StructureDefinition-ck-BloodPressurePanel

The Blood Pressure Panel profile contains three observations, systolic, diastolic, and mean arterial blood pressure. These are slices of the component element (Observation.component) and the value (Observation.value) has been constrained out (cardinality set to 0). Systolic and Diastolic blood pressures are commonly stored together as a “blood pressure”. There are times when a mean arterial pressure needs to be stored also, so it was included. The only required observation of the three is Systolic BP. By doing so the panel may be used to record any combination of Systolic + Diastolic, Systolic only, or all three. This negates the need to create individual FHIR profiles for any of the three.

About the extensions In addition, the Blood Pressure Panel profile contains the following qualifying observations (extensions) with associated SNOMED CT value sets:

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

Exercise Association - This is used to capture an individual’s exercise status while taking blood pressure. Usually “at rest”.

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

Sleep Status - This is used to capture whether or not the measurement was taken while the subject was asleep or awake.

Observation.device The Blood Pressure Panel profile references a BPDevice profile of the Device resource in Observation.device. The BPDevice profile is designed to be used specifically for blood pressure observations and includes an extension for Blood Pressure Cuff Size.

About Mean Arterial Pressure Mean Arterial Pressure is a calculated observation bases on the Systolic and Diastolic blood pressure measurements and is defined as the average pressure in an individual’s arteries during one cardiac cycle. It is not an average of several measurements.

Its formula is (SystolicBP + 2(DiastolicBP)) divided by 3; (SBP + 2(DBP))/3. There are times when this needs to be known so it is included as an optional component in this panel.

Formal Views of Profile Content

Description of Profiles, Differentials, and Snapshots.

The official URL for this profile is: http://www.collabkare.io/r4/StructureDefinition/ck-BloodPressurePanel

Published on Mon Jul 13 14:01:09 IST 2020 as a active by CollabKare.

This profile builds on Observation

Complete Summary of the Mandatory Requirements

There are no mandatory requirements

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 0..*ObservationBlood pressure
... category S0..*CodeableConceptClassification of type of observation.
.... coding S0..*CodingCode defined by a terminology system.
..... system 0..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
..... code 0..1codeSymbol in syntax defined by the system
Fixed Value: vital-signs
..... display 0..1stringRepresentation defined by the system
Fixed Value: Vital Signs
... code S1..1CodeableConceptType of observation.
.... coding S0..*CodingCode defined by a terminology system.
..... system 0..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
..... code 0..1codeSymbol in syntax defined by the system
Fixed Value: 723232008
..... display 0..1stringRepresentation defined by the system
Fixed Value: Average blood pressure (observable entity)
... effective[x] 0..1Clinically relevant time/time-period for observation
.... effectiveDateTimedateTime
.... effectivePeriodPeriod
... interpretation S0..*CodeableConceptHigh, low, normal, etc.
.... coding 0..*CodingCode defined by a terminology system
Binding: http://hl7.org/fhir/us/vitals/ValueSet/NumericResultIntVS (extensible)
... bodySite S0..1CodeableConceptObserved body part
Binding: http://hl7.org/fhir/us/vitals/ValueSet/bpmeasbodylocationprecoord (extensible)
... method S0..1CodeableConceptHow it was done
Binding: http://hl7.org/fhir/us/vitals/ValueSet/bpMeasMethodVS (extensible)
... component 0..*(Slice Definition)Component results.
Slice: Unordered, Open by value:code.coding.code
.... component:SystolicBloodPressure 0..*BackboneElementComponent results
..... code S1..1CodeableConceptType of component observation .
...... coding S0..*CodingCode defined by a terminology system.
....... system 0..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code 0..1codeSymbol in syntax defined by the system
Fixed Value: 8480-6
....... display 0..1stringRepresentation defined by the system
Fixed Value: Systolic blood pressure
..... value[x] 0..1QuantityActual component result
...... value S0..1decimalNumerical value (with implicit precision)
...... unit S0..1stringUnit representation
...... system S0..1uriSystem that defines coded unit form
Fixed Value: http://unitsofmeasure.org
...... code S0..1codeCoded form of the unit
Fixed Value: mm[Hg]
.... component:DiastolicBloodPressure 0..*BackboneElementComponent results
..... code S1..1CodeableConceptType of component observation.
...... coding S0..*CodingCode defined by a terminology system.
....... system 0..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code 0..1codeSymbol in syntax defined by the system
Fixed Value: 8462-4
....... display 0..1stringRepresentation defined by the system
Fixed Value: Diastolic blood pressure
..... value[x] 0..1QuantityActual component result
...... value S0..1decimalNumerical value (with implicit precision)
...... unit S0..1stringUnit representation
...... system S0..1uriSystem that defines coded unit form
Fixed Value: http://unitsofmeasure.org
...... code S0..1codeCoded form of the unit
Fixed Value: mm[Hg]

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation I0..*ObservationBlood pressure
... id Σ0..1stringLogical id of this artifact
... meta ΣI0..1MetaMetadata about the resource
... implicitRules ?!ΣI0..1uriA set of rules under which this content was created
... language I0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension I0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!I0..*ExtensionExtensions that cannot be ignored
... identifier ΣI0..*IdentifierBusiness Identifier for observation
... basedOn ΣI0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)Fulfills plan, proposal or order
... partOf ΣI0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)Part of referenced event
... status ?!ΣI1..1coderegistered | preliminary | final | amended +
Binding: ObservationStatus (required)
... category SI0..*CodeableConceptClassification of type of observation.
Binding: ObservationCategoryCodes (preferred)
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... coding SΣI0..*CodingCode defined by a terminology system.
..... id 0..1stringUnique id for inter-element referencing
..... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... system ΣI0..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
..... version ΣI0..1stringVersion of the system - if relevant
..... code ΣI0..1codeSymbol in syntax defined by the system
Fixed Value: vital-signs
..... display ΣI0..1stringRepresentation defined by the system
Fixed Value: Vital Signs
..... userSelected ΣI0..1booleanIf this coding was chosen directly by the user
.... text ΣI0..1stringPlain text representation of the concept
... code SΣI1..1CodeableConceptType of observation.
Binding: LOINCCodes (example)
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... coding SΣI0..*CodingCode defined by a terminology system.
..... id 0..1stringUnique id for inter-element referencing
..... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... system ΣI0..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
..... version ΣI0..1stringVersion of the system - if relevant
..... code ΣI0..1codeSymbol in syntax defined by the system
Fixed Value: 723232008
..... display ΣI0..1stringRepresentation defined by the system
Fixed Value: Average blood pressure (observable entity)
..... userSelected ΣI0..1booleanIf this coding was chosen directly by the user
.... text ΣI0..1stringPlain text representation of the concept
... subject ΣI0..1Reference(Patient | Group | Device | Location)Who and/or what the observation is about
... focus ΣI0..*Reference(Resource)What the observation is about, when it is not about the subject of record
... encounter ΣI0..1Reference(Encounter)Healthcare event during which this observation is made
... effective[x] ΣI0..1Clinically relevant time/time-period for observation
.... effectiveDateTimedateTime
.... effectivePeriodPeriod
... issued ΣI0..1instantDate/Time this version was made available
... performer ΣI0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)Who is responsible for the observation
... value[x] ΣI0..1Actual result
.... valueQuantityQuantity
.... valueCodeableConceptCodeableConcept
.... valueStringstring
.... valueBooleanboolean
.... valueIntegerinteger
.... valueRangeRange
.... valueRatioRatio
.... valueSampledDataSampledData
.... valueTimetime
.... valueDateTimedateTime
.... valuePeriodPeriod
... dataAbsentReason I0..1CodeableConceptWhy the result is missing
Binding: DataAbsentReason (extensible)
... interpretation SI0..*CodeableConceptHigh, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible)
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... coding ΣI0..*CodingCode defined by a terminology system
Binding: http://hl7.org/fhir/us/vitals/ValueSet/NumericResultIntVS (extensible)
.... text ΣI0..1stringPlain text representation of the concept
... note I0..*AnnotationComments about the observation
... bodySite SI0..1CodeableConceptObserved body part
Binding: http://hl7.org/fhir/us/vitals/ValueSet/bpmeasbodylocationprecoord (extensible)
... method SI0..1CodeableConceptHow it was done
Binding: http://hl7.org/fhir/us/vitals/ValueSet/bpMeasMethodVS (extensible)
... specimen I0..1Reference(Specimen)Specimen used for this observation
... device I0..1Reference(Device | DeviceMetric)(Measurement) Device
... referenceRange I0..*BackboneElementProvides guide for interpretation
obs-3: Must have at least a low or a high or text
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... low I0..1SimpleQuantityLow Range, if relevant
.... high I0..1SimpleQuantityHigh Range, if relevant
.... type I0..1CodeableConceptReference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred)
.... appliesTo I0..*CodeableConceptReference range population
Binding: ObservationReferenceRangeAppliesToCodes (example)
.... age I0..1RangeApplicable age range, if relevant
.... text I0..1stringText based reference range in an observation
... hasMember ΣI0..*Reference(Observation | QuestionnaireResponse | MolecularSequence)Related resource that belongs to the Observation group
... derivedFrom ΣI0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)Related measurements the observation is made from
... component ΣI0..*(Slice Definition)Component results.
Slice: Unordered, Open by value:code.coding.code
.... component:All Slices Content/Rules for all slices
..... id 0..1stringUnique id for inter-element referencing
..... extension I0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code ΣI1..1CodeableConceptType of component observation (code / type)
Binding: LOINCCodes (example)
..... value[x] ΣI0..1Actual component result
...... valueQuantityQuantity
...... valueCodeableConceptCodeableConcept
...... valueStringstring
...... valueBooleanboolean
...... valueIntegerinteger
...... valueRangeRange
...... valueRatioRatio
...... valueSampledDataSampledData
...... valueTimetime
...... valueDateTimedateTime
...... valuePeriodPeriod
..... dataAbsentReason I0..1CodeableConceptWhy the component result is missing
Binding: DataAbsentReason (extensible)
..... interpretation I0..*CodeableConceptHigh, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible)
..... referenceRange I0..*Unknown reference to #Observation.referenceRange
Provides guide for interpretation of component result
.... component:SystolicBloodPressure ΣI0..*BackboneElementComponent results
..... id 0..1stringUnique id for inter-element referencing
..... extension I0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code SΣI1..1CodeableConceptType of component observation .
Binding: LOINCCodes (example)
...... id 0..1stringUnique id for inter-element referencing
...... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... coding SΣI0..*CodingCode defined by a terminology system.
....... id 0..1stringUnique id for inter-element referencing
....... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
....... system ΣI0..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... version ΣI0..1stringVersion of the system - if relevant
....... code ΣI0..1codeSymbol in syntax defined by the system
Fixed Value: 8480-6
....... display ΣI0..1stringRepresentation defined by the system
Fixed Value: Systolic blood pressure
....... userSelected ΣI0..1booleanIf this coding was chosen directly by the user
...... text ΣI0..1stringPlain text representation of the concept
..... value[x] ΣI0..1QuantityActual component result
...... id 0..1stringUnique id for inter-element referencing
...... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... value SΣI0..1decimalNumerical value (with implicit precision)
...... comparator ?!ΣI0..1code< | <= | >= | > - how to understand the value
Binding: QuantityComparator (required)
...... unit SΣI0..1stringUnit representation
...... system SΣI0..1uriSystem that defines coded unit form
Fixed Value: http://unitsofmeasure.org
...... code SΣI0..1codeCoded form of the unit
Fixed Value: mm[Hg]
..... dataAbsentReason I0..1CodeableConceptWhy the component result is missing
Binding: DataAbsentReason (extensible)
..... interpretation I0..*CodeableConceptHigh, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible)
..... referenceRange I0..*Unknown reference to #Observation.referenceRange
Provides guide for interpretation of component result
.... component:DiastolicBloodPressure ΣI0..*BackboneElementComponent results
..... id 0..1stringUnique id for inter-element referencing
..... extension I0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code SΣI1..1CodeableConceptType of component observation.
Binding: LOINCCodes (example)
...... id 0..1stringUnique id for inter-element referencing
...... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... coding SΣI0..*CodingCode defined by a terminology system.
....... id 0..1stringUnique id for inter-element referencing
....... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
....... system ΣI0..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... version ΣI0..1stringVersion of the system - if relevant
....... code ΣI0..1codeSymbol in syntax defined by the system
Fixed Value: 8462-4
....... display ΣI0..1stringRepresentation defined by the system
Fixed Value: Diastolic blood pressure
....... userSelected ΣI0..1booleanIf this coding was chosen directly by the user
...... text ΣI0..1stringPlain text representation of the concept
..... value[x] ΣI0..1QuantityActual component result
...... id 0..1stringUnique id for inter-element referencing
...... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... value SΣI0..1decimalNumerical value (with implicit precision)
...... comparator ?!ΣI0..1code< | <= | >= | > - how to understand the value
Binding: QuantityComparator (required)
...... unit SΣI0..1stringUnit representation
...... system SΣI0..1uriSystem that defines coded unit form
Fixed Value: http://unitsofmeasure.org
...... code SΣI0..1codeCoded form of the unit
Fixed Value: mm[Hg]
..... dataAbsentReason I0..1CodeableConceptWhy the component result is missing
Binding: DataAbsentReason (extensible)
..... interpretation I0..*CodeableConceptHigh, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible)
..... referenceRange I0..*Unknown reference to #Observation.referenceRange
Provides guide for interpretation of component result

doco Documentation for this format

Summary

Must-Support: 19 elements
Fixed Value: 16 elements

Slices

This structure defines the following Slices:

  • The element Observation.component is sliced based on the value of value:code.coding.code

Differential View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 0..*ObservationBlood pressure
... category S0..*CodeableConceptClassification of type of observation.
.... coding S0..*CodingCode defined by a terminology system.
..... system 0..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
..... code 0..1codeSymbol in syntax defined by the system
Fixed Value: vital-signs
..... display 0..1stringRepresentation defined by the system
Fixed Value: Vital Signs
... code S1..1CodeableConceptType of observation.
.... coding S0..*CodingCode defined by a terminology system.
..... system 0..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
..... code 0..1codeSymbol in syntax defined by the system
Fixed Value: 723232008
..... display 0..1stringRepresentation defined by the system
Fixed Value: Average blood pressure (observable entity)
... effective[x] 0..1Clinically relevant time/time-period for observation
.... effectiveDateTimedateTime
.... effectivePeriodPeriod
... interpretation S0..*CodeableConceptHigh, low, normal, etc.
.... coding 0..*CodingCode defined by a terminology system
Binding: http://hl7.org/fhir/us/vitals/ValueSet/NumericResultIntVS (extensible)
... bodySite S0..1CodeableConceptObserved body part
Binding: http://hl7.org/fhir/us/vitals/ValueSet/bpmeasbodylocationprecoord (extensible)
... method S0..1CodeableConceptHow it was done
Binding: http://hl7.org/fhir/us/vitals/ValueSet/bpMeasMethodVS (extensible)
... component 0..*(Slice Definition)Component results.
Slice: Unordered, Open by value:code.coding.code
.... component:SystolicBloodPressure 0..*BackboneElementComponent results
..... code S1..1CodeableConceptType of component observation .
...... coding S0..*CodingCode defined by a terminology system.
....... system 0..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code 0..1codeSymbol in syntax defined by the system
Fixed Value: 8480-6
....... display 0..1stringRepresentation defined by the system
Fixed Value: Systolic blood pressure
..... value[x] 0..1QuantityActual component result
...... value S0..1decimalNumerical value (with implicit precision)
...... unit S0..1stringUnit representation
...... system S0..1uriSystem that defines coded unit form
Fixed Value: http://unitsofmeasure.org
...... code S0..1codeCoded form of the unit
Fixed Value: mm[Hg]
.... component:DiastolicBloodPressure 0..*BackboneElementComponent results
..... code S1..1CodeableConceptType of component observation.
...... coding S0..*CodingCode defined by a terminology system.
....... system 0..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... code 0..1codeSymbol in syntax defined by the system
Fixed Value: 8462-4
....... display 0..1stringRepresentation defined by the system
Fixed Value: Diastolic blood pressure
..... value[x] 0..1QuantityActual component result
...... value S0..1decimalNumerical value (with implicit precision)
...... unit S0..1stringUnit representation
...... system S0..1uriSystem that defines coded unit form
Fixed Value: http://unitsofmeasure.org
...... code S0..1codeCoded form of the unit
Fixed Value: mm[Hg]

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation I0..*ObservationBlood pressure
... id Σ0..1stringLogical id of this artifact
... meta ΣI0..1MetaMetadata about the resource
... implicitRules ?!ΣI0..1uriA set of rules under which this content was created
... language I0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension I0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!I0..*ExtensionExtensions that cannot be ignored
... identifier ΣI0..*IdentifierBusiness Identifier for observation
... basedOn ΣI0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)Fulfills plan, proposal or order
... partOf ΣI0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)Part of referenced event
... status ?!ΣI1..1coderegistered | preliminary | final | amended +
Binding: ObservationStatus (required)
... category SI0..*CodeableConceptClassification of type of observation.
Binding: ObservationCategoryCodes (preferred)
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... coding SΣI0..*CodingCode defined by a terminology system.
..... id 0..1stringUnique id for inter-element referencing
..... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... system ΣI0..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
..... version ΣI0..1stringVersion of the system - if relevant
..... code ΣI0..1codeSymbol in syntax defined by the system
Fixed Value: vital-signs
..... display ΣI0..1stringRepresentation defined by the system
Fixed Value: Vital Signs
..... userSelected ΣI0..1booleanIf this coding was chosen directly by the user
.... text ΣI0..1stringPlain text representation of the concept
... code SΣI1..1CodeableConceptType of observation.
Binding: LOINCCodes (example)
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... coding SΣI0..*CodingCode defined by a terminology system.
..... id 0..1stringUnique id for inter-element referencing
..... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... system ΣI0..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
..... version ΣI0..1stringVersion of the system - if relevant
..... code ΣI0..1codeSymbol in syntax defined by the system
Fixed Value: 723232008
..... display ΣI0..1stringRepresentation defined by the system
Fixed Value: Average blood pressure (observable entity)
..... userSelected ΣI0..1booleanIf this coding was chosen directly by the user
.... text ΣI0..1stringPlain text representation of the concept
... subject ΣI0..1Reference(Patient | Group | Device | Location)Who and/or what the observation is about
... focus ΣI0..*Reference(Resource)What the observation is about, when it is not about the subject of record
... encounter ΣI0..1Reference(Encounter)Healthcare event during which this observation is made
... effective[x] ΣI0..1Clinically relevant time/time-period for observation
.... effectiveDateTimedateTime
.... effectivePeriodPeriod
... issued ΣI0..1instantDate/Time this version was made available
... performer ΣI0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)Who is responsible for the observation
... value[x] ΣI0..1Actual result
.... valueQuantityQuantity
.... valueCodeableConceptCodeableConcept
.... valueStringstring
.... valueBooleanboolean
.... valueIntegerinteger
.... valueRangeRange
.... valueRatioRatio
.... valueSampledDataSampledData
.... valueTimetime
.... valueDateTimedateTime
.... valuePeriodPeriod
... dataAbsentReason I0..1CodeableConceptWhy the result is missing
Binding: DataAbsentReason (extensible)
... interpretation SI0..*CodeableConceptHigh, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible)
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... coding ΣI0..*CodingCode defined by a terminology system
Binding: http://hl7.org/fhir/us/vitals/ValueSet/NumericResultIntVS (extensible)
.... text ΣI0..1stringPlain text representation of the concept
... note I0..*AnnotationComments about the observation
... bodySite SI0..1CodeableConceptObserved body part
Binding: http://hl7.org/fhir/us/vitals/ValueSet/bpmeasbodylocationprecoord (extensible)
... method SI0..1CodeableConceptHow it was done
Binding: http://hl7.org/fhir/us/vitals/ValueSet/bpMeasMethodVS (extensible)
... specimen I0..1Reference(Specimen)Specimen used for this observation
... device I0..1Reference(Device | DeviceMetric)(Measurement) Device
... referenceRange I0..*BackboneElementProvides guide for interpretation
obs-3: Must have at least a low or a high or text
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... low I0..1SimpleQuantityLow Range, if relevant
.... high I0..1SimpleQuantityHigh Range, if relevant
.... type I0..1CodeableConceptReference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred)
.... appliesTo I0..*CodeableConceptReference range population
Binding: ObservationReferenceRangeAppliesToCodes (example)
.... age I0..1RangeApplicable age range, if relevant
.... text I0..1stringText based reference range in an observation
... hasMember ΣI0..*Reference(Observation | QuestionnaireResponse | MolecularSequence)Related resource that belongs to the Observation group
... derivedFrom ΣI0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)Related measurements the observation is made from
... component ΣI0..*(Slice Definition)Component results.
Slice: Unordered, Open by value:code.coding.code
.... component:All Slices Content/Rules for all slices
..... id 0..1stringUnique id for inter-element referencing
..... extension I0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code ΣI1..1CodeableConceptType of component observation (code / type)
Binding: LOINCCodes (example)
..... value[x] ΣI0..1Actual component result
...... valueQuantityQuantity
...... valueCodeableConceptCodeableConcept
...... valueStringstring
...... valueBooleanboolean
...... valueIntegerinteger
...... valueRangeRange
...... valueRatioRatio
...... valueSampledDataSampledData
...... valueTimetime
...... valueDateTimedateTime
...... valuePeriodPeriod
..... dataAbsentReason I0..1CodeableConceptWhy the component result is missing
Binding: DataAbsentReason (extensible)
..... interpretation I0..*CodeableConceptHigh, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible)
..... referenceRange I0..*Unknown reference to #Observation.referenceRange
Provides guide for interpretation of component result
.... component:SystolicBloodPressure ΣI0..*BackboneElementComponent results
..... id 0..1stringUnique id for inter-element referencing
..... extension I0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code SΣI1..1CodeableConceptType of component observation .
Binding: LOINCCodes (example)
...... id 0..1stringUnique id for inter-element referencing
...... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... coding SΣI0..*CodingCode defined by a terminology system.
....... id 0..1stringUnique id for inter-element referencing
....... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
....... system ΣI0..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... version ΣI0..1stringVersion of the system - if relevant
....... code ΣI0..1codeSymbol in syntax defined by the system
Fixed Value: 8480-6
....... display ΣI0..1stringRepresentation defined by the system
Fixed Value: Systolic blood pressure
....... userSelected ΣI0..1booleanIf this coding was chosen directly by the user
...... text ΣI0..1stringPlain text representation of the concept
..... value[x] ΣI0..1QuantityActual component result
...... id 0..1stringUnique id for inter-element referencing
...... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... value SΣI0..1decimalNumerical value (with implicit precision)
...... comparator ?!ΣI0..1code< | <= | >= | > - how to understand the value
Binding: QuantityComparator (required)
...... unit SΣI0..1stringUnit representation
...... system SΣI0..1uriSystem that defines coded unit form
Fixed Value: http://unitsofmeasure.org
...... code SΣI0..1codeCoded form of the unit
Fixed Value: mm[Hg]
..... dataAbsentReason I0..1CodeableConceptWhy the component result is missing
Binding: DataAbsentReason (extensible)
..... interpretation I0..*CodeableConceptHigh, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible)
..... referenceRange I0..*Unknown reference to #Observation.referenceRange
Provides guide for interpretation of component result
.... component:DiastolicBloodPressure ΣI0..*BackboneElementComponent results
..... id 0..1stringUnique id for inter-element referencing
..... extension I0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code SΣI1..1CodeableConceptType of component observation.
Binding: LOINCCodes (example)
...... id 0..1stringUnique id for inter-element referencing
...... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... coding SΣI0..*CodingCode defined by a terminology system.
....... id 0..1stringUnique id for inter-element referencing
....... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
....... system ΣI0..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
....... version ΣI0..1stringVersion of the system - if relevant
....... code ΣI0..1codeSymbol in syntax defined by the system
Fixed Value: 8462-4
....... display ΣI0..1stringRepresentation defined by the system
Fixed Value: Diastolic blood pressure
....... userSelected ΣI0..1booleanIf this coding was chosen directly by the user
...... text ΣI0..1stringPlain text representation of the concept
..... value[x] ΣI0..1QuantityActual component result
...... id 0..1stringUnique id for inter-element referencing
...... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... value SΣI0..1decimalNumerical value (with implicit precision)
...... comparator ?!ΣI0..1code< | <= | >= | > - how to understand the value
Binding: QuantityComparator (required)
...... unit SΣI0..1stringUnit representation
...... system SΣI0..1uriSystem that defines coded unit form
Fixed Value: http://unitsofmeasure.org
...... code SΣI0..1codeCoded form of the unit
Fixed Value: mm[Hg]
..... dataAbsentReason I0..1CodeableConceptWhy the component result is missing
Binding: DataAbsentReason (extensible)
..... interpretation I0..*CodeableConceptHigh, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible)
..... referenceRange I0..*Unknown reference to #Observation.referenceRange
Provides guide for interpretation of component result

doco Documentation for this format

Downloads: StructureDefinition: (XML, JSON), Schema: XML Schematron


Quick Start

Below is an overview of the required set of RESTful FHIR interactions - for example, search and read operations - for this profile. See the Conformance requirements for a complete list of supported RESTful interactions for this IG.

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