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 0.7.2 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

• Content
• Detailed Descriptions
• Mappings
• Examples
• XML
• JSON
• TTL

Resource Profile: US Core Blood Pressure Profile (modified, using extensions)

US Core Blood Pressure Profile inherits from the US Core Vital Signs Profile. This profile sets minimum expectations for the Observation resource to record, search, and fetch diastolic and systolic blood pressure observations with standard LOINC codes and UCUM units of measure. It specifies which additional core elements, extensions, vocabularies, and value sets SHALL be present in the resource and constrains how the elements are used. Providing the floor for standards development for specific use cases promotes interoperability and adoption.

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

Usages:

• Examples for this Profile: Observation/BloodPressureExample

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.

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	USCoreModifiedVitalSigns	US Core Blood Pressure Profile Constraints: obs-6, obs-7
Observation.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Observation.Slices for extension				Content/Rules for all slices
Observation.Slices for extension.extension:medication	S This element must be supported.	0..*	Reference(MedicationStatement)	Medication to be considered for correct interpretation of vital signs URL: http://bloodpressure.oemig.de/fhir/StructureDefinition/medicationExt
Observation.Slices for extension.extension:bodyWeight	S This element must be supported.	0..1	Reference(Observation)	Body weight to be considered for correct interpretation of vital signs URL: http://bloodpressure.oemig.de/fhir/StructureDefinition/bodweightExt
Observation.Slices for extension.extension:bodyPosition	S This element must be supported.	0..1	CodeableConcept	Body Position URL: http://hl7.org/fhir/StructureDefinition/observation-bodyPosition
Observation.Slices for extension.extension:consciousness	S This element must be supported.	0..1	CodeableConcept	Consciousness URL: http://bloodpressure.oemig.de/fhir/StructureDefinition/ConsciousnessExt Binding: Consciousness (required)
Observation.Slices for extension.extension:exertion	S This element must be supported.	0..1	CodeableConcept	Exertion / Exercise Association URL: http://bloodpressure.oemig.de/fhir/StructureDefinition/exertionExt Binding: Exertion (required)
Observation.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Observation.status	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required)
Observation.category		0..*	CodeableConcept	Classification of type of observation Binding: Observation Vital Signs Category (required) Required Pattern: At least the following
Observation.category.id		0..1	string	Unique id for inter-element referencing
Observation.category.extension		0..*	Extension	Additional content defined by implementations
Observation.category.coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
Observation.category.coding.id		0..1	string	Unique id for inter-element referencing
Observation.category.coding.extension		0..*	Extension	Additional content defined by implementations
Observation.category.coding.system		1..1	uri	Identity of the terminology system Fixed Value: http://bloodpressure.oemig.de/fhir/CodeSystem/ObservationCategory
Observation.category.coding.version		0..1	string	Version of the system - if relevant
Observation.category.coding.code		1..1	code	Symbol in syntax defined by the system Fixed Value: vital-sign-bp
Observation.category.coding.display		0..1	string	Representation defined by the system
Observation.category.coding.userSelected		0..1	boolean	If this coding was chosen directly by the user
Observation.category.text		0..1	string	Plain text representation of the concept
Observation.code	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	Blood Pressure Binding: LOINCCodes (example): Codes identifying names of simple observations.
Observation.subject	S This element must be supported. Σ This element is included in summaries.	0..1	Reference(Patient)	Who and/or what the observation is about
Observation.effective[x]	S This element must be supported. Σ This element is included in summaries.	0..1		Clinically relevant time/time-period for observation
Observation.effective[x].effectiveDateTime			dateTime
Observation.effective[x].effectivePeriod			Period
Observation.effective[x].effectiveInstant			instant
Observation.value[x]	S This element must be supported. Σ This element is included in summaries. C	0..1		Actual result
Observation.value[x].valueQuantity			Quantity
Observation.value[x].valueString			string
Observation.value[x].valueInteger			integer
Observation.dataAbsentReason	S This element must be supported. C	0..1	CodeableConcept	Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.interpretation	S This element must be supported.	0..1	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.bodySite	S This element must be supported.	0..1	CodeableConcept	Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
Observation.method	S This element must be supported.	0..1	CodeableConcept	How it was done Binding: ObservationMethods (example): Methods for simple observations.
Observation.device	S This element must be supported.	0..1	Reference(Device | DeviceMetric)	(Measurement) Device
Observation.referenceRange	S This element must be supported. C	0..*	BackboneElement	Provides guide for interpretation Constraints: obs-3
Observation.referenceRange.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Observation.Slices for component	S This element must be supported. Σ This element is included in summaries.	1..*	BackboneElement	Component observations Slice: Unordered, Open by pattern:code Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for component.component:All Slices				Content/Rules for all slices
Observation.Slices for component.component:All Slices.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:All Slices.code	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
Observation.Slices for component.component:All Slices.value[x]	S This element must be supported. Σ This element is included in summaries.	0..1		Actual component result
Observation.Slices for component.component:All Slices.value[x].valueQuantity			Quantity
Observation.Slices for component.component:All Slices.value[x].valueCodeableConcept			CodeableConcept
Observation.Slices for component.component:All Slices.value[x].valueString			string
Observation.Slices for component.component:All Slices.value[x].valueBoolean			boolean
Observation.Slices for component.component:All Slices.value[x].valueInteger			integer
Observation.Slices for component.component:All Slices.value[x].valueRange			Range
Observation.Slices for component.component:All Slices.value[x].valueRatio			Ratio
Observation.Slices for component.component:All Slices.value[x].valueSampledData			SampledData
Observation.Slices for component.component:All Slices.value[x].valueTime			time
Observation.Slices for component.component:All Slices.value[x].valueDateTime			dateTime
Observation.Slices for component.component:All Slices.value[x].valuePeriod			Period
Observation.Slices for component.component:All Slices.dataAbsentReason	S This element must be supported. C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.Slices for component.component:SystolicBP	S This element must be supported. Σ This element is included in summaries.	1..1	BackboneElement	Systolic Blood Pressure
Observation.Slices for component.component:SystolicBP.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for component.component:SystolicBP.Slices for extension				Content/Rules for all slices
Observation.Slices for component.component:SystolicBP.Slices for extension.extension:systolicCategory	S This element must be supported.	0..1	CodeableConcept	systolic URL: http://bloodpressure.oemig.de/fhir/StructureDefinition/systolicExt Binding: Observation Category (required)
Observation.Slices for component.component:SystolicBP.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:SystolicBP.code	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	Systolic Blood Pressure Code Binding: Vital Signs Systolic Blood Pressure Codes (required)
Observation.Slices for component.component:SystolicBP.Slices for value[x]	S This element must be supported. Σ This element is included in summaries.	0..1		Actual component result Slice: Unordered, Closed by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view
Observation.Slices for component.component:SystolicBP.Slices for value[x].valueQuantity			Quantity
Observation.Slices for component.component:SystolicBP.Slices for value[x].valueCodeableConcept			CodeableConcept
Observation.Slices for component.component:SystolicBP.Slices for value[x].valueString			string
Observation.Slices for component.component:SystolicBP.Slices for value[x].valueBoolean			boolean
Observation.Slices for component.component:SystolicBP.Slices for value[x].valueInteger			integer
Observation.Slices for component.component:SystolicBP.Slices for value[x].valueRange			Range
Observation.Slices for component.component:SystolicBP.Slices for value[x].valueRatio			Ratio
Observation.Slices for component.component:SystolicBP.Slices for value[x].valueSampledData			SampledData
Observation.Slices for component.component:SystolicBP.Slices for value[x].valueTime			time
Observation.Slices for component.component:SystolicBP.Slices for value[x].valueDateTime			dateTime
Observation.Slices for component.component:SystolicBP.Slices for value[x].valuePeriod			Period
Observation.Slices for component.component:SystolicBP.Slices for value[x]				Content/Rules for all slices
Observation.Slices for component.component:SystolicBP.Slices for value[x].value[x]:valueQuantity	S This element must be supported. Σ This element is included in summaries.	0..1	Quantity	Vital Sign Component Value
Observation.Slices for component.component:SystolicBP.Slices for value[x].value[x]:valueQuantity.value	S This element must be supported. Σ This element is included in summaries.	1..1	decimal	Numerical value (with implicit precision)
Observation.Slices for component.component:SystolicBP.Slices for value[x].value[x]:valueQuantity.comparator	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
Observation.Slices for component.component:SystolicBP.Slices for value[x].value[x]:valueQuantity.unit	S This element must be supported. Σ This element is included in summaries.	0..1	string	Unit representation
Observation.Slices for component.component:SystolicBP.Slices for value[x].value[x]:valueQuantity.system	S This element must be supported. Σ This element is included in summaries. C	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
Observation.Slices for component.component:SystolicBP.Slices for value[x].value[x]:valueQuantity.code	S This element must be supported. Σ This element is included in summaries.	1..1	code	Coded form of the unit Fixed Value: mm[Hg]
Observation.Slices for component.component:SystolicBP.dataAbsentReason	S This element must be supported. C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.Slices for component.component:DiastolicBP	S This element must be supported. Σ This element is included in summaries.	0..1	BackboneElement	Diastolic Blood Pressure
Observation.Slices for component.component:DiastolicBP.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for component.component:DiastolicBP.Slices for extension				Content/Rules for all slices
Observation.Slices for component.component:DiastolicBP.Slices for extension.extension:diastolicCategory	S This element must be supported.	0..1	CodeableConcept	diastolic URL: http://bloodpressure.oemig.de/fhir/StructureDefinition/diastolicExt Binding: Observation Category (required)
Observation.Slices for component.component:DiastolicBP.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:DiastolicBP.code	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	Diastolic Blood Pressure Code Binding: Vital Signs Diastolic Blood Pressure Codes (required)
Observation.Slices for component.component:DiastolicBP.Slices for value[x]	S This element must be supported. Σ This element is included in summaries.	0..1		Actual component result Slice: Unordered, Closed by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view
Observation.Slices for component.component:DiastolicBP.Slices for value[x].valueQuantity			Quantity
Observation.Slices for component.component:DiastolicBP.Slices for value[x].valueCodeableConcept			CodeableConcept
Observation.Slices for component.component:DiastolicBP.Slices for value[x].valueString			string
Observation.Slices for component.component:DiastolicBP.Slices for value[x].valueBoolean			boolean
Observation.Slices for component.component:DiastolicBP.Slices for value[x].valueInteger			integer
Observation.Slices for component.component:DiastolicBP.Slices for value[x].valueRange			Range
Observation.Slices for component.component:DiastolicBP.Slices for value[x].valueRatio			Ratio
Observation.Slices for component.component:DiastolicBP.Slices for value[x].valueSampledData			SampledData
Observation.Slices for component.component:DiastolicBP.Slices for value[x].valueTime			time
Observation.Slices for component.component:DiastolicBP.Slices for value[x].valueDateTime			dateTime
Observation.Slices for component.component:DiastolicBP.Slices for value[x].valuePeriod			Period
Observation.Slices for component.component:DiastolicBP.Slices for value[x]				Content/Rules for all slices
Observation.Slices for component.component:DiastolicBP.Slices for value[x].value[x]:valueQuantity	S This element must be supported. Σ This element is included in summaries.	0..1	Quantity	Vital Sign Component Value
Observation.Slices for component.component:DiastolicBP.Slices for value[x].value[x]:valueQuantity.value	S This element must be supported. Σ This element is included in summaries.	1..1	decimal	Numerical value (with implicit precision)
Observation.Slices for component.component:DiastolicBP.Slices for value[x].value[x]:valueQuantity.comparator	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
Observation.Slices for component.component:DiastolicBP.Slices for value[x].value[x]:valueQuantity.unit	S This element must be supported. Σ This element is included in summaries.	0..1	string	Unit representation
Observation.Slices for component.component:DiastolicBP.Slices for value[x].value[x]:valueQuantity.system	S This element must be supported. Σ This element is included in summaries. C	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
Observation.Slices for component.component:DiastolicBP.Slices for value[x].value[x]:valueQuantity.code	S This element must be supported. Σ This element is included in summaries.	1..1	code	Coded form of the unit Fixed Value: mm[Hg]
Observation.Slices for component.component:DiastolicBP.dataAbsentReason	S This element must be supported. C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.Slices for component.component:MeanArterialBP	S This element must be supported. Σ This element is included in summaries.	0..1	BackboneElement	Mean Arterial Blood Pressure
Observation.Slices for component.component:MeanArterialBP.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:MeanArterialBP.code	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	Mean Arterial Blood Pressure Code Binding: Vital Signs Mean Arterial Blood Pressure Codes (required)
Observation.Slices for component.component:MeanArterialBP.Slices for value[x]	S This element must be supported. Σ This element is included in summaries.	0..1		Actual component result Slice: Unordered, Closed by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view
Observation.Slices for component.component:MeanArterialBP.Slices for value[x].valueQuantity			Quantity
Observation.Slices for component.component:MeanArterialBP.Slices for value[x].valueCodeableConcept			CodeableConcept
Observation.Slices for component.component:MeanArterialBP.Slices for value[x].valueString			string
Observation.Slices for component.component:MeanArterialBP.Slices for value[x].valueBoolean			boolean
Observation.Slices for component.component:MeanArterialBP.Slices for value[x].valueInteger			integer
Observation.Slices for component.component:MeanArterialBP.Slices for value[x].valueRange			Range
Observation.Slices for component.component:MeanArterialBP.Slices for value[x].valueRatio			Ratio
Observation.Slices for component.component:MeanArterialBP.Slices for value[x].valueSampledData			SampledData
Observation.Slices for component.component:MeanArterialBP.Slices for value[x].valueTime			time
Observation.Slices for component.component:MeanArterialBP.Slices for value[x].valueDateTime			dateTime
Observation.Slices for component.component:MeanArterialBP.Slices for value[x].valuePeriod			Period
Observation.Slices for component.component:MeanArterialBP.Slices for value[x]				Content/Rules for all slices
Observation.Slices for component.component:MeanArterialBP.Slices for value[x].value[x]:valueQuantity	S This element must be supported. Σ This element is included in summaries.	0..1	Quantity	Vital Sign Component Value
Observation.Slices for component.component:MeanArterialBP.Slices for value[x].value[x]:valueQuantity.value	S This element must be supported. Σ This element is included in summaries.	1..1	decimal	Numerical value (with implicit precision)
Observation.Slices for component.component:MeanArterialBP.Slices for value[x].value[x]:valueQuantity.comparator	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
Observation.Slices for component.component:MeanArterialBP.Slices for value[x].value[x]:valueQuantity.unit	S This element must be supported. Σ This element is included in summaries.	0..1	string	Unit representation
Observation.Slices for component.component:MeanArterialBP.Slices for value[x].value[x]:valueQuantity.system	S This element must be supported. Σ This element is included in summaries. C	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
Observation.Slices for component.component:MeanArterialBP.Slices for value[x].value[x]:valueQuantity.code	S This element must be supported. Σ This element is included in summaries.	1..1	code	Coded form of the unit Fixed Value: mm[Hg]
Observation.Slices for component.component:MeanArterialBP.dataAbsentReason	S This element must be supported. C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.Slices for component.component:PulsePressureBP	S This element must be supported. Σ This element is included in summaries.	0..1	BackboneElement	Pulse Blood Pressure
Observation.Slices for component.component:PulsePressureBP.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:PulsePressureBP.code	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	Mean Arterial Blood Pressure Code Binding: Vital Signs Pulse Blood Pressure Codes (required)
Observation.Slices for component.component:PulsePressureBP.Slices for value[x]	S This element must be supported. Σ This element is included in summaries.	0..1		Actual component result Slice: Unordered, Closed by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view
Observation.Slices for component.component:PulsePressureBP.Slices for value[x].valueQuantity			Quantity
Observation.Slices for component.component:PulsePressureBP.Slices for value[x].valueCodeableConcept			CodeableConcept
Observation.Slices for component.component:PulsePressureBP.Slices for value[x].valueString			string
Observation.Slices for component.component:PulsePressureBP.Slices for value[x].valueBoolean			boolean
Observation.Slices for component.component:PulsePressureBP.Slices for value[x].valueInteger			integer
Observation.Slices for component.component:PulsePressureBP.Slices for value[x].valueRange			Range
Observation.Slices for component.component:PulsePressureBP.Slices for value[x].valueRatio			Ratio
Observation.Slices for component.component:PulsePressureBP.Slices for value[x].valueSampledData			SampledData
Observation.Slices for component.component:PulsePressureBP.Slices for value[x].valueTime			time
Observation.Slices for component.component:PulsePressureBP.Slices for value[x].valueDateTime			dateTime
Observation.Slices for component.component:PulsePressureBP.Slices for value[x].valuePeriod			Period
Observation.Slices for component.component:PulsePressureBP.Slices for value[x]				Content/Rules for all slices
Observation.Slices for component.component:PulsePressureBP.Slices for value[x].value[x]:valueQuantity	S This element must be supported. Σ This element is included in summaries.	0..1	Quantity	Vital Sign Component Value
Observation.Slices for component.component:PulsePressureBP.Slices for value[x].value[x]:valueQuantity.value	S This element must be supported. Σ This element is included in summaries.	1..1	decimal	Numerical value (with implicit precision)
Observation.Slices for component.component:PulsePressureBP.Slices for value[x].value[x]:valueQuantity.comparator	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
Observation.Slices for component.component:PulsePressureBP.Slices for value[x].value[x]:valueQuantity.unit	S This element must be supported. Σ This element is included in summaries.	0..1	string	Unit representation
Observation.Slices for component.component:PulsePressureBP.Slices for value[x].value[x]:valueQuantity.system	S This element must be supported. Σ This element is included in summaries. C	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
Observation.Slices for component.component:PulsePressureBP.Slices for value[x].value[x]:valueQuantity.code	S This element must be supported. Σ This element is included in summaries.	1..1	code	Coded form of the unit Fixed Value: mm[Hg]
Observation.Slices for component.component:PulsePressureBP.dataAbsentReason	S This element must be supported. C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
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	📦0.7.2	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	📦0.7.2	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	📦0.7.2	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	📦0.7.2	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	📦0.7.2	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.

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation		0..*	USCoreModifiedVitalSigns	US Core Blood Pressure Profile
Observation.Slices for extension				Content/Rules for all slices
Observation.Slices for extension.extension:bodyPosition	S This element must be supported.	0..1	CodeableConcept	Body Position URL: http://hl7.org/fhir/StructureDefinition/observation-bodyPosition
Observation.Slices for extension.extension:consciousness	S This element must be supported.	0..1	CodeableConcept	Consciousness URL: http://bloodpressure.oemig.de/fhir/StructureDefinition/ConsciousnessExt Binding: Consciousness (required)
Observation.Slices for extension.extension:exertion	S This element must be supported.	0..1	CodeableConcept	Exertion / Exercise Association URL: http://bloodpressure.oemig.de/fhir/StructureDefinition/exertionExt Binding: Exertion (required)
Observation.category		0..*	CodeableConcept	Classification of type of observation Required Pattern: At least the following
Observation.category.coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
Observation.category.coding.system		1..1	uri	Identity of the terminology system Fixed Value: http://bloodpressure.oemig.de/fhir/CodeSystem/ObservationCategory
Observation.category.coding.code		1..1	code	Symbol in syntax defined by the system Fixed Value: vital-sign-bp
Observation.code		1..1	CodeableConcept	Blood Pressure
Observation.bodySite	S This element must be supported.	0..1	CodeableConcept	Observed body part
Observation.method	S This element must be supported.	0..1	CodeableConcept	How it was done
Observation.device	S This element must be supported.	0..1	Reference(Device | DeviceMetric)	(Measurement) Device
Observation.Slices for component		1..*	BackboneElement	Component observations Slice: Unordered, Open by pattern:code Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for component.component:SystolicBP	S This element must be supported.	1..1	BackboneElement	Systolic Blood Pressure
Observation.Slices for component.component:SystolicBP.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for component.component:SystolicBP.Slices for extension				Content/Rules for all slices
Observation.Slices for component.component:SystolicBP.Slices for extension.extension:systolicCategory	S This element must be supported.	0..1	CodeableConcept	systolic URL: http://bloodpressure.oemig.de/fhir/StructureDefinition/systolicExt Binding: Observation Category (required)
Observation.Slices for component.component:SystolicBP.code		1..1	CodeableConcept	Systolic Blood Pressure Code Binding: Vital Signs Systolic Blood Pressure Codes (required)
Observation.Slices for component.component:SystolicBP.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 Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view
Observation.Slices for component.component:SystolicBP.Slices for value[x]				Content/Rules for all slices
Observation.Slices for component.component:SystolicBP.Slices for value[x].value[x]:valueQuantity	S This element must be supported.	0..1	Quantity	Vital Sign Component Value
Observation.Slices for component.component:SystolicBP.Slices for value[x].value[x]:valueQuantity.value	S This element must be supported.	1..1	decimal	Numerical value (with implicit precision)
Observation.Slices for component.component:SystolicBP.Slices for value[x].value[x]:valueQuantity.unit	S This element must be supported.	0..1	string	Unit representation
Observation.Slices for component.component:SystolicBP.Slices for value[x].value[x]:valueQuantity.system	S This element must be supported.	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
Observation.Slices for component.component:SystolicBP.Slices for value[x].value[x]:valueQuantity.code	S This element must be supported.	1..1	code	Coded form of the unit Fixed Value: mm[Hg]
Observation.Slices for component.component:DiastolicBP	S This element must be supported.	0..1	BackboneElement	Diastolic Blood Pressure
Observation.Slices for component.component:DiastolicBP.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for component.component:DiastolicBP.Slices for extension				Content/Rules for all slices
Observation.Slices for component.component:DiastolicBP.Slices for extension.extension:diastolicCategory	S This element must be supported.	0..1	CodeableConcept	diastolic URL: http://bloodpressure.oemig.de/fhir/StructureDefinition/diastolicExt Binding: Observation Category (required)
Observation.Slices for component.component:DiastolicBP.code		1..1	CodeableConcept	Diastolic Blood Pressure Code Binding: Vital Signs Diastolic Blood Pressure Codes (required)
Observation.Slices for component.component:DiastolicBP.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 Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view
Observation.Slices for component.component:DiastolicBP.Slices for value[x]				Content/Rules for all slices
Observation.Slices for component.component:DiastolicBP.Slices for value[x].value[x]:valueQuantity	S This element must be supported.	0..1	Quantity	Vital Sign Component Value
Observation.Slices for component.component:DiastolicBP.Slices for value[x].value[x]:valueQuantity.value	S This element must be supported.	1..1	decimal	Numerical value (with implicit precision)
Observation.Slices for component.component:DiastolicBP.Slices for value[x].value[x]:valueQuantity.unit	S This element must be supported.	0..1	string	Unit representation
Observation.Slices for component.component:DiastolicBP.Slices for value[x].value[x]:valueQuantity.system	S This element must be supported.	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
Observation.Slices for component.component:DiastolicBP.Slices for value[x].value[x]:valueQuantity.code	S This element must be supported.	1..1	code	Coded form of the unit Fixed Value: mm[Hg]
Observation.Slices for component.component:MeanArterialBP	S This element must be supported.	0..1	BackboneElement	Mean Arterial Blood Pressure
Observation.Slices for component.component:MeanArterialBP.code		1..1	CodeableConcept	Mean Arterial Blood Pressure Code Binding: Vital Signs Mean Arterial Blood Pressure Codes (required)
Observation.Slices for component.component:MeanArterialBP.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:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view
Observation.Slices for component.component:MeanArterialBP.Slices for value[x]				Content/Rules for all slices
Observation.Slices for component.component:MeanArterialBP.Slices for value[x].value[x]:valueQuantity	S This element must be supported.	0..1	Quantity	Vital Sign Component Value
Observation.Slices for component.component:MeanArterialBP.Slices for value[x].value[x]:valueQuantity.value	S This element must be supported.	1..1	decimal	Numerical value (with implicit precision)
Observation.Slices for component.component:MeanArterialBP.Slices for value[x].value[x]:valueQuantity.unit	S This element must be supported.	0..1	string	Unit representation
Observation.Slices for component.component:MeanArterialBP.Slices for value[x].value[x]:valueQuantity.system	S This element must be supported.	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
Observation.Slices for component.component:MeanArterialBP.Slices for value[x].value[x]:valueQuantity.code	S This element must be supported.	1..1	code	Coded form of the unit Fixed Value: mm[Hg]
Observation.Slices for component.component:PulsePressureBP		0..1	BackboneElement	Pulse Blood Pressure
Observation.Slices for component.component:PulsePressureBP.code		1..1	CodeableConcept	Mean Arterial Blood Pressure Code Binding: Vital Signs Pulse Blood Pressure Codes (required)
Observation.Slices for component.component:PulsePressureBP.Slices for value[x]		0..1	Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period	Actual component result Slice: Unordered, Open by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view
Observation.Slices for component.component:PulsePressureBP.Slices for value[x]				Content/Rules for all slices
Observation.Slices for component.component:PulsePressureBP.Slices for value[x].value[x]:valueQuantity	S This element must be supported.	0..1	Quantity	Vital Sign Component Value
Observation.Slices for component.component:PulsePressureBP.Slices for value[x].value[x]:valueQuantity.value	S This element must be supported.	1..1	decimal	Numerical value (with implicit precision)
Observation.Slices for component.component:PulsePressureBP.Slices for value[x].value[x]:valueQuantity.unit	S This element must be supported.	0..1	string	Unit representation
Observation.Slices for component.component:PulsePressureBP.Slices for value[x].value[x]:valueQuantity.system	S This element must be supported.	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
Observation.Slices for component.component:PulsePressureBP.Slices for value[x].value[x]:valueQuantity.code	S This element must be supported.	1..1	code	Coded form of the unit Fixed Value: mm[Hg]
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	📦0.7.2	This IG
Observation.component:DiastolicBP.​code	Base	required	Vital Signs Diastolic Blood Pressure Codes	📦0.7.2	This IG
Observation.component:MeanArterialBP.​code	Base	required	Vital Signs Mean Arterial Blood Pressure Codes	📦0.7.2	This IG
Observation.component:PulsePressureBP.​code	Base	required	Vital Signs Pulse Blood Pressure Codes	📦0.7.2	This IG

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	USCoreModifiedVitalSigns	US Core Blood Pressure Profile Constraints: obs-6, obs-7
Observation.id	Σ This element is included in summaries.	0..1	id	Logical id of this artifact
Observation.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
Observation.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Observation.language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
Observation.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
Observation.contained		0..*	Resource	Contained, inline Resources
Observation.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Observation.Slices for extension.extension:medication	S This element must be supported.	0..*	Reference(MedicationStatement)	Medication to be considered for correct interpretation of vital signs URL: http://bloodpressure.oemig.de/fhir/StructureDefinition/medicationExt
Observation.Slices for extension.extension:bodyWeight	S This element must be supported.	0..1	Reference(Observation)	Body weight to be considered for correct interpretation of vital signs URL: http://bloodpressure.oemig.de/fhir/StructureDefinition/bodweightExt
Observation.Slices for extension.extension:bodyPosition	S This element must be supported.	0..1	CodeableConcept	Body Position URL: http://hl7.org/fhir/StructureDefinition/observation-bodyPosition
Observation.Slices for extension.extension:consciousness	S This element must be supported.	0..1	CodeableConcept	Consciousness URL: http://bloodpressure.oemig.de/fhir/StructureDefinition/ConsciousnessExt Binding: Consciousness (required)
Observation.Slices for extension.extension:exertion	S This element must be supported.	0..1	CodeableConcept	Exertion / Exercise Association URL: http://bloodpressure.oemig.de/fhir/StructureDefinition/exertionExt Binding: Exertion (required)
Observation.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Observation.identifier	Σ This element is included in summaries.	0..*	Identifier	Business Identifier for observation
Observation.basedOn	Σ This element is included in summaries.	0..*	Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	Fulfills plan, proposal or order
Observation.partOf	Σ This element is included in summaries.	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)	Part of referenced event
Observation.status	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required)
Observation.category		0..*	CodeableConcept	Classification of type of observation Binding: Observation Vital Signs Category (required) Required Pattern: At least the following
Observation.category.id		0..1	string	Unique id for inter-element referencing
Observation.category.extension		0..*	Extension	Additional content defined by implementations
Observation.category.coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
Observation.category.coding.id		0..1	string	Unique id for inter-element referencing
Observation.category.coding.extension		0..*	Extension	Additional content defined by implementations
Observation.category.coding.system		1..1	uri	Identity of the terminology system Fixed Value: http://bloodpressure.oemig.de/fhir/CodeSystem/ObservationCategory
Observation.category.coding.version		0..1	string	Version of the system - if relevant
Observation.category.coding.code		1..1	code	Symbol in syntax defined by the system Fixed Value: vital-sign-bp
Observation.category.coding.display		0..1	string	Representation defined by the system
Observation.category.coding.userSelected		0..1	boolean	If this coding was chosen directly by the user
Observation.category.text		0..1	string	Plain text representation of the concept
Observation.code	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	Blood Pressure Binding: LOINCCodes (example): Codes identifying names of simple observations.
Observation.subject	S This element must be supported. Σ This element is included in summaries.	0..1	Reference(Patient)	Who and/or what the observation is about
Observation.focus	Σ This element is included in summaries.	0..*	Reference(Resource)	What the observation is about, when it is not about the subject of record
Observation.encounter	Σ This element is included in summaries.	0..1	Reference(Encounter)	Healthcare event during which this observation is made
Observation.effective[x]	S This element must be supported. Σ This element is included in summaries.	0..1		Clinically relevant time/time-period for observation
Observation.effective[x].effectiveDateTime			dateTime
Observation.effective[x].effectivePeriod			Period
Observation.effective[x].effectiveInstant			instant
Observation.issued	Σ This element is included in summaries.	0..1	instant	Date/Time this version was made available
Observation.performer	Σ This element is included in summaries.	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)	Who is responsible for the observation
Observation.value[x]	S This element must be supported. Σ This element is included in summaries. C	0..1		Actual result
Observation.value[x].valueQuantity			Quantity
Observation.value[x].valueString			string
Observation.value[x].valueInteger			integer
Observation.dataAbsentReason	S This element must be supported. C	0..1	CodeableConcept	Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.interpretation	S This element must be supported.	0..1	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.note		0..*	Annotation	Comments about the observation
Observation.bodySite	S This element must be supported.	0..1	CodeableConcept	Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
Observation.method	S This element must be supported.	0..1	CodeableConcept	How it was done Binding: ObservationMethods (example): Methods for simple observations.
Observation.specimen		0..1	Reference(Specimen)	Specimen used for this observation
Observation.device	S This element must be supported.	0..1	Reference(Device | DeviceMetric)	(Measurement) Device
Observation.referenceRange	S This element must be supported. C	0..*	BackboneElement	Provides guide for interpretation Constraints: obs-3
Observation.referenceRange.id		0..1	string	Unique id for inter-element referencing
Observation.referenceRange.extension		0..*	Extension	Additional content defined by implementations
Observation.referenceRange.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Observation.referenceRange.low	C	0..1	SimpleQuantity(4.0.1)	Low Range, if relevant Constraints: sqty-1
Observation.referenceRange.high	C	0..1	SimpleQuantity(4.0.1)	High Range, if relevant Constraints: sqty-1
Observation.referenceRange.type		0..1	CodeableConcept	Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
Observation.referenceRange.appliesTo		0..*	CodeableConcept	Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
Observation.referenceRange.age		0..1	Range	Applicable age range, if relevant
Observation.referenceRange.text		0..1	string	Text based reference range in an observation
Observation.hasMember	Σ This element is included in summaries.	0..*	Reference(Observation | QuestionnaireResponse | MolecularSequence)	Related resource that belongs to the Observation group
Observation.derivedFrom	Σ This element is included in summaries.	0..*	Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)	Related measurements the observation is made from
Observation.Slices for component	S This element must be supported. Σ This element is included in summaries.	1..*	BackboneElement	Component observations Slice: Unordered, Open by pattern:code Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for component.component:All Slices				Content/Rules for all slices
Observation.Slices for component.component:All Slices.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:All Slices.extension		0..*	Extension	Additional content defined by implementations
Observation.Slices for component.component:All Slices.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:All Slices.code	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
Observation.Slices for component.component:All Slices.value[x]	S This element must be supported. Σ This element is included in summaries.	0..1		Actual component result
Observation.Slices for component.component:All Slices.value[x].valueQuantity			Quantity
Observation.Slices for component.component:All Slices.value[x].valueCodeableConcept			CodeableConcept
Observation.Slices for component.component:All Slices.value[x].valueString			string
Observation.Slices for component.component:All Slices.value[x].valueBoolean			boolean
Observation.Slices for component.component:All Slices.value[x].valueInteger			integer
Observation.Slices for component.component:All Slices.value[x].valueRange			Range
Observation.Slices for component.component:All Slices.value[x].valueRatio			Ratio
Observation.Slices for component.component:All Slices.value[x].valueSampledData			SampledData
Observation.Slices for component.component:All Slices.value[x].valueTime			time
Observation.Slices for component.component:All Slices.value[x].valueDateTime			dateTime
Observation.Slices for component.component:All Slices.value[x].valuePeriod			Period
Observation.Slices for component.component:All Slices.dataAbsentReason	S This element must be supported. C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.Slices for component.component:All Slices.interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.Slices for component.component:All Slices.referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
Observation.Slices for component.component:SystolicBP	S This element must be supported. Σ This element is included in summaries.	1..1	BackboneElement	Systolic Blood Pressure
Observation.Slices for component.component:SystolicBP.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:SystolicBP.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for component.component:SystolicBP.Slices for extension				Content/Rules for all slices
Observation.Slices for component.component:SystolicBP.Slices for extension.extension:systolicCategory	S This element must be supported.	0..1	CodeableConcept	systolic URL: http://bloodpressure.oemig.de/fhir/StructureDefinition/systolicExt Binding: Observation Category (required)
Observation.Slices for component.component:SystolicBP.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:SystolicBP.code	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	Systolic Blood Pressure Code Binding: Vital Signs Systolic Blood Pressure Codes (required)
Observation.Slices for component.component:SystolicBP.Slices for value[x]	S This element must be supported. Σ This element is included in summaries.	0..1		Actual component result Slice: Unordered, Closed by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view
Observation.Slices for component.component:SystolicBP.Slices for value[x].valueQuantity			Quantity
Observation.Slices for component.component:SystolicBP.Slices for value[x].valueCodeableConcept			CodeableConcept
Observation.Slices for component.component:SystolicBP.Slices for value[x].valueString			string
Observation.Slices for component.component:SystolicBP.Slices for value[x].valueBoolean			boolean
Observation.Slices for component.component:SystolicBP.Slices for value[x].valueInteger			integer
Observation.Slices for component.component:SystolicBP.Slices for value[x].valueRange			Range
Observation.Slices for component.component:SystolicBP.Slices for value[x].valueRatio			Ratio
Observation.Slices for component.component:SystolicBP.Slices for value[x].valueSampledData			SampledData
Observation.Slices for component.component:SystolicBP.Slices for value[x].valueTime			time
Observation.Slices for component.component:SystolicBP.Slices for value[x].valueDateTime			dateTime
Observation.Slices for component.component:SystolicBP.Slices for value[x].valuePeriod			Period
Observation.Slices for component.component:SystolicBP.Slices for value[x]				Content/Rules for all slices
Observation.Slices for component.component:SystolicBP.Slices for value[x].value[x]:valueQuantity	S This element must be supported. Σ This element is included in summaries.	0..1	Quantity	Vital Sign Component Value
Observation.Slices for component.component:SystolicBP.Slices for value[x].value[x]:valueQuantity.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:SystolicBP.Slices for value[x].value[x]:valueQuantity.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.Slices for component.component:SystolicBP.Slices for value[x].value[x]:valueQuantity.value	S This element must be supported. Σ This element is included in summaries.	1..1	decimal	Numerical value (with implicit precision)
Observation.Slices for component.component:SystolicBP.Slices for value[x].value[x]:valueQuantity.comparator	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
Observation.Slices for component.component:SystolicBP.Slices for value[x].value[x]:valueQuantity.unit	S This element must be supported. Σ This element is included in summaries.	0..1	string	Unit representation
Observation.Slices for component.component:SystolicBP.Slices for value[x].value[x]:valueQuantity.system	S This element must be supported. Σ This element is included in summaries. C	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
Observation.Slices for component.component:SystolicBP.Slices for value[x].value[x]:valueQuantity.code	S This element must be supported. Σ This element is included in summaries.	1..1	code	Coded form of the unit Fixed Value: mm[Hg]
Observation.Slices for component.component:SystolicBP.dataAbsentReason	S This element must be supported. C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.Slices for component.component:SystolicBP.interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.Slices for component.component:SystolicBP.referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
Observation.Slices for component.component:DiastolicBP	S This element must be supported. Σ This element is included in summaries.	0..1	BackboneElement	Diastolic Blood Pressure
Observation.Slices for component.component:DiastolicBP.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:DiastolicBP.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for component.component:DiastolicBP.Slices for extension				Content/Rules for all slices
Observation.Slices for component.component:DiastolicBP.Slices for extension.extension:diastolicCategory	S This element must be supported.	0..1	CodeableConcept	diastolic URL: http://bloodpressure.oemig.de/fhir/StructureDefinition/diastolicExt Binding: Observation Category (required)
Observation.Slices for component.component:DiastolicBP.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:DiastolicBP.code	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	Diastolic Blood Pressure Code Binding: Vital Signs Diastolic Blood Pressure Codes (required)
Observation.Slices for component.component:DiastolicBP.Slices for value[x]	S This element must be supported. Σ This element is included in summaries.	0..1		Actual component result Slice: Unordered, Closed by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view
Observation.Slices for component.component:DiastolicBP.Slices for value[x].valueQuantity			Quantity
Observation.Slices for component.component:DiastolicBP.Slices for value[x].valueCodeableConcept			CodeableConcept
Observation.Slices for component.component:DiastolicBP.Slices for value[x].valueString			string
Observation.Slices for component.component:DiastolicBP.Slices for value[x].valueBoolean			boolean
Observation.Slices for component.component:DiastolicBP.Slices for value[x].valueInteger			integer
Observation.Slices for component.component:DiastolicBP.Slices for value[x].valueRange			Range
Observation.Slices for component.component:DiastolicBP.Slices for value[x].valueRatio			Ratio
Observation.Slices for component.component:DiastolicBP.Slices for value[x].valueSampledData			SampledData
Observation.Slices for component.component:DiastolicBP.Slices for value[x].valueTime			time
Observation.Slices for component.component:DiastolicBP.Slices for value[x].valueDateTime			dateTime
Observation.Slices for component.component:DiastolicBP.Slices for value[x].valuePeriod			Period
Observation.Slices for component.component:DiastolicBP.Slices for value[x]				Content/Rules for all slices
Observation.Slices for component.component:DiastolicBP.Slices for value[x].value[x]:valueQuantity	S This element must be supported. Σ This element is included in summaries.	0..1	Quantity	Vital Sign Component Value
Observation.Slices for component.component:DiastolicBP.Slices for value[x].value[x]:valueQuantity.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:DiastolicBP.Slices for value[x].value[x]:valueQuantity.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.Slices for component.component:DiastolicBP.Slices for value[x].value[x]:valueQuantity.value	S This element must be supported. Σ This element is included in summaries.	1..1	decimal	Numerical value (with implicit precision)
Observation.Slices for component.component:DiastolicBP.Slices for value[x].value[x]:valueQuantity.comparator	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
Observation.Slices for component.component:DiastolicBP.Slices for value[x].value[x]:valueQuantity.unit	S This element must be supported. Σ This element is included in summaries.	0..1	string	Unit representation
Observation.Slices for component.component:DiastolicBP.Slices for value[x].value[x]:valueQuantity.system	S This element must be supported. Σ This element is included in summaries. C	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
Observation.Slices for component.component:DiastolicBP.Slices for value[x].value[x]:valueQuantity.code	S This element must be supported. Σ This element is included in summaries.	1..1	code	Coded form of the unit Fixed Value: mm[Hg]
Observation.Slices for component.component:DiastolicBP.dataAbsentReason	S This element must be supported. C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.Slices for component.component:DiastolicBP.interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.Slices for component.component:DiastolicBP.referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
Observation.Slices for component.component:MeanArterialBP	S This element must be supported. Σ This element is included in summaries.	0..1	BackboneElement	Mean Arterial Blood Pressure
Observation.Slices for component.component:MeanArterialBP.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:MeanArterialBP.extension		0..*	Extension	Additional content defined by implementations
Observation.Slices for component.component:MeanArterialBP.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:MeanArterialBP.code	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	Mean Arterial Blood Pressure Code Binding: Vital Signs Mean Arterial Blood Pressure Codes (required)
Observation.Slices for component.component:MeanArterialBP.Slices for value[x]	S This element must be supported. Σ This element is included in summaries.	0..1		Actual component result Slice: Unordered, Closed by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view
Observation.Slices for component.component:MeanArterialBP.Slices for value[x].valueQuantity			Quantity
Observation.Slices for component.component:MeanArterialBP.Slices for value[x].valueCodeableConcept			CodeableConcept
Observation.Slices for component.component:MeanArterialBP.Slices for value[x].valueString			string
Observation.Slices for component.component:MeanArterialBP.Slices for value[x].valueBoolean			boolean
Observation.Slices for component.component:MeanArterialBP.Slices for value[x].valueInteger			integer
Observation.Slices for component.component:MeanArterialBP.Slices for value[x].valueRange			Range
Observation.Slices for component.component:MeanArterialBP.Slices for value[x].valueRatio			Ratio
Observation.Slices for component.component:MeanArterialBP.Slices for value[x].valueSampledData			SampledData
Observation.Slices for component.component:MeanArterialBP.Slices for value[x].valueTime			time
Observation.Slices for component.component:MeanArterialBP.Slices for value[x].valueDateTime			dateTime
Observation.Slices for component.component:MeanArterialBP.Slices for value[x].valuePeriod			Period
Observation.Slices for component.component:MeanArterialBP.Slices for value[x]				Content/Rules for all slices
Observation.Slices for component.component:MeanArterialBP.Slices for value[x].value[x]:valueQuantity	S This element must be supported. Σ This element is included in summaries.	0..1	Quantity	Vital Sign Component Value
Observation.Slices for component.component:MeanArterialBP.Slices for value[x].value[x]:valueQuantity.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:MeanArterialBP.Slices for value[x].value[x]:valueQuantity.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.Slices for component.component:MeanArterialBP.Slices for value[x].value[x]:valueQuantity.value	S This element must be supported. Σ This element is included in summaries.	1..1	decimal	Numerical value (with implicit precision)
Observation.Slices for component.component:MeanArterialBP.Slices for value[x].value[x]:valueQuantity.comparator	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
Observation.Slices for component.component:MeanArterialBP.Slices for value[x].value[x]:valueQuantity.unit	S This element must be supported. Σ This element is included in summaries.	0..1	string	Unit representation
Observation.Slices for component.component:MeanArterialBP.Slices for value[x].value[x]:valueQuantity.system	S This element must be supported. Σ This element is included in summaries. C	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
Observation.Slices for component.component:MeanArterialBP.Slices for value[x].value[x]:valueQuantity.code	S This element must be supported. Σ This element is included in summaries.	1..1	code	Coded form of the unit Fixed Value: mm[Hg]
Observation.Slices for component.component:MeanArterialBP.dataAbsentReason	S This element must be supported. C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.Slices for component.component:MeanArterialBP.interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.Slices for component.component:MeanArterialBP.referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
Observation.Slices for component.component:PulsePressureBP	S This element must be supported. Σ This element is included in summaries.	0..1	BackboneElement	Pulse Blood Pressure
Observation.Slices for component.component:PulsePressureBP.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:PulsePressureBP.extension		0..*	Extension	Additional content defined by implementations
Observation.Slices for component.component:PulsePressureBP.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:PulsePressureBP.code	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	Mean Arterial Blood Pressure Code Binding: Vital Signs Pulse Blood Pressure Codes (required)
Observation.Slices for component.component:PulsePressureBP.Slices for value[x]	S This element must be supported. Σ This element is included in summaries.	0..1		Actual component result Slice: Unordered, Closed by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view
Observation.Slices for component.component:PulsePressureBP.Slices for value[x].valueQuantity			Quantity
Observation.Slices for component.component:PulsePressureBP.Slices for value[x].valueCodeableConcept			CodeableConcept
Observation.Slices for component.component:PulsePressureBP.Slices for value[x].valueString			string
Observation.Slices for component.component:PulsePressureBP.Slices for value[x].valueBoolean			boolean
Observation.Slices for component.component:PulsePressureBP.Slices for value[x].valueInteger			integer
Observation.Slices for component.component:PulsePressureBP.Slices for value[x].valueRange			Range
Observation.Slices for component.component:PulsePressureBP.Slices for value[x].valueRatio			Ratio
Observation.Slices for component.component:PulsePressureBP.Slices for value[x].valueSampledData			SampledData
Observation.Slices for component.component:PulsePressureBP.Slices for value[x].valueTime			time
Observation.Slices for component.component:PulsePressureBP.Slices for value[x].valueDateTime			dateTime
Observation.Slices for component.component:PulsePressureBP.Slices for value[x].valuePeriod			Period
Observation.Slices for component.component:PulsePressureBP.Slices for value[x]				Content/Rules for all slices
Observation.Slices for component.component:PulsePressureBP.Slices for value[x].value[x]:valueQuantity	S This element must be supported. Σ This element is included in summaries.	0..1	Quantity	Vital Sign Component Value
Observation.Slices for component.component:PulsePressureBP.Slices for value[x].value[x]:valueQuantity.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:PulsePressureBP.Slices for value[x].value[x]:valueQuantity.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.Slices for component.component:PulsePressureBP.Slices for value[x].value[x]:valueQuantity.value	S This element must be supported. Σ This element is included in summaries.	1..1	decimal	Numerical value (with implicit precision)
Observation.Slices for component.component:PulsePressureBP.Slices for value[x].value[x]:valueQuantity.comparator	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
Observation.Slices for component.component:PulsePressureBP.Slices for value[x].value[x]:valueQuantity.unit	S This element must be supported. Σ This element is included in summaries.	0..1	string	Unit representation
Observation.Slices for component.component:PulsePressureBP.Slices for value[x].value[x]:valueQuantity.system	S This element must be supported. Σ This element is included in summaries. C	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
Observation.Slices for component.component:PulsePressureBP.Slices for value[x].value[x]:valueQuantity.code	S This element must be supported. Σ This element is included in summaries.	1..1	code	Coded form of the unit Fixed Value: mm[Hg]
Observation.Slices for component.component:PulsePressureBP.dataAbsentReason	S This element must be supported. C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.Slices for component.component:PulsePressureBP.interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.Slices for component.component:PulsePressureBP.referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
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	📦0.7.2	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	📦0.7.2	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	📦0.7.2	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	📦0.7.2	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	📦0.7.2	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.

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()
sqty-1	error	Observation.referenceRange.low, Observation.referenceRange.high	The comparator is not used on a SimpleQuantity	comparator.empty()

This structure is derived from USCoreModifiedVitalSigns

Summary

Mandatory: 2 elements(12 nested mandatory elements)
Must-Support: 31 elements
Fixed: 8 elements

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/StructureDefinition/observation-bodyPosition
• http://bloodpressure.oemig.de/fhir/StructureDefinition/ConsciousnessExt
• http://bloodpressure.oemig.de/fhir/StructureDefinition/exertionExt
• http://bloodpressure.oemig.de/fhir/StructureDefinition/systolicExt
• http://bloodpressure.oemig.de/fhir/StructureDefinition/diastolicExt

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	USCoreModifiedVitalSigns	US Core Blood Pressure Profile Constraints: obs-6, obs-7
Observation.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Observation.Slices for extension				Content/Rules for all slices
Observation.Slices for extension.extension:medication	S This element must be supported.	0..*	Reference(MedicationStatement)	Medication to be considered for correct interpretation of vital signs URL: http://bloodpressure.oemig.de/fhir/StructureDefinition/medicationExt
Observation.Slices for extension.extension:bodyWeight	S This element must be supported.	0..1	Reference(Observation)	Body weight to be considered for correct interpretation of vital signs URL: http://bloodpressure.oemig.de/fhir/StructureDefinition/bodweightExt
Observation.Slices for extension.extension:bodyPosition	S This element must be supported.	0..1	CodeableConcept	Body Position URL: http://hl7.org/fhir/StructureDefinition/observation-bodyPosition
Observation.Slices for extension.extension:consciousness	S This element must be supported.	0..1	CodeableConcept	Consciousness URL: http://bloodpressure.oemig.de/fhir/StructureDefinition/ConsciousnessExt Binding: Consciousness (required)
Observation.Slices for extension.extension:exertion	S This element must be supported.	0..1	CodeableConcept	Exertion / Exercise Association URL: http://bloodpressure.oemig.de/fhir/StructureDefinition/exertionExt Binding: Exertion (required)
Observation.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Observation.status	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required)
Observation.category		0..*	CodeableConcept	Classification of type of observation Binding: Observation Vital Signs Category (required) Required Pattern: At least the following
Observation.category.id		0..1	string	Unique id for inter-element referencing
Observation.category.extension		0..*	Extension	Additional content defined by implementations
Observation.category.coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
Observation.category.coding.id		0..1	string	Unique id for inter-element referencing
Observation.category.coding.extension		0..*	Extension	Additional content defined by implementations
Observation.category.coding.system		1..1	uri	Identity of the terminology system Fixed Value: http://bloodpressure.oemig.de/fhir/CodeSystem/ObservationCategory
Observation.category.coding.version		0..1	string	Version of the system - if relevant
Observation.category.coding.code		1..1	code	Symbol in syntax defined by the system Fixed Value: vital-sign-bp
Observation.category.coding.display		0..1	string	Representation defined by the system
Observation.category.coding.userSelected		0..1	boolean	If this coding was chosen directly by the user
Observation.category.text		0..1	string	Plain text representation of the concept
Observation.code	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	Blood Pressure Binding: LOINCCodes (example): Codes identifying names of simple observations.
Observation.subject	S This element must be supported. Σ This element is included in summaries.	0..1	Reference(Patient)	Who and/or what the observation is about
Observation.effective[x]	S This element must be supported. Σ This element is included in summaries.	0..1		Clinically relevant time/time-period for observation
Observation.effective[x].effectiveDateTime			dateTime
Observation.effective[x].effectivePeriod			Period
Observation.effective[x].effectiveInstant			instant
Observation.value[x]	S This element must be supported. Σ This element is included in summaries. C	0..1		Actual result
Observation.value[x].valueQuantity			Quantity
Observation.value[x].valueString			string
Observation.value[x].valueInteger			integer
Observation.dataAbsentReason	S This element must be supported. C	0..1	CodeableConcept	Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.interpretation	S This element must be supported.	0..1	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.bodySite	S This element must be supported.	0..1	CodeableConcept	Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
Observation.method	S This element must be supported.	0..1	CodeableConcept	How it was done Binding: ObservationMethods (example): Methods for simple observations.
Observation.device	S This element must be supported.	0..1	Reference(Device | DeviceMetric)	(Measurement) Device
Observation.referenceRange	S This element must be supported. C	0..*	BackboneElement	Provides guide for interpretation Constraints: obs-3
Observation.referenceRange.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Observation.Slices for component	S This element must be supported. Σ This element is included in summaries.	1..*	BackboneElement	Component observations Slice: Unordered, Open by pattern:code Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for component.component:All Slices				Content/Rules for all slices
Observation.Slices for component.component:All Slices.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:All Slices.code	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
Observation.Slices for component.component:All Slices.value[x]	S This element must be supported. Σ This element is included in summaries.	0..1		Actual component result
Observation.Slices for component.component:All Slices.value[x].valueQuantity			Quantity
Observation.Slices for component.component:All Slices.value[x].valueCodeableConcept			CodeableConcept
Observation.Slices for component.component:All Slices.value[x].valueString			string
Observation.Slices for component.component:All Slices.value[x].valueBoolean			boolean
Observation.Slices for component.component:All Slices.value[x].valueInteger			integer
Observation.Slices for component.component:All Slices.value[x].valueRange			Range
Observation.Slices for component.component:All Slices.value[x].valueRatio			Ratio
Observation.Slices for component.component:All Slices.value[x].valueSampledData			SampledData
Observation.Slices for component.component:All Slices.value[x].valueTime			time
Observation.Slices for component.component:All Slices.value[x].valueDateTime			dateTime
Observation.Slices for component.component:All Slices.value[x].valuePeriod			Period
Observation.Slices for component.component:All Slices.dataAbsentReason	S This element must be supported. C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.Slices for component.component:SystolicBP	S This element must be supported. Σ This element is included in summaries.	1..1	BackboneElement	Systolic Blood Pressure
Observation.Slices for component.component:SystolicBP.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for component.component:SystolicBP.Slices for extension				Content/Rules for all slices
Observation.Slices for component.component:SystolicBP.Slices for extension.extension:systolicCategory	S This element must be supported.	0..1	CodeableConcept	systolic URL: http://bloodpressure.oemig.de/fhir/StructureDefinition/systolicExt Binding: Observation Category (required)
Observation.Slices for component.component:SystolicBP.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:SystolicBP.code	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	Systolic Blood Pressure Code Binding: Vital Signs Systolic Blood Pressure Codes (required)
Observation.Slices for component.component:SystolicBP.Slices for value[x]	S This element must be supported. Σ This element is included in summaries.	0..1		Actual component result Slice: Unordered, Closed by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view
Observation.Slices for component.component:SystolicBP.Slices for value[x].valueQuantity			Quantity
Observation.Slices for component.component:SystolicBP.Slices for value[x].valueCodeableConcept			CodeableConcept
Observation.Slices for component.component:SystolicBP.Slices for value[x].valueString			string
Observation.Slices for component.component:SystolicBP.Slices for value[x].valueBoolean			boolean
Observation.Slices for component.component:SystolicBP.Slices for value[x].valueInteger			integer
Observation.Slices for component.component:SystolicBP.Slices for value[x].valueRange			Range
Observation.Slices for component.component:SystolicBP.Slices for value[x].valueRatio			Ratio
Observation.Slices for component.component:SystolicBP.Slices for value[x].valueSampledData			SampledData
Observation.Slices for component.component:SystolicBP.Slices for value[x].valueTime			time
Observation.Slices for component.component:SystolicBP.Slices for value[x].valueDateTime			dateTime
Observation.Slices for component.component:SystolicBP.Slices for value[x].valuePeriod			Period
Observation.Slices for component.component:SystolicBP.Slices for value[x]				Content/Rules for all slices
Observation.Slices for component.component:SystolicBP.Slices for value[x].value[x]:valueQuantity	S This element must be supported. Σ This element is included in summaries.	0..1	Quantity	Vital Sign Component Value
Observation.Slices for component.component:SystolicBP.Slices for value[x].value[x]:valueQuantity.value	S This element must be supported. Σ This element is included in summaries.	1..1	decimal	Numerical value (with implicit precision)
Observation.Slices for component.component:SystolicBP.Slices for value[x].value[x]:valueQuantity.comparator	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
Observation.Slices for component.component:SystolicBP.Slices for value[x].value[x]:valueQuantity.unit	S This element must be supported. Σ This element is included in summaries.	0..1	string	Unit representation
Observation.Slices for component.component:SystolicBP.Slices for value[x].value[x]:valueQuantity.system	S This element must be supported. Σ This element is included in summaries. C	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
Observation.Slices for component.component:SystolicBP.Slices for value[x].value[x]:valueQuantity.code	S This element must be supported. Σ This element is included in summaries.	1..1	code	Coded form of the unit Fixed Value: mm[Hg]
Observation.Slices for component.component:SystolicBP.dataAbsentReason	S This element must be supported. C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.Slices for component.component:DiastolicBP	S This element must be supported. Σ This element is included in summaries.	0..1	BackboneElement	Diastolic Blood Pressure
Observation.Slices for component.component:DiastolicBP.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for component.component:DiastolicBP.Slices for extension				Content/Rules for all slices
Observation.Slices for component.component:DiastolicBP.Slices for extension.extension:diastolicCategory	S This element must be supported.	0..1	CodeableConcept	diastolic URL: http://bloodpressure.oemig.de/fhir/StructureDefinition/diastolicExt Binding: Observation Category (required)
Observation.Slices for component.component:DiastolicBP.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:DiastolicBP.code	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	Diastolic Blood Pressure Code Binding: Vital Signs Diastolic Blood Pressure Codes (required)
Observation.Slices for component.component:DiastolicBP.Slices for value[x]	S This element must be supported. Σ This element is included in summaries.	0..1		Actual component result Slice: Unordered, Closed by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view
Observation.Slices for component.component:DiastolicBP.Slices for value[x].valueQuantity			Quantity
Observation.Slices for component.component:DiastolicBP.Slices for value[x].valueCodeableConcept			CodeableConcept
Observation.Slices for component.component:DiastolicBP.Slices for value[x].valueString			string
Observation.Slices for component.component:DiastolicBP.Slices for value[x].valueBoolean			boolean
Observation.Slices for component.component:DiastolicBP.Slices for value[x].valueInteger			integer
Observation.Slices for component.component:DiastolicBP.Slices for value[x].valueRange			Range
Observation.Slices for component.component:DiastolicBP.Slices for value[x].valueRatio			Ratio
Observation.Slices for component.component:DiastolicBP.Slices for value[x].valueSampledData			SampledData
Observation.Slices for component.component:DiastolicBP.Slices for value[x].valueTime			time
Observation.Slices for component.component:DiastolicBP.Slices for value[x].valueDateTime			dateTime
Observation.Slices for component.component:DiastolicBP.Slices for value[x].valuePeriod			Period
Observation.Slices for component.component:DiastolicBP.Slices for value[x]				Content/Rules for all slices
Observation.Slices for component.component:DiastolicBP.Slices for value[x].value[x]:valueQuantity	S This element must be supported. Σ This element is included in summaries.	0..1	Quantity	Vital Sign Component Value
Observation.Slices for component.component:DiastolicBP.Slices for value[x].value[x]:valueQuantity.value	S This element must be supported. Σ This element is included in summaries.	1..1	decimal	Numerical value (with implicit precision)
Observation.Slices for component.component:DiastolicBP.Slices for value[x].value[x]:valueQuantity.comparator	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
Observation.Slices for component.component:DiastolicBP.Slices for value[x].value[x]:valueQuantity.unit	S This element must be supported. Σ This element is included in summaries.	0..1	string	Unit representation
Observation.Slices for component.component:DiastolicBP.Slices for value[x].value[x]:valueQuantity.system	S This element must be supported. Σ This element is included in summaries. C	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
Observation.Slices for component.component:DiastolicBP.Slices for value[x].value[x]:valueQuantity.code	S This element must be supported. Σ This element is included in summaries.	1..1	code	Coded form of the unit Fixed Value: mm[Hg]
Observation.Slices for component.component:DiastolicBP.dataAbsentReason	S This element must be supported. C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.Slices for component.component:MeanArterialBP	S This element must be supported. Σ This element is included in summaries.	0..1	BackboneElement	Mean Arterial Blood Pressure
Observation.Slices for component.component:MeanArterialBP.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:MeanArterialBP.code	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	Mean Arterial Blood Pressure Code Binding: Vital Signs Mean Arterial Blood Pressure Codes (required)
Observation.Slices for component.component:MeanArterialBP.Slices for value[x]	S This element must be supported. Σ This element is included in summaries.	0..1		Actual component result Slice: Unordered, Closed by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view
Observation.Slices for component.component:MeanArterialBP.Slices for value[x].valueQuantity			Quantity
Observation.Slices for component.component:MeanArterialBP.Slices for value[x].valueCodeableConcept			CodeableConcept
Observation.Slices for component.component:MeanArterialBP.Slices for value[x].valueString			string
Observation.Slices for component.component:MeanArterialBP.Slices for value[x].valueBoolean			boolean
Observation.Slices for component.component:MeanArterialBP.Slices for value[x].valueInteger			integer
Observation.Slices for component.component:MeanArterialBP.Slices for value[x].valueRange			Range
Observation.Slices for component.component:MeanArterialBP.Slices for value[x].valueRatio			Ratio
Observation.Slices for component.component:MeanArterialBP.Slices for value[x].valueSampledData			SampledData
Observation.Slices for component.component:MeanArterialBP.Slices for value[x].valueTime			time
Observation.Slices for component.component:MeanArterialBP.Slices for value[x].valueDateTime			dateTime
Observation.Slices for component.component:MeanArterialBP.Slices for value[x].valuePeriod			Period
Observation.Slices for component.component:MeanArterialBP.Slices for value[x]				Content/Rules for all slices
Observation.Slices for component.component:MeanArterialBP.Slices for value[x].value[x]:valueQuantity	S This element must be supported. Σ This element is included in summaries.	0..1	Quantity	Vital Sign Component Value
Observation.Slices for component.component:MeanArterialBP.Slices for value[x].value[x]:valueQuantity.value	S This element must be supported. Σ This element is included in summaries.	1..1	decimal	Numerical value (with implicit precision)
Observation.Slices for component.component:MeanArterialBP.Slices for value[x].value[x]:valueQuantity.comparator	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
Observation.Slices for component.component:MeanArterialBP.Slices for value[x].value[x]:valueQuantity.unit	S This element must be supported. Σ This element is included in summaries.	0..1	string	Unit representation
Observation.Slices for component.component:MeanArterialBP.Slices for value[x].value[x]:valueQuantity.system	S This element must be supported. Σ This element is included in summaries. C	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
Observation.Slices for component.component:MeanArterialBP.Slices for value[x].value[x]:valueQuantity.code	S This element must be supported. Σ This element is included in summaries.	1..1	code	Coded form of the unit Fixed Value: mm[Hg]
Observation.Slices for component.component:MeanArterialBP.dataAbsentReason	S This element must be supported. C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.Slices for component.component:PulsePressureBP	S This element must be supported. Σ This element is included in summaries.	0..1	BackboneElement	Pulse Blood Pressure
Observation.Slices for component.component:PulsePressureBP.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:PulsePressureBP.code	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	Mean Arterial Blood Pressure Code Binding: Vital Signs Pulse Blood Pressure Codes (required)
Observation.Slices for component.component:PulsePressureBP.Slices for value[x]	S This element must be supported. Σ This element is included in summaries.	0..1		Actual component result Slice: Unordered, Closed by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view
Observation.Slices for component.component:PulsePressureBP.Slices for value[x].valueQuantity			Quantity
Observation.Slices for component.component:PulsePressureBP.Slices for value[x].valueCodeableConcept			CodeableConcept
Observation.Slices for component.component:PulsePressureBP.Slices for value[x].valueString			string
Observation.Slices for component.component:PulsePressureBP.Slices for value[x].valueBoolean			boolean
Observation.Slices for component.component:PulsePressureBP.Slices for value[x].valueInteger			integer
Observation.Slices for component.component:PulsePressureBP.Slices for value[x].valueRange			Range
Observation.Slices for component.component:PulsePressureBP.Slices for value[x].valueRatio			Ratio
Observation.Slices for component.component:PulsePressureBP.Slices for value[x].valueSampledData			SampledData
Observation.Slices for component.component:PulsePressureBP.Slices for value[x].valueTime			time
Observation.Slices for component.component:PulsePressureBP.Slices for value[x].valueDateTime			dateTime
Observation.Slices for component.component:PulsePressureBP.Slices for value[x].valuePeriod			Period
Observation.Slices for component.component:PulsePressureBP.Slices for value[x]				Content/Rules for all slices
Observation.Slices for component.component:PulsePressureBP.Slices for value[x].value[x]:valueQuantity	S This element must be supported. Σ This element is included in summaries.	0..1	Quantity	Vital Sign Component Value
Observation.Slices for component.component:PulsePressureBP.Slices for value[x].value[x]:valueQuantity.value	S This element must be supported. Σ This element is included in summaries.	1..1	decimal	Numerical value (with implicit precision)
Observation.Slices for component.component:PulsePressureBP.Slices for value[x].value[x]:valueQuantity.comparator	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
Observation.Slices for component.component:PulsePressureBP.Slices for value[x].value[x]:valueQuantity.unit	S This element must be supported. Σ This element is included in summaries.	0..1	string	Unit representation
Observation.Slices for component.component:PulsePressureBP.Slices for value[x].value[x]:valueQuantity.system	S This element must be supported. Σ This element is included in summaries. C	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
Observation.Slices for component.component:PulsePressureBP.Slices for value[x].value[x]:valueQuantity.code	S This element must be supported. Σ This element is included in summaries.	1..1	code	Coded form of the unit Fixed Value: mm[Hg]
Observation.Slices for component.component:PulsePressureBP.dataAbsentReason	S This element must be supported. C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
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	📦0.7.2	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	📦0.7.2	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	📦0.7.2	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	📦0.7.2	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	📦0.7.2	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.

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation		0..*	USCoreModifiedVitalSigns	US Core Blood Pressure Profile
Observation.Slices for extension				Content/Rules for all slices
Observation.Slices for extension.extension:bodyPosition	S This element must be supported.	0..1	CodeableConcept	Body Position URL: http://hl7.org/fhir/StructureDefinition/observation-bodyPosition
Observation.Slices for extension.extension:consciousness	S This element must be supported.	0..1	CodeableConcept	Consciousness URL: http://bloodpressure.oemig.de/fhir/StructureDefinition/ConsciousnessExt Binding: Consciousness (required)
Observation.Slices for extension.extension:exertion	S This element must be supported.	0..1	CodeableConcept	Exertion / Exercise Association URL: http://bloodpressure.oemig.de/fhir/StructureDefinition/exertionExt Binding: Exertion (required)
Observation.category		0..*	CodeableConcept	Classification of type of observation Required Pattern: At least the following
Observation.category.coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
Observation.category.coding.system		1..1	uri	Identity of the terminology system Fixed Value: http://bloodpressure.oemig.de/fhir/CodeSystem/ObservationCategory
Observation.category.coding.code		1..1	code	Symbol in syntax defined by the system Fixed Value: vital-sign-bp
Observation.code		1..1	CodeableConcept	Blood Pressure
Observation.bodySite	S This element must be supported.	0..1	CodeableConcept	Observed body part
Observation.method	S This element must be supported.	0..1	CodeableConcept	How it was done
Observation.device	S This element must be supported.	0..1	Reference(Device | DeviceMetric)	(Measurement) Device
Observation.Slices for component		1..*	BackboneElement	Component observations Slice: Unordered, Open by pattern:code Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for component.component:SystolicBP	S This element must be supported.	1..1	BackboneElement	Systolic Blood Pressure
Observation.Slices for component.component:SystolicBP.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for component.component:SystolicBP.Slices for extension				Content/Rules for all slices
Observation.Slices for component.component:SystolicBP.Slices for extension.extension:systolicCategory	S This element must be supported.	0..1	CodeableConcept	systolic URL: http://bloodpressure.oemig.de/fhir/StructureDefinition/systolicExt Binding: Observation Category (required)
Observation.Slices for component.component:SystolicBP.code		1..1	CodeableConcept	Systolic Blood Pressure Code Binding: Vital Signs Systolic Blood Pressure Codes (required)
Observation.Slices for component.component:SystolicBP.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 Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view
Observation.Slices for component.component:SystolicBP.Slices for value[x]				Content/Rules for all slices
Observation.Slices for component.component:SystolicBP.Slices for value[x].value[x]:valueQuantity	S This element must be supported.	0..1	Quantity	Vital Sign Component Value
Observation.Slices for component.component:SystolicBP.Slices for value[x].value[x]:valueQuantity.value	S This element must be supported.	1..1	decimal	Numerical value (with implicit precision)
Observation.Slices for component.component:SystolicBP.Slices for value[x].value[x]:valueQuantity.unit	S This element must be supported.	0..1	string	Unit representation
Observation.Slices for component.component:SystolicBP.Slices for value[x].value[x]:valueQuantity.system	S This element must be supported.	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
Observation.Slices for component.component:SystolicBP.Slices for value[x].value[x]:valueQuantity.code	S This element must be supported.	1..1	code	Coded form of the unit Fixed Value: mm[Hg]
Observation.Slices for component.component:DiastolicBP	S This element must be supported.	0..1	BackboneElement	Diastolic Blood Pressure
Observation.Slices for component.component:DiastolicBP.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for component.component:DiastolicBP.Slices for extension				Content/Rules for all slices
Observation.Slices for component.component:DiastolicBP.Slices for extension.extension:diastolicCategory	S This element must be supported.	0..1	CodeableConcept	diastolic URL: http://bloodpressure.oemig.de/fhir/StructureDefinition/diastolicExt Binding: Observation Category (required)
Observation.Slices for component.component:DiastolicBP.code		1..1	CodeableConcept	Diastolic Blood Pressure Code Binding: Vital Signs Diastolic Blood Pressure Codes (required)
Observation.Slices for component.component:DiastolicBP.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 Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view
Observation.Slices for component.component:DiastolicBP.Slices for value[x]				Content/Rules for all slices
Observation.Slices for component.component:DiastolicBP.Slices for value[x].value[x]:valueQuantity	S This element must be supported.	0..1	Quantity	Vital Sign Component Value
Observation.Slices for component.component:DiastolicBP.Slices for value[x].value[x]:valueQuantity.value	S This element must be supported.	1..1	decimal	Numerical value (with implicit precision)
Observation.Slices for component.component:DiastolicBP.Slices for value[x].value[x]:valueQuantity.unit	S This element must be supported.	0..1	string	Unit representation
Observation.Slices for component.component:DiastolicBP.Slices for value[x].value[x]:valueQuantity.system	S This element must be supported.	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
Observation.Slices for component.component:DiastolicBP.Slices for value[x].value[x]:valueQuantity.code	S This element must be supported.	1..1	code	Coded form of the unit Fixed Value: mm[Hg]
Observation.Slices for component.component:MeanArterialBP	S This element must be supported.	0..1	BackboneElement	Mean Arterial Blood Pressure
Observation.Slices for component.component:MeanArterialBP.code		1..1	CodeableConcept	Mean Arterial Blood Pressure Code Binding: Vital Signs Mean Arterial Blood Pressure Codes (required)
Observation.Slices for component.component:MeanArterialBP.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:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view
Observation.Slices for component.component:MeanArterialBP.Slices for value[x]				Content/Rules for all slices
Observation.Slices for component.component:MeanArterialBP.Slices for value[x].value[x]:valueQuantity	S This element must be supported.	0..1	Quantity	Vital Sign Component Value
Observation.Slices for component.component:MeanArterialBP.Slices for value[x].value[x]:valueQuantity.value	S This element must be supported.	1..1	decimal	Numerical value (with implicit precision)
Observation.Slices for component.component:MeanArterialBP.Slices for value[x].value[x]:valueQuantity.unit	S This element must be supported.	0..1	string	Unit representation
Observation.Slices for component.component:MeanArterialBP.Slices for value[x].value[x]:valueQuantity.system	S This element must be supported.	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
Observation.Slices for component.component:MeanArterialBP.Slices for value[x].value[x]:valueQuantity.code	S This element must be supported.	1..1	code	Coded form of the unit Fixed Value: mm[Hg]
Observation.Slices for component.component:PulsePressureBP		0..1	BackboneElement	Pulse Blood Pressure
Observation.Slices for component.component:PulsePressureBP.code		1..1	CodeableConcept	Mean Arterial Blood Pressure Code Binding: Vital Signs Pulse Blood Pressure Codes (required)
Observation.Slices for component.component:PulsePressureBP.Slices for value[x]		0..1	Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period	Actual component result Slice: Unordered, Open by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view
Observation.Slices for component.component:PulsePressureBP.Slices for value[x]				Content/Rules for all slices
Observation.Slices for component.component:PulsePressureBP.Slices for value[x].value[x]:valueQuantity	S This element must be supported.	0..1	Quantity	Vital Sign Component Value
Observation.Slices for component.component:PulsePressureBP.Slices for value[x].value[x]:valueQuantity.value	S This element must be supported.	1..1	decimal	Numerical value (with implicit precision)
Observation.Slices for component.component:PulsePressureBP.Slices for value[x].value[x]:valueQuantity.unit	S This element must be supported.	0..1	string	Unit representation
Observation.Slices for component.component:PulsePressureBP.Slices for value[x].value[x]:valueQuantity.system	S This element must be supported.	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
Observation.Slices for component.component:PulsePressureBP.Slices for value[x].value[x]:valueQuantity.code	S This element must be supported.	1..1	code	Coded form of the unit Fixed Value: mm[Hg]
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	📦0.7.2	This IG
Observation.component:DiastolicBP.​code	Base	required	Vital Signs Diastolic Blood Pressure Codes	📦0.7.2	This IG
Observation.component:MeanArterialBP.​code	Base	required	Vital Signs Mean Arterial Blood Pressure Codes	📦0.7.2	This IG
Observation.component:PulsePressureBP.​code	Base	required	Vital Signs Pulse Blood Pressure Codes	📦0.7.2	This IG

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	USCoreModifiedVitalSigns	US Core Blood Pressure Profile Constraints: obs-6, obs-7
Observation.id	Σ This element is included in summaries.	0..1	id	Logical id of this artifact
Observation.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
Observation.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Observation.language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
Observation.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
Observation.contained		0..*	Resource	Contained, inline Resources
Observation.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Observation.Slices for extension.extension:medication	S This element must be supported.	0..*	Reference(MedicationStatement)	Medication to be considered for correct interpretation of vital signs URL: http://bloodpressure.oemig.de/fhir/StructureDefinition/medicationExt
Observation.Slices for extension.extension:bodyWeight	S This element must be supported.	0..1	Reference(Observation)	Body weight to be considered for correct interpretation of vital signs URL: http://bloodpressure.oemig.de/fhir/StructureDefinition/bodweightExt
Observation.Slices for extension.extension:bodyPosition	S This element must be supported.	0..1	CodeableConcept	Body Position URL: http://hl7.org/fhir/StructureDefinition/observation-bodyPosition
Observation.Slices for extension.extension:consciousness	S This element must be supported.	0..1	CodeableConcept	Consciousness URL: http://bloodpressure.oemig.de/fhir/StructureDefinition/ConsciousnessExt Binding: Consciousness (required)
Observation.Slices for extension.extension:exertion	S This element must be supported.	0..1	CodeableConcept	Exertion / Exercise Association URL: http://bloodpressure.oemig.de/fhir/StructureDefinition/exertionExt Binding: Exertion (required)
Observation.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Observation.identifier	Σ This element is included in summaries.	0..*	Identifier	Business Identifier for observation
Observation.basedOn	Σ This element is included in summaries.	0..*	Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	Fulfills plan, proposal or order
Observation.partOf	Σ This element is included in summaries.	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)	Part of referenced event
Observation.status	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required)
Observation.category		0..*	CodeableConcept	Classification of type of observation Binding: Observation Vital Signs Category (required) Required Pattern: At least the following
Observation.category.id		0..1	string	Unique id for inter-element referencing
Observation.category.extension		0..*	Extension	Additional content defined by implementations
Observation.category.coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
Observation.category.coding.id		0..1	string	Unique id for inter-element referencing
Observation.category.coding.extension		0..*	Extension	Additional content defined by implementations
Observation.category.coding.system		1..1	uri	Identity of the terminology system Fixed Value: http://bloodpressure.oemig.de/fhir/CodeSystem/ObservationCategory
Observation.category.coding.version		0..1	string	Version of the system - if relevant
Observation.category.coding.code		1..1	code	Symbol in syntax defined by the system Fixed Value: vital-sign-bp
Observation.category.coding.display		0..1	string	Representation defined by the system
Observation.category.coding.userSelected		0..1	boolean	If this coding was chosen directly by the user
Observation.category.text		0..1	string	Plain text representation of the concept
Observation.code	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	Blood Pressure Binding: LOINCCodes (example): Codes identifying names of simple observations.
Observation.subject	S This element must be supported. Σ This element is included in summaries.	0..1	Reference(Patient)	Who and/or what the observation is about
Observation.focus	Σ This element is included in summaries.	0..*	Reference(Resource)	What the observation is about, when it is not about the subject of record
Observation.encounter	Σ This element is included in summaries.	0..1	Reference(Encounter)	Healthcare event during which this observation is made
Observation.effective[x]	S This element must be supported. Σ This element is included in summaries.	0..1		Clinically relevant time/time-period for observation
Observation.effective[x].effectiveDateTime			dateTime
Observation.effective[x].effectivePeriod			Period
Observation.effective[x].effectiveInstant			instant
Observation.issued	Σ This element is included in summaries.	0..1	instant	Date/Time this version was made available
Observation.performer	Σ This element is included in summaries.	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)	Who is responsible for the observation
Observation.value[x]	S This element must be supported. Σ This element is included in summaries. C	0..1		Actual result
Observation.value[x].valueQuantity			Quantity
Observation.value[x].valueString			string
Observation.value[x].valueInteger			integer
Observation.dataAbsentReason	S This element must be supported. C	0..1	CodeableConcept	Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.interpretation	S This element must be supported.	0..1	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.note		0..*	Annotation	Comments about the observation
Observation.bodySite	S This element must be supported.	0..1	CodeableConcept	Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
Observation.method	S This element must be supported.	0..1	CodeableConcept	How it was done Binding: ObservationMethods (example): Methods for simple observations.
Observation.specimen		0..1	Reference(Specimen)	Specimen used for this observation
Observation.device	S This element must be supported.	0..1	Reference(Device | DeviceMetric)	(Measurement) Device
Observation.referenceRange	S This element must be supported. C	0..*	BackboneElement	Provides guide for interpretation Constraints: obs-3
Observation.referenceRange.id		0..1	string	Unique id for inter-element referencing
Observation.referenceRange.extension		0..*	Extension	Additional content defined by implementations
Observation.referenceRange.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Observation.referenceRange.low	C	0..1	SimpleQuantity(4.0.1)	Low Range, if relevant Constraints: sqty-1
Observation.referenceRange.high	C	0..1	SimpleQuantity(4.0.1)	High Range, if relevant Constraints: sqty-1
Observation.referenceRange.type		0..1	CodeableConcept	Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
Observation.referenceRange.appliesTo		0..*	CodeableConcept	Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
Observation.referenceRange.age		0..1	Range	Applicable age range, if relevant
Observation.referenceRange.text		0..1	string	Text based reference range in an observation
Observation.hasMember	Σ This element is included in summaries.	0..*	Reference(Observation | QuestionnaireResponse | MolecularSequence)	Related resource that belongs to the Observation group
Observation.derivedFrom	Σ This element is included in summaries.	0..*	Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)	Related measurements the observation is made from
Observation.Slices for component	S This element must be supported. Σ This element is included in summaries.	1..*	BackboneElement	Component observations Slice: Unordered, Open by pattern:code Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for component.component:All Slices				Content/Rules for all slices
Observation.Slices for component.component:All Slices.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:All Slices.extension		0..*	Extension	Additional content defined by implementations
Observation.Slices for component.component:All Slices.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:All Slices.code	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
Observation.Slices for component.component:All Slices.value[x]	S This element must be supported. Σ This element is included in summaries.	0..1		Actual component result
Observation.Slices for component.component:All Slices.value[x].valueQuantity			Quantity
Observation.Slices for component.component:All Slices.value[x].valueCodeableConcept			CodeableConcept
Observation.Slices for component.component:All Slices.value[x].valueString			string
Observation.Slices for component.component:All Slices.value[x].valueBoolean			boolean
Observation.Slices for component.component:All Slices.value[x].valueInteger			integer
Observation.Slices for component.component:All Slices.value[x].valueRange			Range
Observation.Slices for component.component:All Slices.value[x].valueRatio			Ratio
Observation.Slices for component.component:All Slices.value[x].valueSampledData			SampledData
Observation.Slices for component.component:All Slices.value[x].valueTime			time
Observation.Slices for component.component:All Slices.value[x].valueDateTime			dateTime
Observation.Slices for component.component:All Slices.value[x].valuePeriod			Period
Observation.Slices for component.component:All Slices.dataAbsentReason	S This element must be supported. C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.Slices for component.component:All Slices.interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.Slices for component.component:All Slices.referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
Observation.Slices for component.component:SystolicBP	S This element must be supported. Σ This element is included in summaries.	1..1	BackboneElement	Systolic Blood Pressure
Observation.Slices for component.component:SystolicBP.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:SystolicBP.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for component.component:SystolicBP.Slices for extension				Content/Rules for all slices
Observation.Slices for component.component:SystolicBP.Slices for extension.extension:systolicCategory	S This element must be supported.	0..1	CodeableConcept	systolic URL: http://bloodpressure.oemig.de/fhir/StructureDefinition/systolicExt Binding: Observation Category (required)
Observation.Slices for component.component:SystolicBP.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:SystolicBP.code	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	Systolic Blood Pressure Code Binding: Vital Signs Systolic Blood Pressure Codes (required)
Observation.Slices for component.component:SystolicBP.Slices for value[x]	S This element must be supported. Σ This element is included in summaries.	0..1		Actual component result Slice: Unordered, Closed by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view
Observation.Slices for component.component:SystolicBP.Slices for value[x].valueQuantity			Quantity
Observation.Slices for component.component:SystolicBP.Slices for value[x].valueCodeableConcept			CodeableConcept
Observation.Slices for component.component:SystolicBP.Slices for value[x].valueString			string
Observation.Slices for component.component:SystolicBP.Slices for value[x].valueBoolean			boolean
Observation.Slices for component.component:SystolicBP.Slices for value[x].valueInteger			integer
Observation.Slices for component.component:SystolicBP.Slices for value[x].valueRange			Range
Observation.Slices for component.component:SystolicBP.Slices for value[x].valueRatio			Ratio
Observation.Slices for component.component:SystolicBP.Slices for value[x].valueSampledData			SampledData
Observation.Slices for component.component:SystolicBP.Slices for value[x].valueTime			time
Observation.Slices for component.component:SystolicBP.Slices for value[x].valueDateTime			dateTime
Observation.Slices for component.component:SystolicBP.Slices for value[x].valuePeriod			Period
Observation.Slices for component.component:SystolicBP.Slices for value[x]				Content/Rules for all slices
Observation.Slices for component.component:SystolicBP.Slices for value[x].value[x]:valueQuantity	S This element must be supported. Σ This element is included in summaries.	0..1	Quantity	Vital Sign Component Value
Observation.Slices for component.component:SystolicBP.Slices for value[x].value[x]:valueQuantity.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:SystolicBP.Slices for value[x].value[x]:valueQuantity.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.Slices for component.component:SystolicBP.Slices for value[x].value[x]:valueQuantity.value	S This element must be supported. Σ This element is included in summaries.	1..1	decimal	Numerical value (with implicit precision)
Observation.Slices for component.component:SystolicBP.Slices for value[x].value[x]:valueQuantity.comparator	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
Observation.Slices for component.component:SystolicBP.Slices for value[x].value[x]:valueQuantity.unit	S This element must be supported. Σ This element is included in summaries.	0..1	string	Unit representation
Observation.Slices for component.component:SystolicBP.Slices for value[x].value[x]:valueQuantity.system	S This element must be supported. Σ This element is included in summaries. C	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
Observation.Slices for component.component:SystolicBP.Slices for value[x].value[x]:valueQuantity.code	S This element must be supported. Σ This element is included in summaries.	1..1	code	Coded form of the unit Fixed Value: mm[Hg]
Observation.Slices for component.component:SystolicBP.dataAbsentReason	S This element must be supported. C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.Slices for component.component:SystolicBP.interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.Slices for component.component:SystolicBP.referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
Observation.Slices for component.component:DiastolicBP	S This element must be supported. Σ This element is included in summaries.	0..1	BackboneElement	Diastolic Blood Pressure
Observation.Slices for component.component:DiastolicBP.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:DiastolicBP.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for component.component:DiastolicBP.Slices for extension				Content/Rules for all slices
Observation.Slices for component.component:DiastolicBP.Slices for extension.extension:diastolicCategory	S This element must be supported.	0..1	CodeableConcept	diastolic URL: http://bloodpressure.oemig.de/fhir/StructureDefinition/diastolicExt Binding: Observation Category (required)
Observation.Slices for component.component:DiastolicBP.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:DiastolicBP.code	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	Diastolic Blood Pressure Code Binding: Vital Signs Diastolic Blood Pressure Codes (required)
Observation.Slices for component.component:DiastolicBP.Slices for value[x]	S This element must be supported. Σ This element is included in summaries.	0..1		Actual component result Slice: Unordered, Closed by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view
Observation.Slices for component.component:DiastolicBP.Slices for value[x].valueQuantity			Quantity
Observation.Slices for component.component:DiastolicBP.Slices for value[x].valueCodeableConcept			CodeableConcept
Observation.Slices for component.component:DiastolicBP.Slices for value[x].valueString			string
Observation.Slices for component.component:DiastolicBP.Slices for value[x].valueBoolean			boolean
Observation.Slices for component.component:DiastolicBP.Slices for value[x].valueInteger			integer
Observation.Slices for component.component:DiastolicBP.Slices for value[x].valueRange			Range
Observation.Slices for component.component:DiastolicBP.Slices for value[x].valueRatio			Ratio
Observation.Slices for component.component:DiastolicBP.Slices for value[x].valueSampledData			SampledData
Observation.Slices for component.component:DiastolicBP.Slices for value[x].valueTime			time
Observation.Slices for component.component:DiastolicBP.Slices for value[x].valueDateTime			dateTime
Observation.Slices for component.component:DiastolicBP.Slices for value[x].valuePeriod			Period
Observation.Slices for component.component:DiastolicBP.Slices for value[x]				Content/Rules for all slices
Observation.Slices for component.component:DiastolicBP.Slices for value[x].value[x]:valueQuantity	S This element must be supported. Σ This element is included in summaries.	0..1	Quantity	Vital Sign Component Value
Observation.Slices for component.component:DiastolicBP.Slices for value[x].value[x]:valueQuantity.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:DiastolicBP.Slices for value[x].value[x]:valueQuantity.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.Slices for component.component:DiastolicBP.Slices for value[x].value[x]:valueQuantity.value	S This element must be supported. Σ This element is included in summaries.	1..1	decimal	Numerical value (with implicit precision)
Observation.Slices for component.component:DiastolicBP.Slices for value[x].value[x]:valueQuantity.comparator	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
Observation.Slices for component.component:DiastolicBP.Slices for value[x].value[x]:valueQuantity.unit	S This element must be supported. Σ This element is included in summaries.	0..1	string	Unit representation
Observation.Slices for component.component:DiastolicBP.Slices for value[x].value[x]:valueQuantity.system	S This element must be supported. Σ This element is included in summaries. C	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
Observation.Slices for component.component:DiastolicBP.Slices for value[x].value[x]:valueQuantity.code	S This element must be supported. Σ This element is included in summaries.	1..1	code	Coded form of the unit Fixed Value: mm[Hg]
Observation.Slices for component.component:DiastolicBP.dataAbsentReason	S This element must be supported. C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.Slices for component.component:DiastolicBP.interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.Slices for component.component:DiastolicBP.referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
Observation.Slices for component.component:MeanArterialBP	S This element must be supported. Σ This element is included in summaries.	0..1	BackboneElement	Mean Arterial Blood Pressure
Observation.Slices for component.component:MeanArterialBP.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:MeanArterialBP.extension		0..*	Extension	Additional content defined by implementations
Observation.Slices for component.component:MeanArterialBP.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:MeanArterialBP.code	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	Mean Arterial Blood Pressure Code Binding: Vital Signs Mean Arterial Blood Pressure Codes (required)
Observation.Slices for component.component:MeanArterialBP.Slices for value[x]	S This element must be supported. Σ This element is included in summaries.	0..1		Actual component result Slice: Unordered, Closed by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view
Observation.Slices for component.component:MeanArterialBP.Slices for value[x].valueQuantity			Quantity
Observation.Slices for component.component:MeanArterialBP.Slices for value[x].valueCodeableConcept			CodeableConcept
Observation.Slices for component.component:MeanArterialBP.Slices for value[x].valueString			string
Observation.Slices for component.component:MeanArterialBP.Slices for value[x].valueBoolean			boolean
Observation.Slices for component.component:MeanArterialBP.Slices for value[x].valueInteger			integer
Observation.Slices for component.component:MeanArterialBP.Slices for value[x].valueRange			Range
Observation.Slices for component.component:MeanArterialBP.Slices for value[x].valueRatio			Ratio
Observation.Slices for component.component:MeanArterialBP.Slices for value[x].valueSampledData			SampledData
Observation.Slices for component.component:MeanArterialBP.Slices for value[x].valueTime			time
Observation.Slices for component.component:MeanArterialBP.Slices for value[x].valueDateTime			dateTime
Observation.Slices for component.component:MeanArterialBP.Slices for value[x].valuePeriod			Period
Observation.Slices for component.component:MeanArterialBP.Slices for value[x]				Content/Rules for all slices
Observation.Slices for component.component:MeanArterialBP.Slices for value[x].value[x]:valueQuantity	S This element must be supported. Σ This element is included in summaries.	0..1	Quantity	Vital Sign Component Value
Observation.Slices for component.component:MeanArterialBP.Slices for value[x].value[x]:valueQuantity.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:MeanArterialBP.Slices for value[x].value[x]:valueQuantity.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.Slices for component.component:MeanArterialBP.Slices for value[x].value[x]:valueQuantity.value	S This element must be supported. Σ This element is included in summaries.	1..1	decimal	Numerical value (with implicit precision)
Observation.Slices for component.component:MeanArterialBP.Slices for value[x].value[x]:valueQuantity.comparator	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
Observation.Slices for component.component:MeanArterialBP.Slices for value[x].value[x]:valueQuantity.unit	S This element must be supported. Σ This element is included in summaries.	0..1	string	Unit representation
Observation.Slices for component.component:MeanArterialBP.Slices for value[x].value[x]:valueQuantity.system	S This element must be supported. Σ This element is included in summaries. C	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
Observation.Slices for component.component:MeanArterialBP.Slices for value[x].value[x]:valueQuantity.code	S This element must be supported. Σ This element is included in summaries.	1..1	code	Coded form of the unit Fixed Value: mm[Hg]
Observation.Slices for component.component:MeanArterialBP.dataAbsentReason	S This element must be supported. C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.Slices for component.component:MeanArterialBP.interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.Slices for component.component:MeanArterialBP.referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
Observation.Slices for component.component:PulsePressureBP	S This element must be supported. Σ This element is included in summaries.	0..1	BackboneElement	Pulse Blood Pressure
Observation.Slices for component.component:PulsePressureBP.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:PulsePressureBP.extension		0..*	Extension	Additional content defined by implementations
Observation.Slices for component.component:PulsePressureBP.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:PulsePressureBP.code	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	Mean Arterial Blood Pressure Code Binding: Vital Signs Pulse Blood Pressure Codes (required)
Observation.Slices for component.component:PulsePressureBP.Slices for value[x]	S This element must be supported. Σ This element is included in summaries.	0..1		Actual component result Slice: Unordered, Closed by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view
Observation.Slices for component.component:PulsePressureBP.Slices for value[x].valueQuantity			Quantity
Observation.Slices for component.component:PulsePressureBP.Slices for value[x].valueCodeableConcept			CodeableConcept
Observation.Slices for component.component:PulsePressureBP.Slices for value[x].valueString			string
Observation.Slices for component.component:PulsePressureBP.Slices for value[x].valueBoolean			boolean
Observation.Slices for component.component:PulsePressureBP.Slices for value[x].valueInteger			integer
Observation.Slices for component.component:PulsePressureBP.Slices for value[x].valueRange			Range
Observation.Slices for component.component:PulsePressureBP.Slices for value[x].valueRatio			Ratio
Observation.Slices for component.component:PulsePressureBP.Slices for value[x].valueSampledData			SampledData
Observation.Slices for component.component:PulsePressureBP.Slices for value[x].valueTime			time
Observation.Slices for component.component:PulsePressureBP.Slices for value[x].valueDateTime			dateTime
Observation.Slices for component.component:PulsePressureBP.Slices for value[x].valuePeriod			Period
Observation.Slices for component.component:PulsePressureBP.Slices for value[x]				Content/Rules for all slices
Observation.Slices for component.component:PulsePressureBP.Slices for value[x].value[x]:valueQuantity	S This element must be supported. Σ This element is included in summaries.	0..1	Quantity	Vital Sign Component Value
Observation.Slices for component.component:PulsePressureBP.Slices for value[x].value[x]:valueQuantity.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:PulsePressureBP.Slices for value[x].value[x]:valueQuantity.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.Slices for component.component:PulsePressureBP.Slices for value[x].value[x]:valueQuantity.value	S This element must be supported. Σ This element is included in summaries.	1..1	decimal	Numerical value (with implicit precision)
Observation.Slices for component.component:PulsePressureBP.Slices for value[x].value[x]:valueQuantity.comparator	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
Observation.Slices for component.component:PulsePressureBP.Slices for value[x].value[x]:valueQuantity.unit	S This element must be supported. Σ This element is included in summaries.	0..1	string	Unit representation
Observation.Slices for component.component:PulsePressureBP.Slices for value[x].value[x]:valueQuantity.system	S This element must be supported. Σ This element is included in summaries. C	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
Observation.Slices for component.component:PulsePressureBP.Slices for value[x].value[x]:valueQuantity.code	S This element must be supported. Σ This element is included in summaries.	1..1	code	Coded form of the unit Fixed Value: mm[Hg]
Observation.Slices for component.component:PulsePressureBP.dataAbsentReason	S This element must be supported. C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.Slices for component.component:PulsePressureBP.interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.Slices for component.component:PulsePressureBP.referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
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	📦0.7.2	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	📦0.7.2	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	📦0.7.2	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	📦0.7.2	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	📦0.7.2	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.

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()
sqty-1	error	Observation.referenceRange.low, Observation.referenceRange.high	The comparator is not used on a SimpleQuantity	comparator.empty()

This structure is derived from USCoreModifiedVitalSigns

Summary

Mandatory: 2 elements(12 nested mandatory elements)
Must-Support: 31 elements
Fixed: 8 elements

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/StructureDefinition/observation-bodyPosition
• http://bloodpressure.oemig.de/fhir/StructureDefinition/ConsciousnessExt
• http://bloodpressure.oemig.de/fhir/StructureDefinition/exertionExt
• http://bloodpressure.oemig.de/fhir/StructureDefinition/systolicExt
• http://bloodpressure.oemig.de/fhir/StructureDefinition/diastolicExt

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]