Vital Signs Cross-Country Cross-Language Cross-Paradigm (Demo) IG
0.5.4 - ci-build
Vital Signs Cross-Country Cross-Language Cross-Paradigm (Demo) IG
0.5.4 - ci-build
Vital Signs 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 0.5.4 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/frankoemig/vital-signs-demo/ and changes regularly. See the Directory of published versions
| Official URL: http://vitals.oemig.de/fhir/StructureDefinition/us-core-modified-blood-pressure | Version: 0.5.4 | |||
| Draft as of 2024-05-08 | Computable Name: USCoreModifiedBloodPressureProfile | |||
| Other Identifiers: OID:2.16.840.1.113883.4.642.40.42.6 | ||||
Copyright/Legal: Used by permission of HL7 International, all rights reserved Creative Commons License |
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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!!!!
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from USCoreModifiedVitalSigns
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Observation |
0..* | USCoreModifiedVitalSigns | US Core Blood Pressure Profile | |
  Slices for extension |
Content/Rules for all slices | |||
   bodyPosition |
S | 0..1 | CodeableConcept | Body Position URL: http://hl7.org/fhir/StructureDefinition/observation-bodyPosition |
| consciousness |
S | 0..1 | CodeableConcept | Consciousness URL: http://vitals.oemig.de/fhir/StructureDefinition/ConsciousnessExt Binding: Consciousness (required) |
 exertion |
S | 0..1 | CodeableConcept | Exertion / Exercise Association URL: http://vitals.oemig.de/fhir/StructureDefinition/exertionExt Binding: Exertion (required) |
 category |
0..* | CodeableConcept | Classification of type of observation Required Pattern: At least the following | |
  coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
  system |
1..1 | uri | Identity of the terminology system Fixed Value: http://vitals.oemig.de/fhir/CodeSystem/ObservationCategory | |
 code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: vital-sign-bp | |
| code |
1..1 | CodeableConcept | Blood Pressure Binding: Vital Signs Blood Pressure Codes (required) | |
| bodySite |
S | 0..1 | CodeableConcept | Observed body part |
| method |
S | 0..1 | CodeableConcept | How it was done |
| device |
S | 0..1 | Reference(Device | DeviceMetric) | (Measurement) Device |
| Slices for component |
1..* | BackboneElement | Component observations Slice: Unordered, Open by pattern:code | |
 component:SystolicBP |
S | 1..1 | BackboneElement | Systolic Blood Pressure |
   Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
 systolicCategory |
S | 0..1 | CodeableConcept | systolic URL: http://vitals.oemig.de/fhir/StructureDefinition/systolicExt Binding: Observation Category (required) |
 code |
1..1 | CodeableConcept | Systolic Blood Pressure Code Binding: Vital Signs Systolic Blood Pressure Codes (required) | |
 Slices for value[x] |
0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Actual component result Slice: Unordered, Open by type:$this | |
 value[x]:valueQuantity |
S | 0..1 | Quantity | Vital Sign Component Value |
| value |
S | 1..1 | decimal | Numerical value (with implicit precision) |
| unit |
S | 0..1 | string | Unit representation |
| system |
S | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org |
 code |
S | 1..1 | code | Coded form of the unit Fixed Value: mm[Hg] |
| component:DiastolicBP |
S | 0..1 | BackboneElement | Diastolic Blood Pressure |
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| diastolicCategory |
S | 0..1 | CodeableConcept | diastolic URL: http://vitals.oemig.de/fhir/StructureDefinition/diastolicExt Binding: Observation Category (required) |
| code |
1..1 | CodeableConcept | Diastolic Blood Pressure Code Binding: Vital Signs Diastolic Blood Pressure Codes (required) | |
| Slices for value[x] |
0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Actual component result Slice: Unordered, Open by type:$this | |
| value[x]:valueQuantity |
S | 0..1 | Quantity | Vital Sign Component Value |
| value |
S | 1..1 | decimal | Numerical value (with implicit precision) |
| unit |
S | 0..1 | string | Unit representation |
| system |
S | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org |
| code |
S | 1..1 | code | Coded form of the unit Fixed Value: mm[Hg] |
| component:MeanArterialBP |
S | 0..1 | BackboneElement | Mean Arterial Blood Pressure |
| code |
1..1 | CodeableConcept | Mean Arterial Blood Pressure Code Binding: Vital Signs Mean Arterial Blood Pressure Codes (required) | |
| Slices for value[x] |
0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Actual component result Slice: Unordered, Open by type:$this | |
| value[x]:valueQuantity |
S | 0..1 | Quantity | Vital Sign Component Value |
| value |
S | 1..1 | decimal | Numerical value (with implicit precision) |
| unit |
S | 0..1 | string | Unit representation |
| system |
S | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org |
| code |
S | 1..1 | code | Coded form of the unit Fixed Value: mm[Hg] |
| component:PulsePressureBP |
0..1 | BackboneElement | Pulse Blood Pressure | |
| code |
1..1 | CodeableConcept | Mean Arterial Blood Pressure Code Binding: Vital Signs Pulse Blood Pressure Codes (required) | |
| Slices for value[x] |
0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Actual component result Slice: Unordered, Open by type:$this | |
| value[x]:valueQuantity |
S | 0..1 | Quantity | Vital Sign Component Value |
| value |
S | 1..1 | decimal | Numerical value (with implicit precision) |
| unit |
S | 0..1 | string | Unit representation |
| system |
S | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org |
| code |
S | 1..1 | code | Coded form of the unit Fixed Value: mm[Hg] |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| Observation.code | required | USCoreBloodPressureCodeshttp://vitals.oemig.de/fhir/ValueSet/us-core-modified-blood-pressure-codefrom this IG | |
| Observation.component:SystolicBP.code | required | USCoreSystolicBloodPressureCodeshttp://vitals.oemig.de/fhir/ValueSet/us-core-systolic-blood-pressure-codefrom this IG | |
| Observation.component:DiastolicBP.code | required | USCoreDiastolicBloodPressureCodeshttp://vitals.oemig.de/fhir/ValueSet/us-core-diastolic-blood-pressure-codefrom this IG | |
| Observation.component:MeanArterialBP.code | required | USCoreMeanArterialBloodPressureCodeshttp://vitals.oemig.de/fhir/ValueSet/us-core-mean-arterial-blood-pressure-codefrom this IG | |
| Observation.component:PulsePressureBP.code | required | USCorePulseBloodPressureCodeshttp://vitals.oemig.de/fhir/ValueSet/us-core-pulse-blood-pressure-codefrom this IG |
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Observation |
C | 0..* | USCoreModifiedVitalSigns | US Core Blood Pressure Profile obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present |
 implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
| Slices for extension |
Content/Rules for all slices | |||
| medication |
S | 0..* | Reference(MedicationStatement) | Medication to be considered for correct interpretation of vital signs URL: http://vitals.oemig.de/fhir/StructureDefinition/medicationExt |
| bodyWeight |
S | 0..1 | Reference(Observation) | Body weight to be considered for correct interpretation of vital signs URL: http://vitals.oemig.de/fhir/StructureDefinition/bodweightExt |
| bodyPosition |
S | 0..1 | CodeableConcept | Body Position URL: http://hl7.org/fhir/StructureDefinition/observation-bodyPosition |
| consciousness |
S | 0..1 | CodeableConcept | Consciousness URL: http://vitals.oemig.de/fhir/StructureDefinition/ConsciousnessExt Binding: Consciousness (required) |
| exertion |
S | 0..1 | CodeableConcept | Exertion / Exercise Association URL: http://vitals.oemig.de/fhir/StructureDefinition/exertionExt Binding: Exertion (required) |
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
| status |
?!SΣ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required) |
 category |
0..* | CodeableConcept | Classification of type of observation Binding: Observation Vital Signs Category (required) Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://vitals.oemig.de/fhir/CodeSystem/ObservationCategory | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: vital-sign-bp | |
| code |
SΣ | 1..1 | CodeableConcept | Blood Pressure Binding: Vital Signs Blood Pressure Codes (required) |
 subject |
SΣ | 0..1 | Reference(Patient) | Who and/or what the observation is about |
 effective[x] |
SΣ | 0..1 | Clinically relevant time/time-period for observation | |
| effectiveDateTime |
dateTime | |||
| effectivePeriod |
Period | |||
| effectiveInstant |
instant | |||
| value[x] |
SΣC | 0..1 | Actual result | |
| valueQuantity |
Quantity | |||
| valueString |
string | |||
| valueInteger |
integer | |||
| dataAbsentReason |
SC | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
| interpretation |
S | 0..1 | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. |
| bodySite |
S | 0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. |
| method |
S | 0..1 | CodeableConcept | How it was done Binding: ObservationMethods (example): Methods for simple observations. |
| device |
S | 0..1 | Reference(Device | DeviceMetric) | (Measurement) Device |
| referenceRange |
SC | 0..* | BackboneElement | Provides guide for interpretation obs-3: Must have at least a low or a high or text |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Slices for component |
SΣ | 1..* | BackboneElement | Component observations Slice: Unordered, Open by pattern:code |
| component:All Slices |
Content/Rules for all slices | |||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code |
SΣ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. |
| value[x] |
SΣ | 0..1 | Actual component result | |
| valueQuantity |
Quantity | |||
| valueCodeableConcept |
CodeableConcept | |||
| valueString |
string | |||
| valueBoolean |
boolean | |||
| valueInteger |
integer | |||
| valueRange |
Range | |||
| valueRatio |
Ratio | |||
| valueSampledData |
SampledData | |||
| valueTime |
time | |||
| valueDateTime |
dateTime | |||
| valuePeriod |
Period | |||
| dataAbsentReason |
SC | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
| component:SystolicBP |
SΣ | 1..1 | BackboneElement | Systolic Blood Pressure |
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| systolicCategory |
S | 0..1 | CodeableConcept | systolic URL: http://vitals.oemig.de/fhir/StructureDefinition/systolicExt Binding: Observation Category (required) |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code |
SΣ | 1..1 | CodeableConcept | Systolic Blood Pressure Code Binding: Vital Signs Systolic Blood Pressure Codes (required) |
| Slices for value[x] |
SΣ | 0..1 | Actual component result Slice: Unordered, Open by type:$this | |
| valueQuantity |
Quantity | |||
| valueCodeableConcept |
CodeableConcept | |||
| valueString |
string | |||
| valueBoolean |
boolean | |||
| valueInteger |
integer | |||
| valueRange |
Range | |||
| valueRatio |
Ratio | |||
| valueSampledData |
SampledData | |||
| valueTime |
time | |||
| valueDateTime |
dateTime | |||
| valuePeriod |
Period | |||
| value[x]:valueQuantity |
SΣ | 0..1 | Quantity | Vital Sign Component Value |
| value |
SΣ | 1..1 | decimal | Numerical value (with implicit precision) |
| comparator |
?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. |
| unit |
SΣ | 0..1 | string | Unit representation |
| system |
SΣC | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org |
| code |
SΣ | 1..1 | code | Coded form of the unit Fixed Value: mm[Hg] |
| dataAbsentReason |
SC | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
| component:DiastolicBP |
SΣ | 0..1 | BackboneElement | Diastolic Blood Pressure |
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| diastolicCategory |
S | 0..1 | CodeableConcept | diastolic URL: http://vitals.oemig.de/fhir/StructureDefinition/diastolicExt Binding: Observation Category (required) |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code |
SΣ | 1..1 | CodeableConcept | Diastolic Blood Pressure Code Binding: Vital Signs Diastolic Blood Pressure Codes (required) |
| Slices for value[x] |
SΣ | 0..1 | Actual component result Slice: Unordered, Open by type:$this | |
| valueQuantity |
Quantity | |||
| valueCodeableConcept |
CodeableConcept | |||
| valueString |
string | |||
| valueBoolean |
boolean | |||
| valueInteger |
integer | |||
| valueRange |
Range | |||
| valueRatio |
Ratio | |||
| valueSampledData |
SampledData | |||
| valueTime |
time | |||
| valueDateTime |
dateTime | |||
| valuePeriod |
Period | |||
| value[x]:valueQuantity |
SΣ | 0..1 | Quantity | Vital Sign Component Value |
| value |
SΣ | 1..1 | decimal | Numerical value (with implicit precision) |
| comparator |
?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. |
| unit |
SΣ | 0..1 | string | Unit representation |
| system |
SΣC | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org |
| code |
SΣ | 1..1 | code | Coded form of the unit Fixed Value: mm[Hg] |
| dataAbsentReason |
SC | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
| component:MeanArterialBP |
SΣ | 0..1 | BackboneElement | Mean Arterial Blood Pressure |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code |
SΣ | 1..1 | CodeableConcept | Mean Arterial Blood Pressure Code Binding: Vital Signs Mean Arterial Blood Pressure Codes (required) |
| Slices for value[x] |
SΣ | 0..1 | Actual component result Slice: Unordered, Open by type:$this | |
| valueQuantity |
Quantity | |||
| valueCodeableConcept |
CodeableConcept | |||
| valueString |
string | |||
| valueBoolean |
boolean | |||
| valueInteger |
integer | |||
| valueRange |
Range | |||
| valueRatio |
Ratio | |||
| valueSampledData |
SampledData | |||
| valueTime |
time | |||
| valueDateTime |
dateTime | |||
| valuePeriod |
Period | |||
| value[x]:valueQuantity |
SΣ | 0..1 | Quantity | Vital Sign Component Value |
| value |
SΣ | 1..1 | decimal | Numerical value (with implicit precision) |
| comparator |
?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. |
| unit |
SΣ | 0..1 | string | Unit representation |
| system |
SΣC | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org |
| code |
SΣ | 1..1 | code | Coded form of the unit Fixed Value: mm[Hg] |
| dataAbsentReason |
SC | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
| component:PulsePressureBP |
SΣ | 0..1 | BackboneElement | Pulse Blood Pressure |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code |
SΣ | 1..1 | CodeableConcept | Mean Arterial Blood Pressure Code Binding: Vital Signs Pulse Blood Pressure Codes (required) |
| Slices for value[x] |
SΣ | 0..1 | Actual component result Slice: Unordered, Open by type:$this | |
| valueQuantity |
Quantity | |||
| valueCodeableConcept |
CodeableConcept | |||
| valueString |
string | |||
| valueBoolean |
boolean | |||
| valueInteger |
integer | |||
| valueRange |
Range | |||
| valueRatio |
Ratio | |||
| valueSampledData |
SampledData | |||
| valueTime |
time | |||
| valueDateTime |
dateTime | |||
| valuePeriod |
Period | |||
| value[x]:valueQuantity |
SΣ | 0..1 | Quantity | Vital Sign Component Value |
| value |
SΣ | 1..1 | decimal | Numerical value (with implicit precision) |
| comparator |
?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. |
| unit |
SΣ | 0..1 | string | Unit representation |
| system |
SΣC | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org |
| code |
SΣ | 1..1 | code | Coded form of the unit Fixed Value: mm[Hg] |
| dataAbsentReason |
SC | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI |
| Observation.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-statusfrom the FHIR Standard | |
| Observation.category | required | Pattern: vital-sign-bphttp://vitals.oemig.de/fhir/ValueSet/ObservationVitalSignsCategoryfrom this IG | |
| Observation.code | required | USCoreBloodPressureCodeshttp://vitals.oemig.de/fhir/ValueSet/us-core-modified-blood-pressure-codefrom this IG | |
| Observation.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom the FHIR Standard | |
| Observation.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretationfrom the FHIR Standard | |
| Observation.bodySite | example | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-sitefrom the FHIR Standard | |
| Observation.method | example | ObservationMethodshttp://hl7.org/fhir/ValueSet/observation-methodsfrom the FHIR Standard | |
| Observation.component.code | example | LOINCCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codesfrom the FHIR Standard | |
| Observation.component.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom the FHIR Standard | |
| Observation.component:SystolicBP.code | required | USCoreSystolicBloodPressureCodeshttp://vitals.oemig.de/fhir/ValueSet/us-core-systolic-blood-pressure-codefrom this IG | |
| Observation.component:SystolicBP.value[x]:valueQuantity.comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1from the FHIR Standard | |
| Observation.component:SystolicBP.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom the FHIR Standard | |
| Observation.component:DiastolicBP.code | required | USCoreDiastolicBloodPressureCodeshttp://vitals.oemig.de/fhir/ValueSet/us-core-diastolic-blood-pressure-codefrom this IG | |
| Observation.component:DiastolicBP.value[x]:valueQuantity.comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1from the FHIR Standard | |
| Observation.component:DiastolicBP.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom the FHIR Standard | |
| Observation.component:MeanArterialBP.code | required | USCoreMeanArterialBloodPressureCodeshttp://vitals.oemig.de/fhir/ValueSet/us-core-mean-arterial-blood-pressure-codefrom this IG | |
| Observation.component:MeanArterialBP.value[x]:valueQuantity.comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1from the FHIR Standard | |
| Observation.component:MeanArterialBP.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom the FHIR Standard | |
| Observation.component:PulsePressureBP.code | required | USCorePulseBloodPressureCodeshttp://vitals.oemig.de/fhir/ValueSet/us-core-pulse-blood-pressure-codefrom this IG | |
| Observation.component:PulsePressureBP.value[x]:valueQuantity.comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1from the FHIR Standard | |
| Observation.component:PulsePressureBP.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| 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() |
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Observation |
C | 0..* | USCoreModifiedVitalSigns | US Core Blood Pressure Profile obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present | ||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| medication |
S | 0..* | Reference(MedicationStatement) | Medication to be considered for correct interpretation of vital signs URL: http://vitals.oemig.de/fhir/StructureDefinition/medicationExt | ||||
| bodyWeight |
S | 0..1 | Reference(Observation) | Body weight to be considered for correct interpretation of vital signs URL: http://vitals.oemig.de/fhir/StructureDefinition/bodweightExt | ||||
| bodyPosition |
S | 0..1 | CodeableConcept | Body Position URL: http://hl7.org/fhir/StructureDefinition/observation-bodyPosition | ||||
| consciousness |
S | 0..1 | CodeableConcept | Consciousness URL: http://vitals.oemig.de/fhir/StructureDefinition/ConsciousnessExt Binding: Consciousness (required) | ||||
| exertion |
S | 0..1 | CodeableConcept | Exertion / Exercise Association URL: http://vitals.oemig.de/fhir/StructureDefinition/exertionExt Binding: Exertion (required) | ||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier |
Σ | 0..* | Identifier | Business Identifier for observation | ||||
| basedOn |
Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order | ||||
| partOf |
Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event | ||||
| status |
?!SΣ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required) | ||||
| category |
0..* | CodeableConcept | Classification of type of observation Binding: Observation Vital Signs Category (required) Required Pattern: At least the following | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://vitals.oemig.de/fhir/CodeSystem/ObservationCategory | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: vital-sign-bp | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| code |
SΣ | 1..1 | CodeableConcept | Blood Pressure Binding: Vital Signs Blood Pressure Codes (required) | ||||
| subject |
SΣ | 0..1 | Reference(Patient) | Who and/or what the observation is about | ||||
| focus |
Σ | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record | ||||
| encounter |
Σ | 0..1 | Reference(Encounter) | Healthcare event during which this observation is made | ||||
| effective[x] |
SΣ | 0..1 | Clinically relevant time/time-period for observation | |||||
| effectiveDateTime |
dateTime | |||||||
| effectivePeriod |
Period | |||||||
| effectiveInstant |
instant | |||||||
| issued |
Σ | 0..1 | instant | Date/Time this version was made available | ||||
| performer |
Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Who is responsible for the observation | ||||
| value[x] |
SΣC | 0..1 | Actual result | |||||
| valueQuantity |
Quantity | |||||||
| valueString |
string | |||||||
| valueInteger |
integer | |||||||
| dataAbsentReason |
SC | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
| interpretation |
S | 0..1 | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | ||||
| note |
0..* | Annotation | Comments about the observation | |||||
| bodySite |
S | 0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | ||||
| method |
S | 0..1 | CodeableConcept | How it was done Binding: ObservationMethods (example): Methods for simple observations. | ||||
| specimen |
0..1 | Reference(Specimen) | Specimen used for this observation | |||||
| device |
S | 0..1 | Reference(Device | DeviceMetric) | (Measurement) Device | ||||
| referenceRange |
SC | 0..* | BackboneElement | Provides guide for interpretation obs-3: Must have at least a low or a high or text | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| low |
C | 0..1 | SimpleQuantity | Low Range, if relevant | ||||
| high |
C | 0..1 | SimpleQuantity | High Range, if relevant | ||||
| type |
0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range. | |||||
| appliesTo |
0..* | CodeableConcept | Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to. | |||||
| age |
0..1 | Range | Applicable age range, if relevant | |||||
| text |
0..1 | string | Text based reference range in an observation | |||||
| hasMember |
Σ | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group | ||||
| derivedFrom |
Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | Related measurements the observation is made from | ||||
| Slices for component |
SΣ | 1..* | BackboneElement | Component observations Slice: Unordered, Open by pattern:code | ||||
| component:All Slices |
Content/Rules for all slices | |||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code |
SΣ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. | ||||
| value[x] |
SΣ | 0..1 | Actual component result | |||||
| valueQuantity |
Quantity | |||||||
| valueCodeableConcept |
CodeableConcept | |||||||
| valueString |
string | |||||||
| valueBoolean |
boolean | |||||||
| valueInteger |
integer | |||||||
| valueRange |
Range | |||||||
| valueRatio |
Ratio | |||||||
| valueSampledData |
SampledData | |||||||
| valueTime |
time | |||||||
| valueDateTime |
dateTime | |||||||
| valuePeriod |
Period | |||||||
| dataAbsentReason |
SC | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
| interpretation |
0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
| referenceRange |
0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
| component:SystolicBP |
SΣ | 1..1 | BackboneElement | Systolic Blood Pressure | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| systolicCategory |
S | 0..1 | CodeableConcept | systolic URL: http://vitals.oemig.de/fhir/StructureDefinition/systolicExt Binding: Observation Category (required) | ||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code |
SΣ | 1..1 | CodeableConcept | Systolic Blood Pressure Code Binding: Vital Signs Systolic Blood Pressure Codes (required) | ||||
| Slices for value[x] |
SΣ | 0..1 | Actual component result Slice: Unordered, Open by type:$this | |||||
| valueQuantity |
Quantity | |||||||
| valueCodeableConcept |
CodeableConcept | |||||||
| valueString |
string | |||||||
| valueBoolean |
boolean | |||||||
| valueInteger |
integer | |||||||
| valueRange |
Range | |||||||
| valueRatio |
Ratio | |||||||
| valueSampledData |
SampledData | |||||||
| valueTime |
time | |||||||
| valueDateTime |
dateTime | |||||||
| valuePeriod |
Period | |||||||
| value[x]:valueQuantity |
SΣ | 0..1 | Quantity | Vital Sign Component Value | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| value |
SΣ | 1..1 | decimal | Numerical value (with implicit precision) | ||||
| comparator |
?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | ||||
| unit |
SΣ | 0..1 | string | Unit representation | ||||
| system |
SΣC | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org | ||||
| code |
SΣ | 1..1 | code | Coded form of the unit Fixed Value: mm[Hg] | ||||
| dataAbsentReason |
SC | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
| interpretation |
0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
| referenceRange |
0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
| component:DiastolicBP |
SΣ | 0..1 | BackboneElement | Diastolic Blood Pressure | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| diastolicCategory |
S | 0..1 | CodeableConcept | diastolic URL: http://vitals.oemig.de/fhir/StructureDefinition/diastolicExt Binding: Observation Category (required) | ||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code |
SΣ | 1..1 | CodeableConcept | Diastolic Blood Pressure Code Binding: Vital Signs Diastolic Blood Pressure Codes (required) | ||||
| Slices for value[x] |
SΣ | 0..1 | Actual component result Slice: Unordered, Open by type:$this | |||||
| valueQuantity |
Quantity | |||||||
| valueCodeableConcept |
CodeableConcept | |||||||
| valueString |
string | |||||||
| valueBoolean |
boolean | |||||||
| valueInteger |
integer | |||||||
| valueRange |
Range | |||||||
| valueRatio |
Ratio | |||||||
| valueSampledData |
SampledData | |||||||
| valueTime |
time | |||||||
| valueDateTime |
dateTime | |||||||
| valuePeriod |
Period | |||||||
| value[x]:valueQuantity |
SΣ | 0..1 | Quantity | Vital Sign Component Value | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| value |
SΣ | 1..1 | decimal | Numerical value (with implicit precision) | ||||
| comparator |
?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | ||||
| unit |
SΣ | 0..1 | string | Unit representation | ||||
| system |
SΣC | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org | ||||
| code |
SΣ | 1..1 | code | Coded form of the unit Fixed Value: mm[Hg] | ||||
| dataAbsentReason |
SC | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
| interpretation |
0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
| referenceRange |
0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
| component:MeanArterialBP |
SΣ | 0..1 | BackboneElement | Mean Arterial Blood Pressure | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code |
SΣ | 1..1 | CodeableConcept | Mean Arterial Blood Pressure Code Binding: Vital Signs Mean Arterial Blood Pressure Codes (required) | ||||
| Slices for value[x] |
SΣ | 0..1 | Actual component result Slice: Unordered, Open by type:$this | |||||
| valueQuantity |
Quantity | |||||||
| valueCodeableConcept |
CodeableConcept | |||||||
| valueString |
string | |||||||
| valueBoolean |
boolean | |||||||
| valueInteger |
integer | |||||||
| valueRange |
Range | |||||||
| valueRatio |
Ratio | |||||||
| valueSampledData |
SampledData | |||||||
| valueTime |
time | |||||||
| valueDateTime |
dateTime | |||||||
| valuePeriod |
Period | |||||||
| value[x]:valueQuantity |
SΣ | 0..1 | Quantity | Vital Sign Component Value | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| value |
SΣ | 1..1 | decimal | Numerical value (with implicit precision) | ||||
| comparator |
?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | ||||
| unit |
SΣ | 0..1 | string | Unit representation | ||||
| system |
SΣC | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org | ||||
| code |
SΣ | 1..1 | code | Coded form of the unit Fixed Value: mm[Hg] | ||||
| dataAbsentReason |
SC | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
| interpretation |
0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
| referenceRange |
0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
| component:PulsePressureBP |
SΣ | 0..1 | BackboneElement | Pulse Blood Pressure | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code |
SΣ | 1..1 | CodeableConcept | Mean Arterial Blood Pressure Code Binding: Vital Signs Pulse Blood Pressure Codes (required) | ||||
| Slices for value[x] |
SΣ | 0..1 | Actual component result Slice: Unordered, Open by type:$this | |||||
| valueQuantity |
Quantity | |||||||
| valueCodeableConcept |
CodeableConcept | |||||||
| valueString |
string | |||||||
| valueBoolean |
boolean | |||||||
| valueInteger |
integer | |||||||
| valueRange |
Range | |||||||
| valueRatio |
Ratio | |||||||
| valueSampledData |
SampledData | |||||||
| valueTime |
time | |||||||
| valueDateTime |
dateTime | |||||||
| valuePeriod |
Period | |||||||
| value[x]:valueQuantity |
SΣ | 0..1 | Quantity | Vital Sign Component Value | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| value |
SΣ | 1..1 | decimal | Numerical value (with implicit precision) | ||||
| comparator |
?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | ||||
| unit |
SΣ | 0..1 | string | Unit representation | ||||
| system |
SΣC | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org | ||||
| code |
SΣ | 1..1 | code | Coded form of the unit Fixed Value: mm[Hg] | ||||
| dataAbsentReason |
SC | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
| interpretation |
0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
| referenceRange |
0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | URI | |||
| Observation.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| Observation.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-statusfrom the FHIR Standard | ||||
| Observation.category | required | Pattern: vital-sign-bphttp://vitals.oemig.de/fhir/ValueSet/ObservationVitalSignsCategoryfrom this IG | ||||
| Observation.code | required | USCoreBloodPressureCodeshttp://vitals.oemig.de/fhir/ValueSet/us-core-modified-blood-pressure-codefrom this IG | ||||
| Observation.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom the FHIR Standard | ||||
| Observation.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretationfrom the FHIR Standard | ||||
| Observation.bodySite | example | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-sitefrom the FHIR Standard | ||||
| Observation.method | example | ObservationMethodshttp://hl7.org/fhir/ValueSet/observation-methodsfrom the FHIR Standard | ||||
| Observation.referenceRange.type | preferred | ObservationReferenceRangeMeaningCodeshttp://hl7.org/fhir/ValueSet/referencerange-meaningfrom the FHIR Standard | ||||
| Observation.referenceRange.appliesTo | example | ObservationReferenceRangeAppliesToCodeshttp://hl7.org/fhir/ValueSet/referencerange-appliestofrom the FHIR Standard | ||||
| Observation.component.code | example | LOINCCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codesfrom the FHIR Standard | ||||
| Observation.component.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom the FHIR Standard | ||||
| Observation.component.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretationfrom the FHIR Standard | ||||
| Observation.component:SystolicBP.code | required | USCoreSystolicBloodPressureCodeshttp://vitals.oemig.de/fhir/ValueSet/us-core-systolic-blood-pressure-codefrom this IG | ||||
| Observation.component:SystolicBP.value[x]:valueQuantity.comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1from the FHIR Standard | ||||
| Observation.component:SystolicBP.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom the FHIR Standard | ||||
| Observation.component:SystolicBP.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretationfrom the FHIR Standard | ||||
| Observation.component:DiastolicBP.code | required | USCoreDiastolicBloodPressureCodeshttp://vitals.oemig.de/fhir/ValueSet/us-core-diastolic-blood-pressure-codefrom this IG | ||||
| Observation.component:DiastolicBP.value[x]:valueQuantity.comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1from the FHIR Standard | ||||
| Observation.component:DiastolicBP.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom the FHIR Standard | ||||
| Observation.component:DiastolicBP.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretationfrom the FHIR Standard | ||||
| Observation.component:MeanArterialBP.code | required | USCoreMeanArterialBloodPressureCodeshttp://vitals.oemig.de/fhir/ValueSet/us-core-mean-arterial-blood-pressure-codefrom this IG | ||||
| Observation.component:MeanArterialBP.value[x]:valueQuantity.comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1from the FHIR Standard | ||||
| Observation.component:MeanArterialBP.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom the FHIR Standard | ||||
| Observation.component:MeanArterialBP.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretationfrom the FHIR Standard | ||||
| Observation.component:PulsePressureBP.code | required | USCorePulseBloodPressureCodeshttp://vitals.oemig.de/fhir/ValueSet/us-core-pulse-blood-pressure-codefrom this IG | ||||
| Observation.component:PulsePressureBP.value[x]:valueQuantity.comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1from the FHIR Standard | ||||
| Observation.component:PulsePressureBP.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom the FHIR Standard | ||||
| Observation.component:PulsePressureBP.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretationfrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Observation | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Observation | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| obs-3 | error | Observation.referenceRange | Must have at least a low or a high or text : low.exists() or high.exists() or text.exists() | |
| obs-6 | error | Observation | dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty() | |
| obs-7 | error | Observation | If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty() |
This structure is derived from USCoreModifiedVitalSigns
Summary
Mandatory: 2 elements(12 nested mandatory elements)
Must-Support: 31 elements
Fixed: 8 elements
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from USCoreModifiedVitalSigns
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Observation |
0..* | USCoreModifiedVitalSigns | US Core Blood Pressure Profile | |
| Slices for extension |
Content/Rules for all slices | |||
| bodyPosition |
S | 0..1 | CodeableConcept | Body Position URL: http://hl7.org/fhir/StructureDefinition/observation-bodyPosition |
| consciousness |
S | 0..1 | CodeableConcept | Consciousness URL: http://vitals.oemig.de/fhir/StructureDefinition/ConsciousnessExt Binding: Consciousness (required) |
| exertion |
S | 0..1 | CodeableConcept | Exertion / Exercise Association URL: http://vitals.oemig.de/fhir/StructureDefinition/exertionExt Binding: Exertion (required) |
| category |
0..* | CodeableConcept | Classification of type of observation Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://vitals.oemig.de/fhir/CodeSystem/ObservationCategory | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: vital-sign-bp | |
| code |
1..1 | CodeableConcept | Blood Pressure Binding: Vital Signs Blood Pressure Codes (required) | |
| bodySite |
S | 0..1 | CodeableConcept | Observed body part |
| method |
S | 0..1 | CodeableConcept | How it was done |
| device |
S | 0..1 | Reference(Device | DeviceMetric) | (Measurement) Device |
| Slices for component |
1..* | BackboneElement | Component observations Slice: Unordered, Open by pattern:code | |
| component:SystolicBP |
S | 1..1 | BackboneElement | Systolic Blood Pressure |
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| systolicCategory |
S | 0..1 | CodeableConcept | systolic URL: http://vitals.oemig.de/fhir/StructureDefinition/systolicExt Binding: Observation Category (required) |
| code |
1..1 | CodeableConcept | Systolic Blood Pressure Code Binding: Vital Signs Systolic Blood Pressure Codes (required) | |
| Slices for value[x] |
0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Actual component result Slice: Unordered, Open by type:$this | |
| value[x]:valueQuantity |
S | 0..1 | Quantity | Vital Sign Component Value |
| value |
S | 1..1 | decimal | Numerical value (with implicit precision) |
| unit |
S | 0..1 | string | Unit representation |
| system |
S | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org |
| code |
S | 1..1 | code | Coded form of the unit Fixed Value: mm[Hg] |
| component:DiastolicBP |
S | 0..1 | BackboneElement | Diastolic Blood Pressure |
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| diastolicCategory |
S | 0..1 | CodeableConcept | diastolic URL: http://vitals.oemig.de/fhir/StructureDefinition/diastolicExt Binding: Observation Category (required) |
| code |
1..1 | CodeableConcept | Diastolic Blood Pressure Code Binding: Vital Signs Diastolic Blood Pressure Codes (required) | |
| Slices for value[x] |
0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Actual component result Slice: Unordered, Open by type:$this | |
| value[x]:valueQuantity |
S | 0..1 | Quantity | Vital Sign Component Value |
| value |
S | 1..1 | decimal | Numerical value (with implicit precision) |
| unit |
S | 0..1 | string | Unit representation |
| system |
S | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org |
| code |
S | 1..1 | code | Coded form of the unit Fixed Value: mm[Hg] |
| component:MeanArterialBP |
S | 0..1 | BackboneElement | Mean Arterial Blood Pressure |
| code |
1..1 | CodeableConcept | Mean Arterial Blood Pressure Code Binding: Vital Signs Mean Arterial Blood Pressure Codes (required) | |
| Slices for value[x] |
0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Actual component result Slice: Unordered, Open by type:$this | |
| value[x]:valueQuantity |
S | 0..1 | Quantity | Vital Sign Component Value |
| value |
S | 1..1 | decimal | Numerical value (with implicit precision) |
| unit |
S | 0..1 | string | Unit representation |
| system |
S | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org |
| code |
S | 1..1 | code | Coded form of the unit Fixed Value: mm[Hg] |
| component:PulsePressureBP |
0..1 | BackboneElement | Pulse Blood Pressure | |
| code |
1..1 | CodeableConcept | Mean Arterial Blood Pressure Code Binding: Vital Signs Pulse Blood Pressure Codes (required) | |
| Slices for value[x] |
0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Actual component result Slice: Unordered, Open by type:$this | |
| value[x]:valueQuantity |
S | 0..1 | Quantity | Vital Sign Component Value |
| value |
S | 1..1 | decimal | Numerical value (with implicit precision) |
| unit |
S | 0..1 | string | Unit representation |
| system |
S | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org |
| code |
S | 1..1 | code | Coded form of the unit Fixed Value: mm[Hg] |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| Observation.code | required | USCoreBloodPressureCodeshttp://vitals.oemig.de/fhir/ValueSet/us-core-modified-blood-pressure-codefrom this IG | |
| Observation.component:SystolicBP.code | required | USCoreSystolicBloodPressureCodeshttp://vitals.oemig.de/fhir/ValueSet/us-core-systolic-blood-pressure-codefrom this IG | |
| Observation.component:DiastolicBP.code | required | USCoreDiastolicBloodPressureCodeshttp://vitals.oemig.de/fhir/ValueSet/us-core-diastolic-blood-pressure-codefrom this IG | |
| Observation.component:MeanArterialBP.code | required | USCoreMeanArterialBloodPressureCodeshttp://vitals.oemig.de/fhir/ValueSet/us-core-mean-arterial-blood-pressure-codefrom this IG | |
| Observation.component:PulsePressureBP.code | required | USCorePulseBloodPressureCodeshttp://vitals.oemig.de/fhir/ValueSet/us-core-pulse-blood-pressure-codefrom this IG |
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Observation |
C | 0..* | USCoreModifiedVitalSigns | US Core Blood Pressure Profile obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present |
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
| Slices for extension |
Content/Rules for all slices | |||
| medication |
S | 0..* | Reference(MedicationStatement) | Medication to be considered for correct interpretation of vital signs URL: http://vitals.oemig.de/fhir/StructureDefinition/medicationExt |
| bodyWeight |
S | 0..1 | Reference(Observation) | Body weight to be considered for correct interpretation of vital signs URL: http://vitals.oemig.de/fhir/StructureDefinition/bodweightExt |
| bodyPosition |
S | 0..1 | CodeableConcept | Body Position URL: http://hl7.org/fhir/StructureDefinition/observation-bodyPosition |
| consciousness |
S | 0..1 | CodeableConcept | Consciousness URL: http://vitals.oemig.de/fhir/StructureDefinition/ConsciousnessExt Binding: Consciousness (required) |
| exertion |
S | 0..1 | CodeableConcept | Exertion / Exercise Association URL: http://vitals.oemig.de/fhir/StructureDefinition/exertionExt Binding: Exertion (required) |
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
| status |
?!SΣ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required) |
| category |
0..* | CodeableConcept | Classification of type of observation Binding: Observation Vital Signs Category (required) Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://vitals.oemig.de/fhir/CodeSystem/ObservationCategory | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: vital-sign-bp | |
| code |
SΣ | 1..1 | CodeableConcept | Blood Pressure Binding: Vital Signs Blood Pressure Codes (required) |
| subject |
SΣ | 0..1 | Reference(Patient) | Who and/or what the observation is about |
| effective[x] |
SΣ | 0..1 | Clinically relevant time/time-period for observation | |
| effectiveDateTime |
dateTime | |||
| effectivePeriod |
Period | |||
| effectiveInstant |
instant | |||
| value[x] |
SΣC | 0..1 | Actual result | |
| valueQuantity |
Quantity | |||
| valueString |
string | |||
| valueInteger |
integer | |||
| dataAbsentReason |
SC | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
| interpretation |
S | 0..1 | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. |
| bodySite |
S | 0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. |
| method |
S | 0..1 | CodeableConcept | How it was done Binding: ObservationMethods (example): Methods for simple observations. |
| device |
S | 0..1 | Reference(Device | DeviceMetric) | (Measurement) Device |
| referenceRange |
SC | 0..* | BackboneElement | Provides guide for interpretation obs-3: Must have at least a low or a high or text |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Slices for component |
SΣ | 1..* | BackboneElement | Component observations Slice: Unordered, Open by pattern:code |
| component:All Slices |
Content/Rules for all slices | |||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code |
SΣ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. |
| value[x] |
SΣ | 0..1 | Actual component result | |
| valueQuantity |
Quantity | |||
| valueCodeableConcept |
CodeableConcept | |||
| valueString |
string | |||
| valueBoolean |
boolean | |||
| valueInteger |
integer | |||
| valueRange |
Range | |||
| valueRatio |
Ratio | |||
| valueSampledData |
SampledData | |||
| valueTime |
time | |||
| valueDateTime |
dateTime | |||
| valuePeriod |
Period | |||
| dataAbsentReason |
SC | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
| component:SystolicBP |
SΣ | 1..1 | BackboneElement | Systolic Blood Pressure |
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| systolicCategory |
S | 0..1 | CodeableConcept | systolic URL: http://vitals.oemig.de/fhir/StructureDefinition/systolicExt Binding: Observation Category (required) |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code |
SΣ | 1..1 | CodeableConcept | Systolic Blood Pressure Code Binding: Vital Signs Systolic Blood Pressure Codes (required) |
| Slices for value[x] |
SΣ | 0..1 | Actual component result Slice: Unordered, Open by type:$this | |
| valueQuantity |
Quantity | |||
| valueCodeableConcept |
CodeableConcept | |||
| valueString |
string | |||
| valueBoolean |
boolean | |||
| valueInteger |
integer | |||
| valueRange |
Range | |||
| valueRatio |
Ratio | |||
| valueSampledData |
SampledData | |||
| valueTime |
time | |||
| valueDateTime |
dateTime | |||
| valuePeriod |
Period | |||
| value[x]:valueQuantity |
SΣ | 0..1 | Quantity | Vital Sign Component Value |
| value |
SΣ | 1..1 | decimal | Numerical value (with implicit precision) |
| comparator |
?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. |
| unit |
SΣ | 0..1 | string | Unit representation |
| system |
SΣC | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org |
| code |
SΣ | 1..1 | code | Coded form of the unit Fixed Value: mm[Hg] |
| dataAbsentReason |
SC | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
| component:DiastolicBP |
SΣ | 0..1 | BackboneElement | Diastolic Blood Pressure |
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| diastolicCategory |
S | 0..1 | CodeableConcept | diastolic URL: http://vitals.oemig.de/fhir/StructureDefinition/diastolicExt Binding: Observation Category (required) |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code |
SΣ | 1..1 | CodeableConcept | Diastolic Blood Pressure Code Binding: Vital Signs Diastolic Blood Pressure Codes (required) |
| Slices for value[x] |
SΣ | 0..1 | Actual component result Slice: Unordered, Open by type:$this | |
| valueQuantity |
Quantity | |||
| valueCodeableConcept |
CodeableConcept | |||
| valueString |
string | |||
| valueBoolean |
boolean | |||
| valueInteger |
integer | |||
| valueRange |
Range | |||
| valueRatio |
Ratio | |||
| valueSampledData |
SampledData | |||
| valueTime |
time | |||
| valueDateTime |
dateTime | |||
| valuePeriod |
Period | |||
| value[x]:valueQuantity |
SΣ | 0..1 | Quantity | Vital Sign Component Value |
| value |
SΣ | 1..1 | decimal | Numerical value (with implicit precision) |
| comparator |
?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. |
| unit |
SΣ | 0..1 | string | Unit representation |
| system |
SΣC | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org |
| code |
SΣ | 1..1 | code | Coded form of the unit Fixed Value: mm[Hg] |
| dataAbsentReason |
SC | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
| component:MeanArterialBP |
SΣ | 0..1 | BackboneElement | Mean Arterial Blood Pressure |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code |
SΣ | 1..1 | CodeableConcept | Mean Arterial Blood Pressure Code Binding: Vital Signs Mean Arterial Blood Pressure Codes (required) |
| Slices for value[x] |
SΣ | 0..1 | Actual component result Slice: Unordered, Open by type:$this | |
| valueQuantity |
Quantity | |||
| valueCodeableConcept |
CodeableConcept | |||
| valueString |
string | |||
| valueBoolean |
boolean | |||
| valueInteger |
integer | |||
| valueRange |
Range | |||
| valueRatio |
Ratio | |||
| valueSampledData |
SampledData | |||
| valueTime |
time | |||
| valueDateTime |
dateTime | |||
| valuePeriod |
Period | |||
| value[x]:valueQuantity |
SΣ | 0..1 | Quantity | Vital Sign Component Value |
| value |
SΣ | 1..1 | decimal | Numerical value (with implicit precision) |
| comparator |
?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. |
| unit |
SΣ | 0..1 | string | Unit representation |
| system |
SΣC | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org |
| code |
SΣ | 1..1 | code | Coded form of the unit Fixed Value: mm[Hg] |
| dataAbsentReason |
SC | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
| component:PulsePressureBP |
SΣ | 0..1 | BackboneElement | Pulse Blood Pressure |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code |
SΣ | 1..1 | CodeableConcept | Mean Arterial Blood Pressure Code Binding: Vital Signs Pulse Blood Pressure Codes (required) |
| Slices for value[x] |
SΣ | 0..1 | Actual component result Slice: Unordered, Open by type:$this | |
| valueQuantity |
Quantity | |||
| valueCodeableConcept |
CodeableConcept | |||
| valueString |
string | |||
| valueBoolean |
boolean | |||
| valueInteger |
integer | |||
| valueRange |
Range | |||
| valueRatio |
Ratio | |||
| valueSampledData |
SampledData | |||
| valueTime |
time | |||
| valueDateTime |
dateTime | |||
| valuePeriod |
Period | |||
| value[x]:valueQuantity |
SΣ | 0..1 | Quantity | Vital Sign Component Value |
| value |
SΣ | 1..1 | decimal | Numerical value (with implicit precision) |
| comparator |
?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. |
| unit |
SΣ | 0..1 | string | Unit representation |
| system |
SΣC | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org |
| code |
SΣ | 1..1 | code | Coded form of the unit Fixed Value: mm[Hg] |
| dataAbsentReason |
SC | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI |
| Observation.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-statusfrom the FHIR Standard | |
| Observation.category | required | Pattern: vital-sign-bphttp://vitals.oemig.de/fhir/ValueSet/ObservationVitalSignsCategoryfrom this IG | |
| Observation.code | required | USCoreBloodPressureCodeshttp://vitals.oemig.de/fhir/ValueSet/us-core-modified-blood-pressure-codefrom this IG | |
| Observation.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom the FHIR Standard | |
| Observation.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretationfrom the FHIR Standard | |
| Observation.bodySite | example | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-sitefrom the FHIR Standard | |
| Observation.method | example | ObservationMethodshttp://hl7.org/fhir/ValueSet/observation-methodsfrom the FHIR Standard | |
| Observation.component.code | example | LOINCCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codesfrom the FHIR Standard | |
| Observation.component.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom the FHIR Standard | |
| Observation.component:SystolicBP.code | required | USCoreSystolicBloodPressureCodeshttp://vitals.oemig.de/fhir/ValueSet/us-core-systolic-blood-pressure-codefrom this IG | |
| Observation.component:SystolicBP.value[x]:valueQuantity.comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1from the FHIR Standard | |
| Observation.component:SystolicBP.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom the FHIR Standard | |
| Observation.component:DiastolicBP.code | required | USCoreDiastolicBloodPressureCodeshttp://vitals.oemig.de/fhir/ValueSet/us-core-diastolic-blood-pressure-codefrom this IG | |
| Observation.component:DiastolicBP.value[x]:valueQuantity.comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1from the FHIR Standard | |
| Observation.component:DiastolicBP.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom the FHIR Standard | |
| Observation.component:MeanArterialBP.code | required | USCoreMeanArterialBloodPressureCodeshttp://vitals.oemig.de/fhir/ValueSet/us-core-mean-arterial-blood-pressure-codefrom this IG | |
| Observation.component:MeanArterialBP.value[x]:valueQuantity.comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1from the FHIR Standard | |
| Observation.component:MeanArterialBP.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom the FHIR Standard | |
| Observation.component:PulsePressureBP.code | required | USCorePulseBloodPressureCodeshttp://vitals.oemig.de/fhir/ValueSet/us-core-pulse-blood-pressure-codefrom this IG | |
| Observation.component:PulsePressureBP.value[x]:valueQuantity.comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1from the FHIR Standard | |
| Observation.component:PulsePressureBP.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| 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() |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Observation |
C | 0..* | USCoreModifiedVitalSigns | US Core Blood Pressure Profile obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present | ||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| medication |
S | 0..* | Reference(MedicationStatement) | Medication to be considered for correct interpretation of vital signs URL: http://vitals.oemig.de/fhir/StructureDefinition/medicationExt | ||||
| bodyWeight |
S | 0..1 | Reference(Observation) | Body weight to be considered for correct interpretation of vital signs URL: http://vitals.oemig.de/fhir/StructureDefinition/bodweightExt | ||||
| bodyPosition |
S | 0..1 | CodeableConcept | Body Position URL: http://hl7.org/fhir/StructureDefinition/observation-bodyPosition | ||||
| consciousness |
S | 0..1 | CodeableConcept | Consciousness URL: http://vitals.oemig.de/fhir/StructureDefinition/ConsciousnessExt Binding: Consciousness (required) | ||||
| exertion |
S | 0..1 | CodeableConcept | Exertion / Exercise Association URL: http://vitals.oemig.de/fhir/StructureDefinition/exertionExt Binding: Exertion (required) | ||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier |
Σ | 0..* | Identifier | Business Identifier for observation | ||||
| basedOn |
Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order | ||||
| partOf |
Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event | ||||
| status |
?!SΣ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required) | ||||
| category |
0..* | CodeableConcept | Classification of type of observation Binding: Observation Vital Signs Category (required) Required Pattern: At least the following | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://vitals.oemig.de/fhir/CodeSystem/ObservationCategory | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: vital-sign-bp | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| code |
SΣ | 1..1 | CodeableConcept | Blood Pressure Binding: Vital Signs Blood Pressure Codes (required) | ||||
| subject |
SΣ | 0..1 | Reference(Patient) | Who and/or what the observation is about | ||||
| focus |
Σ | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record | ||||
| encounter |
Σ | 0..1 | Reference(Encounter) | Healthcare event during which this observation is made | ||||
| effective[x] |
SΣ | 0..1 | Clinically relevant time/time-period for observation | |||||
| effectiveDateTime |
dateTime | |||||||
| effectivePeriod |
Period | |||||||
| effectiveInstant |
instant | |||||||
| issued |
Σ | 0..1 | instant | Date/Time this version was made available | ||||
| performer |
Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Who is responsible for the observation | ||||
| value[x] |
SΣC | 0..1 | Actual result | |||||
| valueQuantity |
Quantity | |||||||
| valueString |
string | |||||||
| valueInteger |
integer | |||||||
| dataAbsentReason |
SC | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
| interpretation |
S | 0..1 | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | ||||
| note |
0..* | Annotation | Comments about the observation | |||||
| bodySite |
S | 0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | ||||
| method |
S | 0..1 | CodeableConcept | How it was done Binding: ObservationMethods (example): Methods for simple observations. | ||||
| specimen |
0..1 | Reference(Specimen) | Specimen used for this observation | |||||
| device |
S | 0..1 | Reference(Device | DeviceMetric) | (Measurement) Device | ||||
| referenceRange |
SC | 0..* | BackboneElement | Provides guide for interpretation obs-3: Must have at least a low or a high or text | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| low |
C | 0..1 | SimpleQuantity | Low Range, if relevant | ||||
| high |
C | 0..1 | SimpleQuantity | High Range, if relevant | ||||
| type |
0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range. | |||||
| appliesTo |
0..* | CodeableConcept | Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to. | |||||
| age |
0..1 | Range | Applicable age range, if relevant | |||||
| text |
0..1 | string | Text based reference range in an observation | |||||
| hasMember |
Σ | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group | ||||
| derivedFrom |
Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | Related measurements the observation is made from | ||||
| Slices for component |
SΣ | 1..* | BackboneElement | Component observations Slice: Unordered, Open by pattern:code | ||||
| component:All Slices |
Content/Rules for all slices | |||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code |
SΣ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. | ||||
| value[x] |
SΣ | 0..1 | Actual component result | |||||
| valueQuantity |
Quantity | |||||||
| valueCodeableConcept |
CodeableConcept | |||||||
| valueString |
string | |||||||
| valueBoolean |
boolean | |||||||
| valueInteger |
integer | |||||||
| valueRange |
Range | |||||||
| valueRatio |
Ratio | |||||||
| valueSampledData |
SampledData | |||||||
| valueTime |
time | |||||||
| valueDateTime |
dateTime | |||||||
| valuePeriod |
Period | |||||||
| dataAbsentReason |
SC | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
| interpretation |
0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
| referenceRange |
0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
| component:SystolicBP |
SΣ | 1..1 | BackboneElement | Systolic Blood Pressure | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| systolicCategory |
S | 0..1 | CodeableConcept | systolic URL: http://vitals.oemig.de/fhir/StructureDefinition/systolicExt Binding: Observation Category (required) | ||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code |
SΣ | 1..1 | CodeableConcept | Systolic Blood Pressure Code Binding: Vital Signs Systolic Blood Pressure Codes (required) | ||||
| Slices for value[x] |
SΣ | 0..1 | Actual component result Slice: Unordered, Open by type:$this | |||||
| valueQuantity |
Quantity | |||||||
| valueCodeableConcept |
CodeableConcept | |||||||
| valueString |
string | |||||||
| valueBoolean |
boolean | |||||||
| valueInteger |
integer | |||||||
| valueRange |
Range | |||||||
| valueRatio |
Ratio | |||||||
| valueSampledData |
SampledData | |||||||
| valueTime |
time | |||||||
| valueDateTime |
dateTime | |||||||
| valuePeriod |
Period | |||||||
| value[x]:valueQuantity |
SΣ | 0..1 | Quantity | Vital Sign Component Value | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| value |
SΣ | 1..1 | decimal | Numerical value (with implicit precision) | ||||
| comparator |
?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | ||||
| unit |
SΣ | 0..1 | string | Unit representation | ||||
| system |
SΣC | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org | ||||
| code |
SΣ | 1..1 | code | Coded form of the unit Fixed Value: mm[Hg] | ||||
| dataAbsentReason |
SC | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
| interpretation |
0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
| referenceRange |
0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
| component:DiastolicBP |
SΣ | 0..1 | BackboneElement | Diastolic Blood Pressure | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| diastolicCategory |
S | 0..1 | CodeableConcept | diastolic URL: http://vitals.oemig.de/fhir/StructureDefinition/diastolicExt Binding: Observation Category (required) | ||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code |
SΣ | 1..1 | CodeableConcept | Diastolic Blood Pressure Code Binding: Vital Signs Diastolic Blood Pressure Codes (required) | ||||
| Slices for value[x] |
SΣ | 0..1 | Actual component result Slice: Unordered, Open by type:$this | |||||
| valueQuantity |
Quantity | |||||||
| valueCodeableConcept |
CodeableConcept | |||||||
| valueString |
string | |||||||
| valueBoolean |
boolean | |||||||
| valueInteger |
integer | |||||||
| valueRange |
Range | |||||||
| valueRatio |
Ratio | |||||||
| valueSampledData |
SampledData | |||||||
| valueTime |
time | |||||||
| valueDateTime |
dateTime | |||||||
| valuePeriod |
Period | |||||||
| value[x]:valueQuantity |
SΣ | 0..1 | Quantity | Vital Sign Component Value | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| value |
SΣ | 1..1 | decimal | Numerical value (with implicit precision) | ||||
| comparator |
?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | ||||
| unit |
SΣ | 0..1 | string | Unit representation | ||||
| system |
SΣC | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org | ||||
| code |
SΣ | 1..1 | code | Coded form of the unit Fixed Value: mm[Hg] | ||||
| dataAbsentReason |
SC | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
| interpretation |
0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
| referenceRange |
0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
| component:MeanArterialBP |
SΣ | 0..1 | BackboneElement | Mean Arterial Blood Pressure | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code |
SΣ | 1..1 | CodeableConcept | Mean Arterial Blood Pressure Code Binding: Vital Signs Mean Arterial Blood Pressure Codes (required) | ||||
| Slices for value[x] |
SΣ | 0..1 | Actual component result Slice: Unordered, Open by type:$this | |||||
| valueQuantity |
Quantity | |||||||
| valueCodeableConcept |
CodeableConcept | |||||||
| valueString |
string | |||||||
| valueBoolean |
boolean | |||||||
| valueInteger |
integer | |||||||
| valueRange |
Range | |||||||
| valueRatio |
Ratio | |||||||
| valueSampledData |
SampledData | |||||||
| valueTime |
time | |||||||
| valueDateTime |
dateTime | |||||||
| valuePeriod |
Period | |||||||
| value[x]:valueQuantity |
SΣ | 0..1 | Quantity | Vital Sign Component Value | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| value |
SΣ | 1..1 | decimal | Numerical value (with implicit precision) | ||||
| comparator |
?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | ||||
| unit |
SΣ | 0..1 | string | Unit representation | ||||
| system |
SΣC | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org | ||||
| code |
SΣ | 1..1 | code | Coded form of the unit Fixed Value: mm[Hg] | ||||
| dataAbsentReason |
SC | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
| interpretation |
0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
| referenceRange |
0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
| component:PulsePressureBP |
SΣ | 0..1 | BackboneElement | Pulse Blood Pressure | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code |
SΣ | 1..1 | CodeableConcept | Mean Arterial Blood Pressure Code Binding: Vital Signs Pulse Blood Pressure Codes (required) | ||||
| Slices for value[x] |
SΣ | 0..1 | Actual component result Slice: Unordered, Open by type:$this | |||||
| valueQuantity |
Quantity | |||||||
| valueCodeableConcept |
CodeableConcept | |||||||
| valueString |
string | |||||||
| valueBoolean |
boolean | |||||||
| valueInteger |
integer | |||||||
| valueRange |
Range | |||||||
| valueRatio |
Ratio | |||||||
| valueSampledData |
SampledData | |||||||
| valueTime |
time | |||||||
| valueDateTime |
dateTime | |||||||
| valuePeriod |
Period | |||||||
| value[x]:valueQuantity |
SΣ | 0..1 | Quantity | Vital Sign Component Value | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| value |
SΣ | 1..1 | decimal | Numerical value (with implicit precision) | ||||
| comparator |
?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | ||||
| unit |
SΣ | 0..1 | string | Unit representation | ||||
| system |
SΣC | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org | ||||
| code |
SΣ | 1..1 | code | Coded form of the unit Fixed Value: mm[Hg] | ||||
| dataAbsentReason |
SC | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
| interpretation |
0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
| referenceRange |
0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | URI | |||
| Observation.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| Observation.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-statusfrom the FHIR Standard | ||||
| Observation.category | required | Pattern: vital-sign-bphttp://vitals.oemig.de/fhir/ValueSet/ObservationVitalSignsCategoryfrom this IG | ||||
| Observation.code | required | USCoreBloodPressureCodeshttp://vitals.oemig.de/fhir/ValueSet/us-core-modified-blood-pressure-codefrom this IG | ||||
| Observation.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom the FHIR Standard | ||||
| Observation.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretationfrom the FHIR Standard | ||||
| Observation.bodySite | example | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-sitefrom the FHIR Standard | ||||
| Observation.method | example | ObservationMethodshttp://hl7.org/fhir/ValueSet/observation-methodsfrom the FHIR Standard | ||||
| Observation.referenceRange.type | preferred | ObservationReferenceRangeMeaningCodeshttp://hl7.org/fhir/ValueSet/referencerange-meaningfrom the FHIR Standard | ||||
| Observation.referenceRange.appliesTo | example | ObservationReferenceRangeAppliesToCodeshttp://hl7.org/fhir/ValueSet/referencerange-appliestofrom the FHIR Standard | ||||
| Observation.component.code | example | LOINCCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codesfrom the FHIR Standard | ||||
| Observation.component.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom the FHIR Standard | ||||
| Observation.component.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretationfrom the FHIR Standard | ||||
| Observation.component:SystolicBP.code | required | USCoreSystolicBloodPressureCodeshttp://vitals.oemig.de/fhir/ValueSet/us-core-systolic-blood-pressure-codefrom this IG | ||||
| Observation.component:SystolicBP.value[x]:valueQuantity.comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1from the FHIR Standard | ||||
| Observation.component:SystolicBP.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom the FHIR Standard | ||||
| Observation.component:SystolicBP.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretationfrom the FHIR Standard | ||||
| Observation.component:DiastolicBP.code | required | USCoreDiastolicBloodPressureCodeshttp://vitals.oemig.de/fhir/ValueSet/us-core-diastolic-blood-pressure-codefrom this IG | ||||
| Observation.component:DiastolicBP.value[x]:valueQuantity.comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1from the FHIR Standard | ||||
| Observation.component:DiastolicBP.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom the FHIR Standard | ||||
| Observation.component:DiastolicBP.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretationfrom the FHIR Standard | ||||
| Observation.component:MeanArterialBP.code | required | USCoreMeanArterialBloodPressureCodeshttp://vitals.oemig.de/fhir/ValueSet/us-core-mean-arterial-blood-pressure-codefrom this IG | ||||
| Observation.component:MeanArterialBP.value[x]:valueQuantity.comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1from the FHIR Standard | ||||
| Observation.component:MeanArterialBP.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom the FHIR Standard | ||||
| Observation.component:MeanArterialBP.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretationfrom the FHIR Standard | ||||
| Observation.component:PulsePressureBP.code | required | USCorePulseBloodPressureCodeshttp://vitals.oemig.de/fhir/ValueSet/us-core-pulse-blood-pressure-codefrom this IG | ||||
| Observation.component:PulsePressureBP.value[x]:valueQuantity.comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1from the FHIR Standard | ||||
| Observation.component:PulsePressureBP.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom the FHIR Standard | ||||
| Observation.component:PulsePressureBP.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretationfrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Observation | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Observation | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| obs-3 | error | Observation.referenceRange | Must have at least a low or a high or text : low.exists() or high.exists() or text.exists() | |
| obs-6 | error | Observation | dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty() | |
| obs-7 | error | Observation | If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty() |
This structure is derived from USCoreModifiedVitalSigns
Summary
Mandatory: 2 elements(12 nested mandatory elements)
Must-Support: 31 elements
Fixed: 8 elements
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron