HL7 FHIR Implementation Guide: minimal Common Oncology Data Elements (mCODE) Release 1 - US Realm | STU Ballot 1
This page is part of the HL7 FHIR Implementation Guide: minimal Common Oncology Data Elements (mCODE) Release 1 - US Realm | STU1 (v0.9.1: STU 1 Ballot 1) based on FHIR R4. The current version which supercedes this version is 2.0.0. For a full list of available versions, see the Directory of published versions 
The official URL for this profile is:
http://hl7.org/fhir/us/mcode/StructureDefinition/vital-BloodPressure
Records blood pressure measurements, defined as the force of circulating blood on the walls of the arteries.
Conformance note: The blood pressure profile is based on the FHIR profile for blood pressure, and adds a set of optional elements that can help clinicians interpret the result. Because these additional elements are optional, any BloodPressure that conforms to the current profile also will conform to the FHIR profile, and vice versa.
This profile builds on observation-bp.
This profile was published on Thu Aug 01 00:00:00 EDT 2019 as a draft by HL7 International Clinical Interoperability Council.
Summary
Mandatory: 0 element (4 nested mandatory elements)
Fixed Value: 4 elements
Prohibited: 4 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Mapping Source
This structure represents the following mapping definition:
vital.BloodPressure maps to http://hl7.org/fhir/StructureDefinition/bp: Language maps to language ImplicitRules maps to implicitRules Metadata.VersionId maps to meta.versionId Metadata.SourceSystem maps to meta.source Metadata.Profile maps to meta.profile Metadata.LastUpdated maps to meta.lastUpdated Metadata.SecurityLabel maps to meta.security Metadata.Tag maps to meta.tag Narrative maps to text Identifier maps to identifier ObservationBasedOn maps to basedOn ObservationPartOf maps to partOf Status maps to status Category maps to category Code maps to code ObservationSubjectOfRecord maps to subject FocalSubject maps to focus CareContext maps to encounter RelevantTime maps to effective[x] // Add Types Timing, instant StatementDateTime maps to issued Performer maps to performer // Added Target Types PractitionerRole, CareTeam DataValue maps to value[x] // Add Type integer, remove Type Attachment DataAbsentReason maps to dataAbsentReason Interpretation maps to interpretation Annotation maps to note BodyLocation.Code maps to bodySite BodyLocation.Laterality maps to bodySite.extension BodyLocation.AnatomicalOrientation maps to bodySite.extension BodyLocation.RelationToLandmark maps to bodySite.extension Method maps to method Specimen maps to specimen Device maps to device ReferenceRange maps to referenceRange ReferenceRange.LowerBound maps to referenceRange.low ReferenceRange.UpperBound maps to referenceRange.high ReferenceRange.Type maps to referenceRange.type ReferenceRange.ApplicableSubpopulation maps to referenceRange.appliesTo ReferenceRange.ApplicableAgeRange maps to referenceRange.age ReferenceRange.Text maps to referenceRange.text PanelMembers.Observation maps to hasMember (slice on = $this.resolve().code.coding.code; slice strategy = includes) ObservationDerivedFrom maps to derivedFrom Components.ObservationComponent maps to component (slice on = code.coding.code; slice strategy = includes) Components.ObservationComponent.Code maps to component.code Components.ObservationComponent.DataValue maps to component.value[x] Components.ObservationComponent.DataAbsentReason maps to component.dataAbsentReason Components.ObservationComponent.Interpretation maps to component.interpretation Components.ObservationComponent.ReferenceRange maps to component.referenceRange Components.ObservationComponent.ReferenceRange.LowerBound maps to component.referenceRange.low Components.ObservationComponent.ReferenceRange.UpperBound maps to component.referenceRange.high Components.ObservationComponent.ReferenceRange.Type maps to component.referenceRange.type Components.ObservationComponent.ReferenceRange.ApplicableSubpopulation maps to component.referenceRange.appliesTo Components.ObservationComponent.ReferenceRange.ApplicableAgeRange maps to component.referenceRange.age Components.ObservationComponent.ReferenceRange.Text maps to component.referenceRange.text Components.SystolicPressure maps to component (slice # = 1) Components.DiastolicPressure maps to component (slice # = 2)
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Observation | I | 0..* | vital-BloodPressure | |
  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) Max Binding: AllLanguages | |
| 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 Slice: Unordered, Open by value:url | |
| vital-PreconditionCode-extension | 0..* | CodeableConcept | PreconditionCode URL: http://hl7.org/fhir/us/mcode/StructureDefinition/vital-PreconditionCode-extension | |
  id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..0 | |||
| url | 1..1 | uri | "http://hl7.org/fhir/us/mcode/StructureDefinition/vital-PreconditionCode-extension" | |
 valueCodeableConcept | 1..1 | CodeableConcept | Value of extension Binding: CardiopulmonaryPreconditionVS (extensible) | |
| vital-BodyPosition-extension | 0..1 | CodeableConcept | BodyPosition URL: http://hl7.org/fhir/us/mcode/StructureDefinition/vital-BodyPosition-extension Binding: BodyPositionVS (extensible) | |
| vital-BloodPressureCuffSize-extension | 0..1 | CodeableConcept | BloodPressureCuffSize URL: http://hl7.org/fhir/us/mcode/StructureDefinition/vital-BloodPressureCuffSize-extension Binding: BloodPressureCuffSizeVS (required) | |
 modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| identifier | Σ | 0..* | Identifier | Business Identifier for observation |
 basedOn | Σ | 0..* | Reference(US Core MedicationRequest Profile | ServiceRequest) | Fulfills plan, proposal or order |
| partOf | Σ | 0..* | Reference(MedicationAdministration | obf-MedicationStatement | obf-Procedure) | A larger event of which this particular Observation is a component or step. For example, an observation as part of a procedure. |
| status | ?!SΣ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required) |
 category | S | CodeableConcept | Classification of type of observation Slice: Unordered, Open by value:coding.code, value:coding.system Binding: ObservationCategoryCodes (preferred) | |
| category | S | 1..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred) |
| 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 | Blood Pressure Binding: VitalSigns (extensible) |
| 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 | Σ | Coding | Code defined by a terminology system Slice: Unordered, Open by value:code, value:system | |
| coding | Σ | 1..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 | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org |
| version | Σ | 0..1 | string | Version of the system - if relevant |
| code | Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 85354-9 |
| 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 |
| subject | SΣ | 1..1 | Reference(obf-Patient) | The subject of an observation |
| focus | Σ | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record |
| encounter | Σ | 0..1 | Reference(US Core Encounter Profile) | Healthcare event during which this observation is made |
 effective[x] | SΣI | 1..1 | dateTime, Period | Often just a dateTime for Vital Signs vs-1: if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day |
| issued | Σ | 0..1 | instant | Date/Time this version was made available |
| performer | Σ | 0..* | Reference(US Core Practitioner Profile | US Core Organization Profile | obf-Patient | RelatedPerson) | Who is responsible for the observation |
| interpretation | 0..1 | CodeableConcept | High, low, normal, etc. Binding: QuantitativeResultInterpretationVS (extensible) | |
| note | 0..* | Annotation | Comments about the observation | |
| bodySite | 0..1 | CodeableConcept | Observed body part Binding: BloodPressureBodyLocationVS (extensible) | |
| method | 0..1 | CodeableConcept | How it was done Binding: BloodPressureMethodVS (extensible) | |
| referenceRange | I | 0..1 | BackboneElement | Provides guide for interpretation obs-3: Must have at least a low or a high or text |
| 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 | I | 0..1 | SimpleQuantity | Low Range, if relevant |
| high | I | 0..1 | SimpleQuantity | High Range, if relevant |
| type | 0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (extensible) | |
| appliesTo | 0..1 | CodeableConcept | Reference range population Binding: ObservationReferenceRangeAppliesToCodes (extensible) | |
| age | 0..1 | Range | Applicable age range, if relevant | |
| text | 0..1 | string | Text based reference range in an observation | |
| derivedFrom | Σ | 0..* | Reference(US Core DocumentReference Profile | Media | QuestionnaireResponse) | Related measurements the observation is made from |
| component | SΣI | BackboneElement | Used when reporting systolic and diastolic blood pressure. Slice: Unordered, Open by value:code.coding.code, value:code.coding.system | |
 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: VitalSigns (extensible) |
| value[x] | SΣ | 0..1 | Quantity, CodeableConcept, string, Range, Ratio, SampledData, time, dateTime, Period | Vital Sign Value recorded with UCUM Binding: VitalSignsUnits (required) |
| dataAbsentReason | SI | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible) |
| interpretation | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible) | |
 referenceRange | 0..* | BackboneElement | Provides guide for interpretation of component result | |
 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 | I | 0..1 | SimpleQuantity | Low Range, if relevant |
| high | I | 0..1 | SimpleQuantity | High Range, if relevant |
| type | 0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (extensible) | |
| appliesTo | 0..* | CodeableConcept | Reference range population Binding: ObservationReferenceRangeAppliesToCodes (extensible) | |
| age | 0..1 | Range | Applicable age range, if relevant | |
| text | 0..1 | string | Text based reference range in an observation | |
| component | SΣI | 1..1 | BackboneElement | Used when reporting systolic and diastolic blood pressure. |
| 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: VitalSigns (extensible) |
| 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 | Σ | Coding | Systolic Blood Pressure Slice: Unordered, Open by value:code, value:system | |
| coding | Σ | 1..1 | Coding | Systolic Blood Pressure |
| 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 | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org |
| version | Σ | 0..1 | string | Version of the system - if relevant |
| code | Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8480-6 |
| 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 |
| valueQuantity | SΣ | 0..1 | Quantity | mmHg Binding: VitalSignsUnits (required) |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| value | SΣ | 1..1 | decimal | Numerical value (with implicit precision) |
| comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required) |
| unit | SΣ | 1..1 | string | Unit representation |
| system | SΣI | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org |
| code | SΣ | 1..1 | code | Coded responses from the common UCUM units for vital signs value set. Fixed Value: mm[Hg] |
| dataAbsentReason | SI | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible) |
| interpretation | 0..1 | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible) | |
| referenceRange | 0..1 | BackboneElement | Provides guide for interpretation of component result | |
| 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 | I | 0..1 | SimpleQuantity | Low Range, if relevant |
| high | I | 0..1 | SimpleQuantity | High Range, if relevant |
| type | 0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (extensible) | |
| appliesTo | 0..1 | CodeableConcept | Reference range population Binding: ObservationReferenceRangeAppliesToCodes (extensible) | |
| age | 0..1 | Range | Applicable age range, if relevant | |
| text | 0..1 | string | Text based reference range in an observation | |
| component | SΣI | 1..1 | BackboneElement | Used when reporting systolic and diastolic blood pressure. |
| 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: VitalSigns (extensible) |
| 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 | Σ | Coding | Diastolic Blood Pressure Slice: Unordered, Open by value:code, value:system | |
| coding | Σ | 1..1 | Coding | Diastolic Blood Pressure |
| 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 | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org |
| version | Σ | 0..1 | string | Version of the system - if relevant |
| code | Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8462-4 |
| 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 |
| valueQuantity | SΣ | 0..1 | Quantity | mmHg Binding: VitalSignsUnits (required) |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| value | SΣ | 1..1 | decimal | Numerical value (with implicit precision) |
| comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required) |
| unit | SΣ | 1..1 | string | Unit representation |
| system | SΣI | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org |
| code | SΣ | 1..1 | code | Coded responses from the common UCUM units for vital signs value set. Fixed Value: mm[Hg] |
| dataAbsentReason | SI | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible) |
| interpretation | 0..1 | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible) | |
| referenceRange | 0..1 | BackboneElement | Provides guide for interpretation of component result | |
| 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 | I | 0..1 | SimpleQuantity | Low Range, if relevant |
| high | I | 0..1 | SimpleQuantity | High Range, if relevant |
| type | 0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (extensible) | |
| appliesTo | 0..1 | CodeableConcept | Reference range population Binding: ObservationReferenceRangeAppliesToCodes (extensible) | |
| age | 0..1 | Range | Applicable age range, if relevant | |
| text | 0..1 | string | Text based reference range in an observation | |
| Documentation for this format | ||||
Summary
Mandatory: 0 element (4 nested mandatory elements)
Fixed Value: 4 elements
Prohibited: 4 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Mapping Source
This structure represents the following mapping definition:
vital.BloodPressure maps to http://hl7.org/fhir/StructureDefinition/bp: Language maps to language ImplicitRules maps to implicitRules Metadata.VersionId maps to meta.versionId Metadata.SourceSystem maps to meta.source Metadata.Profile maps to meta.profile Metadata.LastUpdated maps to meta.lastUpdated Metadata.SecurityLabel maps to meta.security Metadata.Tag maps to meta.tag Narrative maps to text Identifier maps to identifier ObservationBasedOn maps to basedOn ObservationPartOf maps to partOf Status maps to status Category maps to category Code maps to code ObservationSubjectOfRecord maps to subject FocalSubject maps to focus CareContext maps to encounter RelevantTime maps to effective[x] // Add Types Timing, instant StatementDateTime maps to issued Performer maps to performer // Added Target Types PractitionerRole, CareTeam DataValue maps to value[x] // Add Type integer, remove Type Attachment DataAbsentReason maps to dataAbsentReason Interpretation maps to interpretation Annotation maps to note BodyLocation.Code maps to bodySite BodyLocation.Laterality maps to bodySite.extension BodyLocation.AnatomicalOrientation maps to bodySite.extension BodyLocation.RelationToLandmark maps to bodySite.extension Method maps to method Specimen maps to specimen Device maps to device ReferenceRange maps to referenceRange ReferenceRange.LowerBound maps to referenceRange.low ReferenceRange.UpperBound maps to referenceRange.high ReferenceRange.Type maps to referenceRange.type ReferenceRange.ApplicableSubpopulation maps to referenceRange.appliesTo ReferenceRange.ApplicableAgeRange maps to referenceRange.age ReferenceRange.Text maps to referenceRange.text PanelMembers.Observation maps to hasMember (slice on = $this.resolve().code.coding.code; slice strategy = includes) ObservationDerivedFrom maps to derivedFrom Components.ObservationComponent maps to component (slice on = code.coding.code; slice strategy = includes) Components.ObservationComponent.Code maps to component.code Components.ObservationComponent.DataValue maps to component.value[x] Components.ObservationComponent.DataAbsentReason maps to component.dataAbsentReason Components.ObservationComponent.Interpretation maps to component.interpretation Components.ObservationComponent.ReferenceRange maps to component.referenceRange Components.ObservationComponent.ReferenceRange.LowerBound maps to component.referenceRange.low Components.ObservationComponent.ReferenceRange.UpperBound maps to component.referenceRange.high Components.ObservationComponent.ReferenceRange.Type maps to component.referenceRange.type Components.ObservationComponent.ReferenceRange.ApplicableSubpopulation maps to component.referenceRange.appliesTo Components.ObservationComponent.ReferenceRange.ApplicableAgeRange maps to component.referenceRange.age Components.ObservationComponent.ReferenceRange.Text maps to component.referenceRange.text Components.SystolicPressure maps to component (slice # = 1) Components.DiastolicPressure maps to component (slice # = 2)
Differential View
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Observation | I | 0..* | vital-BloodPressure | |
| 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) Max Binding: AllLanguages | |
| 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 Slice: Unordered, Open by value:url | |
| vital-PreconditionCode-extension | 0..* | CodeableConcept | PreconditionCode URL: http://hl7.org/fhir/us/mcode/StructureDefinition/vital-PreconditionCode-extension | |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..0 | |||
| url | 1..1 | uri | "http://hl7.org/fhir/us/mcode/StructureDefinition/vital-PreconditionCode-extension" | |
| valueCodeableConcept | 1..1 | CodeableConcept | Value of extension Binding: CardiopulmonaryPreconditionVS (extensible) | |
| vital-BodyPosition-extension | 0..1 | CodeableConcept | BodyPosition URL: http://hl7.org/fhir/us/mcode/StructureDefinition/vital-BodyPosition-extension Binding: BodyPositionVS (extensible) | |
| vital-BloodPressureCuffSize-extension | 0..1 | CodeableConcept | BloodPressureCuffSize URL: http://hl7.org/fhir/us/mcode/StructureDefinition/vital-BloodPressureCuffSize-extension Binding: BloodPressureCuffSizeVS (required) | |
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| identifier | Σ | 0..* | Identifier | Business Identifier for observation |
| basedOn | Σ | 0..* | Reference(US Core MedicationRequest Profile | ServiceRequest) | Fulfills plan, proposal or order |
| partOf | Σ | 0..* | Reference(MedicationAdministration | obf-MedicationStatement | obf-Procedure) | A larger event of which this particular Observation is a component or step. For example, an observation as part of a procedure. |
| status | ?!SΣ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required) |
| category | S | CodeableConcept | Classification of type of observation Slice: Unordered, Open by value:coding.code, value:coding.system Binding: ObservationCategoryCodes (preferred) | |
| category | S | 1..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred) |
| 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 | Blood Pressure Binding: VitalSigns (extensible) |
| 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 | Σ | Coding | Code defined by a terminology system Slice: Unordered, Open by value:code, value:system | |
| coding | Σ | 1..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 | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org |
| version | Σ | 0..1 | string | Version of the system - if relevant |
| code | Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 85354-9 |
| 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 |
| subject | SΣ | 1..1 | Reference(obf-Patient) | The subject of an observation |
| focus | Σ | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record |
| encounter | Σ | 0..1 | Reference(US Core Encounter Profile) | Healthcare event during which this observation is made |
| effective[x] | SΣI | 1..1 | dateTime, Period | Often just a dateTime for Vital Signs vs-1: if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day |
| issued | Σ | 0..1 | instant | Date/Time this version was made available |
| performer | Σ | 0..* | Reference(US Core Practitioner Profile | US Core Organization Profile | obf-Patient | RelatedPerson) | Who is responsible for the observation |
| interpretation | 0..1 | CodeableConcept | High, low, normal, etc. Binding: QuantitativeResultInterpretationVS (extensible) | |
| note | 0..* | Annotation | Comments about the observation | |
| bodySite | 0..1 | CodeableConcept | Observed body part Binding: BloodPressureBodyLocationVS (extensible) | |
| method | 0..1 | CodeableConcept | How it was done Binding: BloodPressureMethodVS (extensible) | |
| referenceRange | I | 0..1 | BackboneElement | Provides guide for interpretation obs-3: Must have at least a low or a high or text |
| 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 | I | 0..1 | SimpleQuantity | Low Range, if relevant |
| high | I | 0..1 | SimpleQuantity | High Range, if relevant |
| type | 0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (extensible) | |
| appliesTo | 0..1 | CodeableConcept | Reference range population Binding: ObservationReferenceRangeAppliesToCodes (extensible) | |
| age | 0..1 | Range | Applicable age range, if relevant | |
| text | 0..1 | string | Text based reference range in an observation | |
| derivedFrom | Σ | 0..* | Reference(US Core DocumentReference Profile | Media | QuestionnaireResponse) | Related measurements the observation is made from |
| component | SΣI | BackboneElement | Used when reporting systolic and diastolic blood pressure. Slice: Unordered, Open by value:code.coding.code, value:code.coding.system | |
| 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: VitalSigns (extensible) |
| value[x] | SΣ | 0..1 | Quantity, CodeableConcept, string, Range, Ratio, SampledData, time, dateTime, Period | Vital Sign Value recorded with UCUM Binding: VitalSignsUnits (required) |
| dataAbsentReason | SI | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible) |
| interpretation | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible) | |
| referenceRange | 0..* | BackboneElement | Provides guide for interpretation of component result | |
| 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 | I | 0..1 | SimpleQuantity | Low Range, if relevant |
| high | I | 0..1 | SimpleQuantity | High Range, if relevant |
| type | 0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (extensible) | |
| appliesTo | 0..* | CodeableConcept | Reference range population Binding: ObservationReferenceRangeAppliesToCodes (extensible) | |
| age | 0..1 | Range | Applicable age range, if relevant | |
| text | 0..1 | string | Text based reference range in an observation | |
| component | SΣI | 1..1 | BackboneElement | Used when reporting systolic and diastolic blood pressure. |
| 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: VitalSigns (extensible) |
| 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 | Σ | Coding | Systolic Blood Pressure Slice: Unordered, Open by value:code, value:system | |
| coding | Σ | 1..1 | Coding | Systolic Blood Pressure |
| 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 | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org |
| version | Σ | 0..1 | string | Version of the system - if relevant |
| code | Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8480-6 |
| 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 |
| valueQuantity | SΣ | 0..1 | Quantity | mmHg Binding: VitalSignsUnits (required) |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| value | SΣ | 1..1 | decimal | Numerical value (with implicit precision) |
| comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required) |
| unit | SΣ | 1..1 | string | Unit representation |
| system | SΣI | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org |
| code | SΣ | 1..1 | code | Coded responses from the common UCUM units for vital signs value set. Fixed Value: mm[Hg] |
| dataAbsentReason | SI | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible) |
| interpretation | 0..1 | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible) | |
| referenceRange | 0..1 | BackboneElement | Provides guide for interpretation of component result | |
| 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 | I | 0..1 | SimpleQuantity | Low Range, if relevant |
| high | I | 0..1 | SimpleQuantity | High Range, if relevant |
| type | 0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (extensible) | |
| appliesTo | 0..1 | CodeableConcept | Reference range population Binding: ObservationReferenceRangeAppliesToCodes (extensible) | |
| age | 0..1 | Range | Applicable age range, if relevant | |
| text | 0..1 | string | Text based reference range in an observation | |
| component | SΣI | 1..1 | BackboneElement | Used when reporting systolic and diastolic blood pressure. |
| 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: VitalSigns (extensible) |
| 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 | Σ | Coding | Diastolic Blood Pressure Slice: Unordered, Open by value:code, value:system | |
| coding | Σ | 1..1 | Coding | Diastolic Blood Pressure |
| 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 | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org |
| version | Σ | 0..1 | string | Version of the system - if relevant |
| code | Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8462-4 |
| 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 |
| valueQuantity | SΣ | 0..1 | Quantity | mmHg Binding: VitalSignsUnits (required) |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| value | SΣ | 1..1 | decimal | Numerical value (with implicit precision) |
| comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required) |
| unit | SΣ | 1..1 | string | Unit representation |
| system | SΣI | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org |
| code | SΣ | 1..1 | code | Coded responses from the common UCUM units for vital signs value set. Fixed Value: mm[Hg] |
| dataAbsentReason | SI | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible) |
| interpretation | 0..1 | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible) | |
| referenceRange | 0..1 | BackboneElement | Provides guide for interpretation of component result | |
| 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 | I | 0..1 | SimpleQuantity | Low Range, if relevant |
| high | I | 0..1 | SimpleQuantity | High Range, if relevant |
| type | 0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (extensible) | |
| appliesTo | 0..1 | CodeableConcept | Reference range population Binding: ObservationReferenceRangeAppliesToCodes (extensible) | |
| age | 0..1 | Range | Applicable age range, if relevant | |
| text | 0..1 | string | Text based reference range in an observation | |
| Documentation for this format | ||||
Downloads: StructureDefinition: (XML, JSON, TTL), Schema: XML Schematron
| Path | Conformance | ValueSet |
| Observation.language | preferred | CommonLanguages Max Binding: AllLanguages |
| Observation.extension:preconditioncode.valueCodeableConcept | extensible | CardiopulmonaryPreconditionVS |
| Observation.status | required | ObservationStatus |
| Observation.category | preferred | ObservationCategoryCodes |
| Observation.category:VSCat | preferred | ObservationCategoryCodes |
| Observation.code | extensible | VitalSigns |
| Observation.interpretation | extensible | QuantitativeResultInterpretationVS |
| Observation.bodySite | extensible | BloodPressureBodyLocationVS |
| Observation.method | extensible | BloodPressureMethodVS |
| Observation.referenceRange.type | extensible | ObservationReferenceRangeMeaningCodes |
| Observation.referenceRange.appliesTo | extensible | ObservationReferenceRangeAppliesToCodes |
| Observation.component.code | extensible | VitalSigns |
| Observation.component.value[x] | required | VitalSignsUnits |
| Observation.component.dataAbsentReason | extensible | DataAbsentReason |
| Observation.component.interpretation | extensible | ObservationInterpretationCodes |
| Observation.component.referenceRange.type | extensible | ObservationReferenceRangeMeaningCodes |
| Observation.component.referenceRange.appliesTo | extensible | ObservationReferenceRangeAppliesToCodes |
| Observation.component:SystolicBP.code | extensible | VitalSigns |
| Observation.component:SystolicBP.valueQuantity | required | VitalSignsUnits |
| Observation.component:SystolicBP.valueQuantity.comparator | required | QuantityComparator |
| Observation.component:SystolicBP.dataAbsentReason | extensible | DataAbsentReason |
| Observation.component:SystolicBP.interpretation | extensible | ObservationInterpretationCodes |
| Observation.component:SystolicBP.referenceRange.type | extensible | ObservationReferenceRangeMeaningCodes |
| Observation.component:SystolicBP.referenceRange.appliesTo | extensible | ObservationReferenceRangeAppliesToCodes |
| Observation.component:DiastolicBP.code | extensible | VitalSigns |
| Observation.component:DiastolicBP.valueQuantity | required | VitalSignsUnits |
| Observation.component:DiastolicBP.valueQuantity.comparator | required | QuantityComparator |
| Observation.component:DiastolicBP.dataAbsentReason | extensible | DataAbsentReason |
| Observation.component:DiastolicBP.interpretation | extensible | ObservationInterpretationCodes |
| Observation.component:DiastolicBP.referenceRange.type | extensible | ObservationReferenceRangeMeaningCodes |
| Observation.component:DiastolicBP.referenceRange.appliesTo | extensible | ObservationReferenceRangeAppliesToCodes |
| Id | Path | Details | Requirements |
| dom-2 | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-4 | Observation | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-3 | Observation | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-6 | Observation | A resource should have narrative for robust management : text.div.exists() | |
| dom-5 | Observation | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| obs-7 | Observation | If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where( (coding.code = %resource.code.coding.code) and (coding.system = %resource.code.coding.system)).empty() | |
| obs-6 | Observation | dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty() | |
| vs-2 | Observation | If there is no component or hasMember element then either a value[x] or a data absent reason must be present. : (component.empty() and hasMember.empty()) implies (dataAbsentReason or value) | |
| vs-1 | Observation.effective[x] | if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day : ($this as dateTime).toString().length() >= 8 | |
| ele-1 | Observation.referenceRange | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| obs-3 | Observation.referenceRange | Must have at least a low or a high or text : low.exists() or high.exists() or text.exists() | |
| ele-1 | Observation.component | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| vs-3 | Observation.component | If there is no a value a data absent reason must be present : value.exists() or dataAbsentReason.exists() | |
| ele-1 | Observation.component | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| vs-3 | Observation.component | If there is no a value a data absent reason must be present : value.exists() or dataAbsentReason.exists() | |
| ele-1 | Observation.component | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| vs-3 | Observation.component | If there is no a value a data absent reason must be present : value.exists() or dataAbsentReason.exists() |
©2019+
HL7 International Clinical Interoperability Council.
Package hl7.fhir.us.mcode#0.9.1 based on FHIR 4.0.0.
Generated 2019-08-02.
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