MediRecords FHIR Implementation Guide
1.4.1 - release


Resource Profile: MR Observation Vital Sign Heart Rate

Defining URL:https://fhir.medirecords.com/StructureDefinition/mr-observation-vitalsign-heartrate
Version:1.4.1
Name:MRObservationVitalSignHeartRate
Title:MR Observation Vital Sign Heart Rate
Status:Active as of 2025-02-03 04:29:41+0000
Definition:

MediRecords Vital Sign profile to record the heart rate 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-heartrate

Formal Views of Profile Content

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

This structure is derived from MRObservationVitalSigns

Summary

Mandatory: 13 elements(6 nested mandatory elements)
Must-Support: 11 elements
Fixed: 9 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 2 is sliced based on the values of Observation.code.coding
  • The element 1 is sliced based on the value of Observation.effective[x]
  • The element 1 is sliced based on the value of Observation.value[x]
  • The element 2 is sliced based on the values of Observation.component.code.coding
  • The element 1 is sliced based on the value of Observation.component.value[x]

This structure is derived from MRObservationVitalSigns

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 0..* MRObservationVitalSigns FHIR Heart Rate Profile
... meta
.... lastUpdated S 0..1 instant When the resource version last changed
.... profile 1..* canonical(StructureDefinition) Profiles this resource claims to conform to
... status C 1..1 code 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'The observation is complete and there are no further actions needed'” or “entered-in-error - 'The observation has been withdrawn following previous final release'
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'The observation is complete and there are no further actions needed'” or “entered-in-error - 'The observation has been withdrawn following previous final release'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 1..1 CodeableConcept Heart Rate
.... Slices for coding S 2..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:code, value:system
..... coding:HeartRateCode 1..1 Coding Code defined by a terminology system
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8867-4
..... coding:heartRateSNOMED-CT S 1..1 Coding Code defined by a terminology system
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 364075005
... encounter S 0..1 Reference(MR Encounter) Healthcare event during which this observation is made
... Slices for effective[x] 1..1 dateTime Often just a dateTime for Vital Signs
Slice: Unordered, Open by type:$this
.... effective[x]:effectiveDateTime S 1..1 dateTime Often just a dateTime for Vital Signs
... performer S 0..1 Reference(MR Practitioner) Who is responsible for the observation
... Slices for value[x] 1..1 Quantity Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.
Slice: Unordered, Open by type:$this
.... value[x]:valueQuantity 1..1 Quantity Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.
..... value SC 1..1 decimal Numerical value (with implicit precision)
inv-mr-obs-vitalsign-valueQuantity-value-03: Value must conform to format: nnn - maximum 3 digits and no decimal
..... unit S 1..1 string Unit representation
Fixed Value: /min
..... system S 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
..... code S 1..1 code Coded responses from the common UCUM units for vital signs value set.
Fixed Value: /min
... component 0..1 BackboneElement Used when reporting heart rate rhythm.
.... code
..... Slices for coding 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:code, value:system
...... coding:heartRateRhythm-CT S 1..1 Coding Code defined by a terminology system
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 301112006
.... Slices for value[x] 1..1 CodeableConcept Vital Sign Value recorded with UCUM
Slice: Unordered, Open by type:$this
..... value[x]:valueCodeableConcept 1..1 CodeableConcept Vital Sign Value recorded with UCUM
Binding: MediRecords Heart Rate Rhythm ValueSet (required)
...... coding
....... system 0..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 0..* MRObservationVitalSigns FHIR Heart Rate Profile
obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
vs-2: If there is no component or hasMember element then either a value[x] or a data absent reason must be present.
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated SΣ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile Σ 1..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


.... tag Σ 0..* Coding Tags 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 ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Business Identifier for observation
... basedOn Σ 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
... partOf Σ 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) Part of referenced event
... status ?!SΣC 1..1 code 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'
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 S 1..* CodeableConcept Classification of type of observation
Slice: Unordered, Open by value:coding.code, value:coding.system
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


.... category:VSCat S 1..1 CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... coding SΣ 1..* Coding Code defined by a terminology system
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
Fixed Value: vital-signs
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text Σ 0..1 string Plain text representation of the concept
... code SΣ 1..1 CodeableConcept Heart Rate
Binding: VitalSigns (extensible): This identifies the vital sign result type.

.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding SΣ 2..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:code, value:system
..... coding:HeartRateCode Σ 1..1 Coding Code defined by a terminology system
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: 8867-4
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:heartRateSNOMED-CT SΣ 1..1 Coding Code defined by a terminology system
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: 364075005
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... subject SΣ 1..1 Reference(MR Patient) Who and/or what the observation is about
... focus Σ 0..* Reference(Resource) What the observation is about, when it is not about the subject of record
... encounter SΣ 0..1 Reference(MR Encounter) Healthcare event during which this observation is made
... Slices for effective[x] SΣC 1..1 dateTime Often just a dateTime for Vital Signs
Slice: Unordered, Closed by type:$this
vs-1: if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day
.... effective[x]:effectiveDateTime SΣC 1..1 dateTime Often just a dateTime for Vital Signs
vs-1: if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day
... issued Σ 0..1 instant Date/Time this version was made available
... performer SΣ 0..1 Reference(MR Practitioner) Who is responsible for the observation
... Slices for value[x] SΣC 1..1 Quantity Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.
Slice: Unordered, Closed by type:$this
.... value[x]:valueQuantity SΣC 1..1 Quantity Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... value SΣC 1..1 decimal Numerical value (with implicit precision)
inv-mr-obs-vitalsign-valueQuantity-value-03: Value must conform to format: nnn - maximum 3 digits and no decimal
..... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.

..... unit SΣ 1..1 string Unit representation
Fixed Value: /min
..... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
..... code SΣ 1..1 code Coded responses from the common UCUM units for vital signs value set.
Fixed Value: /min
... dataAbsentReason SC 0..1 CodeableConcept Why the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

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


... note 0..* Annotation Comments about the observation
... bodySite 0..1 CodeableConcept Observed body part
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.

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

... specimen 0..1 Reference(Specimen) Specimen used for this observation
... device 0..1 Reference(Device | DeviceMetric) (Measurement) Device
... referenceRange C 0..* BackboneElement Provides guide for interpretation
obs-3: Must have at least a low or a high or text
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... low C 0..1 SimpleQuantity Low Range, if relevant
.... high C 0..1 SimpleQuantity High Range, if relevant
.... type 0..1 CodeableConcept Reference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.

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


.... age 0..1 Range Applicable age range, if relevant
.... text 0..1 string Text based reference range in an observation
... hasMember Σ 0..* Reference(QuestionnaireResponse | MolecularSequence | MR Observation Vital Signs) Used when reporting vital signs panel components
... derivedFrom Σ 0..* Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | MolecularSequence | MR Observation Vital Signs) Related measurements the observation is made from
... component SΣC 0..1 BackboneElement Used when reporting heart rate rhythm.
vs-3: If there is no a value a data absent reason must be present
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code SΣ 1..1 CodeableConcept Type of component observation (code / type)
Binding: VitalSigns (extensible): This identifies the vital sign result type.

..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:code, value:system
...... coding:heartRateRhythm-CT SΣ 1..1 Coding Code defined by a terminology system
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ 0..1 uri Identity of the terminology system
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: 301112006
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text Σ 0..1 string Plain text representation of the concept
.... Slices for value[x] SΣC 1..1 CodeableConcept Vital Sign Value recorded with UCUM
Slice: Unordered, Closed by type:$this
..... value[x]:valueCodeableConcept SΣC 1..1 CodeableConcept Vital Sign Value recorded with UCUM
Binding: MediRecords Heart Rate Rhythm ValueSet (required)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 0..* Coding Code defined by a terminology system
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ 0..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 0..1 code Symbol in syntax defined by the system
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
.... dataAbsentReason SC 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

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


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

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 0..* MRObservationVitalSigns FHIR Heart Rate Profile
... meta Σ 0..1 Meta Metadata about the resource
.... lastUpdated Σ 0..1 instant When the resource version last changed
... status ?!ΣC 1..1 code 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'
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..* CodeableConcept Classification of type of observation
Slice: Unordered, Open by value:coding.code, value:coding.system
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


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


..... coding Σ 1..* Coding Code defined by a terminology system
...... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: vital-signs
.... Slices for coding Σ 2..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:code, value:system
..... coding:heartRateSNOMED-CT Σ 1..1 Coding Code defined by a terminology system
... subject Σ 1..1 Reference(MR Patient) Who and/or what the observation is about
... encounter Σ 0..1 Reference(MR Encounter) Healthcare event during which this observation is made
... Slices for effective[x] ΣC 1..1 dateTime Often just a dateTime for Vital Signs
Slice: Unordered, Closed by type:$this
vs-1: if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day
.... effective[x]:effectiveDateTime ΣC 1..1 dateTime Often just a dateTime for Vital Signs
vs-1: if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day
... performer Σ 0..1 Reference(MR Practitioner) Who is responsible for the observation
... Slices for value[x] ΣC 1..1 Quantity Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.
Slice: Unordered, Closed by type:$this
.... value[x]:valueQuantity ΣC 1..1 Quantity Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.
..... value ΣC 1..1 decimal Numerical value (with implicit precision)
inv-mr-obs-vitalsign-valueQuantity-value-03: Value must conform to format: nnn - maximum 3 digits and no decimal
..... unit Σ 1..1 string Unit representation
Fixed Value: /min
..... system ΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
..... code Σ 1..1 code Coded responses from the common UCUM units for vital signs value set.
Fixed Value: /min
... dataAbsentReason C 0..1 CodeableConcept Why the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

... component ΣC 0..1 BackboneElement Used when reporting heart rate rhythm.
vs-3: If there is no a value a data absent reason must be present
.... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: VitalSigns (extensible): This identifies the vital sign result type.

..... Slices for coding Content/Rules for all slices
...... coding:heartRateRhythm-CT Σ 1..1 Coding Code defined by a terminology system
.... Slices for value[x] ΣC 1..1 CodeableConcept Vital Sign Value recorded with UCUM
Slice: Unordered, Closed by type:$this
..... value[x]:valueCodeableConcept ΣC 1..1 CodeableConcept Vital Sign Value recorded with UCUM
Binding: MediRecords Heart Rate Rhythm ValueSet (required)
.... dataAbsentReason C 0..1 CodeableConcept Why 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 MRObservationVitalSigns

Summary

Mandatory: 13 elements(6 nested mandatory elements)
Must-Support: 11 elements
Fixed: 9 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 2 is sliced based on the values of Observation.code.coding
  • The element 1 is sliced based on the value of Observation.effective[x]
  • The element 1 is sliced based on the value of Observation.value[x]
  • The element 2 is sliced based on the values of Observation.component.code.coding
  • The element 1 is sliced based on the value of Observation.component.value[x]

Differential View

This structure is derived from MRObservationVitalSigns

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 0..* MRObservationVitalSigns FHIR Heart Rate Profile
... meta
.... lastUpdated S 0..1 instant When the resource version last changed
.... profile 1..* canonical(StructureDefinition) Profiles this resource claims to conform to
... status C 1..1 code 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'
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 1..1 CodeableConcept Heart Rate
.... Slices for coding S 2..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:code, value:system
..... coding:HeartRateCode 1..1 Coding Code defined by a terminology system
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8867-4
..... coding:heartRateSNOMED-CT S 1..1 Coding Code defined by a terminology system
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 364075005
... encounter S 0..1 Reference(MR Encounter) Healthcare event during which this observation is made
... Slices for effective[x] 1..1 dateTime Often just a dateTime for Vital Signs
Slice: Unordered, Open by type:$this
.... effective[x]:effectiveDateTime S 1..1 dateTime Often just a dateTime for Vital Signs
... performer S 0..1 Reference(MR Practitioner) Who is responsible for the observation
... Slices for value[x] 1..1 Quantity Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.
Slice: Unordered, Open by type:$this
.... value[x]:valueQuantity 1..1 Quantity Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.
..... value SC 1..1 decimal Numerical value (with implicit precision)
inv-mr-obs-vitalsign-valueQuantity-value-03: Value must conform to format: nnn - maximum 3 digits and no decimal
..... unit S 1..1 string Unit representation
Fixed Value: /min
..... system S 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
..... code S 1..1 code Coded responses from the common UCUM units for vital signs value set.
Fixed Value: /min
... component 0..1 BackboneElement Used when reporting heart rate rhythm.
.... code
..... Slices for coding 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:code, value:system
...... coding:heartRateRhythm-CT S 1..1 Coding Code defined by a terminology system
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 301112006
.... Slices for value[x] 1..1 CodeableConcept Vital Sign Value recorded with UCUM
Slice: Unordered, Open by type:$this
..... value[x]:valueCodeableConcept 1..1 CodeableConcept Vital Sign Value recorded with UCUM
Binding: MediRecords Heart Rate Rhythm ValueSet (required)
...... coding
....... system 0..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 0..* MRObservationVitalSigns FHIR Heart Rate Profile
obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
vs-2: If there is no component or hasMember element then either a value[x] or a data absent reason must be present.
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated SΣ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile Σ 1..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


.... tag Σ 0..* Coding Tags 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 ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Business Identifier for observation
... basedOn Σ 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
... partOf Σ 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) Part of referenced event
... status ?!SΣC 1..1 code 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'
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 S 1..* CodeableConcept Classification of type of observation
Slice: Unordered, Open by value:coding.code, value:coding.system
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


.... category:VSCat S 1..1 CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... coding SΣ 1..* Coding Code defined by a terminology system
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
Fixed Value: vital-signs
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text Σ 0..1 string Plain text representation of the concept
... code SΣ 1..1 CodeableConcept Heart Rate
Binding: VitalSigns (extensible): This identifies the vital sign result type.

.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding SΣ 2..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:code, value:system
..... coding:HeartRateCode Σ 1..1 Coding Code defined by a terminology system
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: 8867-4
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:heartRateSNOMED-CT SΣ 1..1 Coding Code defined by a terminology system
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: 364075005
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... subject SΣ 1..1 Reference(MR Patient) Who and/or what the observation is about
... focus Σ 0..* Reference(Resource) What the observation is about, when it is not about the subject of record
... encounter SΣ 0..1 Reference(MR Encounter) Healthcare event during which this observation is made
... Slices for effective[x] SΣC 1..1 dateTime Often just a dateTime for Vital Signs
Slice: Unordered, Closed by type:$this
vs-1: if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day
.... effective[x]:effectiveDateTime SΣC 1..1 dateTime Often just a dateTime for Vital Signs
vs-1: if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day
... issued Σ 0..1 instant Date/Time this version was made available
... performer SΣ 0..1 Reference(MR Practitioner) Who is responsible for the observation
... Slices for value[x] SΣC 1..1 Quantity Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.
Slice: Unordered, Closed by type:$this
.... value[x]:valueQuantity SΣC 1..1 Quantity Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... value SΣC 1..1 decimal Numerical value (with implicit precision)
inv-mr-obs-vitalsign-valueQuantity-value-03: Value must conform to format: nnn - maximum 3 digits and no decimal
..... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.

..... unit SΣ 1..1 string Unit representation
Fixed Value: /min
..... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
..... code SΣ 1..1 code Coded responses from the common UCUM units for vital signs value set.
Fixed Value: /min
... dataAbsentReason SC 0..1 CodeableConcept Why the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

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


... note 0..* Annotation Comments about the observation
... bodySite 0..1 CodeableConcept Observed body part
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.

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

... specimen 0..1 Reference(Specimen) Specimen used for this observation
... device 0..1 Reference(Device | DeviceMetric) (Measurement) Device
... referenceRange C 0..* BackboneElement Provides guide for interpretation
obs-3: Must have at least a low or a high or text
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... low C 0..1 SimpleQuantity Low Range, if relevant
.... high C 0..1 SimpleQuantity High Range, if relevant
.... type 0..1 CodeableConcept Reference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.

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


.... age 0..1 Range Applicable age range, if relevant
.... text 0..1 string Text based reference range in an observation
... hasMember Σ 0..* Reference(QuestionnaireResponse | MolecularSequence | MR Observation Vital Signs) Used when reporting vital signs panel components
... derivedFrom Σ 0..* Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | MolecularSequence | MR Observation Vital Signs) Related measurements the observation is made from
... component SΣC 0..1 BackboneElement Used when reporting heart rate rhythm.
vs-3: If there is no a value a data absent reason must be present
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code SΣ 1..1 CodeableConcept Type of component observation (code / type)
Binding: VitalSigns (extensible): This identifies the vital sign result type.

..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:code, value:system
...... coding:heartRateRhythm-CT SΣ 1..1 Coding Code defined by a terminology system
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ 0..1 uri Identity of the terminology system
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: 301112006
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text Σ 0..1 string Plain text representation of the concept
.... Slices for value[x] SΣC 1..1 CodeableConcept Vital Sign Value recorded with UCUM
Slice: Unordered, Closed by type:$this
..... value[x]:valueCodeableConcept SΣC 1..1 CodeableConcept Vital Sign Value recorded with UCUM
Binding: MediRecords Heart Rate Rhythm ValueSet (required)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 0..* Coding Code defined by a terminology system
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ 0..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 0..1 code Symbol in syntax defined by the system
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
.... dataAbsentReason SC 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

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


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

doco Documentation for this format

 

Other representations of profile: CSV, Excel, Schematron

Terminology Bindings

PathConformanceValueSetURI
Observation.meta.securityextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
from the FHIR Standard
Observation.meta.tagexampleCommonTags
http://hl7.org/fhir/ValueSet/common-tags
from the FHIR Standard
Observation.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
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.bodySiteexampleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard
Observation.methodexampleObservationMethods
http://hl7.org/fhir/ValueSet/observation-methods
from the FHIR Standard
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]:valueCodeableConceptrequiredMRHearRateRhythmValueSet
https://fhir.medirecords.com/ValueSet/mr-heart-rate-rhythm-code
from this IG
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()
inv-mr-obs-vitalsign-status-01errorObservation.statusMediRecords 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'
: $this.exists() implies ($this = 'final' or $this = 'entered-in-error')
inv-mr-obs-vitalsign-valueQuantity-value-03errorObservation.value[x]:valueQuantity.valueValue must conform to format: nnn - maximum 3 digits and no decimal
: ($this as decimal).toString().matches('^(\\d{1,3}|\\d{0,3})$')
obs-3errorObservation.referenceRangeMust have at least a low or a high or text
: low.exists() or high.exists() or text.exists()
obs-6errorObservationdataAbsentReason SHALL only be present if Observation.value[x] is not present
: dataAbsentReason.empty() or value.empty()
obs-7errorObservationIf Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
: value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
vs-1errorObservation.effective[x], Observation.effective[x]:effectiveDateTimeif Observation.effective[x] is dateTime and has a value then that value shall be precise to the day
: ($this as dateTime).toString().length() >= 8
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()