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 in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Resource Profile: Average Blood Pressure

Official URL: http://hl7.org/fhir/us/vitals/StructureDefinition/average-blood-pressure Version: 1.0.0
Active as of 2022-09-12 Computable Name: AverageBloodPressure

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

A calculated average of two or more blood pressure readings in a specified time period or according to a specified algorithm or protocol. The average blood pressure has a systolic and a diastolic component.

Scope

This blood pressure profile is used to capture the calculated average blood pressure from a set of individual measurements.

About the extensions

The expectation for the extensions in this profile is that if populated, they qualify each of the individual measurements used to calculate the average blood pressure. For example, if the body position give in an intance of the this profile is “sitting” then the body position for either the systolic or diastolic blood pressures is “sitting”.

Body Position - This is used to capture an individual’s body position while taking a blood pressure.

Exercise Association - This is used to capture an individual’s excercise status while taking blood pressure.

Measurement Setting - This is used to capture the location (not body site) where the measurement(s) took place; At home, hospital, clinic, etc.

Measurement Protocol - This is used to capture a set of rules used for the calculation of the blood pressure average; the number of measurments to be obtained, the time interval between measurements, the overall period for the measurements, and any instructions such as “take while sitting, after five minutes”, etc.. This can be institution specific, provider specific, clinical society specific (i.e. AMA), etc.

Example

AverageBloodPressure-example

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.
Blood Pressure Device Type value set This value set contains concepts used to result the type of device used to measure a body blood pressure, referencing the SNOMED Code 23591000205102 “Blood pressure device type (observable entity)" and the LOINC term “Type of Blood pressure device” 41901-0.
Blood Pressure Measurement Site value set This value set contains a constrained list body location values used to result the body location where a blood pressure was measured, referencing the SNOMED Code 2281000205100 “Blood pressure measurement site (observable entity)” and the LOINC term "Blood pressure measurement site", 41904-4.
Blood Pressure Method value set This value set contains concepts used to result the method used for a blood pressure measurement, referencing the SNOMED Code 2291000205103 “Blood pressure method (observable entity)” and the LOINC term "Blood pressure method" 8357-6.
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.
Measurement Setting value set This value set is used to result the Measurement Setting extension.

Usage:

Formal Views of Profile Content

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

This structure is derived from observation-vitalsigns

Summary

Mandatory: 2 elements (8 nested mandatory elements)
Must-Support: 17 elements
Fixed Value: 4 elements
Prohibited: 2 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element Observation.component is sliced based on the value of pattern:code
  • The element Observation.component.value[x] is sliced based on the value of type:$this

This structure is derived from observation-vitalsigns

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 0..*observation-vitalsignsFHIR Vital Signs Profile
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... BodyPosition S0..1CodeableConceptBody Position
URL: http://hl7.org/fhir/StructureDefinition/observation-bodyPosition
... exerciseAssociation S0..1CodeableConceptExercise Association
URL: http://hl7.org/fhir/us/vitals/StructureDefinition/ExerciseAssociationExt
Binding: Exertion Phase value set (extensible)
... MeasurementProtocol S0..1CodeableConceptRules and algorithm for Average Blood Pressure calculation.
URL: http://hl7.org/fhir/us/vitals/StructureDefinition/MeasurementProtocolExt
Binding: Measurement Protocol value set (extensible)
... code 1..1CodeableConceptBlood pressure panel unspecified time mean
Required Pattern: At least the following
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 96607-7
... subject 1..1Reference(US Core Patient Profile)Who and/or what the observation is about
... value[x] 0..0
... bodySite S0..1CodeableConceptObserved body part
Binding: Blood Pressure Measurement Body Location Precoordinated value set (extensible): A set of codes that describe where on/in the body an observation or procedure took place

... method S0..1CodeableConceptHow it was done
Binding: Blood Pressure Measurement Method value set (extensible): A set of codes that describe the method used to measure a blood pressure

... specimen 0..0
... device S0..1Reference(Blood Pressure Device)Blood Pressure Device
... Slices for component 1..*BackboneElementBlood pressure components
Slice: Unordered, Open by pattern:code
.... component:SystolicBP 1..1BackboneElementSystolic Blood Pressure
..... code 1..1CodeableConceptSystolic blood pressure unspecified time mean
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 96608-5
..... value[x] 0..1QuantityVital Sign Value recorded with UCUM
Slice: Unordered, Open by type:$this
..... valueQuantity S0..1QuantityVital Sign Value recorded with UCUM
...... value S1..1decimalNumerical value (with implicit precision)
...... unit S1..1stringUnit representation
...... system S1..1uriSystem that defines coded unit form
Fixed Value: http://unitsofmeasure.org
...... code S1..1codeCoded form of the unit
Fixed Value: mm[Hg]
.... component:DiastolicBP 0..1BackboneElementDiastolic Blood Pressure
..... code 1..1CodeableConceptDiastolic blood pressure unspecified time mean
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 96609-3
..... value[x] 0..1QuantityVital Sign Value recorded with UCUM
Slice: Unordered, Open by type:$this
..... valueQuantity S0..1QuantityVital Sign Value recorded with UCUM
...... value S1..1decimalNumerical value (with implicit precision)
...... unit S1..1stringUnit representation
...... system S1..1uriSystem that defines coded unit form
Fixed Value: http://unitsofmeasure.org
...... code S1..1codeCoded form of the unit
Fixed Value: mm[Hg]

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C0..*observation-vitalsignsFHIR Vital Signs 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
... BodyPosition S0..1CodeableConceptBody Position
URL: http://hl7.org/fhir/StructureDefinition/observation-bodyPosition
... exerciseAssociation S0..1CodeableConceptExercise Association
URL: http://hl7.org/fhir/us/vitals/StructureDefinition/ExerciseAssociationExt
Binding: Exertion Phase value set (extensible)
... MeasurementSetting S0..1CodeableConceptMeasurement setting
URL: http://hl7.org/fhir/us/vitals/StructureDefinition/MeasurementSettingExt
Binding: Measurement Setting value set (extensible)
... MeasurementProtocol S0..1CodeableConceptRules and algorithm for Average Blood Pressure calculation.
URL: http://hl7.org/fhir/us/vitals/StructureDefinition/MeasurementProtocolExt
Binding: Measurement Protocol value set (extensible)
... 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..1CodeableConceptBlood pressure panel unspecified time mean
Binding: VitalSigns (extensible): This identifies the vital sign result type.


Required Pattern: At least the following
.... id0..1idUnique id for inter-element referencing
.... extension0..*ExtensionAdditional content defined by implementations
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... id0..1idUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
..... version0..1stringVersion of the system - if relevant
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 96607-7
..... display0..1stringRepresentation defined by the system
..... userSelected0..1booleanIf this coding was chosen directly by the user
.... text0..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
... 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: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


... note 0..*AnnotationComments about the observation
... bodySite S0..1CodeableConceptObserved body part
Binding: Blood Pressure Measurement Body Location Precoordinated value set (extensible): A set of codes that describe where on/in the body an observation or procedure took place

... method S0..1CodeableConceptHow it was done
Binding: Blood Pressure Measurement Method value set (extensible): A set of codes that describe the method used to measure a blood pressure

... device S0..1Reference(Blood Pressure Device)Blood Pressure 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
... Slices for component SΣC1..*BackboneElementBlood pressure components
Slice: Unordered, Open by pattern:code
.... component:All Slices Content/Rules for all slices
..... 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
.... component:SystolicBP SΣC1..1BackboneElementSystolic 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..1CodeableConceptSystolic blood pressure unspecified time mean
Binding: VitalSigns (extensible): This identifies the vital sign result type.


Required Pattern: At least the following
...... id0..1idUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1idUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 96608-5
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... Slices for value[x] SΣC0..1QuantityVital Sign Value recorded with UCUM
Slice: Unordered, Closed by type:$this
Binding: VitalSignsUnits (required): Common UCUM units for recording Vital Signs.

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

....... 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 form of the unit
Fixed Value: mm[Hg]
..... 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
.... component:DiastolicBP SΣC0..1BackboneElementDiastolic 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..1CodeableConceptDiastolic blood pressure unspecified time mean
Binding: VitalSigns (extensible): This identifies the vital sign result type.


Required Pattern: At least the following
...... id0..1idUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1idUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 96609-3
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... Slices for value[x] SΣC0..1QuantityVital Sign Value recorded with UCUM
Slice: Unordered, Closed by type:$this
Binding: VitalSignsUnits (required): Common UCUM units for recording Vital Signs.

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

....... 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 form of the unit
Fixed Value: mm[Hg]
..... 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-vitalsignsFHIR Vital Signs Profile
... BodyPosition 0..1CodeableConceptBody Position
URL: http://hl7.org/fhir/StructureDefinition/observation-bodyPosition
... exerciseAssociation 0..1CodeableConceptExercise Association
URL: http://hl7.org/fhir/us/vitals/StructureDefinition/ExerciseAssociationExt
Binding: Exertion Phase value set (extensible)
... MeasurementSetting 0..1CodeableConceptMeasurement setting
URL: http://hl7.org/fhir/us/vitals/StructureDefinition/MeasurementSettingExt
Binding: Measurement Setting value set (extensible)
... 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..1CodeableConceptBlood pressure panel unspecified time mean
Binding: VitalSigns (extensible): This identifies the vital sign result type.


Required Pattern: At least the following
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 96607-7
... 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
... 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: Blood Pressure Measurement Body Location Precoordinated value set (extensible): A set of codes that describe where on/in the body an observation or procedure took place

... method 0..1CodeableConceptHow it was done
Binding: Blood Pressure Measurement Method value set (extensible): A set of codes that describe the method used to measure a blood pressure

... device 0..1Reference(Blood Pressure Device)Blood Pressure Device
... Slices for component ΣC1..*BackboneElementBlood pressure components
Slice: Unordered, Open by pattern:code
.... component:All Slices Content/Rules for all slices
..... 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.

.... component:SystolicBP ΣC1..1BackboneElementSystolic Blood Pressure
..... code Σ1..1CodeableConceptSystolic blood pressure unspecified time mean
Binding: VitalSigns (extensible): This identifies the vital sign result type.


Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 96608-5
..... Slices for value[x] ΣC0..1QuantityVital Sign Value recorded with UCUM
Slice: Unordered, Closed by type:$this
Binding: VitalSignsUnits (required): Common UCUM units for recording Vital Signs.

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

....... 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 form of the unit
Fixed Value: mm[Hg]
..... dataAbsentReason C0..1CodeableConceptWhy the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

.... component:DiastolicBP ΣC0..1BackboneElementDiastolic Blood Pressure
..... code Σ1..1CodeableConceptDiastolic blood pressure unspecified time mean
Binding: VitalSigns (extensible): This identifies the vital sign result type.


Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 96609-3
..... Slices for value[x] ΣC0..1QuantityVital Sign Value recorded with UCUM
Slice: Unordered, Closed by type:$this
Binding: VitalSignsUnits (required): Common UCUM units for recording Vital Signs.

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

....... 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 form of the unit
Fixed Value: mm[Hg]
..... 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

This structure is derived from observation-vitalsigns

Summary

Mandatory: 2 elements (8 nested mandatory elements)
Must-Support: 17 elements
Fixed Value: 4 elements
Prohibited: 2 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element Observation.component is sliced based on the value of pattern:code
  • The element Observation.component.value[x] is sliced based on the value of type:$this

Differential View

This structure is derived from observation-vitalsigns

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 0..*observation-vitalsignsFHIR Vital Signs Profile
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... BodyPosition S0..1CodeableConceptBody Position
URL: http://hl7.org/fhir/StructureDefinition/observation-bodyPosition
... exerciseAssociation S0..1CodeableConceptExercise Association
URL: http://hl7.org/fhir/us/vitals/StructureDefinition/ExerciseAssociationExt
Binding: Exertion Phase value set (extensible)
... MeasurementProtocol S0..1CodeableConceptRules and algorithm for Average Blood Pressure calculation.
URL: http://hl7.org/fhir/us/vitals/StructureDefinition/MeasurementProtocolExt
Binding: Measurement Protocol value set (extensible)
... code 1..1CodeableConceptBlood pressure panel unspecified time mean
Required Pattern: At least the following
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 96607-7
... subject 1..1Reference(US Core Patient Profile)Who and/or what the observation is about
... value[x] 0..0
... bodySite S0..1CodeableConceptObserved body part
Binding: Blood Pressure Measurement Body Location Precoordinated value set (extensible): A set of codes that describe where on/in the body an observation or procedure took place

... method S0..1CodeableConceptHow it was done
Binding: Blood Pressure Measurement Method value set (extensible): A set of codes that describe the method used to measure a blood pressure

... specimen 0..0
... device S0..1Reference(Blood Pressure Device)Blood Pressure Device
... Slices for component 1..*BackboneElementBlood pressure components
Slice: Unordered, Open by pattern:code
.... component:SystolicBP 1..1BackboneElementSystolic Blood Pressure
..... code 1..1CodeableConceptSystolic blood pressure unspecified time mean
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 96608-5
..... value[x] 0..1QuantityVital Sign Value recorded with UCUM
Slice: Unordered, Open by type:$this
..... valueQuantity S0..1QuantityVital Sign Value recorded with UCUM
...... value S1..1decimalNumerical value (with implicit precision)
...... unit S1..1stringUnit representation
...... system S1..1uriSystem that defines coded unit form
Fixed Value: http://unitsofmeasure.org
...... code S1..1codeCoded form of the unit
Fixed Value: mm[Hg]
.... component:DiastolicBP 0..1BackboneElementDiastolic Blood Pressure
..... code 1..1CodeableConceptDiastolic blood pressure unspecified time mean
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 96609-3
..... value[x] 0..1QuantityVital Sign Value recorded with UCUM
Slice: Unordered, Open by type:$this
..... valueQuantity S0..1QuantityVital Sign Value recorded with UCUM
...... value S1..1decimalNumerical value (with implicit precision)
...... unit S1..1stringUnit representation
...... system S1..1uriSystem that defines coded unit form
Fixed Value: http://unitsofmeasure.org
...... code S1..1codeCoded form of the unit
Fixed Value: mm[Hg]

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C0..*observation-vitalsignsFHIR Vital Signs 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
... BodyPosition S0..1CodeableConceptBody Position
URL: http://hl7.org/fhir/StructureDefinition/observation-bodyPosition
... exerciseAssociation S0..1CodeableConceptExercise Association
URL: http://hl7.org/fhir/us/vitals/StructureDefinition/ExerciseAssociationExt
Binding: Exertion Phase value set (extensible)
... MeasurementSetting S0..1CodeableConceptMeasurement setting
URL: http://hl7.org/fhir/us/vitals/StructureDefinition/MeasurementSettingExt
Binding: Measurement Setting value set (extensible)
... MeasurementProtocol S0..1CodeableConceptRules and algorithm for Average Blood Pressure calculation.
URL: http://hl7.org/fhir/us/vitals/StructureDefinition/MeasurementProtocolExt
Binding: Measurement Protocol value set (extensible)
... 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..1CodeableConceptBlood pressure panel unspecified time mean
Binding: VitalSigns (extensible): This identifies the vital sign result type.


Required Pattern: At least the following
.... id0..1idUnique id for inter-element referencing
.... extension0..*ExtensionAdditional content defined by implementations
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... id0..1idUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
..... version0..1stringVersion of the system - if relevant
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 96607-7
..... display0..1stringRepresentation defined by the system
..... userSelected0..1booleanIf this coding was chosen directly by the user
.... text0..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
... 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: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


... note 0..*AnnotationComments about the observation
... bodySite S0..1CodeableConceptObserved body part
Binding: Blood Pressure Measurement Body Location Precoordinated value set (extensible): A set of codes that describe where on/in the body an observation or procedure took place

... method S0..1CodeableConceptHow it was done
Binding: Blood Pressure Measurement Method value set (extensible): A set of codes that describe the method used to measure a blood pressure

... device S0..1Reference(Blood Pressure Device)Blood Pressure 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
... Slices for component SΣC1..*BackboneElementBlood pressure components
Slice: Unordered, Open by pattern:code
.... component:All Slices Content/Rules for all slices
..... 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
.... component:SystolicBP SΣC1..1BackboneElementSystolic 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..1CodeableConceptSystolic blood pressure unspecified time mean
Binding: VitalSigns (extensible): This identifies the vital sign result type.


Required Pattern: At least the following
...... id0..1idUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1idUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 96608-5
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... Slices for value[x] SΣC0..1QuantityVital Sign Value recorded with UCUM
Slice: Unordered, Closed by type:$this
Binding: VitalSignsUnits (required): Common UCUM units for recording Vital Signs.

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

....... 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 form of the unit
Fixed Value: mm[Hg]
..... 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
.... component:DiastolicBP SΣC0..1BackboneElementDiastolic 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..1CodeableConceptDiastolic blood pressure unspecified time mean
Binding: VitalSigns (extensible): This identifies the vital sign result type.


Required Pattern: At least the following
...... id0..1idUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1idUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: 96609-3
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
..... Slices for value[x] SΣC0..1QuantityVital Sign Value recorded with UCUM
Slice: Unordered, Closed by type:$this
Binding: VitalSignsUnits (required): Common UCUM units for recording Vital Signs.

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

....... 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 form of the unit
Fixed Value: mm[Hg]
..... 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 / Code
Observation.languagepreferredCommonLanguages
Max Binding: AllLanguages
Observation.statusrequiredObservationStatus
Observation.categorypreferredObservationCategoryCodes
Observation.category:VSCatpreferredObservationCategoryCodes
Observation.codeextensiblePattern: LOINC code 96607-7
Observation.dataAbsentReasonextensibleDataAbsentReason
Observation.interpretationextensibleObservationInterpretationCodes
Observation.bodySiteextensibleBloodPressureMeasurementBodyLocationPrecoodinated
Observation.methodextensibleBloodPressureMeasurementMethodvalueset
Observation.referenceRange.typepreferredObservationReferenceRangeMeaningCodes
Observation.referenceRange.appliesToexampleObservationReferenceRangeAppliesToCodes
Observation.component.codeextensibleVitalSigns
Observation.component.value[x]requiredVitalSignsUnits
Observation.component.dataAbsentReasonextensibleDataAbsentReason
Observation.component.interpretationextensibleObservationInterpretationCodes
Observation.component:SystolicBP.codeextensiblePattern: LOINC code 96608-5
Observation.component:SystolicBP.value[x]requiredVitalSignsUnits
Observation.component:SystolicBP.value[x]:valueQuantityrequiredVitalSignsUnits
Observation.component:SystolicBP.value[x]:valueQuantity.comparatorrequiredQuantityComparator
Observation.component:SystolicBP.dataAbsentReasonextensibleDataAbsentReason
Observation.component:SystolicBP.interpretationextensibleObservationInterpretationCodes
Observation.component:DiastolicBP.codeextensiblePattern: LOINC code 96609-3
Observation.component:DiastolicBP.value[x]requiredVitalSignsUnits
Observation.component:DiastolicBP.value[x]:valueQuantityrequiredVitalSignsUnits
Observation.component:DiastolicBP.value[x]:valueQuantity.comparatorrequiredQuantityComparator
Observation.component:DiastolicBP.dataAbsentReasonextensibleDataAbsentReason
Observation.component:DiastolicBP.interpretationextensibleObservationInterpretationCodes