Da Vinci Payer Data Exchange
1.0.0 - STU1

This page is part of the Da Vinci Payer Data Exchange (v1.0.0: STU1) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

US Core Pulse Oximetry

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This IG supports the full complement of US Core profiles. They are supported to enable a payer to produce FHIR resources from data provided in other formats.

For some resources, payers are unlikely to have the clinical information necessary to create a valid US Core resource. The US Core Pulse Oximetry is one potential example of an Observation profile that payers may be unable to create from the source clinical data they have available.

A Pulse Oximetry observation requires codes and values for oxygen saturation in the blood. Payers may not have access to the detail measurement data needed to create a valid observation resource.

The essential fields (Must Support or Cardinality greater than 0..*) to be provided in the US Core Pulse Oximetry resource are:

R4 Element Name Cardinality Type
Observation.status status 1..1 code
Observation.category category 1..* (Slice Definition)
Observation.category:VSCat category:VSCat 1..1 CodeableConcept
Observation.category:VSCat.coding coding 1..* Coding
Observation.category:VSCat.coding.system system 1..1 uri
Observation.category:VSCat.coding.code code 1..1 code
Observation.code code 1..1 CodeableConcept
Observation.code.coding coding 0..* (Slice Definition)
Observation.code.coding:OxygenSatCode coding:OxygenSatCode 1..1 Coding
Observation.code.coding:OxygenSatCode.system system 1..1 uri
Observation.code.coding:OxygenSatCode.code code 1..1 code
Observation.code.coding:PulseOx coding:PulseOx 1..1 Coding
Observation.code.coding:PulseOx.system system 1..1 uri
Observation.code.coding:PulseOx.code code 1..1 code
Observation.subject subject 1..1 Reference(Patient)
Observation.effective[x] effective[x] 1..1  
Observation.value[x] value[x] 0..1 (Slice Definition)
Observation.value[x]:valueQuantity value[x]:valueQuantity 0..1 Quantity
Observation.value[x]:valueQuantity.value value 1..1 decimal
Observation.value[x]:valueQuantity.unit unit 1..1 string
Observation.value[x]:valueQuantity.system system 1..1 uri
Observation.value[x]:valueQuantity.code code 1..1 code
Observation.dataAbsentReason dataAbsentReason 0..1 CodeableConcept
Observation.component component 0..* (Slice Definition)
Observation.component:All Slices.code code 1..1 CodeableConcept
Observation.component:All Slices.value[x] value[x] 0..1  
Observation.component:All Slices.dataAbsentReason dataAbsentReason 0..1 CodeableConcept
Observation.component:FlowRate component:FlowRate 0..1 BackboneElement
Observation.component:FlowRate.code code 1..1 CodeableConcept
Observation.component:FlowRate.code.coding coding 1..* Coding
Observation.component:FlowRate.code.coding.system system 1..1 uri
Observation.component:FlowRate.code.coding.code code 1..1 code
Observation.component:FlowRate.value[x] value[x] 0..1 Quantity
Observation.component:FlowRate.value[x].value value 1..1 decimal
Observation.component:FlowRate.value[x].unit unit 1..1 string
Observation.component:FlowRate.value[x].system system 1..1 uri
Observation.component:FlowRate.value[x].code code 1..1 code
Observation.component:FlowRate.dataAbsentReason dataAbsentReason 0..1 CodeableConcept
Observation.component:FlowRate.value[x].component:Concentration component:Concentration 0..1 BackboneElement
Observation.component:FlowRate.value[x].component:Concentration.code code 1..1 CodeableConcept
Observation.component:FlowRate.value[x].component:Concentration.code.coding coding 1..* Coding
Observation.component:FlowRate.value[x].component:Concentration.code.coding.system system 1..1 uri
Observation.component:FlowRate.value[x].component:Concentration.code.coding.code code 1..1 code
Observation.component:FlowRate.value[x].component:Concentration.value[x] value[x] 0..1 Quantity
Observation.component:FlowRate.value[x].component:Concentration.value[x].value value 1..1 decimal
Observation.component:FlowRate.value[x].component:Concentration.value[x].unit unit 1..1 string
Observation.component:FlowRate.value[x].component:Concentration.value[x].system system 1..1 uri
Observation.component:FlowRate.value[x].component:Concentration.value[x].code code 1..1 code
Observation.component:FlowRate.value[x].component:Concentration.dataAbsentReason dataAbsentReason 0..1 CodeableConcept

Table Definition

Example Pulse Oximetry Resource

Here is a US Core Example of a Pulse Oximetry observation: http://hl7.org/fhir/us/core/Observation-satO2-fiO2.html

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