Interweave Implementation Guide
0.1.0 - ci-build

Interweave Implementation Guide - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the R4 profiles here.

Resource Profile: CareConnectBloodPressureObservation1

Official URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-BloodPressure-Observation-1 Version: 0.1.0
Draft as of 2019-06-17 Computable Name: CareConnect-BloodPressure-Observation-1

Copyright/Legal: Copyright © 2019 HL7 UK Licensed under the Apache License, Version 2.0 (the “License”); you may not use this file except in compliance with the License. You may obtain a copy of the License at

http://www.apache.org/licenses/LICENSE-2.0

Unless required by applicable law or agreed to in writing, software distributed under the License is distributed on an “AS IS” BASIS, WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied. See the License for the specific language governing permissions and limitations under the License.

HL7® FHIR® standard Copyright © 2011+ HL7

The HL7® FHIR® standard is used under the FHIR license. You may obtain a copy of the FHIR license at

https://www.hl7.org/fhir/license.html

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

Usage:

Formal Views of Profile Content

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

This structure is derived from Observation

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 0..*ObservationMeasurements and simple assertions
... identifier
.... system 1..1uriThe namespace for the identifier value
.... value 1..1stringThe value that is unique
.... assigner 0..1Reference(CareConnect-Organization-1)Organization that issued id (may be just text)
... basedOn 0..*Reference(CareConnect-CarePlan-1 | DeviceRequest | ImmunizationRecommendation | CareConnect-MedicationRequest-1 | NutritionOrder | CareConnect-ReferralRequest-1 | CareConnect-ProcedureRequest-1)Fulfills plan, proposal or order
... status S1..1coderegistered | preliminary | final | amended +
Fixed Value: final
.... coding 1..1CodingCode defined by a terminology system
..... system 1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/observation-category
..... version 0..0
..... code 1..1codeSymbol in syntax defined by the system
Fixed Value: vital-signs
..... display 0..1stringRepresentation defined by the system
Fixed Value: Vital Signs
... code S1..1CodeableConceptType of observation (code / type)
Binding: Vital Signs (extensible): This value set indicates the allowed vital sign result types.

.... Slices for coding 1..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:code
..... coding:loinc 1..1CodingCode defined by a terminology system
Binding: Vital Signs (extensible): This value set indicates the allowed vital sign result types

...... system 1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
...... code 1..1codeSymbol in syntax defined by the system
Fixed Value: 85354-9
..... coding:snomedCT 1..1CodingCode defined by a terminology system
...... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
...... snomedCTDescriptionID 0..*(Complex)The SNOMED CT Description ID for the display
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
...... system 1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
...... version 0..0
...... code 1..1codeSymbol in syntax defined by the system
Fixed Value: 75367002
...... display 1..1stringRepresentation defined by the system
Fixed Value: Blood pressure
... subject S1..1Reference(CareConnectPatient1)Who and/or what this is about
... context 0..1Reference(CareConnect-EpisodeOfCare-1 | CareConnect-Encounter-1)Healthcare event during which this observation is made
... effective[x] S1..1dateTime, PeriodClinically relevant time/time-period for the observation
... performer 0..*Reference(CareConnect-RelatedPerson-1 | CareConnect-Practitioner-1 | CareConnect-Organization-1 | CareConnectPatient1)Who is responsible for the observation
... valueQuantity:valueQuantity S0..0
... dataAbsentReason S0..1CodeableConceptWhy the result is missing
.... coding
..... code 0..1codeSymbol in syntax defined by the system
... bodySite
.... Slices for coding 0..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:snomedCT 0..1CodingCode defined by a terminology system
Binding: Care Connect Body Site (preferred): A code from the SNOMED Clinical Terminology UK with the expression (<<442083009 |anatomical or acquired body structure|).

...... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
...... snomedCTDescriptionID 0..*(Complex)The SNOMED CT Description ID for the display
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
...... system 1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
...... version 0..0
...... code 1..1codeSymbol in syntax defined by the system
...... display 1..1stringRepresentation defined by the system
... method
.... Slices for coding 0..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:snomedCT 0..1CodingCode defined by a terminology system
Binding: Care Connect Observation Method (preferred): A code from SNOMED Clinical Terminology UK

...... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
...... snomedCTDescriptionID 0..*(Complex)The SNOMED CT Description ID for the display
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
...... system 1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
...... version 0..0
...... code 1..1codeSymbol in syntax defined by the system
...... display 1..1stringRepresentation defined by the system
... specimen 0..1Reference(CareConnect-Specimen-1)Specimen used for this observation
... related S0..*BackboneElementResource related to this observation
.... type S1..1codehas-member | derived-from | sequel-to | replaces | qualified-by | interfered-by
Fixed Value: has-member
.... target S1..1Reference(https://fhir.hl7.org.uk/StructureDefinition/CareConnect-Observation-1 | QuestionnaireResponse | Sequence | CareConnect-VitalSigns-Observation-1)Resource that is related to this one
... Slices for component 0..*BackboneElementUsed when reporting systolic and diastolic blood pressure.
Slice: Unordered, Open by value:code
.... component:systolicComponent 0..*BackboneElementComponent results
..... code 1..1CodeableConceptType of component observation (code / type)
Binding: Vital Signs (extensible): This value set indicates the allowed vital sign result types.

...... Slices for coding 0..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:code
....... coding:loinc 1..1CodingSystolic Blood Pressure
Binding: Vital Signs (extensible): This value set indicates the allowed vital sign result types

........ system 1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
........ code 1..1codeSymbol in syntax defined by the system
Fixed Value: 8480-6
....... coding:snomedCT 1..1CodingSystolic Blood Pressure
........ Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
........ snomedCTDescriptionID 0..*(Complex)The SNOMED CT Description ID for the display
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
........ system 1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
........ version 0..0
........ code 1..1codeSymbol in syntax defined by the system
Fixed Value: 72313002
........ display 1..1stringRepresentation defined by the system
Fixed Value: Systolic arterial pressure
..... valueQuantity:valueQuantity 0..1QuantityVital Sign Value recorded with UCUM
Binding: Vital Signs Units (required): A value set describing common UCUM units for recording vital signs

...... value 1..1decimalNumerical value (with implicit precision)
...... unit 1..1stringUnit representation
...... system 1..1uriSystem that defines coded unit form
Fixed Value: http://unitsofmeasure.org
...... code 1..1codeCoded responses from the common UCUM units for vital signs value set.
Fixed Value: mm[Hg]
.... component:diastolicComponent 0..*BackboneElementComponent results
..... code 1..1CodeableConceptType of component observation (code / type)
Binding: Vital Signs (extensible): This value set indicates the allowed vital sign result types

...... Slices for coding 0..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:code
....... coding:loinc 1..1CodingDiastolic Blood Pressure
Binding: Vital Signs (extensible): This value set indicates the allowed vital sign result types

........ system 1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
........ code 1..1codeSymbol in syntax defined by the system
Fixed Value: 8462-4
....... coding:snomedCT 1..1CodingDiastolic Blood Pressure
........ Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
........ snomedCTDescriptionID 0..*(Complex)The SNOMED CT Description ID for the display
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
........ system 1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
........ version 0..0
........ code 1..1codeSymbol in syntax defined by the system
Fixed Value: 1091811000000102
........ display 1..1stringRepresentation defined by the system
Fixed Value: Diastolic arterial pressure
..... valueQuantity:valueQuantity 0..1QuantityVital Sign Value recorded with UCUM
Binding: Vital Signs Units (required): A value set describing common UCUM units for recording vital signs

...... value 1..1decimalNumerical value (with implicit precision)
...... unit 1..1stringUnit representation
...... system 1..1uriSystem that defines coded unit form
Fixed Value: http://unitsofmeasure.org
...... code 1..1codeCoded responses from the common UCUM units for vital signs value set.
Fixed Value: mm[Hg]

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
Observation.categoryrequiredObservation Category Codes
Observation.codeextensibleVital Signs
Observation.code.coding:loincextensibleVital Signs
Observation.valueQuantity:valueQuantity.coderequiredVital Signs Units
Observation.bodySite.coding:snomedCTpreferredCare Connect Body Site
Observation.method.coding:snomedCTpreferredCare Connect Observation Method
Observation.component:systolicComponent.codeextensibleVital Signs
Observation.component:systolicComponent.code.coding:loincextensibleVital Signs
Observation.component:systolicComponent.valueQuantity:valueQuantityrequiredVital Signs Units
Observation.component:diastolicComponent.codeextensibleVital Signs
Observation.component:diastolicComponent.code.coding:loincextensibleVital Signs
Observation.component:diastolicComponent.valueQuantity:valueQuantityrequiredVital Signs Units
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C0..*ObservationMeasurements and simple assertions
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... basedOn Σ0..*Reference(CareConnect-CarePlan-1 | DeviceRequest | ImmunizationRecommendation | CareConnect-MedicationRequest-1 | NutritionOrder | CareConnect-ReferralRequest-1 | CareConnect-ProcedureRequest-1)Fulfills plan, proposal or order
... category S1..*CodeableConceptClassification of type of observation
Binding: Observation Category Codes (required)
.... coding Σ1..1CodingCode defined by a terminology system
..... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/observation-category
..... code Σ1..1codeSymbol in syntax defined by the system
Fixed Value: vital-signs
..... display Σ0..1stringRepresentation defined by the system
Fixed Value: Vital Signs
... code SΣ1..1CodeableConceptType of observation (code / type)
Binding: Vital Signs (extensible): This value set indicates the allowed vital sign result types.

.... Slices for coding Σ1..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:code
..... coding:loinc Σ1..1CodingCode defined by a terminology system
Binding: Vital Signs (extensible): This value set indicates the allowed vital sign result types


...... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
...... code Σ1..1codeSymbol in syntax defined by the system
Fixed Value: 85354-9
..... coding:snomedCT Σ1..1CodingCode defined by a terminology system
...... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
...... snomedCTDescriptionID 0..*(Complex)The SNOMED CT Description ID for the display
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
...... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
...... code Σ1..1codeSymbol in syntax defined by the system
Fixed Value: 75367002
...... display Σ1..1stringRepresentation defined by the system
Fixed Value: Blood pressure
... subject SΣ1..1Reference(CareConnectPatient1)Who and/or what this is about
... context 0..1Reference(CareConnect-EpisodeOfCare-1 | CareConnect-Encounter-1)Healthcare event during which this observation is made
... effective[x] SΣ1..1Clinically relevant time/time-period for the observation
.... effectiveDateTimedateTime
.... effectivePeriodPeriod
... performer Σ0..*Reference(CareConnect-RelatedPerson-1 | CareConnect-Practitioner-1 | CareConnect-Organization-1 | CareConnectPatient1)Who is responsible for the observation
... Slices for value[x] ΣC0..1QuantityActual result
Slice: Unordered, Closed by type:$this
... dataAbsentReason SC0..1CodeableConceptWhy the result is missing
Binding: Observation Value Absent Reason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

... specimen 0..1Reference(CareConnect-Specimen-1)Specimen used for this observation
... related SΣ0..*BackboneElementResource related to this observation
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... type S1..1codehas-member | derived-from | sequel-to | replaces | qualified-by | interfered-by
Binding: ObservationRelationshipType (required): Codes specifying how two observations are related.


Fixed Value: has-member
.... target S1..1Reference(https://fhir.hl7.org.uk/StructureDefinition/CareConnect-Observation-1 | QuestionnaireResponse | Sequence | CareConnect-VitalSigns-Observation-1)Resource that is related to this one
... Slices for component Σ0..*BackboneElementUsed when reporting systolic and diastolic blood pressure.
Slice: Unordered, Open by value:code
.... component:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
..... code Σ1..1CodeableConceptType of component observation (code / type)
Binding: LOINC Codes (example): Codes identifying names of simple observations.

.... component:systolicComponent Σ0..*BackboneElementComponent results
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
..... code Σ1..1CodeableConceptType of component observation (code / type)
Binding: Vital Signs (extensible): This value set indicates the allowed vital sign result types.

...... Slices for coding Σ0..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:code
....... coding:loinc Σ1..1CodingSystolic Blood Pressure
Binding: Vital Signs (extensible): This value set indicates the allowed vital sign result types


........ system Σ1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
........ code Σ1..1codeSymbol in syntax defined by the system
Fixed Value: 8480-6
....... coding:snomedCT Σ1..1CodingSystolic Blood Pressure
........ Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
........ snomedCTDescriptionID 0..*(Complex)The SNOMED CT Description ID for the display
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
........ system Σ1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
........ code Σ1..1codeSymbol in syntax defined by the system
Fixed Value: 72313002
........ display Σ1..1stringRepresentation defined by the system
Fixed Value: Systolic arterial pressure
..... value[x]:valueQuantity Σ0..1QuantityVital Sign Value recorded with UCUM
Binding: Vital Signs Units (required): A value set describing common UCUM units for recording vital signs

...... value Σ1..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 Σ1..1stringUnit representation
...... system ΣC1..1uriSystem that defines coded unit form
Fixed Value: http://unitsofmeasure.org
...... code Σ1..1codeCoded responses from the common UCUM units for vital signs value set.
Fixed Value: mm[Hg]
.... component:diastolicComponent Σ0..*BackboneElementComponent results
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
..... code Σ1..1CodeableConceptType of component observation (code / type)
Binding: Vital Signs (extensible): This value set indicates the allowed vital sign result types

...... Slices for coding Σ0..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:code
....... coding:loinc Σ1..1CodingDiastolic Blood Pressure
Binding: Vital Signs (extensible): This value set indicates the allowed vital sign result types


........ system Σ1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
........ code Σ1..1codeSymbol in syntax defined by the system
Fixed Value: 8462-4
....... coding:snomedCT Σ1..1CodingDiastolic Blood Pressure
........ Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
........ snomedCTDescriptionID 0..*(Complex)The SNOMED CT Description ID for the display
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
........ system Σ1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
........ code Σ1..1codeSymbol in syntax defined by the system
Fixed Value: 1091811000000102
........ display Σ1..1stringRepresentation defined by the system
Fixed Value: Diastolic arterial pressure
..... value[x]:valueQuantity Σ0..1QuantityVital Sign Value recorded with UCUM
Binding: Vital Signs Units (required): A value set describing common UCUM units for recording vital signs

...... value Σ1..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 Σ1..1stringUnit representation
...... system ΣC1..1uriSystem that defines coded unit form
Fixed Value: http://unitsofmeasure.org
...... code Σ1..1codeCoded responses from the common UCUM units for vital signs value set.
Fixed Value: mm[Hg]

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Observation.statusrequiredFixed Value: final
Observation.categoryrequiredObservation Category Codes
Observation.codeextensibleVital Signs
Observation.code.coding:loincextensibleFixed Value: LOINC code 85354-9
Observation.value[x]:valueQuantity.comparatorrequiredQuantityComparator
Observation.value[x]:valueQuantity.coderequiredVital Signs Units
Observation.dataAbsentReasonextensibleObservation Value Absent Reason
Observation.related.typerequiredFixed Value: has-member
Observation.component.codeexampleLOINC Codes (a valid code from LOINC)
Observation.component:systolicComponent.codeextensibleVital Signs
Observation.component:systolicComponent.code.coding:loincextensibleFixed Value: LOINC code 8480-6
Observation.component:systolicComponent.value[x]:valueQuantityrequiredVital Signs Units
Observation.component:systolicComponent.value[x]:valueQuantity.comparatorrequiredQuantityComparator
Observation.component:diastolicComponent.codeextensibleVital Signs
Observation.component:diastolicComponent.code.coding:loincextensibleFixed Value: LOINC code 8462-4
Observation.component:diastolicComponent.value[x]:valueQuantityrequiredVital Signs Units
Observation.component:diastolicComponent.value[x]:valueQuantity.comparatorrequiredQuantityComparator

Constraints

IdGradePath(s)DetailsRequirements
dom-1errorObservationIf the resource is contained in another resource, it SHALL NOT contain any narrative
: contained.text.empty()
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
: contained.where(('#'+id in %resource.descendants().reference).not()).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()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
obs-6errorObservationdataAbsentReason SHALL only be present if Observation.value[x] is not present
: dataAbsentReason.empty() or value.empty()
obs-7errorObservationIf code is the same as a component code then the value element associated with the code SHALL NOT be present
: value.empty() or component.code.where( (coding.code = %resource.code.coding.code) and (coding.system = %resource.code.coding.system)).empty()
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C0..*ObservationMeasurements and simple assertions
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: Common Languages (extensible): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional Content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierBusiness Identifier for observation
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ0..1codeusual | official | temp | secondary (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

.... type Σ0..1CodeableConceptDescription of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

.... system Σ1..1uriThe namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value Σ1..1stringThe value that is unique
Example General: 123456
.... period Σ0..1PeriodTime period when id is/was valid for use
.... assigner Σ0..1Reference(CareConnect-Organization-1)Organization that issued id (may be just text)
... basedOn Σ0..*Reference(CareConnect-CarePlan-1 | DeviceRequest | ImmunizationRecommendation | CareConnect-MedicationRequest-1 | NutritionOrder | CareConnect-ReferralRequest-1 | CareConnect-ProcedureRequest-1)Fulfills plan, proposal or order
... status ?!SΣ1..1coderegistered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.


Fixed Value: final
... category S1..*CodeableConceptClassification of type of observation
Binding: Observation Category Codes (required)
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ1..1CodingCode defined by a terminology system
..... id 0..1stringxml:id (or equivalent in JSON)
..... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
..... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/observation-category
..... code Σ1..1codeSymbol in syntax defined by the system
Fixed Value: vital-signs
..... display Σ0..1stringRepresentation defined by the system
Fixed Value: Vital Signs
..... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... text Σ0..1stringPlain text representation of the concept
... code SΣ1..1CodeableConceptType of observation (code / type)
Binding: Vital Signs (extensible): This value set indicates the allowed vital sign result types.

.... id 0..1stringxml:id (or equivalent in JSON)
.... 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
..... coding:loinc Σ1..1CodingCode defined by a terminology system
Binding: Vital Signs (extensible): This value set indicates the allowed vital sign result types


...... id 0..1stringxml:id (or equivalent in JSON)
...... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
...... version Σ0..1stringVersion of the system - if relevant
...... code Σ1..1codeSymbol in syntax defined by the system
Fixed Value: 85354-9
...... display Σ0..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
..... coding:snomedCT Σ1..1CodingCode defined by a terminology system
...... id 0..1stringxml:id (or equivalent in JSON)
...... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
...... snomedCTDescriptionID 0..*(Complex)The SNOMED CT Description ID for the display
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
...... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
...... code Σ1..1codeSymbol in syntax defined by the system
Fixed Value: 75367002
...... display Σ1..1stringRepresentation defined by the system
Fixed Value: Blood pressure
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... text Σ0..1stringPlain text representation of the concept
... subject SΣ1..1Reference(CareConnectPatient1)Who and/or what this is about
... context 0..1Reference(CareConnect-EpisodeOfCare-1 | CareConnect-Encounter-1)Healthcare event during which this observation is made
... effective[x] SΣ1..1Clinically relevant time/time-period for the observation
.... effectiveDateTimedateTime
.... effectivePeriodPeriod
... issued Σ0..1instantDate/Time this was made available
... performer Σ0..*Reference(CareConnect-RelatedPerson-1 | CareConnect-Practitioner-1 | CareConnect-Organization-1 | CareConnectPatient1)Who is responsible for the observation
... Slices for value[x] ΣC0..1QuantityActual result
Slice: Unordered, Closed by type:$this
... dataAbsentReason SC0..1CodeableConceptWhy the result is missing
Binding: Observation Value Absent Reason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ0..*CodingCode defined by a terminology system
..... id 0..1stringxml:id (or equivalent in JSON)
..... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
..... system Σ0..1uriIdentity of the terminology system
..... version Σ0..1stringVersion of the system - if relevant
..... code Σ0..1codeSymbol in syntax defined by the system
..... display Σ0..1stringRepresentation defined by the system
..... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... text Σ0..1stringPlain text representation of the concept
... interpretation 0..1CodeableConceptHigh, low, normal, etc.
Binding: Observation Interpretation Codes (extensible): Codes identifying interpretations of observations.

... comment 0..1stringComments about result
... bodySite 0..1CodeableConceptObserved body part
Binding: SNOMED CT Body Structures (example): Codes describing anatomical locations. May include laterality.

.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ0..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:snomedCT Σ0..1CodingCode defined by a terminology system
Binding: Care Connect Body Site (preferred): A code from the SNOMED Clinical Terminology UK with the expression (<<442083009 |anatomical or acquired body structure|).


...... id 0..1stringxml:id (or equivalent in JSON)
...... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
...... snomedCTDescriptionID 0..*(Complex)The SNOMED CT Description ID for the display
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
...... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
...... code Σ1..1codeSymbol in syntax defined by the system
...... display Σ1..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... text Σ0..1stringPlain text representation of the concept
... method 0..1CodeableConceptHow it was done
Binding: Observation Methods (example): Methods for simple observations.

.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ0..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:snomedCT Σ0..1CodingCode defined by a terminology system
Binding: Care Connect Observation Method (preferred): A code from SNOMED Clinical Terminology UK


...... id 0..1stringxml:id (or equivalent in JSON)
...... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
...... snomedCTDescriptionID 0..*(Complex)The SNOMED CT Description ID for the display
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
...... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
...... code Σ1..1codeSymbol in syntax defined by the system
...... display Σ1..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... text Σ0..1stringPlain text representation of the concept
... specimen 0..1Reference(CareConnect-Specimen-1)Specimen used for this observation
... device 0..1Reference(Device | DeviceMetric)(Measurement) Device
... referenceRange C0..*BackboneElementProvides guide for interpretation
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... low C0..1SimpleQuantityLow Range, if relevant
.... high C0..1SimpleQuantityHigh Range, if relevant
.... type 0..1CodeableConceptReference range qualifier
Binding: Observation Reference Range Meaning Codes (extensible): Code for the meaning of a reference range.

.... appliesTo 0..*CodeableConceptReference range population
Binding: Observation Reference Range Applies To Codes (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
... related SΣ0..*BackboneElementResource related to this observation
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... type S1..1codehas-member | derived-from | sequel-to | replaces | qualified-by | interfered-by
Binding: ObservationRelationshipType (required): Codes specifying how two observations are related.


Fixed Value: has-member
.... target S1..1Reference(https://fhir.hl7.org.uk/StructureDefinition/CareConnect-Observation-1 | QuestionnaireResponse | Sequence | CareConnect-VitalSigns-Observation-1)Resource that is related to this one
... Slices for component Σ0..*BackboneElementUsed when reporting systolic and diastolic blood pressure.
Slice: Unordered, Open by value:code
.... component:All Slices Content/Rules for all slices
..... id 0..1stringxml:id (or equivalent in JSON)
..... extension 0..*ExtensionAdditional Content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
..... code Σ1..1CodeableConceptType of component observation (code / type)
Binding: LOINC Codes (example): Codes identifying names of simple observations.

..... value[x] Σ0..1Actual component result
...... valueQuantityQuantity
...... valueCodeableConceptCodeableConcept
...... valueStringstring
...... valueRangeRange
...... valueRatioRatio
...... valueSampledDataSampledData
...... valueAttachmentAttachment
...... valueTimetime
...... valueDateTimedateTime
...... valuePeriodPeriod
..... dataAbsentReason C0..1CodeableConceptWhy the component result is missing
Binding: Observation Value Absent Reason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

..... interpretation 0..1CodeableConceptHigh, low, normal, etc.
Binding: Observation Interpretation Codes (extensible): Codes identifying interpretations of observations.

..... referenceRange 0..*See referenceRange (Observation)Provides guide for interpretation of component result
.... component:systolicComponent Σ0..*BackboneElementComponent results
..... id 0..1stringxml:id (or equivalent in JSON)
..... extension 0..*ExtensionAdditional Content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
..... code Σ1..1CodeableConceptType of component observation (code / type)
Binding: Vital Signs (extensible): This value set indicates the allowed vital sign result types.

...... id 0..1stringxml:id (or equivalent in JSON)
...... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
...... Slices for coding Σ0..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:code
....... coding:loinc Σ1..1CodingSystolic Blood Pressure
Binding: Vital Signs (extensible): This value set indicates the allowed vital sign result types


........ id 0..1stringxml:id (or equivalent in JSON)
........ extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
........ system Σ1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
........ version Σ0..1stringVersion of the system - if relevant
........ code Σ1..1codeSymbol in syntax defined by the system
Fixed Value: 8480-6
........ display Σ0..1stringRepresentation defined by the system
........ userSelected Σ0..1booleanIf this coding was chosen directly by the user
....... coding:snomedCT Σ1..1CodingSystolic Blood Pressure
........ id 0..1stringxml:id (or equivalent in JSON)
........ Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
........ snomedCTDescriptionID 0..*(Complex)The SNOMED CT Description ID for the display
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
........ system Σ1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
........ code Σ1..1codeSymbol in syntax defined by the system
Fixed Value: 72313002
........ display Σ1..1stringRepresentation defined by the system
Fixed Value: Systolic arterial pressure
........ userSelected Σ0..1booleanIf this coding was chosen directly by the user
...... text Σ0..1stringPlain text representation of the concept
..... value[x]:valueQuantity Σ0..1QuantityVital Sign Value recorded with UCUM
Binding: Vital Signs Units (required): A value set describing common UCUM units for recording vital signs

...... id 0..1stringxml:id (or equivalent in JSON)
...... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
...... value Σ1..1decimalNumerical value (with implicit precision)
...... comparator ?!Σ0..1code< | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.

...... unit Σ1..1stringUnit representation
...... system ΣC1..1uriSystem that defines coded unit form
Fixed Value: http://unitsofmeasure.org
...... code Σ1..1codeCoded responses from the common UCUM units for vital signs value set.
Fixed Value: mm[Hg]
..... dataAbsentReason C0..1CodeableConceptWhy the component result is missing
Binding: Observation Value Absent Reason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

..... interpretation 0..1CodeableConceptHigh, low, normal, etc.
Binding: Observation Interpretation Codes (extensible): Codes identifying interpretations of observations.

..... referenceRange 0..*See referenceRange (Observation)Provides guide for interpretation of component result
.... component:diastolicComponent Σ0..*BackboneElementComponent results
..... id 0..1stringxml:id (or equivalent in JSON)
..... extension 0..*ExtensionAdditional Content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
..... code Σ1..1CodeableConceptType of component observation (code / type)
Binding: Vital Signs (extensible): This value set indicates the allowed vital sign result types

...... id 0..1stringxml:id (or equivalent in JSON)
...... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
...... Slices for coding Σ0..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:code
....... coding:loinc Σ1..1CodingDiastolic Blood Pressure
Binding: Vital Signs (extensible): This value set indicates the allowed vital sign result types


........ id 0..1stringxml:id (or equivalent in JSON)
........ extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
........ system Σ1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
........ version Σ0..1stringVersion of the system - if relevant
........ code Σ1..1codeSymbol in syntax defined by the system
Fixed Value: 8462-4
........ display Σ0..1stringRepresentation defined by the system
........ userSelected Σ0..1booleanIf this coding was chosen directly by the user
....... coding:snomedCT Σ1..1CodingDiastolic Blood Pressure
........ id 0..1stringxml:id (or equivalent in JSON)
........ Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
........ snomedCTDescriptionID 0..*(Complex)The SNOMED CT Description ID for the display
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
........ system Σ1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
........ code Σ1..1codeSymbol in syntax defined by the system
Fixed Value: 1091811000000102
........ display Σ1..1stringRepresentation defined by the system
Fixed Value: Diastolic arterial pressure
........ userSelected Σ0..1booleanIf this coding was chosen directly by the user
...... text Σ0..1stringPlain text representation of the concept
..... value[x]:valueQuantity Σ0..1QuantityVital Sign Value recorded with UCUM
Binding: Vital Signs Units (required): A value set describing common UCUM units for recording vital signs

...... id 0..1stringxml:id (or equivalent in JSON)
...... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
...... value Σ1..1decimalNumerical value (with implicit precision)
...... comparator ?!Σ0..1code< | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.

...... unit Σ1..1stringUnit representation
...... system ΣC1..1uriSystem that defines coded unit form
Fixed Value: http://unitsofmeasure.org
...... code Σ1..1codeCoded responses from the common UCUM units for vital signs value set.
Fixed Value: mm[Hg]
..... dataAbsentReason C0..1CodeableConceptWhy the component result is missing
Binding: Observation Value Absent Reason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

..... interpretation 0..1CodeableConceptHigh, low, normal, etc.
Binding: Observation Interpretation Codes (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

PathConformanceValueSet / Code
Observation.languageextensibleCommon Languages
Additional Bindings Purpose
AllLanguages Max Binding
Observation.identifier.userequiredIdentifierUse
Observation.identifier.typeextensibleIdentifier Type Codes
Observation.statusrequiredFixed Value: final
Observation.categoryrequiredObservation Category Codes
Observation.codeextensibleVital Signs
Observation.code.coding:loincextensibleFixed Value: LOINC code 85354-9
Observation.value[x]:valueQuantity.comparatorrequiredQuantityComparator
Observation.value[x]:valueQuantity.coderequiredVital Signs Units
Observation.dataAbsentReasonextensibleObservation Value Absent Reason
Observation.interpretationextensibleObservation Interpretation Codes
Observation.bodySiteexampleSNOMED CT Body Structures
Observation.bodySite.coding:snomedCTpreferredCare Connect Body Site
Observation.methodexampleObservation Methods
Observation.method.coding:snomedCTpreferredCare Connect Observation Method
Observation.referenceRange.typeextensibleObservation Reference Range Meaning Codes
Observation.referenceRange.appliesToexampleObservation Reference Range Applies To Codes
Observation.related.typerequiredFixed Value: has-member
Observation.component.codeexampleLOINC Codes (a valid code from LOINC)
Observation.component.dataAbsentReasonextensibleObservation Value Absent Reason
Observation.component.interpretationextensibleObservation Interpretation Codes
Observation.component:systolicComponent.codeextensibleVital Signs
Observation.component:systolicComponent.code.coding:loincextensibleFixed Value: LOINC code 8480-6
Observation.component:systolicComponent.value[x]:valueQuantityrequiredVital Signs Units
Observation.component:systolicComponent.value[x]:valueQuantity.comparatorrequiredQuantityComparator
Observation.component:systolicComponent.dataAbsentReasonextensibleObservation Value Absent Reason
Observation.component:systolicComponent.interpretationextensibleObservation Interpretation Codes
Observation.component:diastolicComponent.codeextensibleVital Signs
Observation.component:diastolicComponent.code.coding:loincextensibleFixed Value: LOINC code 8462-4
Observation.component:diastolicComponent.value[x]:valueQuantityrequiredVital Signs Units
Observation.component:diastolicComponent.value[x]:valueQuantity.comparatorrequiredQuantityComparator
Observation.component:diastolicComponent.dataAbsentReasonextensibleObservation Value Absent Reason
Observation.component:diastolicComponent.interpretationextensibleObservation Interpretation Codes

Constraints

IdGradePath(s)DetailsRequirements
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
obs-3errorObservation.referenceRangeMust have at least a low or a high or text
: low.exists() or high.exists() or text.exists()

This structure is derived from Observation

Summary

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

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

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

Differential View

This structure is derived from Observation

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 0..*ObservationMeasurements and simple assertions
... identifier
.... system 1..1uriThe namespace for the identifier value
.... value 1..1stringThe value that is unique
.... assigner 0..1Reference(CareConnect-Organization-1)Organization that issued id (may be just text)
... basedOn 0..*Reference(CareConnect-CarePlan-1 | DeviceRequest | ImmunizationRecommendation | CareConnect-MedicationRequest-1 | NutritionOrder | CareConnect-ReferralRequest-1 | CareConnect-ProcedureRequest-1)Fulfills plan, proposal or order
... status S1..1coderegistered | preliminary | final | amended +
Fixed Value: final
.... coding 1..1CodingCode defined by a terminology system
..... system 1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/observation-category
..... version 0..0
..... code 1..1codeSymbol in syntax defined by the system
Fixed Value: vital-signs
..... display 0..1stringRepresentation defined by the system
Fixed Value: Vital Signs
... code S1..1CodeableConceptType of observation (code / type)
Binding: Vital Signs (extensible): This value set indicates the allowed vital sign result types.

.... Slices for coding 1..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:code
..... coding:loinc 1..1CodingCode defined by a terminology system
Binding: Vital Signs (extensible): This value set indicates the allowed vital sign result types

...... system 1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
...... code 1..1codeSymbol in syntax defined by the system
Fixed Value: 85354-9
..... coding:snomedCT 1..1CodingCode defined by a terminology system
...... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
...... snomedCTDescriptionID 0..*(Complex)The SNOMED CT Description ID for the display
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
...... system 1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
...... version 0..0
...... code 1..1codeSymbol in syntax defined by the system
Fixed Value: 75367002
...... display 1..1stringRepresentation defined by the system
Fixed Value: Blood pressure
... subject S1..1Reference(CareConnectPatient1)Who and/or what this is about
... context 0..1Reference(CareConnect-EpisodeOfCare-1 | CareConnect-Encounter-1)Healthcare event during which this observation is made
... effective[x] S1..1dateTime, PeriodClinically relevant time/time-period for the observation
... performer 0..*Reference(CareConnect-RelatedPerson-1 | CareConnect-Practitioner-1 | CareConnect-Organization-1 | CareConnectPatient1)Who is responsible for the observation
... valueQuantity:valueQuantity S0..0
... dataAbsentReason S0..1CodeableConceptWhy the result is missing
.... coding
..... code 0..1codeSymbol in syntax defined by the system
... bodySite
.... Slices for coding 0..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:snomedCT 0..1CodingCode defined by a terminology system
Binding: Care Connect Body Site (preferred): A code from the SNOMED Clinical Terminology UK with the expression (<<442083009 |anatomical or acquired body structure|).

...... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
...... snomedCTDescriptionID 0..*(Complex)The SNOMED CT Description ID for the display
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
...... system 1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
...... version 0..0
...... code 1..1codeSymbol in syntax defined by the system
...... display 1..1stringRepresentation defined by the system
... method
.... Slices for coding 0..*CodingCode defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:snomedCT 0..1CodingCode defined by a terminology system
Binding: Care Connect Observation Method (preferred): A code from SNOMED Clinical Terminology UK

...... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
...... snomedCTDescriptionID 0..*(Complex)The SNOMED CT Description ID for the display
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
...... system 1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
...... version 0..0
...... code 1..1codeSymbol in syntax defined by the system
...... display 1..1stringRepresentation defined by the system
... specimen 0..1Reference(CareConnect-Specimen-1)Specimen used for this observation
... related S0..*