This structure is derived from Vital Signs Profile Observationvitalsignsbase .

Summary

10.1.19.74.2 10.1.18.47.2 Complete Summary of the Mandatory Requirements

1. One code in Observation.code Observation.category which must have
   • a fixed Observation.code.coding.system Observation.category.coding.system = 'http ://loinc.org'
   • a fixed Observation.code.coding.code = 85354-9'
   • Other additional codes are allowed - e.g. more specific LOINC Codes, SNOMED CT concepts, system specific codes. The code (or codes) for the measurement obtained in Observation.code . All codes SHALL have an a system value
2. One Observation.component.code which must have
   • a fixed Observation.component.code.coding.system = 'http://loinc.org'
   • fixed Observation.component.code.coding.code = '8480-6'
   • Other additional codes are allowed - e.g. more specific LOINC Codes, SNOMED CT concepts, system specific codes. The code (or codes) for the measurement obtained in Observation.code . All codes SHALL have an a system value
3. One Observation.component.code which must have
   • a fixed Observation.component.code.coding.system = 'http://loinc.org'
   • fixed Observation.component.code.coding.code = '8462-4'
   • Other additional codes are allowed - e.g. more specific LOINC Codes, SNOMED CT concepts, system specific codes. The code (or codes) for the measurement obtained in Observation.code . All codes SHALL have an a system value
4. Either one Observation.valueQuantity or, if there is no value, one code in Observation.DataAbsentReason
   • Each Observation.valueQuantity must have:
     • One numeric value in Observation.valueQuantity.value
     • a fixed Observation.component.valueQuantity.code Observation.valueQuantity.system="http://unitsofmeasure.org"
     • a UCUM unit code in Observation.valueQuantity.code = 'mm[Hg]'

Fixed Value: 8 Mandatory: 2 elements
Must-Support: 10 elements
Prohibited: 1 element

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

This structure is derived from indicates the differences between this profile and the base Vital Signs Profile . Observationvitalsignsbase structure.

Name	Flags	Card.	Type	Description & Constraints
Observation		0 .. *	Observationvitalsignsbase	FHIR Blood Pressure Profile
code	S	1 .. 1	CodeableConcept	Blood Pressure coding Binding: Vital Signs - BP Panel ( preferred ) Coding : This identifies the set of LOINC codes that are appropriate for representing an arterial systolic and diastolic BP panel of vital sign measurements in Observation.code. Slice: Required Pattern: Unordered, Open by value:code At least the following
coding		1..*	Coding 0	Code defined by a terminology system .. Fixed Value: * (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 85354-9
valueQuantity value[x]		0 .. 0		The quantity for the vital sign being observed.
Slices for component	S	2 .. *	BackboneElement	Used when reporting systolic and diastolic blood pressure. Slice: Unordered, Open by value:code.coding.code value:code
component component:SystolicBP	0 S .. C *	1..1	BackboneElement	Component results Constraints: vsp-3-sbp
code	S	1 .. 1	CodeableConcept	Systolic Blood Pressure coding Binding: Vital Signs - Systolic BP ( preferred ) Coding : This identifies the set of LOINC codes that are appropriate for representing an arterial systolic BP vital sign measurement in Observation.component.code. Slice: Required Pattern: Unordered, Open by value:code At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex) Systolic Blood Pressure
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 8480-6
valueQuantity value[x]		0 .. 1	Quantity	The value for the vital sign component being observed.
Slices for value[x]				Content/Rules for all slices
code value[x]:valueQuantity	S C 1	0 .. 1	code Quantity	Vital Sign Systolic BP Component Value recorded with UCUM mm[Hg] Binding: Fixed Value: Blood Pressure Units ( required ) : mm[Hg]
component dataAbsentReason	S C	0 .. * 1	BackboneElement CodeableConcept	Why the component result value is missing
code component:DiastolicBP	1 S .. C 1	1..1	CodeableConcept BackboneElement	Component results Constraints: vsp-3-dbp
coding code	S	1 Coding .. 1	CodeableConcept	Diastolic Blood Pressure Binding: Slice: Vital Signs - Diastolic BP ( Unordered, Open by value:code preferred ) : This identifies the set of LOINC codes that are appropriate for representing an arterial diastolic BP vital sign measurement in Observation.component.code. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex) Diastolic Blood Pressure
system		1..1	uri 0	Identity of the terminology system .. Fixed Value: 1 http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: http://loinc.org 8462-4
code value[x]		0 .. 1	code Quantity	Fixed Value: The value for the vital sign component being observed. 8462-4
Slices for value[x]				Content/Rules for all slices
valueQuantity value[x]:valueQuantity	S C	0 .. 1	Quantity	Vital Sign DiastolicBP BP Component Value recorded with UCUM mm[Hg] Binding: Blood Pressure Units ( required ) : mm[Hg]
code dataAbsentReason	S C 1	0 .. 1	code CodeableConcept	Fixed Value: mm[Hg] Why the component result value is missing
Documentation for this format

This provides the consolidated view (aka snapshot) of the profile after applying the changes in this profile to the base Observationvitalsignsbase structure.

Name	Flags	Card.	Type	Description & Constraints
Observation	C I	0..*	Observationvitalsignsbase	FHIR Blood Pressure Profile
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
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: Common All Languages ( extensible required ) : IETF language tag for a human language Additional Bindings Purpose Common Languages Starter
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional Content content defined by implementations
modifierExtension	?! Σ	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business Identifier for observation
basedOn	Σ	0..*	Reference ( CarePlan ), Reference ( | DeviceRequest ), Reference | MedicationRequest ( ImmunizationRecommendation | NutritionOrder ), Reference | ServiceRequest ( MedicationRequest )	Fulfills plan, proposal or order
triggeredBy ),		0..*	BackboneElement	Triggering observation(s)
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
observation	Σ	1..1	Reference ( NutritionOrder Observation ), Reference )	Triggering observation
type	Σ	1..1	code	reflex | repeat | re-run Binding: triggered Bytype ( ProcedureRequest required ), ) : The type of TriggeredBy Observation.
reason		0..1	string	Reason that the observation was triggered
partOf	Σ	0..*	Reference ( ReferralRequest MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy | GenomicStudy )	Part of referenced event
status	?! S Σ	1..1	code	registered | specimen-in-process | preliminary | final | amended + | corrected | appended | cancelled | entered-in-error | unknown | cannot-be-obtained Binding: ObservationStatus Observation Status ( required ) : Codes providing the status of an observation.
Slices for category	S I	1 .. *	CodeableConcept 1..*	Classification of type of observation Slice: Unordered, Open by pattern:$this Binding: Observation Category Codes ( preferred ) : Codes for high level observation categories.
category:VSCat	S	1..1	CodeableConcept	Classification of type of observation Binding: Observation Category Codes ( preferred ) : Codes for high level observation categories. vs-4: Required Pattern: Must have a category of 'vital-signs' and At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a code terminology system 'http://hl7.org/fhir/observation-category' Fixed Value: (Complex)
code id		0..1	string	Unique id for inter-element referencing
Σ extension	1..1	0..*	Extension CodeableConcept	Additional content defined by implementations
system	Blood Pressure	1..1	uri	Identity of the terminology system Binding: Fixed Value: Vital Signs http://terminology.hl7.org/CodeSystem/observation-category
version ( extensible		0..1	string )	Version of the system - if relevant
id code		1..1	code	Symbol in syntax defined by the system Fixed Value: vital-signs 0..1
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
coding code	S Σ C	1..1	Coding CodeableConcept	Blood Pressure Binding: Code defined by a terminology system Vital Signs - BP Panel ( preferred Slice: ) Unordered, Open by value:code : This identifies the set of LOINC codes that are appropriate for representing an arterial systolic and diastolic BP panel of vital sign measurements in Observation.code. Required Pattern: At least the following
coding id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
system extension		0..*	Extension	Additional content defined by implementations
system 0..1		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 85354-9
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
subject	S Σ	1..1	Reference ( Patient )	Who and/or what this the observation is about
context focus	?! 0..1 Σ	0..*	Reference ( Encounter Resource ), )	What the observation is about, when it is not about the subject of record
organizer	Σ C	0..1	boolean	This observation organizes/groups a set of sub-observations
encounter	Σ	0..1	Reference ( EpisodeOfCare Encounter )	Healthcare event during which this observation is made made. If you need to place the observation within one or more episodes of care, use the workflow-episodeOfCare extension
effective[x]	S Σ I C	1..1	dateTime , Period	Vital Signs vs-1: Datetime must be at least to day. are point in time measurements and are recorded using the dateTime data type
issued	Σ	0..1	instant	Date/Time this version was made available
performer	Σ	0..*	Reference ( Practitioner ), Reference | PractitionerRole ( | Organization ), Reference | CareTeam ( | Patient ), Reference ( | RelatedPerson | HealthcareService | Group )	Who is responsible for the observation
dataAbsentReason	S C I	0..1	CodeableConcept	Why the result value is missing Binding: Observation Value Data Absent Reason ( extensible ) : Codes specifying why the result ( Observation.value[x] ) is missing.
interpretation	0..1	0..*	CodeableConcept	High, low, normal, etc. etc Binding: Observation Interpretation Codes ( extensible ) : Codes identifying interpretations of observations.
comment interpretationContext		0..*	0..1 CodeableReference ( Resource )	Context for understanding the observation Binding: string Observation Interpretation Context Codes ( example ) : Codes identifying contextual factors that affect interpretation of observations.
note		0..*	Annotation	Comments about result the observation
bodySite		0..1	CodeableConcept	DEPRECATED: Observed body part Binding: SNOMED CT Body Structures ( example ) : SNOMED CT Body site concepts
bodyStructure		0..1	CodeableReference ( BodyStructure )	Observed body structure Binding: SNOMED CT Body Structures ( example ) : SNOMED CT Body Structures
method		0..1	CodeableConcept	How it was done Binding: Observation Methods ( example ) : Methods for simple observations.
specimen	C	0..1	Reference ( Specimen | Group )	Specimen used for this observation
device		0..1	Reference ( Device ), Reference ( | DeviceMetric )	A reference to the device that generates the measurements or the device settings for the device
referenceRange	C I	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 content defined by implementations
modifierExtension	?! Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
low	C I	0..1	SimpleQuantity Quantity	Low Range, if relevant
high	C I	0..1	SimpleQuantity Quantity	High Range, if relevant
normalValue		0..1	CodeableConcept	Normal value, if relevant Binding: Observation Reference Range Normal Value Codes ( example ) : Codes identifying the normal value of the observation.
type		0..1	CodeableConcept	Reference range qualifier Binding: Observation Reference Range Meaning Codes ( extensible preferred ) : Code for the meaning of a reference range.
appliesTo		0..*	CodeableConcept	Reference range population Binding: Observation Reference Range Applies To Codes ( example ) : Codes identifying the population the reference range applies to.
age		0..1	Range	Applicable age range, if relevant
text	C	0..1	string markdown	Text based reference range in an observation
related hasMember	Σ	0..*	Reference ( Observation )	Used when reporting observations included in a vital signs panel
derivedFrom	Σ	0..*	Reference ( DocumentReference | Observation )	Related resource from which the observation is made
Slices for component	S Σ I C 0..*	2 .. *	BackboneElement	Used when reporting vital signs panel components systolic and diastolic blood pressure. Slice: Unordered, Open by value:code
component:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional Content content defined by implementations
modifierExtension	?! Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type code	S Σ C	1..1	code CodeableConcept	Vital Sign measurement or component has-member | derived-from | sequel-to | replaces | qualified-by | interfered-by Binding: ObservationRelationshipType LOINC codes with Observation or Both ( required example ) Fixed Value: : has-member Codes identifying names of simple observations.
target Slices for value[x]	Σ C	S 0 .. 1	1..1	The value for the vital sign component being observed. Reference ( VitalSigns ) Slice: Unordered, Open by type:$this Resource that is related to this one
component valueQuantity			Quantity
I valueCodeableConcept			BackboneElement CodeableConcept
Slice: Unordered, Open by value:code.coding.code valueString			string
component valueBoolean			boolean
I valueInteger	0..*		BackboneElement integer
id valueRange	0..1		string Range	xml:id (or equivalent in JSON)
extension valueRatio			Ratio
valueSampledData 0..*		Extension	SampledData
modifierExtension valueTime			time
valueDateTime	0..*		Extension dateTime
code valuePeriod			Period
valueAttachment	1..1		CodeableConcept Attachment	Type of component observation (code / type)
valueReference			Reference ( extensible MolecularDefinition )
id value[x]:valueQuantity	Σ C	0..1	string Quantity	Vital Sign component value recorded as a component with UCUM (preferred) Binding: UCUM units - for recording Vital Signs and components. ( preferred ) : UCUM units - for recording Vital Signs and components. xml:id (or equivalent in JSON)
coding dataAbsentReason	C Σ	0..1	CodeableConcept	Why the component result value is missing Coding Binding: Data Absent Reason ( extensible Code defined by a terminology system ) : Slice: Codes specifying why the result ( Unordered, Open by value:code Observation.value[x] ) is missing.
coding interpretation		0..*	Σ CodeableConcept	High, low, normal, etc 0..* Binding: Observation Interpretation Codes Coding ( extensible ) : Codes identifying interpretations of observations. Systolic Blood Pressure
id referenceRange	0..1	0..*	See referenceRange (Observation)	Provides guide for interpretation of component result value xml:id (or equivalent in JSON)
system component:SystolicBP	S Σ C 0..1	1..1	uri BackboneElement	Component results Identity of the terminology system Fixed Value: Constraints: http://loinc.org vsp-3-sbp
version id		0..1	string	Unique id for inter-element referencing
code extension		0..*	code Extension	Additional content defined by the system implementations Fixed Value: 8480-6
display modifierExtension	?! Σ	0..*	string Extension	Extensions that cannot be ignored even if unrecognized Representation defined by the system
userSelected code	S Σ C	1..1	CodeableConcept 0..1	Systolic Blood Pressure Binding: boolean Vital Signs - Systolic BP ( If this coding was chosen directly by preferred ) : This identifies the user set of LOINC codes that are appropriate for representing an arterial systolic BP vital sign measurement in Observation.component.code. Required Pattern: At least the following
text id		0..1	string	Unique id for inter-element referencing
valueQuantity extension		0..*	Extension	Additional content defined by implementations
Σ 0..1 Quantity coding	Vital Sign Value recorded with UCUM	1..*	Coding	Code defined by a terminology system Binding: Fixed Value: (Complex) Vital Signs Units ( required )
id		0..1	string	Unique id for inter-element referencing
value extension		0..*	Extension	Additional content defined by implementations
Σ system		1..1	decimal uri	Identity of the terminology system Fixed Value: http://loinc.org Numerical value (with implicit precision)
comparator version		0..1	string	Version of the system - if relevant
Σ code 0..1		1..1	code	Symbol in syntax defined by the value system Binding: Fixed Value: QuantityComparator 8480-6
display ( required		0..1	string )	Representation defined by the system
unit userSelected		0..1	boolean	If this coding was chosen directly by the user
Σ text 1..1		0..1	string	Plain text representation of the concept
system Slices for value[x]	Σ C	S Σ 0 I .. 1 1..1	uri Quantity	System that defines coded unit form The value for the vital sign component being observed. Fixed Value: Slice: http://unitsofmeasure.org Unordered, Closed by type:$this
code value[x]:valueQuantity	S Σ C	0..1	Quantity 1..1	Vital Sign Systolic BP Component Value recorded with UCUM mm[Hg] Binding: code Blood Pressure Units ( Coded responses from the common UCUM units for vital signs value set. required Fixed Value: ) : mm[Hg]
dataAbsentReason	S I C	0..1	CodeableConcept	Why the component result value is missing Binding: Observation Value Data Absent Reason ( extensible ) : Codes specifying why the result ( Observation.value[x] ) is missing.
interpretation	0..1	0..*	CodeableConcept	High, low, normal, etc. etc Binding: Observation Interpretation Codes ( extensible ) : Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation) Unknown reference to #Observation.referenceRange	Provides guide for interpretation of component result value
component component:DiastolicBP	S Σ I C 0..*	1..1	BackboneElement	Component results Constraints: vsp-3-dbp Used when reporting systolic and diastolic blood pressure.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional Content content defined by implementations
modifierExtension	?! Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S Σ C	1..1	CodeableConcept	Diastolic Blood Pressure Type of component observation (code / type) Binding: Vital Signs - Diastolic BP ( extensible preferred ) : This identifies the set of LOINC codes that are appropriate for representing an arterial diastolic BP vital sign measurement in Observation.component.code. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
coding extension		0..*	Extension	Additional content defined by implementations
Coding coding		1..*	Coding	Code defined by a terminology system Slice: Fixed Value: Unordered, Open by value:code (Complex)
coding id		0..1	Coding string	Unique id for inter-element referencing
id extension	0..1	0..*	string Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 8462-4
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
valueQuantity Slices for value[x]	S Σ 0..1 C Quantity	Vital Sign Value recorded with UCUM Binding: Vital Signs Units ( required ) id 0..1 string xml:id (or equivalent in JSON) value S 0 Σ .. 1 1..1	decimal Quantity	Numerical The value (with implicit precision) comparator ?! Σ for the vital sign component being observed. 0..1 code < | <= | >= | > - how to understand the value Slice: Binding: Unordered, Closed by type:$this QuantityComparator ( required )
unit value[x]:valueQuantity	S Σ 1..1 C string	0..1	system Quantity	Vital Sign DiastolicBP BP Component Value recorded with UCUM mm[Hg] S Σ I Binding: 1..1 uri Blood Pressure Units System that defines coded unit form Fixed Value: http://unitsofmeasure.org ( code required S Σ ) 1..1 code Coded responses from the common UCUM units for vital signs value set. Fixed Value: : mm[Hg]
dataAbsentReason	S I C	0..1	CodeableConcept	Why the component result value is missing Binding: Observation Value Data Absent Reason ( extensible ) : Codes specifying why the result ( Observation.value[x] ) is missing.
interpretation	0..1	0..*	CodeableConcept	High, low, normal, etc. etc Binding: Observation Interpretation Codes ( extensible ) : Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation) Unknown reference to #Observation.referenceRange	Provides guide for interpretation of component result value
Documentation for this format

<!-- Vital Signs Profile -->

<!-- Observationbp -->


< xmlns="http://hl7.org/fhir"

<Observation xmlns="http://hl7.org/fhir"

>
  <!-- from Element: extension -->
 <
 <</meta>
 <
 <
 <

 <id value="[id]"/><!-- 0..1 Logical id of this artifact -->
 <meta><!-- I 0..1 Meta Metadata about the resource --></meta>
 <implicitRules value="[uri]"/><!-- I 0..1 A set of rules under which this content was created -->
 <language value="[code]"/><!-- I 0..1 Language of the resource content   -->
 <text><!-- I 0..1 Narrative 

     Text summary of the resource, for human interpretation --></text>
 <</contained>
 <</modifierExtension>
 <

 <contained><!-- 0..* Resource Contained, inline Resources --></contained>
 <modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored  --></modifierExtension>
 <identifier><!-- I 0..* Identifier 

     Business Identifier for observation --></identifier>
 <)|
   </basedOn>
 <
 <</category>
 <
  
  <
   <
   <
   <
   <
   <
  </coding>
  <
 </code>
 <</subject>
 <
     Healthcare event during which this observation is made</context>
 <
     Often just a dateTime for Vital Signs</effective[x]>
 <
 <

 <basedOn><!-- I 0..* Reference(CarePlan) Fulfills plan, proposal or order --></basedOn>
 <triggeredBy> I 0..* BackboneElement  <!-- I 0..* Triggering observation(s) -->
  <modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>
  <observation><!-- I 1..1 Reference(Observation) 
      Triggering observation --></observation>
  <type value="[code]"/><!-- I 1..1 reflex | repeat | re-run   -->
  <reason value="[string]"/><!-- I 0..1 Reason that the observation was triggered -->
 </triggeredBy>
 <partOf><!-- I 0..* Reference(MedicationAdministration) Part of referenced event --></partOf>
 <status value="[code]"/><!-- I 1..1 registered | specimen-in-process | preliminary | final | amended | corrected | appended | cancelled | entered-in-error | unknown | cannot-be-obtained   -->
 <-- category sliced by pattern:$this  in the specified orderOpen-->

 <category><!-- I 1..1 CodeableConcept Classification of  type of observation   --></category>
 <code><!-- I 1..1 CodeableConcept Blood Pressure   --></code>
 <subject><!-- I 1..1 Reference(Patient) 
     Who and/or what the observation is about --></subject>
 <focus><!-- I 0..* Reference(Resource) 
     What the observation is about, when it is not about the subject of record --></focus>
 <organizer value="[boolean]"/><!-- I 0..1 This observation organizes/groups a set of sub-observations -->
 <encounter><!-- I 0..1 Reference(Encounter) 
     Healthcare event during which this observation is made. If you need to place the observation within one or more episodes of care, use the workflow-episodeOfCare extension --></encounter>
 <effectiveDateTime value="[dateTime]"/><!-- I 1..1 
     Vital Signs are point in time measurements and are recorded using the dateTime data type -->
 <issued value="[instant]"/><!-- I 0..1 Date/Time this version was made available -->
 <performer><!-- I 0..* Reference(Practitioner) 

     Who is responsible for the observation --></performer>
 <
 </valueQuantity>
 <</dataAbsentReason>
 <</interpretation>
 <
 <</bodySite>
 <</method>
 <</specimen>
 <</device>
 <
  <</modifierExtension>
  <

 <valueQuantity><!-- I 0..0 Quantity The quantity for the vital sign being observed.   --></valueQuantity>
 <dataAbsentReason><!-- I 0..1 CodeableConcept Why the result value is missing   --></dataAbsentReason>
 <interpretation><!-- I 0..* CodeableConcept High, low, normal, etc   --></interpretation>
 <interpretationContext><!-- I 0..* CodeableReference Context for understanding the observation   --></interpretationContext>
 <note><!-- I 0..* Annotation Comments about the observation --></note>
 <bodySite><!-- I 0..1 CodeableConcept DEPRECATED: Observed body part   --></bodySite>
 <bodyStructure><!-- I 0..1 CodeableReference Observed body structure   --></bodyStructure>
 <method><!-- I 0..1 CodeableConcept How it was done   --></method>
 <specimen><!-- I 0..1 Reference(Specimen) Specimen used for this observation --></specimen>
 <device><!-- I 0..1 Reference(Device) 
     A reference to the device that generates the measurements or the device settings for the device --></device>
 <referenceRange> I 0..* BackboneElement  <!-- I 0..* Provides guide for interpretation -->
  <modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>
  <low><!-- I 0..1 Quantity 

      Low Range, if relevant --></low>
  <

  <high><!-- I 0..1 Quantity 

      High Range, if relevant --></high>
  <</type>
  <</appliesTo>
  <

  <normalValue><!-- I 0..1 CodeableConcept Normal value, if relevant   --></normalValue>
  <type><!-- I 0..1 CodeableConcept Reference range qualifier   --></type>
  <appliesTo><!-- I 0..* CodeableConcept Reference range population   --></appliesTo>
  <age><!-- I 0..1 Range 

      Applicable age range, if relevant --></age>
  <

  <text value="[markdown]"/><!-- I 0..1 Text based reference range in an observation -->

 </referenceRange>
 <
  <</modifierExtension>
  <
  <
      Resource that is related to this one</target>
 </related>
 
 <
  <</modifierExtension>
  <
   
   <
    <
    <
    <
    <
    <
   </coding>
   <
  </code>
  <
   <
   <
   <
   <
   <
       Coded responses from the common UCUM units for vital signs value set.
  </valueQuantity>
  <</dataAbsentReason>
  <</interpretation>
  <</referenceRange>

 <hasMember><!-- I 0..* Reference(Observation) 
     Used when reporting observations included in a vital signs panel --></hasMember>
 <derivedFrom><!-- I 0..* Reference(DocumentReference) 
     Related resource from which the observation is made --></derivedFrom>
 <-- component sliced by value:code  in the specified orderOpen-->

 <component> I 1..1 BackboneElement  <!-- I 1..1 Component results -->
  <modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>
  <code><!-- I 1..1 CodeableConcept Systolic Blood Pressure   --></code>
  <-- valueQuantity sliced by type:$this  in the specified orderClosed-->

  <valueQuantity><!-- I 0..1 Quantity Vital Sign Systolic BP Component Value recorded with UCUM mm[Hg]   --></valueQuantity>
  <dataAbsentReason><!-- I 0..1 CodeableConcept Why the component result value is missing   --></dataAbsentReason>
  <interpretation><!-- I 0..* CodeableConcept High, low, normal, etc   --></interpretation>
  <referenceRange><!-- See http://hl7.org/fhir/StructureDefinition/Observation#Observation.referenceRange  Provides guide for interpretation of component result value --></referenceRange>

 </component>
 <
  <</modifierExtension>
  <
   
   <
    <
    <
    <
    <
    <
   </coding>
   <
  </code>
  <
   <
   <
   <
   <
   <
       Coded responses from the common UCUM units for vital signs value set.
  </valueQuantity>
  <</dataAbsentReason>
  <</interpretation>
  <</referenceRange>

 <component> I 1..1 BackboneElement  <!-- I 1..1 Component results -->
  <modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>
  <code><!-- I 1..1 CodeableConcept Diastolic Blood Pressure   --></code>
  <-- valueQuantity sliced by type:$this  in the specified orderClosed-->

  <valueQuantity><!-- I 0..1 Quantity Vital Sign DiastolicBP BP Component Value recorded with UCUM mm[Hg]   --></valueQuantity>
  <dataAbsentReason><!-- I 0..1 CodeableConcept Why the component result value is missing   --></dataAbsentReason>
  <interpretation><!-- I 0..* CodeableConcept High, low, normal, etc   --></interpretation>
  <referenceRange><!-- See http://hl7.org/fhir/StructureDefinition/Observation#Observation.referenceRange  Provides guide for interpretation of component result value --></referenceRange>

 </component>
</Observation>

{ // 

{ // Observationbp

  // from Element: extension
    "
    "
    "
    "
    "
    "
    "

    "
    "
    "
    "
    "
    "
    "
    "
    "
    "
    "

    "
    "

    "
    "
    "

    "
    "
    "
    "
    "
    "
    "
    "
    "
    "

    "
    "
    "
    "
    "
      { // 

    "meta" : { Meta }, // IMetadata about the resource
    "implicitRules" : "<uri>", // IA set of rules under which this content was created
    "language" : "<code>", // ILanguage of the resource content
    "text" : { Narrative }, // IText summary of the resource, for human interpretation
    "contained" : [{ Resource }], //Contained, inline Resources
    "modifierExtension" : [{ Extension }], // IExtensions that cannot be ignored
    "identifier" : [{ Identifier }], // IBusiness Identifier for observation
    "basedOn" : [{ Reference(CarePlan) }], // IFulfills plan, proposal or order
    "triggeredBy" : [{ BackboneElement }], // ITriggering observation(s)
    "partOf" : [{ Reference(MedicationAdministration) }], // IPart of referenced event
    "status" : "<code>", // I R! registered | specimen-in-process | preliminary | final | amended | corrected | appended | cancelled | entered-in-error | unknown | cannot-be-obtained
    "category" : [ //  sliced by pattern:$this  in the specified order, Open 
      { // Classification of  type of observation // I R! 

        // from Element: extension
        "
        "
        "
        "
        "

      },
      { // 

      }
    ],
    "code" : { CodeableConcept }, // I R! Blood Pressure
    "subject" : { Reference(Patient) }, // I R! Who and/or what the observation is about
    "focus" : [{ Reference(Resource) }], // IWhat the observation is about, when it is not about the subject of record
    "organizer" : <boolean>, // IThis observation organizes/groups a set of sub-observations
    "encounter" : { Reference(Encounter) }, // IHealthcare event during which this observation is made. If you need to place the observation within one or more episodes of care, use the workflow-episodeOfCare extension
    "effectiveDateTime" : "<dateTime>", // I R! Vital Signs are point in time measurements and are recorded using the dateTime data type
    "issued" : "<instant>", // IDate/Time this version was made available
    "performer" : [{ Reference(Practitioner) }], // IWho is responsible for the observation
    "dataAbsentReason" : { CodeableConcept }, // IWhy the result value is missing
    "interpretation" : [{ CodeableConcept }], // IHigh, low, normal, etc
    "interpretationContext" : [{ CodeableReference(Resource) }], // IContext for understanding the observation
    "note" : [{ Annotation }], // IComments about the observation
    "bodySite" : { CodeableConcept }, // IDEPRECATED: Observed body part
    "bodyStructure" : { CodeableReference(BodyStructure) }, // IObserved body structure
    "method" : { CodeableConcept }, // IHow it was done
    "specimen" : { Reference(Specimen) }, // ISpecimen used for this observation
    "device" : { Reference(Device) }, // IA reference to the device that generates the measurements or the device settings for the device
    "referenceRange" : [{ BackboneElement }], // IProvides guide for interpretation
    "hasMember" : [{ Reference(Observation) }], // IUsed when reporting observations included in a vital signs panel
    "derivedFrom" : [{ Reference(DocumentReference) }], // IRelated resource from which the observation is made
    "component" : [ //  sliced by value:code  in the specified order, Open 
      { // Component results // I R! 

        // from Element: extension
        "
        "
        "
        "
        "


        "modifierExtension" : [{ Extension }], // IExtensions that cannot be ignored even if unrecognized
        "code" : { CodeableConcept }, // I R! Systolic Blood Pressure
        "valueQuantity" : [ //  sliced by type:$this  in the specified order, Closed ]
        "valueQuantity" : { Quantity }, // IVital Sign Systolic BP Component Value recorded with UCUM mm[Hg]
        "dataAbsentReason" : { CodeableConcept }, // IWhy the component result value is missing
        "interpretation" : [{ CodeableConcept }], // IHigh, low, normal, etc
// value[x]: Provides guide for interpretation of component result value. One of these 0:
      }
      { // Component results // I R! 
        // from Element: extension
        "modifierExtension" : [{ Extension }], // IExtensions that cannot be ignored even if unrecognized
        "code" : { CodeableConcept }, // I R! Diastolic Blood Pressure
        "valueQuantity" : [ //  sliced by type:$this  in the specified order, Closed ]
        "valueQuantity" : { Quantity }, // IVital Sign DiastolicBP BP Component Value recorded with UCUM mm[Hg]
        "dataAbsentReason" : { CodeableConcept }, // IWhy the component result value is missing
        "interpretation" : [{ CodeableConcept }], // IHigh, low, normal, etc
// value[x]: Provides guide for interpretation of component result value. One of these 0:

      },

    ],
  }

Summary

10.1.19.74.3 10.1.18.47.3 Complete Summary of the Mandatory Requirements

1. One code in Observation.code Observation.category which must have
   • a fixed Observation.code.coding.system Observation.category.coding.system = 'http ://loinc.org'
   • a fixed Observation.code.coding.code = 85354-9'
   • Other additional codes are allowed - e.g. more specific LOINC Codes, SNOMED CT concepts, system specific codes. The code (or codes) for the measurement obtained in Observation.code . All codes SHALL have an a system value
2. One Observation.component.code which must have
   • a fixed Observation.component.code.coding.system = 'http://loinc.org'
   • fixed Observation.component.code.coding.code = '8480-6'
   • Other additional codes are allowed - e.g. more specific LOINC Codes, SNOMED CT concepts, system specific codes. The code (or codes) for the measurement obtained in Observation.code . All codes SHALL have an a system value
3. One Observation.component.code which must have
   • a fixed Observation.component.code.coding.system = 'http://loinc.org'
   • fixed Observation.component.code.coding.code = '8462-4'
   • Other additional codes are allowed - e.g. more specific LOINC Codes, SNOMED CT concepts, system specific codes. The code (or codes) for the measurement obtained in Observation.code . All codes SHALL have an a system value
4. Either one Observation.valueQuantity or, if there is no value, one code in Observation.DataAbsentReason
   • Each Observation.valueQuantity must have:
     • One numeric value in Observation.valueQuantity.value
     • a fixed Observation.component.valueQuantity.code Observation.valueQuantity.system="http://unitsofmeasure.org"
     • a UCUM unit code in Observation.valueQuantity.code = 'mm[Hg]'

Fixed Value: 8 Mandatory: 2 elements
Must-Support: 10 elements
Prohibited: 1 element

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

This provides the consolidated view (aka snapshot) of the profile after applying the changes in this profile to the base Observationvitalsignsbase structure.

Name	Flags	Card.	Type	Description & Constraints
Observation	C I	0..*	Observationvitalsignsbase	FHIR Blood Pressure Profile
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
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: Common All Languages ( extensible required ) : IETF language tag for a human language Additional Bindings Purpose Common Languages Starter
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional Content content defined by implementations
modifierExtension	?! Σ	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business Identifier for observation
basedOn	Σ	0..*	Reference ( CarePlan ), Reference ( | DeviceRequest ), Reference | MedicationRequest ( ImmunizationRecommendation | NutritionOrder ), Reference | ServiceRequest ( MedicationRequest )	Fulfills plan, proposal or order
triggeredBy ),		0..*	BackboneElement	Triggering observation(s)
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
observation	Σ	1..1	Reference ( NutritionOrder Observation ), Reference )	Triggering observation
type	Σ	1..1	code	reflex | repeat | re-run Binding: triggered Bytype ( ProcedureRequest required ), ) : The type of TriggeredBy Observation.
reason		0..1	string	Reason that the observation was triggered
partOf	Σ	0..*	Reference ( ReferralRequest MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy | GenomicStudy )	Part of referenced event
status	?! S Σ	1..1	code	registered | specimen-in-process | preliminary | final | amended + | corrected | appended | cancelled | entered-in-error | unknown | cannot-be-obtained Binding: ObservationStatus Observation Status ( required ) : Codes providing the status of an observation.
Slices for category	S I	1 .. *	CodeableConcept 1..*	Classification of type of observation Slice: Unordered, Open by pattern:$this Binding: Observation Category Codes ( preferred ) : Codes for high level observation categories.
category:VSCat	S	1..1	CodeableConcept	Classification of type of observation Binding: Observation Category Codes ( preferred ) : Codes for high level observation categories. vs-4: Required Pattern: Must have a category of 'vital-signs' and At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a code terminology system 'http://hl7.org/fhir/observation-category' Fixed Value: (Complex)
code id		0..1	string	Unique id for inter-element referencing
Σ extension	1..1	0..*	Extension CodeableConcept	Additional content defined by implementations
system	Blood Pressure	1..1	uri	Identity of the terminology system Binding: Fixed Value: Vital Signs http://terminology.hl7.org/CodeSystem/observation-category
version ( extensible		0..1	string )	Version of the system - if relevant
id code		1..1	code	Symbol in syntax defined by the system Fixed Value: vital-signs 0..1
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
coding code	S Σ C	1..1	Coding CodeableConcept	Blood Pressure Binding: Code defined by a terminology system Vital Signs - BP Panel ( preferred Slice: ) Unordered, Open by value:code : This identifies the set of LOINC codes that are appropriate for representing an arterial systolic and diastolic BP panel of vital sign measurements in Observation.code. Required Pattern: At least the following
coding id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
system extension		0..*	Extension	Additional content defined by implementations
system 0..1		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 85354-9
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
subject	S Σ	1..1	Reference ( Patient )	Who and/or what this the observation is about
context focus	?! 0..1 Σ	0..*	Reference ( Encounter Resource ), )	What the observation is about, when it is not about the subject of record
organizer	Σ C	0..1	boolean	This observation organizes/groups a set of sub-observations
encounter	Σ	0..1	Reference ( EpisodeOfCare Encounter )	Healthcare event during which this observation is made made. If you need to place the observation within one or more episodes of care, use the workflow-episodeOfCare extension
effective[x]	S Σ I C	1..1	dateTime , Period	Vital Signs vs-1: Datetime must be at least to day. are point in time measurements and are recorded using the dateTime data type
issued	Σ	0..1	instant	Date/Time this version was made available
performer	Σ	0..*	Reference ( Practitioner ), Reference | PractitionerRole ( | Organization ), Reference | CareTeam ( | Patient ), Reference ( | RelatedPerson | HealthcareService | Group )	Who is responsible for the observation
dataAbsentReason	S C I	0..1	CodeableConcept	Why the result value is missing Binding: Observation Value Data Absent Reason ( extensible ) : Codes specifying why the result ( Observation.value[x] ) is missing.
interpretation	0..1	0..*	CodeableConcept	High, low, normal, etc. etc Binding: Observation Interpretation Codes ( extensible ) : Codes identifying interpretations of observations.
comment interpretationContext		0..*	0..1 CodeableReference ( Resource )	Context for understanding the observation Binding: string Observation Interpretation Context Codes ( example ) : Codes identifying contextual factors that affect interpretation of observations.
note		0..*	Annotation	Comments about result the observation
bodySite		0..1	CodeableConcept	DEPRECATED: Observed body part Binding: SNOMED CT Body Structures ( example ) : SNOMED CT Body site concepts
bodyStructure		0..1	CodeableReference ( BodyStructure )	Observed body structure Binding: SNOMED CT Body Structures ( example ) : SNOMED CT Body Structures
method		0..1	CodeableConcept	How it was done Binding: Observation Methods ( example ) : Methods for simple observations.
specimen	C	0..1	Reference ( Specimen | Group )	Specimen used for this observation
device		0..1	Reference ( Device ), Reference ( | DeviceMetric )	A reference to the device that generates the measurements or the device settings for the device
referenceRange	C I	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 content defined by implementations
modifierExtension	?! Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
low	C I	0..1	SimpleQuantity Quantity	Low Range, if relevant
high	C I	0..1	SimpleQuantity Quantity	High Range, if relevant
normalValue		0..1	CodeableConcept	Normal value, if relevant Binding: Observation Reference Range Normal Value Codes ( example ) : Codes identifying the normal value of the observation.
type		0..1	CodeableConcept	Reference range qualifier Binding: Observation Reference Range Meaning Codes ( extensible preferred ) : Code for the meaning of a reference range.
appliesTo		0..*	CodeableConcept	Reference range population Binding: Observation Reference Range Applies To Codes ( example ) : Codes identifying the population the reference range applies to.
age		0..1	Range	Applicable age range, if relevant
text	C	0..1	string markdown	Text based reference range in an observation
related hasMember	Σ	0..*	Reference ( Observation )	Used when reporting observations included in a vital signs panel
derivedFrom	Σ	0..*	Reference ( DocumentReference | Observation )	Related resource from which the observation is made
Slices for component	S Σ I C 0..*	2 .. *	BackboneElement	Used when reporting vital signs panel components systolic and diastolic blood pressure. Slice: Unordered, Open by value:code
component:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional Content content defined by implementations
modifierExtension	?! Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type code	S Σ C	1..1	code CodeableConcept	Vital Sign measurement or component has-member | derived-from | sequel-to | replaces | qualified-by | interfered-by Binding: ObservationRelationshipType LOINC codes with Observation or Both ( required example ) Fixed Value: : has-member Codes identifying names of simple observations.
target Slices for value[x]	Σ C	S 0 .. 1	1..1	The value for the vital sign component being observed. Reference ( VitalSigns ) Slice: Unordered, Open by type:$this Resource that is related to this one
component valueQuantity			Quantity
I valueCodeableConcept			BackboneElement CodeableConcept
Slice: Unordered, Open by value:code.coding.code valueString			string
component valueBoolean			boolean
I valueInteger	0..*		BackboneElement integer
id valueRange	0..1		string Range	xml:id (or equivalent in JSON)
extension valueRatio			Ratio
valueSampledData 0..*		Extension	SampledData
modifierExtension valueTime			time
valueDateTime	0..*		Extension dateTime
code valuePeriod			Period
valueAttachment	1..1		CodeableConcept Attachment	Type of component observation (code / type)
valueReference			Reference ( extensible MolecularDefinition )
id value[x]:valueQuantity	Σ C	0..1	string Quantity	Vital Sign component value recorded as a component with UCUM (preferred) Binding: UCUM units - for recording Vital Signs and components. ( preferred ) : UCUM units - for recording Vital Signs and components. xml:id (or equivalent in JSON)
coding dataAbsentReason	C Σ	0..1	CodeableConcept	Why the component result value is missing Coding Binding: Data Absent Reason ( extensible Code defined by a terminology system ) : Slice: Codes specifying why the result ( Unordered, Open by value:code Observation.value[x] ) is missing.
coding interpretation		0..*	Σ CodeableConcept	High, low, normal, etc 0..* Binding: Observation Interpretation Codes Coding ( extensible ) : Codes identifying interpretations of observations. Systolic Blood Pressure
id referenceRange	0..1	0..*	See referenceRange (Observation)	Provides guide for interpretation of component result value xml:id (or equivalent in JSON)
system component:SystolicBP	S Σ C 0..1	1..1	uri BackboneElement	Component results Identity of the terminology system Fixed Value: Constraints: http://loinc.org vsp-3-sbp
version id		0..1	string	Unique id for inter-element referencing
code extension		0..*	code Extension	Additional content defined by the system implementations Fixed Value: 8480-6
display modifierExtension	?! Σ	0..*	string Extension	Extensions that cannot be ignored even if unrecognized Representation defined by the system
userSelected code	S Σ C	1..1	CodeableConcept 0..1	Systolic Blood Pressure Binding: boolean Vital Signs - Systolic BP ( If this coding was chosen directly by preferred ) : This identifies the user set of LOINC codes that are appropriate for representing an arterial systolic BP vital sign measurement in Observation.component.code. Required Pattern: At least the following
text id		0..1	string	Unique id for inter-element referencing
valueQuantity extension		0..*	Extension	Additional content defined by implementations
Σ 0..1 Quantity coding	Vital Sign Value recorded with UCUM	1..*	Coding	Code defined by a terminology system Binding: Fixed Value: (Complex) Vital Signs Units ( required )
id		0..1	string	Unique id for inter-element referencing
value extension		0..*	Extension	Additional content defined by implementations
Σ system		1..1	decimal uri	Identity of the terminology system Fixed Value: http://loinc.org Numerical value (with implicit precision)
comparator version		0..1	string	Version of the system - if relevant
Σ code 0..1		1..1	code	Symbol in syntax defined by the value system Binding: Fixed Value: QuantityComparator 8480-6
display ( required		0..1	string )	Representation defined by the system
unit userSelected		0..1	boolean	If this coding was chosen directly by the user
Σ text 1..1		0..1	string	Plain text representation of the concept
system Slices for value[x]	Σ C	S Σ 0 I .. 1 1..1	uri Quantity	System that defines coded unit form The value for the vital sign component being observed. Fixed Value: Slice: http://unitsofmeasure.org Unordered, Closed by type:$this
code value[x]:valueQuantity	S Σ C	0..1	Quantity 1..1	Vital Sign Systolic BP Component Value recorded with UCUM mm[Hg] Binding: code Blood Pressure Units ( Coded responses from the common UCUM units for vital signs value set. required Fixed Value: ) : mm[Hg]
dataAbsentReason	S I C	0..1	CodeableConcept	Why the component result value is missing Binding: Observation Value Data Absent Reason ( extensible ) : Codes specifying why the result ( Observation.value[x] ) is missing.
interpretation	0..1	0..*	CodeableConcept	High, low, normal, etc. etc Binding: Observation Interpretation Codes ( extensible ) : Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation) Unknown reference to #Observation.referenceRange	Provides guide for interpretation of component result value
component component:DiastolicBP	S Σ I C 0..*	1..1	BackboneElement	Component results Constraints: vsp-3-dbp Used when reporting systolic and diastolic blood pressure.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional Content content defined by implementations
modifierExtension	?! Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S Σ C	1..1	CodeableConcept	Diastolic Blood Pressure Type of component observation (code / type) Binding: Vital Signs - Diastolic BP ( extensible preferred ) : This identifies the set of LOINC codes that are appropriate for representing an arterial diastolic BP vital sign measurement in Observation.component.code. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
coding extension		0..*	Extension	Additional content defined by implementations
Coding coding		1..*	Coding	Code defined by a terminology system Slice: Fixed Value: Unordered, Open by value:code (Complex)
coding id		0..1	Coding string	Unique id for inter-element referencing
id extension	0..1	0..*	string Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 8462-4
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
valueQuantity Slices for value[x]	S Σ 0..1 C Quantity	Vital Sign Value recorded with UCUM Binding: Vital Signs Units ( required ) id 0..1 string xml:id (or equivalent in JSON) value S 0 Σ .. 1 1..1	decimal Quantity	Numerical The value (with implicit precision) comparator ?! Σ for the vital sign component being observed. 0..1 code < | <= | >= | > - how to understand the value Slice: Binding: Unordered, Closed by type:$this QuantityComparator ( required )
unit value[x]:valueQuantity	S Σ 1..1 C string	0..1	system Quantity	Vital Sign DiastolicBP BP Component Value recorded with UCUM mm[Hg] S Σ I Binding: 1..1 uri Blood Pressure Units System that defines coded unit form Fixed Value: http://unitsofmeasure.org ( code required S Σ ) 1..1 code Coded responses from the common UCUM units for vital signs value set. Fixed Value: : mm[Hg]
dataAbsentReason	S I C	0..1	CodeableConcept	Why the component result value is missing Binding: Observation Value Data Absent Reason ( extensible ) : Codes specifying why the result ( Observation.value[x] ) is missing.
interpretation	0..1	0..*	CodeableConcept	High, low, normal, etc. etc Binding: Observation Interpretation Codes ( extensible ) : Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation) Unknown reference to #Observation.referenceRange	Provides guide for interpretation of component result value
Documentation for this format