Blood Pressure Cross-Country Cross-Language Cross-Paradigm (Demo) IG
0.3.3 - ci-build

Blood Pressure Cross-Country Cross-Language Cross-Paradigm (Demo) IG, published by FO. This guide is not an authorized publication; it is the continuous build for version 0.3.3 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/frankoemig/bloodpressure/ and changes regularly. See the Directory of published versions

Resource Profile: US Core Blood Pressure Profile (modified, using more components, alternative version)

Official URL: http://bloodpressure.oemig.de/fhir/StructureDefinition/us-core-modified-blood-pressure-2 Version: 0.3.3
Draft as of 2024-05-24 Computable Name: USCoreModifiedBloodPressure2Profile
Other Identifiers: OID:2.16.840.1.113883.4.642.40.42.6

Copyright/Legal: Used by permission of HL7 International, all rights reserved Creative Commons License

This is the modified version - not yet fully complete/verified!!!!

In contrast to the other version, this one uses more components instead of extensions…

Usages:

  • This Profile is not used by any profiles in this Implementation Guide

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* USCoreModifiedVitalSigns US Core Blood Pressure Profile
Constraints: obs-6, obs-7
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension Content/Rules for all slices
.... extension:medication S 0..* Reference(MedicationStatement) Medication to be considered for correct interpretation of vital signs
URL: http://bloodpressure.oemig.de/fhir/StructureDefinition/medicationExt
.... extension:bodyWeight S 0..1 Reference(Observation) Body weight to be considered for correct interpretation of vital signs
URL: http://bloodpressure.oemig.de/fhir/StructureDefinition/bodweightExt
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... category 0..* CodeableConcept Classification of type of observation
Binding: Observation Vital Signs Category (required)

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://bloodpressure.oemig.de/fhir/CodeSystem/ObservationCategory
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: vital-sign-bp
..... 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 SΣ 1..1 CodeableConcept Blood Pressure
Binding: LOINCCodes (example): Codes identifying names of simple observations.
... subject SΣ 0..1 Reference(Patient) Who and/or what the observation is about
... effective[x] SΣ 0..1 Clinically relevant time/time-period for observation
.... effectiveDateTime dateTime
.... effectivePeriod Period
.... effectiveInstant instant
... value[x] SΣC 0..1 Actual result
.... valueQuantity Quantity
.... valueString string
.... valueInteger integer
... dataAbsentReason SC 0..1 CodeableConcept Why the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
... interpretation S 0..1 CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
... bodySite S 0..1 CodeableConcept Observed body part
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
... method S 0..1 CodeableConcept How it was done
Binding: ObservationMethods (example): Methods for simple observations.
... device S 0..1 Reference(Device | DeviceMetric) (Measurement) Device
... referenceRange SC 0..* BackboneElement Provides guide for interpretation
Constraints: obs-3
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
... Slices for component SΣ 1..* BackboneElement Component observations
Slice: Unordered, Open by pattern:code
.... component:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code SΣ 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
..... 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:SystolicBP SΣ 1..1 BackboneElement Systolic Blood Pressure
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code SΣ 1..1 CodeableConcept Systolic Blood Pressure Code
Binding: Vital Signs Systolic Blood Pressure Codes (required)
..... Slices for value[x] SΣ 0..1 Actual component result
Slice: Unordered, Open by type:$this
...... valueQuantity Quantity
...... valueCodeableConcept CodeableConcept
...... valueString string
...... valueBoolean boolean
...... valueInteger integer
...... valueRange Range
...... valueRatio Ratio
...... valueSampledData SampledData
...... valueTime time
...... valueDateTime dateTime
...... valuePeriod Period
...... value[x]:valueQuantity SΣ 0..1 Quantity Vital Sign Component Value
....... value SΣ 1..1 decimal Numerical value (with implicit precision)
....... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
....... unit SΣ 0..1 string Unit representation
....... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
....... code SΣ 1..1 code Coded form of the unit
Fixed Value: mm[Hg]
..... dataAbsentReason SC 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
.... component:DiastolicBP SΣ 0..1 BackboneElement Diastolic Blood Pressure
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code SΣ 1..1 CodeableConcept Diastolic Blood Pressure Code
Binding: Vital Signs Diastolic Blood Pressure Codes (required)
..... Slices for value[x] SΣ 0..1 Actual component result
Slice: Unordered, Open by type:$this
...... valueQuantity Quantity
...... valueCodeableConcept CodeableConcept
...... valueString string
...... valueBoolean boolean
...... valueInteger integer
...... valueRange Range
...... valueRatio Ratio
...... valueSampledData SampledData
...... valueTime time
...... valueDateTime dateTime
...... valuePeriod Period
...... value[x]:valueQuantity SΣ 0..1 Quantity Vital Sign Component Value
....... value SΣ 1..1 decimal Numerical value (with implicit precision)
....... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
....... unit SΣ 0..1 string Unit representation
....... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
....... code SΣ 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 SΣ 0..1 BackboneElement Mean Arterial Blood Pressure
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code SΣ 1..1 CodeableConcept Mean Arterial Blood Pressure Code
Binding: Vital Signs Mean Arterial Blood Pressure Codes (required)
..... Slices for value[x] SΣ 0..1 Actual component result
Slice: Unordered, Open by type:$this
...... valueQuantity Quantity
...... valueCodeableConcept CodeableConcept
...... valueString string
...... valueBoolean boolean
...... valueInteger integer
...... valueRange Range
...... valueRatio Ratio
...... valueSampledData SampledData
...... valueTime time
...... valueDateTime dateTime
...... valuePeriod Period
...... value[x]:valueQuantity SΣ 0..1 Quantity Vital Sign Component Value
....... value SΣ 1..1 decimal Numerical value (with implicit precision)
....... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
....... unit SΣ 0..1 string Unit representation
....... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
....... code SΣ 1..1 code Coded form of the unit
Fixed Value: mm[Hg]
..... dataAbsentReason SC 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
.... component:PulsePressureBP SΣ 0..1 BackboneElement Pulse Blood Pressure
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code SΣ 1..1 CodeableConcept Mean Arterial Blood Pressure Code
Binding: Vital Signs Pulse Blood Pressure Codes (required)
..... Slices for value[x] SΣ 0..1 Actual component result
Slice: Unordered, Open by type:$this
...... valueQuantity Quantity
...... valueCodeableConcept CodeableConcept
...... valueString string
...... valueBoolean boolean
...... valueInteger integer
...... valueRange Range
...... valueRatio Ratio
...... valueSampledData SampledData
...... valueTime time
...... valueDateTime dateTime
...... valuePeriod Period
...... value[x]:valueQuantity SΣ 0..1 Quantity Vital Sign Component Value
....... value SΣ 1..1 decimal Numerical value (with implicit precision)
....... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
....... unit SΣ 0..1 string Unit representation
....... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
....... code SΣ 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:BodyPosition SΣ 0..1 BackboneElement Position of the Body during measurement
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code SΣ 1..1 CodeableConcept Body Position Code
Binding: Observation Codes (required)
..... Slices for value[x] SΣ 0..1 Actual component result
Slice: Unordered, Open by type:$this
...... valueQuantity Quantity
...... valueCodeableConcept CodeableConcept
...... valueString string
...... valueBoolean boolean
...... valueInteger integer
...... valueRange Range
...... valueRatio Ratio
...... valueSampledData SampledData
...... valueTime time
...... valueDateTime dateTime
...... valuePeriod Period
...... value[x]:valueCodeableConcept SΣ 0..1 CodeableConcept Actual component result
....... coding SΣ 0..* Coding Position of the Body
........ system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://bloodpressure.oemig.de/fhir/CodeSystem/BodyPosition
........ code SΣ 1..1 code Symbol in syntax defined by the system
Binding: Body Position (required)
..... dataAbsentReason SC 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
.... component:Location SΣ 0..1 BackboneElement Location of the Body during measurement
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code SΣ 1..1 CodeableConcept Location Code
Binding: Observation Codes (required)
..... Slices for value[x] SΣ 0..1 Actual component result
Slice: Unordered, Open by type:$this
...... valueQuantity Quantity
...... valueCodeableConcept CodeableConcept
...... valueString string
...... valueBoolean boolean
...... valueInteger integer
...... valueRange Range
...... valueRatio Ratio
...... valueSampledData SampledData
...... valueTime time
...... valueDateTime dateTime
...... valuePeriod Period
...... value[x]:valueCodeableConcept SΣ 0..1 CodeableConcept Actual component result
....... coding SΣ 0..* Coding Location of the Body
........ system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://bloodpressure.oemig.de/fhir/CodeSystem/Location
........ code SΣ 1..1 code Symbol in syntax defined by the system
Binding: Location (required)
..... 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:Consciousness SΣ 0..1 BackboneElement Consciousness during measurement
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code SΣ 1..1 CodeableConcept Consciousness Code
Binding: Observation Codes (required)
..... Slices for value[x] SΣ 0..1 Actual component result
Slice: Unordered, Open by type:$this
...... valueQuantity Quantity
...... valueCodeableConcept CodeableConcept
...... valueString string
...... valueBoolean boolean
...... valueInteger integer
...... valueRange Range
...... valueRatio Ratio
...... valueSampledData SampledData
...... valueTime time
...... valueDateTime dateTime
...... valuePeriod Period
...... value[x]:valueCodeableConcept SΣ 0..1 CodeableConcept Actual component result
....... coding SΣ 0..* Coding Consciousness
........ system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://bloodpressure.oemig.de/fhir/CodeSystem/Consciousness
........ code SΣ 1..1 code Symbol in syntax defined by the system
Binding: Consciousness (required)
..... 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:Exertion SΣ 0..1 BackboneElement Component results
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code SΣ 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
..... 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:CuffType SΣ 0..1 BackboneElement Cuff Type used during measurement
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code SΣ 1..1 CodeableConcept Cuff Type Code
Binding: LOINCCodes (example): Codes identifying names of simple observations.
..... Slices for value[x] SΣ 0..1 Actual component result
Slice: Unordered, Open by type:$this
...... valueQuantity Quantity
...... valueCodeableConcept CodeableConcept
...... valueString string
...... valueBoolean boolean
...... valueInteger integer
...... valueRange Range
...... valueRatio Ratio
...... valueSampledData SampledData
...... valueTime time
...... valueDateTime dateTime
...... valuePeriod Period
...... value[x]:valueCodeableConcept SΣ 0..1 CodeableConcept Actual component result
....... coding SΣ 0..* Coding Cuff Type
........ system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://bloodpressure.oemig.de/fhir/CodeSystem/CuffType
........ code SΣ 1..1 code Symbol in syntax defined by the system
Binding: Cuff Type (required)
..... 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:CuffSize SΣ 0..1 BackboneElement Cuff Size used during measurement
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code SΣ 1..1 CodeableConcept Cuff Size Code
Binding: LOINCCodes (example): Codes identifying names of simple observations.
..... Slices for value[x] SΣ 0..1 Actual component result
Slice: Unordered, Open by type:$this
...... valueQuantity Quantity
...... valueCodeableConcept CodeableConcept
...... valueString string
...... valueBoolean boolean
...... valueInteger integer
...... valueRange Range
...... valueRatio Ratio
...... valueSampledData SampledData
...... valueTime time
...... valueDateTime dateTime
...... valuePeriod Period
...... value[x]:valueCodeableConcept SΣ 0..1 CodeableConcept Actual component result
....... coding SΣ 0..* Coding CuffSize
........ system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://bloodpressure.oemig.de/fhir/CodeSystem/CuffSize
........ code SΣ 1..1 code Symbol in syntax defined by the system
Binding: Cuff Size (required)
..... dataAbsentReason SC 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.status Base required ObservationStatus 📦4.0.1 FHIR Std.
Observation.category Base required Observation Vital Signs Category 📦0.3.3 This IG
Observation.code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.bodySite Base example SNOMED CT Body Structures 📍4.0.1 FHIR Std.
Observation.method Base example Observation Methods 📍4.0.1 FHIR Std.
Observation.component.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:SystolicBP.​code Base required Vital Signs Systolic Blood Pressure Codes 📦0.3.3 This IG
Observation.component:SystolicBP.​value[x]:valueQuantity.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:SystolicBP.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:DiastolicBP.​code Base required Vital Signs Diastolic Blood Pressure Codes 📦0.3.3 This IG
Observation.component:DiastolicBP.​value[x]:valueQuantity.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:DiastolicBP.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:MeanArterialBP.​code Base required Vital Signs Mean Arterial Blood Pressure Codes 📦0.3.3 This IG
Observation.component:MeanArterialBP.​value[x]:valueQuantity.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:MeanArterialBP.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:PulsePressureBP.​code Base required Vital Signs Pulse Blood Pressure Codes 📦0.3.3 This IG
Observation.component:PulsePressureBP.​value[x]:valueQuantity.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:PulsePressureBP.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:BodyPosition.​code Base required Observation Codes 📦0.3.3 This IG
Observation.component:BodyPosition.​value[x]:valueCodeableConcept.​coding.code Base required Body Position 📦0.3.3 This IG
Observation.component:BodyPosition.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:Location.​code Base required Observation Codes 📦0.3.3 This IG
Observation.component:Location.​value[x]:valueCodeableConcept.​coding.code Base required Location 📦0.3.3 This IG
Observation.component:Location.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:Consciousness.​code Base required Observation Codes 📦0.3.3 This IG
Observation.component:Consciousness.​value[x]:valueCodeableConcept.​coding.code Base required Consciousness 📦0.3.3 This IG
Observation.component:Consciousness.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:Exertion.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:Exertion.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:CuffType.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:CuffType.​value[x]:valueCodeableConcept.​coding.code Base required Cuff Type 📦0.3.3 This IG
Observation.component:CuffType.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:CuffSize.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:CuffSize.​value[x]:valueCodeableConcept.​coding.code Base required Cuff Size 📦0.3.3 This IG
Observation.component:CuffSize.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 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().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(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 **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions 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.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

This structure is derived from USCoreModifiedVitalSigns

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation 0..* USCoreModifiedVitalSigns US Core Blood Pressure Profile
... category 0..* 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://bloodpressure.oemig.de/fhir/CodeSystem/ObservationCategory
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: vital-sign-bp
... code 1..1 CodeableConcept Blood Pressure
... bodySite S 0..1 CodeableConcept Observed body part
... device S 0..1 Reference(Device | DeviceMetric) (Measurement) Device
... Slices for component 1..* BackboneElement Component observations
Slice: Unordered, Open by pattern:code
.... component:SystolicBP S 1..1 BackboneElement Systolic Blood Pressure
..... code 1..1 CodeableConcept Systolic Blood Pressure Code
Binding: Vital Signs Systolic Blood Pressure Codes (required)
..... Slices for value[x] 0..1 Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period Actual component result
Slice: Unordered, Open by type:$this
...... value[x]:valueQuantity S 0..1 Quantity Vital Sign Component Value
....... value S 1..1 decimal Numerical value (with implicit precision)
....... unit S 0..1 string Unit representation
....... system S 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
....... code S 1..1 code Coded form of the unit
Fixed Value: mm[Hg]
.... component:DiastolicBP S 0..1 BackboneElement Diastolic Blood Pressure
..... code 1..1 CodeableConcept Diastolic Blood Pressure Code
Binding: Vital Signs Diastolic Blood Pressure Codes (required)
..... Slices for value[x] 0..1 Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period Actual component result
Slice: Unordered, Open by type:$this
...... value[x]:valueQuantity S 0..1 Quantity Vital Sign Component Value
....... value S 1..1 decimal Numerical value (with implicit precision)
....... unit S 0..1 string Unit representation
....... system S 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
....... code S 1..1 code Coded form of the unit
Fixed Value: mm[Hg]
.... component:MeanArterialBP S 0..1 BackboneElement Mean Arterial Blood Pressure
..... code 1..1 CodeableConcept Mean Arterial Blood Pressure Code
Binding: Vital Signs Mean Arterial Blood Pressure Codes (required)
..... Slices for value[x] 0..1 Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period Actual component result
Slice: Unordered, Open by type:$this
...... value[x]:valueQuantity S 0..1 Quantity Vital Sign Component Value
....... value S 1..1 decimal Numerical value (with implicit precision)
....... unit S 0..1 string Unit representation
....... system S 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
....... code S 1..1 code Coded form of the unit
Fixed Value: mm[Hg]
.... component:PulsePressureBP 0..1 BackboneElement Pulse Blood Pressure
..... code 1..1 CodeableConcept Mean Arterial Blood Pressure Code
Binding: Vital Signs Pulse Blood Pressure Codes (required)
..... Slices for value[x] 0..1 Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period Actual component result
Slice: Unordered, Open by type:$this
...... value[x]:valueQuantity S 0..1 Quantity Vital Sign Component Value
....... value S 1..1 decimal Numerical value (with implicit precision)
....... unit S 0..1 string Unit representation
....... system S 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
....... code S 1..1 code Coded form of the unit
Fixed Value: mm[Hg]
.... component:BodyPosition 0..1 BackboneElement Position of the Body during measurement
..... code 1..1 CodeableConcept Body Position Code
Binding: Observation Codes (required)
...... coding
....... code 0..1 code Symbol in syntax defined by the system
Required Pattern: bodyPosition
..... Slices for value[x] 0..1 Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period Actual component result
Slice: Unordered, Open by type:$this
...... value[x]:valueCodeableConcept 0..1 CodeableConcept Actual component result
....... coding S 0..* Coding Position of the Body
........ system S 1..1 uri Identity of the terminology system
Fixed Value: http://bloodpressure.oemig.de/fhir/CodeSystem/BodyPosition
........ code S 1..1 code Symbol in syntax defined by the system
Binding: Body Position (required)
.... component:Location 0..1 BackboneElement Location of the Body during measurement
..... code 1..1 CodeableConcept Location Code
Binding: Observation Codes (required)
...... coding
....... code 0..1 code Symbol in syntax defined by the system
Required Pattern: bodyPosition
..... Slices for value[x] 0..1 Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period Actual component result
Slice: Unordered, Open by type:$this
...... value[x]:valueCodeableConcept 0..1 CodeableConcept Actual component result
....... coding S 0..* Coding Location of the Body
........ system S 1..1 uri Identity of the terminology system
Fixed Value: http://bloodpressure.oemig.de/fhir/CodeSystem/Location
........ code S 1..1 code Symbol in syntax defined by the system
Binding: Location (required)
.... component:Consciousness 0..1 BackboneElement Consciousness during measurement
..... code 1..1 CodeableConcept Consciousness Code
Binding: Observation Codes (required)
...... coding
....... code 0..1 code Symbol in syntax defined by the system
Required Pattern: consciousness
..... Slices for value[x] 0..1 Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period Actual component result
Slice: Unordered, Open by type:$this
...... value[x]:valueCodeableConcept 0..1 CodeableConcept Actual component result
....... coding S 0..* Coding Consciousness
........ system S 1..1 uri Identity of the terminology system
Fixed Value: http://bloodpressure.oemig.de/fhir/CodeSystem/Consciousness
........ code S 1..1 code Symbol in syntax defined by the system
Binding: Consciousness (required)
.... component:Exertion 0..1 BackboneElement Component results
.... component:CuffType 0..1 BackboneElement Cuff Type used during measurement
..... code 1..1 CodeableConcept Cuff Type Code
...... coding
....... system 0..1 uri Identity of the terminology system
Required Pattern: http://bloodpressure.oemig.de/fhir/CodeSystem/ObservationCodes
....... code 0..1 code Symbol in syntax defined by the system
Required Pattern: cuffType
..... Slices for value[x] 0..1 Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period Actual component result
Slice: Unordered, Open by type:$this
...... value[x]:valueCodeableConcept 0..1 CodeableConcept Actual component result
....... coding S 0..* Coding Cuff Type
........ system S 1..1 uri Identity of the terminology system
Fixed Value: http://bloodpressure.oemig.de/fhir/CodeSystem/CuffType
........ code S 1..1 code Symbol in syntax defined by the system
Binding: Cuff Type (required)
.... component:CuffSize 0..1 BackboneElement Cuff Size used during measurement
..... code 1..1 CodeableConcept Cuff Size Code
...... coding
....... system 0..1 uri Identity of the terminology system
Required Pattern: http://bloodpressure.oemig.de/fhir/CodeSystem/ObservationCodes
....... code 0..1 code Symbol in syntax defined by the system
Required Pattern: cuffSize
..... Slices for value[x] 0..1 Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period Actual component result
Slice: Unordered, Open by type:$this
...... value[x]:valueCodeableConcept 0..1 CodeableConcept Actual component result
....... coding S 0..* Coding CuffSize
........ system S 1..1 uri Identity of the terminology system
Fixed Value: http://bloodpressure.oemig.de/fhir/CodeSystem/CuffSize
........ code S 1..1 code Symbol in syntax defined by the system
Binding: Cuff Size (required)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Observation.component:SystolicBP.​code Base required Vital Signs Systolic Blood Pressure Codes 📦0.3.3 This IG
Observation.component:DiastolicBP.​code Base required Vital Signs Diastolic Blood Pressure Codes 📦0.3.3 This IG
Observation.component:MeanArterialBP.​code Base required Vital Signs Mean Arterial Blood Pressure Codes 📦0.3.3 This IG
Observation.component:PulsePressureBP.​code Base required Vital Signs Pulse Blood Pressure Codes 📦0.3.3 This IG
Observation.component:BodyPosition.​code Base required Observation Codes 📦0.3.3 This IG
Observation.component:BodyPosition.​value[x]:valueCodeableConcept.​coding.code Base required Body Position 📦0.3.3 This IG
Observation.component:Location.​code Base required Observation Codes 📦0.3.3 This IG
Observation.component:Location.​value[x]:valueCodeableConcept.​coding.code Base required Location 📦0.3.3 This IG
Observation.component:Consciousness.​code Base required Observation Codes 📦0.3.3 This IG
Observation.component:Consciousness.​value[x]:valueCodeableConcept.​coding.code Base required Consciousness 📦0.3.3 This IG
Observation.component:CuffType.​value[x]:valueCodeableConcept.​coding.code Base required Cuff Type 📦0.3.3 This IG
Observation.component:CuffSize.​value[x]:valueCodeableConcept.​coding.code Base required Cuff Size 📦0.3.3 This IG
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* USCoreModifiedVitalSigns US Core Blood Pressure Profile
Constraints: obs-6, obs-7
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... 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
.... extension:medication S 0..* Reference(MedicationStatement) Medication to be considered for correct interpretation of vital signs
URL: http://bloodpressure.oemig.de/fhir/StructureDefinition/medicationExt
.... extension:bodyWeight S 0..1 Reference(Observation) Body weight to be considered for correct interpretation of vital signs
URL: http://bloodpressure.oemig.de/fhir/StructureDefinition/bodweightExt
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Business Identifier for observation
... basedOn Σ 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
... partOf Σ 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) Part of referenced event
... status ?!SΣ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required)
... category 0..* CodeableConcept Classification of type of observation
Binding: Observation Vital Signs Category (required)

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://bloodpressure.oemig.de/fhir/CodeSystem/ObservationCategory
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: vital-sign-bp
..... 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 SΣ 1..1 CodeableConcept Blood Pressure
Binding: LOINCCodes (example): Codes identifying names of simple observations.
... subject SΣ 0..1 Reference(Patient) Who and/or what the observation is about
... focus Σ 0..* Reference(Resource) What the observation is about, when it is not about the subject of record
... encounter Σ 0..1 Reference(Encounter) Healthcare event during which this observation is made
... effective[x] SΣ 0..1 Clinically relevant time/time-period for observation
.... effectiveDateTime dateTime
.... effectivePeriod Period
.... effectiveInstant instant
... issued Σ 0..1 instant Date/Time this version was made available
... performer Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) Who is responsible for the observation
... value[x] SΣC 0..1 Actual result
.... valueQuantity Quantity
.... valueString string
.... valueInteger integer
... dataAbsentReason SC 0..1 CodeableConcept Why the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
... interpretation S 0..1 CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
... note 0..* Annotation Comments about the observation
... bodySite S 0..1 CodeableConcept Observed body part
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
... method S 0..1 CodeableConcept How it was done
Binding: ObservationMethods (example): Methods for simple observations.
... specimen 0..1 Reference(Specimen) Specimen used for this observation
... device S 0..1 Reference(Device | DeviceMetric) (Measurement) 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
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... low C 0..1 SimpleQuantity(4.0.1) Low Range, if relevant
.... high C 0..1 SimpleQuantity(4.0.1) High Range, if relevant
.... type 0..1 CodeableConcept Reference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
.... appliesTo 0..* CodeableConcept Reference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
.... age 0..1 Range Applicable age range, if relevant
.... text 0..1 string Text based reference range in an observation
... hasMember Σ 0..* Reference(Observation | QuestionnaireResponse | MolecularSequence) Related resource that belongs to the Observation group
... derivedFrom Σ 0..* Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) Related measurements the observation is made from
... Slices for component SΣ 1..* BackboneElement Component observations
Slice: Unordered, Open by pattern:code
.... component:All Slices Content/Rules for all slices
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code SΣ 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
..... 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:SystolicBP SΣ 1..1 BackboneElement Systolic Blood Pressure
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code SΣ 1..1 CodeableConcept Systolic Blood Pressure Code
Binding: Vital Signs Systolic Blood Pressure Codes (required)
..... Slices for value[x] SΣ 0..1 Actual component result
Slice: Unordered, Open by type:$this
...... valueQuantity Quantity
...... valueCodeableConcept CodeableConcept
...... valueString string
...... valueBoolean boolean
...... valueInteger integer
...... valueRange Range
...... valueRatio Ratio
...... valueSampledData SampledData
...... valueTime time
...... valueDateTime dateTime
...... valuePeriod Period
...... value[x]:valueQuantity SΣ 0..1 Quantity Vital Sign Component Value
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... value SΣ 1..1 decimal Numerical value (with implicit precision)
....... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
....... unit SΣ 0..1 string Unit representation
....... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
....... code SΣ 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 SΣ 0..1 BackboneElement Diastolic Blood Pressure
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code SΣ 1..1 CodeableConcept Diastolic Blood Pressure Code
Binding: Vital Signs Diastolic Blood Pressure Codes (required)
..... Slices for value[x] SΣ 0..1 Actual component result
Slice: Unordered, Open by type:$this
...... valueQuantity Quantity
...... valueCodeableConcept CodeableConcept
...... valueString string
...... valueBoolean boolean
...... valueInteger integer
...... valueRange Range
...... valueRatio Ratio
...... valueSampledData SampledData
...... valueTime time
...... valueDateTime dateTime
...... valuePeriod Period
...... value[x]:valueQuantity SΣ 0..1 Quantity Vital Sign Component Value
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... value SΣ 1..1 decimal Numerical value (with implicit precision)
....... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
....... unit SΣ 0..1 string Unit representation
....... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
....... code SΣ 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 SΣ 0..1 BackboneElement Mean Arterial Blood Pressure
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code SΣ 1..1 CodeableConcept Mean Arterial Blood Pressure Code
Binding: Vital Signs Mean Arterial Blood Pressure Codes (required)
..... Slices for value[x] SΣ 0..1 Actual component result
Slice: Unordered, Open by type:$this
...... valueQuantity Quantity
...... valueCodeableConcept CodeableConcept
...... valueString string
...... valueBoolean boolean
...... valueInteger integer
...... valueRange Range
...... valueRatio Ratio
...... valueSampledData SampledData
...... valueTime time
...... valueDateTime dateTime
...... valuePeriod Period
...... value[x]:valueQuantity SΣ 0..1 Quantity Vital Sign Component Value
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... value SΣ 1..1 decimal Numerical value (with implicit precision)
....... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
....... unit SΣ 0..1 string Unit representation
....... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
....... code SΣ 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:PulsePressureBP SΣ 0..1 BackboneElement Pulse Blood Pressure
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code SΣ 1..1 CodeableConcept Mean Arterial Blood Pressure Code
Binding: Vital Signs Pulse Blood Pressure Codes (required)
..... Slices for value[x] SΣ 0..1 Actual component result
Slice: Unordered, Open by type:$this
...... valueQuantity Quantity
...... valueCodeableConcept CodeableConcept
...... valueString string
...... valueBoolean boolean
...... valueInteger integer
...... valueRange Range
...... valueRatio Ratio
...... valueSampledData SampledData
...... valueTime time
...... valueDateTime dateTime
...... valuePeriod Period
...... value[x]:valueQuantity SΣ 0..1 Quantity Vital Sign Component Value
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... value SΣ 1..1 decimal Numerical value (with implicit precision)
....... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
....... unit SΣ 0..1 string Unit representation
....... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
....... code SΣ 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:BodyPosition SΣ 0..1 BackboneElement Position of the Body during measurement
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code SΣ 1..1 CodeableConcept Body Position Code
Binding: Observation Codes (required)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 0..* Coding Code defined by a terminology system
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ 0..1 uri Identity of the terminology system
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 0..1 code Symbol in syntax defined by the system
Required Pattern: bodyPosition
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... Slices for value[x] SΣ 0..1 Actual component result
Slice: Unordered, Open by type:$this
...... valueQuantity Quantity
...... valueCodeableConcept CodeableConcept
...... valueString string
...... valueBoolean boolean
...... valueInteger integer
...... valueRange Range
...... valueRatio Ratio
...... valueSampledData SampledData
...... valueTime time
...... valueDateTime dateTime
...... valuePeriod Period
...... value[x]:valueCodeableConcept SΣ 0..1 CodeableConcept Actual component result
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... coding SΣ 0..* Coding Position of the Body
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://bloodpressure.oemig.de/fhir/CodeSystem/BodyPosition
........ version Σ 0..1 string Version of the system - if relevant
........ code SΣ 1..1 code Symbol in syntax defined by the system
Binding: Body Position (required)
........ display Σ 0..1 string Representation defined by the system
........ userSelected Σ 0..1 boolean If this coding was chosen directly by the user
....... text Σ 0..1 string Plain text representation of the concept
..... 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:Location SΣ 0..1 BackboneElement Location of the Body during measurement
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code SΣ 1..1 CodeableConcept Location Code
Binding: Observation Codes (required)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 0..* Coding Code defined by a terminology system
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ 0..1 uri Identity of the terminology system
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 0..1 code Symbol in syntax defined by the system
Required Pattern: bodyPosition
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... Slices for value[x] SΣ 0..1 Actual component result
Slice: Unordered, Open by type:$this
...... valueQuantity Quantity
...... valueCodeableConcept CodeableConcept
...... valueString string
...... valueBoolean boolean
...... valueInteger integer
...... valueRange Range
...... valueRatio Ratio
...... valueSampledData SampledData
...... valueTime time
...... valueDateTime dateTime
...... valuePeriod Period
...... value[x]:valueCodeableConcept SΣ 0..1 CodeableConcept Actual component result
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... coding SΣ 0..* Coding Location of the Body
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://bloodpressure.oemig.de/fhir/CodeSystem/Location
........ version Σ 0..1 string Version of the system - if relevant
........ code SΣ 1..1 code Symbol in syntax defined by the system
Binding: Location (required)
........ display Σ 0..1 string Representation defined by the system
........ userSelected Σ 0..1 boolean If this coding was chosen directly by the user
....... text Σ 0..1 string Plain text representation of the concept
..... 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:Consciousness SΣ 0..1 BackboneElement Consciousness during measurement
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code SΣ 1..1 CodeableConcept Consciousness Code
Binding: Observation Codes (required)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 0..* Coding Code defined by a terminology system
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ 0..1 uri Identity of the terminology system
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 0..1 code Symbol in syntax defined by the system
Required Pattern: consciousness
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... Slices for value[x] SΣ 0..1 Actual component result
Slice: Unordered, Open by type:$this
...... valueQuantity Quantity
...... valueCodeableConcept CodeableConcept
...... valueString string
...... valueBoolean boolean
...... valueInteger integer
...... valueRange Range
...... valueRatio Ratio
...... valueSampledData SampledData
...... valueTime time
...... valueDateTime dateTime
...... valuePeriod Period
...... value[x]:valueCodeableConcept SΣ 0..1 CodeableConcept Actual component result
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... coding SΣ 0..* Coding Consciousness
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://bloodpressure.oemig.de/fhir/CodeSystem/Consciousness
........ version Σ 0..1 string Version of the system - if relevant
........ code SΣ 1..1 code Symbol in syntax defined by the system
Binding: Consciousness (required)
........ display Σ 0..1 string Representation defined by the system
........ userSelected Σ 0..1 boolean If this coding was chosen directly by the user
....... text Σ 0..1 string Plain text representation of the concept
..... 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:Exertion SΣ 0..1 BackboneElement Component results
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code SΣ 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
..... 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:CuffType SΣ 0..1 BackboneElement Cuff Type used during measurement
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code SΣ 1..1 CodeableConcept Cuff Type Code
Binding: LOINCCodes (example): Codes identifying names of simple observations.
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 0..* Coding Code defined by a terminology system
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ 0..1 uri Identity of the terminology system
Required Pattern: http://bloodpressure.oemig.de/fhir/CodeSystem/ObservationCodes
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 0..1 code Symbol in syntax defined by the system
Required Pattern: cuffType
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... Slices for value[x] SΣ 0..1 Actual component result
Slice: Unordered, Open by type:$this
...... valueQuantity Quantity
...... valueCodeableConcept CodeableConcept
...... valueString string
...... valueBoolean boolean
...... valueInteger integer
...... valueRange Range
...... valueRatio Ratio
...... valueSampledData SampledData
...... valueTime time
...... valueDateTime dateTime
...... valuePeriod Period
...... value[x]:valueCodeableConcept SΣ 0..1 CodeableConcept Actual component result
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... coding SΣ 0..* Coding Cuff Type
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://bloodpressure.oemig.de/fhir/CodeSystem/CuffType
........ version Σ 0..1 string Version of the system - if relevant
........ code SΣ 1..1 code Symbol in syntax defined by the system
Binding: Cuff Type (required)
........ display Σ 0..1 string Representation defined by the system
........ userSelected Σ 0..1 boolean If this coding was chosen directly by the user
....... text Σ 0..1 string Plain text representation of the concept
..... 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:CuffSize SΣ 0..1 BackboneElement Cuff Size used during measurement
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code SΣ 1..1 CodeableConcept Cuff Size Code
Binding: LOINCCodes (example): Codes identifying names of simple observations.
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 0..* Coding Code defined by a terminology system
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ 0..1 uri Identity of the terminology system
Required Pattern: http://bloodpressure.oemig.de/fhir/CodeSystem/ObservationCodes
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 0..1 code Symbol in syntax defined by the system
Required Pattern: cuffSize
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... Slices for value[x] SΣ 0..1 Actual component result
Slice: Unordered, Open by type:$this
...... valueQuantity Quantity
...... valueCodeableConcept CodeableConcept
...... valueString string
...... valueBoolean boolean
...... valueInteger integer
...... valueRange Range
...... valueRatio Ratio
...... valueSampledData SampledData
...... valueTime time
...... valueDateTime dateTime
...... valuePeriod Period
...... value[x]:valueCodeableConcept SΣ 0..1 CodeableConcept Actual component result
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... coding SΣ 0..* Coding CuffSize
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://bloodpressure.oemig.de/fhir/CodeSystem/CuffSize
........ version Σ 0..1 string Version of the system - if relevant
........ code SΣ 1..1 code Symbol in syntax defined by the system
Binding: Cuff Size (required)
........ display Σ 0..1 string Representation defined by the system
........ userSelected Σ 0..1 boolean If this coding was chosen directly by the user
....... text Σ 0..1 string Plain text representation of the concept
..... 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

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Observation.status Base required ObservationStatus 📦4.0.1 FHIR Std.
Observation.category Base required Observation Vital Signs Category 📦0.3.3 This IG
Observation.code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.bodySite Base example SNOMED CT Body Structures 📍4.0.1 FHIR Std.
Observation.method Base example Observation Methods 📍4.0.1 FHIR Std.
Observation.referenceRange.​type Base preferred Observation Reference Range Meaning Codes 📍4.0.1 FHIR Std.
Observation.referenceRange.​appliesTo Base example Observation Reference Range Applies To Codes 📍4.0.1 FHIR Std.
Observation.component.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:SystolicBP.​code Base required Vital Signs Systolic Blood Pressure Codes 📦0.3.3 This IG
Observation.component:SystolicBP.​value[x]:valueQuantity.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:SystolicBP.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:SystolicBP.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:DiastolicBP.​code Base required Vital Signs Diastolic Blood Pressure Codes 📦0.3.3 This IG
Observation.component:DiastolicBP.​value[x]:valueQuantity.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:DiastolicBP.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:DiastolicBP.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:MeanArterialBP.​code Base required Vital Signs Mean Arterial Blood Pressure Codes 📦0.3.3 This IG
Observation.component:MeanArterialBP.​value[x]:valueQuantity.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:MeanArterialBP.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:MeanArterialBP.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:PulsePressureBP.​code Base required Vital Signs Pulse Blood Pressure Codes 📦0.3.3 This IG
Observation.component:PulsePressureBP.​value[x]:valueQuantity.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:PulsePressureBP.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:PulsePressureBP.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:BodyPosition.​code Base required Observation Codes 📦0.3.3 This IG
Observation.component:BodyPosition.​value[x]:valueCodeableConcept.​coding.code Base required Body Position 📦0.3.3 This IG
Observation.component:BodyPosition.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:BodyPosition.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:Location.​code Base required Observation Codes 📦0.3.3 This IG
Observation.component:Location.​value[x]:valueCodeableConcept.​coding.code Base required Location 📦0.3.3 This IG
Observation.component:Location.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:Location.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:Consciousness.​code Base required Observation Codes 📦0.3.3 This IG
Observation.component:Consciousness.​value[x]:valueCodeableConcept.​coding.code Base required Consciousness 📦0.3.3 This IG
Observation.component:Consciousness.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:Consciousness.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:Exertion.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:Exertion.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:Exertion.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:CuffType.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:CuffType.​value[x]:valueCodeableConcept.​coding.code Base required Cuff Type 📦0.3.3 This IG
Observation.component:CuffType.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:CuffType.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:CuffSize.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:CuffSize.​value[x]:valueCodeableConcept.​coding.code Base required Cuff Size 📦0.3.3 This IG
Observation.component:CuffSize.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:CuffSize.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 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().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(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 **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions 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.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

This structure is derived from USCoreModifiedVitalSigns

Summary

Mandatory: 2 elements(22 nested mandatory elements)
Must-Support: 41 elements
Fixed: 13 elements

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Observation.component
  • The element 1 is sliced based on the value of Observation.component.value[x]

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* USCoreModifiedVitalSigns US Core Blood Pressure Profile
Constraints: obs-6, obs-7
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension Content/Rules for all slices
.... extension:medication S 0..* Reference(MedicationStatement) Medication to be considered for correct interpretation of vital signs
URL: http://bloodpressure.oemig.de/fhir/StructureDefinition/medicationExt
.... extension:bodyWeight S 0..1 Reference(Observation) Body weight to be considered for correct interpretation of vital signs
URL: http://bloodpressure.oemig.de/fhir/StructureDefinition/bodweightExt
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... category 0..* CodeableConcept Classification of type of observation
Binding: Observation Vital Signs Category (required)

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://bloodpressure.oemig.de/fhir/CodeSystem/ObservationCategory
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: vital-sign-bp
..... 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 SΣ 1..1 CodeableConcept Blood Pressure
Binding: LOINCCodes (example): Codes identifying names of simple observations.
... subject SΣ 0..1 Reference(Patient) Who and/or what the observation is about
... effective[x] SΣ 0..1 Clinically relevant time/time-period for observation
.... effectiveDateTime dateTime
.... effectivePeriod Period
.... effectiveInstant instant
... value[x] SΣC 0..1 Actual result
.... valueQuantity Quantity
.... valueString string
.... valueInteger integer
... dataAbsentReason SC 0..1 CodeableConcept Why the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
... interpretation S 0..1 CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
... bodySite S 0..1 CodeableConcept Observed body part
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
... method S 0..1 CodeableConcept How it was done
Binding: ObservationMethods (example): Methods for simple observations.
... device S 0..1 Reference(Device | DeviceMetric) (Measurement) Device
... referenceRange SC 0..* BackboneElement Provides guide for interpretation
Constraints: obs-3
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
... Slices for component SΣ 1..* BackboneElement Component observations
Slice: Unordered, Open by pattern:code
.... component:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code SΣ 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
..... 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:SystolicBP SΣ 1..1 BackboneElement Systolic Blood Pressure
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code SΣ 1..1 CodeableConcept Systolic Blood Pressure Code
Binding: Vital Signs Systolic Blood Pressure Codes (required)
..... Slices for value[x] SΣ 0..1 Actual component result
Slice: Unordered, Open by type:$this
...... valueQuantity Quantity
...... valueCodeableConcept CodeableConcept
...... valueString string
...... valueBoolean boolean
...... valueInteger integer
...... valueRange Range
...... valueRatio Ratio
...... valueSampledData SampledData
...... valueTime time
...... valueDateTime dateTime
...... valuePeriod Period
...... value[x]:valueQuantity SΣ 0..1 Quantity Vital Sign Component Value
....... value SΣ 1..1 decimal Numerical value (with implicit precision)
....... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
....... unit SΣ 0..1 string Unit representation
....... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
....... code SΣ 1..1 code Coded form of the unit
Fixed Value: mm[Hg]
..... dataAbsentReason SC 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
.... component:DiastolicBP SΣ 0..1 BackboneElement Diastolic Blood Pressure
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code SΣ 1..1 CodeableConcept Diastolic Blood Pressure Code
Binding: Vital Signs Diastolic Blood Pressure Codes (required)
..... Slices for value[x] SΣ 0..1 Actual component result
Slice: Unordered, Open by type:$this
...... valueQuantity Quantity
...... valueCodeableConcept CodeableConcept
...... valueString string
...... valueBoolean boolean
...... valueInteger integer
...... valueRange Range
...... valueRatio Ratio
...... valueSampledData SampledData
...... valueTime time
...... valueDateTime dateTime
...... valuePeriod Period
...... value[x]:valueQuantity SΣ 0..1 Quantity Vital Sign Component Value
....... value SΣ 1..1 decimal Numerical value (with implicit precision)
....... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
....... unit SΣ 0..1 string Unit representation
....... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
....... code SΣ 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 SΣ 0..1 BackboneElement Mean Arterial Blood Pressure
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code SΣ 1..1 CodeableConcept Mean Arterial Blood Pressure Code
Binding: Vital Signs Mean Arterial Blood Pressure Codes (required)
..... Slices for value[x] SΣ 0..1 Actual component result
Slice: Unordered, Open by type:$this
...... valueQuantity Quantity
...... valueCodeableConcept CodeableConcept
...... valueString string
...... valueBoolean boolean
...... valueInteger integer
...... valueRange Range
...... valueRatio Ratio
...... valueSampledData SampledData
...... valueTime time
...... valueDateTime dateTime
...... valuePeriod Period
...... value[x]:valueQuantity SΣ 0..1 Quantity Vital Sign Component Value
....... value SΣ 1..1 decimal Numerical value (with implicit precision)
....... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
....... unit SΣ 0..1 string Unit representation
....... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
....... code SΣ 1..1 code Coded form of the unit
Fixed Value: mm[Hg]
..... dataAbsentReason SC 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
.... component:PulsePressureBP SΣ 0..1 BackboneElement Pulse Blood Pressure
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code SΣ 1..1 CodeableConcept Mean Arterial Blood Pressure Code
Binding: Vital Signs Pulse Blood Pressure Codes (required)
..... Slices for value[x] SΣ 0..1 Actual component result
Slice: Unordered, Open by type:$this
...... valueQuantity Quantity
...... valueCodeableConcept CodeableConcept
...... valueString string
...... valueBoolean boolean
...... valueInteger integer
...... valueRange Range
...... valueRatio Ratio
...... valueSampledData SampledData
...... valueTime time
...... valueDateTime dateTime
...... valuePeriod Period
...... value[x]:valueQuantity SΣ 0..1 Quantity Vital Sign Component Value
....... value SΣ 1..1 decimal Numerical value (with implicit precision)
....... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
....... unit SΣ 0..1 string Unit representation
....... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
....... code SΣ 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:BodyPosition SΣ 0..1 BackboneElement Position of the Body during measurement
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code SΣ 1..1 CodeableConcept Body Position Code
Binding: Observation Codes (required)
..... Slices for value[x] SΣ 0..1 Actual component result
Slice: Unordered, Open by type:$this
...... valueQuantity Quantity
...... valueCodeableConcept CodeableConcept
...... valueString string
...... valueBoolean boolean
...... valueInteger integer
...... valueRange Range
...... valueRatio Ratio
...... valueSampledData SampledData
...... valueTime time
...... valueDateTime dateTime
...... valuePeriod Period
...... value[x]:valueCodeableConcept SΣ 0..1 CodeableConcept Actual component result
....... coding SΣ 0..* Coding Position of the Body
........ system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://bloodpressure.oemig.de/fhir/CodeSystem/BodyPosition
........ code SΣ 1..1 code Symbol in syntax defined by the system
Binding: Body Position (required)
..... dataAbsentReason SC 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
.... component:Location SΣ 0..1 BackboneElement Location of the Body during measurement
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code SΣ 1..1 CodeableConcept Location Code
Binding: Observation Codes (required)
..... Slices for value[x] SΣ 0..1 Actual component result
Slice: Unordered, Open by type:$this
...... valueQuantity Quantity
...... valueCodeableConcept CodeableConcept
...... valueString string
...... valueBoolean boolean
...... valueInteger integer
...... valueRange Range
...... valueRatio Ratio
...... valueSampledData SampledData
...... valueTime time
...... valueDateTime dateTime
...... valuePeriod Period
...... value[x]:valueCodeableConcept SΣ 0..1 CodeableConcept Actual component result
....... coding SΣ 0..* Coding Location of the Body
........ system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://bloodpressure.oemig.de/fhir/CodeSystem/Location
........ code SΣ 1..1 code Symbol in syntax defined by the system
Binding: Location (required)
..... 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:Consciousness SΣ 0..1 BackboneElement Consciousness during measurement
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code SΣ 1..1 CodeableConcept Consciousness Code
Binding: Observation Codes (required)
..... Slices for value[x] SΣ 0..1 Actual component result
Slice: Unordered, Open by type:$this
...... valueQuantity Quantity
...... valueCodeableConcept CodeableConcept
...... valueString string
...... valueBoolean boolean
...... valueInteger integer
...... valueRange Range
...... valueRatio Ratio
...... valueSampledData SampledData
...... valueTime time
...... valueDateTime dateTime
...... valuePeriod Period
...... value[x]:valueCodeableConcept SΣ 0..1 CodeableConcept Actual component result
....... coding SΣ 0..* Coding Consciousness
........ system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://bloodpressure.oemig.de/fhir/CodeSystem/Consciousness
........ code SΣ 1..1 code Symbol in syntax defined by the system
Binding: Consciousness (required)
..... 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:Exertion SΣ 0..1 BackboneElement Component results
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code SΣ 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
..... 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:CuffType SΣ 0..1 BackboneElement Cuff Type used during measurement
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code SΣ 1..1 CodeableConcept Cuff Type Code
Binding: LOINCCodes (example): Codes identifying names of simple observations.
..... Slices for value[x] SΣ 0..1 Actual component result
Slice: Unordered, Open by type:$this
...... valueQuantity Quantity
...... valueCodeableConcept CodeableConcept
...... valueString string
...... valueBoolean boolean
...... valueInteger integer
...... valueRange Range
...... valueRatio Ratio
...... valueSampledData SampledData
...... valueTime time
...... valueDateTime dateTime
...... valuePeriod Period
...... value[x]:valueCodeableConcept SΣ 0..1 CodeableConcept Actual component result
....... coding SΣ 0..* Coding Cuff Type
........ system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://bloodpressure.oemig.de/fhir/CodeSystem/CuffType
........ code SΣ 1..1 code Symbol in syntax defined by the system
Binding: Cuff Type (required)
..... 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:CuffSize SΣ 0..1 BackboneElement Cuff Size used during measurement
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code SΣ 1..1 CodeableConcept Cuff Size Code
Binding: LOINCCodes (example): Codes identifying names of simple observations.
..... Slices for value[x] SΣ 0..1 Actual component result
Slice: Unordered, Open by type:$this
...... valueQuantity Quantity
...... valueCodeableConcept CodeableConcept
...... valueString string
...... valueBoolean boolean
...... valueInteger integer
...... valueRange Range
...... valueRatio Ratio
...... valueSampledData SampledData
...... valueTime time
...... valueDateTime dateTime
...... valuePeriod Period
...... value[x]:valueCodeableConcept SΣ 0..1 CodeableConcept Actual component result
....... coding SΣ 0..* Coding CuffSize
........ system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://bloodpressure.oemig.de/fhir/CodeSystem/CuffSize
........ code SΣ 1..1 code Symbol in syntax defined by the system
Binding: Cuff Size (required)
..... dataAbsentReason SC 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.status Base required ObservationStatus 📦4.0.1 FHIR Std.
Observation.category Base required Observation Vital Signs Category 📦0.3.3 This IG
Observation.code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.bodySite Base example SNOMED CT Body Structures 📍4.0.1 FHIR Std.
Observation.method Base example Observation Methods 📍4.0.1 FHIR Std.
Observation.component.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:SystolicBP.​code Base required Vital Signs Systolic Blood Pressure Codes 📦0.3.3 This IG
Observation.component:SystolicBP.​value[x]:valueQuantity.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:SystolicBP.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:DiastolicBP.​code Base required Vital Signs Diastolic Blood Pressure Codes 📦0.3.3 This IG
Observation.component:DiastolicBP.​value[x]:valueQuantity.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:DiastolicBP.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:MeanArterialBP.​code Base required Vital Signs Mean Arterial Blood Pressure Codes 📦0.3.3 This IG
Observation.component:MeanArterialBP.​value[x]:valueQuantity.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:MeanArterialBP.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:PulsePressureBP.​code Base required Vital Signs Pulse Blood Pressure Codes 📦0.3.3 This IG
Observation.component:PulsePressureBP.​value[x]:valueQuantity.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:PulsePressureBP.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:BodyPosition.​code Base required Observation Codes 📦0.3.3 This IG
Observation.component:BodyPosition.​value[x]:valueCodeableConcept.​coding.code Base required Body Position 📦0.3.3 This IG
Observation.component:BodyPosition.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:Location.​code Base required Observation Codes 📦0.3.3 This IG
Observation.component:Location.​value[x]:valueCodeableConcept.​coding.code Base required Location 📦0.3.3 This IG
Observation.component:Location.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:Consciousness.​code Base required Observation Codes 📦0.3.3 This IG
Observation.component:Consciousness.​value[x]:valueCodeableConcept.​coding.code Base required Consciousness 📦0.3.3 This IG
Observation.component:Consciousness.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:Exertion.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:Exertion.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:CuffType.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:CuffType.​value[x]:valueCodeableConcept.​coding.code Base required Cuff Type 📦0.3.3 This IG
Observation.component:CuffType.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:CuffSize.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:CuffSize.​value[x]:valueCodeableConcept.​coding.code Base required Cuff Size 📦0.3.3 This IG
Observation.component:CuffSize.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 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().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(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 **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions 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.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

Differential View

This structure is derived from USCoreModifiedVitalSigns

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation 0..* USCoreModifiedVitalSigns US Core Blood Pressure Profile
... category 0..* 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://bloodpressure.oemig.de/fhir/CodeSystem/ObservationCategory
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: vital-sign-bp
... code 1..1 CodeableConcept Blood Pressure
... bodySite S 0..1 CodeableConcept Observed body part
... device S 0..1 Reference(Device | DeviceMetric) (Measurement) Device
... Slices for component 1..* BackboneElement Component observations
Slice: Unordered, Open by pattern:code
.... component:SystolicBP S 1..1 BackboneElement Systolic Blood Pressure
..... code 1..1 CodeableConcept Systolic Blood Pressure Code
Binding: Vital Signs Systolic Blood Pressure Codes (required)
..... Slices for value[x] 0..1 Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period Actual component result
Slice: Unordered, Open by type:$this
...... value[x]:valueQuantity S 0..1 Quantity Vital Sign Component Value
....... value S 1..1 decimal Numerical value (with implicit precision)
....... unit S 0..1 string Unit representation
....... system S 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
....... code S 1..1 code Coded form of the unit
Fixed Value: mm[Hg]
.... component:DiastolicBP S 0..1 BackboneElement Diastolic Blood Pressure
..... code 1..1 CodeableConcept Diastolic Blood Pressure Code
Binding: Vital Signs Diastolic Blood Pressure Codes (required)
..... Slices for value[x] 0..1 Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period Actual component result
Slice: Unordered, Open by type:$this
...... value[x]:valueQuantity S 0..1 Quantity Vital Sign Component Value
....... value S 1..1 decimal Numerical value (with implicit precision)
....... unit S 0..1 string Unit representation
....... system S 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
....... code S 1..1 code Coded form of the unit
Fixed Value: mm[Hg]
.... component:MeanArterialBP S 0..1 BackboneElement Mean Arterial Blood Pressure
..... code 1..1 CodeableConcept Mean Arterial Blood Pressure Code
Binding: Vital Signs Mean Arterial Blood Pressure Codes (required)
..... Slices for value[x] 0..1 Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period Actual component result
Slice: Unordered, Open by type:$this
...... value[x]:valueQuantity S 0..1 Quantity Vital Sign Component Value
....... value S 1..1 decimal Numerical value (with implicit precision)
....... unit S 0..1 string Unit representation
....... system S 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
....... code S 1..1 code Coded form of the unit
Fixed Value: mm[Hg]
.... component:PulsePressureBP 0..1 BackboneElement Pulse Blood Pressure
..... code 1..1 CodeableConcept Mean Arterial Blood Pressure Code
Binding: Vital Signs Pulse Blood Pressure Codes (required)
..... Slices for value[x] 0..1 Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period Actual component result
Slice: Unordered, Open by type:$this
...... value[x]:valueQuantity S 0..1 Quantity Vital Sign Component Value
....... value S 1..1 decimal Numerical value (with implicit precision)
....... unit S 0..1 string Unit representation
....... system S 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
....... code S 1..1 code Coded form of the unit
Fixed Value: mm[Hg]
.... component:BodyPosition 0..1 BackboneElement Position of the Body during measurement
..... code 1..1 CodeableConcept Body Position Code
Binding: Observation Codes (required)
...... coding
....... code 0..1 code Symbol in syntax defined by the system
Required Pattern: bodyPosition
..... Slices for value[x] 0..1 Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period Actual component result
Slice: Unordered, Open by type:$this
...... value[x]:valueCodeableConcept 0..1 CodeableConcept Actual component result
....... coding S 0..* Coding Position of the Body
........ system S 1..1 uri Identity of the terminology system
Fixed Value: http://bloodpressure.oemig.de/fhir/CodeSystem/BodyPosition
........ code S 1..1 code Symbol in syntax defined by the system
Binding: Body Position (required)
.... component:Location 0..1 BackboneElement Location of the Body during measurement
..... code 1..1 CodeableConcept Location Code
Binding: Observation Codes (required)
...... coding
....... code 0..1 code Symbol in syntax defined by the system
Required Pattern: bodyPosition
..... Slices for value[x] 0..1 Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period Actual component result
Slice: Unordered, Open by type:$this
...... value[x]:valueCodeableConcept 0..1 CodeableConcept Actual component result
....... coding S 0..* Coding Location of the Body
........ system S 1..1 uri Identity of the terminology system
Fixed Value: http://bloodpressure.oemig.de/fhir/CodeSystem/Location
........ code S 1..1 code Symbol in syntax defined by the system
Binding: Location (required)
.... component:Consciousness 0..1 BackboneElement Consciousness during measurement
..... code 1..1 CodeableConcept Consciousness Code
Binding: Observation Codes (required)
...... coding
....... code 0..1 code Symbol in syntax defined by the system
Required Pattern: consciousness
..... Slices for value[x] 0..1 Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period Actual component result
Slice: Unordered, Open by type:$this
...... value[x]:valueCodeableConcept 0..1 CodeableConcept Actual component result
....... coding S 0..* Coding Consciousness
........ system S 1..1 uri Identity of the terminology system
Fixed Value: http://bloodpressure.oemig.de/fhir/CodeSystem/Consciousness
........ code S 1..1 code Symbol in syntax defined by the system
Binding: Consciousness (required)
.... component:Exertion 0..1 BackboneElement Component results
.... component:CuffType 0..1 BackboneElement Cuff Type used during measurement
..... code 1..1 CodeableConcept Cuff Type Code
...... coding
....... system 0..1 uri Identity of the terminology system
Required Pattern: http://bloodpressure.oemig.de/fhir/CodeSystem/ObservationCodes
....... code 0..1 code Symbol in syntax defined by the system
Required Pattern: cuffType
..... Slices for value[x] 0..1 Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period Actual component result
Slice: Unordered, Open by type:$this
...... value[x]:valueCodeableConcept 0..1 CodeableConcept Actual component result
....... coding S 0..* Coding Cuff Type
........ system S 1..1 uri Identity of the terminology system
Fixed Value: http://bloodpressure.oemig.de/fhir/CodeSystem/CuffType
........ code S 1..1 code Symbol in syntax defined by the system
Binding: Cuff Type (required)
.... component:CuffSize 0..1 BackboneElement Cuff Size used during measurement
..... code 1..1 CodeableConcept Cuff Size Code
...... coding
....... system 0..1 uri Identity of the terminology system
Required Pattern: http://bloodpressure.oemig.de/fhir/CodeSystem/ObservationCodes
....... code 0..1 code Symbol in syntax defined by the system
Required Pattern: cuffSize
..... Slices for value[x] 0..1 Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period Actual component result
Slice: Unordered, Open by type:$this
...... value[x]:valueCodeableConcept 0..1 CodeableConcept Actual component result
....... coding S 0..* Coding CuffSize
........ system S 1..1 uri Identity of the terminology system
Fixed Value: http://bloodpressure.oemig.de/fhir/CodeSystem/CuffSize
........ code S 1..1 code Symbol in syntax defined by the system
Binding: Cuff Size (required)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Observation.component:SystolicBP.​code Base required Vital Signs Systolic Blood Pressure Codes 📦0.3.3 This IG
Observation.component:DiastolicBP.​code Base required Vital Signs Diastolic Blood Pressure Codes 📦0.3.3 This IG
Observation.component:MeanArterialBP.​code Base required Vital Signs Mean Arterial Blood Pressure Codes 📦0.3.3 This IG
Observation.component:PulsePressureBP.​code Base required Vital Signs Pulse Blood Pressure Codes 📦0.3.3 This IG
Observation.component:BodyPosition.​code Base required Observation Codes 📦0.3.3 This IG
Observation.component:BodyPosition.​value[x]:valueCodeableConcept.​coding.code Base required Body Position 📦0.3.3 This IG
Observation.component:Location.​code Base required Observation Codes 📦0.3.3 This IG
Observation.component:Location.​value[x]:valueCodeableConcept.​coding.code Base required Location 📦0.3.3 This IG
Observation.component:Consciousness.​code Base required Observation Codes 📦0.3.3 This IG
Observation.component:Consciousness.​value[x]:valueCodeableConcept.​coding.code Base required Consciousness 📦0.3.3 This IG
Observation.component:CuffType.​value[x]:valueCodeableConcept.​coding.code Base required Cuff Type 📦0.3.3 This IG
Observation.component:CuffSize.​value[x]:valueCodeableConcept.​coding.code Base required Cuff Size 📦0.3.3 This IG

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* USCoreModifiedVitalSigns US Core Blood Pressure Profile
Constraints: obs-6, obs-7
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... 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
.... extension:medication S 0..* Reference(MedicationStatement) Medication to be considered for correct interpretation of vital signs
URL: http://bloodpressure.oemig.de/fhir/StructureDefinition/medicationExt
.... extension:bodyWeight S 0..1 Reference(Observation) Body weight to be considered for correct interpretation of vital signs
URL: http://bloodpressure.oemig.de/fhir/StructureDefinition/bodweightExt
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Business Identifier for observation
... basedOn Σ 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
... partOf Σ 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) Part of referenced event
... status ?!SΣ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required)
... category 0..* CodeableConcept Classification of type of observation
Binding: Observation Vital Signs Category (required)

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://bloodpressure.oemig.de/fhir/CodeSystem/ObservationCategory
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: vital-sign-bp
..... 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 SΣ 1..1 CodeableConcept Blood Pressure
Binding: LOINCCodes (example): Codes identifying names of simple observations.
... subject SΣ 0..1 Reference(Patient) Who and/or what the observation is about
... focus Σ 0..* Reference(Resource) What the observation is about, when it is not about the subject of record
... encounter Σ 0..1 Reference(Encounter) Healthcare event during which this observation is made
... effective[x] SΣ 0..1 Clinically relevant time/time-period for observation
.... effectiveDateTime dateTime
.... effectivePeriod Period
.... effectiveInstant instant
... issued Σ 0..1 instant Date/Time this version was made available
... performer Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) Who is responsible for the observation
... value[x] SΣC 0..1 Actual result
.... valueQuantity Quantity
.... valueString string
.... valueInteger integer
... dataAbsentReason SC 0..1 CodeableConcept Why the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
... interpretation S 0..1 CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
... note 0..* Annotation Comments about the observation
... bodySite S 0..1 CodeableConcept Observed body part
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
... method S 0..1 CodeableConcept How it was done
Binding: ObservationMethods (example): Methods for simple observations.
... specimen 0..1 Reference(Specimen) Specimen used for this observation
... device S 0..1 Reference(Device | DeviceMetric) (Measurement) 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
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... low C 0..1 SimpleQuantity(4.0.1) Low Range, if relevant
.... high C 0..1 SimpleQuantity(4.0.1) High Range, if relevant
.... type 0..1 CodeableConcept Reference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
.... appliesTo 0..* CodeableConcept Reference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
.... age 0..1 Range Applicable age range, if relevant
.... text 0..1 string Text based reference range in an observation
... hasMember Σ 0..* Reference(Observation | QuestionnaireResponse | MolecularSequence) Related resource that belongs to the Observation group
... derivedFrom Σ 0..* Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) Related measurements the observation is made from
... Slices for component SΣ 1..* BackboneElement Component observations
Slice: Unordered, Open by pattern:code
.... component:All Slices Content/Rules for all slices
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code SΣ 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
..... 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:SystolicBP SΣ 1..1 BackboneElement Systolic Blood Pressure
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code SΣ 1..1 CodeableConcept Systolic Blood Pressure Code
Binding: Vital Signs Systolic Blood Pressure Codes (required)
..... Slices for value[x] SΣ 0..1 Actual component result
Slice: Unordered, Open by type:$this
...... valueQuantity Quantity
...... valueCodeableConcept CodeableConcept
...... valueString string
...... valueBoolean boolean
...... valueInteger integer
...... valueRange Range
...... valueRatio Ratio
...... valueSampledData SampledData
...... valueTime time
...... valueDateTime dateTime
...... valuePeriod Period
...... value[x]:valueQuantity SΣ 0..1 Quantity Vital Sign Component Value
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... value SΣ 1..1 decimal Numerical value (with implicit precision)
....... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
....... unit SΣ 0..1 string Unit representation
....... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
....... code SΣ 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 SΣ 0..1 BackboneElement Diastolic Blood Pressure
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code SΣ 1..1 CodeableConcept Diastolic Blood Pressure Code
Binding: Vital Signs Diastolic Blood Pressure Codes (required)
..... Slices for value[x] SΣ 0..1 Actual component result
Slice: Unordered, Open by type:$this
...... valueQuantity Quantity
...... valueCodeableConcept CodeableConcept
...... valueString string
...... valueBoolean boolean
...... valueInteger integer
...... valueRange Range
...... valueRatio Ratio
...... valueSampledData SampledData
...... valueTime time
...... valueDateTime dateTime
...... valuePeriod Period
...... value[x]:valueQuantity SΣ 0..1 Quantity Vital Sign Component Value
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... value SΣ 1..1 decimal Numerical value (with implicit precision)
....... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
....... unit SΣ 0..1 string Unit representation
....... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
....... code SΣ 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 SΣ 0..1 BackboneElement Mean Arterial Blood Pressure
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code SΣ 1..1 CodeableConcept Mean Arterial Blood Pressure Code
Binding: Vital Signs Mean Arterial Blood Pressure Codes (required)
..... Slices for value[x] SΣ 0..1 Actual component result
Slice: Unordered, Open by type:$this
...... valueQuantity Quantity
...... valueCodeableConcept CodeableConcept
...... valueString string
...... valueBoolean boolean
...... valueInteger integer
...... valueRange Range
...... valueRatio Ratio
...... valueSampledData SampledData
...... valueTime time
...... valueDateTime dateTime
...... valuePeriod Period
...... value[x]:valueQuantity SΣ 0..1 Quantity Vital Sign Component Value
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... value SΣ 1..1 decimal Numerical value (with implicit precision)
....... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
....... unit SΣ 0..1 string Unit representation
....... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
....... code SΣ 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:PulsePressureBP SΣ 0..1 BackboneElement Pulse Blood Pressure
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code SΣ 1..1 CodeableConcept Mean Arterial Blood Pressure Code
Binding: Vital Signs Pulse Blood Pressure Codes (required)
..... Slices for value[x] SΣ 0..1 Actual component result
Slice: Unordered, Open by type:$this
...... valueQuantity Quantity
...... valueCodeableConcept CodeableConcept
...... valueString string
...... valueBoolean boolean
...... valueInteger integer
...... valueRange Range
...... valueRatio Ratio
...... valueSampledData SampledData
...... valueTime time
...... valueDateTime dateTime
...... valuePeriod Period
...... value[x]:valueQuantity SΣ 0..1 Quantity Vital Sign Component Value
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... value SΣ 1..1 decimal Numerical value (with implicit precision)
....... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
....... unit SΣ 0..1 string Unit representation
....... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
....... code SΣ 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:BodyPosition SΣ 0..1 BackboneElement Position of the Body during measurement
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code SΣ 1..1 CodeableConcept Body Position Code
Binding: Observation Codes (required)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 0..* Coding Code defined by a terminology system
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ 0..1 uri Identity of the terminology system
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 0..1 code Symbol in syntax defined by the system
Required Pattern: bodyPosition
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... Slices for value[x] SΣ 0..1 Actual component result
Slice: Unordered, Open by type:$this
...... valueQuantity Quantity
...... valueCodeableConcept CodeableConcept
...... valueString string
...... valueBoolean boolean
...... valueInteger integer
...... valueRange Range
...... valueRatio Ratio
...... valueSampledData SampledData
...... valueTime time
...... valueDateTime dateTime
...... valuePeriod Period
...... value[x]:valueCodeableConcept SΣ 0..1 CodeableConcept Actual component result
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... coding SΣ 0..* Coding Position of the Body
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://bloodpressure.oemig.de/fhir/CodeSystem/BodyPosition
........ version Σ 0..1 string Version of the system - if relevant
........ code SΣ 1..1 code Symbol in syntax defined by the system
Binding: Body Position (required)
........ display Σ 0..1 string Representation defined by the system
........ userSelected Σ 0..1 boolean If this coding was chosen directly by the user
....... text Σ 0..1 string Plain text representation of the concept
..... 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:Location SΣ 0..1 BackboneElement Location of the Body during measurement
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code SΣ 1..1 CodeableConcept Location Code
Binding: Observation Codes (required)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 0..* Coding Code defined by a terminology system
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ 0..1 uri Identity of the terminology system
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 0..1 code Symbol in syntax defined by the system
Required Pattern: bodyPosition
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... Slices for value[x] SΣ 0..1 Actual component result
Slice: Unordered, Open by type:$this
...... valueQuantity Quantity
...... valueCodeableConcept CodeableConcept
...... valueString string
...... valueBoolean boolean
...... valueInteger integer
...... valueRange Range
...... valueRatio Ratio
...... valueSampledData SampledData
...... valueTime time
...... valueDateTime dateTime
...... valuePeriod Period
...... value[x]:valueCodeableConcept SΣ 0..1 CodeableConcept Actual component result
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... coding SΣ 0..* Coding Location of the Body
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://bloodpressure.oemig.de/fhir/CodeSystem/Location
........ version Σ 0..1 string Version of the system - if relevant
........ code SΣ 1..1 code Symbol in syntax defined by the system
Binding: Location (required)
........ display Σ 0..1 string Representation defined by the system
........ userSelected Σ 0..1 boolean If this coding was chosen directly by the user
....... text Σ 0..1 string Plain text representation of the concept
..... 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:Consciousness SΣ 0..1 BackboneElement Consciousness during measurement
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code SΣ 1..1 CodeableConcept Consciousness Code
Binding: Observation Codes (required)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 0..* Coding Code defined by a terminology system
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ 0..1 uri Identity of the terminology system
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 0..1 code Symbol in syntax defined by the system
Required Pattern: consciousness
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... Slices for value[x] SΣ 0..1 Actual component result
Slice: Unordered, Open by type:$this
...... valueQuantity Quantity
...... valueCodeableConcept CodeableConcept
...... valueString string
...... valueBoolean boolean
...... valueInteger integer
...... valueRange Range
...... valueRatio Ratio
...... valueSampledData SampledData
...... valueTime time
...... valueDateTime dateTime
...... valuePeriod Period
...... value[x]:valueCodeableConcept SΣ 0..1 CodeableConcept Actual component result
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... coding SΣ 0..* Coding Consciousness
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://bloodpressure.oemig.de/fhir/CodeSystem/Consciousness
........ version Σ 0..1 string Version of the system - if relevant
........ code SΣ 1..1 code Symbol in syntax defined by the system
Binding: Consciousness (required)
........ display Σ 0..1 string Representation defined by the system
........ userSelected Σ 0..1 boolean If this coding was chosen directly by the user
....... text Σ 0..1 string Plain text representation of the concept
..... 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:Exertion SΣ 0..1 BackboneElement Component results
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code SΣ 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
..... 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:CuffType SΣ 0..1 BackboneElement Cuff Type used during measurement
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code SΣ 1..1 CodeableConcept Cuff Type Code
Binding: LOINCCodes (example): Codes identifying names of simple observations.
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 0..* Coding Code defined by a terminology system
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ 0..1 uri Identity of the terminology system
Required Pattern: http://bloodpressure.oemig.de/fhir/CodeSystem/ObservationCodes
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 0..1 code Symbol in syntax defined by the system
Required Pattern: cuffType
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... Slices for value[x] SΣ 0..1 Actual component result
Slice: Unordered, Open by type:$this
...... valueQuantity Quantity
...... valueCodeableConcept CodeableConcept
...... valueString string
...... valueBoolean boolean
...... valueInteger integer
...... valueRange Range
...... valueRatio Ratio
...... valueSampledData SampledData
...... valueTime time
...... valueDateTime dateTime
...... valuePeriod Period
...... value[x]:valueCodeableConcept SΣ 0..1 CodeableConcept Actual component result
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... coding SΣ 0..* Coding Cuff Type
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://bloodpressure.oemig.de/fhir/CodeSystem/CuffType
........ version Σ 0..1 string Version of the system - if relevant
........ code SΣ 1..1 code Symbol in syntax defined by the system
Binding: Cuff Type (required)
........ display Σ 0..1 string Representation defined by the system
........ userSelected Σ 0..1 boolean If this coding was chosen directly by the user
....... text Σ 0..1 string Plain text representation of the concept
..... 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:CuffSize SΣ 0..1 BackboneElement Cuff Size used during measurement
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code SΣ 1..1 CodeableConcept Cuff Size Code
Binding: LOINCCodes (example): Codes identifying names of simple observations.
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 0..* Coding Code defined by a terminology system
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ 0..1 uri Identity of the terminology system
Required Pattern: http://bloodpressure.oemig.de/fhir/CodeSystem/ObservationCodes
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 0..1 code Symbol in syntax defined by the system
Required Pattern: cuffSize
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... Slices for value[x] SΣ 0..1 Actual component result
Slice: Unordered, Open by type:$this
...... valueQuantity Quantity
...... valueCodeableConcept CodeableConcept
...... valueString string
...... valueBoolean boolean
...... valueInteger integer
...... valueRange Range
...... valueRatio Ratio
...... valueSampledData SampledData
...... valueTime time
...... valueDateTime dateTime
...... valuePeriod Period
...... value[x]:valueCodeableConcept SΣ 0..1 CodeableConcept Actual component result
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... coding SΣ 0..* Coding CuffSize
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://bloodpressure.oemig.de/fhir/CodeSystem/CuffSize
........ version Σ 0..1 string Version of the system - if relevant
........ code SΣ 1..1 code Symbol in syntax defined by the system
Binding: Cuff Size (required)
........ display Σ 0..1 string Representation defined by the system
........ userSelected Σ 0..1 boolean If this coding was chosen directly by the user
....... text Σ 0..1 string Plain text representation of the concept
..... 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

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Observation.status Base required ObservationStatus 📦4.0.1 FHIR Std.
Observation.category Base required Observation Vital Signs Category 📦0.3.3 This IG
Observation.code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.bodySite Base example SNOMED CT Body Structures 📍4.0.1 FHIR Std.
Observation.method Base example Observation Methods 📍4.0.1 FHIR Std.
Observation.referenceRange.​type Base preferred Observation Reference Range Meaning Codes 📍4.0.1 FHIR Std.
Observation.referenceRange.​appliesTo Base example Observation Reference Range Applies To Codes 📍4.0.1 FHIR Std.
Observation.component.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:SystolicBP.​code Base required Vital Signs Systolic Blood Pressure Codes 📦0.3.3 This IG
Observation.component:SystolicBP.​value[x]:valueQuantity.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:SystolicBP.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:SystolicBP.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:DiastolicBP.​code Base required Vital Signs Diastolic Blood Pressure Codes 📦0.3.3 This IG
Observation.component:DiastolicBP.​value[x]:valueQuantity.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:DiastolicBP.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:DiastolicBP.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:MeanArterialBP.​code Base required Vital Signs Mean Arterial Blood Pressure Codes 📦0.3.3 This IG
Observation.component:MeanArterialBP.​value[x]:valueQuantity.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:MeanArterialBP.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:MeanArterialBP.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:PulsePressureBP.​code Base required Vital Signs Pulse Blood Pressure Codes 📦0.3.3 This IG
Observation.component:PulsePressureBP.​value[x]:valueQuantity.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:PulsePressureBP.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:PulsePressureBP.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:BodyPosition.​code Base required Observation Codes 📦0.3.3 This IG
Observation.component:BodyPosition.​value[x]:valueCodeableConcept.​coding.code Base required Body Position 📦0.3.3 This IG
Observation.component:BodyPosition.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:BodyPosition.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:Location.​code Base required Observation Codes 📦0.3.3 This IG
Observation.component:Location.​value[x]:valueCodeableConcept.​coding.code Base required Location 📦0.3.3 This IG
Observation.component:Location.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:Location.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:Consciousness.​code Base required Observation Codes 📦0.3.3 This IG
Observation.component:Consciousness.​value[x]:valueCodeableConcept.​coding.code Base required Consciousness 📦0.3.3 This IG
Observation.component:Consciousness.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:Consciousness.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:Exertion.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:Exertion.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:Exertion.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:CuffType.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:CuffType.​value[x]:valueCodeableConcept.​coding.code Base required Cuff Type 📦0.3.3 This IG
Observation.component:CuffType.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:CuffType.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:CuffSize.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:CuffSize.​value[x]:valueCodeableConcept.​coding.code Base required Cuff Size 📦0.3.3 This IG
Observation.component:CuffSize.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:CuffSize.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 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().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(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 **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions 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.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

This structure is derived from USCoreModifiedVitalSigns

Summary

Mandatory: 2 elements(22 nested mandatory elements)
Must-Support: 41 elements
Fixed: 13 elements

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Observation.component
  • The element 1 is sliced based on the value of Observation.component.value[x]

 

Other representations of profile: CSV, Excel, Schematron