Observation-daf-vitalsigns

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

U.S. Data Access Framework (DAF) Vital Signs Profile (Profile)

Scope and Usage

This profile sets expectations for use of the Observation resource to record Vital Signs of a patient within the Data Access Framework (DAF) Implementation Guide. This profile identifies which core elements,extensions,vocabularies and value sets must be Supported by DAF actors. For the definition of Supported please refer to DAF FHIR IG. The data elements identified by the profile are based on ONC 2014 Edition S&CC and DAF use cases. The mappings between the ONC 2014 Edition S&CC data elements and DAF data elements are captured in the table below, where the first column identifies the ONC 2014 Edition S&CC data element name, the second column maps the ONC 2014 Edition S&CC data elements to DAF data elements which are derived from ONC 2014 Edition S&CC standards and DAF use cases and lastly the third column identifies the mapping to FHIR resources and attributes.

Meaningful Use Data Element Mapping

The DAF Vital Signs profile mapping to Meaningful Use data elements and FHIR Resources are as shown below.

Meaningful Use Data Element Name	Mapping to Priority DAF Data Elements	FHIR Resource Mapping
Vital Signs
	Patient for whom Vital Signs are being measured	Observation.subject
	Vital Sign being Measured	Observation.name
	Vital Signs value	Observation.valueQuantity
	Vital Signs reference range	Observation.referenceRange

Meaningful Use Data Element Name

Mapping to Priority DAF Data Elements

FHIR Resource Mapping

Vital Signs

Patient for whom Vital Signs are being measured

Observation.subject

Vital Sign being Measured

Observation.name

Vital Signs value

Observation.valueQuantity

Vital Signs reference range

Observation.referenceRange

Boundaries and Relationships

This profile relies on the following other profiles:

DAFPatient which defines DAF Patient profile is used by DAFVitalSigns profile to refer to patients.
DAFEncounter which defines DAF Encounter profile is used by DAFVitalSigns profile to refer to encounters during which the vital signs measurements were captured.
FHIR Extensibility defines how extensions can be applied to FHIR resources and data types. Specifically the data-absent-reason extension can be used to code data elements with missing information when appropriate. See DAF FHIR IG for additional guidance.

Profile Details

Search Parameters

Example Usage Scenarios

Profile specific implementation guidance

There is no additional profile specific implementation guidance, please refer to DAF FHIR IG for implementation guidance common to all profiles.

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