INTEROPen CareConnect Base STU3 Implementation Guide
3.0.0 - CI Build

INTEROPen CareConnect Base STU3 Implementation Guide - Local Development build (v3.0.0). See the Directory of published versions

StructureDefinition: CareConnect-BloodPressure-Observation-1

A Vital Signs profile to carry blood pressure information that contains at least one component for systolic and/or diastolic pressure.

The official URL for this profile is:

https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-BloodPressure-Observation-1

Formal Views of Profile Content

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

This structure is derived from Observation

Summary

Mandatory: 14 elements (35 nested mandatory elements)
Must-Support: 14 elements
Fixed Value: 27 elements
Prohibited: 7 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

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

This structure is derived from Observation

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 0..*Observation
... identifier
.... system 1..1uri
.... value 1..1string
.... assigner 0..1Reference(CareConnect-Organization-1)
... basedOn 0..*Reference(CareConnect-CarePlan-1 | DeviceRequest | ImmunizationRecommendation | CareConnect-MedicationRequest-1 | NutritionOrder | CareConnect-ReferralRequest-1 | CareConnect-ProcedureRequest-1)
... status S1..1codeFixed Value: final
.... coding 1..1Coding
..... system 1..1uriFixed Value: http://hl7.org/fhir/observation-category
..... version 0..0
..... code 1..1codeFixed Value: vital-signs
..... display 0..1stringFixed Value: Vital Signs
... code S1..1CodeableConceptBinding: Vital Signs (extensible)
.... coding 1..*(Slice Definition)Slice: Unordered, Open by value:code
..... coding:loinc 1..1CodingBinding: Vital Signs (extensible)
...... system 1..1uriFixed Value: http://loinc.org
...... code 1..1codeFixed Value: 85354-9
..... coding:snomedCT 1..1Coding
...... extension 0..*ExtensionSlice: Unordered, Open by value:url
...... Extension-coding-sctdescid 0..*(Complex)The SNOMED CT Description ID for the display
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
...... system 1..1uriFixed Value: http://snomed.info/sct
...... version 0..0
...... code 1..1codeFixed Value: 75367002
...... display 1..1stringFixed Value: Blood pressure
... subject S1..1Reference(CareConnect-Patient-1)
... context 0..1Reference(CareConnect-EpisodeOfCare-1 | CareConnect-Encounter-1)
... effective[x] S1..1dateTime, PeriodClinically relevant time/time-period for the observation
... performer 0..*Reference(CareConnect-RelatedPerson-1 | CareConnect-Practitioner-1 | CareConnect-Organization-1 | CareConnect-Patient-1)
... valueQuantity:valueQuantity S0..0
... dataAbsentReason S0..1CodeableConcept
.... coding
..... code 0..1code
... bodySite
.... coding 0..*(Slice Definition)Slice: Unordered, Open by value:system
..... coding:snomedCT 0..1CodingBinding: Care Connect Body Site (preferred)
...... extension 0..*ExtensionSlice: Unordered, Open by value:url
...... Extension-coding-sctdescid 0..*(Complex)The SNOMED CT Description ID for the display
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
...... system 1..1uriFixed Value: http://snomed.info/sct
...... version 0..0
...... code 1..1code
...... display 1..1string
... method
.... coding 0..*(Slice Definition)Slice: Unordered, Open by value:system
..... coding:snomedCT 0..1CodingBinding: Care Connect Observation Method (preferred)
...... extension 0..*ExtensionSlice: Unordered, Open by value:url
...... Extension-coding-sctdescid 0..*(Complex)The SNOMED CT Description ID for the display
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
...... system 1..1uriFixed Value: http://snomed.info/sct
...... version 0..0
...... code 1..1code
...... display 1..1string
... specimen 0..1Reference(CareConnect-Specimen-1)
... related S0..*BackboneElement
.... type S1..1codeFixed Value: has-member
.... target S1..1Reference(https://fhir.hl7.org.uk/StructureDefinition/CareConnect-Observation-1 | QuestionnaireResponse | Sequence | CareConnect-VitalSigns-Observation-1)
... component 0..*(Slice Definition)Used when reporting systolic and diastolic blood pressure.
Slice: Unordered, Open by value:code
.... component:systolicComponent 0..*BackboneElement
..... code 1..1CodeableConceptBinding: Vital Signs (extensible)
...... coding 0..*(Slice Definition)Slice: Unordered, Open by value:code
....... coding:loinc 1..1CodingSystolic Blood Pressure
Binding: Vital Signs (extensible)
........ system 1..1uriFixed Value: http://loinc.org
........ code 1..1codeFixed Value: 8480-6
....... coding:snomedCT 1..1CodingSystolic Blood Pressure
........ extension 0..*ExtensionSlice: Unordered, Open by value:url
........ Extension-coding-sctdescid 0..*(Complex)The SNOMED CT Description ID for the display
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
........ system 1..1uriFixed Value: http://snomed.info/sct
........ version 0..0
........ code 1..1codeFixed Value: 72313002
........ display 1..1stringFixed Value: Systolic arterial pressure
..... valueQuantity:valueQuantity 0..1QuantityVital Sign Value recorded with UCUM
Binding: Vital Signs Units (required)
...... value 1..1decimal
...... unit 1..1string
...... system 1..1uriFixed Value: http://unitsofmeasure.org
...... code 1..1codeCoded responses from the common UCUM units for vital signs value set.
Fixed Value: mm[Hg]
.... component:diastolicComponent 0..*BackboneElement
..... code 1..1CodeableConceptBinding: Vital Signs (extensible)
...... coding 0..*(Slice Definition)Slice: Unordered, Open by value:code
....... coding:loinc 1..1CodingDiastolic Blood Pressure
Binding: Vital Signs (extensible)
........ system 1..1uriFixed Value: http://loinc.org
........ code 1..1codeFixed Value: 8462-4
....... coding:snomedCT 1..1CodingDiastolic Blood Pressure
........ extension 0..*ExtensionSlice: Unordered, Open by value:url
........ Extension-coding-sctdescid 0..*(Complex)The SNOMED CT Description ID for the display
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
........ system 1..1uriFixed Value: http://snomed.info/sct
........ version 0..0
........ code 1..1codeFixed Value: 1091811000000102
........ display 1..1stringFixed Value: Diastolic arterial pressure
..... valueQuantity:valueQuantity 0..1QuantityVital Sign Value recorded with UCUM
Binding: Vital Signs Units (required)
...... value 1..1decimal
...... unit 1..1string
...... system 1..1uriFixed Value: http://unitsofmeasure.org
...... code 1..1codeCoded responses from the common UCUM units for vital signs value set.
Fixed Value: mm[Hg]

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation I0..*ObservationMeasurements and simple assertions
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: Common Languages (extensible)
Max Binding: All Languages
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional Content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierBusiness Identifier for observation
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ0..1codeusual | official | temp | secondary (If known)
Binding: IdentifierUse (required)
.... type Σ0..1CodeableConceptDescription of identifier
Binding: Identifier Type Codes (extensible)
.... system Σ1..1uriThe namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value Σ1..1stringThe value that is unique
Example General: 123456
.... period Σ0..1PeriodTime period when id is/was valid for use
.... assigner Σ0..1Reference(CareConnect-Organization-1)Organization that issued id (may be just text)
... basedOn Σ0..*Reference(CareConnect-CarePlan-1 | DeviceRequest | ImmunizationRecommendation | CareConnect-MedicationRequest-1 | NutritionOrder | CareConnect-ReferralRequest-1 | CareConnect-ProcedureRequest-1)Fulfills plan, proposal or order
... status ?!SΣ1..1coderegistered | preliminary | final | amended +
Binding: ObservationStatus (required)
Fixed Value: final
... category S1..*CodeableConceptClassification of type of observation
Binding: Observation Category Codes (required)
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ1..1CodingCode defined by a terminology system
..... id 0..1stringxml:id (or equivalent in JSON)
..... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
..... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/observation-category
..... code Σ1..1codeSymbol in syntax defined by the system
Fixed Value: vital-signs
..... display Σ0..1stringRepresentation defined by the system
Fixed Value: Vital Signs
..... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... text Σ0..1stringPlain text representation of the concept
... code SΣ1..1CodeableConceptType of observation (code / type)
Binding: Vital Signs (extensible)
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ1..*(Slice Definition)Code defined by a terminology system
Slice: Unordered, Open by value:code
..... coding:loinc Σ1..1CodingCode defined by a terminology system
Binding: Vital Signs (extensible)
...... id 0..1stringxml:id (or equivalent in JSON)
...... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
...... version Σ0..1stringVersion of the system - if relevant
...... code Σ1..1codeSymbol in syntax defined by the system
Fixed Value: 85354-9
...... display Σ0..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
..... coding:snomedCT Σ1..1CodingCode defined by a terminology system
...... id 0..1stringxml:id (or equivalent in JSON)
...... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
...... Extension-coding-sctdescid 0..*(Complex)The SNOMED CT Description ID for the display
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
...... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
...... code Σ1..1codeSymbol in syntax defined by the system
Fixed Value: 75367002
...... display Σ1..1stringRepresentation defined by the system
Fixed Value: Blood pressure
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... text Σ0..1stringPlain text representation of the concept
... subject SΣ1..1Reference(CareConnect-Patient-1)Who and/or what this is about
... context 0..1Reference(CareConnect-EpisodeOfCare-1 | CareConnect-Encounter-1)Healthcare event during which this observation is made
... effective[x] SΣ1..1Clinically relevant time/time-period for the observation
.... effectiveDateTimedateTime
.... effectivePeriodPeriod
... issued Σ0..1instantDate/Time this was made available
... performer Σ0..*Reference(CareConnect-RelatedPerson-1 | CareConnect-Practitioner-1 | CareConnect-Organization-1 | CareConnect-Patient-1)Who is responsible for the observation
... value[x] ΣI0..1(Slice Definition)Actual result
Slice: Unordered, Closed by type:$this
... dataAbsentReason SI0..1CodeableConceptWhy the result is missing
Binding: Observation Value Absent Reason (extensible)
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ0..*CodingCode defined by a terminology system
..... id 0..1stringxml:id (or equivalent in JSON)
..... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
..... system Σ0..1uriIdentity of the terminology system
..... version Σ0..1stringVersion of the system - if relevant
..... code Σ0..1codeSymbol in syntax defined by the system
..... display Σ0..1stringRepresentation defined by the system
..... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... text Σ0..1stringPlain text representation of the concept
... interpretation 0..1CodeableConceptHigh, low, normal, etc.
Binding: Observation Interpretation Codes (extensible)
... comment 0..1stringComments about result
... bodySite 0..1CodeableConceptObserved body part
Binding: SNOMED CT Body Structures (example)
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ0..*(Slice Definition)Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:snomedCT Σ0..1CodingCode defined by a terminology system
Binding: Care Connect Body Site (preferred)
...... id 0..1stringxml:id (or equivalent in JSON)
...... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
...... Extension-coding-sctdescid 0..*(Complex)The SNOMED CT Description ID for the display
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
...... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
...... code Σ1..1codeSymbol in syntax defined by the system
...... display Σ1..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... text Σ0..1stringPlain text representation of the concept
... method 0..1CodeableConceptHow it was done
Binding: Observation Methods (example)
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ0..*(Slice Definition)Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:snomedCT Σ0..1CodingCode defined by a terminology system
Binding: Care Connect Observation Method (preferred)
...... id 0..1stringxml:id (or equivalent in JSON)
...... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
...... Extension-coding-sctdescid 0..*(Complex)The SNOMED CT Description ID for the display
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
...... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
...... code Σ1..1codeSymbol in syntax defined by the system
...... display Σ1..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... text Σ0..1stringPlain text representation of the concept
... specimen 0..1Reference(CareConnect-Specimen-1)Specimen used for this observation
... device 0..1Reference(Device | DeviceMetric)(Measurement) Device
... referenceRange I0..*BackboneElementProvides guide for interpretation
obs-3: Must have at least a low or a high or text
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... low I0..1SimpleQuantityLow Range, if relevant
.... high I0..1SimpleQuantityHigh Range, if relevant
.... type 0..1CodeableConceptReference range qualifier
Binding: Observation Reference Range Meaning Codes (extensible)
.... appliesTo 0..*CodeableConceptReference range population
Binding: Observation Reference Range Applies To Codes (example)
.... age 0..1RangeApplicable age range, if relevant
.... text 0..1stringText based reference range in an observation
... related SΣI0..*BackboneElementResource related to this observation
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... type S1..1codehas-member | derived-from | sequel-to | replaces | qualified-by | interfered-by
Binding: ObservationRelationshipType (required)
Fixed Value: has-member
.... target S1..1Reference(https://fhir.hl7.org.uk/StructureDefinition/CareConnect-Observation-1 | QuestionnaireResponse | Sequence | CareConnect-VitalSigns-Observation-1)Resource that is related to this one
... component ΣI0..*(Slice Definition)Used when reporting systolic and diastolic blood pressure.
Slice: Unordered, Open by value:code
.... component:All Slices Content/Rules for all slices
..... id 0..1stringxml:id (or equivalent in JSON)
..... extension 0..*ExtensionAdditional Content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
..... code Σ1..1CodeableConceptType of component observation (code / type)
Binding: LOINC Codes (example)
..... value[x] Σ0..1Actual component result
...... valueQuantityQuantity
...... valueCodeableConceptCodeableConcept
...... valueStringstring
...... valueRangeRange
...... valueRatioRatio
...... valueSampledDataSampledData
...... valueAttachmentAttachment
...... valueTimetime
...... valueDateTimedateTime
...... valuePeriodPeriod
..... dataAbsentReason I0..1CodeableConceptWhy the component result is missing
Binding: Observation Value Absent Reason (extensible)
..... interpretation 0..1CodeableConceptHigh, low, normal, etc.
Binding: Observation Interpretation Codes (extensible)
..... referenceRange 0..*Unknown reference to #Observation.referenceRange
Provides guide for interpretation of component result
.... component:systolicComponent ΣI0..*BackboneElementComponent results
..... id 0..1stringxml:id (or equivalent in JSON)
..... extension 0..*ExtensionAdditional Content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
..... code Σ1..1CodeableConceptType of component observation (code / type)
Binding: Vital Signs (extensible)
...... id 0..1stringxml:id (or equivalent in JSON)
...... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ0..*(Slice Definition)Code defined by a terminology system
Slice: Unordered, Open by value:code
....... coding:loinc Σ1..1CodingSystolic Blood Pressure
Binding: Vital Signs (extensible)
........ id 0..1stringxml:id (or equivalent in JSON)
........ extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
........ system Σ1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
........ version Σ0..1stringVersion of the system - if relevant
........ code Σ1..1codeSymbol in syntax defined by the system
Fixed Value: 8480-6
........ display Σ0..1stringRepresentation defined by the system
........ userSelected Σ0..1booleanIf this coding was chosen directly by the user
....... coding:snomedCT Σ1..1CodingSystolic Blood Pressure
........ id 0..1stringxml:id (or equivalent in JSON)
........ extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
........ Extension-coding-sctdescid 0..*(Complex)The SNOMED CT Description ID for the display
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
........ system Σ1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
........ code Σ1..1codeSymbol in syntax defined by the system
Fixed Value: 72313002
........ display Σ1..1stringRepresentation defined by the system
Fixed Value: Systolic arterial pressure
........ userSelected Σ0..1booleanIf this coding was chosen directly by the user
...... text Σ0..1stringPlain text representation of the concept
..... value[x]:valueQuantity Σ0..1QuantityVital Sign Value recorded with UCUM
Binding: Vital Signs Units (required)
...... id 0..1stringxml:id (or equivalent in JSON)
...... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
...... value Σ1..1decimalNumerical value (with implicit precision)
...... comparator ?!Σ0..1code< | <= | >= | > - how to understand the value
Binding: QuantityComparator (required)
...... unit Σ1..1stringUnit representation
...... system ΣI1..1uriSystem that defines coded unit form
Fixed Value: http://unitsofmeasure.org
...... code Σ1..1codeCoded responses from the common UCUM units for vital signs value set.
Fixed Value: mm[Hg]
..... dataAbsentReason I0..1CodeableConceptWhy the component result is missing
Binding: Observation Value Absent Reason (extensible)
..... interpretation 0..1CodeableConceptHigh, low, normal, etc.
Binding: Observation Interpretation Codes (extensible)
..... referenceRange 0..*Unknown reference to #Observation.referenceRange
Provides guide for interpretation of component result
.... component:diastolicComponent ΣI0..*BackboneElementComponent results
..... id 0..1stringxml:id (or equivalent in JSON)
..... extension 0..*ExtensionAdditional Content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
..... code Σ1..1CodeableConceptType of component observation (code / type)
Binding: Vital Signs (extensible)
...... id 0..1stringxml:id (or equivalent in JSON)
...... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ0..*(Slice Definition)Code defined by a terminology system
Slice: Unordered, Open by value:code
....... coding:loinc Σ1..1CodingDiastolic Blood Pressure
Binding: Vital Signs (extensible)
........ id 0..1stringxml:id (or equivalent in JSON)
........ extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
........ system Σ1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
........ version Σ0..1stringVersion of the system - if relevant
........ code Σ1..1codeSymbol in syntax defined by the system
Fixed Value: 8462-4
........ display Σ0..1stringRepresentation defined by the system
........ userSelected Σ0..1booleanIf this coding was chosen directly by the user
....... coding:snomedCT Σ1..1CodingDiastolic Blood Pressure
........ id 0..1stringxml:id (or equivalent in JSON)
........ extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
........ Extension-coding-sctdescid 0..*(Complex)The SNOMED CT Description ID for the display
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
........ system Σ1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
........ code Σ1..1codeSymbol in syntax defined by the system
Fixed Value: 1091811000000102
........ display Σ1..1stringRepresentation defined by the system
Fixed Value: Diastolic arterial pressure
........ userSelected Σ0..1booleanIf this coding was chosen directly by the user
...... text Σ0..1stringPlain text representation of the concept
..... value[x]:valueQuantity Σ0..1QuantityVital Sign Value recorded with UCUM
Binding: Vital Signs Units (required)
...... id 0..1stringxml:id (or equivalent in JSON)
...... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
...... value Σ1..1decimalNumerical value (with implicit precision)
...... comparator ?!Σ0..1code< | <= | >= | > - how to understand the value
Binding: QuantityComparator (required)
...... unit Σ1..1stringUnit representation
...... system ΣI1..1uriSystem that defines coded unit form
Fixed Value: http://unitsofmeasure.org
...... code Σ1..1codeCoded responses from the common UCUM units for vital signs value set.
Fixed Value: mm[Hg]
..... dataAbsentReason I0..1CodeableConceptWhy the component result is missing
Binding: Observation Value Absent Reason (extensible)
..... interpretation 0..1CodeableConceptHigh, low, normal, etc.
Binding: Observation Interpretation Codes (extensible)
..... referenceRange 0..*Unknown reference to #Observation.referenceRange
Provides guide for interpretation of component result

doco Documentation for this format

This structure is derived from Observation

Summary

Mandatory: 14 elements (35 nested mandatory elements)
Must-Support: 14 elements
Fixed Value: 27 elements
Prohibited: 7 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

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

Differential View

This structure is derived from Observation

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 0..*Observation
... identifier
.... system 1..1uri
.... value 1..1string
.... assigner 0..1Reference(CareConnect-Organization-1)
... basedOn 0..*Reference(CareConnect-CarePlan-1 | DeviceRequest | ImmunizationRecommendation | CareConnect-MedicationRequest-1 | NutritionOrder | CareConnect-ReferralRequest-1 | CareConnect-ProcedureRequest-1)
... status S1..1codeFixed Value: final
.... coding 1..1Coding
..... system 1..1uriFixed Value: http://hl7.org/fhir/observation-category
..... version 0..0
..... code 1..1codeFixed Value: vital-signs
..... display 0..1stringFixed Value: Vital Signs
... code S1..1CodeableConceptBinding: Vital Signs (extensible)
.... coding 1..*(Slice Definition)Slice: Unordered, Open by value:code
..... coding:loinc 1..1CodingBinding: Vital Signs (extensible)
...... system 1..1uriFixed Value: http://loinc.org
...... code 1..1codeFixed Value: 85354-9
..... coding:snomedCT 1..1Coding
...... extension 0..*ExtensionSlice: Unordered, Open by value:url
...... Extension-coding-sctdescid 0..*(Complex)The SNOMED CT Description ID for the display
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
...... system 1..1uriFixed Value: http://snomed.info/sct
...... version 0..0
...... code 1..1codeFixed Value: 75367002
...... display 1..1stringFixed Value: Blood pressure
... subject S1..1Reference(CareConnect-Patient-1)
... context 0..1Reference(CareConnect-EpisodeOfCare-1 | CareConnect-Encounter-1)
... effective[x] S1..1dateTime, PeriodClinically relevant time/time-period for the observation
... performer 0..*Reference(CareConnect-RelatedPerson-1 | CareConnect-Practitioner-1 | CareConnect-Organization-1 | CareConnect-Patient-1)
... valueQuantity:valueQuantity S0..0
... dataAbsentReason S0..1CodeableConcept
.... coding
..... code 0..1code
... bodySite
.... coding 0..*(Slice Definition)Slice: Unordered, Open by value:system
..... coding:snomedCT 0..1CodingBinding: Care Connect Body Site (preferred)
...... extension 0..*ExtensionSlice: Unordered, Open by value:url
...... Extension-coding-sctdescid 0..*(Complex)The SNOMED CT Description ID for the display
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
...... system 1..1uriFixed Value: http://snomed.info/sct
...... version 0..0
...... code 1..1code
...... display 1..1string
... method
.... coding 0..*(Slice Definition)Slice: Unordered, Open by value:system
..... coding:snomedCT 0..1CodingBinding: Care Connect Observation Method (preferred)
...... extension 0..*ExtensionSlice: Unordered, Open by value:url
...... Extension-coding-sctdescid 0..*(Complex)The SNOMED CT Description ID for the display
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
...... system 1..1uriFixed Value: http://snomed.info/sct
...... version 0..0
...... code 1..1code
...... display 1..1string
... specimen 0..1Reference(CareConnect-Specimen-1)
... related S0..*BackboneElement
.... type S1..1codeFixed Value: has-member
.... target S1..1Reference(https://fhir.hl7.org.uk/StructureDefinition/CareConnect-Observation-1 | QuestionnaireResponse | Sequence | CareConnect-VitalSigns-Observation-1)
... component 0..*(Slice Definition)Used when reporting systolic and diastolic blood pressure.
Slice: Unordered, Open by value:code
.... component:systolicComponent 0..*BackboneElement
..... code 1..1CodeableConceptBinding: Vital Signs (extensible)
...... coding 0..*(Slice Definition)Slice: Unordered, Open by value:code
....... coding:loinc 1..1CodingSystolic Blood Pressure
Binding: Vital Signs (extensible)
........ system 1..1uriFixed Value: http://loinc.org
........ code 1..1codeFixed Value: 8480-6
....... coding:snomedCT 1..1CodingSystolic Blood Pressure
........ extension 0..*ExtensionSlice: Unordered, Open by value:url
........ Extension-coding-sctdescid 0..*(Complex)The SNOMED CT Description ID for the display
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
........ system 1..1uriFixed Value: http://snomed.info/sct
........ version 0..0
........ code 1..1codeFixed Value: 72313002
........ display 1..1stringFixed Value: Systolic arterial pressure
..... valueQuantity:valueQuantity 0..1QuantityVital Sign Value recorded with UCUM
Binding: Vital Signs Units (required)
...... value 1..1decimal
...... unit 1..1string
...... system 1..1uriFixed Value: http://unitsofmeasure.org
...... code 1..1codeCoded responses from the common UCUM units for vital signs value set.
Fixed Value: mm[Hg]
.... component:diastolicComponent 0..*BackboneElement
..... code 1..1CodeableConceptBinding: Vital Signs (extensible)
...... coding 0..*(Slice Definition)Slice: Unordered, Open by value:code
....... coding:loinc 1..1CodingDiastolic Blood Pressure
Binding: Vital Signs (extensible)
........ system 1..1uriFixed Value: http://loinc.org
........ code 1..1codeFixed Value: 8462-4
....... coding:snomedCT 1..1CodingDiastolic Blood Pressure
........ extension 0..*ExtensionSlice: Unordered, Open by value:url
........ Extension-coding-sctdescid 0..*(Complex)The SNOMED CT Description ID for the display
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
........ system 1..1uriFixed Value: http://snomed.info/sct
........ version 0..0
........ code 1..1codeFixed Value: 1091811000000102
........ display 1..1stringFixed Value: Diastolic arterial pressure
..... valueQuantity:valueQuantity 0..1QuantityVital Sign Value recorded with UCUM
Binding: Vital Signs Units (required)
...... value 1..1decimal
...... unit 1..1string
...... system 1..1uriFixed Value: http://unitsofmeasure.org
...... code 1..1codeCoded responses from the common UCUM units for vital signs value set.
Fixed Value: mm[Hg]

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation I0..*ObservationMeasurements and simple assertions
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: Common Languages (extensible)
Max Binding: All Languages
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional Content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierBusiness Identifier for observation
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ0..1codeusual | official | temp | secondary (If known)
Binding: IdentifierUse (required)
.... type Σ0..1CodeableConceptDescription of identifier
Binding: Identifier Type Codes (extensible)
.... system Σ1..1uriThe namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value Σ1..1stringThe value that is unique
Example General: 123456
.... period Σ0..1PeriodTime period when id is/was valid for use
.... assigner Σ0..1Reference(CareConnect-Organization-1)Organization that issued id (may be just text)
... basedOn Σ0..*Reference(CareConnect-CarePlan-1 | DeviceRequest | ImmunizationRecommendation | CareConnect-MedicationRequest-1 | NutritionOrder | CareConnect-ReferralRequest-1 | CareConnect-ProcedureRequest-1)Fulfills plan, proposal or order
... status ?!SΣ1..1coderegistered | preliminary | final | amended +
Binding: ObservationStatus (required)
Fixed Value: final
... category S1..*CodeableConceptClassification of type of observation
Binding: Observation Category Codes (required)
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ1..1CodingCode defined by a terminology system
..... id 0..1stringxml:id (or equivalent in JSON)
..... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
..... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/observation-category
..... code Σ1..1codeSymbol in syntax defined by the system
Fixed Value: vital-signs
..... display Σ0..1stringRepresentation defined by the system
Fixed Value: Vital Signs
..... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... text Σ0..1stringPlain text representation of the concept
... code SΣ1..1CodeableConceptType of observation (code / type)
Binding: Vital Signs (extensible)
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ1..*(Slice Definition)Code defined by a terminology system
Slice: Unordered, Open by value:code
..... coding:loinc Σ1..1CodingCode defined by a terminology system
Binding: Vital Signs (extensible)
...... id 0..1stringxml:id (or equivalent in JSON)
...... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
...... version Σ0..1stringVersion of the system - if relevant
...... code Σ1..1codeSymbol in syntax defined by the system
Fixed Value: 85354-9
...... display Σ0..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
..... coding:snomedCT Σ1..1CodingCode defined by a terminology system
...... id 0..1stringxml:id (or equivalent in JSON)
...... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
...... Extension-coding-sctdescid 0..*(Complex)The SNOMED CT Description ID for the display
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
...... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
...... code Σ1..1codeSymbol in syntax defined by the system
Fixed Value: 75367002
...... display Σ1..1stringRepresentation defined by the system
Fixed Value: Blood pressure
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... text Σ0..1stringPlain text representation of the concept
... subject SΣ1..1Reference(CareConnect-Patient-1)Who and/or what this is about
... context 0..1Reference(CareConnect-EpisodeOfCare-1 | CareConnect-Encounter-1)Healthcare event during which this observation is made
... effective[x] SΣ1..1Clinically relevant time/time-period for the observation
.... effectiveDateTimedateTime
.... effectivePeriodPeriod
... issued Σ0..1instantDate/Time this was made available
... performer Σ0..*Reference(CareConnect-RelatedPerson-1 | CareConnect-Practitioner-1 | CareConnect-Organization-1 | CareConnect-Patient-1)Who is responsible for the observation
... value[x] ΣI0..1(Slice Definition)Actual result
Slice: Unordered, Closed by type:$this
... dataAbsentReason SI0..1CodeableConceptWhy the result is missing
Binding: Observation Value Absent Reason (extensible)
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ0..*CodingCode defined by a terminology system
..... id 0..1stringxml:id (or equivalent in JSON)
.....