MediRecords FHIR Implementation Guide
20220926 - ci-build


Resource Profile: MediRecords Vital Sign Blood Pressure

Defining URL:https://fhir.medirecords.com/StructureDefinition/mr-observation-vitalsign-bp
Version:20220926
Name:MRObservationVitalSignBloodPress
Title:MediRecords Vital Sign Blood Pressure
Status:Active as of 2022-09-28 10:08:29+0000
Definition:

MediRecords Vital Sign profile to record the blood pressure of the patient in context

Source Resource:XML / JSON / Turtle

The official URL for this profile is:

https://fhir.medirecords.com/StructureDefinition/mr-observation-vitalsign-bp

Formal Views of Profile Content

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

This structure is derived from observation-bp

Summary

Mandatory: 10 elements (19 nested mandatory elements)
Must-Support: 14 elements
Fixed Value: 26 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

This structure is derived from observation-bp

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 0..*observation-bpFHIR Blood Pressure Profile
... meta
.... lastUpdated S0..1instantWhen the resource version last changed
.... profile 1..*canonical(StructureDefinition)Profiles this resource claims to conform to
... status C1..1codeMediRecords supports only "final - 'The observation is complete and there are no further actions needed'” or “entered-in-error - 'The observation has been withdrawn following previous final release'
inv-mr-obs-vitalsign-status-01: MediRecords supports only "final - 'The observation is complete and there are no further actions needed'” or “entered-in-error - 'The observation has been withdrawn following previous final release'
... code
.... coding 3..3CodingCode defined by a terminology system
.... coding:snomedBPCode S1..1CodingSNOMED CT Blood Pressure
..... system 1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
..... code 1..1codeSymbol in syntax defined by the system
Fixed Value: 75367002
.... coding:bpSNOMED-Lying S0..1CodingSNOMED CT Blood Pressure - Lying
..... system 1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
..... code 1..1codeSymbol in syntax defined by the system
Fixed Value: 163033001
.... coding:bpSNOMED-Sitting S0..1CodingSNOMED CT Blood Pressure - Sitting
..... system 1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
..... code 1..1codeSymbol in syntax defined by the system
Fixed Value: 163035008
.... coding:bpSNOMED-Standing S0..1CodingSNOMED CT Blood Pressure - Standing
..... system 1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
..... code 1..1codeSymbol in syntax defined by the system
Fixed Value: 163034007
... encounter S0..1Reference(MediRecords Core Encounter)Healthcare event during which this observation is made
... effectiveDateTime S1..1dateTimeOften just a dateTime for Vital Signs
... performer S0..1Reference(MediRecords Core Practitioner)Who is responsible for the observation
... valueQuantity 0..0Quantity
... component:SystolicBP 1..1BackboneElementSystolic Blood Pressure
.... code
..... coding 3..3CodingSystolic Blood Pressure
..... coding:snomedSBP 1..1CodingSNOMED CT Systolic Blood Pressure
...... system 1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
...... code 1..1codeSymbol in syntax defined by the system
Fixed Value: 271649006
..... coding:sbpSNOMED-Lying S0..1CodingSNOMED CT Systolic Blood Pressure - Lying
...... system 1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
...... code 1..1codeSymbol in syntax defined by the system
Fixed Value: 407556006
..... coding:sbpSNOMED-Sitting S0..1CodingSNOMED CT Systolic Blood Pressure - Sitting
...... system 1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
...... code 1..1codeSymbol in syntax defined by the system
Fixed Value: 407554009
..... coding:sbpSNOMED-Standing S0..1CodingSNOMED CT Systolic Blood Pressure - Standing
...... system 1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
...... code 1..1codeSymbol in syntax defined by the system
Fixed Value: 400974009
.... valueQuantity 0..1QuantityVital Sign Value recorded with UCUM
..... value C1..1decimalNumerical value (with implicit precision)
inv-mr-obs-vitalsign-component-valueQuantity-value-01: Value must conform to format: nnn - maximum 3 digits and no decimal
..... unit 1..1stringUnit representation
Fixed Value: mm[Hg]
... component:DiastolicBP 1..1BackboneElementDiastolic Blood Pressure
.... code
..... coding 3..3CodingDiastolic Blood Pressure
..... coding:snomedDBP 1..1CodingSNOMED CT Diastolic Blood Pressure
...... system 1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
...... code 1..1codeSymbol in syntax defined by the system
Fixed Value: 271650006
..... coding:dbpSNOMED-Lying S0..1CodingSNOMED CT Diastolic Blood Pressure - Lying
...... system 1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
...... code 1..1codeSymbol in syntax defined by the system
Fixed Value: 407557002
..... coding:dbpSNOMED-Sitting S0..1CodingSNOMED CT Diastolic Blood Pressure - Sitting
...... system 1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
...... code 1..1codeSymbol in syntax defined by the system
Fixed Value: 407555005
..... coding:dbpSNOMED-Standing S0..1CodingSNOMED CT Diastolic Blood Pressure - Standing
...... system 1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
...... code 1..1codeSymbol in syntax defined by the system
Fixed Value: 400975005
.... valueQuantity 0..1QuantityVital Sign Value recorded with UCUM
..... value C1..1decimalNumerical value (with implicit precision)
inv-mr-obs-vitalsign-component-valueQuantity-value-01: Value must conform to format: nnn - maximum 3 digits and no decimal
..... unit 1..1stringUnit representation
Fixed Value: mm[Hg]

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C0..*observation-bpFHIR Blood Pressure Profile
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ0..1idVersion specific identifier
.... lastUpdated SΣ0..1instantWhen the resource version last changed
.... source Σ0..1uriIdentifies where the resource comes from
.... profile Σ1..*canonical(StructureDefinition)Profiles this resource claims to conform to
.... security Σ0..*CodingSecurity Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


.... tag Σ0..*CodingTags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".


... 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
... extension 0..*ExtensionAdditional content defined by implementations
... 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 ?!SΣC1..1codeMediRecords supports only "final - 'The observation is complete and there are no further actions needed'” or “entered-in-error - 'The observation has been withdrawn following previous final release'
Binding: ObservationStatus (required)
inv-mr-obs-vitalsign-status-01: MediRecords supports only "final - 'The observation is complete and there are no further actions needed'” or “entered-in-error - 'The observation has been withdrawn following previous final release'
... 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..1CodeableConceptBlood Pressure
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 Σ3..3CodingCode defined by a terminology system
Slice: Unordered, Open by value:code, value:system
..... coding:BPCode 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: 85354-9
...... display Σ0..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
..... coding:snomedBPCode SΣ1..1CodingSNOMED CT Blood Pressure
...... 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: 75367002
...... display Σ0..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
..... coding:bpSNOMED-Lying SΣ0..1CodingSNOMED CT Blood Pressure - Lying
...... 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: 163033001
...... display Σ0..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
..... coding:bpSNOMED-Sitting SΣ0..1CodingSNOMED CT Blood Pressure - Sitting
...... 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: 163035008
...... display Σ0..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
..... coding:bpSNOMED-Standing SΣ0..1CodingSNOMED CT Blood Pressure - Standing
...... 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: 163034007
...... 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(MediRecords Core 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 SΣ0..1Reference(MediRecords Core Encounter)Healthcare event during which this observation is made
... Slices for effective[x] SΣC1..1dateTimeOften just a dateTime for Vital Signs
Slice: Unordered, Closed by type:$this
.... effective[x]:effectiveDateTime SΣC1..1dateTimeOften just a dateTime for Vital Signs
... issued Σ0..1instantDate/Time this version was made available
... performer SΣ0..1Reference(MediRecords Core Practitioner)Who is responsible for the observation
... Slices for value[x] SΣC0..1QuantityVital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.
Slice: Unordered, Closed by type:$this
... 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: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.

... method 0..1CodeableConceptHow it was done
Binding: ObservationMethods (example): Methods for simple observations.

... specimen 0..1Reference(Specimen)Specimen used for this observation
... device 0..1Reference(Device | DeviceMetric)(Measurement) Device
... referenceRange C0..*BackboneElementProvides guide for interpretation
.... 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
... Slices for component SΣC2..*BackboneElementUsed when reporting systolic and diastolic blood pressure.
Slice: Unordered, Open by value:code.coding.code, value:code.coding.system
.... component:All Slices Content/Rules for all slices
..... 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
.... component:SystolicBP SΣC1..1BackboneElementSystolic Blood Pressure
..... 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.

...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... Slices for coding Σ3..3CodingSystolic Blood Pressure
Slice: Unordered, Open by value:code, value:system
....... coding:SBPCode Σ1..1CodingSystolic Blood Pressure
........ 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: 8480-6
........ display Σ0..1stringRepresentation defined by the system
........ userSelected Σ0..1booleanIf this coding was chosen directly by the user
....... coding:snomedSBP Σ1..1CodingSNOMED CT Systolic Blood Pressure
........ 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: 271649006
........ display Σ0..1stringRepresentation defined by the system
........ userSelected Σ0..1booleanIf this coding was chosen directly by the user
....... coding:sbpSNOMED-Lying SΣ0..1CodingSNOMED CT Systolic Blood Pressure - Lying
........ 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: 407556006
........ display Σ0..1stringRepresentation defined by the system
........ userSelected Σ0..1booleanIf this coding was chosen directly by the user
....... coding:sbpSNOMED-Sitting SΣ0..1CodingSNOMED CT Systolic Blood Pressure - Sitting
........ 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: 407554009
........ display Σ0..1stringRepresentation defined by the system
........ userSelected Σ0..1booleanIf this coding was chosen directly by the user
....... coding:sbpSNOMED-Standing SΣ0..1CodingSNOMED CT Systolic Blood Pressure - Standing
........ 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: 400974009
........ 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
..... Slices for value[x] SΣC0..1QuantityVital Sign Value recorded with UCUM
Slice: Unordered, Closed by type:$this
Binding: VitalSignsUnits (required): Common UCUM units for recording Vital Signs.

...... value[x]:All Slices Content/Rules for all slices
....... 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: mm[Hg]
...... value[x]:valueQuantity SΣC0..1QuantityVital Sign Value recorded with UCUM
Binding: VitalSignsUnits (required): Common UCUM units for recording Vital Signs.

....... id 0..1stringUnique id for inter-element referencing
....... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
....... value SΣC1..1decimalNumerical value (with implicit precision)
inv-mr-obs-vitalsign-component-valueQuantity-value-01: Value must conform to format: nnn - maximum 3 digits and no decimal
....... comparator ?!Σ0..1code< | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.

....... unit SΣ1..1stringUnit representation
Fixed Value: mm[Hg]
....... 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: mm[Hg]
..... 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
.... component:DiastolicBP SΣC1..1BackboneElementDiastolic Blood Pressure
..... 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.

...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... Slices for coding Σ3..3CodingDiastolic Blood Pressure
Slice: Unordered, Open by value:code, value:system
....... coding:DBPCode Σ1..1CodingDiastolic Blood Pressure
........ 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: 8462-4
........ display Σ0..1stringRepresentation defined by the system
........ userSelected Σ0..1booleanIf this coding was chosen directly by the user
....... coding:snomedDBP Σ1..1CodingSNOMED CT Diastolic Blood Pressure
........ 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: 271650006
........ display Σ0..1stringRepresentation defined by the system
........ userSelected Σ0..1booleanIf this coding was chosen directly by the user
....... coding:dbpSNOMED-Lying SΣ0..1CodingSNOMED CT Diastolic Blood Pressure - Lying
........ 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: 407557002
........ display Σ0..1stringRepresentation defined by the system
........ userSelected Σ0..1booleanIf this coding was chosen directly by the user
....... coding:dbpSNOMED-Sitting SΣ0..1CodingSNOMED CT Diastolic Blood Pressure - Sitting
........ 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: 407555005
........ display Σ0..1stringRepresentation defined by the system
........ userSelected Σ0..1booleanIf this coding was chosen directly by the user
....... coding:dbpSNOMED-Standing SΣ0..1CodingSNOMED CT Diastolic Blood Pressure - Standing
........ 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: 400975005
........ 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
..... Slices for value[x] SΣC0..1QuantityVital Sign Value recorded with UCUM
Slice: Unordered, Closed by type:$this
Binding: VitalSignsUnits (required): Common UCUM units for recording Vital Signs.

...... value[x]:All Slices Content/Rules for all slices
....... 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: mm[Hg]
...... value[x]:valueQuantity SΣC0..1QuantityVital Sign Value recorded with UCUM
Binding: VitalSignsUnits (required): Common UCUM units for recording Vital Signs.

....... id 0..1stringUnique id for inter-element referencing
....... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
....... value SΣC1..1decimalNumerical value (with implicit precision)
inv-mr-obs-vitalsign-component-valueQuantity-value-01: Value must conform to format: nnn - maximum 3 digits and no decimal
....... comparator ?!Σ0..1code< | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.

....... unit SΣ1..1stringUnit representation
Fixed Value: mm[Hg]
....... 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: mm[Hg]
..... 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
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C0..*observation-bpFHIR Blood Pressure Profile
... meta Σ0..1MetaMetadata about the resource
.... lastUpdated Σ0..1instantWhen the resource version last changed
... status ?!ΣC1..1codeMediRecords supports only "final - 'The observation is complete and there are no further actions needed'” or “entered-in-error - 'The observation has been withdrawn following previous final release'
Binding: ObservationStatus (required)
inv-mr-obs-vitalsign-status-01: MediRecords supports only "final - 'The observation is complete and there are no further actions needed'” or “entered-in-error - 'The observation has been withdrawn following previous final release'
... Slices for category 1..*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 1..1CodeableConceptClassification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


..... coding Σ1..*CodingCode defined by a terminology system
...... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... code Σ1..1codeSymbol in syntax defined by the system
Fixed Value: vital-signs
.... coding:snomedBPCode Σ1..1CodingSNOMED CT Blood Pressure
.... coding:bpSNOMED-Lying Σ0..1CodingSNOMED CT Blood Pressure - Lying
.... coding:bpSNOMED-Sitting Σ0..1CodingSNOMED CT Blood Pressure - Sitting
.... coding:bpSNOMED-Standing Σ0..1CodingSNOMED CT Blood Pressure - Standing
... subject Σ1..1Reference(MediRecords Core Patient)Who and/or what the observation is about
... encounter Σ0..1Reference(MediRecords Core Encounter)Healthcare event during which this observation is made
... Slices for effective[x] ΣC1..1dateTimeOften just a dateTime for Vital Signs
Slice: Unordered, Closed by type:$this
.... effective[x]:effectiveDateTime ΣC1..1dateTimeOften just a dateTime for Vital Signs
... performer Σ0..1Reference(MediRecords Core Practitioner)Who is responsible for the observation
... Slices for value[x] ΣC0..1QuantityVital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.
Slice: Unordered, Closed by type:$this
... dataAbsentReason C0..1CodeableConceptWhy the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

... Slices for component ΣC2..*BackboneElementUsed when reporting systolic and diastolic blood pressure.
Slice: Unordered, Open by value:code.coding.code, value:code.coding.system
.... component:All Slices Content/Rules for all slices
..... code Σ1..1CodeableConceptType of component observation (code / type)
Binding: VitalSigns (extensible): This identifies the vital sign result type.

..... value[x] ΣC0..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 C0..1CodeableConceptWhy the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

.... component:SystolicBP ΣC1..1BackboneElementSystolic Blood Pressure
..... code Σ1..1CodeableConceptType of component observation (code / type)
Binding: VitalSigns (extensible): This identifies the vital sign result type.

...... coding:sbpSNOMED-Lying Σ0..1CodingSNOMED CT Systolic Blood Pressure - Lying
...... coding:sbpSNOMED-Sitting Σ0..1CodingSNOMED CT Systolic Blood Pressure - Sitting
...... coding:sbpSNOMED-Standing Σ0..1CodingSNOMED CT Systolic Blood Pressure - Standing
..... Slices for value[x] ΣC0..1QuantityVital Sign Value recorded with UCUM
Slice: Unordered, Closed by type:$this
Binding: VitalSignsUnits (required): Common UCUM units for recording Vital Signs.

...... value[x]:All Slices Content/Rules for all slices
....... value Σ1..1decimalNumerical value (with implicit precision)
....... 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]
...... value[x]:valueQuantity ΣC0..1QuantityVital Sign Value recorded with UCUM
Binding: VitalSignsUnits (required): Common UCUM units for recording Vital Signs.

....... value ΣC1..1decimalNumerical value (with implicit precision)
inv-mr-obs-vitalsign-component-valueQuantity-value-01: Value must conform to format: nnn - maximum 3 digits and no decimal
....... unit Σ1..1stringUnit representation
Fixed Value: mm[Hg]
....... 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: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

.... component:DiastolicBP ΣC1..1BackboneElementDiastolic Blood Pressure
..... code Σ1..1CodeableConceptType of component observation (code / type)
Binding: VitalSigns (extensible): This identifies the vital sign result type.

...... coding:dbpSNOMED-Lying Σ0..1CodingSNOMED CT Diastolic Blood Pressure - Lying
...... coding:dbpSNOMED-Sitting Σ0..1CodingSNOMED CT Diastolic Blood Pressure - Sitting
...... coding:dbpSNOMED-Standing Σ0..1CodingSNOMED CT Diastolic Blood Pressure - Standing
..... Slices for value[x] ΣC0..1QuantityVital Sign Value recorded with UCUM
Slice: Unordered, Closed by type:$this
Binding: VitalSignsUnits (required): Common UCUM units for recording Vital Signs.

...... value[x]:All Slices Content/Rules for all slices
....... value Σ1..1decimalNumerical value (with implicit precision)
....... 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]
...... value[x]:valueQuantity ΣC0..1QuantityVital Sign Value recorded with UCUM
Binding: VitalSignsUnits (required): Common UCUM units for recording Vital Signs.

....... value ΣC1..1decimalNumerical value (with implicit precision)
inv-mr-obs-vitalsign-component-valueQuantity-value-01: Value must conform to format: nnn - maximum 3 digits and no decimal
....... unit Σ1..1stringUnit representation
Fixed Value: mm[Hg]
....... 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: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.


doco Documentation for this format

This structure is derived from observation-bp

Summary

Mandatory: 10 elements (19 nested mandatory elements)
Must-Support: 14 elements
Fixed Value: 26 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

Differential View

This structure is derived from observation-bp

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 0..*observation-bpFHIR Blood Pressure Profile
... meta
.... lastUpdated S0..1instantWhen the resource version last changed
.... profile 1..*canonical(StructureDefinition)Profiles this resource claims to conform to
... status C1..1codeMediRecords supports only "final - 'The observation is complete and there are no further actions needed'” or “entered-in-error - 'The observation has been withdrawn following previous final release'
inv-mr-obs-vitalsign-status-01: MediRecords supports only "final - 'The observation is complete and there are no further actions needed'” or “entered-in-error - 'The observation has been withdrawn following previous final release'
... code
.... coding 3..3CodingCode defined by a terminology system
.... coding:snomedBPCode S1..1CodingSNOMED CT Blood Pressure
..... system 1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
..... code 1..1codeSymbol in syntax defined by the system
Fixed Value: 75367002
.... coding:bpSNOMED-Lying S0..1CodingSNOMED CT Blood Pressure - Lying
..... system 1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
..... code 1..1codeSymbol in syntax defined by the system
Fixed Value: 163033001
.... coding:bpSNOMED-Sitting S0..1CodingSNOMED CT Blood Pressure - Sitting
..... system 1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
..... code 1..1codeSymbol in syntax defined by the system
Fixed Value: 163035008
.... coding:bpSNOMED-Standing S0..1CodingSNOMED CT Blood Pressure - Standing
..... system 1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
..... code 1..1codeSymbol in syntax defined by the system
Fixed Value: 163034007
... encounter S0..1Reference(MediRecords Core Encounter)Healthcare event during which this observation is made
... effectiveDateTime S1..1dateTimeOften just a dateTime for Vital Signs
... performer S0..1Reference(MediRecords Core Practitioner)Who is responsible for the observation
.