This page is part of the Profiles for ICSR Transfusion and Vaccination Adverse Event Detection and Reporting (v1.0.1: STU 1 Update) based on FHIR R4. This is the current published version.  For a full list of available versions, see the Directory of published versions 
| Official URL: http://hl7.org/fhir/us/icsr-ae-reporting/StructureDefinition/icsr-patientlastmenstrualperiod | Version: 1.0.1 | |||
| Draft as of 2023-08-29 | Computable Name: PatientLastMenstrualPeriod | |||
Patient’s Date of Last Menstrual Period
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from USCoreVitalSignsProfile
| Name | Flags | Card. | Type | Description & Constraints  | 
|---|---|---|---|---|
|   Observation | 0..* | USCoreVitalSignsProfile | US Core Vital Signs Profile | |
|    code | 1..1 | CodeableConcept | Coded Responses from C-CDA Vital Sign Results Required Pattern: At least the following | |
|     coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
|      system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
|      code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8665-2 | |
|      display | 1..1 | string | Representation defined by the system Fixed Value: Last Menstrual Period Start Date | |
|    value[x] | 0..1 | dateTime | Vital Signs Value | |
|  Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints  | 
|---|---|---|---|---|
|   Observation | C | 0..* | USCoreVitalSignsProfile | US Core Vital Signs Profile | 
|    implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | 
|    modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | 
|    status | ?!SΣ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required) | 
|    Slices for category | S | 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. | 
|     category:VSCat | S | 1..1 | CodeableConcept | Classification of  type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | 
|      coding | SΣ | 1..* | Coding | Code defined by a terminology system | 
|       system | SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category | 
|       code | SΣ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: vital-signs | 
|    code | SΣ | 1..1 | CodeableConcept | Coded Responses from C-CDA Vital Sign Results Binding: US Core Vital Signs ValueSet (extensible): The vital sign codes from the base FHIR and US Core Vital Signs. Required Pattern: At least the following | 
|     coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
|      system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
|      code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8665-2 | |
|      display | 1..1 | string | Representation defined by the system Fixed Value: Last Menstrual Period Start Date | |
|    subject | SΣ | 1..1 | Reference(US Core Patient Profile) | Who and/or what the observation is about | 
|    effective[x] | SΣC | 1..1 | Often just a dateTime for Vital Signs | |
|     effectiveDateTime | dateTime | |||
|    value[x] | SΣC | 0..1 | dateTime | Vital Signs Value | 
|    dataAbsentReason | SC | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | 
|    component | SΣC | 0..* | BackboneElement | Component observations | 
|     modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | 
|     code | SΣ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: US Core Vital Signs ValueSet (extensible): The vital sign codes from the base FHIR and US Core Vital Signs. | 
|     value[x] | SΣC | 0..1 | Vital Sign Component Value Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs. | |
|      valueQuantity | Quantity | |||
|     dataAbsentReason | SC | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | 
|  Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | 
| Observation.status | required | ObservationStatus | 
| Observation.category | preferred | ObservationCategoryCodes | 
| Observation.category:VSCat | preferred | ObservationCategoryCodes | 
| Observation.code | extensible | Pattern: LOINC code 8665-2("Last Menstrual Period Start Date") | 
| Observation.dataAbsentReason | extensible | DataAbsentReason | 
| Observation.component.code | extensible | UsCoreVitalSigns | 
| Observation.component.value[x] | extensible | VitalSignsUnits | 
| Observation.component.dataAbsentReason | extensible | DataAbsentReason | 
| Name | Flags | Card. | Type | Description & Constraints  | ||||
|---|---|---|---|---|---|---|---|---|
|   Observation | C | 0..* | USCoreVitalSignsProfile | US Core Vital Signs Profile | ||||
|    id | Σ | 0..1 | id | Logical id of this artifact | ||||
|    meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
|    implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
|    language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language. 
 | |||||
|    text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
|    contained | 0..* | Resource | Contained, inline Resources | |||||
|    extension | 0..* | Extension | Additional content defined by implementations | |||||
|    modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
|    identifier | Σ | 0..* | Identifier | Business Identifier for observation | ||||
|    basedOn | Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order | ||||
|    partOf | Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event | ||||
|    status | ?!SΣ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required) | ||||
|    Slices for category | S | 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. | ||||
|     category:VSCat | S | 1..1 | CodeableConcept | Classification of  type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | ||||
|      id | 0..1 | string | Unique id for inter-element referencing | |||||
|      extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
|      coding | SΣ | 1..* | Coding | Code defined by a terminology system | ||||
|       id | 0..1 | string | Unique id for inter-element referencing | |||||
|       extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
|       system | SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category | ||||
|       version | Σ | 0..1 | string | Version of the system - if relevant | ||||
|       code | SΣ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: vital-signs | ||||
|       display | Σ | 0..1 | string | Representation defined by the system | ||||
|       userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
|      text | Σ | 0..1 | string | Plain text representation of the concept | ||||
|    code | SΣ | 1..1 | CodeableConcept | Coded Responses from C-CDA Vital Sign Results Binding: US Core Vital Signs ValueSet (extensible): The vital sign codes from the base FHIR and US Core Vital Signs. Required Pattern: At least the following | ||||
|     id | 0..1 | string | Unique id for inter-element referencing | |||||
|     extension | 0..* | Extension | Additional content defined by implementations | |||||
|     coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
|      id | 0..1 | string | Unique id for inter-element referencing | |||||
|      extension | 0..* | Extension | Additional content defined by implementations | |||||
|      system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
|      version | 0..1 | string | Version of the system - if relevant | |||||
|      code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8665-2 | |||||
|      display | 1..1 | string | Representation defined by the system Fixed Value: Last Menstrual Period Start Date | |||||
|      userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
|     text | 0..1 | string | Plain text representation of the concept | |||||
|    subject | SΣ | 1..1 | Reference(US Core Patient Profile) | Who and/or what the observation is about | ||||
|    focus | ΣTU | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record | ||||
|    encounter | Σ | 0..1 | Reference(Encounter) | Healthcare event during which this observation is made | ||||
|    effective[x] | SΣC | 1..1 | Often just a dateTime for Vital Signs | |||||
|     effectiveDateTime | dateTime S | |||||||
|     effectivePeriod | Period | |||||||
|    issued | Σ | 0..1 | instant | Date/Time this version was made available | ||||
|    performer | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Who is responsible for the observation | ||||
|    value[x] | SΣC | 0..1 | dateTime | Vital Signs Value | ||||
|    dataAbsentReason | SC | 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 | 0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | |||||
|    method | 0..1 | CodeableConcept | How it was done Binding: ObservationMethods (example): Methods for simple observations. | |||||
|    specimen | 0..1 | Reference(Specimen) | Specimen used for this observation | |||||
|    device | 0..1 | Reference(Device | DeviceMetric) | (Measurement) Device | |||||
|    referenceRange | C | 0..* | BackboneElement | Provides guide for interpretation | ||||
|     id | 0..1 | string | Unique id for inter-element referencing | |||||
|     extension | 0..* | Extension | Additional content defined by implementations | |||||
|     modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
|     low | C | 0..1 | SimpleQuantity | Low Range, if relevant | ||||
|     high | C | 0..1 | SimpleQuantity | High Range, if relevant | ||||
|     type | 0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range. | |||||
|     appliesTo | 0..* | CodeableConcept | Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to. | |||||
|     age | 0..1 | Range | Applicable age range, if relevant | |||||
|     text | 0..1 | string | Text based reference range in an observation | |||||
|    hasMember | Σ | 0..* | Reference(QuestionnaireResponse | MolecularSequence | Vital Signs Profile) | Used when reporting vital signs panel components | ||||
|    derivedFrom | Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | MolecularSequence | Vital Signs Profile) | Related measurements the observation is made from | ||||
|    component | SΣC | 0..* | BackboneElement | Component observations | ||||
|     id | 0..1 | string | Unique id for inter-element referencing | |||||
|     extension | 0..* | Extension | Additional content defined by implementations | |||||
|     modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
|     code | SΣ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: US Core Vital Signs ValueSet (extensible): The vital sign codes from the base FHIR and US Core Vital Signs. | ||||
|     value[x] | SΣC | 0..1 | Vital Sign Component Value Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs. | |||||
|      valueQuantity | Quantity S | |||||||
|      valueCodeableConcept | CodeableConcept | |||||||
|      valueString | string | |||||||
|      valueBoolean | boolean | |||||||
|      valueInteger | integer | |||||||
|      valueRange | Range | |||||||
|      valueRatio | Ratio | |||||||
|      valueSampledData | SampledData | |||||||
|      valueTime | time | |||||||
|      valueDateTime | dateTime | |||||||
|      valuePeriod | Period | |||||||
|     dataAbsentReason | SC | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
|     interpretation | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
|     referenceRange | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
|  Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | ||||
| Observation.language | preferred | CommonLanguages 
 | ||||
| Observation.status | required | ObservationStatus | ||||
| Observation.category | preferred | ObservationCategoryCodes | ||||
| Observation.category:VSCat | preferred | ObservationCategoryCodes | ||||
| Observation.code | extensible | Pattern: LOINC code 8665-2("Last Menstrual Period Start Date") | ||||
| Observation.dataAbsentReason | extensible | DataAbsentReason | ||||
| Observation.interpretation | extensible | ObservationInterpretationCodes | ||||
| Observation.bodySite | example | SNOMEDCTBodyStructures | ||||
| Observation.method | example | ObservationMethods | ||||
| Observation.referenceRange.type | preferred | ObservationReferenceRangeMeaningCodes | ||||
| Observation.referenceRange.appliesTo | example | ObservationReferenceRangeAppliesToCodes | ||||
| Observation.component.code | extensible | UsCoreVitalSigns | ||||
| Observation.component.value[x] | extensible | VitalSignsUnits | ||||
| Observation.component.dataAbsentReason | extensible | DataAbsentReason | ||||
| Observation.component.interpretation | extensible | ObservationInterpretationCodes | 
This structure is derived from USCoreVitalSignsProfile
Differential View
This structure is derived from USCoreVitalSignsProfile
| Name | Flags | Card. | Type | Description & Constraints  | 
|---|---|---|---|---|
|   Observation | 0..* | USCoreVitalSignsProfile | US Core Vital Signs Profile | |
|    code | 1..1 | CodeableConcept | Coded Responses from C-CDA Vital Sign Results Required Pattern: At least the following | |
|     coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
|      system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
|      code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8665-2 | |
|      display | 1..1 | string | Representation defined by the system Fixed Value: Last Menstrual Period Start Date | |
|    value[x] | 0..1 | dateTime | Vital Signs Value | |
|  Documentation for this format | ||||
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints  | 
|---|---|---|---|---|
|   Observation | C | 0..* | USCoreVitalSignsProfile | US Core Vital Signs Profile | 
|    implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | 
|    modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | 
|    status | ?!SΣ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required) | 
|    Slices for category | S | 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. | 
|     category:VSCat | S | 1..1 | CodeableConcept | Classification of  type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | 
|      coding | SΣ | 1..* | Coding | Code defined by a terminology system | 
|       system | SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category | 
|       code | SΣ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: vital-signs | 
|    code | SΣ | 1..1 | CodeableConcept | Coded Responses from C-CDA Vital Sign Results Binding: US Core Vital Signs ValueSet (extensible): The vital sign codes from the base FHIR and US Core Vital Signs. Required Pattern: At least the following | 
|     coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
|      system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
|      code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8665-2 | |
|      display | 1..1 | string | Representation defined by the system Fixed Value: Last Menstrual Period Start Date | |
|    subject | SΣ | 1..1 | Reference(US Core Patient Profile) | Who and/or what the observation is about | 
|    effective[x] | SΣC | 1..1 | Often just a dateTime for Vital Signs | |
|     effectiveDateTime | dateTime | |||
|    value[x] | SΣC | 0..1 | dateTime | Vital Signs Value | 
|    dataAbsentReason | SC | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | 
|    component | SΣC | 0..* | BackboneElement | Component observations | 
|     modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | 
|     code | SΣ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: US Core Vital Signs ValueSet (extensible): The vital sign codes from the base FHIR and US Core Vital Signs. | 
|     value[x] | SΣC | 0..1 | Vital Sign Component Value Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs. | |
|      valueQuantity | Quantity | |||
|     dataAbsentReason | SC | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | 
|  Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | 
| Observation.status | required | ObservationStatus | 
| Observation.category | preferred | ObservationCategoryCodes | 
| Observation.category:VSCat | preferred | ObservationCategoryCodes | 
| Observation.code | extensible | Pattern: LOINC code 8665-2("Last Menstrual Period Start Date") | 
| Observation.dataAbsentReason | extensible | DataAbsentReason | 
| Observation.component.code | extensible | UsCoreVitalSigns | 
| Observation.component.value[x] | extensible | VitalSignsUnits | 
| Observation.component.dataAbsentReason | extensible | DataAbsentReason | 
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints  | ||||
|---|---|---|---|---|---|---|---|---|
|   Observation | C | 0..* | USCoreVitalSignsProfile | US Core Vital Signs Profile | ||||
|    id | Σ | 0..1 | id | Logical id of this artifact | ||||
|    meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
|    implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
|    language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language. 
 | |||||
|    text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
|    contained | 0..* | Resource | Contained, inline Resources | |||||
|    extension | 0..* | Extension | Additional content defined by implementations | |||||
|    modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
|    identifier | Σ | 0..* | Identifier | Business Identifier for observation | ||||
|    basedOn | Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order | ||||
|    partOf | Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event | ||||
|    status | ?!SΣ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required) | ||||
|    Slices for category | S | 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. | ||||
|     category:VSCat | S | 1..1 | CodeableConcept | Classification of  type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | ||||
|      id | 0..1 | string | Unique id for inter-element referencing | |||||
|      extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
|      coding | SΣ | 1..* | Coding | Code defined by a terminology system | ||||
|       id | 0..1 | string | Unique id for inter-element referencing | |||||
|       extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
|       system | SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category | ||||
|       version | Σ | 0..1 | string | Version of the system - if relevant | ||||
|       code | SΣ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: vital-signs | ||||
|       display | Σ | 0..1 | string | Representation defined by the system | ||||
|       userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
|      text | Σ | 0..1 | string | Plain text representation of the concept | ||||
|    code | SΣ | 1..1 | CodeableConcept | Coded Responses from C-CDA Vital Sign Results Binding: US Core Vital Signs ValueSet (extensible): The vital sign codes from the base FHIR and US Core Vital Signs. Required Pattern: At least the following | ||||
|     id | 0..1 | string | Unique id for inter-element referencing | |||||
|     extension | 0..* | Extension | Additional content defined by implementations | |||||
|     coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
|      id | 0..1 | string | Unique id for inter-element referencing | |||||
|      extension | 0..* | Extension | Additional content defined by implementations | |||||
|      system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
|      version | 0..1 | string | Version of the system - if relevant | |||||
|      code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8665-2 | |||||
|      display | 1..1 | string | Representation defined by the system Fixed Value: Last Menstrual Period Start Date | |||||
|      userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
|     text | 0..1 | string | Plain text representation of the concept | |||||
|    subject | SΣ | 1..1 | Reference(US Core Patient Profile) | Who and/or what the observation is about | ||||
|    focus | ΣTU | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record | ||||
|    encounter | Σ | 0..1 | Reference(Encounter) | Healthcare event during which this observation is made | ||||
|    effective[x] | SΣC | 1..1 | Often just a dateTime for Vital Signs | |||||
|     effectiveDateTime | dateTime S | |||||||
|     effectivePeriod | Period | |||||||
|    issued | Σ | 0..1 | instant | Date/Time this version was made available | ||||
|    performer | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Who is responsible for the observation | ||||
|    value[x] | SΣC | 0..1 | dateTime | Vital Signs Value | ||||
|    dataAbsentReason | SC | 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 | 0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | |||||
|    method | 0..1 | CodeableConcept | How it was done Binding: ObservationMethods (example): Methods for simple observations. | |||||
|    specimen | 0..1 | Reference(Specimen) | Specimen used for this observation | |||||
|    device | 0..1 | Reference(Device | DeviceMetric) | (Measurement) Device | |||||
|    referenceRange | C | 0..* | BackboneElement | Provides guide for interpretation | ||||
|     id | 0..1 | string | Unique id for inter-element referencing | |||||
|     extension | 0..* | Extension | Additional content defined by implementations | |||||
|     modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
|     low | C | 0..1 | SimpleQuantity | Low Range, if relevant | ||||
|     high | C | 0..1 | SimpleQuantity | High Range, if relevant | ||||
|     type | 0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range. | |||||
|     appliesTo | 0..* | CodeableConcept | Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to. | |||||
|     age | 0..1 | Range | Applicable age range, if relevant | |||||
|     text | 0..1 | string | Text based reference range in an observation | |||||
|    hasMember | Σ | 0..* | Reference(QuestionnaireResponse | MolecularSequence | Vital Signs Profile) | Used when reporting vital signs panel components | ||||
|    derivedFrom | Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | MolecularSequence | Vital Signs Profile) | Related measurements the observation is made from | ||||
|    component | SΣC | 0..* | BackboneElement | Component observations | ||||
|     id | 0..1 | string | Unique id for inter-element referencing | |||||
|     extension | 0..* | Extension | Additional content defined by implementations | |||||
|     modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
|     code | SΣ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: US Core Vital Signs ValueSet (extensible): The vital sign codes from the base FHIR and US Core Vital Signs. | ||||
|     value[x] | SΣC | 0..1 | Vital Sign Component Value Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs. | |||||
|      valueQuantity | Quantity S | |||||||
|      valueCodeableConcept | CodeableConcept | |||||||
|      valueString | string | |||||||
|      valueBoolean | boolean | |||||||
|      valueInteger | integer | |||||||
|      valueRange | Range | |||||||
|      valueRatio | Ratio | |||||||
|      valueSampledData | SampledData | |||||||
|      valueTime | time | |||||||
|      valueDateTime | dateTime | |||||||
|      valuePeriod | Period | |||||||
|     dataAbsentReason | SC | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
|     interpretation | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
|     referenceRange | 0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
|  Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | ||||
| Observation.language | preferred | CommonLanguages 
 | ||||
| Observation.status | required | ObservationStatus | ||||
| Observation.category | preferred | ObservationCategoryCodes | ||||
| Observation.category:VSCat | preferred | ObservationCategoryCodes | ||||
| Observation.code | extensible | Pattern: LOINC code 8665-2("Last Menstrual Period Start Date") | ||||
| Observation.dataAbsentReason | extensible | DataAbsentReason | ||||
| Observation.interpretation | extensible | ObservationInterpretationCodes | ||||
| Observation.bodySite | example | SNOMEDCTBodyStructures | ||||
| Observation.method | example | ObservationMethods | ||||
| Observation.referenceRange.type | preferred | ObservationReferenceRangeMeaningCodes | ||||
| Observation.referenceRange.appliesTo | example | ObservationReferenceRangeAppliesToCodes | ||||
| Observation.component.code | extensible | UsCoreVitalSigns | ||||
| Observation.component.value[x] | extensible | VitalSignsUnits | ||||
| Observation.component.dataAbsentReason | extensible | DataAbsentReason | ||||
| Observation.component.interpretation | extensible | ObservationInterpretationCodes | 
This structure is derived from USCoreVitalSignsProfile
Other representations of profile: CSV, Excel, Schematron