HL7 FHIR Implementation Guide: minimal Common Oncology Data Elements (mCODE), v0.9.0

- Local Development build (v0.9.0). See the Directory of published versions

BloodPressure

 

The official URL for this profile is:

http://hl7.org/fhir/us/shr/StructureDefinition/shr-core-BloodPressure

The force of circulating blood on the walls of the arteries.

This profile builds on Observation.

This profile was published on Wed Apr 17 00:00:00 EDT 2019 as a draft by The MITRE Corporation.

Summary

Mandatory: 0 element (10 nested mandatory elements)
Must-Support: 4 elements
Fixed Value: 13 elements
Prohibited: 5 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.category.coding is sliced based on the value of value:code
  • The element Observation.code.coding is sliced based on the value of value:code
  • The element Observation.component is sliced based on the value of value:code.coding.code
  • The element Observation.component.code.coding is sliced based on the value of value:code

Mapping Source

This structure represents the following mapping definition:

shr.core.BloodPressure maps to Observation:
  _Entry.EntryId maps to id
  Language maps to language
  Narrative maps to text
  ImplicitRules maps to implicitRules
  Metadata.VersionId maps to meta.versionId
  Metadata.Profile maps to meta.profile
  Metadata.LastUpdated maps to meta.lastUpdated
  Metadata.SecurityLabel maps to meta.security
  Metadata.Tag maps to meta.tag
  Identifier maps to identifier
  PatientSubjectOfRecord maps to subject
  Performer maps to performer
  Code maps to code
  Method maps to method
  CommentOrDescription maps to comments
  Category maps to category
  BodyLocation.LocationCode maps to bodySite
  BodyLocation.Laterality maps to bodySite.extension
  BodyLocation.Orientation maps to bodySite.extension
  BodyLocation.RelationToLandmark maps to bodySite.extension
  Device maps to device
  StatementDateTime maps to issued
  ReferenceRange maps to referenceRange
  ReferenceRange.Range.LowerBound maps to referenceRange.low
  ReferenceRange.Range.UpperBound maps to referenceRange.high
  ReferenceRange.Type maps to referenceRange.meaning
  Components.ObservationComponent maps to component (slice on = code.coding.code; slice strategy = includes)
  Components.ObservationComponent.Code maps to component.code
  Components.ObservationComponent.DataValue maps to component.value[x]
  Components.ObservationComponent.DataAbsentReason maps to component.dataAbsentReason
  Components.ObservationComponent.ReferenceRange maps to component.referenceRange
  fix related.type to #has-member
  PanelMembers maps to related
  PanelMembers.Observation maps to related.target (slice at = related; slice on = target.reference.resolve(); slice on type = profile; slice strategy = includes)
  DataValue maps to value[x]
  DataAbsentReason maps to dataAbsentReason
  Interpretation maps to interpretation
  Status maps to status
  RelevantTime maps to effective[x]
  CareContext maps to encounter
  constrain specimen to 0..0

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation shr-core-BloodPressure
... extension Slice: Unordered, Open by value:url
... shr-core-Precondition-extension 0..*CodeableConceptPrecondition
URL: http://hl7.org/fhir/us/shr/StructureDefinition/shr-core-Precondition-extension
.... valueCodeableConcept Binding: CardiopulmonaryPreconditionVS (extensible)
... shr-core-BodyPosition-extension 0..1CodeableConceptBodyPosition
URL: http://hl7.org/fhir/us/shr/StructureDefinition/shr-core-BodyPosition-extension
Binding: BodyPositionVS (extensible)
... shr-core-BloodPressureCuffSize-extension 0..1CodeableConceptBloodPressureCuffSize
URL: http://hl7.org/fhir/us/shr/StructureDefinition/shr-core-BloodPressureCuffSize-extension
Binding: BloodPressureCuffSizeVS (required)
... category 1..1
.... coding Slice: Unordered, Open by value:code
.... coding Σ1..1Coding
..... system Fixed Value: http://hl7.org/fhir/observation-category
..... code Fixed Value: vital-signs
... code
.... coding Slice: Unordered, Open by value:code
.... coding Σ1..1CodingBlood pressure systolic and diastolic
..... system Fixed Value: http://loinc.org
..... code Fixed Value: 55284-4
... subject 1..1Reference(shr-core-Patient)
... encounter Reference(shr-core-Encounter)
... effective[x] S
... performer Reference(shr-core-Practitioner | shr-core-Organization | shr-core-Patient | shr-core-RelatedPerson)
... valueQuantity 0..0
... dataAbsentReason 0..0
... interpretation Binding: QuantitativeResultInterpretationVS (extensible)
... bodySite Binding: BloodPressureBodyLocationVS (extensible)
... method Binding: BloodPressureMethodVS (extensible)
... specimen 0..0
... device 0..0
... referenceRange 0..1
.... meaning Binding: Observation Reference Range Meaning Codes (extensible)
... related 0..0
... component SSlice: Unordered, Open by value:code.coding.code
... component S0..1SystolicPressure
.... code
..... coding Slice: Unordered, Open by value:code
..... coding Σ1..1Coding
...... system Fixed Value: http://loinc.org
...... code Fixed Value: 8480-6
.... valueQuantity QuantitymmHg
..... system Fixed Value: http://unitsofmeasure.org
..... code Fixed Value: mm[Hg]
.... dataAbsentReason Binding: DataAbsentReason (extensible)
.... referenceRange 0..1
... component S0..1DiastolicPressure
.... code
..... coding Slice: Unordered, Open by value:code
..... coding Σ1..1Coding
...... system Fixed Value: http://loinc.org
...... code Fixed Value: 8462-4
.... valueQuantity QuantitymmHg
..... system Fixed Value: http://unitsofmeasure.org
..... code Fixed Value: mm[Hg]
.... dataAbsentReason Binding: DataAbsentReason (extensible)
.... referenceRange 0..1

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation I0..*shr-core-BloodPressure
obs-6: SHALL only be present if Observation.value[x] is not present
obs-7: Component code SHALL not be same as observation code
... 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: http://tools.ietf.org/html/bcp47 (required)
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
... shr-core-Precondition-extension 0..*CodeableConceptPrecondition
URL: http://hl7.org/fhir/us/shr/StructureDefinition/shr-core-Precondition-extension
.... id 0..1stringxml:id (or equivalent in JSON)
.... url 1..1uri"http://hl7.org/fhir/us/shr/StructureDefinition/shr-core-Precondition-extension"
.... valueCodeableConcept 1..1CodeableConceptValue of extension
Binding: CardiopulmonaryPreconditionVS (extensible)
... shr-core-BodyPosition-extension 0..1CodeableConceptBodyPosition
URL: http://hl7.org/fhir/us/shr/StructureDefinition/shr-core-BodyPosition-extension
Binding: BodyPositionVS (extensible)
... shr-core-BloodPressureCuffSize-extension 0..1CodeableConceptBloodPressureCuffSize
URL: http://hl7.org/fhir/us/shr/StructureDefinition/shr-core-BloodPressureCuffSize-extension
Binding: BloodPressureCuffSizeVS (required)
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier 0..*IdentifierUnique Id for this particular observation
... status ?!Σ1..1coderegistered | preliminary | final | amended +
Binding: ObservationStatus (required)
... category 1..1CodeableConceptClassification of type of observation
Binding: Observation Category Codes (example)
.... id 0..1idxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... coding ΣCodingCode defined by a terminology system
Slice: Unordered, Open by value:code
.... coding Σ1..1Coding
..... id 0..1idxml:id (or equivalent in JSON)
..... extension 0..*ExtensionAdditional Content defined by implementations
..... system Σ0..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/observation-category
..... version Σ0..1stringVersion of the system - if relevant
..... code Σ0..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 Σ1..1CodeableConceptType of observation (code / type)
Binding: LOINC Codes (example)
.... id 0..1idxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... coding ΣCodingCode defined by a terminology system
Slice: Unordered, Open by value:code
.... coding Σ1..1CodingBlood pressure systolic and diastolic
..... id 0..1idxml:id (or equivalent in JSON)
..... extension 0..*ExtensionAdditional Content defined by implementations
..... system Σ0..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
..... version Σ0..1stringVersion of the system - if relevant
..... code Σ0..1codeSymbol in syntax defined by the system
Fixed Value: 55284-4
..... 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 Σ1..1Reference(shr-core-Patient)Who and/or what this is about
... encounter 0..1Reference(shr-core-Encounter)Healthcare event during which this observation is made
... effective[x] SΣ0..1dateTime, PeriodClinically relevant time/time-period for observation
... issued Σ0..1instantDate/Time this was made available
... performer Σ0..*Reference(shr-core-Practitioner | shr-core-Organization | shr-core-Patient | shr-core-RelatedPerson)Who is responsible for the observation
... interpretation 0..1CodeableConceptHigh, low, normal, etc.
Binding: QuantitativeResultInterpretationVS (extensible)
... comments 0..1stringComments about result
... bodySite 0..1CodeableConceptObserved body part
Binding: BloodPressureBodyLocationVS (extensible)
... method 0..1CodeableConceptHow it was done
Binding: BloodPressureMethodVS (extensible)
... referenceRange I0..1BackboneElementProvides guide for interpretation
obs-3: Must have at least a low or a high or text
.... id 0..1idxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
.... low I0..1SimpleQuantityLow Range, if relevant
.... high I0..1SimpleQuantityHigh Range, if relevant
.... meaning 0..1CodeableConceptIndicates the meaning/use of this range of this range
Binding: Observation Reference Range Meaning Codes (extensible)
.... age 0..1RangeApplicable age range, if relevant
.... text 0..1stringText based reference range in an observation
... component SΣBackboneElementComponent results
Slice: Unordered, Open by value:code.coding.code
... component SΣ0..1BackboneElementSystolicPressure
.... id 0..1idxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
.... code ΣI1..1CodeableConceptType of component observation (code / type)
Binding: LOINC Codes (example)
..... id 0..1idxml:id (or equivalent in JSON)
..... extension 0..*ExtensionAdditional Content defined by implementations
..... coding ΣCodingCode defined by a terminology system
Slice: Unordered, Open by value:code
..... coding Σ1..1Coding
...... id 0..1idxml:id (or equivalent in JSON)
...... extension 0..*ExtensionAdditional Content defined by implementations
...... system Σ0..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
...... version Σ0..1stringVersion of the system - if relevant
...... code Σ0..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
..... text Σ0..1stringPlain text representation of the concept
.... valueQuantity Σ0..1QuantitymmHg
..... extension 0..*ExtensionAdditional Content defined by implementations
..... value Σ0..1decimalNumerical value (with implicit precision)
..... comparator ?!Σ0..1code< | <= | >= | > - how to understand the value
Binding: QuantityComparator (required)
..... unit Σ0..1stringUnit representation
..... system ΣI0..1uriSystem that defines coded unit form
Fixed Value: http://unitsofmeasure.org
..... code Σ0..1codeCoded form of the unit
Fixed Value: mm[Hg]
.... dataAbsentReason I0..1CodeableConceptWhy the component result is missing
Binding: DataAbsentReason (extensible)
.... referenceRange 0..1BackboneElementProvides guide for interpretation of component result
..... id 0..1idxml:id (or equivalent in JSON)
..... extension 0..*ExtensionAdditional Content defined by implementations
..... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
..... low I0..1SimpleQuantityLow Range, if relevant
..... high I0..1SimpleQuantityHigh Range, if relevant
..... meaning 0..1CodeableConceptIndicates the meaning/use of this range of this range
Binding: Observation Reference Range Meaning Codes (example)
..... age 0..1RangeApplicable age range, if relevant
..... text 0..1stringText based reference range in an observation
... component SΣ0..1BackboneElementDiastolicPressure
.... id 0..1idxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
.... code ΣI1..1CodeableConceptType of component observation (code / type)
Binding: LOINC Codes (example)
..... id 0..1idxml:id (or equivalent in JSON)
..... extension 0..*ExtensionAdditional Content defined by implementations
..... coding ΣCodingCode defined by a terminology system
Slice: Unordered, Open by value:code
..... coding Σ1..1Coding
...... id 0..1idxml:id (or equivalent in JSON)
...... extension 0..*ExtensionAdditional Content defined by implementations
...... system Σ0..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
...... version Σ0..1stringVersion of the system - if relevant
...... code Σ0..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
..... text Σ0..1stringPlain text representation of the concept
.... valueQuantity Σ0..1QuantitymmHg
..... id 0..1idxml:id (or equivalent in JSON)
..... extension 0..*ExtensionAdditional Content defined by implementations
..... value Σ0..1decimalNumerical value (with implicit precision)
..... comparator ?!Σ0..1code< | <= | >= | > - how to understand the value
Binding: QuantityComparator (required)
..... unit Σ0..1stringUnit representation
..... system ΣI0..1uriSystem that defines coded unit form
Fixed Value: http://unitsofmeasure.org
..... code Σ0..1codeCoded form of the unit
Fixed Value: mm[Hg]
.... dataAbsentReason I0..1CodeableConceptWhy the component result is missing
Binding: DataAbsentReason (extensible)
.... referenceRange 0..1BackboneElementProvides guide for interpretation of component result
..... id 0..1idxml:id (or equivalent in JSON)
..... extension 0..*ExtensionAdditional Content defined by implementations
..... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
..... low I0..1SimpleQuantityLow Range, if relevant
..... high I0..1SimpleQuantityHigh Range, if relevant
..... meaning 0..1CodeableConceptIndicates the meaning/use of this range of this range
Binding: Observation Reference Range Meaning Codes (example)
..... age 0..1RangeApplicable age range, if relevant
..... text 0..1stringText based reference range in an observation

doco Documentation for this format

Summary

Mandatory: 0 element (10 nested mandatory elements)
Must-Support: 4 elements
Fixed Value: 13 elements
Prohibited: 5 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.category.coding is sliced based on the value of value:code
  • The element Observation.code.coding is sliced based on the value of value:code
  • The element Observation.component is sliced based on the value of value:code.coding.code
  • The element Observation.component.code.coding is sliced based on the value of value:code

Mapping Source

This structure represents the following mapping definition:

shr.core.BloodPressure maps to Observation:
  _Entry.EntryId maps to id
  Language maps to language
  Narrative maps to text
  ImplicitRules maps to implicitRules
  Metadata.VersionId maps to meta.versionId
  Metadata.Profile maps to meta.profile
  Metadata.LastUpdated maps to meta.lastUpdated
  Metadata.SecurityLabel maps to meta.security
  Metadata.Tag maps to meta.tag
  Identifier maps to identifier
  PatientSubjectOfRecord maps to subject
  Performer maps to performer
  Code maps to code
  Method maps to method
  CommentOrDescription maps to comments
  Category maps to category
  BodyLocation.LocationCode maps to bodySite
  BodyLocation.Laterality maps to bodySite.extension
  BodyLocation.Orientation maps to bodySite.extension
  BodyLocation.RelationToLandmark maps to bodySite.extension
  Device maps to device
  StatementDateTime maps to issued
  ReferenceRange maps to referenceRange
  ReferenceRange.Range.LowerBound maps to referenceRange.low
  ReferenceRange.Range.UpperBound maps to referenceRange.high
  ReferenceRange.Type maps to referenceRange.meaning
  Components.ObservationComponent maps to component (slice on = code.coding.code; slice strategy = includes)
  Components.ObservationComponent.Code maps to component.code
  Components.ObservationComponent.DataValue maps to component.value[x]
  Components.ObservationComponent.DataAbsentReason maps to component.dataAbsentReason
  Components.ObservationComponent.ReferenceRange maps to component.referenceRange
  fix related.type to #has-member
  PanelMembers maps to related
  PanelMembers.Observation maps to related.target (slice at = related; slice on = target.reference.resolve(); slice on type = profile; slice strategy = includes)
  DataValue maps to value[x]
  DataAbsentReason maps to dataAbsentReason
  Interpretation maps to interpretation
  Status maps to status
  RelevantTime maps to effective[x]
  CareContext maps to encounter
  constrain specimen to 0..0

Differential View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation shr-core-BloodPressure
... extension Slice: Unordered, Open by value:url
... shr-core-Precondition-extension 0..*CodeableConceptPrecondition
URL: http://hl7.org/fhir/us/shr/StructureDefinition/shr-core-Precondition-extension
.... valueCodeableConcept Binding: CardiopulmonaryPreconditionVS (extensible)
... shr-core-BodyPosition-extension 0..1CodeableConceptBodyPosition
URL: http://hl7.org/fhir/us/shr/StructureDefinition/shr-core-BodyPosition-extension
Binding: BodyPositionVS (extensible)
... shr-core-BloodPressureCuffSize-extension 0..1CodeableConceptBloodPressureCuffSize
URL: http://hl7.org/fhir/us/shr/StructureDefinition/shr-core-BloodPressureCuffSize-extension
Binding: BloodPressureCuffSizeVS (required)
... category 1..1
.... coding Slice: Unordered, Open by value:code
.... coding Σ1..1Coding
..... system Fixed Value: http://hl7.org/fhir/observation-category
..... code Fixed Value: vital-signs
... code
.... coding Slice: Unordered, Open by value:code
.... coding Σ1..1CodingBlood pressure systolic and diastolic
..... system Fixed Value: http://loinc.org
..... code Fixed Value: 55284-4
... subject 1..1Reference(shr-core-Patient)
... encounter Reference(shr-core-Encounter)
... effective[x] S
... performer Reference(shr-core-Practitioner | shr-core-Organization | shr-core-Patient | shr-core-RelatedPerson)
... valueQuantity 0..0
... dataAbsentReason 0..0
... interpretation Binding: QuantitativeResultInterpretationVS (extensible)
... bodySite Binding: BloodPressureBodyLocationVS (extensible)
... method Binding: BloodPressureMethodVS (extensible)
... specimen 0..0
... device 0..0
... referenceRange 0..1
.... meaning Binding: Observation Reference Range Meaning Codes (extensible)
... related 0..0
... component SSlice: Unordered, Open by value:code.coding.code
... component S0..1SystolicPressure
.... code
..... coding Slice: Unordered, Open by value:code
..... coding Σ1..1Coding
...... system Fixed Value: http://loinc.org
...... code Fixed Value: 8480-6
.... valueQuantity QuantitymmHg
..... system Fixed Value: http://unitsofmeasure.org
..... code Fixed Value: mm[Hg]
.... dataAbsentReason Binding: DataAbsentReason (extensible)
.... referenceRange 0..1
... component S0..1DiastolicPressure
.... code
..... coding Slice: Unordered, Open by value:code
..... coding Σ1..1Coding
...... system Fixed Value: http://loinc.org
...... code Fixed Value: 8462-4
.... valueQuantity QuantitymmHg
..... system Fixed Value: http://unitsofmeasure.org
..... code Fixed Value: mm[Hg]
.... dataAbsentReason Binding: DataAbsentReason (extensible)
.... referenceRange 0..1

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation I0..*shr-core-BloodPressure
obs-6: SHALL only be present if Observation.value[x] is not present
obs-7: Component code SHALL not be same as observation code
... 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: http://tools.ietf.org/html/bcp47 (required)
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
... shr-core-Precondition-extension 0..*CodeableConceptPrecondition
URL: http://hl7.org/fhir/us/shr/StructureDefinition/shr-core-Precondition-extension
.... id 0..1stringxml:id (or equivalent in JSON)
.... url 1..1uri"http://hl7.org/fhir/us/shr/StructureDefinition/shr-core-Precondition-extension"
.... valueCodeableConcept 1..1CodeableConceptValue of extension
Binding: CardiopulmonaryPreconditionVS (extensible)
... shr-core-BodyPosition-extension 0..1CodeableConceptBodyPosition
URL: http://hl7.org/fhir/us/shr/StructureDefinition/shr-core-BodyPosition-extension
Binding: BodyPositionVS (extensible)
... shr-core-BloodPressureCuffSize-extension 0..1CodeableConceptBloodPressureCuffSize
URL: http://hl7.org/fhir/us/shr/StructureDefinition/shr-core-BloodPressureCuffSize-extension
Binding: BloodPressureCuffSizeVS (required)
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier 0..*IdentifierUnique Id for this particular observation
... status ?!Σ1..1coderegistered | preliminary | final | amended +
Binding: ObservationStatus (required)
... category 1..1CodeableConceptClassification of type of observation
Binding: Observation Category Codes (example)
.... id 0..1idxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... coding ΣCodingCode defined by a terminology system
Slice: Unordered, Open by value:code
.... coding Σ1..1Coding
..... id 0..1idxml:id (or equivalent in JSON)
..... extension 0..*ExtensionAdditional Content defined by implementations
..... system Σ0..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/observation-category
..... version Σ0..1stringVersion of the system - if relevant
..... code Σ0..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 Σ1..1CodeableConceptType of observation (code / type)
Binding: LOINC Codes (example)
.... id 0..1idxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... coding ΣCodingCode defined by a terminology system
Slice: Unordered, Open by value:code
.... coding Σ1..1CodingBlood pressure systolic and diastolic
..... id 0..1idxml:id (or equivalent in JSON)
..... extension 0..*ExtensionAdditional Content defined by implementations
..... system Σ0..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
..... version Σ0..1stringVersion of the system - if relevant
..... code Σ0..1codeSymbol in syntax defined by the system
Fixed Value: 55284-4
..... 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 Σ1..1Reference(shr-core-Patient)Who and/or what this is about
... encounter 0..1Reference(shr-core-Encounter)Healthcare event during which this observation is made
... effective[x] SΣ0..1dateTime, PeriodClinically relevant time/time-period for observation
... issued Σ0..1instantDate/Time this was made available
... performer Σ0..*Reference(shr-core-Practitioner | shr-core-Organization | shr-core-Patient | shr-core-RelatedPerson)Who is responsible for the observation
... interpretation 0..1CodeableConceptHigh, low, normal, etc.
Binding: QuantitativeResultInterpretationVS (extensible)
... comments 0..1stringComments about result
... bodySite 0..1CodeableConceptObserved body part
Binding: BloodPressureBodyLocationVS (extensible)
... method 0..1CodeableConceptHow it was done
Binding: BloodPressureMethodVS (extensible)
... referenceRange I0..1BackboneElementProvides guide for interpretation
obs-3: Must have at least a low or a high or text
.... id 0..1idxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
.... low I0..1SimpleQuantityLow Range, if relevant
.... high I0..1SimpleQuantityHigh Range, if relevant
.... meaning 0..1CodeableConceptIndicates the meaning/use of this range of this range
Binding: Observation Reference Range Meaning Codes (extensible)
.... age 0..1RangeApplicable age range, if relevant
.... text 0..1stringText based reference range in an observation
... component SΣBackboneElementComponent results
Slice: Unordered, Open by value:code.coding.code
... component SΣ0..1BackboneElementSystolicPressure
.... id 0..1idxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
.... code ΣI1..1CodeableConceptType of component observation (code / type)
Binding: LOINC Codes (example)
..... id 0..1idxml:id (or equivalent in JSON)
..... extension 0..*ExtensionAdditional Content defined by implementations
..... coding ΣCodingCode defined by a terminology system
Slice: Unordered, Open by value:code
..... coding Σ1..1Coding
...... id 0..1idxml:id (or equivalent in JSON)
...... extension 0..*ExtensionAdditional Content defined by implementations
...... system Σ0..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
...... version Σ0..1stringVersion of the system - if relevant
...... code Σ0..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
..... text Σ0..1stringPlain text representation of the concept
.... valueQuantity Σ0..1QuantitymmHg
..... extension 0..*ExtensionAdditional Content defined by implementations
..... value Σ0..1decimalNumerical value (with implicit precision)
..... comparator ?!Σ0..1code< | <= | >= | > - how to understand the value
Binding: QuantityComparator (required)
..... unit Σ0..1stringUnit representation
..... system ΣI0..1uriSystem that defines coded unit form
Fixed Value: http://unitsofmeasure.org
..... code Σ0..1codeCoded form of the unit
Fixed Value: mm[Hg]
.... dataAbsentReason I0..1CodeableConceptWhy the component result is missing
Binding: DataAbsentReason (extensible)
.... referenceRange 0..1BackboneElementProvides guide for interpretation of component result
..... id 0..1idxml:id (or equivalent in JSON)
..... extension 0..*ExtensionAdditional Content defined by implementations
..... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
..... low I0..1SimpleQuantityLow Range, if relevant
..... high I0..1SimpleQuantityHigh Range, if relevant
..... meaning 0..1CodeableConceptIndicates the meaning/use of this range of this range
Binding: Observation Reference Range Meaning Codes (example)
..... age 0..1RangeApplicable age range, if relevant
..... text 0..1stringText based reference range in an observation
... component SΣ0..1BackboneElementDiastolicPressure
.... id 0..1idxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
.... code ΣI1..1CodeableConceptType of component observation (code / type)
Binding: LOINC Codes (example)
..... id 0..1idxml:id (or equivalent in JSON)
..... extension 0..*ExtensionAdditional Content defined by implementations
..... coding ΣCodingCode defined by a terminology system
Slice: Unordered, Open by value:code
..... coding Σ1..1Coding
...... id 0..1idxml:id (or equivalent in JSON)
...... extension 0..*ExtensionAdditional Content defined by implementations
...... system Σ0..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
...... version Σ0..1stringVersion of the system - if relevant
...... code Σ0..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
..... text Σ0..1stringPlain text representation of the concept
.... valueQuantity Σ0..1QuantitymmHg
..... id 0..1idxml:id (or equivalent in JSON)
..... extension 0..*ExtensionAdditional Content defined by implementations
..... value Σ0..1decimalNumerical value (with implicit precision)
..... comparator ?!Σ0..1code< | <= | >= | > - how to understand the value
Binding: QuantityComparator (required)
..... unit Σ0..1stringUnit representation
..... system ΣI0..1uriSystem that defines coded unit form
Fixed Value: http://unitsofmeasure.org
..... code Σ0..1codeCoded form of the unit
Fixed Value: mm[Hg]
.... dataAbsentReason I0..1CodeableConceptWhy the component result is missing
Binding: DataAbsentReason (extensible)
.... referenceRange 0..1BackboneElementProvides guide for interpretation of component result
..... id 0..1idxml:id (or equivalent in JSON)
..... extension 0..*ExtensionAdditional Content defined by implementations
..... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
..... low I0..1SimpleQuantityLow Range, if relevant
..... high I0..1SimpleQuantityHigh Range, if relevant
..... meaning 0..1CodeableConceptIndicates the meaning/use of this range of this range
Binding: Observation Reference Range Meaning Codes (example)
..... age 0..1RangeApplicable age range, if relevant
..... text 0..1stringText based reference range in an observation

doco Documentation for this format

Downloads: StructureDefinition: (XML, JSON, TTL), Schema: XML Schematron

 

 

Constraints

IdPathDetailsRequirements
obs-6ObservationSHALL only be present if Observation.value[x] is not present
:
obs-7ObservationComponent code SHALL not be same as observation code
:
obs-3Observation.referenceRangeMust have at least a low or a high or text
: