This page is part of the FHIR Specification (v0.0.82: DSTU 1). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions

StructureDefinition: DAFVitalSigns

The official URL for this profile is: 

http://hl7.org/fhir/StructureDefinition/observation-daf-vitalsigns-dafvitalsigns

Defines constraints and extensions on the Observation resource for use in querying and retrieving Vital Signs information.

This profile was published on Thu, Aug 21, 2014 00:00+1000 as a draft by U.S. Office of the National Coordinator (ONC).

Formal Views of Profile Content

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

This structure is derived from Observation.

Summary

Terminology Bindings

  • Observation.code SHALL come from This identifies the vital sign result type. (Extensible)
  • Observation.valueQuantity.code SHALL come from Common UCUM units for recording Vital Signs
  • Observation.referenceRange.low.code SHALL come from Common UCUM units for recording Vital Signs
  • Observation.referenceRange.high.code SHALL come from Common UCUM units for recording Vital Signs

Required/Prohibited Elements

  • The element Observation.code is required
  • The element Observation.applies[x] is required
  • The element Observation.status is required
  • The element Observation.identifier is required
  • The element Observation.subject is required
  • The element Observation.specimen is prohibited
  • The element Observation.device is prohibited
  • The element Observation.related.type is required
  • The element Observation.related.target is required

Fixed Values

  • The element Observation.valueQuantity.system value has been fixed to http://unitsofmeasure.org
  • The element Observation.referenceRange.low.system value has been fixed to http://unitsofmeasure.org
  • The element Observation.referenceRange.high.system value has been fixed to http://unitsofmeasure.org
  • The element Observation.related.type value has been fixed to has-component

This structure is derived from Observation.

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 1..1Observation
... code S1..1CodeableConceptCoded Responses from C-CDA Vital Sign Results
Binding: CCDAVitalSignResult (extensible)
... valueQuantity S0..1QuantityVital Sign Value recorded with UCUM
.... value S0..1decimal
.... units S0..1string
.... system S0..1uriFixed Value: http://unitsofmeasure.org
.... code S0..1codeCoded responses from the common UCUM units for vital signs value set.
Binding: CommonUCUMunitsVitals (required)
... dataAbsentReason S0..1CodeableConcept
... applies[x] S1..1dateTime, PeriodOften just a dateTime for Vital Signs
... status S1..1code
... identifier S1..*Identifier
... subject S1..1patient-daf-dafpatient
... specimen 0..0
... performer S0..1Practitioner, Device, Patient, RelatedPerson
... device 0..0
... encounter S0..1encounter-daf-dafencounter
... referenceRange S0..1Element
.... low S0..1Quantity
..... value S0..1decimal
..... comparator S0..1code
..... units S0..1string
..... system S0..1uriFixed Value: http://unitsofmeasure.org
..... code S0..1codeBinding: CommonUCUMunitsVitals (required)
.... high S0..1Quantity
..... value S0..1decimal
..... comparator S0..1code
..... units S0..1string
..... system S0..1uriFixed Value: http://unitsofmeasure.org
..... code S0..1codeBinding: CommonUCUMunitsVitals (required)
.... meaning S0..1CodeableConcept
.... text S0..1string
... related S0..1ElementUsed when reporting systolic and diastolic blood pressure.
.... type S1..1codeFixed Value: has-component
.... target S1..1observation-daf-vitalsigns-dafvitalsigns
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation I1..1ObservationMeasurements and simple assertions
obs-6: Shall only be present if Observation.value[x] is not present
... meta 0..1MetaMetadata about the resource
... implicitRules ?!0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: Language (required)
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional Content defined by implementations
... modifierExtension 0..*ExtensionExtensions that cannot be ignored
... code S Σ1..1CodeableConceptCoded Responses from C-CDA Vital Sign Results
Binding: CCDAVitalSignResult (extensible)
... valueQuantity S Σ0..1QuantityVital Sign Value recorded with UCUM
Binding: ObservationValue (example)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... value S0..1decimalNumerical value (with implicit precision)
.... comparator ?!0..1code< | <= | >= | > - how to understand the value
Binding: QuantityComparator (required)
.... units S0..1stringUnit representation
.... system S I0..1uriSystem that defines coded unit form
Fixed Value: http://unitsofmeasure.org
.... code S0..1codeCoded responses from the common UCUM units for vital signs value set.
Binding: CommonUCUMunitsVitals (required)
... dataAbsentReason S I0..1CodeableConceptWhy the result is missing
Binding: ObservationValueAbsentReason (extensible)
... interpretation 0..1CodeableConceptHigh, low, normal, etc.
Binding: ObservationInterpretation (extensible)
... comments 0..1stringComments about result
... applies[x] S Σ1..1dateTime, PeriodOften just a dateTime for Vital Signs
... issued Σ0..1instantDate/Time this was made available
... status ?! SΣ1..1coderegistered | preliminary | final | amended +
Binding: ObservationStatus (required)
... reliability ?!0..1codeok | ongoing | early | questionable | calibrating | error +
Binding: ObservationReliability (required)
... bodySite[x] 0..1CodeableConcept, BodySiteObserved body part
Binding: BodySite (example)
... method 0..1CodeableConceptHow it was done
Binding: ObservationMethod (example)
... identifier S1..*IdentifierUnique Id for this particular observation
... subject S Σ1..1patient-daf-dafpatientWho and/or what this is about
... performer S Σ0..1Practitioner, Device, Patient, RelatedPersonWho did the observation
... encounter S0..1encounter-daf-dafencounterHealthcare event during which this observation is made
... referenceRange S I0..1ElementProvides guide for interpretation
obs-3: Must have at least a low or a high or text
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension 0..*ExtensionExtensions that cannot be ignored
.... low S I0..1QuantityLow Range, if relevant
obs-4: Low range comparators can only be '>' or '>=' or empty
..... extension 0..*ExtensionAdditional Content defined by implementations
..... value S0..1decimalNumerical value (with implicit precision)
..... comparator ?! S0..1code< | <= | >= | > - how to understand the value
Binding: QuantityComparator (required)
..... units S0..1stringUnit representation
..... system S I0..1uriSystem that defines coded unit form
Fixed Value: http://unitsofmeasure.org
..... code S0..1codeCoded form of the unit
Binding: CommonUCUMunitsVitals (required)
.... high S I0..1QuantityHigh Range, if relevant
obs-5: High range comparators can only be '<' or '<=' or empty
..... extension 0..*ExtensionAdditional Content defined by implementations
..... value S0..1decimalNumerical value (with implicit precision)
..... comparator ?! S0..1code< | <= | >= | > - how to understand the value
Binding: QuantityComparator (required)
..... units S0..1stringUnit representation
..... system S I0..1uriSystem that defines coded unit form
Fixed Value: http://unitsofmeasure.org
..... code S0..1codeCoded form of the unit
Binding: CommonUCUMunitsVitals (required)
.... meaning S0..1CodeableConceptIndicates the meaning/use of this range of this range
Binding: ObservationRangeMeaning (example)
.... age 0..1RangeApplicable age range, if relevant
.... text S0..1stringText based reference range in an observation
... related S Σ0..1ElementUsed when reporting systolic and diastolic blood pressure.
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension 0..*ExtensionExtensions that cannot be ignored
.... type S1..1codehas-component | has-member | derived-from | sequel-to | replaces | qualified-by | interfered-by
Binding: ObservationRelationshipType (required)
Fixed Value: has-component
.... target S1..1observation-daf-vitalsigns-dafvitalsignsObservation that is related to this one

todo

This structure is derived from Observation.

Summary

Terminology Bindings

  • Observation.code SHALL come from This identifies the vital sign result type. (Extensible)
  • Observation.valueQuantity.code SHALL come from Common UCUM units for recording Vital Signs
  • Observation.referenceRange.low.code SHALL come from Common UCUM units for recording Vital Signs
  • Observation.referenceRange.high.code SHALL come from Common UCUM units for recording Vital Signs

Required/Prohibited Elements

  • The element Observation.code is required
  • The element Observation.applies[x] is required
  • The element Observation.status is required
  • The element Observation.identifier is required
  • The element Observation.subject is required
  • The element Observation.specimen is prohibited
  • The element Observation.device is prohibited
  • The element Observation.related.type is required
  • The element Observation.related.target is required

Fixed Values

  • The element Observation.valueQuantity.system value has been fixed to http://unitsofmeasure.org
  • The element Observation.referenceRange.low.system value has been fixed to http://unitsofmeasure.org
  • The element Observation.referenceRange.high.system value has been fixed to http://unitsofmeasure.org
  • The element Observation.related.type value has been fixed to has-component

Differential View

This structure is derived from Observation.

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 1..1Observation
... code S1..1CodeableConceptCoded Responses from C-CDA Vital Sign Results
Binding: CCDAVitalSignResult (extensible)
... valueQuantity S0..1QuantityVital Sign Value recorded with UCUM
.... value S0..1decimal
.... units S0..1string
.... system S0..1uriFixed Value: http://unitsofmeasure.org
.... code S0..1codeCoded responses from the common UCUM units for vital signs value set.
Binding: CommonUCUMunitsVitals (required)
... dataAbsentReason S0..1CodeableConcept
... applies[x] S1..1dateTime, PeriodOften just a dateTime for Vital Signs
... status S1..1code
... identifier S1..*Identifier
... subject S1..1patient-daf-dafpatient
... specimen 0..0
... performer S0..1Practitioner, Device, Patient, RelatedPerson
... device 0..0
... encounter S0..1encounter-daf-dafencounter
... referenceRange S0..1Element
.... low S0..1Quantity
..... value S0..1decimal
..... comparator S0..1code
..... units S0..1string
..... system S0..1uriFixed Value: http://unitsofmeasure.org
..... code S0..1codeBinding: CommonUCUMunitsVitals (required)
.... high S0..1Quantity
..... value S0..1decimal
..... comparator S0..1code
..... units S0..1string
..... system S0..1uriFixed Value: http://unitsofmeasure.org
..... code S0..1codeBinding: CommonUCUMunitsVitals (required)
.... meaning S0..1CodeableConcept
.... text S0..1string
... related S0..1ElementUsed when reporting systolic and diastolic blood pressure.
.... type S1..1codeFixed Value: has-component
.... target S1..1observation-daf-vitalsigns-dafvitalsigns

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation I1..1ObservationMeasurements and simple assertions
obs-6: Shall only be present if Observation.value[x] is not present
... meta 0..1MetaMetadata about the resource
... implicitRules ?!0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: Language (required)
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional Content defined by implementations
... modifierExtension 0..*ExtensionExtensions that cannot be ignored
... code S Σ1..1CodeableConceptCoded Responses from C-CDA Vital Sign Results
Binding: CCDAVitalSignResult (extensible)
... valueQuantity S Σ0..1QuantityVital Sign Value recorded with UCUM
Binding: ObservationValue (example)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... value S0..1decimalNumerical value (with implicit precision)
.... comparator ?!0..1code< | <= | >= | > - how to understand the value
Binding: QuantityComparator (required)
.... units S0..1stringUnit representation
.... system S I0..1uriSystem that defines coded unit form
Fixed Value: http://unitsofmeasure.org
.... code S0..1codeCoded responses from the common UCUM units for vital signs value set.
Binding: CommonUCUMunitsVitals (required)
... dataAbsentReason S I0..1CodeableConceptWhy the result is missing
Binding: ObservationValueAbsentReason (extensible)
... interpretation 0..1CodeableConceptHigh, low, normal, etc.
Binding: ObservationInterpretation (extensible)
... comments 0..1stringComments about result
... applies[x] S Σ1..1dateTime, PeriodOften just a dateTime for Vital Signs
... issued Σ0..1instantDate/Time this was made available
... status ?! SΣ1..1coderegistered | preliminary | final | amended +
Binding: ObservationStatus (required)
... reliability ?!0..1codeok | ongoing | early | questionable | calibrating | error +
Binding: ObservationReliability (required)
... bodySite[x] 0..1CodeableConcept, BodySiteObserved body part
Binding: BodySite (example)
... method 0..1CodeableConceptHow it was done
Binding: ObservationMethod (example)
... identifier S1..*IdentifierUnique Id for this particular observation
... subject S Σ1..1patient-daf-dafpatientWho and/or what this is about
... performer S Σ0..1Practitioner, Device, Patient, RelatedPersonWho did the observation
... encounter S0..1encounter-daf-dafencounterHealthcare event during which this observation is made
... referenceRange S I0..1ElementProvides guide for interpretation
obs-3: Must have at least a low or a high or text
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension 0..*ExtensionExtensions that cannot be ignored
.... low S I0..1QuantityLow Range, if relevant
obs-4: Low range comparators can only be '>' or '>=' or empty
..... extension 0..*ExtensionAdditional Content defined by implementations
..... value S0..1decimalNumerical value (with implicit precision)
..... comparator ?! S0..1code< | <= | >= | > - how to understand the value
Binding: QuantityComparator (required)
..... units S0..1stringUnit representation
..... system S I0..1uriSystem that defines coded unit form
Fixed Value: http://unitsofmeasure.org
..... code S0..1codeCoded form of the unit
Binding: CommonUCUMunitsVitals (required)
.... high S I0..1QuantityHigh Range, if relevant
obs-5: High range comparators can only be '<' or '<=' or empty
..... extension 0..*ExtensionAdditional Content defined by implementations
..... value S0..1decimalNumerical value (with implicit precision)
..... comparator ?! S0..1code< | <= | >= | > - how to understand the value
Binding: QuantityComparator (required)
..... units S0..1stringUnit representation
..... system S I0..1uriSystem that defines coded unit form
Fixed Value: http://unitsofmeasure.org
..... code S0..1codeCoded form of the unit
Binding: CommonUCUMunitsVitals (required)
.... meaning S0..1CodeableConceptIndicates the meaning/use of this range of this range
Binding: ObservationRangeMeaning (example)
.... age 0..1RangeApplicable age range, if relevant
.... text S0..1stringText based reference range in an observation
... related S Σ0..1ElementUsed when reporting systolic and diastolic blood pressure.
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension 0..*ExtensionExtensions that cannot be ignored
.... type S1..1codehas-component | has-member | derived-from | sequel-to | replaces | qualified-by | interfered-by
Binding: ObservationRelationshipType (required)
Fixed Value: has-component
.... target S1..1observation-daf-vitalsigns-dafvitalsignsObservation that is related to this one

XML Template

JSON Template

todo

 

Other representations of profile: (todo)

Terminology Bindings

PathNameConformanceValueSet
Observation.languageLanguagerequiredhttp://tools.ietf.org/html/bcp47
Observation.codeCCDAVitalSignResultextensibleC-CDA Vital Sign Result
Observation.valueQuantityObservationValueexampleSNOMED CT Codes
Observation.valueQuantity.comparatorQuantityComparatorrequiredQuantityComparator
Observation.valueQuantity.codeCommonUCUMunitsVitalsrequiredCommon UCUM units
Observation.dataAbsentReasonObservationValueAbsentReasonextensibleObservation Value Absent Reason
Observation.interpretationObservationInterpretationextensibleObservation Interpretation Codes
Observation.statusObservationStatusrequiredObservationStatus
Observation.reliabilityObservationReliabilityrequiredObservationReliability
Observation.bodySite[x]BodySiteexampleSNOMED CT Body Structures
Observation.methodObservationMethodexampleObservation Methods
Observation.referenceRange.low.comparatorQuantityComparatorrequiredQuantityComparator
Observation.referenceRange.low.codeCommonUCUMunitsVitalsrequiredCommon UCUM units
Observation.referenceRange.high.comparatorQuantityComparatorrequiredQuantityComparator
Observation.referenceRange.high.codeCommonUCUMunitsVitalsrequiredCommon UCUM units
Observation.referenceRange.meaningObservationRangeMeaningexampleObservation Reference Range Meaning Codes
Observation.related.typeObservationRelationshipTyperequiredObservationRelationshipType

Constraints

IdPathNameDetails
obs-6Observationdata absent reasonShall only be present if Observation.value[x] is not present
XPath: not(exists(f:dataAbsentReason)) or (not(exists(*[starts-with(local-name(.), 'value')])))
obs-3Observation.referenceRangereference rangeMust have at least a low or a high or text
XPath: (exists(f:low) or exists(f:high)or exists(f:text))
obs-4Observation.referenceRange.lowlow range comparatorsLow range comparators can only be '>' or '>=' or empty
XPath: not(exists(f:comparator)) or boolean(f:comparator/@value = '<') or boolean(f:comparator/@value = '<=')
obs-5Observation.referenceRange.highhigh range comparatorsHigh range comparators can only be '<' or '<=' or empty
XPath: not(exists(f:comparator)) or boolean(f:comparator/@value = '>') or boolean(f:comparator/@value = '>=')
.