0.7.8 - ballotNormative-1
0.7.8 - ballotNormative-1
NoDomainVitalSigns - Local Development build (v0.7.8) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| Official URL: http://hl7.no/fhir/StructureDefinition/NoDomainVitalSignsObservationHeartRate | Version: 0.7.8 | |||
| Draft as of 2021-05-01 | Computable Name: NoDomainVitalSignsObservationHeartRate | |||
Copyright/Legal: Some content in this profile builds on the heart rate archetype: Puls/Hjertefrekvens, Publisert arketype [Internet]. openEHR Norge, Nasjonal IKT Clinical Knowledge Manager [sitert: 2024-12-04]. Hentet fra: https://arketyper.no/ckm/archetypes/1078.36.2293 |
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Base profile for Norwegian Vital Signs Observation Heart Rate information.
Use to record the presence or absence of a heart beat.
Basisprofile for Norwegian VitalSigns Observation Heart Rate information. Defined by The Norwegian Directorate of eHealth and HL7 Norway. The profile adds Norwegian specific property information and further explanation of the use for the data-elements in a Norwegian VitalSigns Observation Heart Rate.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from observation-heartrate
| Path | Conformance | ValueSet | URI |
| Observation.bodySite | extensible | NoDomainVitalSignsObservationHeartRateBodySitehttp://hl7.no/fhir/ValueSet/NoDomainVitalSignsObservationHeartRateBodySitefrom this IG | |
| Observation.bodySite.coding | extensible | NoDomainVitalSignsObservationHeartRateBodySitehttp://hl7.no/fhir/ValueSet/NoDomainVitalSignsObservationHeartRateBodySitefrom this IG | |
| Observation.method | extensible | NoDomainVitalSignsObservationHeartRateMeasurementMethodhttp://hl7.no/fhir/ValueSet/NoDomainVitalSignsObservationHeartRateMeasurementMethodfrom this IG | |
| Observation.method.coding | extensible | NoDomainVitalSignsObservationHeartRateMeasurementMethodhttp://hl7.no/fhir/ValueSet/NoDomainVitalSignsObservationHeartRateMeasurementMethodfrom this IG |
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Observation |
C | 0..* | observation-heartrate | FHIR Heart Rate Profile dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present vs-2: If there is no component or hasMember element then either a value[x] or a data absent reason must be present. |
  implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children |
  Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
   heartRhythmIrregularity |
0..1 | Coding | Optional Extensions Element URL: http://hl7.no/fhir/StructureDefinition/NoDomainVitalSignsObservationHeartRhythmIrregularity Binding: NoDomainVitalSignsObservationHeartRhythmIrregularity (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
| confoundingFactor |
0..1 | CodeableConcept | Additional issues or factors that may impact for the measurement URL: http://hl7.no/fhir/StructureDefinition/NoDomainVitalSignsObservationConfoundingFactor ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
| clinicalDescription |
0..1 | Annotation | Narrative description about the heart beat. URL: http://hl7.no/fhir/StructureDefinition/NoDomainVitalSignsObservationClinicalDescription ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
 BodyPosition |
0..1 | Coding | The body position of the subject during the observation. URL: http://hl7.no/fhir/StructureDefinition/NoDomainVitalSignsObservationHeartRatePulseBodyPosition Binding: NoDomainVitalSignsObservationHeartRatePulseBodyPosition (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| status |
?!SΣ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required) ele-1: All FHIR elements must have a @value or children |
 Slices for category |
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. ele-1: All FHIR elements must have a @value or children |
 category:VSCat |
S | 1..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. ele-1: All FHIR elements must have a @value or children |
   coding |
SΣ | 1..* | Coding | Code defined by a terminology system ele-1: All FHIR elements must have a @value or children |
| system |
SΣ | 1..1 | uri | Identity of the terminology system ele-1: All FHIR elements must have a @value or children Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category |
 code |
SΣ | 1..1 | code | Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children Fixed Value: vital-signs |
| code |
SΣ | 1..1 | CodeableConcept | Heart Rate Binding: VitalSigns (extensible): This identifies the vital sign result type. ele-1: All FHIR elements must have a @value or children |
 Slices for coding |
Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:code, value:system ele-1: All FHIR elements must have a @value or children |
 coding:HeartRateCode |
Σ | 1..1 | Coding | Code defined by a terminology system ele-1: All FHIR elements must have a @value or children |
  system |
Σ | 1..1 | uri | Identity of the terminology system ele-1: All FHIR elements must have a @value or children Fixed Value: http://loinc.org |
 code |
Σ | 1..1 | code | Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children Fixed Value: 8867-4 |
| coding:HeartRateSNOMEDCode |
Σ | 0..1 | Coding | Code defined by a terminology system ele-1: All FHIR elements must have a @value or children |
| system |
Σ | 1..1 | uri | Identity of the terminology system ele-1: All FHIR elements must have a @value or children Fixed Value: http://snomed.info/sct |
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children Fixed Value: 364075005 |
 subject |
SΣ | 1..1 | Reference(Patient | no-basis-Patient) | Who and/or what the observation is about ele-1: All FHIR elements must have a @value or children |
 effective[x] |
SΣC | 1..1 | Often just a dateTime for Vital Signs ele-1: All FHIR elements must have a @value or children vs-1: if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day | |
| effectiveDateTime |
dateTime | |||
| effectivePeriod |
Period | |||
| Slices for performer |
Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Who is responsible for the observation Slice: Unordered, Open by type:type ele-1: All FHIR elements must have a @value or children |
| performer:Author |
Σ | 0..* | Reference(Practitioner | PractitionerRole | CareTeam | Patient | RelatedPerson | no-basis-Practitioner | no-basis-PractitionerRole) | Who is responsible for the observation ele-1: All FHIR elements must have a @value or children |
| performer:organization |
Σ | 0..* | Reference(Organization | no-basis-Organization) | Who is responsible for the observation ele-1: All FHIR elements must have a @value or children |
| Slices for value[x] |
SΣC | 0..1 | Quantity | Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept. Slice: Unordered, Closed by type:$this ele-1: All FHIR elements must have a @value or children |
| value[x]:valueQuantity |
SΣC | 0..1 | Quantity | The rate of the heart beat, measured in beats per minute. ele-1: All FHIR elements must have a @value or children |
| value |
SΣ | 1..1 | decimal | Numerical value (with implicit precision) ele-1: All FHIR elements must have a @value or children |
| comparator |
?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. ele-1: All FHIR elements must have a @value or children |
| unit |
SΣ | 1..1 | string | Unit representation ele-1: All FHIR elements must have a @value or children |
| system |
SΣC | 1..1 | uri | System that defines coded unit form ele-1: All FHIR elements must have a @value or children Fixed Value: http://unitsofmeasure.org |
| code |
SΣ | 1..1 | code | Coded responses from the common UCUM units for vital signs value set. ele-1: All FHIR elements must have a @value or children Fixed Value: /min |
| dataAbsentReason |
SC | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. ele-1: All FHIR elements must have a @value or children |
| bodySite |
0..1 | CodeableConcept | Observed body part Binding: NoDomainVitalSignsObservationHeartRateBodySite (extensible) ele-1: All FHIR elements must have a @value or children | |
| coding |
Σ | 0..* | Coding | Code defined by a terminology system Binding: NoDomainVitalSignsObservationHeartRateBodySite (extensible) ele-1: All FHIR elements must have a @value or children |
| method |
0..1 | CodeableConcept | How it was done Binding: NoDomainVitalSignsObservationHeartRateMeasurementMethod (extensible) ele-1: All FHIR elements must have a @value or children | |
| coding |
Σ | 0..* | Coding | Code defined by a terminology system Binding: NoDomainVitalSignsObservationHeartRateMeasurementMethod (extensible) ele-1: All FHIR elements must have a @value or children |
| component |
SΣC | 0..* | BackboneElement | Used when reporting systolic and diastolic blood pressure. ele-1: All FHIR elements must have a @value or children vs-3: If there is no a value a data absent reason must be present |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| code |
SΣ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: VitalSigns (extensible): This identifies the vital sign result type. ele-1: All FHIR elements must have a @value or children |
| value[x] |
SΣC | 0..1 | Vital Sign Value recorded with UCUM Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs. ele-1: All FHIR elements must have a @value or children | |
| valueQuantity |
Quantity | |||
| valueCodeableConcept |
CodeableConcept | |||
| valueString |
string | |||
| valueBoolean |
boolean | |||
| valueInteger |
integer | |||
| valueRange |
Range | |||
| valueRatio |
Ratio | |||
| valueSampledData |
SampledData | |||
| valueTime |
time | |||
| valueDateTime |
dateTime | |||
| valuePeriod |
Period | |||
| dataAbsentReason |
SC | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. ele-1: All FHIR elements must have a @value or children |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| Observation.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|4.0.1from the FHIR Standard | |
| Observation.category | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-categoryfrom the FHIR Standard | |
| Observation.category:VSCat | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-categoryfrom the FHIR Standard | |
| Observation.code | extensible | VitalSignshttp://hl7.org/fhir/ValueSet/observation-vitalsignresultfrom the FHIR Standard | |
| Observation.value[x]:valueQuantity.comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1from the FHIR Standard | |
| Observation.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom the FHIR Standard | |
| Observation.bodySite | extensible | NoDomainVitalSignsObservationHeartRateBodySitehttp://hl7.no/fhir/ValueSet/NoDomainVitalSignsObservationHeartRateBodySitefrom this IG | |
| Observation.bodySite.coding | extensible | NoDomainVitalSignsObservationHeartRateBodySitehttp://hl7.no/fhir/ValueSet/NoDomainVitalSignsObservationHeartRateBodySitefrom this IG | |
| Observation.method | extensible | NoDomainVitalSignsObservationHeartRateMeasurementMethodhttp://hl7.no/fhir/ValueSet/NoDomainVitalSignsObservationHeartRateMeasurementMethodfrom this IG | |
| Observation.method.coding | extensible | NoDomainVitalSignsObservationHeartRateMeasurementMethodhttp://hl7.no/fhir/ValueSet/NoDomainVitalSignsObservationHeartRateMeasurementMethodfrom this IG | |
| Observation.component.code | extensible | VitalSignshttp://hl7.org/fhir/ValueSet/observation-vitalsignresultfrom the FHIR Standard | |
| Observation.component.value[x] | extensible | VitalSignsUnitshttp://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.1from the FHIR Standard | |
| Observation.component.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom 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] | 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 | If there is no a value a data absent reason must be present : value.exists() or dataAbsentReason.exists() |
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Observation |
C | 0..* | observation-heartrate | FHIR Heart Rate Profile obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present vs-2: If there is no component or hasMember element then either a value[x] or a data absent reason must be present. | ||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| heartRhythmIrregularity |
0..1 | Coding | Optional Extensions Element URL: http://hl7.no/fhir/StructureDefinition/NoDomainVitalSignsObservationHeartRhythmIrregularity Binding: NoDomainVitalSignsObservationHeartRhythmIrregularity (required) | |||||
| confoundingFactor |
0..1 | CodeableConcept | Additional issues or factors that may impact for the measurement URL: http://hl7.no/fhir/StructureDefinition/NoDomainVitalSignsObservationConfoundingFactor | |||||
| clinicalDescription |
0..1 | Annotation | Narrative description about the heart beat. URL: http://hl7.no/fhir/StructureDefinition/NoDomainVitalSignsObservationClinicalDescription | |||||
| BodyPosition |
0..1 | Coding | The body position of the subject during the observation. URL: http://hl7.no/fhir/StructureDefinition/NoDomainVitalSignsObservationHeartRatePulseBodyPosition Binding: NoDomainVitalSignsObservationHeartRatePulseBodyPosition (required) | |||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier |
Σ | 0..* | Identifier | Business Identifier for observation | ||||
| basedOn |
Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order | ||||
| partOf |
Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event | ||||
| status |
?!SΣ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required) | ||||
| Slices for category |
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. | ||||
| category:VSCat |
S | 1..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
 coding |
SΣ | 1..* | Coding | Code defined by a terminology system | ||||
 id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
SΣ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: vital-signs | ||||
| display |
Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| code |
SΣ | 1..1 | CodeableConcept | Heart Rate Binding: VitalSigns (extensible): This identifies the vital sign result type. | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| Slices for coding |
Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:code, value:system | ||||
| coding:HeartRateCode |
Σ | 1..1 | Coding | Code defined by a terminology system | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8867-4 | ||||
| display |
Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| coding:HeartRateSNOMEDCode |
Σ | 0..1 | Coding | Code defined by a terminology system | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 364075005 | ||||
| display |
Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| subject |
SΣ | 1..1 | Reference(Patient | no-basis-Patient) | Who and/or what the observation is about | ||||
| focus |
Σ | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record | ||||
| encounter |
Σ | 0..1 | Reference(Encounter) | Healthcare event during which this observation is made | ||||
| effective[x] |
SΣC | 1..1 | Often just a dateTime for Vital Signs vs-1: if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day | |||||
| effectiveDateTime |
dateTime | |||||||
| effectivePeriod |
Period | |||||||
| issued |
Σ | 0..1 | instant | Date/Time this version was made available | ||||
| Slices for performer |
Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Who is responsible for the observation Slice: Unordered, Open by type:type | ||||
| performer:Author |
Σ | 0..* | Reference(Practitioner | PractitionerRole | CareTeam | Patient | RelatedPerson | no-basis-Practitioner | no-basis-PractitionerRole) | Who is responsible for the observation | ||||
| performer:organization |
Σ | 0..* | Reference(Organization | no-basis-Organization) | Who is responsible for the observation | ||||
| Slices for value[x] |
SΣC | 0..1 | Quantity | Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept. Slice: Unordered, Closed by type:$this | ||||
| value[x]:valueQuantity |
SΣC | 0..1 | Quantity | The rate of the heart beat, measured in beats per minute. | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| value |
SΣ | 1..1 | decimal | Numerical value (with implicit precision) | ||||
| comparator |
?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | ||||
| unit |
SΣ | 1..1 | string | Unit representation | ||||
| system |
SΣC | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org | ||||
| code |
SΣ | 1..1 | code | Coded responses from the common UCUM units for vital signs value set. Fixed Value: /min | ||||
| dataAbsentReason |
SC | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
| interpretation |
0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
| note |
0..* | Annotation | Comments about the observation | |||||
| bodySite |
0..1 | CodeableConcept | Observed body part Binding: NoDomainVitalSignsObservationHeartRateBodySite (extensible) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding |
Σ | 0..* | Coding | Code defined by a terminology system Binding: NoDomainVitalSignsObservationHeartRateBodySite (extensible) | ||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| method |
0..1 | CodeableConcept | How it was done Binding: NoDomainVitalSignsObservationHeartRateMeasurementMethod (extensible) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding |
Σ | 0..* | Coding | Code defined by a terminology system Binding: NoDomainVitalSignsObservationHeartRateMeasurementMethod (extensible) | ||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| specimen |
0..1 | Reference(Specimen) | Specimen used for this observation | |||||
| device |
0..1 | Reference(Device | DeviceMetric) | (Measurement) Device | |||||
| referenceRange |
C | 0..* | BackboneElement | Provides guide for interpretation obs-3: Must have at least a low or a high or text | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| low |
C | 0..1 | SimpleQuantity | Low Range, if relevant | ||||
| high |
C | 0..1 | SimpleQuantity | High Range, if relevant | ||||
| type |
0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range. | |||||
| appliesTo |
0..* | CodeableConcept | Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to. | |||||
| age |
0..1 | Range | Applicable age range, if relevant | |||||
| text |
0..1 | string | Text based reference range in an observation | |||||
| hasMember |
Σ | 0..* | Reference(QuestionnaireResponse | MolecularSequence | Vital Signs Profile) | Used when reporting vital signs panel components | ||||
| derivedFrom |
Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | MolecularSequence | Vital Signs Profile) | Related measurements the observation is made from | ||||
| component |
SΣC | 0..* | BackboneElement | Used when reporting systolic and diastolic blood pressure. vs-3: If there is no a value a data absent reason must be present | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code |
SΣ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: VitalSigns (extensible): This identifies the vital sign result type. | ||||
| value[x] |
SΣC | 0..1 | Vital Sign Value recorded with UCUM Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs. | |||||
| valueQuantity |
Quantity | |||||||
| valueCodeableConcept |
CodeableConcept | |||||||
| valueString |
string | |||||||
| valueBoolean |
boolean | |||||||
| valueInteger |
integer | |||||||
| valueRange |
Range | |||||||
| valueRatio |
Ratio | |||||||
| valueSampledData |
SampledData | |||||||
| valueTime |
time | |||||||
| valueDateTime |
dateTime | |||||||
| valuePeriod |
Period | |||||||
| dataAbsentReason |
SC | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
| interpretation |
0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
 referenceRange |
0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | URI | |||
| Observation.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard
| ||||
| Observation.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|4.0.1from the FHIR Standard | ||||
| Observation.category | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-categoryfrom the FHIR Standard | ||||
| Observation.category:VSCat | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-categoryfrom the FHIR Standard | ||||
| Observation.code | extensible | VitalSignshttp://hl7.org/fhir/ValueSet/observation-vitalsignresultfrom the FHIR Standard | ||||
| Observation.value[x]:valueQuantity.comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1from the FHIR Standard | ||||
| Observation.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom the FHIR Standard | ||||
| Observation.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretationfrom the FHIR Standard | ||||
| Observation.bodySite | extensible | NoDomainVitalSignsObservationHeartRateBodySitehttp://hl7.no/fhir/ValueSet/NoDomainVitalSignsObservationHeartRateBodySitefrom this IG | ||||
| Observation.bodySite.coding | extensible | NoDomainVitalSignsObservationHeartRateBodySitehttp://hl7.no/fhir/ValueSet/NoDomainVitalSignsObservationHeartRateBodySitefrom this IG | ||||
| Observation.method | extensible | NoDomainVitalSignsObservationHeartRateMeasurementMethodhttp://hl7.no/fhir/ValueSet/NoDomainVitalSignsObservationHeartRateMeasurementMethodfrom this IG | ||||
| Observation.method.coding | extensible | NoDomainVitalSignsObservationHeartRateMeasurementMethodhttp://hl7.no/fhir/ValueSet/NoDomainVitalSignsObservationHeartRateMeasurementMethodfrom this IG | ||||
| Observation.referenceRange.type | preferred | ObservationReferenceRangeMeaningCodeshttp://hl7.org/fhir/ValueSet/referencerange-meaningfrom the FHIR Standard | ||||
| Observation.referenceRange.appliesTo | example | ObservationReferenceRangeAppliesToCodeshttp://hl7.org/fhir/ValueSet/referencerange-appliestofrom the FHIR Standard | ||||
| Observation.component.code | extensible | VitalSignshttp://hl7.org/fhir/ValueSet/observation-vitalsignresultfrom the FHIR Standard | ||||
| Observation.component.value[x] | extensible | VitalSignsUnitshttp://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.1from the FHIR Standard | ||||
| Observation.component.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom the FHIR Standard | ||||
| Observation.component.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretationfrom 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] | 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 | If there is no a value a data absent reason must be present : value.exists() or dataAbsentReason.exists() |
This structure is derived from observation-heartrate
Summary
Mandatory: 1 element(2 nested mandatory elements)
Fixed: 2 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from observation-heartrate
| Path | Conformance | ValueSet | URI |
| Observation.bodySite | extensible | NoDomainVitalSignsObservationHeartRateBodySitehttp://hl7.no/fhir/ValueSet/NoDomainVitalSignsObservationHeartRateBodySitefrom this IG | |
| Observation.bodySite.coding | extensible | NoDomainVitalSignsObservationHeartRateBodySitehttp://hl7.no/fhir/ValueSet/NoDomainVitalSignsObservationHeartRateBodySitefrom this IG | |
| Observation.method | extensible | NoDomainVitalSignsObservationHeartRateMeasurementMethodhttp://hl7.no/fhir/ValueSet/NoDomainVitalSignsObservationHeartRateMeasurementMethodfrom this IG | |
| Observation.method.coding | extensible | NoDomainVitalSignsObservationHeartRateMeasurementMethodhttp://hl7.no/fhir/ValueSet/NoDomainVitalSignsObservationHeartRateMeasurementMethodfrom this IG |
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Observation |
C | 0..* | observation-heartrate | FHIR Heart Rate Profile dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present vs-2: If there is no component or hasMember element then either a value[x] or a data absent reason must be present. |
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children |
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
| heartRhythmIrregularity |
0..1 | Coding | Optional Extensions Element URL: http://hl7.no/fhir/StructureDefinition/NoDomainVitalSignsObservationHeartRhythmIrregularity Binding: NoDomainVitalSignsObservationHeartRhythmIrregularity (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
| confoundingFactor |
0..1 | CodeableConcept | Additional issues or factors that may impact for the measurement URL: http://hl7.no/fhir/StructureDefinition/NoDomainVitalSignsObservationConfoundingFactor ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
| clinicalDescription |
0..1 | Annotation | Narrative description about the heart beat. URL: http://hl7.no/fhir/StructureDefinition/NoDomainVitalSignsObservationClinicalDescription ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
| BodyPosition |
0..1 | Coding | The body position of the subject during the observation. URL: http://hl7.no/fhir/StructureDefinition/NoDomainVitalSignsObservationHeartRatePulseBodyPosition Binding: NoDomainVitalSignsObservationHeartRatePulseBodyPosition (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| status |
?!SΣ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required) ele-1: All FHIR elements must have a @value or children |
| Slices for category |
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. ele-1: All FHIR elements must have a @value or children |
| category:VSCat |
S | 1..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. ele-1: All FHIR elements must have a @value or children |
| coding |
SΣ | 1..* | Coding | Code defined by a terminology system ele-1: All FHIR elements must have a @value or children |
| system |
SΣ | 1..1 | uri | Identity of the terminology system ele-1: All FHIR elements must have a @value or children Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category |
| code |
SΣ | 1..1 | code | Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children Fixed Value: vital-signs |
| code |
SΣ | 1..1 | CodeableConcept | Heart Rate Binding: VitalSigns (extensible): This identifies the vital sign result type. ele-1: All FHIR elements must have a @value or children |
| Slices for coding |
Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:code, value:system ele-1: All FHIR elements must have a @value or children |
| coding:HeartRateCode |
Σ | 1..1 | Coding | Code defined by a terminology system ele-1: All FHIR elements must have a @value or children |
| system |
Σ | 1..1 | uri | Identity of the terminology system ele-1: All FHIR elements must have a @value or children Fixed Value: http://loinc.org |
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children Fixed Value: 8867-4 |
| coding:HeartRateSNOMEDCode |
Σ | 0..1 | Coding | Code defined by a terminology system ele-1: All FHIR elements must have a @value or children |
| system |
Σ | 1..1 | uri | Identity of the terminology system ele-1: All FHIR elements must have a @value or children Fixed Value: http://snomed.info/sct |
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children Fixed Value: 364075005 |
| subject |
SΣ | 1..1 | Reference(Patient | no-basis-Patient) | Who and/or what the observation is about ele-1: All FHIR elements must have a @value or children |
| effective[x] |
SΣC | 1..1 | Often just a dateTime for Vital Signs ele-1: All FHIR elements must have a @value or children vs-1: if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day | |
| effectiveDateTime |
dateTime | |||
| effectivePeriod |
Period | |||
| Slices for performer |
Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Who is responsible for the observation Slice: Unordered, Open by type:type ele-1: All FHIR elements must have a @value or children |
| performer:Author |
Σ | 0..* | Reference(Practitioner | PractitionerRole | CareTeam | Patient | RelatedPerson | no-basis-Practitioner | no-basis-PractitionerRole) | Who is responsible for the observation ele-1: All FHIR elements must have a @value or children |
| performer:organization |
Σ | 0..* | Reference(Organization | no-basis-Organization) | Who is responsible for the observation ele-1: All FHIR elements must have a @value or children |
| Slices for value[x] |
SΣC | 0..1 | Quantity | Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept. Slice: Unordered, Closed by type:$this ele-1: All FHIR elements must have a @value or children |
| value[x]:valueQuantity |
SΣC | 0..1 | Quantity | The rate of the heart beat, measured in beats per minute. ele-1: All FHIR elements must have a @value or children |
| value |
SΣ | 1..1 | decimal | Numerical value (with implicit precision) ele-1: All FHIR elements must have a @value or children |
| comparator |
?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. ele-1: All FHIR elements must have a @value or children |
| unit |
SΣ | 1..1 | string | Unit representation ele-1: All FHIR elements must have a @value or children |
| system |
SΣC | 1..1 | uri | System that defines coded unit form ele-1: All FHIR elements must have a @value or children Fixed Value: http://unitsofmeasure.org |
| code |
SΣ | 1..1 | code | Coded responses from the common UCUM units for vital signs value set. ele-1: All FHIR elements must have a @value or children Fixed Value: /min |
| dataAbsentReason |
SC | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. ele-1: All FHIR elements must have a @value or children |
| bodySite |
0..1 | CodeableConcept | Observed body part Binding: NoDomainVitalSignsObservationHeartRateBodySite (extensible) ele-1: All FHIR elements must have a @value or children | |
| coding |
Σ | 0..* | Coding | Code defined by a terminology system Binding: NoDomainVitalSignsObservationHeartRateBodySite (extensible) ele-1: All FHIR elements must have a @value or children |
| method |
0..1 | CodeableConcept | How it was done Binding: NoDomainVitalSignsObservationHeartRateMeasurementMethod (extensible) ele-1: All FHIR elements must have a @value or children | |
| coding |
Σ | 0..* | Coding | Code defined by a terminology system Binding: NoDomainVitalSignsObservationHeartRateMeasurementMethod (extensible) ele-1: All FHIR elements must have a @value or children |
| component |
SΣC | 0..* | BackboneElement | Used when reporting systolic and diastolic blood pressure. ele-1: All FHIR elements must have a @value or children vs-3: If there is no a value a data absent reason must be present |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| code |
SΣ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: VitalSigns (extensible): This identifies the vital sign result type. ele-1: All FHIR elements must have a @value or children |
| value[x] |
SΣC | 0..1 | Vital Sign Value recorded with UCUM Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs. ele-1: All FHIR elements must have a @value or children | |
| valueQuantity |
Quantity | |||
| valueCodeableConcept |
CodeableConcept | |||
| valueString |
string | |||
| valueBoolean |
boolean | |||
| valueInteger |
integer | |||
| valueRange |
Range | |||
| valueRatio |
Ratio | |||
| valueSampledData |
SampledData | |||
| valueTime |
time | |||
| valueDateTime |
dateTime | |||
| valuePeriod |
Period | |||
| dataAbsentReason |
SC | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. ele-1: All FHIR elements must have a @value or children |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| Observation.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|4.0.1from the FHIR Standard | |
| Observation.category | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-categoryfrom the FHIR Standard | |
| Observation.category:VSCat | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-categoryfrom the FHIR Standard | |
| Observation.code | extensible | VitalSignshttp://hl7.org/fhir/ValueSet/observation-vitalsignresultfrom the FHIR Standard | |
| Observation.value[x]:valueQuantity.comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1from the FHIR Standard | |
| Observation.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom the FHIR Standard | |
| Observation.bodySite | extensible | NoDomainVitalSignsObservationHeartRateBodySitehttp://hl7.no/fhir/ValueSet/NoDomainVitalSignsObservationHeartRateBodySitefrom this IG | |
| Observation.bodySite.coding | extensible | NoDomainVitalSignsObservationHeartRateBodySitehttp://hl7.no/fhir/ValueSet/NoDomainVitalSignsObservationHeartRateBodySitefrom this IG | |
| Observation.method | extensible | NoDomainVitalSignsObservationHeartRateMeasurementMethodhttp://hl7.no/fhir/ValueSet/NoDomainVitalSignsObservationHeartRateMeasurementMethodfrom this IG | |
| Observation.method.coding | extensible | NoDomainVitalSignsObservationHeartRateMeasurementMethodhttp://hl7.no/fhir/ValueSet/NoDomainVitalSignsObservationHeartRateMeasurementMethodfrom this IG | |
| Observation.component.code | extensible | VitalSignshttp://hl7.org/fhir/ValueSet/observation-vitalsignresultfrom the FHIR Standard | |
| Observation.component.value[x] | extensible | VitalSignsUnitshttp://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.1from the FHIR Standard | |
| Observation.component.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom 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] | 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 | If there is no a value a data absent reason must be present : value.exists() or dataAbsentReason.exists() |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Observation |
C | 0..* | observation-heartrate | FHIR Heart Rate Profile obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present vs-2: If there is no component or hasMember element then either a value[x] or a data absent reason must be present. | ||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| heartRhythmIrregularity |
0..1 | Coding | Optional Extensions Element URL: http://hl7.no/fhir/StructureDefinition/NoDomainVitalSignsObservationHeartRhythmIrregularity Binding: NoDomainVitalSignsObservationHeartRhythmIrregularity (required) | |||||
| confoundingFactor |
0..1 | CodeableConcept | Additional issues or factors that may impact for the measurement URL: http://hl7.no/fhir/StructureDefinition/NoDomainVitalSignsObservationConfoundingFactor | |||||
| clinicalDescription |
0..1 | Annotation | Narrative description about the heart beat. URL: http://hl7.no/fhir/StructureDefinition/NoDomainVitalSignsObservationClinicalDescription | |||||
| BodyPosition |
0..1 | Coding | The body position of the subject during the observation. URL: http://hl7.no/fhir/StructureDefinition/NoDomainVitalSignsObservationHeartRatePulseBodyPosition Binding: NoDomainVitalSignsObservationHeartRatePulseBodyPosition (required) | |||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier |
Σ | 0..* | Identifier | Business Identifier for observation | ||||
| basedOn |
Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order | ||||
| partOf |
Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event | ||||
| status |
?!SΣ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required) | ||||
| Slices for category |
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. | ||||
| category:VSCat |
S | 1..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding |
SΣ | 1..* | Coding | Code defined by a terminology system | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
SΣ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: vital-signs | ||||
| display |
Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| code |
SΣ | 1..1 | CodeableConcept | Heart Rate Binding: VitalSigns (extensible): This identifies the vital sign result type. | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| Slices for coding |
Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:code, value:system | ||||
| coding:HeartRateCode |
Σ | 1..1 | Coding | Code defined by a terminology system | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 8867-4 | ||||
| display |
Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| coding:HeartRateSNOMEDCode |
Σ | 0..1 | Coding | Code defined by a terminology system | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 364075005 | ||||
| display |
Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| subject |
SΣ | 1..1 | Reference(Patient | no-basis-Patient) | Who and/or what the observation is about | ||||
| focus |
Σ | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record | ||||
| encounter |
Σ | 0..1 | Reference(Encounter) | Healthcare event during which this observation is made | ||||
| effective[x] |
SΣC | 1..1 | Often just a dateTime for Vital Signs vs-1: if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day | |||||
| effectiveDateTime |
dateTime | |||||||
| effectivePeriod |
Period | |||||||
| issued |
Σ | 0..1 | instant | Date/Time this version was made available | ||||
| Slices for performer |
Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Who is responsible for the observation Slice: Unordered, Open by type:type | ||||
| performer:Author |
Σ | 0..* | Reference(Practitioner | PractitionerRole | CareTeam | Patient | RelatedPerson | no-basis-Practitioner | no-basis-PractitionerRole) | Who is responsible for the observation | ||||
| performer:organization |
Σ | 0..* | Reference(Organization | no-basis-Organization) | Who is responsible for the observation | ||||
| Slices for value[x] |
SΣC | 0..1 | Quantity | Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept. Slice: Unordered, Closed by type:$this | ||||
| value[x]:valueQuantity |
SΣC | 0..1 | Quantity | The rate of the heart beat, measured in beats per minute. | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| value |
SΣ | 1..1 | decimal | Numerical value (with implicit precision) | ||||
| comparator |
?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | ||||
| unit |
SΣ | 1..1 | string | Unit representation | ||||
| system |
SΣC | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org | ||||
| code |
SΣ | 1..1 | code | Coded responses from the common UCUM units for vital signs value set. Fixed Value: /min | ||||
| dataAbsentReason |
SC | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
| interpretation |
0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
| note |
0..* | Annotation | Comments about the observation | |||||
| bodySite |
0..1 | CodeableConcept | Observed body part Binding: NoDomainVitalSignsObservationHeartRateBodySite (extensible) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding |
Σ | 0..* | Coding | Code defined by a terminology system Binding: NoDomainVitalSignsObservationHeartRateBodySite (extensible) | ||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| method |
0..1 | CodeableConcept | How it was done Binding: NoDomainVitalSignsObservationHeartRateMeasurementMethod (extensible) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding |
Σ | 0..* | Coding | Code defined by a terminology system Binding: NoDomainVitalSignsObservationHeartRateMeasurementMethod (extensible) | ||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| specimen |
0..1 | Reference(Specimen) | Specimen used for this observation | |||||
| device |
0..1 | Reference(Device | DeviceMetric) | (Measurement) Device | |||||
| referenceRange |
C | 0..* | BackboneElement | Provides guide for interpretation obs-3: Must have at least a low or a high or text | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| low |
C | 0..1 | SimpleQuantity | Low Range, if relevant | ||||
| high |
C | 0..1 | SimpleQuantity | High Range, if relevant | ||||
| type |
0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range. | |||||
| appliesTo |
0..* | CodeableConcept | Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to. | |||||
| age |
0..1 | Range | Applicable age range, if relevant | |||||
| text |
0..1 | string | Text based reference range in an observation | |||||
| hasMember |
Σ | 0..* | Reference(QuestionnaireResponse | MolecularSequence | Vital Signs Profile) | Used when reporting vital signs panel components | ||||
| derivedFrom |
Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | MolecularSequence | Vital Signs Profile) | Related measurements the observation is made from | ||||
| component |
SΣC | 0..* | BackboneElement | Used when reporting systolic and diastolic blood pressure. vs-3: If there is no a value a data absent reason must be present | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code |
SΣ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: VitalSigns (extensible): This identifies the vital sign result type. | ||||
| value[x] |
SΣC | 0..1 | Vital Sign Value recorded with UCUM Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs. | |||||
| valueQuantity |
Quantity | |||||||
| valueCodeableConcept |
CodeableConcept | |||||||
| valueString |
string | |||||||
| valueBoolean |
boolean | |||||||
| valueInteger |
integer | |||||||
| valueRange |
Range | |||||||
| valueRatio |
Ratio | |||||||
| valueSampledData |
SampledData | |||||||
| valueTime |
time | |||||||
| valueDateTime |
dateTime | |||||||
| valuePeriod |
Period | |||||||
| dataAbsentReason |
SC | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
| interpretation |
0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
| referenceRange |
0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | URI | |||
| Observation.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard
| ||||
| Observation.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|4.0.1from the FHIR Standard | ||||
| Observation.category | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-categoryfrom the FHIR Standard | ||||
| Observation.category:VSCat | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-categoryfrom the FHIR Standard | ||||
| Observation.code | extensible | VitalSignshttp://hl7.org/fhir/ValueSet/observation-vitalsignresultfrom the FHIR Standard | ||||
| Observation.value[x]:valueQuantity.comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1from the FHIR Standard | ||||
| Observation.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom the FHIR Standard | ||||
| Observation.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretationfrom the FHIR Standard | ||||
| Observation.bodySite | extensible | NoDomainVitalSignsObservationHeartRateBodySitehttp://hl7.no/fhir/ValueSet/NoDomainVitalSignsObservationHeartRateBodySitefrom this IG | ||||
| Observation.bodySite.coding | extensible | NoDomainVitalSignsObservationHeartRateBodySitehttp://hl7.no/fhir/ValueSet/NoDomainVitalSignsObservationHeartRateBodySitefrom this IG | ||||
| Observation.method | extensible | NoDomainVitalSignsObservationHeartRateMeasurementMethodhttp://hl7.no/fhir/ValueSet/NoDomainVitalSignsObservationHeartRateMeasurementMethodfrom this IG | ||||
| Observation.method.coding | extensible | NoDomainVitalSignsObservationHeartRateMeasurementMethodhttp://hl7.no/fhir/ValueSet/NoDomainVitalSignsObservationHeartRateMeasurementMethodfrom this IG | ||||
| Observation.referenceRange.type | preferred | ObservationReferenceRangeMeaningCodeshttp://hl7.org/fhir/ValueSet/referencerange-meaningfrom the FHIR Standard | ||||
| Observation.referenceRange.appliesTo | example | ObservationReferenceRangeAppliesToCodeshttp://hl7.org/fhir/ValueSet/referencerange-appliestofrom the FHIR Standard | ||||
| Observation.component.code | extensible | VitalSignshttp://hl7.org/fhir/ValueSet/observation-vitalsignresultfrom the FHIR Standard | ||||
| Observation.component.value[x] | extensible | VitalSignsUnitshttp://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.1from the FHIR Standard | ||||
| Observation.component.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonfrom the FHIR Standard | ||||
| Observation.component.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretationfrom 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] | 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 | If there is no a value a data absent reason must be present : value.exists() or dataAbsentReason.exists() |
This structure is derived from observation-heartrate
Summary
Mandatory: 1 element(2 nested mandatory elements)
Fixed: 2 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
IG © 2024+ HL7 Norway. Package hl7.fhir.no.domain.vitalsigns#0.7.8 based on FHIR 4.0.1. Generated 2024-12-10
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QA Report