US Veterans Health Administration FHIR Map Set Implementation Guide
1.6.0 - 250701
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Official URL: http://va.gov/fhir/StructureDefinition/VitalSigns | Version: 1.6.0 | |||
Active as of 2025-06-20 | Computable Name: VitalSigns |
This StructureDefinition contains the maps for VistA file GMRV VITAL MEASUREMENT (120.5) to us-core-vital-signs.
See also the FHIR Shorthand.
Vital signs are captured in VistA with fixed units, so no “unit” value is persisted in the record source. Interfaces pulling vitals from VistA (e.g., AViVa RPC NHIN_CR423) may assert units based on the business logic. These values may be further transformed, e.g., the VETS translation to UCUM (published here). Maps in this IG assign the UCUM values, which may be provided by your VistA interface.
Usages:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
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C | 0..* | USCoreVitalSignsProfile | US Core Vital Signs Profile Constraints: obs-6, obs-7, vs-2 |
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?!Σ | 0..1 | uri | A set of rules under which this content was created |
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0..* | Extension | Extension Slice: Unordered, Open by value:url | |
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0..1 | (Complex) | A code representing the the type of device used for this observation. Should only be used if not implicit in the code found in `Observation.code` URL: http://hl7.org/fhir/StructureDefinition/observation-deviceCode | |
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0..0 | |||
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1..1 | uri | "http://hl7.org/fhir/StructureDefinition/observation-deviceCode" | |
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S | 1..1 | CodeableConcept | Value of extension Binding: VitalsMeasurementDevice FHIR (required): see mapping VF_VitalsMeasurementDevice |
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0..1 | (Complex) | The body position during the observation URL: http://hl7.org/fhir/StructureDefinition/observation-bodyPosition | |
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0..0 | |||
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1..1 | uri | "http://hl7.org/fhir/StructureDefinition/observation-bodyPosition" | |
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S | 1..1 | CodeableConcept | Value of extension Binding: VitalsBodyPosition FHIR (required): see mapping VF_VitalsBodyPosition |
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?! | 0..* | Extension | Extensions that cannot be ignored |
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Σ | 0..* | Identifier | Business Identifier for observation |
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?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . |
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SΣ | 0..1 | uri | The namespace for the identifier value Required Pattern: http://va.gov/identifiers/$Sta3n/120.5 |
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SΣ | 0..1 | string | The value that is unique Example General: 123456 |
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?!SΣC | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required) Constraints: vs-10-655, vs-10-656 |
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S | 1..* | CodeableConcept | Classification of type of observation Slice: Unordered, Open by value:coding.code, value:coding.system Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. |
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S | 1..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: At least the following |
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0..1 | string | Unique id for inter-element referencing | |
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0..* | Extension | Additional content defined by implementations | |
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1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
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0..1 | string | Unique id for inter-element referencing | |
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0..* | Extension | Additional content defined by implementations | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category | |
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0..1 | string | Version of the system - if relevant | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: vital-signs | |
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0..1 | string | Representation defined by the system | |
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0..1 | boolean | If this coding was chosen directly by the user | |
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0..1 | string | Plain text representation of the concept | |
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SΣ | 1..* | Coding | Code defined by a terminology system |
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SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category |
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SΣ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: vital-signs |
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SΣ | 1..1 | CodeableConcept | Coded Responses from C-CDA Vital Sign Results Binding: US Core Vital Signs ValueSet (extensible): The vital sign codes from the base FHIR and US Core Vital Signs. |
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SΣ | 0..* | Coding | Code defined by a terminology system Binding: VitalsCodes FHIR (required): see mapping VF_VitalsCodes |
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SΣ | 1..1 | Reference(Patient) | Who and/or what the observation is about |
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SΣC | 1..1 | Often just a dateTime for Vital Signs Slice: Unordered, Open by type:$this Constraints: vs-1 | |
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dateTime S | |||
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Period | |||
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SΣC | 0..1 | dateTime S | Often just a dateTime for Vital Signs Constraints: vs-1 |
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SΣ | 0..1 | instant | Date/Time this version was made available |
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SΣ | 0..* | Reference(Organization) | Who is responsible for the observation |
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SΣC | 0..1 | Vital Signs Value Slice: Unordered, Open by type:$this Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs. | |
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Quantity S | |||
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CodeableConcept | |||
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string | |||
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boolean | |||
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integer | |||
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Range | |||
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Ratio | |||
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SampledData | |||
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time | |||
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dateTime | |||
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Period | |||
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SΣC | 0..1 | Quantity S | Vital Signs Value Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs. |
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SΣC | 0..1 | decimal | Numerical value (with implicit precision) Constraints: vs-10-664 |
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?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. |
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SΣ | 0..1 | code | Coded form of the unit |
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SC | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
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S | 0..1 | CodeableConcept | Observed body part Binding: VitalsBodySite FHIR (required): see mapping VF_VitalsBodySite |
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S | 0..1 | CodeableConcept | How it was done Binding: VitalsMethod FHIR (required): see mapping VF_VitalsMethod |
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SΣC | 0..* | BackboneElement | Component observations Slice: Unordered, Open by pattern:code Constraints: vs-3 |
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Content/Rules for all slices | |||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
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SΣ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: US Core Vital Signs ValueSet (extensible): The vital sign codes from the base FHIR and US Core Vital Signs. |
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SΣC | 0..1 | Vital Sign Component Value Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs. | |
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Quantity S | |||
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CodeableConcept | |||
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string | |||
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boolean | |||
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integer | |||
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Range | |||
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Ratio | |||
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SampledData | |||
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time | |||
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dateTime | |||
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Period | |||
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SC | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
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SΣC | 0..1 | BackboneElement | Component observations Constraints: vs-3 |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
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SΣ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: US Core Vital Signs ValueSet (extensible): The vital sign codes from the base FHIR and US Core Vital Signs. Required Pattern: At least the following |
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0..1 | string | Unique id for inter-element referencing | |
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0..* | Extension | Additional content defined by implementations | |
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1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
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0..1 | string | Unique id for inter-element referencing | |
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0..* | Extension | Additional content defined by implementations | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
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0..1 | string | Version of the system - if relevant | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: 104158-1 | |
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1..1 | string | Representation defined by the system Fixed Value: Associated precondition - Reported | |
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0..1 | boolean | If this coding was chosen directly by the user | |
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0..1 | string | Plain text representation of the concept | |
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SΣC | 0..1 | Vital Sign Component Value Slice: Unordered, Open by type:$this Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs. | |
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Quantity S | |||
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CodeableConcept | |||
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string | |||
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boolean | |||
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integer | |||
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Range | |||
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Ratio | |||
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SampledData | |||
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time | |||
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dateTime | |||
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Period | |||
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SΣC | 0..1 | CodeableConcept | Vital Sign Component Value Binding: VitalsPrecondition FHIR (required): see mapping VF_VitalsPrecondition |
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SC | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
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SΣC | 0..1 | BackboneElement | Component observations Constraints: vs-3 |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
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SΣ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: US Core Vital Signs ValueSet (extensible): The vital sign codes from the base FHIR and US Core Vital Signs. Required Pattern: At least the following |
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0..1 | string | Unique id for inter-element referencing | |
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0..* | Extension | Additional content defined by implementations | |
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1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
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0..1 | string | Unique id for inter-element referencing | |
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0..* | Extension | Additional content defined by implementations | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
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0..1 | string | Version of the system - if relevant | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: 104158-1 | |
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1..1 | string | Representation defined by the system Fixed Value: Associated precondition - Reported | |
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0..1 | boolean | If this coding was chosen directly by the user | |
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0..1 | string | Plain text representation of the concept | |
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SΣC | 0..1 | Vital Sign Component Value Slice: Unordered, Open by type:$this Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs. | |
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Quantity S | |||
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CodeableConcept | |||
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string | |||
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boolean | |||
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integer | |||
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Range | |||
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Ratio | |||
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SampledData | |||
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time | |||
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dateTime | |||
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Period | |||
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SΣC | 0..1 | CodeableConcept | Vital Sign Component Value Binding: VitalsQualifyingDevice FHIR (required): see mapping VF_VitalsQualifyingDevice |
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SC | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
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Path | Conformance | ValueSet / Code | URI |
Observation.extension:observation-deviceCode.value[x] | required | VitalsMeasurementDevicehttp://va.gov/fhir/ValueSet/VitalsMeasurementDevice From this IG | |
Observation.extension:observation-bodyPosition.value[x] | required | VitalsBodyPositionhttp://va.gov/fhir/ValueSet/VitalsBodyPosition From this IG | |
Observation.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard | |
Observation.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|4.0.1 From the FHIR Standard | |
Observation.category | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-category From the FHIR Standard | |
Observation.category:VSCat | preferred | Pattern Value: vital-signshttp://hl7.org/fhir/ValueSet/observation-category From the FHIR Standard | |
Observation.code | extensible | UsCoreVitalSignshttp://hl7.org/fhir/us/core/ValueSet/us-core-vital-signs | |
Observation.code.coding | required | VitalsCodeshttp://va.gov/fhir/ValueSet/VitalsCodes From this IG | |
Observation.value[x] | extensible | VitalSignsUnitshttp://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.1 From the FHIR Standard | |
Observation.value[x]:valueQuantity | extensible | VitalSignsUnitshttp://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.1 From the FHIR Standard | |
Observation.value[x]:valueQuantity.comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 From the FHIR Standard | |
Observation.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard | |
Observation.bodySite | required | VitalsBodySitehttp://va.gov/fhir/ValueSet/VitalsBodySite From this IG | |
Observation.method | required | VitalsMethodhttp://va.gov/fhir/ValueSet/VitalsMethod From this IG | |
Observation.component.code | extensible | UsCoreVitalSignshttp://hl7.org/fhir/us/core/ValueSet/us-core-vital-signs | |
Observation.component.value[x] | extensible | VitalSignsUnitshttp://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.1 From the FHIR Standard | |
Observation.component.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard | |
Observation.component:va-pre-condition.code | extensible | Pattern Value: LOINC Code 104158-1("Associated precondition - Reported")http://hl7.org/fhir/us/core/ValueSet/us-core-vital-signs | |
Observation.component:va-pre-condition.value[x] | extensible | VitalSignsUnitshttp://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.1 From the FHIR Standard | |
Observation.component:va-pre-condition.value[x]:valueCodeableConcept | required | VitalsPreconditionhttp://va.gov/fhir/ValueSet/VitalsPrecondition From this IG | |
Observation.component:va-pre-condition.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard | |
Observation.component:va-pre-condition-device.code | extensible | Pattern Value: LOINC Code 104158-1("Associated precondition - Reported")http://hl7.org/fhir/us/core/ValueSet/us-core-vital-signs | |
Observation.component:va-pre-condition-device.value[x] | extensible | VitalSignsUnitshttp://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.1 From the FHIR Standard | |
Observation.component:va-pre-condition-device.value[x]:valueCodeableConcept | required | VitalsQualifyingDevicehttp://va.gov/fhir/ValueSet/VitalsQualifyingDevice From this IG | |
Observation.component:va-pre-condition-device.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | Observation | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
dom-4 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
dom-5 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | Observation | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
obs-6 | error | Observation | dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty() | |
obs-7 | error | Observation | If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty() | |
vs-1 | error | Observation.effective[x], Observation.effective[x]:effectiveDateTime | if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day : $this is dateTime implies $this.toString().length() >= 10 | |
vs-2 | error | Observation | If there is no component or hasMember element then either a value[x] or a data absent reason must be present. : (component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists()) | |
vs-3 | error | Observation.component, Observation.component:va-pre-condition, Observation.component:va-pre-condition-device | If there is no a value a data absent reason must be present : value.exists() or dataAbsentReason.exists() | |
vs-10-655 | best practice | Observation.status | If (120.5-4) is null then fixed value #final : true | |
vs-10-656 | best practice | Observation.status | If (120.5-4) is not null then fixed value #entered-in-error : true | |
vs-10-664 | best practice | Observation.value[x]:valueQuantity.value | If VUID not = 4500634 then source value from (120.5-1.2) : true |
This structure is derived from USCoreVitalSignsProfile
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
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0..* | USCoreVitalSignsProfile | US Core Vital Signs Profile | |
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0..* | Extension | Extension Slice: Unordered, Open by value:url | |
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0..1 | (Complex) | A code representing the the type of device used for this observation. Should only be used if not implicit in the code found in `Observation.code` URL: http://hl7.org/fhir/StructureDefinition/observation-deviceCode | |
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S | 1..1 | CodeableConcept | Value of extension Binding: VitalsMeasurementDevice FHIR (required): see mapping VF_VitalsMeasurementDevice |
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0..1 | (Complex) | The body position during the observation URL: http://hl7.org/fhir/StructureDefinition/observation-bodyPosition | |
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S | 1..1 | CodeableConcept | Value of extension Binding: VitalsBodyPosition FHIR (required): see mapping VF_VitalsBodyPosition |
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S | 0..1 | uri | The namespace for the identifier value Required Pattern: http://va.gov/identifiers/$Sta3n/120.5 |
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S | 0..1 | string | The value that is unique |
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C | 1..1 | code | registered | preliminary | final | amended + Constraints: vs-10-655, vs-10-656 |
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Content/Rules for all slices | |||
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1..1 | CodeableConcept | Classification of type of observation Required Pattern: At least the following | |
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1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: vital-signs | |
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S | 0..* | Coding | Code defined by a terminology system Binding: VitalsCodes FHIR (required): see mapping VF_VitalsCodes |
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1..1 | Reference(Patient) | Who and/or what the observation is about | |
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1..1 | dateTime, Period | Often just a dateTime for Vital Signs Slice: Unordered, Open by type:$this | |
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S | 0..1 | dateTime S | Often just a dateTime for Vital Signs |
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S | 0..1 | instant | Date/Time this version was made available |
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S | 0..* | Reference(Organization) | Who is responsible for the observation |
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0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Vital Signs Value Slice: Unordered, Open by type:$this | |
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0..1 | Quantity | Vital Signs Value | |
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SC | 0..1 | decimal | Numerical value (with implicit precision) Constraints: vs-10-664 |
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S | 0..1 | code | Coded form of the unit |
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S | 0..1 | CodeableConcept | Observed body part Binding: VitalsBodySite FHIR (required): see mapping VF_VitalsBodySite |
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S | 0..1 | CodeableConcept | How it was done Binding: VitalsMethod FHIR (required): see mapping VF_VitalsMethod |
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0..* | BackboneElement | Component observations Slice: Unordered, Open by pattern:code | |
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0..1 | BackboneElement | Component observations | |
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1..1 | CodeableConcept | Type of component observation (code / type) Required Pattern: At least the following | |
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1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: 104158-1 | |
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1..1 | string | Representation defined by the system Fixed Value: Associated precondition - Reported | |
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0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Vital Sign Component Value Slice: Unordered, Open by type:$this | |
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S | 0..1 | CodeableConcept | Vital Sign Component Value Binding: VitalsPrecondition FHIR (required): see mapping VF_VitalsPrecondition |
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0..1 | BackboneElement | Component observations | |
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1..1 | CodeableConcept | Type of component observation (code / type) Required Pattern: At least the following | |
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1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: 104158-1 | |
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1..1 | string | Representation defined by the system Fixed Value: Associated precondition - Reported | |
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0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Vital Sign Component Value Slice: Unordered, Open by type:$this | |
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S | 0..1 | CodeableConcept | Vital Sign Component Value Binding: VitalsQualifyingDevice FHIR (required): see mapping VF_VitalsQualifyingDevice |
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Path | Conformance | ValueSet | URI |
Observation.extension:observation-deviceCode.value[x] | required | VitalsMeasurementDevicehttp://va.gov/fhir/ValueSet/VitalsMeasurementDevice From this IG | |
Observation.extension:observation-bodyPosition.value[x] | required | VitalsBodyPositionhttp://va.gov/fhir/ValueSet/VitalsBodyPosition From this IG | |
Observation.code.coding | required | VitalsCodeshttp://va.gov/fhir/ValueSet/VitalsCodes From this IG | |
Observation.bodySite | required | VitalsBodySitehttp://va.gov/fhir/ValueSet/VitalsBodySite From this IG | |
Observation.method | required | VitalsMethodhttp://va.gov/fhir/ValueSet/VitalsMethod From this IG | |
Observation.component:va-pre-condition.value[x]:valueCodeableConcept | required | VitalsPreconditionhttp://va.gov/fhir/ValueSet/VitalsPrecondition From this IG | |
Observation.component:va-pre-condition-device.value[x]:valueCodeableConcept | required | VitalsQualifyingDevicehttp://va.gov/fhir/ValueSet/VitalsQualifyingDevice From this IG |
Id | Grade | Path(s) | Details | Requirements |
vs-10-655 | best practice | Observation.status | If (120.5-4) is null then fixed value #final : true | |
vs-10-656 | best practice | Observation.status | If (120.5-4) is not null then fixed value #entered-in-error : true | |
vs-10-664 | best practice | Observation.value[x]:valueQuantity.value | If VUID not = 4500634 then source value from (120.5-1.2) : true |
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() | ||||
---|---|---|---|---|---|---|---|---|
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C | 0..* | USCoreVitalSignsProfile | US Core Vital Signs Profile Constraints: obs-6, obs-7, vs-2 | ||||
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Σ | 0..1 | id | Logical id of this artifact | ||||
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Σ | 0..1 | Meta | Metadata about the resource | ||||
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?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
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0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
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0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
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0..* | Resource | Contained, inline Resources | |||||
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0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
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0..1 | (Complex) | A code representing the the type of device used for this observation. Should only be used if not implicit in the code found in `Observation.code` URL: http://hl7.org/fhir/StructureDefinition/observation-deviceCode | |||||
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0..1 | id | Unique id for inter-element referencing | |||||
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0..0 | |||||||
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1..1 | uri | "http://hl7.org/fhir/StructureDefinition/observation-deviceCode" | |||||
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S | 1..1 | CodeableConcept | Value of extension Binding: VitalsMeasurementDevice FHIR (required): see mapping VF_VitalsMeasurementDevice | ||||
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0..1 | (Complex) | The body position during the observation URL: http://hl7.org/fhir/StructureDefinition/observation-bodyPosition | |||||
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0..1 | id | Unique id for inter-element referencing | |||||
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0..0 | |||||||
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1..1 | uri | "http://hl7.org/fhir/StructureDefinition/observation-bodyPosition" | |||||
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S | 1..1 | CodeableConcept | Value of extension Binding: VitalsBodyPosition FHIR (required): see mapping VF_VitalsBodyPosition | ||||
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?! | 0..* | Extension | Extensions that cannot be ignored | ||||
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Σ | 0..* | Identifier | Business Identifier for observation | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | ||||
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Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | ||||
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SΣ | 0..1 | uri | The namespace for the identifier value Required Pattern: http://va.gov/identifiers/$Sta3n/120.5 | ||||
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SΣ | 0..1 | string | The value that is unique Example General: 123456 | ||||
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Σ | 0..1 | Period | Time period when id is/was valid for use | ||||
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Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | ||||
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Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order | ||||
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Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event | ||||
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?!SΣC | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required) Constraints: vs-10-655, vs-10-656 | ||||
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S | 1..* | CodeableConcept | Classification of type of observation Slice: Unordered, Open by value:coding.code, value:coding.system Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | ||||
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S | 1..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: At least the following | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category | |||||
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0..1 | string | Version of the system - if relevant | |||||
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1..1 | code | Symbol in syntax defined by the system Fixed Value: vital-signs | |||||
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0..1 | string | Representation defined by the system | |||||
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0..1 | boolean | If this coding was chosen directly by the user | |||||
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0..1 | string | Plain text representation of the concept | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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SΣ | 1..* | Coding | Code defined by a terminology system | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category | ||||
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Σ | 0..1 | string | Version of the system - if relevant | ||||
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SΣ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: vital-signs | ||||
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Σ | 0..1 | string | Representation defined by the system | ||||
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Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
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Σ | 0..1 | string | Plain text representation of the concept | ||||
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SΣ | 1..1 | CodeableConcept | Coded Responses from C-CDA Vital Sign Results Binding: US Core Vital Signs ValueSet (extensible): The vital sign codes from the base FHIR and US Core Vital Signs. | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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SΣ | 0..* | Coding | Code defined by a terminology system Binding: VitalsCodes FHIR (required): see mapping VF_VitalsCodes | ||||
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Σ | 0..1 | string | Plain text representation of the concept | ||||
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SΣ | 1..1 | Reference(Patient) | Who and/or what the observation is about | ||||
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Σ | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record | ||||
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Σ | 0..1 | Reference(Encounter) | Healthcare event during which this observation is made | ||||
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SΣC | 1..1 | Often just a dateTime for Vital Signs Slice: Unordered, Open by type:$this Constraints: vs-1 | |||||
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dateTime S | |||||||
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Period | |||||||
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SΣC | 0..1 | dateTime S | Often just a dateTime for Vital Signs Constraints: vs-1 | ||||
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SΣ | 0..1 | instant | Date/Time this version was made available | ||||
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SΣ | 0..* | Reference(Organization) | Who is responsible for the observation | ||||
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SΣC | 0..1 | Vital Signs Value Slice: Unordered, Open by type:$this Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs. | |||||
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Quantity S | |||||||
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CodeableConcept | |||||||
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string | |||||||
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boolean | |||||||
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integer | |||||||
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Range | |||||||
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Ratio | |||||||
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SampledData | |||||||
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time | |||||||
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dateTime | |||||||
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Period | |||||||
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SΣC | 0..1 | Quantity S | Vital Signs Value Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs. | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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SΣC | 0..1 | decimal | Numerical value (with implicit precision) Constraints: vs-10-664 | ||||
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?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | ||||
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Σ | 0..1 | string | Unit representation | ||||
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ΣC | 0..1 | uri | System that defines coded unit form | ||||
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SΣ | 0..1 | code | Coded form of the unit | ||||
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SC | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
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0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
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0..* | Annotation | Comments about the observation | |||||
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S | 0..1 | CodeableConcept | Observed body part Binding: VitalsBodySite FHIR (required): see mapping VF_VitalsBodySite | ||||
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S | 0..1 | CodeableConcept | How it was done Binding: VitalsMethod FHIR (required): see mapping VF_VitalsMethod | ||||
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0..1 | Reference(Specimen) | Specimen used for this observation | |||||
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0..1 | Reference(Device | DeviceMetric) | (Measurement) Device | |||||
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C | 0..* | BackboneElement | Provides guide for interpretation Constraints: obs-3 | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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C | 0..1 | SimpleQuantity | Low Range, if relevant | ||||
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C | 0..1 | SimpleQuantity | High Range, if relevant | ||||
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0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range. | |||||
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0..* | CodeableConcept | Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to. | |||||
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0..1 | Range | Applicable age range, if relevant | |||||
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0..1 | string | Text based reference range in an observation | |||||
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Σ | 0..* | Reference(QuestionnaireResponse | MolecularSequence | Vital Signs Profile) | Used when reporting vital signs panel components | ||||
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Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | MolecularSequence | Vital Signs Profile) | Related measurements the observation is made from | ||||
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SΣC | 0..* | BackboneElement | Component observations Slice: Unordered, Open by pattern:code Constraints: vs-3 | ||||
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Content/Rules for all slices | |||||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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SΣ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: US Core Vital Signs ValueSet (extensible): The vital sign codes from the base FHIR and US Core Vital Signs. | ||||
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SΣC | 0..1 | Vital Sign Component Value Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs. | |||||
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Quantity S | |||||||
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CodeableConcept | |||||||
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string | |||||||
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boolean | |||||||
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integer | |||||||
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Range | |||||||
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Ratio | |||||||
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SampledData | |||||||
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time | |||||||
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dateTime | |||||||
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Period | |||||||
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SC | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
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0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
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0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
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SΣC | 0..1 | BackboneElement | Component observations Constraints: vs-3 | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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SΣ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: US Core Vital Signs ValueSet (extensible): The vital sign codes from the base FHIR and US Core Vital Signs. Required Pattern: At least the following | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
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0..1 | string | Version of the system - if relevant | |||||
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1..1 | code | Symbol in syntax defined by the system Fixed Value: 104158-1 | |||||
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1..1 | string | Representation defined by the system Fixed Value: Associated precondition - Reported | |||||
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0..1 | boolean | If this coding was chosen directly by the user | |||||
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0..1 | string | Plain text representation of the concept | |||||
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SΣC | 0..1 | Vital Sign Component Value Slice: Unordered, Open by type:$this Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs. | |||||
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Quantity S | |||||||
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CodeableConcept | |||||||
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string | |||||||
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boolean | |||||||
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integer | |||||||
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Range | |||||||
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Ratio | |||||||
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SampledData | |||||||
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time | |||||||
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dateTime | |||||||
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Period | |||||||
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SΣC | 0..1 | CodeableConcept | Vital Sign Component Value Binding: VitalsPrecondition FHIR (required): see mapping VF_VitalsPrecondition | ||||
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SC | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
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0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
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0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
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SΣC | 0..1 | BackboneElement | Component observations Constraints: vs-3 | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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SΣ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: US Core Vital Signs ValueSet (extensible): The vital sign codes from the base FHIR and US Core Vital Signs. Required Pattern: At least the following | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
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0..1 | string | Version of the system - if relevant | |||||
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1..1 | code | Symbol in syntax defined by the system Fixed Value: 104158-1 | |||||
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1..1 | string | Representation defined by the system Fixed Value: Associated precondition - Reported | |||||
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0..1 | boolean | If this coding was chosen directly by the user | |||||
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0..1 | string | Plain text representation of the concept | |||||
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SΣC | 0..1 | Vital Sign Component Value Slice: Unordered, Open by type:$this Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs. | |||||
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Quantity S | |||||||
![]() ![]() ![]() ![]() ![]() ![]() |
CodeableConcept | |||||||
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string | |||||||
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boolean | |||||||
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integer | |||||||
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Range | |||||||
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Ratio | |||||||
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SampledData | |||||||
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time | |||||||
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dateTime | |||||||
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Period | |||||||
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SΣC | 0..1 | CodeableConcept | Vital Sign Component Value Binding: VitalsQualifyingDevice FHIR (required): see mapping VF_VitalsQualifyingDevice | ||||
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SC | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
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0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
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0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
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Path | Conformance | ValueSet / Code | URI | |||
Observation.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languages From the FHIR Standard
| ||||
Observation.extension:observation-deviceCode.value[x] | required | VitalsMeasurementDevicehttp://va.gov/fhir/ValueSet/VitalsMeasurementDevice From this IG | ||||
Observation.extension:observation-bodyPosition.value[x] | required | VitalsBodyPositionhttp://va.gov/fhir/ValueSet/VitalsBodyPosition From this IG | ||||
Observation.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard | ||||
Observation.identifier.type | extensible | Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard | ||||
Observation.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|4.0.1 From the FHIR Standard | ||||
Observation.category | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-category From the FHIR Standard | ||||
Observation.category:VSCat | preferred | Pattern Value: vital-signshttp://hl7.org/fhir/ValueSet/observation-category From the FHIR Standard | ||||
Observation.code | extensible | UsCoreVitalSignshttp://hl7.org/fhir/us/core/ValueSet/us-core-vital-signs | ||||
Observation.code.coding | required | VitalsCodeshttp://va.gov/fhir/ValueSet/VitalsCodes From this IG | ||||
Observation.value[x] | extensible | VitalSignsUnitshttp://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.1 From the FHIR Standard | ||||
Observation.value[x]:valueQuantity | extensible | VitalSignsUnitshttp://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.1 From the FHIR Standard | ||||
Observation.value[x]:valueQuantity.comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 From the FHIR Standard | ||||
Observation.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard | ||||
Observation.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretation From the FHIR Standard | ||||
Observation.bodySite | required | VitalsBodySitehttp://va.gov/fhir/ValueSet/VitalsBodySite From this IG | ||||
Observation.method | required | VitalsMethodhttp://va.gov/fhir/ValueSet/VitalsMethod From this IG | ||||
Observation.referenceRange.type | preferred | ObservationReferenceRangeMeaningCodeshttp://hl7.org/fhir/ValueSet/referencerange-meaning From the FHIR Standard | ||||
Observation.referenceRange.appliesTo | example | ObservationReferenceRangeAppliesToCodeshttp://hl7.org/fhir/ValueSet/referencerange-appliesto From the FHIR Standard | ||||
Observation.component.code | extensible | UsCoreVitalSignshttp://hl7.org/fhir/us/core/ValueSet/us-core-vital-signs | ||||
Observation.component.value[x] | extensible | VitalSignsUnitshttp://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.1 From the FHIR Standard | ||||
Observation.component.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard | ||||
Observation.component.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretation From the FHIR Standard | ||||
Observation.component:va-pre-condition.code | extensible | Pattern Value: LOINC Code 104158-1("Associated precondition - Reported")http://hl7.org/fhir/us/core/ValueSet/us-core-vital-signs | ||||
Observation.component:va-pre-condition.value[x] | extensible | VitalSignsUnitshttp://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.1 From the FHIR Standard | ||||
Observation.component:va-pre-condition.value[x]:valueCodeableConcept | required | VitalsPreconditionhttp://va.gov/fhir/ValueSet/VitalsPrecondition From this IG | ||||
Observation.component:va-pre-condition.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard | ||||
Observation.component:va-pre-condition.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretation From the FHIR Standard | ||||
Observation.component:va-pre-condition-device.code | extensible | Pattern Value: LOINC Code 104158-1("Associated precondition - Reported")http://hl7.org/fhir/us/core/ValueSet/us-core-vital-signs | ||||
Observation.component:va-pre-condition-device.value[x] | extensible | VitalSignsUnitshttp://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.1 From the FHIR Standard | ||||
Observation.component:va-pre-condition-device.value[x]:valueCodeableConcept | required | VitalsQualifyingDevicehttp://va.gov/fhir/ValueSet/VitalsQualifyingDevice From this IG | ||||
Observation.component:va-pre-condition-device.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard | ||||
Observation.component:va-pre-condition-device.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretation From the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | Observation | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
dom-4 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
dom-5 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | Observation | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
obs-3 | error | Observation.referenceRange | Must have at least a low or a high or text : low.exists() or high.exists() or text.exists() | |
obs-6 | error | Observation | dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty() | |
obs-7 | error | Observation | If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty() | |
vs-1 | error | Observation.effective[x], Observation.effective[x]:effectiveDateTime | if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day : $this is dateTime implies $this.toString().length() >= 10 | |
vs-2 | error | Observation | If there is no component or hasMember element then either a value[x] or a data absent reason must be present. : (component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists()) | |
vs-3 | error | Observation.component, Observation.component:va-pre-condition, Observation.component:va-pre-condition-device | If there is no a value a data absent reason must be present : value.exists() or dataAbsentReason.exists() | |
vs-10-655 | best practice | Observation.status | If (120.5-4) is null then fixed value #final : true | |
vs-10-656 | best practice | Observation.status | If (120.5-4) is not null then fixed value #entered-in-error : true | |
vs-10-664 | best practice | Observation.value[x]:valueQuantity.value | If VUID not = 4500634 then source value from (120.5-1.2) : true |
This structure is derived from USCoreVitalSignsProfile
Summary
Must-Support: 14 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Key Elements View
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
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C | 0..* | USCoreVitalSignsProfile | US Core Vital Signs Profile Constraints: obs-6, obs-7, vs-2 |
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?!Σ | 0..1 | uri | A set of rules under which this content was created |
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0..* | Extension | Extension Slice: Unordered, Open by value:url | |
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0..1 | (Complex) | A code representing the the type of device used for this observation. Should only be used if not implicit in the code found in `Observation.code` URL: http://hl7.org/fhir/StructureDefinition/observation-deviceCode | |
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0..0 | |||
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1..1 | uri | "http://hl7.org/fhir/StructureDefinition/observation-deviceCode" | |
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S | 1..1 | CodeableConcept | Value of extension Binding: VitalsMeasurementDevice FHIR (required): see mapping VF_VitalsMeasurementDevice |
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0..1 | (Complex) | The body position during the observation URL: http://hl7.org/fhir/StructureDefinition/observation-bodyPosition | |
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0..0 | |||
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1..1 | uri | "http://hl7.org/fhir/StructureDefinition/observation-bodyPosition" | |
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S | 1..1 | CodeableConcept | Value of extension Binding: VitalsBodyPosition FHIR (required): see mapping VF_VitalsBodyPosition |
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?! | 0..* | Extension | Extensions that cannot be ignored |
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Σ | 0..* | Identifier | Business Identifier for observation |
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?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . |
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SΣ | 0..1 | uri | The namespace for the identifier value Required Pattern: http://va.gov/identifiers/$Sta3n/120.5 |
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SΣ | 0..1 | string | The value that is unique Example General: 123456 |
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?!SΣC | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required) Constraints: vs-10-655, vs-10-656 |
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S | 1..* | CodeableConcept | Classification of type of observation Slice: Unordered, Open by value:coding.code, value:coding.system Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. |
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S | 1..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: At least the following |
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0..1 | string | Unique id for inter-element referencing | |
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0..* | Extension | Additional content defined by implementations | |
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1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
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0..1 | string | Unique id for inter-element referencing | |
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0..* | Extension | Additional content defined by implementations | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category | |
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0..1 | string | Version of the system - if relevant | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: vital-signs | |
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0..1 | string | Representation defined by the system | |
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0..1 | boolean | If this coding was chosen directly by the user | |
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0..1 | string | Plain text representation of the concept | |
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SΣ | 1..* | Coding | Code defined by a terminology system |
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SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category |
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SΣ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: vital-signs |
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SΣ | 1..1 | CodeableConcept | Coded Responses from C-CDA Vital Sign Results Binding: US Core Vital Signs ValueSet (extensible): The vital sign codes from the base FHIR and US Core Vital Signs. |
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SΣ | 0..* | Coding | Code defined by a terminology system Binding: VitalsCodes FHIR (required): see mapping VF_VitalsCodes |
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SΣ | 1..1 | Reference(Patient) | Who and/or what the observation is about |
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SΣC | 1..1 | Often just a dateTime for Vital Signs Slice: Unordered, Open by type:$this Constraints: vs-1 | |
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dateTime S | |||
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Period | |||
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SΣC | 0..1 | dateTime S | Often just a dateTime for Vital Signs Constraints: vs-1 |
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SΣ | 0..1 | instant | Date/Time this version was made available |
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SΣ | 0..* | Reference(Organization) | Who is responsible for the observation |
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SΣC | 0..1 | Vital Signs Value Slice: Unordered, Open by type:$this Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs. | |
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Quantity S | |||
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CodeableConcept | |||
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string | |||
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boolean | |||
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integer | |||
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Range | |||
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Ratio | |||
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SampledData | |||
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time | |||
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dateTime | |||
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Period | |||
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SΣC | 0..1 | Quantity S | Vital Signs Value Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs. |
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SΣC | 0..1 | decimal | Numerical value (with implicit precision) Constraints: vs-10-664 |
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?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. |
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SΣ | 0..1 | code | Coded form of the unit |
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SC | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
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S | 0..1 | CodeableConcept | Observed body part Binding: VitalsBodySite FHIR (required): see mapping VF_VitalsBodySite |
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S | 0..1 | CodeableConcept | How it was done Binding: VitalsMethod FHIR (required): see mapping VF_VitalsMethod |
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SΣC | 0..* | BackboneElement | Component observations Slice: Unordered, Open by pattern:code Constraints: vs-3 |
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Content/Rules for all slices | |||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
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SΣ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: US Core Vital Signs ValueSet (extensible): The vital sign codes from the base FHIR and US Core Vital Signs. |
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SΣC | 0..1 | Vital Sign Component Value Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs. | |
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Quantity S | |||
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CodeableConcept | |||
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string | |||
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boolean | |||
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integer | |||
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Range | |||
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Ratio | |||
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SampledData | |||
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time | |||
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dateTime | |||
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Period | |||
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SC | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
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SΣC | 0..1 | BackboneElement | Component observations Constraints: vs-3 |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
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SΣ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: US Core Vital Signs ValueSet (extensible): The vital sign codes from the base FHIR and US Core Vital Signs. Required Pattern: At least the following |
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0..1 | string | Unique id for inter-element referencing | |
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0..* | Extension | Additional content defined by implementations | |
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1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
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0..1 | string | Unique id for inter-element referencing | |
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0..* | Extension | Additional content defined by implementations | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
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0..1 | string | Version of the system - if relevant | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: 104158-1 | |
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1..1 | string | Representation defined by the system Fixed Value: Associated precondition - Reported | |
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0..1 | boolean | If this coding was chosen directly by the user | |
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0..1 | string | Plain text representation of the concept | |
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SΣC | 0..1 | Vital Sign Component Value Slice: Unordered, Open by type:$this Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs. | |
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Quantity S | |||
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CodeableConcept | |||
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string | |||
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boolean | |||
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integer | |||
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Range | |||
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Ratio | |||
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SampledData | |||
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time | |||
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dateTime | |||
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Period | |||
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SΣC | 0..1 | CodeableConcept | Vital Sign Component Value Binding: VitalsPrecondition FHIR (required): see mapping VF_VitalsPrecondition |
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SC | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
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SΣC | 0..1 | BackboneElement | Component observations Constraints: vs-3 |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
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SΣ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: US Core Vital Signs ValueSet (extensible): The vital sign codes from the base FHIR and US Core Vital Signs. Required Pattern: At least the following |
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0..1 | string | Unique id for inter-element referencing | |
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0..* | Extension | Additional content defined by implementations | |
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1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
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0..1 | string | Unique id for inter-element referencing | |
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0..* | Extension | Additional content defined by implementations | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
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0..1 | string | Version of the system - if relevant | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: 104158-1 | |
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1..1 | string | Representation defined by the system Fixed Value: Associated precondition - Reported | |
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0..1 | boolean | If this coding was chosen directly by the user | |
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0..1 | string | Plain text representation of the concept | |
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SΣC | 0..1 | Vital Sign Component Value Slice: Unordered, Open by type:$this Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs. | |
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Quantity S | |||
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CodeableConcept | |||
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string | |||
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boolean | |||
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integer | |||
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Range | |||
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Ratio | |||
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SampledData | |||
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time | |||
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dateTime | |||
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Period | |||
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SΣC | 0..1 | CodeableConcept | Vital Sign Component Value Binding: VitalsQualifyingDevice FHIR (required): see mapping VF_VitalsQualifyingDevice |
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SC | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
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Path | Conformance | ValueSet / Code | URI |
Observation.extension:observation-deviceCode.value[x] | required | VitalsMeasurementDevicehttp://va.gov/fhir/ValueSet/VitalsMeasurementDevice From this IG | |
Observation.extension:observation-bodyPosition.value[x] | required | VitalsBodyPositionhttp://va.gov/fhir/ValueSet/VitalsBodyPosition From this IG | |
Observation.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard | |
Observation.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|4.0.1 From the FHIR Standard | |
Observation.category | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-category From the FHIR Standard | |
Observation.category:VSCat | preferred | Pattern Value: vital-signshttp://hl7.org/fhir/ValueSet/observation-category From the FHIR Standard | |
Observation.code | extensible | UsCoreVitalSignshttp://hl7.org/fhir/us/core/ValueSet/us-core-vital-signs | |
Observation.code.coding | required | VitalsCodeshttp://va.gov/fhir/ValueSet/VitalsCodes From this IG | |
Observation.value[x] | extensible | VitalSignsUnitshttp://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.1 From the FHIR Standard | |
Observation.value[x]:valueQuantity | extensible | VitalSignsUnitshttp://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.1 From the FHIR Standard | |
Observation.value[x]:valueQuantity.comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 From the FHIR Standard | |
Observation.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard | |
Observation.bodySite | required | VitalsBodySitehttp://va.gov/fhir/ValueSet/VitalsBodySite From this IG | |
Observation.method | required | VitalsMethodhttp://va.gov/fhir/ValueSet/VitalsMethod From this IG | |
Observation.component.code | extensible | UsCoreVitalSignshttp://hl7.org/fhir/us/core/ValueSet/us-core-vital-signs | |
Observation.component.value[x] | extensible | VitalSignsUnitshttp://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.1 From the FHIR Standard | |
Observation.component.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard | |
Observation.component:va-pre-condition.code | extensible | Pattern Value: LOINC Code 104158-1("Associated precondition - Reported")http://hl7.org/fhir/us/core/ValueSet/us-core-vital-signs | |
Observation.component:va-pre-condition.value[x] | extensible | VitalSignsUnitshttp://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.1 From the FHIR Standard | |
Observation.component:va-pre-condition.value[x]:valueCodeableConcept | required | VitalsPreconditionhttp://va.gov/fhir/ValueSet/VitalsPrecondition From this IG | |
Observation.component:va-pre-condition.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard | |
Observation.component:va-pre-condition-device.code | extensible | Pattern Value: LOINC Code 104158-1("Associated precondition - Reported")http://hl7.org/fhir/us/core/ValueSet/us-core-vital-signs | |
Observation.component:va-pre-condition-device.value[x] | extensible | VitalSignsUnitshttp://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.1 From the FHIR Standard | |
Observation.component:va-pre-condition-device.value[x]:valueCodeableConcept | required | VitalsQualifyingDevicehttp://va.gov/fhir/ValueSet/VitalsQualifyingDevice From this IG | |
Observation.component:va-pre-condition-device.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | Observation | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
dom-4 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
dom-5 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | Observation | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
obs-6 | error | Observation | dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty() | |
obs-7 | error | Observation | If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty() | |
vs-1 | error | Observation.effective[x], Observation.effective[x]:effectiveDateTime | if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day : $this is dateTime implies $this.toString().length() >= 10 | |
vs-2 | error | Observation | If there is no component or hasMember element then either a value[x] or a data absent reason must be present. : (component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists()) | |
vs-3 | error | Observation.component, Observation.component:va-pre-condition, Observation.component:va-pre-condition-device | If there is no a value a data absent reason must be present : value.exists() or dataAbsentReason.exists() | |
vs-10-655 | best practice | Observation.status | If (120.5-4) is null then fixed value #final : true | |
vs-10-656 | best practice | Observation.status | If (120.5-4) is not null then fixed value #entered-in-error : true | |
vs-10-664 | best practice | Observation.value[x]:valueQuantity.value | If VUID not = 4500634 then source value from (120.5-1.2) : true |
Differential View
This structure is derived from USCoreVitalSignsProfile
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
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0..* | USCoreVitalSignsProfile | US Core Vital Signs Profile | |
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0..* | Extension | Extension Slice: Unordered, Open by value:url | |
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0..1 | (Complex) | A code representing the the type of device used for this observation. Should only be used if not implicit in the code found in `Observation.code` URL: http://hl7.org/fhir/StructureDefinition/observation-deviceCode | |
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S | 1..1 | CodeableConcept | Value of extension Binding: VitalsMeasurementDevice FHIR (required): see mapping VF_VitalsMeasurementDevice |
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0..1 | (Complex) | The body position during the observation URL: http://hl7.org/fhir/StructureDefinition/observation-bodyPosition | |
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S | 1..1 | CodeableConcept | Value of extension Binding: VitalsBodyPosition FHIR (required): see mapping VF_VitalsBodyPosition |
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S | 0..1 | uri | The namespace for the identifier value Required Pattern: http://va.gov/identifiers/$Sta3n/120.5 |
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S | 0..1 | string | The value that is unique |
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C | 1..1 | code | registered | preliminary | final | amended + Constraints: vs-10-655, vs-10-656 |
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Content/Rules for all slices | |||
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1..1 | CodeableConcept | Classification of type of observation Required Pattern: At least the following | |
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1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: vital-signs | |
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S | 0..* | Coding | Code defined by a terminology system Binding: VitalsCodes FHIR (required): see mapping VF_VitalsCodes |
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1..1 | Reference(Patient) | Who and/or what the observation is about | |
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1..1 | dateTime, Period | Often just a dateTime for Vital Signs Slice: Unordered, Open by type:$this | |
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S | 0..1 | dateTime S | Often just a dateTime for Vital Signs |
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S | 0..1 | instant | Date/Time this version was made available |
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S | 0..* | Reference(Organization) | Who is responsible for the observation |
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0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Vital Signs Value Slice: Unordered, Open by type:$this | |
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0..1 | Quantity | Vital Signs Value | |
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SC | 0..1 | decimal | Numerical value (with implicit precision) Constraints: vs-10-664 |
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S | 0..1 | code | Coded form of the unit |
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S | 0..1 | CodeableConcept | Observed body part Binding: VitalsBodySite FHIR (required): see mapping VF_VitalsBodySite |
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S | 0..1 | CodeableConcept | How it was done Binding: VitalsMethod FHIR (required): see mapping VF_VitalsMethod |
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0..* | BackboneElement | Component observations Slice: Unordered, Open by pattern:code | |
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0..1 | BackboneElement | Component observations | |
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1..1 | CodeableConcept | Type of component observation (code / type) Required Pattern: At least the following | |
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1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: 104158-1 | |
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1..1 | string | Representation defined by the system Fixed Value: Associated precondition - Reported | |
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0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Vital Sign Component Value Slice: Unordered, Open by type:$this | |
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S | 0..1 | CodeableConcept | Vital Sign Component Value Binding: VitalsPrecondition FHIR (required): see mapping VF_VitalsPrecondition |
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0..1 | BackboneElement | Component observations | |
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1..1 | CodeableConcept | Type of component observation (code / type) Required Pattern: At least the following | |
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1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: 104158-1 | |
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1..1 | string | Representation defined by the system Fixed Value: Associated precondition - Reported | |
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0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Vital Sign Component Value Slice: Unordered, Open by type:$this | |
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S | 0..1 | CodeableConcept | Vital Sign Component Value Binding: VitalsQualifyingDevice FHIR (required): see mapping VF_VitalsQualifyingDevice |
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Path | Conformance | ValueSet | URI |
Observation.extension:observation-deviceCode.value[x] | required | VitalsMeasurementDevicehttp://va.gov/fhir/ValueSet/VitalsMeasurementDevice From this IG | |
Observation.extension:observation-bodyPosition.value[x] | required | VitalsBodyPositionhttp://va.gov/fhir/ValueSet/VitalsBodyPosition From this IG | |
Observation.code.coding | required | VitalsCodeshttp://va.gov/fhir/ValueSet/VitalsCodes From this IG | |
Observation.bodySite | required | VitalsBodySitehttp://va.gov/fhir/ValueSet/VitalsBodySite From this IG | |
Observation.method | required | VitalsMethodhttp://va.gov/fhir/ValueSet/VitalsMethod From this IG | |
Observation.component:va-pre-condition.value[x]:valueCodeableConcept | required | VitalsPreconditionhttp://va.gov/fhir/ValueSet/VitalsPrecondition From this IG | |
Observation.component:va-pre-condition-device.value[x]:valueCodeableConcept | required | VitalsQualifyingDevicehttp://va.gov/fhir/ValueSet/VitalsQualifyingDevice From this IG |
Id | Grade | Path(s) | Details | Requirements |
vs-10-655 | best practice | Observation.status | If (120.5-4) is null then fixed value #final : true | |
vs-10-656 | best practice | Observation.status | If (120.5-4) is not null then fixed value #entered-in-error : true | |
vs-10-664 | best practice | Observation.value[x]:valueQuantity.value | If VUID not = 4500634 then source value from (120.5-1.2) : true |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() | ||||
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C | 0..* | USCoreVitalSignsProfile | US Core Vital Signs Profile Constraints: obs-6, obs-7, vs-2 | ||||
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Σ | 0..1 | id | Logical id of this artifact | ||||
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Σ | 0..1 | Meta | Metadata about the resource | ||||
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?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
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0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
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0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
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0..* | Resource | Contained, inline Resources | |||||
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0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
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0..1 | (Complex) | A code representing the the type of device used for this observation. Should only be used if not implicit in the code found in `Observation.code` URL: http://hl7.org/fhir/StructureDefinition/observation-deviceCode | |||||
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0..1 | id | Unique id for inter-element referencing | |||||
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0..0 | |||||||
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1..1 | uri | "http://hl7.org/fhir/StructureDefinition/observation-deviceCode" | |||||
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S | 1..1 | CodeableConcept | Value of extension Binding: VitalsMeasurementDevice FHIR (required): see mapping VF_VitalsMeasurementDevice | ||||
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0..1 | (Complex) | The body position during the observation URL: http://hl7.org/fhir/StructureDefinition/observation-bodyPosition | |||||
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0..1 | id | Unique id for inter-element referencing | |||||
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0..0 | |||||||
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1..1 | uri | "http://hl7.org/fhir/StructureDefinition/observation-bodyPosition" | |||||
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S | 1..1 | CodeableConcept | Value of extension Binding: VitalsBodyPosition FHIR (required): see mapping VF_VitalsBodyPosition | ||||
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?! | 0..* | Extension | Extensions that cannot be ignored | ||||
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Σ | 0..* | Identifier | Business Identifier for observation | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | ||||
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Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | ||||
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SΣ | 0..1 | uri | The namespace for the identifier value Required Pattern: http://va.gov/identifiers/$Sta3n/120.5 | ||||
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SΣ | 0..1 | string | The value that is unique Example General: 123456 | ||||
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Σ | 0..1 | Period | Time period when id is/was valid for use | ||||
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Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | ||||
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Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order | ||||
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Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event | ||||
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?!SΣC | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required) Constraints: vs-10-655, vs-10-656 | ||||
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S | 1..* | CodeableConcept | Classification of type of observation Slice: Unordered, Open by value:coding.code, value:coding.system Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | ||||
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S | 1..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: At least the following | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category | |||||
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0..1 | string | Version of the system - if relevant | |||||
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1..1 | code | Symbol in syntax defined by the system Fixed Value: vital-signs | |||||
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0..1 | string | Representation defined by the system | |||||
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0..1 | boolean | If this coding was chosen directly by the user | |||||
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0..1 | string | Plain text representation of the concept | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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SΣ | 1..* | Coding | Code defined by a terminology system | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category | ||||
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Σ | 0..1 | string | Version of the system - if relevant | ||||
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SΣ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: vital-signs | ||||
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Σ | 0..1 | string | Representation defined by the system | ||||
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Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
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Σ | 0..1 | string | Plain text representation of the concept | ||||
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SΣ | 1..1 | CodeableConcept | Coded Responses from C-CDA Vital Sign Results Binding: US Core Vital Signs ValueSet (extensible): The vital sign codes from the base FHIR and US Core Vital Signs. | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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SΣ | 0..* | Coding | Code defined by a terminology system Binding: VitalsCodes FHIR (required): see mapping VF_VitalsCodes | ||||
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Σ | 0..1 | string | Plain text representation of the concept | ||||
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SΣ | 1..1 | Reference(Patient) | Who and/or what the observation is about | ||||
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Σ | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record | ||||
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Σ | 0..1 | Reference(Encounter) | Healthcare event during which this observation is made | ||||
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SΣC | 1..1 | Often just a dateTime for Vital Signs Slice: Unordered, Open by type:$this Constraints: vs-1 | |||||
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dateTime S | |||||||
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Period | |||||||
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SΣC | 0..1 | dateTime S | Often just a dateTime for Vital Signs Constraints: vs-1 | ||||
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SΣ | 0..1 | instant | Date/Time this version was made available | ||||
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SΣ | 0..* | Reference(Organization) | Who is responsible for the observation | ||||
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SΣC | 0..1 | Vital Signs Value Slice: Unordered, Open by type:$this Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs. | |||||
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Quantity S | |||||||
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CodeableConcept | |||||||
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string | |||||||
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boolean | |||||||
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integer | |||||||
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Range | |||||||
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Ratio | |||||||
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SampledData | |||||||
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time | |||||||
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dateTime | |||||||
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Period | |||||||
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SΣC | 0..1 | Quantity S | Vital Signs Value Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs. | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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SΣC | 0..1 | decimal | Numerical value (with implicit precision) Constraints: vs-10-664 | ||||
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?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | ||||
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Σ | 0..1 | string | Unit representation | ||||
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ΣC | 0..1 | uri | System that defines coded unit form | ||||
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SΣ | 0..1 | code | Coded form of the unit | ||||
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SC | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
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0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
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0..* | Annotation | Comments about the observation | |||||
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S | 0..1 | CodeableConcept | Observed body part Binding: VitalsBodySite FHIR (required): see mapping VF_VitalsBodySite | ||||
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S | 0..1 | CodeableConcept | How it was done Binding: VitalsMethod FHIR (required): see mapping VF_VitalsMethod | ||||
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0..1 | Reference(Specimen) | Specimen used for this observation | |||||
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0..1 | Reference(Device | DeviceMetric) | (Measurement) Device | |||||
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C | 0..* | BackboneElement | Provides guide for interpretation Constraints: obs-3 | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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C | 0..1 | SimpleQuantity | Low Range, if relevant | ||||
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C | 0..1 | SimpleQuantity | High Range, if relevant | ||||
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0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range. | |||||
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0..* | CodeableConcept | Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to. | |||||
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0..1 | Range | Applicable age range, if relevant | |||||
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0..1 | string | Text based reference range in an observation | |||||
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Σ | 0..* | Reference(QuestionnaireResponse | MolecularSequence | Vital Signs Profile) | Used when reporting vital signs panel components | ||||
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Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | MolecularSequence | Vital Signs Profile) | Related measurements the observation is made from | ||||
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SΣC | 0..* | BackboneElement | Component observations Slice: Unordered, Open by pattern:code Constraints: vs-3 | ||||
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Content/Rules for all slices | |||||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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SΣ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: US Core Vital Signs ValueSet (extensible): The vital sign codes from the base FHIR and US Core Vital Signs. | ||||
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SΣC | 0..1 | Vital Sign Component Value Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs. | |||||
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Quantity S | |||||||
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CodeableConcept | |||||||
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string | |||||||
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boolean | |||||||
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integer | |||||||
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Range | |||||||
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Ratio | |||||||
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SampledData | |||||||
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time | |||||||
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dateTime | |||||||
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Period | |||||||
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SC | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
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0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
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0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
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SΣC | 0..1 | BackboneElement | Component observations Constraints: vs-3 | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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SΣ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: US Core Vital Signs ValueSet (extensible): The vital sign codes from the base FHIR and US Core Vital Signs. Required Pattern: At least the following | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
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0..1 | string | Version of the system - if relevant | |||||
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1..1 | code | Symbol in syntax defined by the system Fixed Value: 104158-1 | |||||
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1..1 | string | Representation defined by the system Fixed Value: Associated precondition - Reported | |||||
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0..1 | boolean | If this coding was chosen directly by the user | |||||
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0..1 | string | Plain text representation of the concept | |||||
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SΣC | 0..1 | Vital Sign Component Value Slice: Unordered, Open by type:$this Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs. | |||||
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Quantity S | |||||||
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CodeableConcept | |||||||
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string | |||||||
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boolean | |||||||
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integer | |||||||
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Range | |||||||
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Ratio | |||||||
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SampledData | |||||||
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time | |||||||
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dateTime | |||||||
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Period | |||||||
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SΣC | 0..1 | CodeableConcept | Vital Sign Component Value Binding: VitalsPrecondition FHIR (required): see mapping VF_VitalsPrecondition | ||||
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SC | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
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0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
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0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
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SΣC | 0..1 | BackboneElement | Component observations Constraints: vs-3 | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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SΣ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: US Core Vital Signs ValueSet (extensible): The vital sign codes from the base FHIR and US Core Vital Signs. Required Pattern: At least the following | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
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0..1 | string | Version of the system - if relevant | |||||
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1..1 | code | Symbol in syntax defined by the system Fixed Value: 104158-1 | |||||
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1..1 | string | Representation defined by the system Fixed Value: Associated precondition - Reported | |||||
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0..1 | boolean | If this coding was chosen directly by the user | |||||
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0..1 | string | Plain text representation of the concept | |||||
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SΣC | 0..1 | Vital Sign Component Value Slice: Unordered, Open by type:$this Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs. | |||||
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Quantity S | |||||||
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CodeableConcept | |||||||
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string | |||||||
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boolean | |||||||
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integer | |||||||
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Range | |||||||
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Ratio | |||||||
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SampledData | |||||||
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time | |||||||
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dateTime | |||||||
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Period | |||||||
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SΣC | 0..1 | CodeableConcept | Vital Sign Component Value Binding: VitalsQualifyingDevice FHIR (required): see mapping VF_VitalsQualifyingDevice | ||||
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SC | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
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0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
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0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
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Path | Conformance | ValueSet / Code | URI | |||
Observation.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languages From the FHIR Standard
| ||||
Observation.extension:observation-deviceCode.value[x] | required | VitalsMeasurementDevicehttp://va.gov/fhir/ValueSet/VitalsMeasurementDevice From this IG | ||||
Observation.extension:observation-bodyPosition.value[x] | required | VitalsBodyPositionhttp://va.gov/fhir/ValueSet/VitalsBodyPosition From this IG | ||||
Observation.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard | ||||
Observation.identifier.type | extensible | Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard | ||||
Observation.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|4.0.1 From the FHIR Standard | ||||
Observation.category | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-category From the FHIR Standard | ||||
Observation.category:VSCat | preferred | Pattern Value: vital-signshttp://hl7.org/fhir/ValueSet/observation-category From the FHIR Standard | ||||
Observation.code | extensible | UsCoreVitalSignshttp://hl7.org/fhir/us/core/ValueSet/us-core-vital-signs | ||||
Observation.code.coding | required | VitalsCodeshttp://va.gov/fhir/ValueSet/VitalsCodes From this IG | ||||
Observation.value[x] | extensible | VitalSignsUnitshttp://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.1 From the FHIR Standard | ||||
Observation.value[x]:valueQuantity | extensible | VitalSignsUnitshttp://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.1 From the FHIR Standard | ||||
Observation.value[x]:valueQuantity.comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 From the FHIR Standard | ||||
Observation.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard | ||||
Observation.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretation From the FHIR Standard | ||||
Observation.bodySite | required | VitalsBodySitehttp://va.gov/fhir/ValueSet/VitalsBodySite From this IG | ||||
Observation.method | required | VitalsMethodhttp://va.gov/fhir/ValueSet/VitalsMethod From this IG | ||||
Observation.referenceRange.type | preferred | ObservationReferenceRangeMeaningCodeshttp://hl7.org/fhir/ValueSet/referencerange-meaning From the FHIR Standard | ||||
Observation.referenceRange.appliesTo | example | ObservationReferenceRangeAppliesToCodeshttp://hl7.org/fhir/ValueSet/referencerange-appliesto From the FHIR Standard | ||||
Observation.component.code | extensible | UsCoreVitalSignshttp://hl7.org/fhir/us/core/ValueSet/us-core-vital-signs | ||||
Observation.component.value[x] | extensible | VitalSignsUnitshttp://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.1 From the FHIR Standard | ||||
Observation.component.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard | ||||
Observation.component.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretation From the FHIR Standard | ||||
Observation.component:va-pre-condition.code | extensible | Pattern Value: LOINC Code 104158-1("Associated precondition - Reported")http://hl7.org/fhir/us/core/ValueSet/us-core-vital-signs | ||||
Observation.component:va-pre-condition.value[x] | extensible | VitalSignsUnitshttp://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.1 From the FHIR Standard | ||||
Observation.component:va-pre-condition.value[x]:valueCodeableConcept | required | VitalsPreconditionhttp://va.gov/fhir/ValueSet/VitalsPrecondition From this IG | ||||
Observation.component:va-pre-condition.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard | ||||
Observation.component:va-pre-condition.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretation From the FHIR Standard | ||||
Observation.component:va-pre-condition-device.code | extensible | Pattern Value: LOINC Code 104158-1("Associated precondition - Reported")http://hl7.org/fhir/us/core/ValueSet/us-core-vital-signs | ||||
Observation.component:va-pre-condition-device.value[x] | extensible | VitalSignsUnitshttp://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.1 From the FHIR Standard | ||||
Observation.component:va-pre-condition-device.value[x]:valueCodeableConcept | required | VitalsQualifyingDevicehttp://va.gov/fhir/ValueSet/VitalsQualifyingDevice From this IG | ||||
Observation.component:va-pre-condition-device.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard | ||||
Observation.component:va-pre-condition-device.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretation From the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | Observation | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
dom-4 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
dom-5 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | Observation | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
obs-3 | error | Observation.referenceRange | Must have at least a low or a high or text : low.exists() or high.exists() or text.exists() | |
obs-6 | error | Observation | dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty() | |
obs-7 | error | Observation | If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty() | |
vs-1 | error | Observation.effective[x], Observation.effective[x]:effectiveDateTime | if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day : $this is dateTime implies $this.toString().length() >= 10 | |
vs-2 | error | Observation | If there is no component or hasMember element then either a value[x] or a data absent reason must be present. : (component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists()) | |
vs-3 | error | Observation.component, Observation.component:va-pre-condition, Observation.component:va-pre-condition-device | If there is no a value a data absent reason must be present : value.exists() or dataAbsentReason.exists() | |
vs-10-655 | best practice | Observation.status | If (120.5-4) is null then fixed value #final : true | |
vs-10-656 | best practice | Observation.status | If (120.5-4) is not null then fixed value #entered-in-error : true | |
vs-10-664 | best practice | Observation.value[x]:valueQuantity.value | If VUID not = 4500634 then source value from (120.5-1.2) : true |
This structure is derived from USCoreVitalSignsProfile
Summary
Must-Support: 14 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron