This page is part of the FHIR Specification (v4.3.0: R4B (v5.0.0-draft-final: Final QA Preview for R5 - STU see ballot notes ). The current version which supercedes this version is 5.0.0 . For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B

10.1.14 Device Metric Observation Blood Pressure Profile

Orders and Observations Work Group

Maturity Level : N/A

Standards Status : Informative

10.1.14.1 Scope Defines constraints and Usage The DeviceMetricObservation profile describes extensions on the direct or derived, qualitative or quantitative physiological measurement, setting, or calculation data produced by a medical device or a device component. Observation resource for use in querying and retrieving the vital sign blood pressure.

10.1.14.2 10.1.14.1 Content

Observation-genetics Describes how the observation resource is used to report structured genetic test results observation-vitalsigns FHIR Vital Signs Profile observation-bodyweight FHIR Body Weight Profile observation-vitalspanel FHIR Vital Signs Panel Profile observation-bodyheight FHIR Body Height Profile observation-resprate FHIR Respiratory Rate Profile observation-heartrate FHIR Heart Rate Profile observation-bodytemp FHIR Body Temperature Profile observation-headcircum FHIR Head Circumference Profile observation-oxygensat FHIR Oxygen Saturation Profile observation-bmi FHIR Body Mass Index (BMI) Profile observation-bp FHIR Blood Pressure Profile Extensions : observation-bodyPosition bodyPosition : The position of the body when the observation was done, e.g. standing, sitting. To be used only when the body position in not precoordinated in the observation code. observation-delta delta : The qualitative change in the value relative to the previous measurement. Usually only recorded if the change is clinically significant. observation-focusCode focusCode : A code representing the focus of an observation when the focus is not the patient of record. In other words, the focus of the observation is different from Observation.subject . An example use case would be using the Observation resource to capture whether the mother is trained to change her child's tracheostomy tube. In this example, the child is the patient of record and the mother is focal subject referenced using this extension. Other example focal subjects include spouses, related persons, feti, or donors. observation-timeOffset timeOffset : A specific offset time in milliseconds from the stated time in the Observation.appliesDateTime to allow for representation of sequential recording of sampled data from the same lead or data stream. For example, an ECG recorder may record sequentially 3 leads four time to receive 12-lead ECG, see ISO 22077 . observation-sequelTo sequelTo : This observation follows the target observation (e.g. timed tests such as Glucose Tolerance Test). observation-replaces replaces : This observation replaces a previous observation (i.e. a revised value). observation-gatewayDevice gatewayDevice : The Provenance/AuditEvent resources can represent the same information. Note that the Provenance/AuditEvent resources can represent the same information. observation-specimenCode specimenCode : A code representing the the type of specimen used for this observation. Should only be used if not implicit in the code found in Observation.code . observation-deviceCode deviceCode : A code representing the the type of device used for this observation. Should only be used if not implicit in the code found in Observation.code . observation-precondition precondition : Other preceding or concurrent observations that must be known to correctly interpret the the observation. For example an fiO2 measure taken alongside of a SpO2 measurement. See the Observation notes section for additional guidance. observation-reagent reagent : Reference to reagents used to generate this observation. This is intended for this for in-lab transactions between instruments and Laboratory Information Systems (LIS). observation-secondaryFinding secondaryFinding : Secondary findings are genetic test results that provide information about variants in a gene unrelated to the primary purpose for the testing, most often discovered when Whole Exome Sequencing (WES) or Whole Genome Sequencing (WGS) is performed. This extension should be used to denote when a genetic finding is being shared as a secondary finding, and ideally refer to a corresponding guideline or policy statement. For more detail, please see: https://ghr.nlm.nih.gov/primer/testing/secondaryfindings. observation-geneticsGene Gene : The material on this page will be removed in a future release. This content is deprecated and SHOULD NOT be used. Implementers are instead directed to the ( Genomics Reporting Implementation Guide ) for guidance. A region (or regions) that includes all of the sequence elements necessary to encode a functional transcript. A gene may include regulatory regions, transcribed regions and/or other functional sequence regions ( SO:0000704 ). This element is the official gene symbol approved by the HGNC, which is a short abbreviated form of the gene name ( HGNC ). LOINC Code: ( 48018-6 ). observation-geneticsDNARegionName DNARegionName : The material on this page will be removed in a future release. This content is deprecated and SHOULD NOT be used. Implementers are instead directed to the ( Genomics Reporting Implementation Guide ) for guidance. A region (or regions) that includes all of the sequence elements necessary to encode a functional transcript. A gene may include regulatory regions, transcribed regions and/or other functional sequence regions ( SO:0000704 ). This element is the official gene symbol approved by the HGNC, which is a short abbreviated form of the gene name ( HGNC ). LOINC Code: ( 48018-6 ). observation-geneticsCopyNumberEvent CopyNumberEvent : The material on this page will be removed in a future release. This content is deprecated and SHOULD NOT be used. Implementers are instead directed to the ( Genomics Reporting Implementation Guide ) for guidance. A variation that increases or decreases the copy number of a given region ( SO:0001019 ). Values: amplification/deletion/LOH. observation-geneticsGenomicSourceClass GenomicSourceClass : The material on this page will be removed in a future release. This content is deprecated and SHOULD NOT be used. Implementers are instead directed to the ( Genomics Reporting Implementation Guide ) for guidance. Source of sample used to determine the sequence in sequencing lab -- germline, somatic, prenatal. LOINC Code: ( 48002-0 ). observation-geneticsInterpretation Interpretation : The material on this page will be removed in a future release. This content is deprecated and SHOULD NOT be used. Implementers are instead directed to the ( Genomics Reporting Implementation Guide ) for guidance. Clinical Interpretations for variant. It's a reference to an Observation resource. observation-geneticsVariant Variant : Variant information. observation-geneticsAminoAcidChange AminoAcidChange : AminoAcidChange information. observation-geneticsAllele Allele : Allele information. observation-geneticsAncestry Ancestry : Ancestry information. observation-geneticsPhaseSet PhaseSet : Phase set information. Examples : Genetics 1 Genetics example 1 Genetics 2 Genetics example 2 Genetics 3 Genetics example 3 Genetics 4 Genetics example 4 Genetics 5 Genetics example 5 Diplotype(with Haplotypes Ref) Example of diplotype data (with haplotypes observation as reference) Haplotype Example of haplotype data that is basis of a diplotype data Haplotype-2 Example of another haplotype data that is basis of a diplotype data Phenotype Example of phenotype data TPMT-diplotype Example of a TPMT diplotype that link to two TPMT haplotype observations TPMT-haplotype-one Example of a TPMT haplotype observation TPMT-haplotype-two Example of another TPMT haplotype observation Breast Cancer genetic test Example of breast cancer genetic observation 10.1.14.3 Search Parameters Search parameters defined by this package. See Searching for more information about searching in REST, messaging, and services. Name Type Description Paths Source amino-acid-change string HGVS Protein Change XML / JSON dna-variant string HGVS DNA variant XML / JSON gene-amino-acid-change string HGNC gene symbol and HGVS Protein change XML / JSON gene-dnavariant string HGNC gene symbol and HGVS DNA Variant XML / JSON gene-identifier token HGNC gene symbol and identifier XML / JSON

Profiles :
Device Metric Observation Profile DeviceMetricObservationProfile	This profile describes the direct or derived, qualitative or quantitative physiological measurement, setting, or calculation data produced by a medical device or a device component.

For the initial scope, this DeviceMetricObservation profile is only applicable to describe a measurement that is produced by any medical device that implements or derives from the ISO/IEEE 11073 standard.