Guide d'implémentation Fr Core
2.0.1 - trial-use France flag

This page is part of the Guide d'implémentation Fr Core (v2.0.1: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

Resource Profile: FR Core Observation Blood Pressure Profile

Official URL: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-observation-bp Version: 2.0.1
Active as of 2024-04-16 Computable Name: FRCoreObservationBpProfile

French profile for blood pressure.

Profil français de la pression artérielle. Profil basé sur le profil bp d’HL7

Usage:

Formal Views of Profile Content

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

This structure is derived from observation-bp

XXXXXXXXXXXXXXXXXXXXdoco
.. Observation 0..* observation-bp FHIR Blood Pressure Profile
... meta
.... Slices for profile 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
Slice: XXX
..... profile:fr-canonical 0..1 canonical(StructureDefinition) Profiles this resource claims to conform to
Required Pattern: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-observation-bp
... Slices for extension 0..* Extension Extension
Slice: XXX
... supportingInfo 0..1 Reference(Resource) Other information that may be relevant to this event.
URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo
.... coding 1..* Coding Code defined by a terminology system
... encounter 0..1 Reference(FR Core Encounter Profile) Healthcare event during which this observation is made
... effective[x] 1..1 dateTime, Period Often just a dateTime for Vital Signs
... performer 0..* Reference(CareTeam | FR Core Patient Profile | FR Core Practitioner Profile | PractitionerRole | FR Core Organization Profile | FR Core Related Person Profile) Who is responsible for the observation
... value[x] 0..0
... bodySite 0..1 CodeableConcept Observed body part
Binding: http://hl7.org/fhir/hspc/ValueSet/bpMeasBodyLocationPrecoordVS (example)
... method 0..1 CodeableConcept How it was done
Binding: https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-bp-measurement-method (example)
... component:SystolicBP 1..1 BackboneElement Used when reporting systolic and diastolic blood pressure.
.... code
..... coding 1..* Coding Systolic Blood Pressure
.... value[x] 0..1 Quantity Vital Sign Value recorded with UCUM
Slice: XXX
.... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
... component:DiastolicBP 1..1 BackboneElement Used when reporting diastolic blood pressure.
.... code
..... coding 1..* Coding Diastolic Blood Pressure
.... value[x] 0..1 Quantity Vital Sign Value recorded with UCUM
Slice: XXX
.... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
... component:MeanBP 0..1 BackboneElement Mean blood pressure
.... code
..... Slices for coding 1..* Coding Code defined by a terminology system
Slice: XXX
...... coding:MBPCode 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 Mean blood pressure
Fixed Value: 8478-0
.... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result

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Terminology Bindings (Differential)

PathConformanceValueSetURI
Observation.bodySiteexamplehttp://hl7.org/fhir/hspc/ValueSet/bpMeasBodyLocationPrecoordVS
http://hl7.org/fhir/hspc/ValueSet/bpMeasBodyLocationPrecoordVS
Observation.methodexamplehttps://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-bp-measurement-method
https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-bp-measurement-method
XXXXXXXXXXXXXXXXXXXXdoco
.. Observation C 0..* observation-bp FHIR Blood Pressure 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.
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 0..* Extension Extension
Slice: XXX
... supportingInfo 0..1 Reference(Resource) Other information that may be relevant to this event.
URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo
... status ?!SΣ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required)
... Slices for category S 1..* CodeableConcept Classification of type of observation
Slice: XXX
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.


..... coding SΣ 1..* Coding Code defined by a terminology system
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... code SΣ 1..1 code Symbol in syntax defined by the system
Fixed Value: vital-signs
... code SΣ 1..1 CodeableConcept Blood Pressure
Binding: VitalSigns (extensible): This identifies the vital sign result type.

.... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: XXX
..... coding:BPCode Σ 1..1 Coding Code defined by a terminology system
...... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: 85354-9
... subject SΣ 1..1 Reference(Patient) Who and/or what the observation is about
... encounter Σ 0..1 Reference(FR Core Encounter Profile) Healthcare event during which this observation is made
... effective[x] SΣC 1..1 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
.... effectiveDateTime dateTime
.... effectivePeriod Period
... performer Σ 0..* Reference(CareTeam | FR Core Patient Profile | FR Core Practitioner Profile | PractitionerRole | FR Core Organization Profile | FR Core Related Person Profile) Who is responsible for the observation
... dataAbsentReason SC 0..1 CodeableConcept Why the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

... bodySite 0..1 CodeableConcept Observed body part
Binding: http://hl7.org/fhir/hspc/ValueSet/bpMeasBodyLocationPrecoordVS (example)
... method 0..1 CodeableConcept How it was done
Binding: https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-bp-measurement-method (example)
... Slices for component SΣC 2..* BackboneElement Used when reporting systolic and diastolic blood pressure.
Slice: XXX
vs-3: If there is no a value a data absent reason must be present
.... component:All Slices Content/Rules for all slices
..... 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.

..... value[x] SΣC 0..1 Vital Sign Value recorded with UCUM
Binding: VitalSignsUnits (required): Common UCUM units for recording Vital Signs.

...... valueQuantity Quantity
...... valueCodeableConcept CodeableConcept
...... valueString string
...... valueBoolean boolean
...... valueInteger integer
...... valueRange Range
...... valueRatio Ratio
...... valueSampledData SampledData
...... valueTime time
...... valueDateTime dateTime
...... valuePeriod Period
..... dataAbsentReason SC 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

.... component:SystolicBP SΣC 1..1 BackboneElement Used when reporting systolic and diastolic blood pressure.
vs-3: If there is no a value a data absent reason must be present
..... 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.

...... Slices for coding Σ 1..* Coding Systolic Blood Pressure
Slice: XXX
....... coding:SBPCode Σ 1..1 Coding Systolic Blood Pressure
........ system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
........ code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: 8480-6
..... value[x] SΣC 0..1 Quantity Vital Sign Value recorded with UCUM
Slice: XXX
Binding: VitalSignsUnits (required): Common UCUM units for recording Vital Signs.

...... value[x]:All Slices Content/Rules for all slices
....... value SΣ 1..1 decimal Numerical value (with implicit precision)
....... 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
....... 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: mm[Hg]
..... dataAbsentReason SC 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

..... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
.... component:DiastolicBP SΣC 1..1 BackboneElement Used when reporting diastolic blood pressure.
vs-3: If there is no a value a data absent reason must be present
..... 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.

...... Slices for coding Σ 1..* Coding Diastolic Blood Pressure
Slice: XXX
....... coding:DBPCode Σ 1..1 Coding Diastolic Blood Pressure
........ system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
........ code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: 8462-4
..... value[x] SΣC 0..1 Quantity Vital Sign Value recorded with UCUM
Slice: XXX
Binding: VitalSignsUnits (required): Common UCUM units for recording Vital Signs.

...... value[x]:All Slices Content/Rules for all slices
....... value SΣ 1..1 decimal Numerical value (with implicit precision)
....... 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
....... 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: mm[Hg]
..... dataAbsentReason SC 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

..... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
.... component:MeanBP SΣC 0..1 BackboneElement Mean blood pressure
vs-3: If there is no a value a data absent reason must be present
..... 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.

...... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: XXX
....... coding:MBPCode Σ 1..1 Coding Code defined by a terminology system
........ system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
........ code Σ 1..1 code Mean blood pressure
Fixed Value: 8478-0
..... value[x] SΣC 0..1 Vital Sign Value recorded with UCUM
Binding: VitalSignsUnits (required): Common UCUM units for recording Vital Signs.

...... valueQuantity Quantity
...... valueCodeableConcept CodeableConcept
...... valueString string
...... valueBoolean boolean
...... valueInteger integer
...... valueRange Range
...... valueRatio Ratio
...... valueSampledData SampledData
...... valueTime time
...... valueDateTime dateTime
...... valuePeriod Period
..... dataAbsentReason SC 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

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

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Terminology Bindings

PathConformanceValueSetURI
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.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.bodySiteexamplehttp://hl7.org/fhir/hspc/ValueSet/bpMeasBodyLocationPrecoordVS
http://hl7.org/fhir/hspc/ValueSet/bpMeasBodyLocationPrecoordVS
Observation.methodexamplehttps://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-bp-measurement-method
https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-bp-measurement-method
Observation.component.codeextensibleVitalSigns
http://hl7.org/fhir/ValueSet/observation-vitalsignresult
from the FHIR Standard
Observation.component.value[x]requiredVitalSignsUnits
http://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.1
from the FHIR Standard
Observation.component.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.component:SystolicBP.codeextensibleVitalSigns
http://hl7.org/fhir/ValueSet/observation-vitalsignresult
from the FHIR Standard
Observation.component:SystolicBP.value[x]requiredVitalSignsUnits
http://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.1
from the FHIR Standard
Observation.component:SystolicBP.value[x].comparatorrequiredQuantityComparator
http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1
from the FHIR Standard
Observation.component:SystolicBP.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.component:DiastolicBP.codeextensibleVitalSigns
http://hl7.org/fhir/ValueSet/observation-vitalsignresult
from the FHIR Standard
Observation.component:DiastolicBP.value[x]requiredVitalSignsUnits
http://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.1
from the FHIR Standard
Observation.component:DiastolicBP.value[x].comparatorrequiredQuantityComparator
http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1
from the FHIR Standard
Observation.component:DiastolicBP.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.component:MeanBP.codeextensibleVitalSigns
http://hl7.org/fhir/ValueSet/observation-vitalsignresult
from the FHIR Standard
Observation.component:MeanBP.value[x]requiredVitalSignsUnits
http://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.1
from the FHIR Standard
Observation.component:MeanBP.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
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()
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]if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day
: $this is dateTime implies $this.toString().length() >= 10
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.component, Observation.component:SystolicBP, Observation.component:DiastolicBP, Observation.component:MeanBPIf there is no a value a data absent reason must be present
: value.exists() or dataAbsentReason.exists()
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.. Observation C 0..* observation-bp FHIR Blood Pressure 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: XXX
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... Slices for profile Σ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
Slice: XXX
..... profile:fr-canonical Σ 0..1 canonical(StructureDefinition) Profiles this resource claims to conform to

Required Pattern: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-observation-bp
.... 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
... Slices for extension 0..* Extension Extension
Slice: XXX
... supportingInfo 0..1 Reference(Resource) Other information that may be relevant to this event.
URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo
... 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 ?!SΣ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required)
... Slices for category S 1..* CodeableConcept Classification of type of observation
Slice: XXX
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: XXX
..... 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: XXX
...... 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 Blood Pressure
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: XXX
.... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: XXX
..... coding:BPCode 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: XXX
...... 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: 85354-9
...... 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(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 Σ 0..1 Reference(FR Core Encounter Profile) Healthcare event during which this observation is made
... effective[x] SΣC 1..1 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
.... effectiveDateTime dateTime
.... effectivePeriod Period
... issued Σ 0..1 instant Date/Time this version was made available
... performer Σ 0..* Reference(CareTeam | FR Core Patient Profile | FR Core Practitioner Profile | PractitionerRole | FR Core Organization Profile | FR Core Related Person Profile) Who is responsible for the observation
... 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: http://hl7.org/fhir/hspc/ValueSet/bpMeasBodyLocationPrecoordVS (example)
... method 0..1 CodeableConcept How it was done
Binding: https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-bp-measurement-method (example)
... 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 | Vital Signs Profile) Used when reporting vital signs panel components
... derivedFrom Σ 0..* Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | MolecularSequence | Vital Signs Profile) Related measurements the observation is made from
... Slices for component SΣC 2..* BackboneElement Used when reporting systolic and diastolic blood pressure.
Slice: XXX
vs-3: If there is no a value a data absent reason must be present
.... component:All Slices Content/Rules for all slices
..... 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.

..... value[x] SΣC 0..1 Vital Sign Value recorded with UCUM
Binding: VitalSignsUnits (required): Common UCUM units for recording Vital Signs.

...... valueQuantity Quantity
...... valueCodeableConcept CodeableConcept
...... valueString string
...... valueBoolean boolean
...... valueInteger integer
...... valueRange Range
...... valueRatio Ratio
...... valueSampledData SampledData
...... valueTime time
...... valueDateTime dateTime
...... valuePeriod Period
..... 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
.... component:SystolicBP SΣC 1..1 BackboneElement Used when reporting systolic and diastolic blood pressure.
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: XXX
...... Slices for coding Σ 1..* Coding Systolic Blood Pressure
Slice: XXX
....... coding:SBPCode Σ 1..1 Coding Systolic Blood Pressure
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: XXX
........ 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: 8480-6
........ 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
..... value[x] SΣC 0..1 Quantity Vital Sign Value recorded with UCUM
Slice: XXX
Binding: VitalSignsUnits (required): Common UCUM units for recording Vital Signs.

...... value[x]:All Slices Content/Rules for all slices
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: XXX
....... value SΣ 1..1 decimal Numerical value (with implicit precision)
....... 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
....... 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: mm[Hg]
..... 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
.... component:DiastolicBP SΣC 1..1 BackboneElement Used when reporting diastolic blood pressure.
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: XXX
...... Slices for coding Σ 1..* Coding Diastolic Blood Pressure
Slice: XXX
....... coding:DBPCode Σ 1..1 Coding Diastolic Blood Pressure
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: XXX
........ 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: 8462-4
........ display Σ 0..1 string Representation defined by the system
........ userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... value[x] SΣC 0..1 Quantity Vital Sign Value recorded with UCUM
Slice: XXX
Binding: VitalSignsUnits (required): Common UCUM units for recording Vital Signs.

...... value[x]:All Slices Content/Rules for all slices
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: XXX
....... value SΣ 1..1 decimal Numerical value (with implicit precision)
....... 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
....... 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: mm[Hg]
..... 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
.... component:MeanBP SΣC 0..1 BackboneElement Mean blood pressure
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: XXX
...... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: XXX
....... coding:MBPCode 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: XXX
........ 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 Mean blood pressure
Fixed Value: 8478-0
........ 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
..... value[x] SΣC 0..1 Vital Sign Value recorded with UCUM
Binding: VitalSignsUnits (required): Common UCUM units for recording Vital Signs.

...... valueQuantity Quantity
...... valueCodeableConcept CodeableConcept
...... valueString string
...... valueBoolean boolean
...... valueInteger integer
...... valueRange Range
...... valueRatio Ratio
...... valueSampledData SampledData
...... valueTime time
...... valueDateTime dateTime
...... valuePeriod Period
..... 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 XXXX

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
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
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.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.bodySiteexamplehttp://hl7.org/fhir/hspc/ValueSet/bpMeasBodyLocationPrecoordVS
http://hl7.org/fhir/hspc/ValueSet/bpMeasBodyLocationPrecoordVS
Observation.methodexamplehttps://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-bp-measurement-method
https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-bp-measurement-method
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]requiredVitalSignsUnits
http://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.1
from the FHIR Standard
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
Observation.component:SystolicBP.codeextensibleVitalSigns
http://hl7.org/fhir/ValueSet/observation-vitalsignresult
from the FHIR Standard
Observation.component:SystolicBP.value[x]requiredVitalSignsUnits
http://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.1
from the FHIR Standard
Observation.component:SystolicBP.value[x].comparatorrequiredQuantityComparator
http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1
from the FHIR Standard
Observation.component:SystolicBP.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.component:SystolicBP.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard
Observation.component:DiastolicBP.codeextensibleVitalSigns
http://hl7.org/fhir/ValueSet/observation-vitalsignresult
from the FHIR Standard
Observation.component:DiastolicBP.value[x]requiredVitalSignsUnits
http://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.1
from the FHIR Standard
Observation.component:DiastolicBP.value[x].comparatorrequiredQuantityComparator
http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1
from the FHIR Standard
Observation.component:DiastolicBP.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.component:DiastolicBP.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
from the FHIR Standard
Observation.component:MeanBP.codeextensibleVitalSigns
http://hl7.org/fhir/ValueSet/observation-vitalsignresult
from the FHIR Standard
Observation.component:MeanBP.value[x]requiredVitalSignsUnits
http://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.1
from the FHIR Standard
Observation.component:MeanBP.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard
Observation.component:MeanBP.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()
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]if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day
: $this is dateTime implies $this.toString().length() >= 10
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.component, Observation.component:SystolicBP, Observation.component:DiastolicBP, Observation.component:MeanBPIf there is no a value a data absent reason must be present
: value.exists() or dataAbsentReason.exists()

Differential View

This structure is derived from observation-bp

XXXXXXXXXXXXXXXXXXXXdoco
.. Observation 0..* observation-bp FHIR Blood Pressure Profile
... meta
.... Slices for profile 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
Slice: XXX
..... profile:fr-canonical 0..1 canonical(StructureDefinition) Profiles this resource claims to conform to
Required Pattern: https://hl7.fr/ig/fhir/core/StructureDefinition/fr-core-observation-bp
... Slices for extension 0..* Extension Extension
Slice: XXX
... supportingInfo 0..1 Reference(Resource) Other information that may be relevant to this event.
URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo
.... coding 1..* Coding Code defined by a terminology system
... encounter 0..1 Reference(FR Core Encounter Profile) Healthcare event during which this observation is made
... effective[x] 1..1 dateTime, Period Often just a dateTime for Vital Signs
... performer 0..* Reference(CareTeam | FR Core Patient Profile | FR Core Practitioner Profile | PractitionerRole | FR Core Organization Profile | FR Core Related Person Profile) Who is responsible for the observation
... value[x] 0..0
... bodySite 0..1 CodeableConcept Observed body part
Binding: http://hl7.org/fhir/hspc/ValueSet/bpMeasBodyLocationPrecoordVS (example)
... method 0..1 CodeableConcept How it was done
Binding: https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-bp-measurement-method (example)
... component:SystolicBP 1..1 BackboneElement Used when reporting systolic and diastolic blood pressure.
.... code
..... coding 1..* Coding Systolic Blood Pressure
.... value[x] 0..1 Quantity Vital Sign Value recorded with UCUM
Slice: XXX
.... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
... component:DiastolicBP 1..1 BackboneElement Used when reporting diastolic blood pressure.
.... code
..... coding 1..* Coding Diastolic Blood Pressure
.... value[x] 0..1 Quantity Vital Sign Value recorded with UCUM
Slice: XXX
.... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
... component:MeanBP 0..1 BackboneElement Mean blood pressure
.... code
..... Slices for coding 1..* Coding Code defined by a terminology system
Slice: XXX
...... coding:MBPCode 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 Mean blood pressure
Fixed Value: 8478-0
.... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result

doco XXXX

Terminology Bindings (Differential)

PathConformanceValueSetURI
Observation.bodySiteexamplehttp://hl7.org/fhir/hspc/ValueSet/bpMeasBodyLocationPrecoordVS
http://hl7.org/fhir/hspc/ValueSet/bpMeasBodyLocationPrecoordVS
Observation.methodexamplehttps://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-bp-measurement-method
https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-bp-measurement-method

Key Elements View

XXXXXXXXXXXXXXXXXXXXdoco
.. Observation C 0..* observation-bp FHIR Blood Pressure 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.
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 0..* Extension Extension
Slice: XXX
... supportingInfo 0..1 Reference(Resource) Other information that may be relevant to this event.
URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo
... status ?!SΣ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required)
... Slices for category S 1..* CodeableConcept Classification of type of observation
Slice: XXX
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.


..... coding SΣ 1..* Coding Code defined by a terminology system
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... code SΣ 1..1 code Symbol in syntax defined by the system
Fixed Value: vital-signs
... code SΣ 1..1 CodeableConcept Blood Pressure
Binding: VitalSigns (extensible): This identifies the vital sign result type.

.... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: XXX
..... coding:BPCode Σ 1..1 Coding Code defined by a terminology system
...... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: 85354-9
... subject SΣ 1..1 Reference(Patient) Who and/or what the observation is about
... encounter Σ 0..1 Reference(FR Core Encounter Profile) Healthcare event during which this observation is made
... effective[x] SΣC 1..1 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
.... effectiveDateTime dateTime
.... effectivePeriod Period
... performer Σ 0..* Reference(CareTeam | FR Core Patient Profile | FR Core Practitioner Profile | PractitionerRole | FR Core Organization Profile | FR Core Related Person Profile) Who is responsible for the observation
... dataAbsentReason SC 0..1 CodeableConcept Why the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

... bodySite 0..1 CodeableConcept Observed body part
Binding: http://hl7.org/fhir/hspc/ValueSet/bpMeasBodyLocationPrecoordVS (example)
... method 0..1 CodeableConcept How it was done
Binding: https://hl7.fr/ig/fhir/core/ValueSet/fr-core-vs-bp-measurement-method (example)
... Slices for component SΣC 2..* BackboneElement Used when reporting systolic and diastolic blood pressure.
Slice: XXX
vs-3: If there is no a value a data absent reason must be present
.... component:All Slices Content/Rules for all slices
..... 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.

..... value[x] SΣC 0..1 Vital Sign Value recorded with UCUM
Binding: VitalSignsUnits (required): Common UCUM units for recording Vital Signs.

...... valueQuantity Quantity
...... valueCodeableConcept CodeableConcept
...... valueString string
...... valueBoolean boolean
...... valueInteger integer
...... valueRange Range
...... valueRatio Ratio
...... valueSampledData SampledData
...... valueTime time
...... valueDateTime dateTime
...... valuePeriod Period
..... dataAbsentReason SC 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

.... component:SystolicBP SΣC 1..1 BackboneElement Used when reporting systolic and diastolic blood pressure.
vs-3: If there is no a value a data absent reason must be present
..... 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.

...... Slices for coding Σ 1..* Coding Systolic Blood Pressure
Slice: XXX
....... coding:SBPCode Σ 1..1 Coding Systolic Blood Pressure
........ system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
........ code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: 8480-6
..... value[x] SΣC 0..1 Quantity Vital Sign Value recorded with UCUM
Slice: XXX
Binding: VitalSignsUnits (required): Common UCUM units for recording Vital Signs.

...... value[x]:All Slices Content/Rules for all slices
....... value SΣ 1..1 decimal Numerical value (with implicit precision)
....... 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
....... 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: mm[Hg]
..... dataAbsentReason SC 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

..... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
.... component:DiastolicBP SΣC 1..1 BackboneElement Used when reporting diastolic blood pressure.
vs-3: If there is no a value a data absent reason must be present
..... 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.

...... Slices for coding Σ 1..* Coding Diastolic Blood Pressure
Slice: XXX
....... coding:DBPCode Σ 1..1 Coding Diastolic Blood Pressure
........ system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
........ code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: 8462-4
..... value[x] SΣC 0..1 Quantity Vital Sign Value recorded with UCUM
Slice: XXX
Binding: VitalSignsUnits (required): Common UCUM units for recording Vital Signs.

...... value[x]:All Slices Content/Rules for all slices
....... value SΣ 1..1 decimal Numerical value (with implicit precision)
....... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (