0.7.3 - ci-build Norway flag

NoDomainVitalSigns - Local Development build (v0.7.3) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: NO Domain VitalSigns Observation - Pulse

Official URL: http://hl7.no/fhir/StructureDefinition/NoDomainVitalSignsObservationPulse Version: 0.7.3
Draft as of 2021-05-01 Computable Name: NoDomainVitalSignsObservationPulse

Base profile for Norwegian Vital Signs Observation Pulse information.

Basisprofile for Norwegian VitalSigns Observation pulse 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 Pulse.

Usage:

Formal Views of Profile Content

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

This structure is derived from observation-heartrate

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 0..*observation-heartrateFHIR Heart Rate Profile
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... pulseRhythm 0..1CodingRegularity of the pulse
URL: http://hl7.no/fhir/StructureDefinition/NoDomainVitalSignsObservationPulseRhythm
Binding: NoDomainVitalSignsObservationPulseRhythm (required)
... confoundingFactor 0..1stringOptional Extensions Element
URL: http://hl7.no/fhir/StructureDefinition/NoDomainVitalSignsObservationConfoundingFactor
... characterOfPulse 0..1AnnotationDescription of the character of the pulse
URL: http://hl7.no/fhir/StructureDefinition/NoDomainVitalSignsObservationCharacterOfPulse
... BodyPosition 0..1CodingThe body position of the subject during the observation.
URL: http://hl7.no/fhir/StructureDefinition/NoDomainVitalSignsObservationHeartRatePulseBodyPosition
Binding: NoDomainVitalSignsObservationHeartRatePulseBodyPosition (required)
... pulseRythmIrregularity 0..1CodingMore specific pattern of an irregular pulse
URL: http://hl7.no/fhir/StructureDefinition/NoDomainVitalSignsObservationPulseRhythmIrregularity
Binding: NoDomainVitalSignsObservationPulseRhythmIrregularity (required)
... partOf 0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)Part of referenced event
... code
.... coding 1..*CodingCode defined by a terminology system
.... coding:PulseSNOMEDCode 0..1CodingCode defined by a terminology system
..... system 1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
..... code 1..1codeSymbol in syntax defined by the system
Fixed Value: 78564009
... subject 1..1Reference(Patient | no-basis-Patient)Who and/or what the observation is about
... focus 0..*Reference(Resource)What the observation is about, when it is not about the subject of record
... effective[x] 1..1dateTime, PeriodOften just a dateTime for Vital Signs
... Slices for performer 0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)Who is responsible for the observation
Slice: Unordered, Open by type:type
.... performer:Author 0..*Reference(Practitioner | PractitionerRole | CareTeam | Patient | RelatedPerson | no-basis-Practitioner | no-basis-PractitionerRole)Who is responsible for the observation
.... performer:organization 0..*Reference(Organization | no-basis-Organization)Who is responsible for the observation
... Slices for value[x] 0..1QuantityVital 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, Open by type:$this
.... value[x]:valueQuantity 0..1QuantityThe rate of the pulse, measured in beats per minute.
... bodySite 0..1CodeableConceptObserved body part
Binding: NoDomainVitalSignsObservationPulseBodySite (extensible)
.... coding 0..*CodingCode defined by a terminology system
Binding: NoDomainVitalSignsObservationPulseBodySite (extensible)
... method 0..1CodeableConceptHow it was done
Binding: NoDomainVitalSignsPulseMeasurmentMethod (extensible)
.... coding 0..*CodingCode defined by a terminology system
Binding: NoDomainVitalSignsPulseMeasurmentMethod (extensible)
... hasMember 0..*Reference(QuestionnaireResponse | MolecularSequence | Vital Signs Profile)Used when reporting vital signs panel components
... derivedFrom 0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | MolecularSequence | Vital Signs Profile)Related measurements the observation is made from

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Observation.bodySiteextensibleNoDomainVitalSignsObservationPulseBodySite
http://hl7.no/fhir/ValueSet/NoDomainVitalSignsObservationPulseBodySite
from this IG
Observation.bodySite.codingextensibleNoDomainVitalSignsObservationPulseBodySite
http://hl7.no/fhir/ValueSet/NoDomainVitalSignsObservationPulseBodySite
from this IG
Observation.methodextensibleNoDomainVitalSignsPulseMeasurmentMethod
http://hl7.no/fhir/ValueSet/NoDomainVitalSignsPulseMeasurmentMethod
from this IG
Observation.method.codingextensibleNoDomainVitalSignsPulseMeasurmentMethod
http://hl7.no/fhir/ValueSet/NoDomainVitalSignsPulseMeasurmentMethod
from this IG
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C0..*observation-heartrateFHIR 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.
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... pulseRhythm 0..1CodingRegularity of the pulse
URL: http://hl7.no/fhir/StructureDefinition/NoDomainVitalSignsObservationPulseRhythm
Binding: NoDomainVitalSignsObservationPulseRhythm (required)
... clinicalDescription 0..1AnnotationNarrative description about the pulse
URL: http://hl7.no/fhir/StructureDefinition/NoDomainVitalSignsObservationClinicalDescription
... characterOfPulse 0..1AnnotationDescription of the character of the pulse
URL: http://hl7.no/fhir/StructureDefinition/NoDomainVitalSignsObservationCharacterOfPulse
... BodyPosition 0..1CodingThe body position of the subject during the observation.
URL: http://hl7.no/fhir/StructureDefinition/NoDomainVitalSignsObservationHeartRatePulseBodyPosition
Binding: NoDomainVitalSignsObservationHeartRatePulseBodyPosition (required)
... pulseRythmIrregularity 0..1CodingMore specific pattern of an irregular pulse
URL: http://hl7.no/fhir/StructureDefinition/NoDomainVitalSignsObservationPulseRhythmIrregularity
Binding: NoDomainVitalSignsObservationPulseRhythmIrregularity (required)
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... partOf Σ0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)Part of referenced event
... status ?!SΣ1..1coderegistered | preliminary | final | amended +
Binding: ObservationStatus (required)
... Slices for category S1..*CodeableConceptClassification of type of observation
Slice: Unordered, Open by value:coding.code, value:coding.system
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


.... category:VSCat S1..1CodeableConceptClassification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


..... coding SΣ1..*CodingCode defined by a terminology system
...... system SΣ1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... code SΣ1..1codeSymbol in syntax defined by the system
Fixed Value: vital-signs
... code SΣ1..1CodeableConceptHeart Rate
Binding: VitalSigns (extensible): This identifies the vital sign result type.

.... Slices for coding Σ1..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:code, value:system
..... coding:HeartRateCode Σ1..1CodingCode defined by a terminology system
...... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
...... code Σ1..1codeSymbol in syntax defined by the system
Fixed Value: 8867-4
..... coding:PulseSNOMEDCode Σ0..1CodingCode defined by a terminology system
...... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
...... code Σ1..1codeSymbol in syntax defined by the system
Fixed Value: 78564009
... subject SΣ1..1Reference(Patient | no-basis-Patient)Who and/or what the observation is about
... focus Σ0..*Reference(Resource)What the observation is about, when it is not about the subject of record
... effective[x] SΣC1..1Often 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
.... effectiveDateTimedateTime
.... effectivePeriodPeriod
... Slices for performer Σ0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)Who is responsible for the observation
Slice: Unordered, Open by type:type
.... performer:Author Σ0..*Reference(Practitioner | PractitionerRole | CareTeam | Patient | RelatedPerson | no-basis-Practitioner | no-basis-PractitionerRole)Who is responsible for the observation
.... performer:organization Σ0..*Reference(Organization | no-basis-Organization)Who is responsible for the observation
... Slices for value[x] SΣC0..1QuantityVital 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 SΣC0..1QuantityThe rate of the pulse, measured in beats per minute.
..... value SΣ1..1decimalNumerical value (with implicit precision)
..... comparator ?!Σ0..1code< | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.

..... unit SΣ1..1stringUnit representation
..... system SΣC1..1uriSystem that defines coded unit form
Fixed Value: http://unitsofmeasure.org
..... code SΣ1..1codeCoded responses from the common UCUM units for vital signs value set.
Fixed Value: /min
... dataAbsentReason SC0..1CodeableConceptWhy the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

... bodySite 0..1CodeableConceptObserved body part
Binding: NoDomainVitalSignsObservationPulseBodySite (extensible)
.... coding Σ0..*CodingCode defined by a terminology system
Binding: NoDomainVitalSignsObservationPulseBodySite (extensible)
... method 0..1CodeableConceptHow it was done
Binding: NoDomainVitalSignsPulseMeasurmentMethod (extensible)
.... coding Σ0..*CodingCode defined by a terminology system
Binding: NoDomainVitalSignsPulseMeasurmentMethod (extensible)
... hasMember Σ0..*Reference(QuestionnaireResponse | MolecularSequence | Vital Signs Profile)Used when reporting vital signs panel components
... derivedFrom Σ0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | MolecularSequence | Vital Signs Profile)Related measurements the observation is made from
... component SΣC0..*BackboneElementUsed when reporting systolic and diastolic blood pressure.
vs-3: If there is no a value a data absent reason must be present
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code SΣ1..1CodeableConceptType of component observation (code / type)
Binding: VitalSigns (extensible): This identifies the vital sign result type.

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

..... valueQuantityQuantity
..... valueCodeableConceptCodeableConcept
..... valueStringstring
..... valueBooleanboolean
..... valueIntegerinteger
..... valueRangeRange
..... valueRatioRatio
..... valueSampledDataSampledData
..... valueTimetime
..... valueDateTimedateTime
..... valuePeriodPeriod
.... dataAbsentReason SC0..1CodeableConceptWhy the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.


doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Observation.statusrequiredObservationStatus
http://hl7.org/fhir/ValueSet/observation-status|4.0.1
from the FHIR Standard
Observation.categorypreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.category:VSCatpreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.codeextensibleVitalSigns
http://hl7.org/fhir/ValueSet/observation-vitalsignresult
from the FHIR Standard
Observation.value[x]:valueQuantity.comparatorrequiredQuantityComparator
http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1
from the FHIR Standard
Observation.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.bodySiteextensibleNoDomainVitalSignsObservationPulseBodySite
http://hl7.no/fhir/ValueSet/NoDomainVitalSignsObservationPulseBodySite
from this IG
Observation.bodySite.codingextensibleNoDomainVitalSignsObservationPulseBodySite
http://hl7.no/fhir/ValueSet/NoDomainVitalSignsObservationPulseBodySite
from this IG
Observation.methodextensibleNoDomainVitalSignsPulseMeasurmentMethod
http://hl7.no/fhir/ValueSet/NoDomainVitalSignsPulseMeasurmentMethod
from this IG
Observation.method.codingextensibleNoDomainVitalSignsPulseMeasurmentMethod
http://hl7.no/fhir/ValueSet/NoDomainVitalSignsPulseMeasurmentMethod
from this IG
Observation.component.codeextensibleVitalSigns
http://hl7.org/fhir/ValueSet/observation-vitalsignresult
from the FHIR Standard
Observation.component.value[x]requiredVitalSignsUnits
http://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.1
from the FHIR Standard
Observation.component.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorObservationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorObservationIf 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-4errorObservationIf 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-5errorObservationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceObservationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
obs-6errorObservationdataAbsentReason SHALL only be present if Observation.value[x] is not present
: dataAbsentReason.empty() or value.empty()
obs-7errorObservationIf 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-1errorObservation.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-2errorObservationIf 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-3errorObservation.componentIf there is no a value a data absent reason must be present
: value.exists() or dataAbsentReason.exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C0..*observation-heartrateFHIR 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 Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... pulseRhythm 0..1CodingRegularity of the pulse
URL: http://hl7.no/fhir/StructureDefinition/NoDomainVitalSignsObservationPulseRhythm
Binding: NoDomainVitalSignsObservationPulseRhythm (required)
... confoundingFactor 0..1stringOptional Extensions Element
URL: http://hl7.no/fhir/StructureDefinition/NoDomainVitalSignsObservationConfoundingFactor
... clinicalDescription 0..1AnnotationNarrative description about the pulse
URL: http://hl7.no/fhir/StructureDefinition/NoDomainVitalSignsObservationClinicalDescription
... characterOfPulse 0..1AnnotationDescription of the character of the pulse
URL: http://hl7.no/fhir/StructureDefinition/NoDomainVitalSignsObservationCharacterOfPulse
... BodyPosition 0..1CodingThe body position of the subject during the observation.
URL: http://hl7.no/fhir/StructureDefinition/NoDomainVitalSignsObservationHeartRatePulseBodyPosition
Binding: NoDomainVitalSignsObservationHeartRatePulseBodyPosition (required)
... pulseRythmIrregularity 0..1CodingMore specific pattern of an irregular pulse
URL: http://hl7.no/fhir/StructureDefinition/NoDomainVitalSignsObservationPulseRhythmIrregularity
Binding: NoDomainVitalSignsObservationPulseRhythmIrregularity (required)
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierBusiness Identifier for observation
... basedOn Σ0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)Fulfills plan, proposal or order
... partOf Σ0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)Part of referenced event
... status ?!SΣ1..1coderegistered | preliminary | final | amended +
Binding: ObservationStatus (required)
... Slices for category S1..*CodeableConceptClassification of type of observation
Slice: Unordered, Open by value:coding.code, value:coding.system
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


.... category:VSCat S1..1CodeableConceptClassification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... coding SΣ1..*CodingCode defined by a terminology system
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... version Σ0..1stringVersion of the system - if relevant
...... code SΣ1..1codeSymbol in syntax defined by the system
Fixed Value: vital-signs
...... display Σ0..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
..... text Σ0..1stringPlain text representation of the concept
... code SΣ1..1CodeableConceptHeart Rate
Binding: VitalSigns (extensible): This identifies the vital sign result type.

.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ1..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:code, value:system
..... coding:HeartRateCode Σ1..1CodingCode defined by a terminology system
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... system 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: 8867-4
...... display Σ0..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
..... coding:PulseSNOMEDCode Σ0..1CodingCode defined by a terminology system
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
...... version Σ0..1stringVersion of the system - if relevant
...... code Σ1..1codeSymbol in syntax defined by the system
Fixed Value: 78564009
...... 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
... subject SΣ1..1Reference(Patient | no-basis-Patient)Who and/or what the observation is about
... focus Σ0..*Reference(Resource)What the observation is about, when it is not about the subject of record
... encounter Σ0..1Reference(Encounter)Healthcare event during which this observation is made
... effective[x] SΣC1..1Often just a dateTime for Vital Signs
vs-1: if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day
.... effectiveDateTimedateTime
.... effectivePeriodPeriod
... issued Σ0..1instantDate/Time this version was made available
... Slices for performer Σ0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)Who is responsible for the observation
Slice: Unordered, Open by type:type
.... performer:Author Σ0..*Reference(Practitioner | PractitionerRole | CareTeam | Patient | RelatedPerson | no-basis-Practitioner | no-basis-PractitionerRole)Who is responsible for the observation
.... performer:organization Σ0..*Reference(Organization | no-basis-Organization)Who is responsible for the observation
... Slices for value[x] SΣC0..1QuantityVital 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 SΣC0..1QuantityThe rate of the pulse, measured in beats per minute.
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... value SΣ1..1decimalNumerical value (with implicit precision)
..... comparator ?!Σ0..1code< | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.

..... unit SΣ1..1stringUnit representation
..... system SΣC1..1uriSystem that defines coded unit form
Fixed Value: http://unitsofmeasure.org
..... code SΣ1..1codeCoded responses from the common UCUM units for vital signs value set.
Fixed Value: /min
... dataAbsentReason SC0..1CodeableConceptWhy the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

... interpretation 0..*CodeableConceptHigh, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


... note 0..*AnnotationComments about the observation
... bodySite 0..1CodeableConceptObserved body part
Binding: NoDomainVitalSignsObservationPulseBodySite (extensible)
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ0..*CodingCode defined by a terminology system
Binding: NoDomainVitalSignsObservationPulseBodySite (extensible)
.... text Σ0..1stringPlain text representation of the concept
... method 0..1CodeableConceptHow it was done
Binding: NoDomainVitalSignsPulseMeasurmentMethod (extensible)
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ0..*CodingCode defined by a terminology system
Binding: NoDomainVitalSignsPulseMeasurmentMethod (extensible)
.... text Σ0..1stringPlain text representation of the concept
... specimen 0..1Reference(Specimen)Specimen used for this observation
... device 0..1Reference(Device | DeviceMetric)(Measurement) Device
... referenceRange C0..*BackboneElementProvides guide for interpretation
obs-3: Must have at least a low or a high or text
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... low C0..1SimpleQuantityLow Range, if relevant
.... high C0..1SimpleQuantityHigh Range, if relevant
.... type 0..1CodeableConceptReference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.

.... appliesTo 0..*CodeableConceptReference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.


.... age 0..1RangeApplicable age range, if relevant
.... text 0..1stringText based reference range in an observation
... hasMember Σ0..*Reference(QuestionnaireResponse | MolecularSequence | Vital Signs Profile)Used when reporting vital signs panel components
... derivedFrom Σ0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | MolecularSequence | Vital Signs Profile)Related measurements the observation is made from
... component SΣC0..*BackboneElementUsed when reporting systolic and diastolic blood pressure.
vs-3: If there is no a value a data absent reason must be present
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code SΣ1..1CodeableConceptType of component observation (code / type)
Binding: VitalSigns (extensible): This identifies the vital sign result type.

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

..... valueQuantityQuantity
..... valueCodeableConceptCodeableConcept
..... valueStringstring
..... valueBooleanboolean
..... valueIntegerinteger
..... valueRangeRange
..... valueRatioRatio
..... valueSampledDataSampledData
..... valueTimetime
..... valueDateTimedateTime
..... valuePeriodPeriod
.... dataAbsentReason SC0..1CodeableConceptWhy the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

.... interpretation 0..*CodeableConceptHigh, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


.... referenceRange 0..*See referenceRange (Observation)Provides guide for interpretation of component result

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Observation.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Observation.statusrequiredObservationStatus
http://hl7.org/fhir/ValueSet/observation-status|4.0.1
from the FHIR Standard
Observation.categorypreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.category:VSCatpreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.codeextensibleVitalSigns
http://hl7.org/fhir/ValueSet/observation-vitalsignresult
from the FHIR Standard
Observation.value[x]:valueQuantity.comparatorrequiredQuantityComparator
http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1
from the FHIR Standard
Observation.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard
Observation.bodySiteextensibleNoDomainVitalSignsObservationPulseBodySite
http://hl7.no/fhir/ValueSet/NoDomainVitalSignsObservationPulseBodySite
from this IG
Observation.bodySite.codingextensibleNoDomainVitalSignsObservationPulseBodySite
http://hl7.no/fhir/ValueSet/NoDomainVitalSignsObservationPulseBodySite
from this IG
Observation.methodextensibleNoDomainVitalSignsPulseMeasurmentMethod
http://hl7.no/fhir/ValueSet/NoDomainVitalSignsPulseMeasurmentMethod
from this IG
Observation.method.codingextensibleNoDomainVitalSignsPulseMeasurmentMethod
http://hl7.no/fhir/ValueSet/NoDomainVitalSignsPulseMeasurmentMethod
from this IG
Observation.referenceRange.typepreferredObservationReferenceRangeMeaningCodes
http://hl7.org/fhir/ValueSet/referencerange-meaning
from the FHIR Standard
Observation.referenceRange.appliesToexampleObservationReferenceRangeAppliesToCodes
http://hl7.org/fhir/ValueSet/referencerange-appliesto
from the FHIR Standard
Observation.component.codeextensibleVitalSigns
http://hl7.org/fhir/ValueSet/observation-vitalsignresult
from the FHIR Standard
Observation.component.value[x]requiredVitalSignsUnits
http://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.1
from the FHIR Standard
Observation.component.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.component.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorObservationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorObservationIf 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-4errorObservationIf 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-5errorObservationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceObservationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
obs-3errorObservation.referenceRangeMust have at least a low or a high or text
: low.exists() or high.exists() or text.exists()
obs-6errorObservationdataAbsentReason SHALL only be present if Observation.value[x] is not present
: dataAbsentReason.empty() or value.empty()
obs-7errorObservationIf 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-1errorObservation.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-2errorObservationIf 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-3errorObservation.componentIf there is no a value a data absent reason must be present
: value.exists() or dataAbsentReason.exists()

Differential View

This structure is derived from observation-heartrate

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 0..*observation-heartrateFHIR Heart Rate Profile
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... pulseRhythm 0..1CodingRegularity of the pulse
URL: http://hl7.no/fhir/StructureDefinition/NoDomainVitalSignsObservationPulseRhythm
Binding: NoDomainVitalSignsObservationPulseRhythm (required)
... confoundingFactor 0..1stringOptional Extensions Element
URL: http://hl7.no/fhir/StructureDefinition/NoDomainVitalSignsObservationConfoundingFactor
... characterOfPulse 0..1AnnotationDescription of the character of the pulse
URL: http://hl7.no/fhir/StructureDefinition/NoDomainVitalSignsObservationCharacterOfPulse
... BodyPosition 0..1CodingThe body position of the subject during the observation.
URL: http://hl7.no/fhir/StructureDefinition/NoDomainVitalSignsObservationHeartRatePulseBodyPosition
Binding: NoDomainVitalSignsObservationHeartRatePulseBodyPosition (required)
... pulseRythmIrregularity 0..1CodingMore specific pattern of an irregular pulse
URL: http://hl7.no/fhir/StructureDefinition/NoDomainVitalSignsObservationPulseRhythmIrregularity
Binding: NoDomainVitalSignsObservationPulseRhythmIrregularity (required)
... partOf 0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)Part of referenced event
... code
.... coding 1..*CodingCode defined by a terminology system
.... coding:PulseSNOMEDCode 0..1CodingCode defined by a terminology system
..... system 1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
..... code 1..1codeSymbol in syntax defined by the system
Fixed Value: 78564009
... subject 1..1Reference(Patient | no-basis-Patient)Who and/or what the observation is about
... focus 0..*Reference(Resource)What the observation is about, when it is not about the subject of record
... effective[x] 1..1dateTime, PeriodOften just a dateTime for Vital Signs
... Slices for performer 0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)Who is responsible for the observation
Slice: Unordered, Open by type:type
.... performer:Author 0..*Reference(Practitioner | PractitionerRole | CareTeam | Patient | RelatedPerson | no-basis-Practitioner | no-basis-PractitionerRole)Who is responsible for the observation
.... performer:organization 0..*Reference(Organization | no-basis-Organization)Who is responsible for the observation
... Slices for value[x] 0..1QuantityVital 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, Open by type:$this
.... value[x]:valueQuantity 0..1QuantityThe rate of the pulse, measured in beats per minute.
... bodySite 0..1CodeableConceptObserved body part
Binding: NoDomainVitalSignsObservationPulseBodySite (extensible)
.... coding 0..*CodingCode defined by a terminology system
Binding: NoDomainVitalSignsObservationPulseBodySite (extensible)
... method 0..1CodeableConceptHow it was done
Binding: NoDomainVitalSignsPulseMeasurmentMethod (extensible)
.... coding 0..*CodingCode defined by a terminology system
Binding: NoDomainVitalSignsPulseMeasurmentMethod (extensible)
... hasMember 0..*Reference(QuestionnaireResponse | MolecularSequence | Vital Signs Profile)Used when reporting vital signs panel components
... derivedFrom 0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | MolecularSequence | Vital Signs Profile)Related measurements the observation is made from

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Observation.bodySiteextensibleNoDomainVitalSignsObservationPulseBodySite
http://hl7.no/fhir/ValueSet/NoDomainVitalSignsObservationPulseBodySite
from this IG
Observation.bodySite.codingextensibleNoDomainVitalSignsObservationPulseBodySite
http://hl7.no/fhir/ValueSet/NoDomainVitalSignsObservationPulseBodySite
from this IG
Observation.methodextensibleNoDomainVitalSignsPulseMeasurmentMethod
http://hl7.no/fhir/ValueSet/NoDomainVitalSignsPulseMeasurmentMethod
from this IG
Observation.method.codingextensibleNoDomainVitalSignsPulseMeasurmentMethod
http://hl7.no/fhir/ValueSet/NoDomainVitalSignsPulseMeasurmentMethod
from this IG

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C0..*observation-heartrateFHIR 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.
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... pulseRhythm 0..1CodingRegularity of the pulse
URL: http://hl7.no/fhir/StructureDefinition/NoDomainVitalSignsObservationPulseRhythm
Binding: NoDomainVitalSignsObservationPulseRhythm (required)
... clinicalDescription 0..1AnnotationNarrative description about the pulse
URL: http://hl7.no/fhir/StructureDefinition/NoDomainVitalSignsObservationClinicalDescription
... characterOfPulse 0..1AnnotationDescription of the character of the pulse
URL: http://hl7.no/fhir/StructureDefinition/NoDomainVitalSignsObservationCharacterOfPulse
... BodyPosition 0..1CodingThe body position of the subject during the observation.
URL: http://hl7.no/fhir/StructureDefinition/NoDomainVitalSignsObservationHeartRatePulseBodyPosition
Binding: NoDomainVitalSignsObservationHeartRatePulseBodyPosition (required)
... pulseRythmIrregularity 0..1CodingMore specific pattern of an irregular pulse
URL: http://hl7.no/fhir/StructureDefinition/NoDomainVitalSignsObservationPulseRhythmIrregularity
Binding: NoDomainVitalSignsObservationPulseRhythmIrregularity (required)
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... partOf Σ0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)Part of referenced event
... status ?!SΣ1..1coderegistered | preliminary | final | amended +
Binding: ObservationStatus (required)
... Slices for category S1..*CodeableConceptClassification of type of observation
Slice: Unordered, Open by value:coding.code, value:coding.system
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


.... category:VSCat S1..1CodeableConceptClassification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


..... coding SΣ1..*CodingCode defined by a terminology system
...... system SΣ1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... code SΣ1..1codeSymbol in syntax defined by the system
Fixed Value: vital-signs
... code SΣ1..1CodeableConceptHeart Rate
Binding: VitalSigns (extensible): This identifies the vital sign result type.

.... Slices for coding Σ1..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:code, value:system
..... coding:HeartRateCode Σ1..1CodingCode defined by a terminology system
...... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
...... code Σ1..1codeSymbol in syntax defined by the system
Fixed Value: 8867-4
..... coding:PulseSNOMEDCode Σ0..1CodingCode defined by a terminology system
...... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
...... code Σ1..1codeSymbol in syntax defined by the system
Fixed Value: 78564009
... subject SΣ1..1Reference(Patient | no-basis-Patient)Who and/or what the observation is about
... focus Σ0..*Reference(Resource)What the observation is about, when it is not about the subject of record
... effective[x] SΣC1..1Often 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
.... effectiveDateTimedateTime
.... effectivePeriodPeriod
... Slices for performer Σ0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)Who is responsible for the observation
Slice: Unordered, Open by type:type
.... performer:Author Σ0..*Reference(Practitioner | PractitionerRole | CareTeam | Patient | RelatedPerson | no-basis-Practitioner | no-basis-PractitionerRole)Who is responsible for the observation
.... performer:organization Σ0..*Reference(Organization | no-basis-Organization)Who is responsible for the observation
... Slices for value[x] SΣC0..1QuantityVital 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 SΣC0..1QuantityThe rate of the pulse, measured in beats per minute.
..... value SΣ1..1decimalNumerical value (with implicit precision)
..... comparator ?!Σ0..1code< | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.

..... unit SΣ1..1stringUnit representation
..... system SΣC1..1uriSystem that defines coded unit form
Fixed Value: http://unitsofmeasure.org
..... code SΣ1..1codeCoded responses from the common UCUM units for vital signs value set.
Fixed Value: /min
... dataAbsentReason SC0..1CodeableConceptWhy the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

... bodySite 0..1CodeableConceptObserved body part
Binding: NoDomainVitalSignsObservationPulseBodySite (extensible)
.... coding Σ0..*CodingCode defined by a terminology system
Binding: NoDomainVitalSignsObservationPulseBodySite (extensible)
... method 0..1CodeableConceptHow it was done
Binding: NoDomainVitalSignsPulseMeasurmentMethod (extensible)
.... coding Σ0..*CodingCode defined by a terminology system
Binding: NoDomainVitalSignsPulseMeasurmentMethod (extensible)
... hasMember Σ0..*Reference(QuestionnaireResponse | MolecularSequence | Vital Signs Profile)Used when reporting vital signs panel components
... derivedFrom Σ0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | MolecularSequence | Vital Signs Profile)Related measurements the observation is made from
... component SΣC0..*BackboneElementUsed when reporting systolic and diastolic blood pressure.
vs-3: If there is no a value a data absent reason must be present
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code SΣ1..1CodeableConceptType of component observation (code / type)
Binding: VitalSigns (extensible): This identifies the vital sign result type.

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

..... valueQuantityQuantity
..... valueCodeableConceptCodeableConcept
..... valueStringstring
..... valueBooleanboolean
..... valueIntegerinteger
..... valueRangeRange
..... valueRatioRatio
..... valueSampledDataSampledData
..... valueTimetime
..... valueDateTimedateTime
..... valuePeriodPeriod
.... dataAbsentReason SC0..1CodeableConceptWhy the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.


doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Observation.statusrequiredObservationStatus
http://hl7.org/fhir/ValueSet/observation-status|4.0.1
from the FHIR Standard
Observation.categorypreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.category:VSCatpreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.codeextensibleVitalSigns
http://hl7.org/fhir/ValueSet/observation-vitalsignresult
from the FHIR Standard
Observation.value[x]:valueQuantity.comparatorrequiredQuantityComparator
http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1
from the FHIR Standard
Observation.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.bodySiteextensibleNoDomainVitalSignsObservationPulseBodySite
http://hl7.no/fhir/ValueSet/NoDomainVitalSignsObservationPulseBodySite
from this IG
Observation.bodySite.codingextensibleNoDomainVitalSignsObservationPulseBodySite
http://hl7.no/fhir/ValueSet/NoDomainVitalSignsObservationPulseBodySite
from this IG
Observation.methodextensibleNoDomainVitalSignsPulseMeasurmentMethod
http://hl7.no/fhir/ValueSet/NoDomainVitalSignsPulseMeasurmentMethod
from this IG
Observation.method.codingextensibleNoDomainVitalSignsPulseMeasurmentMethod
http://hl7.no/fhir/ValueSet/NoDomainVitalSignsPulseMeasurmentMethod
from this IG
Observation.component.codeextensibleVitalSigns
http://hl7.org/fhir/ValueSet/observation-vitalsignresult
from the FHIR Standard
Observation.component.value[x]requiredVitalSignsUnits
http://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.1
from the FHIR Standard
Observation.component.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorObservationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorObservationIf 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-4errorObservationIf 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-5errorObservationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceObservationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
obs-6errorObservationdataAbsentReason SHALL only be present if Observation.value[x] is not present
: dataAbsentReason.empty() or value.empty()
obs-7errorObservationIf 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-1errorObservation.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-2errorObservationIf 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-3errorObservation.componentIf there is no a value a data absent reason must be present
: value.exists() or dataAbsentReason.exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C0..*observation-heartrateFHIR 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 Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... pulseRhythm 0..1CodingRegularity of the pulse
URL: http://hl7.no/fhir/StructureDefinition/NoDomainVitalSignsObservationPulseRhythm
Binding: NoDomainVitalSignsObservationPulseRhythm (required)
... confoundingFactor 0..1stringOptional Extensions Element
URL: http://hl7.no/fhir/StructureDefinition/NoDomainVitalSignsObservationConfoundingFactor
... clinicalDescription 0..1AnnotationNarrative description about the pulse
URL: http://hl7.no/fhir/StructureDefinition/NoDomainVitalSignsObservationClinicalDescription
... characterOfPulse 0..1AnnotationDescription of the character of the pulse
URL: http://hl7.no/fhir/StructureDefinition/NoDomainVitalSignsObservationCharacterOfPulse
... BodyPosition 0..1CodingThe body position of the subject during the observation.
URL: http://hl7.no/fhir/StructureDefinition/NoDomainVitalSignsObservationHeartRatePulseBodyPosition
Binding: NoDomainVitalSignsObservationHeartRatePulseBodyPosition (required)
... pulseRythmIrregularity 0..1CodingMore specific pattern of an irregular pulse
URL: http://hl7.no/fhir/StructureDefinition/NoDomainVitalSignsObservationPulseRhythmIrregularity
Binding: NoDomainVitalSignsObservationPulseRhythmIrregularity (required)
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierBusiness Identifier for observation
... basedOn Σ0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)Fulfills plan, proposal or order
... partOf Σ0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)Part of referenced event
... status ?!SΣ1..1coderegistered | preliminary | final | amended +
Binding: ObservationStatus (required)
... Slices for category S1..*CodeableConceptClassification of type of observation
Slice: Unordered, Open by value:coding.code, value:coding.system
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


.... category:VSCat S1..1CodeableConceptClassification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... coding SΣ1..*CodingCode defined by a terminology system
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... version Σ0..1stringVersion of the system - if relevant
...... code SΣ1..1codeSymbol in syntax defined by the system
Fixed Value: vital-signs
...... display Σ0..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
..... text Σ0..1stringPlain text representation of the concept
... code SΣ1..1CodeableConceptHeart Rate
Binding: VitalSigns (extensible): This identifies the vital sign result type.

.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ1..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:code, value:system
..... coding:HeartRateCode Σ1..1CodingCode defined by a terminology system
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... system 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: 8867-4
...... display Σ0..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
..... coding:PulseSNOMEDCode Σ0..1CodingCode defined by a terminology system
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
...... version Σ0..1stringVersion of the system - if relevant
...... code Σ1..1codeSymbol in syntax defined by the system
Fixed Value: 78564009
...... 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
... subject SΣ1..1Reference(Patient | no-basis-Patient)Who and/or what the observation is about
... focus Σ0..*Reference(Resource)What the observation is about, when it is not about the subject of record
... encounter Σ0..1Reference(Encounter)Healthcare event during which this observation is made
... effective[x] SΣC1..1Often just a dateTime for Vital Signs
vs-1: if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day
.... effectiveDateTimedateTime
.... effectivePeriodPeriod
... issued Σ0..1instantDate/Time this version was made available
... Slices for performer Σ0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)Who is responsible for the observation
Slice: Unordered, Open by type:type
.... performer:Author Σ0..*Reference(Practitioner | PractitionerRole | CareTeam | Patient | RelatedPerson | no-basis-Practitioner | no-basis-PractitionerRole)Who is responsible for the observation
.... performer:organization Σ0..*Reference(Organization | no-basis-Organization)Who is responsible for the observation
... Slices for value[x] SΣC0..1QuantityVital 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 SΣC0..1QuantityThe rate of the pulse, measured in beats per minute.
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... value SΣ1..1decimalNumerical value (with implicit precision)
..... comparator ?!Σ0..1code< | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.

..... unit SΣ1..1stringUnit representation
..... system SΣC1..1uriSystem that defines coded unit form
Fixed Value: http://unitsofmeasure.org
..... code SΣ1..1codeCoded responses from the common UCUM units for vital signs value set.
Fixed Value: /min
... dataAbsentReason SC0..1CodeableConceptWhy the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

... interpretation 0..*CodeableConceptHigh, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


... note 0..*AnnotationComments about the observation
... bodySite 0..1CodeableConceptObserved body part
Binding: NoDomainVitalSignsObservationPulseBodySite (extensible)
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ0..*CodingCode defined by a terminology system
Binding: NoDomainVitalSignsObservationPulseBodySite (extensible)
.... text Σ0..1stringPlain text representation of the concept
... method 0..1CodeableConceptHow it was done
Binding: NoDomainVitalSignsPulseMeasurmentMethod (extensible)
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ0..*CodingCode defined by a terminology system
Binding: NoDomainVitalSignsPulseMeasurmentMethod (extensible)
.... text Σ0..1stringPlain text representation of the concept
... specimen 0..1Reference(Specimen)Specimen used for this observation
... device 0..1Reference(Device | DeviceMetric)(Measurement) Device
... referenceRange C0..*BackboneElementProvides guide for interpretation
obs-3: Must have at least a low or a high or text
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... low C0..1SimpleQuantityLow Range, if relevant
.... high C0..1SimpleQuantityHigh Range, if relevant
.... type 0..1CodeableConceptReference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.

.... appliesTo 0..*CodeableConceptReference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.


.... age 0..1RangeApplicable age range, if relevant
.... text 0..1stringText based reference range in an observation
... hasMember Σ0..*Reference(QuestionnaireResponse | MolecularSequence | Vital Signs Profile)Used when reporting vital signs panel components
... derivedFrom Σ0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | MolecularSequence | Vital Signs Profile)Related measurements the observation is made from
... component SΣC0..*BackboneElementUsed when reporting systolic and diastolic blood pressure.
vs-3: If there is no a value a data absent reason must be present
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code SΣ1..1CodeableConceptType of component observation (code / type)
Binding: VitalSigns (extensible): This identifies the vital sign result type.

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

..... valueQuantityQuantity
..... valueCodeableConceptCodeableConcept
..... valueStringstring
..... valueBooleanboolean
..... valueIntegerinteger
..... valueRangeRange
..... valueRatioRatio
..... valueSampledDataSampledData
..... valueTimetime
..... valueDateTimedateTime
..... valuePeriodPeriod
.... dataAbsentReason SC0..1CodeableConceptWhy the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

.... interpretation 0..*CodeableConceptHigh, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.


.... referenceRange 0..*See referenceRange (Observation)Provides guide for interpretation of component result

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Observation.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Observation.statusrequiredObservationStatus
http://hl7.org/fhir/ValueSet/observation-status|4.0.1
from the FHIR Standard
Observation.categorypreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.category:VSCatpreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.codeextensibleVitalSigns
http://hl7.org/fhir/ValueSet/observation-vitalsignresult
from the FHIR Standard
Observation.value[x]:valueQuantity.comparatorrequiredQuantityComparator
http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1
from the FHIR Standard
Observation.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard
Observation.bodySiteextensibleNoDomainVitalSignsObservationPulseBodySite
http://hl7.no/fhir/ValueSet/NoDomainVitalSignsObservationPulseBodySite
from this IG
Observation.bodySite.codingextensibleNoDomainVitalSignsObservationPulseBodySite
http://hl7.no/fhir/ValueSet/NoDomainVitalSignsObservationPulseBodySite
from this IG
Observation.methodextensibleNoDomainVitalSignsPulseMeasurmentMethod
http://hl7.no/fhir/ValueSet/NoDomainVitalSignsPulseMeasurmentMethod
from this IG
Observation.method.codingextensibleNoDomainVitalSignsPulseMeasurmentMethod
http://hl7.no/fhir/ValueSet/NoDomainVitalSignsPulseMeasurmentMethod
from this IG
Observation.referenceRange.typepreferredObservationReferenceRangeMeaningCodes
http://hl7.org/fhir/ValueSet/referencerange-meaning
from the FHIR Standard
Observation.referenceRange.appliesToexampleObservationReferenceRangeAppliesToCodes
http://hl7.org/fhir/ValueSet/referencerange-appliesto
from the FHIR Standard
Observation.component.codeextensibleVitalSigns
http://hl7.org/fhir/ValueSet/observation-vitalsignresult
from the FHIR Standard
Observation.component.value[x]requiredVitalSignsUnits
http://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.1
from the FHIR Standard
Observation.component.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.component.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorObservationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorObservationIf 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-4errorObservationIf 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-5errorObservationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceObservationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
obs-3errorObservation.referenceRangeMust have at least a low or a high or text
: low.exists() or high.exists() or text.exists()
obs-6errorObservationdataAbsentReason SHALL only be present if Observation.value[x] is not present
: dataAbsentReason.empty() or value.empty()
obs-7errorObservationIf 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-1errorObservation.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-2errorObservationIf 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-3errorObservation.componentIf there is no a value a data absent reason must be present
: value.exists() or dataAbsentReason.exists()

 

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