This structure is derived from Vital Signs Profile Observationvitalsignsbase .

Summary

10.1.19.81.2 10.1.18.12.2 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 Observation.category.coding.code = '85353-1'
   • 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. No value in Observation.value[x]
3. At Least one Vitals Sign Observation reference in Observation.related Observation.hasMember

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

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 Vital Signs Panel Profile
code	S	1 .. 1	CodeableConcept	Vital Signs Panel coding Binding: Vital Signs - Panel ( preferred ) Coding : This identifies the set of LOINC codes that are appropriate for representing a 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: 85353-1
valueQuantity value[x]		0 .. 0		The quantity for the vital sign being observed.
related hasMember	S 1..*	2.. *	BackboneElement Reference ( Observation )	Used when reporting observations included in a vital signs panel
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 Vital Signs Panel 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	Vital Signs Panel	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	Vital Signs Panel Binding: Code defined by a terminology system Vital Signs - Panel ( preferred Slice: ) Unordered, Open by value:code : This identifies the set of LOINC codes that are appropriate for representing a 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: 85353-1
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
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	S Σ I	2..*	BackboneElement Reference ( Observation )	Used when reporting observations included in a vital signs panel components
derivedFrom	Σ	0..*	Reference ( DocumentReference | Observation )	Related resource from which the observation is made
component	Σ C	0..*	BackboneElement	Component results
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 S C	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	0..*		BackboneElement CodeableConcept
id valueString	0..1		string	xml:id (or equivalent in JSON)
extension valueBoolean	0..*		Extension boolean
modifierExtension ?! Σ valueInteger	0..*		Extension integer
code S Σ valueRange	1..1		CodeableConcept Range	Type of component observation (code / type) Binding: Vital Signs ( extensible )
valueQuantity S Σ valueRatio	0..1		Quantity Ratio	Vital Sign Value recorded with UCUM Binding: Vital Signs Units ( required )
id valueSampledData	0..1		string SampledData	xml:id (or equivalent in JSON)
value S Σ valueTime	1..1		decimal time	Numerical value (with implicit precision)
comparator ?! Σ valueDateTime	0..1		code dateTime	< | <= | >= | > - how to understand the value Binding: QuantityComparator ( required )
unit S Σ valuePeriod	1..1		string Period	Unit representation
system valueAttachment	S	Σ	I Attachment	1..1
valueReference	System that defines coded unit form	Fixed Value:	http://unitsofmeasure.org Reference ( MolecularDefinition )
code value[x]:valueQuantity	S Σ C	0..1	Quantity 1..1	Vital Sign component value recorded as a component with UCUM (preferred) Binding: UCUM units - for recording Vital Signs and components. code ( Coded responses from the common preferred ) : UCUM units - for vital signs value set. recording Vital Signs and components.
dataAbsentReason	S C I	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 -->

<!-- Observationvitalspanel -->


< 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 Vital Signs Panel   --></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>
  <</code>
  <
   <
   <
   <
   <
   <
       Coded responses from the common UCUM units for vital signs value set.
  </valueQuantity>
  <</dataAbsentReason>
  <</interpretation>
  <</referenceRange>

 <hasMember><!-- I 2..* 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> I 0..* BackboneElement  <!-- I 0..* Component results -->
  <modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>
  <code><!-- I 1..1 CodeableConcept Vital Sign measurement or component   --></code>
  <-- value[x] sliced by type:$this  in the specified orderOpen-->

  <valueQuantity><!-- I 0..1 Quantity Vital Sign component value recorded as a component with UCUM (preferred)    --></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>

{ // 

{ // Observationvitalspanel

  // from Element: extension
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    "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! Vital Signs Panel
    "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) }], // I R! Used when reporting observations included in a vital signs panel
    "derivedFrom" : [{ Reference(DocumentReference) }], // IRelated resource from which the observation is made
    "component" : [{ BackboneElement }], // IComponent results

  }

Summary

10.1.19.81.3 10.1.18.12.3 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 Observation.category.coding.code = '85353-1'
   • 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. No value in Observation.value[x]
3. At Least one Vitals Sign Observation reference in Observation.related Observation.hasMember

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

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 Vital Signs Panel 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	Vital Signs Panel	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	xml:id (or equivalent in JSON)	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	Vital Signs Panel Binding: Code defined by a terminology system Vital Signs - Panel ( preferred Slice: ) Unordered, Open by value:code : This identifies the set of LOINC codes that are appropriate for representing a 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: 85353-1
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
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	S Σ I	2..*	BackboneElement Reference ( Observation )	Used when reporting observations included in a vital signs panel components
derivedFrom	Σ	0..*	Reference ( DocumentReference | Observation )	Related resource from which the observation is made
component	Σ C	0..*	BackboneElement	Component results
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	0..*		BackboneElement CodeableConcept
id valueString	0..1		string	xml:id (or equivalent in JSON)
extension valueBoolean	0..*		Extension boolean
modifierExtension ?! Σ valueInteger	0..*		Extension integer
code S Σ valueRange	1..1		CodeableConcept Range	Type of component observation (code / type) Binding: Vital Signs ( extensible )
valueQuantity S Σ valueRatio	0..1		Quantity Ratio	Vital Sign Value recorded with UCUM Binding: Vital Signs Units ( required )
id valueSampledData	0..1		string SampledData	xml:id (or equivalent in JSON)
value S Σ valueTime	1..1		decimal time	Numerical value (with implicit precision)
comparator ?! Σ valueDateTime	0..1		code dateTime	< | <= | >= | > - how to understand the value Binding: QuantityComparator ( required )
unit S Σ valuePeriod	1..1		string Period	Unit representation
system valueAttachment	S	Σ	I Attachment	1..1
valueReference	System that defines coded unit form	Fixed Value:	http://unitsofmeasure.org Reference ( MolecularDefinition )
code value[x]:valueQuantity	S Σ C	0..1	Quantity 1..1	Vital Sign component value recorded as a component with UCUM (preferred) Binding: UCUM units - for recording Vital Signs and components. code ( Coded responses from the common preferred ) : UCUM units - for vital signs value set. recording Vital Signs and components.
dataAbsentReason	S C I	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 -->

<!-- Observationvitalspanel -->


< 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 Vital Signs Panel   --></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>
  <</code>
  <
   <
   <
   <
   <
   <
       Coded responses from the common UCUM units for vital signs value set.
  </valueQuantity>
  <</dataAbsentReason>
  <</interpretation>
  <</referenceRange>

 <hasMember><!-- I 2..* 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> I 0..* BackboneElement  <!-- I 0..* Component results -->
  <modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>
  <code><!-- I 1..1 CodeableConcept Vital Sign measurement or component   --></code>
  <-- value[x] sliced by type:$this  in the specified orderOpen-->

  <valueQuantity><!-- I 0..1 Quantity Vital Sign component value recorded as a component with UCUM (preferred)    --></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>

{ // 

{ // Observationvitalspanel

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    "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! Vital Signs Panel
    "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) }], // I R! Used when reporting observations included in a vital signs panel
    "derivedFrom" : [{ Reference(DocumentReference) }], // IRelated resource from which the observation is made
    "component" : [{ BackboneElement }], // IComponent results

  }