HL7 FHIR Implementation Guide: minimal Common Oncology Data Elements (mCODE), v0.9.1

HL7 FHIR Implementation Guide: minimal Common Oncology Data Elements (mCODE), v0.9.1 FHIR Profiles - Local Development build (v0.9.1). See the Directory of published versions

BloodPressure

 

The official URL for this profile is:

http://mcodeinitiative.org/us/mcode/StructureDefinition/vital-BloodPressure

Records blood pressure measurements, defined as the force of circulating blood on the walls of the arteries.

Conformance note: The blood pressure profile is based on the FHIR profile for blood pressure, and adds a set of optional elements that can help clinicians interpret the result. Because these additional elements are optional, any BloodPressure that conforms to the current profile also will conform to the FHIR profile, and vice versa.

This profile builds on Observation.

This profile was published on Wed Oct 23 00:00:00 EDT 2019 as a draft by The MITRE Corporation.

Summary

Mandatory: 0 element (10 nested mandatory elements)
Must-Support: 5 elements
Fixed Value: 11 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.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:

vital.BloodPressure maps to Observation:
  Language maps to language
  ImplicitRules maps to implicitRules
  Metadata.VersionId maps to meta.versionId
  Metadata.SourceSystem maps to meta.extension
  Metadata.Profile maps to meta.profile
  Metadata.LastUpdated maps to meta.lastUpdated
  Metadata.SecurityLabel maps to meta.security
  Metadata.Tag maps to meta.tag
  Narrative maps to text
  Identifier maps to identifier
  ObservationBasedOn maps to extension
  ObservationPartOf maps to extension
  Status maps to status
  Category maps to category
  Code maps to code
  ObservationSubjectOfRecord maps to subject
  FocalSubject maps to modifierExtension
  CareContext maps to encounter
  RelevantTime maps to effective[x]
  StatementDateTime maps to issued
  Performer maps to performer
  DataValue maps to value[x]
  DataAbsentReason maps to dataAbsentReason
  Interpretation maps to interpretation
  Annotation maps to extension
  BodyLocation.Code maps to bodySite
  BodyLocation.Laterality maps to bodySite.extension
  BodyLocation.AnatomicalOrientation maps to bodySite.extension
  BodyLocation.RelationToLandmark maps to bodySite.extension
  Method maps to method
  Specimen maps to specimen
  Device maps to device
  ReferenceRange maps to referenceRange
  ReferenceRange.LowerBound maps to referenceRange.low
  ReferenceRange.UpperBound maps to referenceRange.high
  ReferenceRange.Type maps to referenceRange.meaning
  ReferenceRange.ApplicableSubpopulation maps to referenceRange.extension
  ReferenceRange.ApplicableAgeRange maps to referenceRange.age
  ReferenceRange.Text maps to referenceRange.text
  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)
  ObservationDerivedFrom maps to extension
  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
  Components.ObservationComponent.ReferenceRange.LowerBound maps to component.referenceRange.low
  Components.ObservationComponent.ReferenceRange.UpperBound maps to component.referenceRange.high
  Components.ObservationComponent.ReferenceRange.Type maps to component.referenceRange.meaning
  Components.ObservationComponent.ReferenceRange.ApplicableAgeRange maps to component.referenceRange.age
  Components.ObservationComponent.ReferenceRange.Text maps to component.referenceRange.text

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation vital-BloodPressure
... meta
.... extension Slice: Unordered, Open by value:url
.... obf-SourceSystem-extension 0..1uriSourceSystem
URL: http://mcodeinitiative.org/us/mcode/StructureDefinition/obf-SourceSystem-extension
... extension Slice: Unordered, Open by value:url
... obf-ObservationBasedOn-extension 0..*Reference(obf-ProcedureRequest | ReferralRequest)ObservationBasedOn
URL: http://mcodeinitiative.org/us/mcode/StructureDefinition/obf-ObservationBasedOn-extension
... obf-ObservationPartOf-extension 0..*Reference(obf-MedicationAdministration | obf-MedicationDispense | obf-MedicationStatement | obf-Procedure)ObservationPartOf
URL: http://mcodeinitiative.org/us/mcode/StructureDefinition/obf-ObservationPartOf-extension
... obf-Annotation-extension 0..*AnnotationAnnotation
URL: http://mcodeinitiative.org/us/mcode/StructureDefinition/obf-Annotation-extension
... obf-ObservationDerivedFrom-extension 0..*Reference(DocumentReference | Media | obf-QuestionnaireResponse | obf-Observation)ObservationDerivedFrom
URL: http://mcodeinitiative.org/us/mcode/StructureDefinition/obf-ObservationDerivedFrom-extension
... vital-PreconditionCode-extension 0..*CodeableConceptPreconditionCode
URL: http://mcodeinitiative.org/us/mcode/StructureDefinition/vital-PreconditionCode-extension
.... valueCodeableConcept Binding: CardiopulmonaryPreconditionVS (extensible)
... vital-BodyPosition-extension 0..1CodeableConceptBodyPosition
URL: http://mcodeinitiative.org/us/mcode/StructureDefinition/vital-BodyPosition-extension
Binding: BodyPositionVS (extensible)
... vital-BloodPressureCuffSize-extension 0..1CodeableConceptBloodPressureCuffSize
URL: http://mcodeinitiative.org/us/mcode/StructureDefinition/vital-BloodPressureCuffSize-extension
Binding: BloodPressureCuffSizeVS (required)
... modifierExtension (Slice Definition)Slice: Unordered, Open by value:url
... modifierExtension:focalsubject ?!S0..*FocalSubject
.... valueReference Reference(obf-Resource)Resource: Parent class for any item in clinical or administrative health-related system
... category 1..1Binding: Observation Category Codes (extensible)
... code
.... coding 1..*(Slice Definition)Slice: Unordered, Open by value:code
..... coding:Fixed_85354-9 Σ1..1CodingBlood pressure panel with all children optional
...... system Fixed Value: http://loinc.org
...... code Fixed Value: 85354-9
... subject 1..1Reference(obf-Patient)The subject of an observation
... effective[x] S
... performer Reference(Practitioner | Organization | obf-Patient | 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
.... extension Slice: Unordered, Open by value:url
.... obf-ApplicableSubpopulation-extension 0..1CodeableConceptApplicableSubpopulation
URL: http://mcodeinitiative.org/us/mcode/StructureDefinition/obf-ApplicableSubpopulation-extension
Binding: referencerange-appliesto (extensible)
.... meaning Binding: Observation Reference Range Meaning Codes (extensible)
... related 0..0
... component S2..*(Slice Definition)Slice: Unordered, Open by value:code.coding.code
.... (All Slices) Content/Rules for all slices
..... value[x]
...... valueQuantityQuantity
...... valueCodeableConceptCodeableConcept
...... valueStringstring
...... valueRangeRange
...... valueRatioRatio
...... valueSampledDataSampledData
...... valueTimetime
...... valueDateTimedateTime
...... valuePeriodPeriod
..... referenceRange
...... meaning Binding: Observation Reference Range Meaning Codes (extensible)
.... component:vital-SystolicPressure S1..1SystolicPressure: The blood pressure during the contraction of the left ventricle of the heart, when blood pressure is at its highest
..... code
...... coding 1..*(Slice Definition)Slice: Unordered, Open by value:code
....... coding:Fixed_8480-6 Σ1..1CodingCode defined by a terminology system
........ system Fixed Value: http://loinc.org
........ code Fixed Value: 8480-6
..... valueQuantity QuantitymmHg
...... system Fixed Value: http://unitsofmeasure.org
...... code Fixed Value: mm[Hg]
..... referenceRange 0..1
...... meaning Binding: Observation Reference Range Meaning Codes (extensible)
.... component:vital-DiastolicPressure S1..1DiastolicPressure: The blood pressure after the contraction of the heart while the chambers of the heart refill with blood, when the pressure is lowest
..... code
...... coding 1..*(Slice Definition)Slice: Unordered, Open by value:code
....... coding:Fixed_8462-4 Σ1..1CodingCode defined by a terminology system
........ system Fixed Value: http://loinc.org
........ code Fixed Value: 8462-4
..... valueQuantity QuantitymmHg
...... system Fixed Value: http://unitsofmeasure.org
...... code Fixed Value: mm[Hg]
..... referenceRange 0..1
...... meaning Binding: Observation Reference Range Meaning Codes (extensible)

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation I0..*vital-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
.... id 0..1idxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
.... obf-SourceSystem-extension 0..1uriSourceSystem
URL: http://mcodeinitiative.org/us/mcode/StructureDefinition/obf-SourceSystem-extension
.... versionId Σ0..1idVersion specific identifier
.... lastUpdated Σ0..1instantWhen the resource version last changed
.... profile Σ0..*uriProfiles this resource claims to conform to
.... security Σ0..*CodingSecurity Labels applied to this resource
Binding: All Security Labels (extensible)
.... tag Σ0..*CodingTags applied to this resource
Binding: (unbound) (example)
... 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
... obf-ObservationBasedOn-extension 0..*Reference(obf-ProcedureRequest | ReferralRequest)ObservationBasedOn
URL: http://mcodeinitiative.org/us/mcode/StructureDefinition/obf-ObservationBasedOn-extension
... obf-ObservationPartOf-extension 0..*Reference(obf-MedicationAdministration | obf-MedicationDispense | obf-MedicationStatement | obf-Procedure)ObservationPartOf
URL: http://mcodeinitiative.org/us/mcode/StructureDefinition/obf-ObservationPartOf-extension
... obf-Annotation-extension 0..*AnnotationAnnotation
URL: http://mcodeinitiative.org/us/mcode/StructureDefinition/obf-Annotation-extension
... obf-ObservationDerivedFrom-extension 0..*Reference(DocumentReference | Media | obf-QuestionnaireResponse | obf-Observation)ObservationDerivedFrom
URL: http://mcodeinitiative.org/us/mcode/StructureDefinition/obf-ObservationDerivedFrom-extension
... vital-PreconditionCode-extension 0..*CodeableConceptPreconditionCode
URL: http://mcodeinitiative.org/us/mcode/StructureDefinition/vital-PreconditionCode-extension
.... id 0..1idxml:id (or equivalent in JSON)
.... url 1..1uri"http://mcodeinitiative.org/us/mcode/StructureDefinition/vital-PreconditionCode-extension"
.... valueCodeableConcept 1..1CodeableConceptValue of extension
Binding: CardiopulmonaryPreconditionVS (extensible)
... vital-BodyPosition-extension 0..1CodeableConceptBodyPosition
URL: http://mcodeinitiative.org/us/mcode/StructureDefinition/vital-BodyPosition-extension
Binding: BodyPositionVS (extensible)
... vital-BloodPressureCuffSize-extension 0..1CodeableConceptBloodPressureCuffSize
URL: http://mcodeinitiative.org/us/mcode/StructureDefinition/vital-BloodPressureCuffSize-extension
Binding: BloodPressureCuffSizeVS (required)
... modifierExtension ?!0..*(Slice Definition)Extensions that cannot be ignored
Slice: Unordered, Open by exists:url
.... modifierExtension:focalsubject ?!S0..*FocalSubject
..... id 0..1idxml:id (or equivalent in JSON)
..... url 1..1uri"http://mcodeinitiative.org/us/mcode/StructureDefinition/obf-FocalSubject-extension"
..... valueReference 1..1Reference(obf-Resource)Resource: Parent class for any item in clinical or administrative health-related system
... 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 (extensible)
... 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 Σ1..*(Slice Definition)Code defined by a terminology system
Slice: Unordered, Open by value:code
..... coding:Fixed_85354-9 Σ1..1CodingBlood pressure panel with all children optional
...... 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: 85354-9
...... 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(obf-Patient)The subject of an observation
... encounter 0..1Reference(Encounter)Healthcare event during which this observation is made
... effective[x] SΣ0..1Clinically relevant time/time-period for observation
.... effectiveDateTimedateTime
.... effectivePeriodPeriod
... issued Σ0..1instantDate/Time this was made available
... performer Σ0..*Reference(Practitioner | Organization | obf-Patient | 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
Slice: Unordered, Open by value:url
.... obf-ApplicableSubpopulation-extension 0..1CodeableConceptApplicableSubpopulation
URL: http://mcodeinitiative.org/us/mcode/StructureDefinition/obf-ApplicableSubpopulation-extension
Binding: referencerange-appliesto (extensible)
.... 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 SΣ2..*(Slice Definition)Component results
Slice: Unordered, Open by value:code.coding.code
.... (All Slices) Content/Rules for all slices
..... 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)
..... value[x] Σ0..1Actual component result
...... valueQuantityQuantity
...... valueCodeableConceptCodeableConcept
...... valueStringstring
...... valueRangeRange
...... valueRatioRatio
...... valueSampledDataSampledData
...... valueTimetime
...... valueDateTimedateTime
...... valuePeriodPeriod
..... dataAbsentReason I0..1CodeableConceptWhy the component result is missing
Binding: Observation Value Absent Reason (extensible)
..... referenceRange 0..*BackboneElementProvides 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 (extensible)
...... age 0..1RangeApplicable age range, if relevant
...... text 0..1stringText based reference range in an observation
.... component:vital-SystolicPressure SΣ1..1BackboneElementSystolicPressure: The blood pressure during the contraction of the left ventricle of the heart, when blood pressure is at its highest
..... 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 Σ1..*(Slice Definition)Code defined by a terminology system
Slice: Unordered, Open by value:code
....... coding:Fixed_8480-6 Σ1..1CodingCode defined by a terminology system
........ 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: Observation Value Absent Reason (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 (extensible)
...... age 0..1RangeApplicable age range, if relevant
...... text 0..1stringText based reference range in an observation
.... component:vital-DiastolicPressure SΣ1..1BackboneElementDiastolicPressure: The blood pressure after the contraction of the heart while the chambers of the heart refill with blood, when the pressure is lowest
..... 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 Σ1..*(Slice Definition)Code defined by a terminology system
Slice: Unordered, Open by value:code
....... coding:Fixed_8462-4 Σ1..1CodingCode defined by a terminology system
........ 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: Observation Value Absent Reason (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 (extensible)
...... 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: 5 elements
Fixed Value: 11 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.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:

vital.BloodPressure maps to Observation:
  Language maps to language
  ImplicitRules maps to implicitRules
  Metadata.VersionId maps to meta.versionId
  Metadata.SourceSystem maps to meta.extension
  Metadata.Profile maps to meta.profile
  Metadata.LastUpdated maps to meta.lastUpdated
  Metadata.SecurityLabel maps to meta.security
  Metadata.Tag maps to meta.tag
  Narrative maps to text
  Identifier maps to identifier
  ObservationBasedOn maps to extension
  ObservationPartOf maps to extension
  Status maps to status
  Category maps to category
  Code maps to code
  ObservationSubjectOfRecord maps to subject
  FocalSubject maps to modifierExtension
  CareContext maps to encounter
  RelevantTime maps to effective[x]
  StatementDateTime maps to issued
  Performer maps to performer
  DataValue maps to value[x]
  DataAbsentReason maps to dataAbsentReason
  Interpretation maps to interpretation
  Annotation maps to extension
  BodyLocation.Code maps to bodySite
  BodyLocation.Laterality maps to bodySite.extension
  BodyLocation.AnatomicalOrientation maps to bodySite.extension
  BodyLocation.RelationToLandmark maps to bodySite.extension
  Method maps to method
  Specimen maps to specimen
  Device maps to device
  ReferenceRange maps to referenceRange
  ReferenceRange.LowerBound maps to referenceRange.low
  ReferenceRange.UpperBound maps to referenceRange.high
  ReferenceRange.Type maps to referenceRange.meaning
  ReferenceRange.ApplicableSubpopulation maps to referenceRange.extension
  ReferenceRange.ApplicableAgeRange maps to referenceRange.age
  ReferenceRange.Text maps to referenceRange.text
  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)
  ObservationDerivedFrom maps to extension
  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
  Components.ObservationComponent.ReferenceRange.LowerBound maps to component.referenceRange.low
  Components.ObservationComponent.ReferenceRange.UpperBound maps to component.referenceRange.high
  Components.ObservationComponent.ReferenceRange.Type maps to component.referenceRange.meaning
  Components.ObservationComponent.ReferenceRange.ApplicableAgeRange maps to component.referenceRange.age
  Components.ObservationComponent.ReferenceRange.Text maps to component.referenceRange.text

Differential View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation vital-BloodPressure
... meta
.... extension Slice: Unordered, Open by value:url
.... obf-SourceSystem-extension 0..1uriSourceSystem
URL: http://mcodeinitiative.org/us/mcode/StructureDefinition/obf-SourceSystem-extension
... extension Slice: Unordered, Open by value:url
... obf-ObservationBasedOn-extension 0..*Reference(obf-ProcedureRequest | ReferralRequest)ObservationBasedOn
URL: http://mcodeinitiative.org/us/mcode/StructureDefinition/obf-ObservationBasedOn-extension
... obf-ObservationPartOf-extension 0..*Reference(obf-MedicationAdministration | obf-MedicationDispense | obf-MedicationStatement | obf-Procedure)ObservationPartOf
URL: http://mcodeinitiative.org/us/mcode/StructureDefinition/obf-ObservationPartOf-extension
... obf-Annotation-extension 0..*AnnotationAnnotation
URL: http://mcodeinitiative.org/us/mcode/StructureDefinition/obf-Annotation-extension
... obf-ObservationDerivedFrom-extension 0..*Reference(DocumentReference | Media | obf-QuestionnaireResponse | obf-Observation)ObservationDerivedFrom
URL: http://mcodeinitiative.org/us/mcode/StructureDefinition/obf-ObservationDerivedFrom-extension
... vital-PreconditionCode-extension 0..*CodeableConceptPreconditionCode
URL: http://mcodeinitiative.org/us/mcode/StructureDefinition/vital-PreconditionCode-extension
.... valueCodeableConcept Binding: CardiopulmonaryPreconditionVS (extensible)
... vital-BodyPosition-extension 0..1CodeableConceptBodyPosition
URL: http://mcodeinitiative.org/us/mcode/StructureDefinition/vital-BodyPosition-extension
Binding: BodyPositionVS (extensible)
... vital-BloodPressureCuffSize-extension 0..1CodeableConceptBloodPressureCuffSize
URL: http://mcodeinitiative.org/us/mcode/StructureDefinition/vital-BloodPressureCuffSize-extension
Binding: BloodPressureCuffSizeVS (required)
... modifierExtension (Slice Definition)Slice: Unordered, Open by value:url
... modifierExtension:focalsubject ?!S0..*FocalSubject
.... valueReference Reference(obf-Resource)Resource: Parent class for any item in clinical or administrative health-related system
... category 1..1Binding: Observation Category Codes (extensible)
... code
.... coding 1..*(Slice Definition)Slice: Unordered, Open by value:code
..... coding:Fixed_85354-9 Σ1..1CodingBlood pressure panel with all children optional
...... system Fixed Value: http://loinc.org
...... code Fixed Value: 85354-9
... subject 1..1Reference(obf-Patient)The subject of an observation
... effective[x] S
... performer Reference(Practitioner | Organization | obf-Patient | 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
.... extension Slice: Unordered, Open by value:url
.... obf-ApplicableSubpopulation-extension 0..1CodeableConceptApplicableSubpopulation
URL: http://mcodeinitiative.org/us/mcode/StructureDefinition/obf-ApplicableSubpopulation-extension
Binding: referencerange-appliesto (extensible)
.... meaning Binding: Observation Reference Range Meaning Codes (extensible)
... related 0..0
... component S2..*(Slice Definition)Slice: Unordered, Open by value:code.coding.code
.... (All Slices) Content/Rules for all slices
..... value[x]
...... valueQuantityQuantity
...... valueCodeableConceptCodeableConcept
...... valueStringstring
...... valueRangeRange
...... valueRatioRatio
...... valueSampledDataSampledData
...... valueTimetime
...... valueDateTimedateTime
...... valuePeriodPeriod
..... referenceRange
...... meaning Binding: Observation Reference Range Meaning Codes (extensible)
.... component:vital-SystolicPressure S1..1SystolicPressure: The blood pressure during the contraction of the left ventricle of the heart, when blood pressure is at its highest
..... code
...... coding 1..*(Slice Definition)Slice: Unordered, Open by value:code
....... coding:Fixed_8480-6 Σ1..1CodingCode defined by a terminology system
........ system Fixed Value: http://loinc.org
........ code Fixed Value: 8480-6
..... valueQuantity QuantitymmHg
...... system Fixed Value: http://unitsofmeasure.org
...... code Fixed Value: mm[Hg]
..... referenceRange 0..1
...... meaning Binding: Observation Reference Range Meaning Codes (extensible)
.... component:vital-DiastolicPressure S1..1DiastolicPressure: The blood pressure after the contraction of the heart while the chambers of the heart refill with blood, when the pressure is lowest
..... code
...... coding 1..*(Slice Definition)Slice: Unordered, Open by value:code
....... coding:Fixed_8462-4 Σ1..1CodingCode defined by a terminology system
........ system Fixed Value: http://loinc.org
........ code Fixed Value: 8462-4
..... valueQuantity QuantitymmHg
...... system Fixed Value: http://unitsofmeasure.org
...... code Fixed Value: mm[Hg]
..... referenceRange 0..1
...... meaning Binding: Observation Reference Range Meaning Codes (extensible)

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation I0..*vital-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
.... id 0..1idxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
.... obf-SourceSystem-extension 0..1uriSourceSystem
URL: http://mcodeinitiative.org/us/mcode/StructureDefinition/obf-SourceSystem-extension
.... versionId Σ0..1idVersion specific identifier
.... lastUpdated Σ0..1instantWhen the resource version last changed
.... profile Σ0..*uriProfiles this resource claims to conform to
.... security Σ0..*CodingSecurity Labels applied to this resource
Binding: All Security Labels (extensible)
.... tag Σ0..*CodingTags applied to this resource
Binding: (unbound) (example)
... 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
... obf-ObservationBasedOn-extension 0..*Reference(obf-ProcedureRequest | ReferralRequest)ObservationBasedOn
URL: http://mcodeinitiative.org/us/mcode/StructureDefinition/obf-ObservationBasedOn-extension
... obf-ObservationPartOf-extension 0..*Reference(obf-MedicationAdministration | obf-MedicationDispense | obf-MedicationStatement | obf-Procedure)ObservationPartOf
URL: http://mcodeinitiative.org/us/mcode/StructureDefinition/obf-ObservationPartOf-extension
... obf-Annotation-extension 0..*AnnotationAnnotation
URL: http://mcodeinitiative.org/us/mcode/StructureDefinition/obf-Annotation-extension
... obf-ObservationDerivedFrom-extension 0..*Reference(DocumentReference | Media | obf-QuestionnaireResponse | obf-Observation)ObservationDerivedFrom
URL: http://mcodeinitiative.org/us/mcode/StructureDefinition/obf-ObservationDerivedFrom-extension
... vital-PreconditionCode-extension 0..*CodeableConceptPreconditionCode
URL: http://mcodeinitiative.org/us/mcode/StructureDefinition/vital-PreconditionCode-extension
.... id 0..1idxml:id (or equivalent in JSON)
.... url 1..1uri"http://mcodeinitiative.org/us/mcode/StructureDefinition/vital-PreconditionCode-extension"
.... valueCodeableConcept 1..1CodeableConceptValue of extension
Binding: CardiopulmonaryPreconditionVS (extensible)
... vital-BodyPosition-extension 0..1CodeableConceptBodyPosition
URL: http://mcodeinitiative.org/us/mcode/StructureDefinition/vital-BodyPosition-extension
Binding: BodyPositionVS (extensible)
... vital-BloodPressureCuffSize-extension 0..1CodeableConceptBloodPressureCuffSize
URL: http://mcodeinitiative.org/us/mcode/StructureDefinition/vital-BloodPressureCuffSize-extension
Binding: BloodPressureCuffSizeVS (required)
... modifierExtension ?!0..*(Slice Definition)Extensions that cannot be ignored
Slice: Unordered, Open by exists:url
.... modifierExtension:focalsubject ?!S0..*FocalSubject
..... id 0..1idxml:id (or equivalent in JSON)
..... url 1..1uri"http://mcodeinitiative.org/us/mcode/StructureDefinition/obf-FocalSubject-extension"
..... valueReference 1..1Reference(obf-Resource)Resource: Parent class for any item in clinical or administrative health-related system
... 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 (extensible)
... 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 Σ1..*(Slice Definition)Code defined by a terminology system
Slice: Unordered, Open by value:code
..... coding:Fixed_85354-9 Σ1..1CodingBlood pressure panel with all children optional
...... 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: 85354-9
...... 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(obf-Patient)The subject of an observation
... encounter 0..1Reference(Encounter)Healthcare event during which this observation is made
... effective[x] SΣ0..1Clinically relevant time/time-period for observation
.... effectiveDateTimedateTime
.... effectivePeriodPeriod
... issued Σ0..1instantDate/Time this was made available
... performer Σ0..*Reference(Practitioner | Organization | obf-Patient | 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
Slice: Unordered, Open by value:url
.... obf-ApplicableSubpopulation-extension 0..1CodeableConceptApplicableSubpopulation
URL: http://mcodeinitiative.org/us/mcode/StructureDefinition/obf-ApplicableSubpopulation-extension
Binding: referencerange-appliesto (extensible)
.... 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 SΣ2..*(Slice Definition)Component results
Slice: Unordered, Open by value:code.coding.code
.... (All Slices) Content/Rules for all slices
..... 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)
..... value[x] Σ0..1Actual component result
...... valueQuantityQuantity
...... valueCodeableConceptCodeableConcept
...... valueStringstring
...... valueRangeRange
...... valueRatioRatio
...... valueSampledDataSampledData
...... valueTimetime
...... valueDateTimedateTime
...... valuePeriodPeriod
..... dataAbsentReason I0..1CodeableConceptWhy the component result is missing
Binding: Observation Value Absent Reason (extensible)
..... referenceRange 0..*BackboneElementProvides 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 (extensible)
...... age 0..1RangeApplicable age range, if relevant
...... text 0..1stringText based reference range in an observation
.... component:vital-SystolicPressure SΣ1..1BackboneElementSystolicPressure: The blood pressure during the contraction of the left ventricle of the heart, when blood pressure is at its highest
..... 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 Σ1..*(Slice Definition)Code defined by a terminology system
Slice: Unordered, Open by value:code
....... coding:Fixed_8480-6 Σ1..1CodingCode defined by a terminology system
........ 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: Observation Value Absent Reason (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 (extensible)
...... age 0..1RangeApplicable age range, if relevant
...... text 0..1stringText based reference range in an observation
.... component:vital-DiastolicPressure SΣ1..1BackboneElementDiastolicPressure: The blood pressure after the contraction of the heart while the chambers of the heart refill with blood, when the pressure is lowest
..... 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 Σ1..*(Slice Definition)Code defined by a terminology system
Slice: Unordered, Open by value:code
....... coding:Fixed_8462-4 Σ1..1CodingCode defined by a terminology system
........ 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: Observation Value Absent Reason (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 (extensible)
...... 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

 

Terminology Bindings

PathConformanceValueSet / Code
Observation.meta.securityextensibleAll Security Labels
Observation.meta.tagexample
Observation.languagerequiredhttp://tools.ietf.org/html/bcp47
Observation.extension-preconditioncode.valueCodeableConceptextensibleCardiopulmonaryPreconditionVS
Observation.statusrequiredObservationStatus
Observation.categoryextensibleObservation Category Codes
Observation.codeexampleLOINC Codes
Observation.interpretationextensibleQuantitativeResultInterpretationVS
Observation.bodySiteextensibleBloodPressureBodyLocationVS
Observation.methodextensibleBloodPressureMethodVS
Observation.referenceRange.meaningextensibleObservation Reference Range Meaning Codes
Observation.related.typerequiredFixed Value: has-member
Observation.component.codeexampleLOINC Codes
Observation.component.dataAbsentReasonextensibleObservation Value Absent Reason
Observation.component.referenceRange.meaningextensibleObservation Reference Range Meaning Codes
Observation.component-SystolicPressure.codeexampleLOINC Codes
Observation.component-SystolicPressure.val.comrequiredQuantityComparator
Observation.component-SystolicPressure.dataAbsentReasonextensibleObservation Value Absent Reason
Observation.component-SystolicPressure.referenceRange.meaningextensibleObservation Reference Range Meaning Codes
Observation.component-DiastolicPressure.codeexampleLOINC Codes
Observation.component-DiastolicPressure.val.comrequiredQuantityComparator
Observation.component-DiastolicPressure.dataAbsentReasonextensibleObservation Value Absent Reason
Observation.component-DiastolicPressure.referenceRange.meaningextensibleObservation Reference Range Meaning Codes

 

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
: