Healthy Route Implementation Guide, published by Savannah Informatics. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/savannahghi/healthy-route-ig/ and changes regularly. See the Directory of published versions
Resource Profile: Healthy Route Blood Pressure
| Official URL: https://fhir.savannahghi.org/ig/healthy-route/StructureDefinition/hr-blood-pressure | Version: 0.1.0 | |||
| Draft as of 2026-10-11 | Computable Name: HRBloodPressure | |||
One blood pressure reading, or the mean of several.
Adds the tenancy and encounter requirements this guide places on every measurement to the blood pressure profile FHIR core already defines. The component slicing, the LOINC codes for systolic and diastolic and the mmHg units are inherited and are not restated here.
Usages:
- Refer to this Profile: Healthy Route Blood Pressure, Healthy Route Reported Medicine, Healthy Route Measurement and Healthy Route Investigation Request
- Examples for this Profile: Observation/ExampleBloodPressure1, Observation/ExampleBloodPressure2, Observation/ExampleBloodPressure3 and Observation/ExampleBloodPressureMean
You can also check for usages in the FHIR IG Statistics
Formal Views of Profile Content
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter:  |
|---|---|---|---|---|
  Observation |
C | 0..* | Observationbp | FHIR Blood Pressure Profile Constraints: obs-6, obs-7, obs-8, vs-2 |
  implicitRules |
0..1 | uri | A set of rules under which this content was created | |
| contained |
0..* | Resource | Contained, inline Resources | |
  Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
   extension:tenant |
1..1 | Identifier | Owning site tenant URL: https://fhir.savannahghi.org/ig/healthy-route/StructureDefinition/hr-tenant | |
| extension:sequence |
0..1 | integer | Which of the three readings URL: https://fhir.savannahghi.org/ig/healthy-route/StructureDefinition/hr-reading-sequence | |
| extension:position |
0..1 | CodeableConcept | Before or after retinal capture URL: https://fhir.savannahghi.org/ig/healthy-route/StructureDefinition/hr-reading-position Binding: Blood Pressure Reading Position Value Set (required) | |
 extension:device |
0..1 | CodeableConcept | Which monitor URL: https://fhir.savannahghi.org/ig/healthy-route/StructureDefinition/hr-reading-device Binding: Blood Pressure Monitors Value Set (required) | |
 modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |
| status |
1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required) | |
 Slices for category |
1..* | CodeableConcept | Classification of type of observation Slice: Unordered, Open by value:coding.code, value:coding.system Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
 category:VSCat |
1..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | |
   coding |
1..* | Coding | Code defined by a terminology system | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category | |
 code |
C | 1..1 | code | Symbol in syntax defined by the system Fixed Value: vital-signs |
| code |
C | 1..1 | CodeableConcept | Blood Pressure Binding: VitalSigns (extensible): This identifies the vital sign result type. Original source C-CDA R1.1 , HITSP Vital Sign Result Type. |
 Slices for coding |
1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:code, value:system Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| coding:BPCode |
1..1 | Coding | Code defined by a terminology system | |
 system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
 code |
C | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 85354-9 |
 subject |
1..1 | Reference(Healthy Route Patient) | Who and/or what the observation is about | |
| encounter |
1..1 | Reference(Healthy Route Screening Visit) | Healthcare event during which this observation is made | |
 effective[x] |
C | 1..1 | Often just a dateTime for Vital Signs Constraints: vs-1 | |
| effectiveDateTime |
dateTime | |||
| effectivePeriod |
Period | |||
| Slices for value[x] |
C | 0..1 | Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept. Slice: Unordered, Open by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| valueCodeableConcept |
CodeableConcept | |||
| valueString |
string | |||
| valueBoolean |
boolean | |||
| valueInteger |
integer | |||
| valueRange |
Range | |||
| valueRatio |
Ratio | |||
| valueSampledData |
SampledData | |||
| valueTime |
time | |||
| valueDateTime |
dateTime | |||
| valuePeriod |
Period | |||
| valueAttachment |
Attachment | |||
| valueReference |
Reference(MolecularSequence) | |||
| dataAbsentReason |
C | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
| method |
0..1 | CodeableConcept | How it was done Binding: ObservationMethods (example): Methods for simple observations. | |
| device |
0..1 | Reference(Device | DeviceMetric) | A reference to the device that generates the measurements or the device settings for the device | |
| derivedFrom |
0..* | Reference(Healthy Route Blood Pressure) | The readings this mean was calculated from | |
| Slices for component |
C | 2..* | BackboneElement | Used when reporting systolic and diastolic blood pressure. Slice: Unordered, Open by value:code.coding.code, value:code.coding.system Constraints: vs-3 Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them |
  component:All Slices |
Content/Rules for all slices | |||
 modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| code |
C | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: VitalSigns (extensible): This identifies the vital sign result type. Original source C-CDA R1.1 , HITSP Vital Sign Result Type. |
| Slices for value[x] |
C | 0..1 | Vital Sign Value Slice: Unordered, Open by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| valueQuantity |
Quantity | |||
| valueCodeableConcept |
CodeableConcept | |||
| valueString |
string | |||
| valueBoolean |
boolean | |||
| valueInteger |
integer | |||
| valueRange |
Range | |||
| valueRatio |
Ratio | |||
| valueSampledData |
SampledData | |||
| valueTime |
time | |||
| valueDateTime |
dateTime | |||
| valuePeriod |
Period | |||
| valueAttachment |
Attachment | |||
| valueReference |
Reference(MolecularSequence) | |||
| value[x]:valueQuantity |
0..1 | Quantity | Vital Sign Value recorded with UCUM Binding: VitalSignsUnits (required): Commonly encountered UCUM units for recording Vital Signs. | |
| dataAbsentReason |
C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
| component:SystolicBP |
C | 1..1 | BackboneElement | Used when reporting systolic and diastolic blood pressure. Constraints: vs-3 |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
 code |
C | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: VitalSigns (extensible): This identifies the vital sign result type. Original source C-CDA R1.1 , HITSP Vital Sign Result Type. |
 Slices for coding |
1..* | Coding | Systolic Blood Pressure Slice: Unordered, Open by value:code, value:system Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| Slices for coding |
Content/Rules for all slices | |||
| coding:SBPCode |
1..1 | Coding | Systolic Blood Pressure | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
C | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8480-6 |
| Slices for value[x] |
C | 0..1 | Vital Sign Value Slice: Unordered, Closed 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 | |||
| valueAttachment |
Attachment | |||
| valueReference |
Reference(MolecularSequence) | |||
| Slices for value[x] |
Content/Rules for all slices | |||
| value[x]:valueQuantity |
0..1 | Quantity | Vital Sign Value recorded with UCUM Binding: VitalSignsUnits (required): Commonly encountered UCUM units for recording Vital Signs. | |
| value |
1..1 | decimal | Numerical value (with implicit precision) | |
| comparator |
0..1 | code | < | <= | >= | > | ad - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | |
| unit |
1..1 | string | Unit representation | |
| system |
C | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org |
| code |
C | 1..1 | code | Coded responses from the common UCUM units for vital signs value set. Fixed Value: mm[Hg] |
| dataAbsentReason |
C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
| component:DiastolicBP |
C | 1..1 | BackboneElement | Used when reporting systolic and diastolic blood pressure. Constraints: vs-3 |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| code |
C | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: VitalSigns (extensible): This identifies the vital sign result type. Original source C-CDA R1.1 , HITSP Vital Sign Result Type. |
| Slices for coding |
1..* | Coding | Diastolic Blood Pressure Slice: Unordered, Open by value:code, value:system Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| Slices for coding |
Content/Rules for all slices | |||
| coding:DBPCode |
1..1 | Coding | Diastolic Blood Pressure | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
C | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8462-4 |
| Slices for value[x] |
C | 0..1 | Vital Sign Value Slice: Unordered, Closed 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 | |||
| valueAttachment |
Attachment | |||
| valueReference |
Reference(MolecularSequence) | |||
| Slices for value[x] |
Content/Rules for all slices | |||
| value[x]:valueQuantity |
0..1 | Quantity | Vital Sign Value recorded with UCUM Binding: VitalSignsUnits (required): Commonly encountered UCUM units for recording Vital Signs. | |
| value |
1..1 | decimal | Numerical value (with implicit precision) | |
| comparator |
0..1 | code | < | <= | >= | > | ad - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | |
| unit |
1..1 | string | Unit representation | |
| system |
C | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org |
| code |
C | 1..1 | code | Coded responses from the common UCUM units for vital signs value set. Fixed Value: mm[Hg] |
| dataAbsentReason |
C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
| Documentation for this format | ||||
Terminology Bindings
| Path | Status | Usage | ValueSet | Version | Source |
| Observation.status | Base | required | Observation Status | 📍5.0.0 | FHIR Std. |
| Observation.category | Base | preferred | Observation Category Codes | 📍5.0.0 | FHIR Std. |
| Observation.category:VSCat | Base | preferred | Observation Category Codes | 📍5.0.0 | FHIR Std. |
| Observation.code | Base | extensible | Vital Signs | 📍5.0.0 | FHIR Std. |
| Observation.dataAbsentReason | Base | extensible | Data Absent Reason | 📍5.0.0 | FHIR Std. |
| Observation.method | Base | example | Observation Methods | 📍5.0.0 | FHIR Std. |
| Observation.component.code | Base | extensible | Vital Signs | 📍5.0.0 | FHIR Std. |
| Observation.component.value[x]:valueQuantity | Base | required | Vital Signs Units | 📍5.0.0 | FHIR Std. |
| Observation.component.dataAbsentReason | Base | extensible | Data Absent Reason | 📍5.0.0 | FHIR Std. |
| Observation.component:SystolicBP.code | Base | extensible | Vital Signs | 📍5.0.0 | FHIR Std. |
| Observation.component:SystolicBP.value[x]:valueQuantity | Base | required | Vital Signs Units | 📍5.0.0 | FHIR Std. |
| Observation.component:SystolicBP.value[x]:valueQuantity.comparator | Base | required | QuantityComparator | 📍5.0.0 | FHIR Std. |
| Observation.component:SystolicBP.dataAbsentReason | Base | extensible | Data Absent Reason | 📍5.0.0 | FHIR Std. |
| Observation.component:DiastolicBP.code | Base | extensible | Vital Signs | 📍5.0.0 | FHIR Std. |
| Observation.component:DiastolicBP.value[x]:valueQuantity | Base | required | Vital Signs Units | 📍5.0.0 | FHIR Std. |
| Observation.component:DiastolicBP.value[x]:valueQuantity.comparator | Base | required | QuantityComparator | 📍5.0.0 | FHIR Std. |
| Observation.component:DiastolicBP.dataAbsentReason | Base | extensible | Data Absent Reason | 📍5.0.0 | FHIR Std. |
Constraints
| Id | Grade | Path(s) | Description | Expression |
This structure is derived from Observationbp
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Observation |
0..* | Observationbp | FHIR Blood Pressure Profile | |
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| extension:tenant |
1..1 | Identifier | Owning site tenant URL: https://fhir.savannahghi.org/ig/healthy-route/StructureDefinition/hr-tenant | |
| extension:sequence |
0..1 | integer | Which of the three readings URL: https://fhir.savannahghi.org/ig/healthy-route/StructureDefinition/hr-reading-sequence | |
| extension:position |
0..1 | CodeableConcept | Before or after retinal capture URL: https://fhir.savannahghi.org/ig/healthy-route/StructureDefinition/hr-reading-position Binding: Blood Pressure Reading Position Value Set (required) | |
| extension:device |
0..1 | CodeableConcept | Which monitor URL: https://fhir.savannahghi.org/ig/healthy-route/StructureDefinition/hr-reading-device Binding: Blood Pressure Monitors Value Set (required) | |
| code |
||||
| coding |
1..* | Coding | Code defined by a terminology system | |
| subject |
1..1 | Reference(Healthy Route Patient) | Who and/or what the observation is about | |
| encounter |
1..1 | Reference(Healthy Route Screening Visit) | Healthcare event during which this observation is made | |
| method |
0..1 | CodeableConcept | How it was done | |
| device |
0..1 | Reference(Device | DeviceMetric) | A reference to the device that generates the measurements or the device settings for the device | |
| derivedFrom |
0..* | Reference(Healthy Route Blood Pressure) | The readings this mean was calculated from | |
| Slices for component |
Content/Rules for all slices | |||
| component:SystolicBP |
1..1 | BackboneElement | Used when reporting systolic and diastolic blood pressure. | |
| code |
||||
| coding |
1..* | Coding | Systolic Blood Pressure | |
| component:DiastolicBP |
1..1 | BackboneElement | Used when reporting systolic and diastolic blood pressure. | |
| code |
||||
| coding |
1..* | Coding | Diastolic Blood Pressure | |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Observation |
C | 0..* | Observationbp | FHIR Blood Pressure Profile Constraints: obs-6, obs-7, obs-8, vs-2 | ||||
| id |
0..1 | id | Logical id of this artifact | |||||
| meta |
0..1 | Meta | Metadata about the resource | |||||
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||
| language |
0..1 | code | Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
| extension:tenant |
1..1 | Identifier | Owning site tenant URL: https://fhir.savannahghi.org/ig/healthy-route/StructureDefinition/hr-tenant | |||||
| extension:sequence |
0..1 | integer | Which of the three readings URL: https://fhir.savannahghi.org/ig/healthy-route/StructureDefinition/hr-reading-sequence | |||||
| extension:position |
0..1 | CodeableConcept | Before or after retinal capture URL: https://fhir.savannahghi.org/ig/healthy-route/StructureDefinition/hr-reading-position Binding: Blood Pressure Reading Position Value Set (required) | |||||
| extension:device |
0..1 | CodeableConcept | Which monitor URL: https://fhir.savannahghi.org/ig/healthy-route/StructureDefinition/hr-reading-device Binding: Blood Pressure Monitors Value Set (required) | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||
| identifier |
0..* | Identifier | Business Identifier for observation | |||||
| instantiates[x] |
0..1 | canonical(ObservationDefinition), Reference(ObservationDefinition) | Instantiates FHIR ObservationDefinition | |||||
| basedOn |
0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order | |||||
| triggeredBy |
0..* | BackboneElement | Triggering observation(s) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| observation |
1..1 | Reference(Observation) | Triggering observation | |||||
| type |
1..1 | code | reflex | repeat | re-run Binding: TriggeredBytype (required): The type of TriggeredBy Observation. | |||||
| reason |
0..1 | string | Reason that the observation was triggered | |||||
| partOf |
0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy | GenomicStudy) | Part of referenced event | |||||
| status |
1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required) | |||||
| Slices for category |
1..* | CodeableConcept | Classification of type of observation Slice: Unordered, Open by value:coding.code, value:coding.system Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
| category:VSCat |
1..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding |
1..* | Coding | Code defined by a terminology system | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
C | 1..1 | code | Symbol in syntax defined by the system Fixed Value: vital-signs | ||||
| display |
C | 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 |
C | 1..1 | CodeableConcept | Blood Pressure Binding: VitalSigns (extensible): This identifies the vital sign result type. Original source C-CDA R1.1 , HITSP Vital Sign Result Type. | ||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| Slices for coding |
1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:code, value:system Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
| coding:BPCode |
1..1 | Coding | Code defined by a terminology system | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
C | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 85354-9 | ||||
| display |
C | 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 | |||||
| subject |
1..1 | Reference(Healthy Route Patient) | Who and/or what the observation is about | |||||
| focus |
0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record | |||||
| encounter |
1..1 | Reference(Healthy Route Screening Visit) | Healthcare event during which this observation is made | |||||
| effective[x] |
C | 1..1 | Often just a dateTime for Vital Signs Constraints: vs-1 | |||||
| effectiveDateTime |
dateTime | |||||||
| effectivePeriod |
Period | |||||||
| issued |
0..1 | instant | Date/Time this version was made available | |||||
| performer |
0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Who is responsible for the observation | |||||
| Slices for value[x] |
C | 0..1 | Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept. Slice: Unordered, Open by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
| valueCodeableConcept |
CodeableConcept | |||||||
| valueString |
string | |||||||
| valueBoolean |
boolean | |||||||
| valueInteger |
integer | |||||||
| valueRange |
Range | |||||||
| valueRatio |
Ratio | |||||||
| valueSampledData |
SampledData | |||||||
| valueTime |
time | |||||||
| valueDateTime |
dateTime | |||||||
| valuePeriod |
Period | |||||||
| valueAttachment |
Attachment | |||||||
| valueReference |
Reference(MolecularSequence) | |||||||
| dataAbsentReason |
C | 0..1 | CodeableConcept | Why the 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. | |||||
| note |
0..* | Annotation | Comments about the observation | |||||
| bodySite |
C | 0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts | ||||
| bodyStructure |
C | 0..1 | Reference(BodyStructure) | Observed body structure | ||||
| method |
0..1 | CodeableConcept | How it was done Binding: ObservationMethods (example): Methods for simple observations. | |||||
| specimen |
C | 0..1 | Reference(Specimen | Group) | Specimen used for this observation Constraints: obs-9 | ||||
| device |
0..1 | Reference(Device | DeviceMetric) | A reference to the device that generates the measurements or the device settings for the device | |||||
| referenceRange |
C | 0..* | BackboneElement | Provides guide for interpretation Constraints: obs-3 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| low |
C | 0..1 | SimpleQuantity(5.0.0) | Low Range, if relevant Constraints: sqty-1 | ||||
| high |
C | 0..1 | SimpleQuantity(5.0.0) | High Range, if relevant Constraints: sqty-1 | ||||
| normalValue |
0..1 | CodeableConcept | Normal value, if relevant Binding: ObservationReferenceRangeNormalValueCodes (extensible): Codes identifying the normal value of the observation. | |||||
| type |
0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range. | |||||
| appliesTo |
0..* | CodeableConcept | Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to. | |||||
| age |
0..1 | Range | Applicable age range, if relevant | |||||
| text |
C | 0..1 | markdown | Text based reference range in an observation | ||||
| hasMember |
0..* | Reference(QuestionnaireResponse | MolecularSequence | Vital Signs Profile) | Used when reporting vital signs panel components | |||||
| derivedFrom |
0..* | Reference(Healthy Route Blood Pressure) | The readings this mean was calculated from | |||||
| Slices for component |
C | 2..* | BackboneElement | Used when reporting systolic and diastolic blood pressure. Slice: Unordered, Open by value:code.coding.code, value:code.coding.system Constraints: vs-3 Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||
| 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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| code |
C | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: VitalSigns (extensible): This identifies the vital sign result type. Original source C-CDA R1.1 , HITSP Vital Sign Result Type. | ||||
| Slices for value[x] |
C | 0..1 | Vital Sign Value Slice: Unordered, Open by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
| valueQuantity |
Quantity | |||||||
| valueCodeableConcept |
CodeableConcept | |||||||
| valueString |
string | |||||||
| valueBoolean |
boolean | |||||||
| valueInteger |
integer | |||||||
| valueRange |
Range | |||||||
| valueRatio |
Ratio | |||||||
| valueSampledData |
SampledData | |||||||
| valueTime |
time | |||||||
| valueDateTime |
dateTime | |||||||
| valuePeriod |
Period | |||||||
| valueAttachment |
Attachment | |||||||
| valueReference |
Reference(MolecularSequence) | |||||||
| value[x]:valueQuantity |
0..1 | Quantity | Vital Sign Value recorded with UCUM Binding: VitalSignsUnits (required): Commonly encountered UCUM units for recording Vital Signs. | |||||
| dataAbsentReason |
C | 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 |
C | 1..1 | BackboneElement | Used when reporting systolic and diastolic blood pressure. Constraints: vs-3 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| code |
C | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: VitalSigns (extensible): This identifies the vital sign result type. Original source C-CDA R1.1 , HITSP Vital Sign Result Type. | ||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| Slices for coding |
1..* | Coding | Systolic Blood Pressure Slice: Unordered, Open by value:code, value:system Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
| Slices for coding |
Content/Rules for all slices | |||||||
| coding:SBPCode |
1..1 | Coding | Systolic Blood Pressure | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
C | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8480-6 | ||||
| display |
C | 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 | |||||
| Slices for value[x] |
C | 0..1 | Vital Sign Value Slice: Unordered, Closed 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 | |||||||
| valueAttachment |
Attachment | |||||||
| valueReference |
Reference(MolecularSequence) | |||||||
| Slices for value[x] |
Content/Rules for all slices | |||||||
| value[x]:valueQuantity |
0..1 | Quantity | Vital Sign Value recorded with UCUM Binding: VitalSignsUnits (required): Commonly encountered UCUM units for recording Vital Signs. | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| value |
1..1 | decimal | Numerical value (with implicit precision) | |||||
| comparator |
0..1 | code | < | <= | >= | > | ad - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | |||||
| unit |
1..1 | string | Unit representation | |||||
| system |
C | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org | ||||
| code |
C | 1..1 | code | Coded responses from the common UCUM units for vital signs value set. Fixed Value: mm[Hg] | ||||
| dataAbsentReason |
C | 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 |
C | 1..1 | BackboneElement | Used when reporting systolic and diastolic blood pressure. Constraints: vs-3 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| code |
C | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: VitalSigns (extensible): This identifies the vital sign result type. Original source C-CDA R1.1 , HITSP Vital Sign Result Type. | ||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| Slices for coding |
1..* | Coding | Diastolic Blood Pressure Slice: Unordered, Open by value:code, value:system Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
| Slices for coding |
Content/Rules for all slices | |||||||
| coding:DBPCode |
1..1 | Coding | Diastolic Blood Pressure | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
C | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8462-4 | ||||
| display |
C | 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 | |||||
| Slices for value[x] |
C | 0..1 | Vital Sign Value Slice: Unordered, Closed 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 | |||||||
| valueAttachment |
Attachment | |||||||
| valueReference |
Reference(MolecularSequence) | |||||||
| Slices for value[x] |
Content/Rules for all slices | |||||||
| value[x]:valueQuantity |
0..1 | Quantity | Vital Sign Value recorded with UCUM Binding: VitalSignsUnits (required): Commonly encountered UCUM units for recording Vital Signs. | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| value |
1..1 | decimal | Numerical value (with implicit precision) | |||||
| comparator |
0..1 | code | < | <= | >= | > | ad - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | |||||
| unit |
1..1 | string | Unit representation | |||||
| system |
C | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org | ||||
| code |
C | 1..1 | code | Coded responses from the common UCUM units for vital signs value set. Fixed Value: mm[Hg] | ||||
| dataAbsentReason |
C | 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 | ||||||||
Terminology Bindings
| Path | Status | Usage | ValueSet | Version | Source |
| Observation.language | Base | required | All Languages | 📍5.0.0 | FHIR Std. |
| Observation.triggeredBy.type | Base | required | triggered Bytype | 📍5.0.0 | FHIR Std. |
| Observation.status | Base | required | Observation Status | 📍5.0.0 | FHIR Std. |
| Observation.category | Base | preferred | Observation Category Codes | 📍5.0.0 | FHIR Std. |
| Observation.category:VSCat | Base | preferred | Observation Category Codes | 📍5.0.0 | FHIR Std. |
| Observation.code | Base | extensible | Vital Signs | 📍5.0.0 | FHIR Std. |
| Observation.dataAbsentReason | Base | extensible | Data Absent Reason | 📍5.0.0 | FHIR Std. |
| Observation.interpretation | Base | extensible | Observation Interpretation Codes | 📍5.0.0 | FHIR Std. |
| Observation.bodySite | Base | example | SNOMED CT Body Structures | 📍5.0.0 | FHIR Std. |
| Observation.method | Base | example | Observation Methods | 📍5.0.0 | FHIR Std. |
| Observation.referenceRange.normalValue | Base | extensible | Observation Reference Range Normal Value Codes | 📍5.0.0 | FHIR Std. |
| Observation.referenceRange.type | Base | preferred | Observation Reference Range Meaning Codes | 📍5.0.0 | FHIR Std. |
| Observation.referenceRange.appliesTo | Base | example | Observation Reference Range Applies To Codes | 📍5.0.0 | FHIR Std. |
| Observation.component.code | Base | extensible | Vital Signs | 📍5.0.0 | FHIR Std. |
| Observation.component.value[x]:valueQuantity | Base | required | Vital Signs Units | 📍5.0.0 | FHIR Std. |
| Observation.component.dataAbsentReason | Base | extensible | Data Absent Reason | 📍5.0.0 | FHIR Std. |
| Observation.component.interpretation | Base | extensible | Observation Interpretation Codes | 📍5.0.0 | FHIR Std. |
| Observation.component:SystolicBP.code | Base | extensible | Vital Signs | 📍5.0.0 | FHIR Std. |
| Observation.component:SystolicBP.value[x]:valueQuantity | Base | required | Vital Signs Units | 📍5.0.0 | FHIR Std. |
| Observation.component:SystolicBP.value[x]:valueQuantity.comparator | Base | required | QuantityComparator | 📍5.0.0 | FHIR Std. |
| Observation.component:SystolicBP.dataAbsentReason | Base | extensible | Data Absent Reason | 📍5.0.0 | FHIR Std. |
| Observation.component:SystolicBP.interpretation | Base | extensible | Observation Interpretation Codes | 📍5.0.0 | FHIR Std. |
| Observation.component:DiastolicBP.code | Base | extensible | Vital Signs | 📍5.0.0 | FHIR Std. |
| Observation.component:DiastolicBP.value[x]:valueQuantity | Base | required | Vital Signs Units | 📍5.0.0 | FHIR Std. |
| Observation.component:DiastolicBP.value[x]:valueQuantity.comparator | Base | required | QuantityComparator | 📍5.0.0 | FHIR Std. |
| Observation.component:DiastolicBP.dataAbsentReason | Base | extensible | Data Absent Reason | 📍5.0.0 | FHIR Std. |
| Observation.component:DiastolicBP.interpretation | Base | extensible | Observation Interpretation Codes | 📍5.0.0 | FHIR Std. |
Constraints
| Id | Grade | Path(s) | Description | Expression |
This structure is derived from Observationbp
Summary
Mandatory: 6 elements
Must-Support: 8 elements
Structures
This structure refers to these other structures:
- Healthy Route Patient (https://fhir.savannahghi.org/ig/healthy-route/StructureDefinition/hr-patient)
- Healthy Route Screening Visit (https://fhir.savannahghi.org/ig/healthy-route/StructureDefinition/hr-encounter)
- Healthy Route Blood Pressure (https://fhir.savannahghi.org/ig/healthy-route/StructureDefinition/hr-blood-pressure)
Extensions
This structure refers to these extensions:
- https://fhir.savannahghi.org/ig/healthy-route/StructureDefinition/hr-tenant
- https://fhir.savannahghi.org/ig/healthy-route/StructureDefinition/hr-reading-sequence
- https://fhir.savannahghi.org/ig/healthy-route/StructureDefinition/hr-reading-position
- https://fhir.savannahghi.org/ig/healthy-route/StructureDefinition/hr-reading-device
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Observation |
C | 0..* | Observationbp | FHIR Blood Pressure Profile Constraints: obs-6, obs-7, obs-8, vs-2 |
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |
| contained |
0..* | Resource | Contained, inline Resources | |
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| extension:tenant |
1..1 | Identifier | Owning site tenant URL: https://fhir.savannahghi.org/ig/healthy-route/StructureDefinition/hr-tenant | |
| extension:sequence |
0..1 | integer | Which of the three readings URL: https://fhir.savannahghi.org/ig/healthy-route/StructureDefinition/hr-reading-sequence | |
| extension:position |
0..1 | CodeableConcept | Before or after retinal capture URL: https://fhir.savannahghi.org/ig/healthy-route/StructureDefinition/hr-reading-position Binding: Blood Pressure Reading Position Value Set (required) | |
| extension:device |
0..1 | CodeableConcept | Which monitor URL: https://fhir.savannahghi.org/ig/healthy-route/StructureDefinition/hr-reading-device Binding: Blood Pressure Monitors Value Set (required) | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |
| status |
1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required) | |
| Slices for category |
1..* | CodeableConcept | Classification of type of observation Slice: Unordered, Open by value:coding.code, value:coding.system Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| category:VSCat |
1..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | |
| coding |
1..* | Coding | Code defined by a terminology system | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category | |
| code |
C | 1..1 | code | Symbol in syntax defined by the system Fixed Value: vital-signs |
| code |
C | 1..1 | CodeableConcept | Blood Pressure Binding: VitalSigns (extensible): This identifies the vital sign result type. Original source C-CDA R1.1 , HITSP Vital Sign Result Type. |
| Slices for coding |
1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:code, value:system Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| coding:BPCode |
1..1 | Coding | Code defined by a terminology system | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
C | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 85354-9 |
| subject |
1..1 | Reference(Healthy Route Patient) | Who and/or what the observation is about | |
| encounter |
1..1 | Reference(Healthy Route Screening Visit) | Healthcare event during which this observation is made | |
| effective[x] |
C | 1..1 | Often just a dateTime for Vital Signs Constraints: vs-1 | |
| effectiveDateTime |
dateTime | |||
| effectivePeriod |
Period | |||
| Slices for value[x] |
C | 0..1 | Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept. Slice: Unordered, Open by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| valueCodeableConcept |
CodeableConcept | |||
| valueString |
string | |||
| valueBoolean |
boolean | |||
| valueInteger |
integer | |||
| valueRange |
Range | |||
| valueRatio |
Ratio | |||
| valueSampledData |
SampledData | |||
| valueTime |
time | |||
| valueDateTime |
dateTime | |||
| valuePeriod |
Period | |||
| valueAttachment |
Attachment | |||
| valueReference |
Reference(MolecularSequence) | |||
| dataAbsentReason |
C | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
| method |
0..1 | CodeableConcept | How it was done Binding: ObservationMethods (example): Methods for simple observations. | |
| device |
0..1 | Reference(Device | DeviceMetric) | A reference to the device that generates the measurements or the device settings for the device | |
| derivedFrom |
0..* | Reference(Healthy Route Blood Pressure) | The readings this mean was calculated from | |
| Slices for component |
C | 2..* | BackboneElement | Used when reporting systolic and diastolic blood pressure. Slice: Unordered, Open by value:code.coding.code, value:code.coding.system Constraints: vs-3 Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them |
| component:All Slices |
Content/Rules for all slices | |||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| code |
C | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: VitalSigns (extensible): This identifies the vital sign result type. Original source C-CDA R1.1 , HITSP Vital Sign Result Type. |
| Slices for value[x] |
C | 0..1 | Vital Sign Value Slice: Unordered, Open by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| valueQuantity |
Quantity | |||
| valueCodeableConcept |
CodeableConcept | |||
| valueString |
string | |||
| valueBoolean |
boolean | |||
| valueInteger |
integer | |||
| valueRange |
Range | |||
| valueRatio |
Ratio | |||
| valueSampledData |
SampledData | |||
| valueTime |
time | |||
| valueDateTime |
dateTime | |||
| valuePeriod |
Period | |||
| valueAttachment |
Attachment | |||
| valueReference |
Reference(MolecularSequence) | |||
| value[x]:valueQuantity |
0..1 | Quantity | Vital Sign Value recorded with UCUM Binding: VitalSignsUnits (required): Commonly encountered UCUM units for recording Vital Signs. | |
| dataAbsentReason |
C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
| component:SystolicBP |
C | 1..1 | BackboneElement | Used when reporting systolic and diastolic blood pressure. Constraints: vs-3 |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| code |
C | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: VitalSigns (extensible): This identifies the vital sign result type. Original source C-CDA R1.1 , HITSP Vital Sign Result Type. |
| Slices for coding |
1..* | Coding | Systolic Blood Pressure Slice: Unordered, Open by value:code, value:system Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| Slices for coding |
Content/Rules for all slices | |||
| coding:SBPCode |
1..1 | Coding | Systolic Blood Pressure | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
C | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8480-6 |
| Slices for value[x] |
C | 0..1 | Vital Sign Value Slice: Unordered, Closed 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 | |||
| valueAttachment |
Attachment | |||
| valueReference |
Reference(MolecularSequence) | |||
| Slices for value[x] |
Content/Rules for all slices | |||
| value[x]:valueQuantity |
0..1 | Quantity | Vital Sign Value recorded with UCUM Binding: VitalSignsUnits (required): Commonly encountered UCUM units for recording Vital Signs. | |
| value |
1..1 | decimal | Numerical value (with implicit precision) | |
| comparator |
0..1 | code | < | <= | >= | > | ad - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | |
| unit |
1..1 | string | Unit representation | |
| system |
C | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org |
| code |
C | 1..1 | code | Coded responses from the common UCUM units for vital signs value set. Fixed Value: mm[Hg] |
| dataAbsentReason |
C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
| component:DiastolicBP |
C | 1..1 | BackboneElement | Used when reporting systolic and diastolic blood pressure. Constraints: vs-3 |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| code |
C | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: VitalSigns (extensible): This identifies the vital sign result type. Original source C-CDA R1.1 , HITSP Vital Sign Result Type. |
| Slices for coding |
1..* | Coding | Diastolic Blood Pressure Slice: Unordered, Open by value:code, value:system Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| Slices for coding |
Content/Rules for all slices | |||
| coding:DBPCode |
1..1 | Coding | Diastolic Blood Pressure | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
C | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8462-4 |
| Slices for value[x] |
C | 0..1 | Vital Sign Value Slice: Unordered, Closed 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 | |||
| valueAttachment |
Attachment | |||
| valueReference |
Reference(MolecularSequence) | |||
| Slices for value[x] |
Content/Rules for all slices | |||
| value[x]:valueQuantity |
0..1 | Quantity | Vital Sign Value recorded with UCUM Binding: VitalSignsUnits (required): Commonly encountered UCUM units for recording Vital Signs. | |
| value |
1..1 | decimal | Numerical value (with implicit precision) | |
| comparator |
0..1 | code | < | <= | >= | > | ad - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | |
| unit |
1..1 | string | Unit representation | |
| system |
C | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org |
| code |
C | 1..1 | code | Coded responses from the common UCUM units for vital signs value set. Fixed Value: mm[Hg] |
| dataAbsentReason |
C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
| Documentation for this format | ||||
Terminology Bindings
| Path | Status | Usage | ValueSet | Version | Source |
| Observation.status | Base | required | Observation Status | 📍5.0.0 | FHIR Std. |
| Observation.category | Base | preferred | Observation Category Codes | 📍5.0.0 | FHIR Std. |
| Observation.category:VSCat | Base | preferred | Observation Category Codes | 📍5.0.0 | FHIR Std. |
| Observation.code | Base | extensible | Vital Signs | 📍5.0.0 | FHIR Std. |
| Observation.dataAbsentReason | Base | extensible | Data Absent Reason | 📍5.0.0 | FHIR Std. |
| Observation.method | Base | example | Observation Methods | 📍5.0.0 | FHIR Std. |
| Observation.component.code | Base | extensible | Vital Signs | 📍5.0.0 | FHIR Std. |
| Observation.component.value[x]:valueQuantity | Base | required | Vital Signs Units | 📍5.0.0 | FHIR Std. |
| Observation.component.dataAbsentReason | Base | extensible | Data Absent Reason | 📍5.0.0 | FHIR Std. |
| Observation.component:SystolicBP.code | Base | extensible | Vital Signs | 📍5.0.0 | FHIR Std. |
| Observation.component:SystolicBP.value[x]:valueQuantity | Base | required | Vital Signs Units | 📍5.0.0 | FHIR Std. |
| Observation.component:SystolicBP.value[x]:valueQuantity.comparator | Base | required | QuantityComparator | 📍5.0.0 | FHIR Std. |
| Observation.component:SystolicBP.dataAbsentReason | Base | extensible | Data Absent Reason | 📍5.0.0 | FHIR Std. |
| Observation.component:DiastolicBP.code | Base | extensible | Vital Signs | 📍5.0.0 | FHIR Std. |
| Observation.component:DiastolicBP.value[x]:valueQuantity | Base | required | Vital Signs Units | 📍5.0.0 | FHIR Std. |
| Observation.component:DiastolicBP.value[x]:valueQuantity.comparator | Base | required | QuantityComparator | 📍5.0.0 | FHIR Std. |
| Observation.component:DiastolicBP.dataAbsentReason | Base | extensible | Data Absent Reason | 📍5.0.0 | FHIR Std. |
Constraints
| Id | Grade | Path(s) | Description | Expression |
Differential View
This structure is derived from Observationbp
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Observation |
0..* | Observationbp | FHIR Blood Pressure Profile | |
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| extension:tenant |
1..1 | Identifier | Owning site tenant URL: https://fhir.savannahghi.org/ig/healthy-route/StructureDefinition/hr-tenant | |
| extension:sequence |
0..1 | integer | Which of the three readings URL: https://fhir.savannahghi.org/ig/healthy-route/StructureDefinition/hr-reading-sequence | |
| extension:position |
0..1 | CodeableConcept | Before or after retinal capture URL: https://fhir.savannahghi.org/ig/healthy-route/StructureDefinition/hr-reading-position Binding: Blood Pressure Reading Position Value Set (required) | |
| extension:device |
0..1 | CodeableConcept | Which monitor URL: https://fhir.savannahghi.org/ig/healthy-route/StructureDefinition/hr-reading-device Binding: Blood Pressure Monitors Value Set (required) | |
| code |
||||
| coding |
1..* | Coding | Code defined by a terminology system | |
| subject |
1..1 | Reference(Healthy Route Patient) | Who and/or what the observation is about | |
| encounter |
1..1 | Reference(Healthy Route Screening Visit) | Healthcare event during which this observation is made | |
| method |
0..1 | CodeableConcept | How it was done | |
| device |
0..1 | Reference(Device | DeviceMetric) | A reference to the device that generates the measurements or the device settings for the device | |
| derivedFrom |
0..* | Reference(Healthy Route Blood Pressure) | The readings this mean was calculated from | |
| Slices for component |
Content/Rules for all slices | |||
| component:SystolicBP |
1..1 | BackboneElement | Used when reporting systolic and diastolic blood pressure. | |
| code |
||||
| coding |
1..* | Coding | Systolic Blood Pressure | |
| component:DiastolicBP |
1..1 | BackboneElement | Used when reporting systolic and diastolic blood pressure. | |
| code |
||||
| coding |
1..* | Coding | Diastolic Blood Pressure | |
| Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Observation |
C | 0..* | Observationbp | FHIR Blood Pressure Profile Constraints: obs-6, obs-7, obs-8, vs-2 | ||||
| id |
0..1 | id | Logical id of this artifact | |||||
| meta |
0..1 | Meta | Metadata about the resource | |||||
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||
| language |
0..1 | code | Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
| extension:tenant |
1..1 | Identifier | Owning site tenant URL: https://fhir.savannahghi.org/ig/healthy-route/StructureDefinition/hr-tenant | |||||
| extension:sequence |
0..1 | integer | Which of the three readings URL: https://fhir.savannahghi.org/ig/healthy-route/StructureDefinition/hr-reading-sequence | |||||
| extension:position |
0..1 | CodeableConcept | Before or after retinal capture URL: https://fhir.savannahghi.org/ig/healthy-route/StructureDefinition/hr-reading-position Binding: Blood Pressure Reading Position Value Set (required) | |||||
| extension:device |
0..1 | CodeableConcept | Which monitor URL: https://fhir.savannahghi.org/ig/healthy-route/StructureDefinition/hr-reading-device Binding: Blood Pressure Monitors Value Set (required) | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||
| identifier |
0..* | Identifier | Business Identifier for observation | |||||
| instantiates[x] |
0..1 | canonical(ObservationDefinition), Reference(ObservationDefinition) | Instantiates FHIR ObservationDefinition | |||||
| basedOn |
0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order | |||||
| triggeredBy |
0..* | BackboneElement | Triggering observation(s) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| observation |
1..1 | Reference(Observation) | Triggering observation | |||||
| type |
1..1 | code | reflex | repeat | re-run Binding: TriggeredBytype (required): The type of TriggeredBy Observation. | |||||
| reason |
0..1 | string | Reason that the observation was triggered | |||||
| partOf |
0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy | GenomicStudy) | Part of referenced event | |||||
| status |
1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required) | |||||
| Slices for category |
1..* | CodeableConcept | Classification of type of observation Slice: Unordered, Open by value:coding.code, value:coding.system Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
| category:VSCat |
1..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding |
1..* | Coding | Code defined by a terminology system | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
C | 1..1 | code | Symbol in syntax defined by the system Fixed Value: vital-signs | ||||
| display |
C | 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 |
C | 1..1 | CodeableConcept | Blood Pressure Binding: VitalSigns (extensible): This identifies the vital sign result type. Original source C-CDA R1.1 , HITSP Vital Sign Result Type. | ||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| Slices for coding |
1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:code, value:system Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
| coding:BPCode |
1..1 | Coding | Code defined by a terminology system | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
C | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 85354-9 | ||||
| display |
C | 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 | |||||
| subject |
1..1 | Reference(Healthy Route Patient) | Who and/or what the observation is about | |||||
| focus |
0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record | |||||
| encounter |
1..1 | Reference(Healthy Route Screening Visit) | Healthcare event during which this observation is made | |||||
| effective[x] |
C | 1..1 | Often just a dateTime for Vital Signs Constraints: vs-1 | |||||
| effectiveDateTime |
dateTime | |||||||
| effectivePeriod |
Period | |||||||
| issued |
0..1 | instant | Date/Time this version was made available | |||||
| performer |
0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Who is responsible for the observation | |||||
| Slices for value[x] |
C | 0..1 | Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept. Slice: Unordered, Open by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
| valueCodeableConcept |
CodeableConcept | |||||||
| valueString |
string | |||||||
| valueBoolean |
boolean | |||||||
| valueInteger |
integer | |||||||
| valueRange |
Range | |||||||
| valueRatio |
Ratio | |||||||
| valueSampledData |
SampledData | |||||||
| valueTime |
time | |||||||
| valueDateTime |
dateTime | |||||||
| valuePeriod |
Period | |||||||
| valueAttachment |
Attachment | |||||||
| valueReference |
Reference(MolecularSequence) | |||||||
| dataAbsentReason |
C | 0..1 | CodeableConcept | Why the 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. | |||||
| note |
0..* | Annotation | Comments about the observation | |||||
| bodySite |
C | 0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts | ||||
| bodyStructure |
C | 0..1 | Reference(BodyStructure) | Observed body structure | ||||
| method |
0..1 | CodeableConcept | How it was done Binding: ObservationMethods (example): Methods for simple observations. | |||||
| specimen |
C | 0..1 | Reference(Specimen | Group) | Specimen used for this observation Constraints: obs-9 | ||||
| device |
0..1 | Reference(Device | DeviceMetric) | A reference to the device that generates the measurements or the device settings for the device | |||||
| referenceRange |
C | 0..* | BackboneElement | Provides guide for interpretation Constraints: obs-3 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| low |
C | 0..1 | SimpleQuantity(5.0.0) | Low Range, if relevant Constraints: sqty-1 | ||||
| high |
C | 0..1 | SimpleQuantity(5.0.0) | High Range, if relevant Constraints: sqty-1 | ||||
| normalValue |
0..1 | CodeableConcept | Normal value, if relevant Binding: ObservationReferenceRangeNormalValueCodes (extensible): Codes identifying the normal value of the observation. | |||||
| type |
0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range. | |||||
| appliesTo |
0..* | CodeableConcept | Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to. | |||||
| age |
0..1 | Range | Applicable age range, if relevant | |||||
| text |
C | 0..1 | markdown | Text based reference range in an observation | ||||
| hasMember |
0..* | Reference(QuestionnaireResponse | MolecularSequence | Vital Signs Profile) | Used when reporting vital signs panel components | |||||
| derivedFrom |
0..* | Reference(Healthy Route Blood Pressure) | The readings this mean was calculated from | |||||
| Slices for component |
C | 2..* | BackboneElement | Used when reporting systolic and diastolic blood pressure. Slice: Unordered, Open by value:code.coding.code, value:code.coding.system Constraints: vs-3 Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||
| 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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| code |
C | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: VitalSigns (extensible): This identifies the vital sign result type. Original source C-CDA R1.1 , HITSP Vital Sign Result Type. | ||||
| Slices for value[x] |
C | 0..1 | Vital Sign Value Slice: Unordered, Open by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
| valueQuantity |
Quantity | |||||||
| valueCodeableConcept |
CodeableConcept | |||||||
| valueString |
string | |||||||
| valueBoolean |
boolean | |||||||
| valueInteger |
integer | |||||||
| valueRange |
Range | |||||||
| valueRatio |
Ratio | |||||||
| valueSampledData |
SampledData | |||||||
| valueTime |
time | |||||||
| valueDateTime |
dateTime | |||||||
| valuePeriod |
Period | |||||||
| valueAttachment |
Attachment | |||||||
| valueReference |
Reference(MolecularSequence) | |||||||
| value[x]:valueQuantity |
0..1 | Quantity | Vital Sign Value recorded with UCUM Binding: VitalSignsUnits (required): Commonly encountered UCUM units for recording Vital Signs. | |||||
| dataAbsentReason |
C | 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 |
C | 1..1 | BackboneElement | Used when reporting systolic and diastolic blood pressure. Constraints: vs-3 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| code |
C | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: VitalSigns (extensible): This identifies the vital sign result type. Original source C-CDA R1.1 , HITSP Vital Sign Result Type. | ||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| Slices for coding |
1..* | Coding | Systolic Blood Pressure Slice: Unordered, Open by value:code, value:system Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
| Slices for coding |
Content/Rules for all slices | |||||||
| coding:SBPCode |
1..1 | Coding | Systolic Blood Pressure | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
C | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8480-6 | ||||
| display |
C | 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 | |||||
| Slices for value[x] |
C | 0..1 | Vital Sign Value Slice: Unordered, Closed 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 | |||||||
| valueAttachment |
Attachment | |||||||
| valueReference |
Reference(MolecularSequence) | |||||||
| Slices for value[x] |
Content/Rules for all slices | |||||||
| value[x]:valueQuantity |
0..1 | Quantity | Vital Sign Value recorded with UCUM Binding: VitalSignsUnits (required): Commonly encountered UCUM units for recording Vital Signs. | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| value |
1..1 | decimal | Numerical value (with implicit precision) | |||||
| comparator |
0..1 | code | < | <= | >= | > | ad - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | |||||
| unit |
1..1 | string | Unit representation | |||||
| system |
C | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org | ||||
| code |
C | 1..1 | code | Coded responses from the common UCUM units for vital signs value set. Fixed Value: mm[Hg] | ||||
| dataAbsentReason |
C | 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 |
C | 1..1 | BackboneElement | Used when reporting systolic and diastolic blood pressure. Constraints: vs-3 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| code |
C | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: VitalSigns (extensible): This identifies the vital sign result type. Original source C-CDA R1.1 , HITSP Vital Sign Result Type. | ||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| Slices for coding |
1..* | Coding | Diastolic Blood Pressure Slice: Unordered, Open by value:code, value:system Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
| Slices for coding |
Content/Rules for all slices | |||||||
| coding:DBPCode |
1..1 | Coding | Diastolic Blood Pressure | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
C | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8462-4 | ||||
| display |
C | 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 | |||||
| Slices for value[x] |
C | 0..1 | Vital Sign Value Slice: Unordered, Closed 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 | |||||||
| valueAttachment |
Attachment | |||||||
| valueReference |
Reference(MolecularSequence) | |||||||
| Slices for value[x] |
Content/Rules for all slices | |||||||
| value[x]:valueQuantity |
0..1 | Quantity | Vital Sign Value recorded with UCUM Binding: VitalSignsUnits (required): Commonly encountered UCUM units for recording Vital Signs. | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| value |
1..1 | decimal | Numerical value (with implicit precision) | |||||
| comparator |
0..1 | code | < | <= | >= | > | ad - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | |||||
| unit |
1..1 | string | Unit representation | |||||
| system |
C | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org | ||||
| code |
C | 1..1 | code | Coded responses from the common UCUM units for vital signs value set. Fixed Value: mm[Hg] | ||||
| dataAbsentReason |
C | 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 | ||||||||
Terminology Bindings
| Path | Status | Usage | ValueSet | Version | Source |
| Observation.language | Base | required | All Languages | 📍5.0.0 | FHIR Std. |
| Observation.triggeredBy.type | Base | required | triggered Bytype | 📍5.0.0 | FHIR Std. |
| Observation.status | Base | required | Observation Status | 📍5.0.0 | FHIR Std. |
| Observation.category | Base | preferred | Observation Category Codes | 📍5.0.0 | FHIR Std. |
| Observation.category:VSCat | Base | preferred | Observation Category Codes | 📍5.0.0 | FHIR Std. |
| Observation.code | Base | extensible | Vital Signs | 📍5.0.0 | FHIR Std. |
| Observation.dataAbsentReason | Base | extensible | Data Absent Reason | 📍5.0.0 | FHIR Std. |
| Observation.interpretation | Base | extensible | Observation Interpretation Codes | 📍5.0.0 | FHIR Std. |
| Observation.bodySite | Base | example | SNOMED CT Body Structures | 📍5.0.0 | FHIR Std. |
| Observation.method | Base | example | Observation Methods | 📍5.0.0 | FHIR Std. |
| Observation.referenceRange.normalValue | Base | extensible | Observation Reference Range Normal Value Codes | 📍5.0.0 | FHIR Std. |
| Observation.referenceRange.type | Base | preferred | Observation Reference Range Meaning Codes | 📍5.0.0 | FHIR Std. |
| Observation.referenceRange.appliesTo | Base | example | Observation Reference Range Applies To Codes | 📍5.0.0 | FHIR Std. |
| Observation.component.code | Base | extensible | Vital Signs | 📍5.0.0 | FHIR Std. |
| Observation.component.value[x]:valueQuantity | Base | required | Vital Signs Units | 📍5.0.0 | FHIR Std. |
| Observation.component.dataAbsentReason | Base | extensible | Data Absent Reason | 📍5.0.0 | FHIR Std. |
| Observation.component.interpretation | Base | extensible | Observation Interpretation Codes | 📍5.0.0 | FHIR Std. |
| Observation.component:SystolicBP.code | Base | extensible | Vital Signs | 📍5.0.0 | FHIR Std. |
| Observation.component:SystolicBP.value[x]:valueQuantity | Base | required | Vital Signs Units | 📍5.0.0 | FHIR Std. |
| Observation.component:SystolicBP.value[x]:valueQuantity.comparator | Base | required | QuantityComparator | 📍5.0.0 | FHIR Std. |
| Observation.component:SystolicBP.dataAbsentReason | Base | extensible | Data Absent Reason | 📍5.0.0 | FHIR Std. |
| Observation.component:SystolicBP.interpretation | Base | extensible | Observation Interpretation Codes | 📍5.0.0 | FHIR Std. |
| Observation.component:DiastolicBP.code | Base | extensible | Vital Signs | 📍5.0.0 | FHIR Std. |
| Observation.component:DiastolicBP.value[x]:valueQuantity | Base | required | Vital Signs Units | 📍5.0.0 | FHIR Std. |
| Observation.component:DiastolicBP.value[x]:valueQuantity.comparator | Base | required | QuantityComparator | 📍5.0.0 | FHIR Std. |
| Observation.component:DiastolicBP.dataAbsentReason | Base | extensible | Data Absent Reason | 📍5.0.0 | FHIR Std. |
| Observation.component:DiastolicBP.interpretation | Base | extensible | Observation Interpretation Codes | 📍5.0.0 | FHIR Std. |
Constraints
| Id | Grade | Path(s) | Description | Expression |
This structure is derived from Observationbp
Summary
Mandatory: 6 elements
Must-Support: 8 elements
Structures
This structure refers to these other structures:
- Healthy Route Patient (https://fhir.savannahghi.org/ig/healthy-route/StructureDefinition/hr-patient)
- Healthy Route Screening Visit (https://fhir.savannahghi.org/ig/healthy-route/StructureDefinition/hr-encounter)
- Healthy Route Blood Pressure (https://fhir.savannahghi.org/ig/healthy-route/StructureDefinition/hr-blood-pressure)
Extensions
This structure refers to these extensions:
- https://fhir.savannahghi.org/ig/healthy-route/StructureDefinition/hr-tenant
- https://fhir.savannahghi.org/ig/healthy-route/StructureDefinition/hr-reading-sequence
- https://fhir.savannahghi.org/ig/healthy-route/StructureDefinition/hr-reading-position
- https://fhir.savannahghi.org/ig/healthy-route/StructureDefinition/hr-reading-device
Other representations of profile: CSV, Excel, Schematron