International Patient Summary Implementation Guide
2.0.0 - STU 2 International flag

International Patient Summary Implementation Guide, published by HL7 International / Patient Care. This guide is not an authorized publication; it is the continuous build for version 2.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/costateixeira/fhir-ips/ and changes regularly. See the Directory of published versions

Logical Model: VitalSignsSection - Detailed Descriptions

Page standards status: Trial-use Maturity Level: 2

Definitions for the VitalSignsSection logical model.

Guidance on how to interpret the contents of this table can be found here

0. VitalSignsSection
Definition

Vital signs and physical findings, including primary and additional measurements such as height, weight, and BMI.

ShortVital Signs
Control0..*
Is Modifierfalse
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. VitalSignsSection.vitalSign
Definition

Vital sign

ShortVital sign
Control0..*
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. VitalSignsSection.vitalSign.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

ShortUnique id for inter-element referencing
Control0..1
Typestring
Is Modifierfalse
XML FormatIn the XML format, this property is represented as an attribute.
Summaryfalse
6. VitalSignsSection.vitalSign.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

ShortAdditional content defined by implementations
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on VitalSignsSection.vitalSign.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ url
  • 8. VitalSignsSection.vitalSign.modifierExtension
    Definition

    May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

    ShortExtensions that cannot be ignored even if unrecognized
    Comments

    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

    Control0..*
    TypeExtension
    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
    Summarytrue
    Requirements

    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

    Alternate Namesextensions, user content, modifiers
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    10. VitalSignsSection.vitalSign.dateOfObservation
    Definition

    Date of observation

    ShortDate of observation
    Comments

    Required (Exceptions allowed)

    Control0..1
    TypePeriod
    12. VitalSignsSection.vitalSign.observationType
    Definition

    Observation type

    ShortObservation type
    Comments

    Required (Exceptions allowed)

    Control0..1
    TypeCodeableConcept
    14. VitalSignsSection.vitalSign.resultDescription
    Definition

    Result description

    ShortResult description
    Comments

    Required if known

    Control0..1
    Typestring
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    16. VitalSignsSection.vitalSign.value
    Definition

    Value

    ShortValue
    Comments

    Conditional

    Control0..1
    TypeQuantity
    18. VitalSignsSection.vitalSign.vitalSignCode
    Definition

    Vital sign

    ShortVital sign
    Comments

    Conditional

    Control0..1
    TypeCodeableConcept

    Guidance on how to interpret the contents of this table can be found here

    0. VitalSignsSection
    Definition

    Vital signs and physical findings, including primary and additional measurements such as height, weight, and BMI.

    ShortVital Signs
    Logical ModelInstances of this logical model are not marked to be the target of a Reference
    2. VitalSignsSection.vitalSign
    Definition

    Vital sign

    ShortVital sign
    Control0..*
    TypeBackboneElement
    4. VitalSignsSection.vitalSign.dateOfObservation
    Definition

    Date of observation

    ShortDate of observation
    Comments

    Required (Exceptions allowed)

    Control0..1
    TypePeriod
    6. VitalSignsSection.vitalSign.observationType
    Definition

    Observation type

    ShortObservation type
    Comments

    Required (Exceptions allowed)

    Control0..1
    TypeCodeableConcept
    8. VitalSignsSection.vitalSign.resultDescription
    Definition

    Result description

    ShortResult description
    Comments

    Required if known

    Control0..1
    Typestring
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    10. VitalSignsSection.vitalSign.value
    Definition

    Value

    ShortValue
    Comments

    Conditional

    Control0..1
    TypeQuantity
    12. VitalSignsSection.vitalSign.vitalSignCode
    Definition

    Vital sign

    ShortVital sign
    Comments

    Conditional

    Control0..1
    TypeCodeableConcept

    Guidance on how to interpret the contents of this table can be found here

    0. VitalSignsSection
    Definition

    Vital signs and physical findings, including primary and additional measurements such as height, weight, and BMI.

    ShortVital Signs
    Control0..*
    Is Modifierfalse
    Logical ModelInstances of this logical model are not marked to be the target of a Reference
    2. VitalSignsSection.vitalSign
    Definition

    Vital sign

    ShortVital sign
    Control0..*
    TypeBackboneElement
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    4. VitalSignsSection.vitalSign.id
    Definition

    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

    ShortUnique id for inter-element referencing
    Control0..1
    Typestring
    Is Modifierfalse
    XML FormatIn the XML format, this property is represented as an attribute.
    Summaryfalse
    6. VitalSignsSection.vitalSign.extension
    Definition

    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

    ShortAdditional content defined by implementations
    Comments

    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

    Control0..*
    TypeExtension
    Is Modifierfalse
    Summaryfalse
    Alternate Namesextensions, user content
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    SlicingThis element introduces a set of slices on VitalSignsSection.vitalSign.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ url
    • 8. VitalSignsSection.vitalSign.modifierExtension
      Definition

      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

      ShortExtensions that cannot be ignored even if unrecognized
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
      Summarytrue
      Requirements

      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

      Alternate Namesextensions, user content, modifiers
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      10. VitalSignsSection.vitalSign.dateOfObservation
      Definition

      Date of observation

      ShortDate of observation
      Comments

      Required (Exceptions allowed)

      Control0..1
      TypePeriod
      12. VitalSignsSection.vitalSign.observationType
      Definition

      Observation type

      ShortObservation type
      Comments

      Required (Exceptions allowed)

      Control0..1
      TypeCodeableConcept
      14. VitalSignsSection.vitalSign.resultDescription
      Definition

      Result description

      ShortResult description
      Comments

      Required if known

      Control0..1
      Typestring
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      16. VitalSignsSection.vitalSign.value
      Definition

      Value

      ShortValue
      Comments

      Conditional

      Control0..1
      TypeQuantity
      18. VitalSignsSection.vitalSign.vitalSignCode
      Definition

      Vital sign

      ShortVital sign
      Comments

      Conditional

      Control0..1
      TypeCodeableConcept