation.dataAbsentReason Base extensible Data Absent Reason 📍5.0.0 FHIR Std.
Observation.interpretation Base extensible Numeric Result Interpretation value set 📍1.0.0 This IG
Observation.method Base extensible Blood Pressure Measurement Method 📍1.0.0 This IG
Observation.referenceRange.​normalValue Base extensible Observation Reference Range Normal Value Codes 📍5.0.0 FHIR Std.
Observation.referenceRange.​type Base preferred Observation Reference Range Meaning Codes 📍5.0.0 FHIR Std.
Observation.referenceRange.​appliesTo Base example Observation Reference Range Applies To Codes 📍5.0.0 FHIR Std.
Observation.component.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component.​dataAbsentReason Base extensible Data Absent Reason 📍5.0.0 FHIR Std.
Observation.component.​interpretation Base extensible Observation Interpretation Codes 📍5.0.0 FHIR Std.
Observation.component:SystolicBP.​extension:SBPCode.value[x] Base preferred Observation Category Codes 📍5.0.0 FHIR Std.
Observation.component:SystolicBP.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component:SystolicBP.​code.coding:LOINC Base preferred BP Systolic observation codes 📍6.0.0 This IG
Observation.component:SystolicBP.​code.coding:SNOMED Base extensible BP Systolic observation codes (SNOMED CT) 📍1.0.0 This IG
Observation.component:SystolicBP.​value[x] Base required Blood Pressure Units 📍6.0.0 This IG
Observation.component:SystolicBP.​value[x].comparator Base required QuantityComparator 📍5.0.0 FHIR Std.
Observation.component:SystolicBP.​dataAbsentReason Base extensible Data Absent Reason 📍5.0.0 FHIR Std.
Observation.component:SystolicBP.​interpretation Base extensible Observation Interpretation Codes 📍5.0.0 FHIR Std.
Observation.component:DiastolicBP.​extension:DBPCode.value[x] Base preferred Observation Category Codes 📍5.0.0 FHIR Std.
Observation.component:DiastolicBP.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component:DiastolicBP.​code.coding:LOINC Base preferred BP Diastolic observation codes 📍6.0.0 This IG
Observation.component:DiastolicBP.​code.coding:SNOMED Base extensible BP Diastolic observation codes (SNOMED CT) 📍1.0.0 This IG
Observation.component:DiastolicBP.​value[x] Base required Blood Pressure Units 📍6.0.0 This IG
Observation.component:DiastolicBP.​value[x].comparator Base required QuantityComparator 📍5.0.0 FHIR Std.
Observation.component:DiastolicBP.​dataAbsentReason Base extensible Data Absent Reason 📍5.0.0 FHIR Std.
Observation.component:DiastolicBP.​interpretation Base extensible Observation Interpretation Codes 📍5.0.0 FHIR Std.
Observation.component:MeanArterialBP.​extension:MeanCode.value[x] Base preferred Observation Category Codes 📍5.0.0 FHIR Std.
Observation.component:MeanArterialBP.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component:MeanArterialBP.​code.coding:LOINC Base preferred BP Mean observation codes (LOINC) 📍1.0.0 This IG
Observation.component:MeanArterialBP.​code.coding:SNOMED Base extensible BP Mean observation codes (SNOMED CT) 📍1.0.0 This IG
Observation.component:MeanArterialBP.​value[x].comparator Base required QuantityComparator 📍5.0.0 FHIR Std.
Observation.component:MeanArterialBP.​dataAbsentReason Base extensible Data Absent Reason 📍5.0.0 FHIR Std.
Observation.component:MeanArterialBP.​interpretation Base extensible Observation Interpretation Codes 📍5.0.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Observation If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Observation 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 contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Observation If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Observation If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Observation A resource should have narrative for robust management text.`div`.exists()
ele-1 error Observation.meta, Observation.implicitRules, Observation.language, Observation.text, Observation.extension, Observation.extension:sleepStatus, Observation.extension:exerciseAssociation, Observation.extension:measurementSetting, Observation.modifierExtension, Observation.identifier, Observation.instantiates[x], Observation.basedOn, Observation.triggeredBy, Observation.triggeredBy.extension, Observation.triggeredBy.modifierExtension, Observation.triggeredBy.observation, Observation.triggeredBy.type, Observation.triggeredBy.reason, Observation.partOf, Observation.status, Observation.category, Observation.category:VSCat, Observation.category:BPCategory, Observation.code, Observation.code.extension, Observation.code.coding, Observation.code.coding:LOINC, Observation.code.coding:LOINC.extension, Observation.code.coding:LOINC.system, Observation.code.coding:LOINC.version, Observation.code.coding:LOINC.code, Observation.code.coding:LOINC.display, Observation.code.coding:LOINC.userSelected, Observation.code.coding:SNOMED, Observation.code.coding:SNOMED.extension, Observation.code.coding:SNOMED.system, Observation.code.coding:SNOMED.version, Observation.code.coding:SNOMED.code, Observation.code.coding:SNOMED.display, Observation.code.coding:SNOMED.userSelected, Observation.code.text, Observation.subject, Observation.focus, Observation.encounter, Observation.effective[x], Observation.issued, Observation.performer, Observation.dataAbsentReason, Observation.interpretation, Observation.note, Observation.bodyStructure, Observation.method, Observation.device, Observation.referenceRange, Observation.referenceRange.extension, Observation.referenceRange.modifierExtension, Observation.referenceRange.low, Observation.referenceRange.high, Observation.referenceRange.normalValue, Observation.referenceRange.type, Observation.referenceRange.appliesTo, Observation.referenceRange.age, Observation.referenceRange.text, Observation.hasMember, Observation.derivedFrom, Observation.component, Observation.component.extension, Observation.component.modifierExtension, Observation.component.code, Observation.component.value[x], Observation.component.dataAbsentReason, Observation.component.interpretation, Observation.component.referenceRange, Observation.component:SystolicBP, Observation.component:SystolicBP.extension, Observation.component:SystolicBP.extension:SBPCode, Observation.component:SystolicBP.extension:SBPCode.value[x], Observation.component:SystolicBP.modifierExtension, Observation.component:SystolicBP.code, Observation.component:SystolicBP.code.extension, Observation.component:SystolicBP.code.coding, Observation.component:SystolicBP.code.coding:LOINC, Observation.component:SystolicBP.code.coding:LOINC.extension, Observation.component:SystolicBP.code.coding:LOINC.system, Observation.component:SystolicBP.code.coding:LOINC.version, Observation.component:SystolicBP.code.coding:LOINC.code, Observation.component:SystolicBP.code.coding:LOINC.display, Observation.component:SystolicBP.code.coding:LOINC.userSelected, Observation.component:SystolicBP.code.coding:SNOMED, Observation.component:SystolicBP.code.coding:SNOMED.extension, Observation.component:SystolicBP.code.coding:SNOMED.system, Observation.component:SystolicBP.code.coding:SNOMED.version, Observation.component:SystolicBP.code.coding:SNOMED.code, Observation.component:SystolicBP.code.coding:SNOMED.display, Observation.component:SystolicBP.code.coding:SNOMED.userSelected, Observation.component:SystolicBP.code.text, Observation.component:SystolicBP.value[x], Observation.component:SystolicBP.value[x].extension, Observation.component:SystolicBP.value[x].value, Observation.component:SystolicBP.value[x].comparator, Observation.component:SystolicBP.value[x].unit, Observation.component:SystolicBP.value[x].system, Observation.component:SystolicBP.value[x].code, Observation.component:SystolicBP.dataAbsentReason, Observation.component:SystolicBP.interpretation, Observation.component:SystolicBP.referenceRange, Observation.component:DiastolicBP, Observation.component:DiastolicBP.extension, Observation.component:DiastolicBP.extension:DBPCode, Observation.component:DiastolicBP.extension:DBPCode.value[x], Observation.component:DiastolicBP.modifierExtension, Observation.component:DiastolicBP.code, Observation.component:DiastolicBP.code.extension, Observation.component:DiastolicBP.code.coding, Observation.component:DiastolicBP.code.coding:LOINC, Observation.component:DiastolicBP.code.coding:LOINC.extension, Observation.component:DiastolicBP.code.coding:LOINC.system, Observation.component:DiastolicBP.code.coding:LOINC.version, Observation.component:DiastolicBP.code.coding:LOINC.code, Observation.component:DiastolicBP.code.coding:LOINC.display, Observation.component:DiastolicBP.code.coding:LOINC.userSelected, Observation.component:DiastolicBP.code.coding:SNOMED, Observation.component:DiastolicBP.code.coding:SNOMED.extension, Observation.component:DiastolicBP.code.coding:SNOMED.system, Observation.component:DiastolicBP.code.coding:SNOMED.version, Observation.component:DiastolicBP.code.coding:SNOMED.code, Observation.component:DiastolicBP.code.coding:SNOMED.display, Observation.component:DiastolicBP.code.coding:SNOMED.userSelected, Observation.component:DiastolicBP.code.text, Observation.component:DiastolicBP.value[x], Observation.component:DiastolicBP.value[x].extension, Observation.component:DiastolicBP.value[x].value, Observation.component:DiastolicBP.value[x].comparator, Observation.component:DiastolicBP.value[x].unit, Observation.component:DiastolicBP.value[x].system, Observation.component:DiastolicBP.value[x].code, Observation.component:DiastolicBP.dataAbsentReason, Observation.component:DiastolicBP.interpretation, Observation.component:DiastolicBP.referenceRange, Observation.component:MeanArterialBP, Observation.component:MeanArterialBP.extension, Observation.component:MeanArterialBP.extension:MeanCode, Observation.component:MeanArterialBP.extension:MeanCode.value[x], Observation.component:MeanArterialBP.modifierExtension, Observation.component:MeanArterialBP.code, Observation.component:MeanArterialBP.code.extension, Observation.component:MeanArterialBP.code.coding, Observation.component:MeanArterialBP.code.coding:LOINC, Observation.component:MeanArterialBP.code.coding:LOINC.extension, Observation.component:MeanArterialBP.code.coding:LOINC.system, Observation.component:MeanArterialBP.code.coding:LOINC.version, Observation.component:MeanArterialBP.code.coding:LOINC.code, Observation.component:MeanArterialBP.code.coding:LOINC.display, Observation.component:MeanArterialBP.code.coding:LOINC.userSelected, Observation.component:MeanArterialBP.code.coding:SNOMED, Observation.component:MeanArterialBP.code.coding:SNOMED.extension, Observation.component:MeanArterialBP.code.coding:SNOMED.system, Observation.component:MeanArterialBP.code.coding:SNOMED.version, Observation.component:MeanArterialBP.code.coding:SNOMED.code, Observation.component:MeanArterialBP.code.coding:SNOMED.display, Observation.component:MeanArterialBP.code.coding:SNOMED.userSelected, Observation.component:MeanArterialBP.code.text, Observation.component:MeanArterialBP.value[x], Observation.component:MeanArterialBP.value[x].extension, Observation.component:MeanArterialBP.value[x].value, Observation.component:MeanArterialBP.value[x].comparator, Observation.component:MeanArterialBP.value[x].unit, Observation.component:MeanArterialBP.value[x].system, Observation.component:MeanArterialBP.value[x].code, Observation.component:MeanArterialBP.dataAbsentReason, Observation.component:MeanArterialBP.interpretation, Observation.component:MeanArterialBP.referenceRange All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error Observation.extension, Observation.extension:sleepStatus, Observation.extension:exerciseAssociation, Observation.extension:measurementSetting, Observation.modifierExtension, Observation.triggeredBy.extension, Observation.triggeredBy.modifierExtension, Observation.code.extension, Observation.code.coding:LOINC.extension, Observation.code.coding:SNOMED.extension, Observation.referenceRange.extension, Observation.referenceRange.modifierExtension, Observation.component.extension, Observation.component.modifierExtension, Observation.component:SystolicBP.extension, Observation.component:SystolicBP.extension:SBPCode, Observation.component:SystolicBP.modifierExtension, Observation.component:SystolicBP.code.extension, Observation.component:SystolicBP.code.coding:LOINC.extension, Observation.component:SystolicBP.code.coding:SNOMED.extension, Observation.component:SystolicBP.value[x].extension, Observation.component:DiastolicBP.extension, Observation.component:DiastolicBP.extension:DBPCode, Observation.component:DiastolicBP.modifierExtension, Observation.component:DiastolicBP.code.extension, Observation.component:DiastolicBP.code.coding:LOINC.extension, Observation.component:DiastolicBP.code.coding:SNOMED.extension, Observation.component:DiastolicBP.value[x].extension, Observation.component:MeanArterialBP.extension, Observation.component:MeanArterialBP.extension:MeanCode, Observation.component:MeanArterialBP.modifierExtension, Observation.component:MeanArterialBP.code.extension, Observation.component:MeanArterialBP.code.coding:LOINC.extension, Observation.component:MeanArterialBP.code.coding:SNOMED.extension, Observation.component:MeanArterialBP.value[x].extension Must have either extensions or value[x], not both extension.exists() != value.exists()
obs-3 error Observation.referenceRange Must have at least a low or a high or text low.exists() or high.exists() or text.exists()
obs-6 error Observation dataAbsentReason SHALL only be present if Observation.value[x] is not present dataAbsentReason.empty() or value.empty()
obs-7 error Observation If Observation.component.code is the same as Observation.code, then Observation.value SHALL NOT be present (the Observation.component.value[x] holds the value). value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
obs-8 error Observation bodyStructure SHALL only be present if Observation.bodySite is not present bodySite.exists() implies bodyStructure.empty()
vsp-3-dbp error Observation.component:DiastolicBP If the diastolic BP component exists and there is no component value a component data absent reason must be present. component.all(value.exists() or dataAbsentReason.exists())
vsp-3-sbp error Observation.component:SystolicBP If the systolic BP component exists and there is no component value a component data absent reason must be present. component.all(value.exists() or dataAbsentReason.exists())

Summary

Mandatory: 18 elements(21 nested mandatory elements)
Must-Support: 26 elements
Fixed: 6 elements
Prohibited: 3 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Observation.category
  • The element 1 is sliced based on the value of Observation.code.coding
  • SD_SUMMARY_SLICE_few
  • The element 1 is sliced based on the value of Observation.component.code.coding

 

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