Vital Signs with Qualifying Elements
1.0.0 - STU 1 US

This page is part of the Vital Signs FHIR IG (v1.0.0: STU1) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions

Resource Profile: Heart Rate

Official URL: http://hl7.org/fhir/us/vitals/StructureDefinition/heart-rate Version: 1.0.0
Active as of 2022-09-12 Computable Name: HeartRate

Copyright/Legal: Logica Health, all rights reserved Creative Commons License

The number of heart beats in a minute.

Scope

The Heart Rate profile contains one observation, heart rate. In addition, this profile contains the following qualifying observations with associated SNOMED CT value sets: Body Position, observation-deviceCode, Exercise Association, SleepStatus, and MeasurementSetting.

Note

Many times Heart Rate is measured at the same time as a blood pressure, using a blood pressure device. Although this profile does not constrain the Observation.device element to the Blood Pressure Device profile as we did for the blood pressure profiles, it may be used to record the blood pressure device used to obtain the heart rate. This constraint was not made due to the fact that there are many devices primarily used for other measurements (e.g. blood pressure, oxygen saturation via pulse oximetry) that could also measure a heart rate. Constraining Observation.device to Blood Pressure Device would falsely limit it.

Examples

The following examples are provided to illustrate conformant resource content to this profile.

Use Cases

1. Heart rate measured using radial artery palpation.

FHIR path and element binding Text Description Code Terminology
Observation.code Heart Rate 8867-4 LOINC
Observation.method.value Palpation 113011001 SNOMED CT
Observation.bodySite.value Structure of radial artery (body structure) 45631007 SNOMED CT

2. Heart rate measurement during anesthesia

FHIR path and element binding Text Description Code Terminology
Observation.code Heart Rate 8867-4 LOINC
Associated Situation extension bindings
Observation.extension(AssociatedSituation).value During procedure 307154001 SNOMED CT

Value sets

Value Set Purpose
Body Position value set This value set contains concepts used to result the patient's body position, referencing the SNOMED Code 397155001 Body position (observable entity) and the LOINC term "Body position with respect to gravity" 8361-8.
Heart Rate Device Type value set This value set contains concepts used to result the type of device used to measure a heart rate, referencing the LOINC term "Type of Heart rate device" 8887-2.
Heart Rate Measurement Body Location Precoordinated value set This value set contains a constrained list body location values used to result the body location where a heart rate was measured, referencing the LOINC term "Heart rate measurement site", 41904-4.
Heart Rate Measurement Method value set This value set contains concepts used to result the method used for a blood pressure measurement, referencing the LOINC term "Heart rate method” 8886-4.
Exertion Phase value set The purpose of the value set is to document exercise associated with a measurement. Resulting LOINC code 74008-4 "Exercise intensity".
Sleep Status value set This value set contains values used to indicate the state of wakefulness during measurement

Usage:

Formal Views of Profile Content

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

This structure is derived from observation-heartrate

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 0..*observation-heartrateFHIR Heart Rate Profile
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... measurmentDevice S0..1CodeableConceptMeasurement Device Type
URL: http://hl7.org/fhir/StructureDefinition/observation-deviceCode
Binding: FHIRDeviceTypes (example)
.... valueCodeableConcept 1..1CodeableConceptValue of extension
Binding: Heart Rate Measurement Device value set (extensible)
... exerciseAssociation S0..1CodeableConceptExercise Association
URL: http://hl7.org/fhir/us/vitals/StructureDefinition/ExerciseAssociationExt
Binding: Exertion Phase value set (extensible)
.... valueCodeableConcept 1..1CodeableConceptValue of extension
Binding: Body Position value set (extensible)
... measurementSetting S0..1CodeableConceptMeasurement setting
URL: http://hl7.org/fhir/us/vitals/StructureDefinition/MeasurementSettingExt
Binding: Measurement Setting value set (extensible)
... sleepStatus S0..1CodeableConceptSleep Status
URL: http://hl7.org/fhir/us/vitals/StructureDefinition/SleepStatusExt
Binding: Sleep Status value set (extensible)
... associatedSituation S0..1CodeableConceptAssociated Situation
URL: http://hl7.org/fhir/us/vitals/StructureDefinition/AssociatedSituationExt
... code 1..1CodeableConceptHeart rate
... subject 1..1Reference(US Core Patient Profile)Who and/or what the observation is about
... interpretation 0..*CodeableConceptHigh, low, normal, etc.
Binding: Numeric Result Interpretation value set (extensible)
... bodySite S0..1CodeableConceptObserved body part
Binding: Heart Rate Measurement Body Location Precoordinated value set (extensible)
... method S0..1CodeableConceptHow it was done
Binding: Heart Rate Measurement Method value set (extensible)

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C0..*observation-heartrateFHIR Heart Rate Profile
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... measurmentDevice S0..1CodeableConceptMeasurement Device Type
URL: http://hl7.org/fhir/StructureDefinition/observation-deviceCode
Binding: FHIRDeviceTypes (example)
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..0
.... url 1..1uri"http://hl7.org/fhir/StructureDefinition/observation-deviceCode"
.... Slices for value[x] 1..1CodeableConceptValue of extension
Slice: Unordered, Closed by type:$this
Binding: FHIRDeviceTypes (example)
..... value[x]:valueCodeableConcept 1..1CodeableConceptValue of extension
Binding: Heart Rate Measurement Device value set (extensible)
... exerciseAssociation S0..1CodeableConceptExercise Association
URL: http://hl7.org/fhir/us/vitals/StructureDefinition/ExerciseAssociationExt
Binding: Exertion Phase value set (extensible)
... bodyPosition S0..1CodeableConceptBody Position
URL: http://hl7.org/fhir/StructureDefinition/observation-bodyPosition
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..0
.... url 1..1uri"http://hl7.org/fhir/StructureDefinition/observation-bodyPosition"
.... Slices for value[x] 1..1CodeableConceptValue of extension
Slice: Unordered, Closed by type:$this
..... value[x]:valueCodeableConcept 1..1CodeableConceptValue of extension
Binding: Body Position value set (extensible)
... measurementSetting S0..1CodeableConceptMeasurement setting
URL: http://hl7.org/fhir/us/vitals/StructureDefinition/MeasurementSettingExt
Binding: Measurement Setting value set (extensible)
... sleepStatus S0..1CodeableConceptSleep Status
URL: http://hl7.org/fhir/us/vitals/StructureDefinition/SleepStatusExt
Binding: Sleep Status value set (extensible)
... associatedSituation S0..1CodeableConceptAssociated Situation
URL: http://hl7.org/fhir/us/vitals/StructureDefinition/AssociatedSituationExt
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierBusiness Identifier for observation
... basedOn Σ0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)Fulfills plan, proposal or order
... partOf Σ0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)Part of referenced event
... status ?!SΣ1..1coderegistered | preliminary | final | amended +
Binding: ObservationStatus (required)
... Slices for category S1..*CodeableConceptClassification 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 S1..1CodeableConceptClassification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... coding SΣ1..*CodingCode defined by a terminology system
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... version Σ0..1stringVersion of the system - if relevant
...... code SΣ1..1codeSymbol in syntax defined by the system
Fixed Value: vital-signs
...... display Σ0..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
..... text Σ0..1stringPlain text representation of the concept
... code SΣ1..1CodeableConceptHeart rate
Binding: VitalSigns (extensible): This identifies the vital sign result type.

.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ0..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:code, value:system
..... coding:HeartRateCode Σ1..1CodingCode defined by a terminology system
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
...... version Σ0..1stringVersion of the system - if relevant
...... code Σ1..1codeSymbol in syntax defined by the system
Fixed Value: 8867-4
...... display Σ0..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... text Σ0..1stringPlain text representation of the concept
... subject SΣ1..1Reference(US Core Patient Profile)Who and/or what the observation is about
... focus Σ0..*Reference(Resource)What the observation is about, when it is not about the subject of record
... encounter Σ0..1Reference(Encounter)Healthcare event during which this observation is made
... effective[x] SΣC1..1Often just a dateTime for Vital Signs
.... effectiveDateTimedateTime
.... effectivePeriodPeriod
... issued Σ0..1instantDate/Time this version was made available
... performer Σ0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)Who is responsible for the observation
... Slices for value[x] SΣC0..1QuantityVital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.
Slice: Unordered, Closed by type:$this
.... value[x]:valueQuantity SΣC0..1QuantityVital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... value SΣ1..1decimalNumerical value (with implicit precision)
..... comparator ?!Σ0..1code< | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.

..... unit SΣ1..1stringUnit representation
..... system SΣC1..1uriSystem that defines coded unit form
Fixed Value: http://unitsofmeasure.org
..... code SΣ1..1codeCoded responses from the common UCUM units for vital signs value set.
Fixed Value: /min
... dataAbsentReason SC0..1CodeableConceptWhy the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

... interpretation 0..*CodeableConceptHigh, low, normal, etc.
Binding: Numeric Result Interpretation value set (extensible)
... note 0..*AnnotationComments about the observation
... bodySite S0..1CodeableConceptObserved body part
Binding: Heart Rate Measurement Body Location Precoordinated value set (extensible)
... method S0..1CodeableConceptHow it was done
Binding: Heart Rate Measurement Method value set (extensible)
... specimen 0..1Reference(Specimen)Specimen used for this observation
... device 0..1Reference(Device | DeviceMetric)(Measurement) Device
... referenceRange C0..*BackboneElementProvides guide for interpretation
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... low C0..1SimpleQuantityLow Range, if relevant
.... high C0..1SimpleQuantityHigh Range, if relevant
.... type 0..1CodeableConceptReference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.

.... appliesTo 0..*CodeableConceptReference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.


.... age 0..1RangeApplicable age range, if relevant
.... text 0..1stringText based reference range in an observation
... hasMember Σ0..*Reference(QuestionnaireResponse | MolecularSequence | Vital Signs Profile)Used when reporting vital signs panel components
... derivedFrom Σ0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | MolecularSequence | Vital Signs Profile)Related measurements the observation is made from
... component SΣC0..*BackboneElementUsed when reporting systolic and diastolic blood pressure.
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code SΣ1..1CodeableConceptType of component observation (code / type)
Binding: VitalSigns (extensible): This identifies the vital sign result type.

.... value[x] SΣC0..1Vital Sign Value recorded with UCUM
Binding: VitalSignsUnits (required): Common UCUM units for recording Vital Signs.

..... valueQuantityQuantity
..... valueCodeableConceptCodeableConcept
..... valueStringstring
..... valueBooleanboolean
..... valueIntegerinteger
..... valueRangeRange
..... valueRatioRatio
..... valueSampledDataSampledData
..... valueTimetime
..... valueDateTimedateTime
..... valuePeriodPeriod
.... dataAbsentReason SC0..1CodeableConceptWhy the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

.... interpretation 0..*CodeableConceptHigh, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


.... referenceRange 0..*See referenceRange (Observation)Provides guide for interpretation of component result

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C0..*observation-heartrateFHIR Heart Rate Profile
... measurmentDevice 0..1CodeableConceptMeasurement Device Type
URL: http://hl7.org/fhir/StructureDefinition/observation-deviceCode
Binding: FHIRDeviceTypes (example)
... exerciseAssociation 0..1CodeableConceptExercise Association
URL: http://hl7.org/fhir/us/vitals/StructureDefinition/ExerciseAssociationExt
Binding: Exertion Phase value set (extensible)
... bodyPosition 0..1CodeableConceptBody Position
URL: http://hl7.org/fhir/StructureDefinition/observation-bodyPosition
... sleepStatus 0..1CodeableConceptSleep Status
URL: http://hl7.org/fhir/us/vitals/StructureDefinition/SleepStatusExt
Binding: Sleep Status value set (extensible)
... associatedSituation 0..1CodeableConceptAssociated Situation
URL: http://hl7.org/fhir/us/vitals/StructureDefinition/AssociatedSituationExt
... status ?!Σ1..1coderegistered | preliminary | final | amended +
Binding: ObservationStatus (required)
... Slices for category 1..*CodeableConceptClassification 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 1..1CodeableConceptClassification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


..... coding Σ1..*CodingCode defined by a terminology system
...... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... code Σ1..1codeSymbol in syntax defined by the system
Fixed Value: vital-signs
... code Σ1..1CodeableConceptHeart rate
Binding: VitalSigns (extensible): This identifies the vital sign result type.

... subject Σ1..1Reference(US Core Patient Profile)Who and/or what the observation is about
... effective[x] ΣC1..1Often just a dateTime for Vital Signs
.... effectiveDateTimedateTime
.... effectivePeriodPeriod
... Slices for value[x] ΣC0..1QuantityVital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.
Slice: Unordered, Closed by type:$this
.... value[x]:valueQuantity ΣC0..1QuantityVital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.
..... value Σ1..1decimalNumerical value (with implicit precision)
..... unit Σ1..1stringUnit representation
..... system ΣC1..1uriSystem that defines coded unit form
Fixed Value: http://unitsofmeasure.org
..... code Σ1..1codeCoded responses from the common UCUM units for vital signs value set.
Fixed Value: /min
... dataAbsentReason C0..1CodeableConceptWhy the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

... bodySite 0..1CodeableConceptObserved body part
Binding: Heart Rate Measurement Body Location Precoordinated value set (extensible)
... method 0..1CodeableConceptHow it was done
Binding: Heart Rate Measurement Method value set (extensible)
... component ΣC0..*BackboneElementUsed when reporting systolic and diastolic blood pressure.
.... code Σ1..1CodeableConceptType of component observation (code / type)
Binding: VitalSigns (extensible): This identifies the vital sign result type.

.... value[x] ΣC0..1Vital Sign Value recorded with UCUM
Binding: VitalSignsUnits (required): Common UCUM units for recording Vital Signs.

..... valueQuantityQuantity
..... valueCodeableConceptCodeableConcept
..... valueStringstring
..... valueBooleanboolean
..... valueIntegerinteger
..... valueRangeRange
..... valueRatioRatio
..... valueSampledDataSampledData
..... valueTimetime
..... valueDateTimedateTime
..... valuePeriodPeriod
.... dataAbsentReason C0..1CodeableConceptWhy the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.


doco Documentation for this format

Differential View

This structure is derived from observation-heartrate

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 0..*observation-heartrateFHIR Heart Rate Profile
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... measurmentDevice S0..1CodeableConceptMeasurement Device Type
URL: http://hl7.org/fhir/StructureDefinition/observation-deviceCode
Binding: FHIRDeviceTypes (example)
.... valueCodeableConcept 1..1CodeableConceptValue of extension
Binding: Heart Rate Measurement Device value set (extensible)
... exerciseAssociation S0..1CodeableConceptExercise Association
URL: http://hl7.org/fhir/us/vitals/StructureDefinition/ExerciseAssociationExt
Binding: Exertion Phase value set (extensible)
.... valueCodeableConcept 1..1CodeableConceptValue of extension
Binding: Body Position value set (extensible)
... measurementSetting S0..1CodeableConceptMeasurement setting
URL: http://hl7.org/fhir/us/vitals/StructureDefinition/MeasurementSettingExt
Binding: Measurement Setting value set (extensible)
... sleepStatus S0..1CodeableConceptSleep Status
URL: http://hl7.org/fhir/us/vitals/StructureDefinition/SleepStatusExt
Binding: Sleep Status value set (extensible)
... associatedSituation S0..1CodeableConceptAssociated Situation
URL: http://hl7.org/fhir/us/vitals/StructureDefinition/AssociatedSituationExt
... code 1..1CodeableConceptHeart rate
... subject 1..1Reference(US Core Patient Profile)Who and/or what the observation is about
... interpretation 0..*CodeableConceptHigh, low, normal, etc.
Binding: Numeric Result Interpretation value set (extensible)
... bodySite S0..1CodeableConceptObserved body part
Binding: Heart Rate Measurement Body Location Precoordinated value set (extensible)
... method S0..1CodeableConceptHow it was done
Binding: Heart Rate Measurement Method value set (extensible)

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C0..*observation-heartrateFHIR Heart Rate Profile
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... measurmentDevice S0..1CodeableConceptMeasurement Device Type
URL: http://hl7.org/fhir/StructureDefinition/observation-deviceCode
Binding: FHIRDeviceTypes (example)
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..0
.... url 1..1uri"http://hl7.org/fhir/StructureDefinition/observation-deviceCode"
.... Slices for value[x] 1..1CodeableConceptValue of extension
Slice: Unordered, Closed by type:$this
Binding: FHIRDeviceTypes (example)
..... value[x]:valueCodeableConcept 1..1CodeableConceptValue of extension
Binding: Heart Rate Measurement Device value set (extensible)
... exerciseAssociation S0..1CodeableConceptExercise Association
URL: http://hl7.org/fhir/us/vitals/StructureDefinition/ExerciseAssociationExt
Binding: Exertion Phase value set (extensible)
... bodyPosition S0..1CodeableConceptBody Position
URL: http://hl7.org/fhir/StructureDefinition/observation-bodyPosition
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..0
.... url 1..1uri"http://hl7.org/fhir/StructureDefinition/observation-bodyPosition"
.... Slices for value[x] 1..1CodeableConceptValue of extension
Slice: Unordered, Closed by type:$this
..... value[x]:valueCodeableConcept 1..1CodeableConceptValue of extension
Binding: Body Position value set (extensible)
... measurementSetting S0..1CodeableConceptMeasurement setting
URL: http://hl7.org/fhir/us/vitals/StructureDefinition/MeasurementSettingExt
Binding: Measurement Setting value set (extensible)
... sleepStatus S0..1CodeableConceptSleep Status
URL: http://hl7.org/fhir/us/vitals/StructureDefinition/SleepStatusExt
Binding: Sleep Status value set (extensible)
... associatedSituation S0..1CodeableConceptAssociated Situation
URL: http://hl7.org/fhir/us/vitals/StructureDefinition/AssociatedSituationExt
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierBusiness Identifier for observation
... basedOn Σ0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)Fulfills plan, proposal or order
... partOf Σ0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)Part of referenced event
... status ?!SΣ1..1coderegistered | preliminary | final | amended +
Binding: ObservationStatus (required)
... Slices for category S1..*CodeableConceptClassification 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 S1..1CodeableConceptClassification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... coding SΣ1..*CodingCode defined by a terminology system
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... version Σ0..1stringVersion of the system - if relevant
...... code SΣ1..1codeSymbol in syntax defined by the system
Fixed Value: vital-signs
...... display Σ0..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
..... text Σ0..1stringPlain text representation of the concept
... code SΣ1..1CodeableConceptHeart rate
Binding: VitalSigns (extensible): This identifies the vital sign result type.

.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ0..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:code, value:system
..... coding:HeartRateCode Σ1..1CodingCode defined by a terminology system
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
...... version Σ0..1stringVersion of the system - if relevant
...... code Σ1..1codeSymbol in syntax defined by the system
Fixed Value: 8867-4
...... display Σ0..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... text Σ0..1stringPlain text representation of the concept
... subject SΣ1..1Reference(US Core Patient Profile)Who and/or what the observation is about
... focus Σ0..*Reference(Resource)What the observation is about, when it is not about the subject of record
... encounter Σ0..1Reference(Encounter)Healthcare event during which this observation is made
... effective[x] SΣC1..1Often just a dateTime for Vital Signs
.... effectiveDateTimedateTime
.... effectivePeriodPeriod
... issued Σ0..1instantDate/Time this version was made available
... performer Σ0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)Who is responsible for the observation
... Slices for value[x] SΣC0..1QuantityVital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.
Slice: Unordered, Closed by type:$this
.... value[x]:valueQuantity SΣC0..1QuantityVital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... value SΣ1..1decimalNumerical value (with implicit precision)
..... comparator ?!Σ0..1code< | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.

..... unit SΣ1..1stringUnit representation
..... system SΣC1..1uriSystem that defines coded unit form
Fixed Value: http://unitsofmeasure.org
..... code SΣ1..1codeCoded responses from the common UCUM units for vital signs value set.
Fixed Value: /min
... dataAbsentReason SC0..1CodeableConceptWhy the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

... interpretation 0..*CodeableConceptHigh, low, normal, etc.
Binding: Numeric Result Interpretation value set (extensible)
... note 0..*AnnotationComments about the observation
... bodySite S0..1CodeableConceptObserved body part
Binding: Heart Rate Measurement Body Location Precoordinated value set (extensible)
... method S0..1CodeableConceptHow it was done
Binding: Heart Rate Measurement Method value set (extensible)
... specimen 0..1Reference(Specimen)Specimen used for this observation
... device 0..1Reference(Device | DeviceMetric)(Measurement) Device
... referenceRange C0..*BackboneElementProvides guide for interpretation
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... low C0..1SimpleQuantityLow Range, if relevant
.... high C0..1SimpleQuantityHigh Range, if relevant
.... type 0..1CodeableConceptReference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.

.... appliesTo 0..*CodeableConceptReference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.


.... age 0..1RangeApplicable age range, if relevant
.... text 0..1stringText based reference range in an observation
... hasMember Σ0..*Reference(QuestionnaireResponse | MolecularSequence | Vital Signs Profile)Used when reporting vital signs panel components
... derivedFrom Σ0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | MolecularSequence | Vital Signs Profile)Related measurements the observation is made from
... component SΣC0..*BackboneElementUsed when reporting systolic and diastolic blood pressure.
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code SΣ1..1CodeableConceptType of component observation (code / type)
Binding: VitalSigns (extensible): This identifies the vital sign result type.

.... value[x] SΣC0..1Vital Sign Value recorded with UCUM
Binding: VitalSignsUnits (required): Common UCUM units for recording Vital Signs.

..... valueQuantityQuantity
..... valueCodeableConceptCodeableConcept
..... valueStringstring
..... valueBooleanboolean
..... valueIntegerinteger
..... valueRangeRange
..... valueRatioRatio
..... valueSampledDataSampledData
..... valueTimetime
..... valueDateTimedateTime
..... valuePeriodPeriod
.... dataAbsentReason SC0..1CodeableConceptWhy the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

.... interpretation 0..*CodeableConceptHigh, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


.... referenceRange 0..*See referenceRange (Observation)Provides guide for interpretation of component result

doco Documentation for this format

 

Other representations of profile: CSV, Excel, Schematron

Terminology Bindings

PathConformanceValueSet
Observation.languagepreferredCommonLanguages
Max Binding: AllLanguages
Observation.extension:measurmentDevice.value[x]exampleFHIRDeviceTypes
Observation.extension:measurmentDevice.value[x]:valueCodeableConceptextensibleHeartRateMeasurementDevicevalueset
Observation.extension:bodyPosition.value[x]:valueCodeableConceptextensibleBodyPositionvalueset
Observation.statusrequiredObservationStatus
Observation.categorypreferredObservationCategoryCodes
Observation.category:VSCatpreferredObservationCategoryCodes
Observation.codeextensibleVitalSigns
Observation.value[x]:valueQuantity.comparatorrequiredQuantityComparator
Observation.dataAbsentReasonextensibleDataAbsentReason
Observation.interpretationextensibleNumericResultInterpretationNom
Observation.bodySiteextensibleHeartRateMeasurementBodyLocationPrecoordinatedvalueset
Observation.methodextensibleHeartRateMeasurementMethodvalueset
Observation.referenceRange.typepreferredObservationReferenceRangeMeaningCodes
Observation.referenceRange.appliesToexampleObservationReferenceRangeAppliesToCodes
Observation.component.codeextensibleVitalSigns
Observation.component.value[x]requiredVitalSignsUnits
Observation.component.dataAbsentReasonextensibleDataAbsentReason
Observation.component.interpretationextensibleObservationInterpretationCodes