DIPS Core Implementation Guide
0.1.0 - ci-build Norway

DIPS Core Implementation Guide - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: DIPS Vital Signs Observation - Blood Pressure

Official URL: http://dips.no/fhir/StructureDefinition/DIPSVitalSignsObservationBloodpressure Version: 0.1.0
Draft as of 2026-09-29 Computable Name: DIPSVitalSignsObservationBloodpressure

DIPS profile for Blood Pressure including some extensions

The DIPS Blood Pressure Profile inherits from the FHIR Observation resource; refer to it for scope and usage definitions

Example Usage Scenarios:

The following are example usage scenarios for this profile:

Query the recorded Blood Pressure observation(s) belonging to one clinical document (journal entry)

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* NoDomainVitalSignsObservationBloodpressure FHIR Blood Pressure Profile Norway
Constraints: obs-6, obs-7, vs-2
... Slices for extension Content/Rules for all slices
.... extension:confoundingFactor 0..1 CodeableConcept Extension
URL: http://hl7.no/fhir/no-domain/vitalsigns/StructureDefinition/NoDomainVitalSignsConfoundingFactorExtension
.... extension:bodyPosition 0..1 Coding The position of the individual at the time of measurement.
URL: http://hl7.no/fhir/no-domain/vitalsigns/StructureDefinition/NoDomainVitalSignsBloodpressureBodyPositionExtension
Binding: NoDomainVitalSignsBloodpressureBodyPosition-ValueSet (required)
.... extension:DIPSJournalId 0..* Reference() Extension
URL: http://dips.no/fhir/StructureDefinition/DIPSJournalId
.... extension:DIPSLocation 0..1 Coding Extension
URL: http://dips.no/fhir/StructureDefinition/DIPSLocation
Binding: DIPSLocation (required)
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for identifier Σ 0..* Identifier Business Identifier for observation
Slice: Unordered, Open by value:system
.... identifier:RelativeEhrUri Σ 0..1 Identifier Business Identifier for observation
..... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: http://dips.no/fhir/namingsystem/dips-RelativeEhrUri
..... value Σ 1..1 string The value that is unique
Example General: 123456
.... identifier:Id Σ 0..1 Identifier Business Identifier for observation
..... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: http://dips.no/fhir/namingsystem/dips-ObservationId
..... value Σ 1..1 string The value that is unique
Example General: 123456
.... identifier:VersionIdependentId Σ 0..1 Identifier Business Identifier for observation
..... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: http://dips.no/fhir/namingsystem/dips-VersionIndependentId
..... value Σ 1..1 string The value that is unique
Example General: 123456
.... identifier:ExternalId Σ 0..1 Identifier Business Identifier for observation
..... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: http://dips.no/fhir/namingsystem/externalId
..... value Σ 1..1 string The value that is unique
Example General: 123456
.... identifier:ExternalFhirId Σ 0..* Identifier Business Identifier for observation
..... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: http://dips.no/fhir/namingsystem/external-fhirid
..... value Σ 1..1 string The value that is unique
Example General: 123456
... Slices for category S 1..* CodeableConcept Classification of type of observation
Slice: Unordered, Open by value:coding.code, value:coding.system
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
.... category:VSCat S 1..1 CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
..... coding SΣ 1..* Coding Code defined by a terminology system
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... code SΣ 1..1 code Symbol in syntax defined by the system
Fixed Value: vital-signs
... code SΣ 1..1 CodeableConcept Blood Pressure
Binding: VitalSigns (extensible): This identifies the vital sign result type.
.... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:code, value:system
..... coding:BPCode Σ 1..1 Coding Code defined by a terminology system
...... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: 85354-9
... subject SΣ 1..1 Reference(DIPSVitalSignsObservationSubjectReference) Who and/or what the observation is about
... encounter Σ 0..1 Reference(DIPSVitalSignsObservationEncounterReference) Healthcare event during which this observation is made
... effective[x] SΣC 1..1 dateTime Often just a dateTime for Vital Signs
Constraints: vs-1
... Slices for performer Σ 1..* Reference(PractitionerRole | Organization) Who is responsible for the observation
Slice: Unordered, Open by type:type
.... performer:Author Σ 0..* Reference(DIPSVitalSignsPerformerAuthorReference) Who is responsible for the observation
.... performer:organization Σ 0..* Reference(DIPSVitalSignsObservationOrganizationReference) Who is responsible for the observation
... Slices for component SΣC 2..* BackboneElement Used when reporting systolic and diastolic blood pressure.
Slice: Unordered, Open by value:code.coding.code, value:code.coding.system
Constraints: vs-3
.... component:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code SΣ 1..1 CodeableConcept Type of component observation (code / type)
Binding: VitalSigns (extensible): This identifies the vital sign result type.
..... value[x] SΣC 0..1 Vital Sign Value recorded with UCUM
Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs.
...... valueQuantity Quantity
...... valueCodeableConcept CodeableConcept
...... valueString string
...... valueBoolean boolean
...... valueInteger integer
...... valueRange Range
...... valueRatio Ratio
...... valueSampledData SampledData
...... valueTime time
...... valueDateTime dateTime
...... valuePeriod Period
..... dataAbsentReason SC 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
.... component:SystolicBP SΣC 1..1 BackboneElement Peak systemic arterial blood pressure - measured in systolic or contraction phase of the heart cycle.
Constraints: vs-3
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code SΣ 1..1 CodeableConcept Type of component observation (code / type)
Binding: VitalSigns (extensible): This identifies the vital sign result type.
...... Slices for coding Σ 1..* Coding Systolic Blood Pressure
Slice: Unordered, Open by value:code, value:system
...... Slices for coding Content/Rules for all slices
....... coding:SBPCode Σ 1..1 Coding Systolic Blood Pressure
........ system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
........ code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: 8480-6
....... coding:SystolicSnomed Σ 0..1 Coding Systolic Blood Pressure
........ system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
........ code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: 4471000202106
..... value[x] SΣC 0..1 Quantity Vital Sign Value recorded with UCUM
Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs.
...... value SΣ 1..1 decimal Numerical value (with implicit precision)
...... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit SΣ 1..1 string Unit representation
...... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
...... code SΣ 1..1 code Coded responses from the common UCUM units for vital signs value set.
Fixed Value: mm[Hg]
.... component:DiastolicBP SΣC 1..1 BackboneElement Minimum systemic arterial blood pressure - measured in the diastolic or relaxation phase of the heart cycle.
Constraints: vs-3
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code SΣ 1..1 CodeableConcept Type of component observation (code / type)
Binding: VitalSigns (extensible): This identifies the vital sign result type.
...... Slices for coding Σ 1..* Coding Diastolic Blood Pressure
Slice: Unordered, Open by value:code, value:system
...... Slices for coding Content/Rules for all slices
....... coding:DBPCode Σ 1..1 Coding Diastolic Blood Pressure
........ system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
........ code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: 8462-4
....... coding:DiastolicBPSnomed Σ 0..1 Coding Diastolic Blood Pressure
........ system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
........ code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: 4481000202108
..... value[x] SΣC 0..1 Quantity Vital Sign Value recorded with UCUM
Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs.
...... value SΣ 1..1 decimal Numerical value (with implicit precision)
...... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit SΣ 1..1 string Unit representation
...... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
...... code SΣ 1..1 code Coded responses from the common UCUM units for vital signs value set.
Fixed Value: mm[Hg]
.... component:MeanArterialPressure SΣC 0..1 BackboneElement The average arterial pressure that occurs over the entire course of the heart contraction and relaxation cycle.
Constraints: vs-3
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code SΣ 1..1 CodeableConcept Type of component observation (code / type)
Binding: VitalSigns (extensible): This identifies the vital sign result type.
...... Slices for coding Σ 1..* Coding Mean Arterial Pressure
Slice: Unordered, Open by value:code, value:system
...... Slices for coding Content/Rules for all slices
....... coding:MAPCode Σ 1..1 Coding Mean Arterial Pressure loinc code
........ system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
........ code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: 8478-0
....... coding:MAPSnomedCode Σ 0..1 Coding Mean Arterial Pressure snomed code
........ system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
........ code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: 4501000202102
..... value[x] SΣC 0..1 Quantity Vital Sign Value recorded with UCUM
Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs.
...... value Σ 1..1 decimal Numerical value (with implicit precision)
...... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit Σ 1..1 string Unit representation
...... system ΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
...... code Σ 1..1 code Coded form of the unit
Fixed Value: mm[Hg]

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.status Base required ObservationStatus 📍4.0.1 FHIR Std.
Observation.category Base preferred Observation Category Codes 📍4.0.1 FHIR Std.
Observation.category:VSCat Base preferred Observation Category Codes 📍4.0.1 FHIR Std.
Observation.code Base extensible Vital Signs 📍4.0.1 FHIR Std.
Observation.method.coding Base required DIPSVitalSignsObservationBloodPressureMeasurementMethod 📦0.1.0 This IG
Observation.component.​code Base extensible Vital Signs 📍4.0.1 FHIR Std.
Observation.component.​value[x] Base extensible Vital Signs Units 📍4.0.1 FHIR Std.
Observation.component.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:SystolicBP.​code Base extensible Vital Signs 📍4.0.1 FHIR Std.
Observation.component:SystolicBP.​value[x] Base extensible Vital Signs Units 📍4.0.1 FHIR Std.
Observation.component:SystolicBP.​value[x].comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:DiastolicBP.​code Base extensible Vital Signs 📍4.0.1 FHIR Std.
Observation.component:DiastolicBP.​value[x] Base extensible Vital Signs Units 📍4.0.1 FHIR Std.
Observation.component:DiastolicBP.​value[x].comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:MeanArterialPressure.​code Base extensible Vital Signs 📍4.0.1 FHIR Std.
Observation.component:MeanArterialPressure.​value[x] Base extensible Vital Signs Units 📍4.0.1 FHIR Std.
Observation.component:MeanArterialPressure.​value[x].comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:PulsePressure.​code Base extensible Vital Signs 📍4.0.1 FHIR Std.
Observation.component:PulsePressure.​value[x] Base extensible Vital Signs Units 📍4.0.1 FHIR Std.
Observation.component:PulsePressure.​value[x].comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:PulsePressure.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Observation If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Observation If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Observation If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Observation If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Observation A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
obs-6 error Observation dataAbsentReason SHALL only be present if Observation.value[x] is not present dataAbsentReason.empty() or value.empty()
obs-7 error Observation If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
vs-1 error Observation.effective[x] if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day $this is dateTime implies $this.toString().length() >= 10
vs-2 error Observation If there is no component or hasMember element then either a value[x] or a data absent reason must be present. (component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists())
vs-3 error Observation.component, Observation.component:SystolicBP, Observation.component:DiastolicBP, Observation.component:MeanArterialPressure If there is no a value a data absent reason must be present value.exists() or dataAbsentReason.exists()

This structure is derived from NoDomainVitalSignsObservationBloodpressure

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation 0..* NoDomainVitalSignsObservationBloodpressure FHIR Blood Pressure Profile Norway
... implicitRules 0..0 A set of rules under which this content was created
... language 0..0 Language of the resource content
... contained 0..0 Contained, inline Resources
... Slices for extension Content/Rules for all slices
.... extension:headTiltAngle 0..0 Extension
.... extension:sleepStatus 0..0 Extension
.... extension:cuffSize 0..0 Extension
.... extension:formulaMAPCalc 0..0 Extension
.... extension:formulaSystolicCalc 0..0 Extension
.... extension:formulaDiastolicCalc 0..0 Extension
.... extension:DIPSJournalId 0..* Reference() Extension
URL: http://dips.no/fhir/StructureDefinition/DIPSJournalId
.... extension:DIPSLocation 0..1 Coding Extension
URL: http://dips.no/fhir/StructureDefinition/DIPSLocation
Binding: DIPSLocation (required)
... Slices for identifier 0..* Identifier Business Identifier for observation
Slice: Unordered, Open by value:system
.... identifier:RelativeEhrUri 0..1 Identifier Business Identifier for observation
..... id 0..0 Unique id for inter-element referencing
..... use 0..0 usual | official | temp | secondary | old (If known)
..... type 0..0 Description of identifier
..... system 1..1 uri The namespace for the identifier value
Fixed Value: http://dips.no/fhir/namingsystem/dips-RelativeEhrUri
..... value 1..1 string The value that is unique
..... period 0..0 Time period when id is/was valid for use
..... assigner 0..0 Organization that issued id (may be just text)
.... identifier:Id 0..1 Identifier Business Identifier for observation
..... id 0..0 Unique id for inter-element referencing
..... use 0..0 usual | official | temp | secondary | old (If known)
..... type 0..0 Description of identifier
..... system 1..1 uri The namespace for the identifier value
Fixed Value: http://dips.no/fhir/namingsystem/dips-ObservationId
..... value 1..1 string The value that is unique
..... period 0..0 Time period when id is/was valid for use
..... assigner 0..0 Organization that issued id (may be just text)
.... identifier:VersionIdependentId 0..1 Identifier Business Identifier for observation
..... id 0..0 Unique id for inter-element referencing
..... use 0..0 usual | official | temp | secondary | old (If known)
..... type 0..0 Description of identifier
..... system 1..1 uri The namespace for the identifier value
Fixed Value: http://dips.no/fhir/namingsystem/dips-VersionIndependentId
..... value 1..1 string The value that is unique
..... period 0..0 Time period when id is/was valid for use
..... assigner 0..0 Organization that issued id (may be just text)
.... identifier:ExternalId 0..1 Identifier Business Identifier for observation
..... id 0..0 Unique id for inter-element referencing
..... use 0..0 usual | official | temp | secondary | old (If known)
..... type 0..0 Description of identifier
..... system 1..1 uri The namespace for the identifier value
Fixed Value: http://dips.no/fhir/namingsystem/externalId
..... value 1..1 string The value that is unique
..... period 0..0 Time period when id is/was valid for use
..... assigner 0..0 Organization that issued id (may be just text)
.... identifier:ExternalFhirId 0..* Identifier Business Identifier for observation
..... id 0..0 Unique id for inter-element referencing
..... use 0..0 usual | official | temp | secondary | old (If known)
..... type 0..0 Description of identifier
..... system 1..1 uri The namespace for the identifier value
Fixed Value: http://dips.no/fhir/namingsystem/external-fhirid
..... value 1..1 string The value that is unique
..... period 0..0 Time period when id is/was valid for use
..... assigner 0..0 Organization that issued id (may be just text)
... basedOn 0..0 Fulfills plan, proposal or order
... partOf 0..0 Part of referenced event
... Slices for category Content/Rules for all slices
.... category:VSCat 1..1 CodeableConcept Classification of type of observation
..... id 0..0 Unique id for inter-element referencing
..... coding
...... id 0..0 Unique id for inter-element referencing
...... version 0..0 Version of the system - if relevant
...... userSelected 0..0 If this coding was chosen directly by the user
..... text 0..0 Plain text representation of the concept
... code
.... id 0..0 Unique id for inter-element referencing
.... Slices for coding Content/Rules for all slices
..... coding:BPCode 1..1 Coding Code defined by a terminology system
...... id 0..0 Unique id for inter-element referencing
...... version 0..0 Version of the system - if relevant
...... userSelected 0..0 If this coding was chosen directly by the user
.... text 0..0 Plain text representation of the concept
... subject 1..1 Reference(DIPSVitalSignsObservationSubjectReference) Who and/or what the observation is about
... focus 0..0 What the observation is about, when it is not about the subject of record
... encounter 0..1 Reference(DIPSVitalSignsObservationEncounterReference) Healthcare event during which this observation is made
... effective[x] 1..1 dateTime Often just a dateTime for Vital Signs
... issued 0..0 Date/Time this version was made available
... performer 1..* Reference(PractitionerRole | Organization) Who is responsible for the observation
... Slices for performer Content/Rules for all slices
.... performer:Author 0..* Reference(DIPSVitalSignsPerformerAuthorReference) Who is responsible for the observation
.... performer:organization 0..* Reference(DIPSVitalSignsObservationOrganizationReference) Who is responsible for the observation
... value[x] 0..0 Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.
... dataAbsentReason 0..0 Why the result is missing
... interpretation 0..0 High, low, normal, etc.
... note 0..0 Comments about the observation
... bodySite 0..0 Observed body part
... method 0..0 Method of measurement of blood pressure.
Binding: DIPSVitalSignsObservationBloodPressureMeasurementMethod (required)
... specimen 0..0 Specimen used for this observation
... device 0..0 (Measurement) Device
... referenceRange 0..0 Provides guide for interpretation
... hasMember 0..0 Used when reporting vital signs panel components
... derivedFrom 0..0 Related measurements the observation is made from
... Slices for component Content/Rules for all slices
.... component:SystolicBP 1..1 BackboneElement Peak systemic arterial blood pressure - measured in systolic or contraction phase of the heart cycle.
..... id 0..0 Unique id for inter-element referencing
..... code
...... id 0..0 Unique id for inter-element referencing
...... Slices for coding Content/Rules for all slices
....... coding:SBPCode 1..1 Coding Systolic Blood Pressure
........ id 0..0 Unique id for inter-element referencing
........ version 0..0 Version of the system - if relevant
........ userSelected 0..0 If this coding was chosen directly by the user
...... text 0..0 Plain text representation of the concept
..... value[x]
...... id 0..0 Unique id for inter-element referencing
..... dataAbsentReason 0..0 Why the component result is missing
..... interpretation 0..0 High, low, normal, etc.
.... component:DiastolicBP 1..1 BackboneElement Minimum systemic arterial blood pressure - measured in the diastolic or relaxation phase of the heart cycle.
..... id 0..0 Unique id for inter-element referencing
..... code
...... id 0..0 Unique id for inter-element referencing
...... Slices for coding Content/Rules for all slices
....... coding:DBPCode 1..1 Coding Diastolic Blood Pressure
........ id 0..0 Unique id for inter-element referencing
........ version 0..0 Version of the system - if relevant
........ userSelected 0..0 If this coding was chosen directly by the user
...... text 0..0 Plain text representation of the concept
..... value[x]
...... id 0..0 Unique id for inter-element referencing
..... dataAbsentReason 0..0 Why the component result is missing
..... interpretation 0..0 High, low, normal, etc.
.... component:MeanArterialPressure 0..1 BackboneElement The average arterial pressure that occurs over the entire course of the heart contraction and relaxation cycle.
..... id 0..0 Unique id for inter-element referencing
..... code
...... id 0..0 Unique id for inter-element referencing
...... coding 1..* Coding Mean Arterial Pressure
...... Slices for coding Content/Rules for all slices
....... coding:MAPCode 1..1 Coding Mean Arterial Pressure loinc code
........ id 0..0 Unique id for inter-element referencing
........ version 0..0 Version of the system - if relevant
........ userSelected 0..0 If this coding was chosen directly by the user
...... text 0..0 Plain text representation of the concept
..... value[x]
...... id 0..0 Unique id for inter-element referencing
..... dataAbsentReason 0..0 Why the component result is missing
..... interpretation 0..0 High, low, normal, etc.
.... component:PulsePressure 0..0 The difference between the systolic and diastolic pressure.

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Observation.method.coding Base required DIPSVitalSignsObservationBloodPressureMeasurementMethod 📦0.1.0 This IG
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* NoDomainVitalSignsObservationBloodpressure FHIR Blood Pressure Profile Norway
Constraints: obs-6, obs-7, vs-2
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... 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
.... extension:confoundingFactor 0..1 CodeableConcept Extension
URL: http://hl7.no/fhir/no-domain/vitalsigns/StructureDefinition/NoDomainVitalSignsConfoundingFactorExtension
.... extension:bodyPosition 0..1 Coding The position of the individual at the time of measurement.
URL: http://hl7.no/fhir/no-domain/vitalsigns/StructureDefinition/NoDomainVitalSignsBloodpressureBodyPositionExtension
Binding: NoDomainVitalSignsBloodpressureBodyPosition-ValueSet (required)
.... extension:DIPSJournalId 0..* Reference() Extension
URL: http://dips.no/fhir/StructureDefinition/DIPSJournalId
.... extension:DIPSLocation 0..1 Coding Extension
URL: http://dips.no/fhir/StructureDefinition/DIPSLocation
Binding: DIPSLocation (required)
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for identifier Σ 0..* Identifier Business Identifier for observation
Slice: Unordered, Open by value:system
.... identifier:RelativeEhrUri Σ 0..1 Identifier Business Identifier for observation
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: http://dips.no/fhir/namingsystem/dips-RelativeEhrUri
..... value Σ 1..1 string The value that is unique
Example General: 123456
.... identifier:Id Σ 0..1 Identifier Business Identifier for observation
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: http://dips.no/fhir/namingsystem/dips-ObservationId
..... value Σ 1..1 string The value that is unique
Example General: 123456
.... identifier:VersionIdependentId Σ 0..1 Identifier Business Identifier for observation
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: http://dips.no/fhir/namingsystem/dips-VersionIndependentId
..... value Σ 1..1 string The value that is unique
Example General: 123456
.... identifier:ExternalId Σ 0..1 Identifier Business Identifier for observation
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: http://dips.no/fhir/namingsystem/externalId
..... value Σ 1..1 string The value that is unique
Example General: 123456
.... identifier:ExternalFhirId Σ 0..* Identifier Business Identifier for observation
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: http://dips.no/fhir/namingsystem/external-fhirid
..... value Σ 1..1 string The value that is unique
Example General: 123456
... status ?!SΣ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required)
... Slices for category S 1..* CodeableConcept Classification of type of observation
Slice: Unordered, Open by value:coding.code, value:coding.system
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
.... category:VSCat S 1..1 CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... coding SΣ 1..* Coding Code defined by a terminology system
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... code SΣ 1..1 code Symbol in syntax defined by the system
Fixed Value: vital-signs
...... display Σ 0..1 string Representation defined by the system
... code SΣ 1..1 CodeableConcept Blood Pressure
Binding: VitalSigns (extensible): This identifies the vital sign result type.
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:code, value:system
..... coding:BPCode Σ 1..1 Coding Code defined by a terminology system
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: 85354-9
...... display Σ 0..1 string Representation defined by the system
... subject SΣ 1..1 Reference(DIPSVitalSignsObservationSubjectReference) Who and/or what the observation is about
... encounter Σ 0..1 Reference(DIPSVitalSignsObservationEncounterReference) Healthcare event during which this observation is made
... effective[x] SΣC 1..1 dateTime Often just a dateTime for Vital Signs
Constraints: vs-1
... Slices for performer Σ 1..* Reference(PractitionerRole | Organization) Who is responsible for the observation
Slice: Unordered, Open by type:type
.... performer:Author Σ 0..* Reference(DIPSVitalSignsPerformerAuthorReference) Who is responsible for the observation
.... performer:organization Σ 0..* Reference(DIPSVitalSignsObservationOrganizationReference) Who is responsible for the observation
... Slices for component SΣC 2..* BackboneElement Used when reporting systolic and diastolic blood pressure.
Slice: Unordered, Open by value:code.coding.code, value:code.coding.system
Constraints: vs-3
.... component:All Slices Content/Rules for all slices
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code SΣ 1..1 CodeableConcept Type of component observation (code / type)
Binding: VitalSigns (extensible): This identifies the vital sign result type.
..... value[x] SΣC 0..1 Vital Sign Value recorded with UCUM
Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs.
...... valueQuantity Quantity
...... valueCodeableConcept CodeableConcept
...... valueString string
...... valueBoolean boolean
...... valueInteger integer
...... valueRange Range
...... valueRatio Ratio
...... valueSampledData SampledData
...... valueTime time
...... valueDateTime dateTime
...... valuePeriod Period
..... dataAbsentReason SC 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
..... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
..... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
.... component:SystolicBP SΣC 1..1 BackboneElement Peak systemic arterial blood pressure - measured in systolic or contraction phase of the heart cycle.
Constraints: vs-3
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code SΣ 1..1 CodeableConcept Type of component observation (code / type)
Binding: VitalSigns (extensible): This identifies the vital sign result type.
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... Slices for coding Σ 1..* Coding Systolic Blood Pressure
Slice: Unordered, Open by value:code, value:system
...... Slices for coding Content/Rules for all slices
....... coding:SBPCode Σ 1..1 Coding Systolic Blood Pressure
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
........ code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: 8480-6
........ display Σ 0..1 string Representation defined by the system
....... coding:SystolicSnomed Σ 0..1 Coding Systolic Blood Pressure
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
........ version Σ 0..1 string Version of the system - if relevant
........ code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: 4471000202106
........ display Σ 0..1 string Representation defined by the system
........ userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... value[x] SΣC 0..1 Quantity Vital Sign Value recorded with UCUM
Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs.
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... value SΣ 1..1 decimal Numerical value (with implicit precision)
...... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit SΣ 1..1 string Unit representation
...... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
...... code SΣ 1..1 code Coded responses from the common UCUM units for vital signs value set.
Fixed Value: mm[Hg]
..... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
.... component:DiastolicBP SΣC 1..1 BackboneElement Minimum systemic arterial blood pressure - measured in the diastolic or relaxation phase of the heart cycle.
Constraints: vs-3
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code SΣ 1..1 CodeableConcept Type of component observation (code / type)
Binding: VitalSigns (extensible): This identifies the vital sign result type.
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... Slices for coding Σ 1..* Coding Diastolic Blood Pressure
Slice: Unordered, Open by value:code, value:system
...... Slices for coding Content/Rules for all slices
....... coding:DBPCode Σ 1..1 Coding Diastolic Blood Pressure
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
........ code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: 8462-4
........ display Σ 0..1 string Representation defined by the system
....... coding:DiastolicBPSnomed Σ 0..1 Coding Diastolic Blood Pressure
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
........ version Σ 0..1 string Version of the system - if relevant
........ code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: 4481000202108
........ display Σ 0..1 string Representation defined by the system
........ userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... value[x] SΣC 0..1 Quantity Vital Sign Value recorded with UCUM
Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs.
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... value SΣ 1..1 decimal Numerical value (with implicit precision)
...... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit SΣ 1..1 string Unit representation
...... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
...... code SΣ 1..1 code Coded responses from the common UCUM units for vital signs value set.
Fixed Value: mm[Hg]
..... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
.... component:MeanArterialPressure SΣC 0..1 BackboneElement The average arterial pressure that occurs over the entire course of the heart contraction and relaxation cycle.
Constraints: vs-3
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code SΣ 1..1 CodeableConcept Type of component observation (code / type)
Binding: VitalSigns (extensible): This identifies the vital sign result type.
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... Slices for coding Σ 1..* Coding Mean Arterial Pressure
Slice: Unordered, Open by value:code, value:system
...... Slices for coding Content/Rules for all slices
....... coding:MAPCode Σ 1..1 Coding Mean Arterial Pressure loinc code
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
........ code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: 8478-0
........ display Σ 0..1 string Representation defined by the system
....... coding:MAPSnomedCode Σ 0..1 Coding Mean Arterial Pressure snomed code
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
........ version Σ 0..1 string Version of the system - if relevant
........ code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: 4501000202102
........ display Σ 0..1 string Representation defined by the system
........ userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... value[x] SΣC 0..1 Quantity Vital Sign Value recorded with UCUM
Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs.
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... value Σ 1..1 decimal Numerical value (with implicit precision)
...... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit Σ 1..1 string Unit representation
...... system ΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
...... code Σ 1..1 code Coded form of the unit
Fixed Value: mm[Hg]
..... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.status Base required ObservationStatus 📍4.0.1 FHIR Std.
Observation.category Base preferred Observation Category Codes 📍4.0.1 FHIR Std.
Observation.category:VSCat Base preferred Observation Category Codes 📍4.0.1 FHIR Std.
Observation.code Base extensible Vital Signs 📍4.0.1 FHIR Std.
Observation.bodySite.​coding Base required NoDomainVitalSignsBloodpressureBodySite-ValueSet 📦0.9.74 hl7.fhir.no.domain.vitalsigns v0.9
Observation.method.coding Base required DIPSVitalSignsObservationBloodPressureMeasurementMethod 📦0.1.0 This IG
Observation.referenceRange.​type Base preferred Observation Reference Range Meaning Codes 📍4.0.1 FHIR Std.
Observation.referenceRange.​appliesTo Base example Observation Reference Range Applies To Codes 📍4.0.1 FHIR Std.
Observation.component.​code Base extensible Vital Signs 📍4.0.1 FHIR Std.
Observation.component.​value[x] Base extensible Vital Signs Units 📍4.0.1 FHIR Std.
Observation.component.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:SystolicBP.​code Base extensible Vital Signs 📍4.0.1 FHIR Std.
Observation.component:SystolicBP.​value[x] Base extensible Vital Signs Units 📍4.0.1 FHIR Std.
Observation.component:SystolicBP.​value[x].comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:DiastolicBP.​code Base extensible Vital Signs 📍4.0.1 FHIR Std.
Observation.component:DiastolicBP.​value[x] Base extensible Vital Signs Units 📍4.0.1 FHIR Std.
Observation.component:DiastolicBP.​value[x].comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:MeanArterialPressure.​code Base extensible Vital Signs 📍4.0.1 FHIR Std.
Observation.component:MeanArterialPressure.​value[x] Base extensible Vital Signs Units 📍4.0.1 FHIR Std.
Observation.component:MeanArterialPressure.​value[x].comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:PulsePressure.​code Base extensible Vital Signs 📍4.0.1 FHIR Std.
Observation.component:PulsePressure.​value[x] Base extensible Vital Signs Units 📍4.0.1 FHIR Std.
Observation.component:PulsePressure.​value[x].comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:PulsePressure.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:PulsePressure.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Observation If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Observation If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Observation If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Observation If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Observation A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
obs-6 error Observation dataAbsentReason SHALL only be present if Observation.value[x] is not present dataAbsentReason.empty() or value.empty()
obs-7 error Observation If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
vs-1 error Observation.effective[x] if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day $this is dateTime implies $this.toString().length() >= 10
vs-2 error Observation If there is no component or hasMember element then either a value[x] or a data absent reason must be present. (component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists())
vs-3 error Observation.component, Observation.component:SystolicBP, Observation.component:DiastolicBP, Observation.component:MeanArterialPressure If there is no a value a data absent reason must be present value.exists() or dataAbsentReason.exists()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* NoDomainVitalSignsObservationBloodpressure FHIR Blood Pressure Profile Norway
Constraints: obs-6, obs-7, vs-2
... Slices for extension Content/Rules for all slices
.... extension:confoundingFactor 0..1 CodeableConcept Extension
URL: http://hl7.no/fhir/no-domain/vitalsigns/StructureDefinition/NoDomainVitalSignsConfoundingFactorExtension
.... extension:bodyPosition 0..1 Coding The position of the individual at the time of measurement.
URL: http://hl7.no/fhir/no-domain/vitalsigns/StructureDefinition/NoDomainVitalSignsBloodpressureBodyPositionExtension
Binding: NoDomainVitalSignsBloodpressureBodyPosition-ValueSet (required)
.... extension:DIPSJournalId 0..* Reference() Extension
URL: http://dips.no/fhir/StructureDefinition/DIPSJournalId
.... extension:DIPSLocation 0..1 Coding Extension
URL: http://dips.no/fhir/StructureDefinition/DIPSLocation
Binding: DIPSLocation (required)
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for identifier Σ 0..* Identifier Business Identifier for observation
Slice: Unordered, Open by value:system
.... identifier:RelativeEhrUri Σ 0..1 Identifier Business Identifier for observation
..... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: http://dips.no/fhir/namingsystem/dips-RelativeEhrUri
..... value Σ 1..1 string The value that is unique
Example General: 123456
.... identifier:Id Σ 0..1 Identifier Business Identifier for observation
..... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: http://dips.no/fhir/namingsystem/dips-ObservationId
..... value Σ 1..1 string The value that is unique
Example General: 123456
.... identifier:VersionIdependentId Σ 0..1 Identifier Business Identifier for observation
..... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: http://dips.no/fhir/namingsystem/dips-VersionIndependentId
..... value Σ 1..1 string The value that is unique
Example General: 123456
.... identifier:ExternalId Σ 0..1 Identifier Business Identifier for observation
..... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: http://dips.no/fhir/namingsystem/externalId
..... value Σ 1..1 string The value that is unique
Example General: 123456
.... identifier:ExternalFhirId Σ 0..* Identifier Business Identifier for observation
..... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: http://dips.no/fhir/namingsystem/external-fhirid
..... value Σ 1..1 string The value that is unique
Example General: 123456
... Slices for category S 1..* CodeableConcept Classification of type of observation
Slice: Unordered, Open by value:coding.code, value:coding.system
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
.... category:VSCat S 1..1 CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
..... coding SΣ 1..* Coding Code defined by a terminology system
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... code SΣ 1..1 code Symbol in syntax defined by the system
Fixed Value: vital-signs
... code SΣ 1..1 CodeableConcept Blood Pressure
Binding: VitalSigns (extensible): This identifies the vital sign result type.
.... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:code, value:system
..... coding:BPCode Σ 1..1 Coding Code defined by a terminology system
...... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: 85354-9
... subject SΣ 1..1 Reference(DIPSVitalSignsObservationSubjectReference) Who and/or what the observation is about
... encounter Σ 0..1 Reference(DIPSVitalSignsObservationEncounterReference) Healthcare event during which this observation is made
... effective[x] SΣC 1..1 dateTime Often just a dateTime for Vital Signs
Constraints: vs-1
... Slices for performer Σ 1..* Reference(PractitionerRole | Organization) Who is responsible for the observation
Slice: Unordered, Open by type:type
.... performer:Author Σ 0..* Reference(DIPSVitalSignsPerformerAuthorReference) Who is responsible for the observation
.... performer:organization Σ 0..* Reference(DIPSVitalSignsObservationOrganizationReference) Who is responsible for the observation
... Slices for component SΣC 2..* BackboneElement Used when reporting systolic and diastolic blood pressure.
Slice: Unordered, Open by value:code.coding.code, value:code.coding.system
Constraints: vs-3
.... component:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code SΣ 1..1 CodeableConcept Type of component observation (code / type)
Binding: VitalSigns (extensible): This identifies the vital sign result type.
..... value[x] SΣC 0..1 Vital Sign Value recorded with UCUM
Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs.
...... valueQuantity Quantity
...... valueCodeableConcept CodeableConcept
...... valueString string
...... valueBoolean boolean
...... valueInteger integer
...... valueRange Range
...... valueRatio Ratio
...... valueSampledData SampledData
...... valueTime time
...... valueDateTime dateTime
...... valuePeriod Period
..... dataAbsentReason SC 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
.... component:SystolicBP SΣC 1..1 BackboneElement Peak systemic arterial blood pressure - measured in systolic or contraction phase of the heart cycle.
Constraints: vs-3
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code SΣ 1..1 CodeableConcept Type of component observation (code / type)
Binding: VitalSigns (extensible): This identifies the vital sign result type.
...... Slices for coding Σ 1..* Coding Systolic Blood Pressure
Slice: Unordered, Open by value:code, value:system
...... Slices for coding Content/Rules for all slices
....... coding:SBPCode Σ 1..1 Coding Systolic Blood Pressure
........ system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
........ code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: 8480-6
....... coding:SystolicSnomed Σ 0..1 Coding Systolic Blood Pressure
........ system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
........ code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: 4471000202106
..... value[x] SΣC 0..1 Quantity Vital Sign Value recorded with UCUM
Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs.
...... value SΣ 1..1 decimal Numerical value (with implicit precision)
...... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit SΣ 1..1 string Unit representation
...... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
...... code SΣ 1..1 code Coded responses from the common UCUM units for vital signs value set.
Fixed Value: mm[Hg]
.... component:DiastolicBP SΣC 1..1 BackboneElement Minimum systemic arterial blood pressure - measured in the diastolic or relaxation phase of the heart cycle.
Constraints: vs-3
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code SΣ 1..1 CodeableConcept Type of component observation (code / type)
Binding: VitalSigns (extensible): This identifies the vital sign result type.
...... Slices for coding Σ 1..* Coding Diastolic Blood Pressure
Slice: Unordered, Open by value:code, value:system
...... Slices for coding Content/Rules for all slices
....... coding:DBPCode Σ 1..1 Coding Diastolic Blood Pressure
........ system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
........ code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: 8462-4
....... coding:DiastolicBPSnomed Σ 0..1 Coding Diastolic Blood Pressure
........ system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
........ code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: 4481000202108
..... value[x] SΣC 0..1 Quantity Vital Sign Value recorded with UCUM
Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs.
...... value SΣ 1..1 decimal Numerical value (with implicit precision)
...... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit SΣ 1..1 string Unit representation
...... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
...... code SΣ 1..1 code Coded responses from the common UCUM units for vital signs value set.
Fixed Value: mm[Hg]
.... component:MeanArterialPressure SΣC 0..1 BackboneElement The average arterial pressure that occurs over the entire course of the heart contraction and relaxation cycle.
Constraints: vs-3
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code SΣ 1..1 CodeableConcept Type of component observation (code / type)
Binding: VitalSigns (extensible): This identifies the vital sign result type.
...... Slices for coding Σ 1..* Coding Mean Arterial Pressure
Slice: Unordered, Open by value:code, value:system
...... Slices for coding Content/Rules for all slices
....... coding:MAPCode Σ 1..1 Coding Mean Arterial Pressure loinc code
........ system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
........ code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: 8478-0
....... coding:MAPSnomedCode Σ 0..1 Coding Mean Arterial Pressure snomed code
........ system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
........ code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: 4501000202102
..... value[x] SΣC 0..1 Quantity Vital Sign Value recorded with UCUM
Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs.
...... value Σ 1..1 decimal Numerical value (with implicit precision)
...... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit Σ 1..1 string Unit representation
...... system ΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
...... code Σ 1..1 code Coded form of the unit
Fixed Value: mm[Hg]

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.status Base required ObservationStatus 📍4.0.1 FHIR Std.
Observation.category Base preferred Observation Category Codes 📍4.0.1 FHIR Std.
Observation.category:VSCat Base preferred Observation Category Codes 📍4.0.1 FHIR Std.
Observation.code Base extensible Vital Signs 📍4.0.1 FHIR Std.
Observation.method.coding Base required DIPSVitalSignsObservationBloodPressureMeasurementMethod 📦0.1.0 This IG
Observation.component.​code Base extensible Vital Signs 📍4.0.1 FHIR Std.
Observation.component.​value[x] Base extensible Vital Signs Units 📍4.0.1 FHIR Std.
Observation.component.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:SystolicBP.​code Base extensible Vital Signs 📍4.0.1 FHIR Std.
Observation.component:SystolicBP.​value[x] Base extensible Vital Signs Units 📍4.0.1 FHIR Std.
Observation.component:SystolicBP.​value[x].comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:DiastolicBP.​code Base extensible Vital Signs 📍4.0.1 FHIR Std.
Observation.component:DiastolicBP.​value[x] Base extensible Vital Signs Units 📍4.0.1 FHIR Std.
Observation.component:DiastolicBP.​value[x].comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:MeanArterialPressure.​code Base extensible Vital Signs 📍4.0.1 FHIR Std.
Observation.component:MeanArterialPressure.​value[x] Base extensible Vital Signs Units 📍4.0.1 FHIR Std.
Observation.component:MeanArterialPressure.​value[x].comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:PulsePressure.​code Base extensible Vital Signs 📍4.0.1 FHIR Std.
Observation.component:PulsePressure.​value[x] Base extensible Vital Signs Units 📍4.0.1 FHIR Std.
Observation.component:PulsePressure.​value[x].comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:PulsePressure.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Observation If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Observation If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Observation If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Observation If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Observation A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
obs-6 error Observation dataAbsentReason SHALL only be present if Observation.value[x] is not present dataAbsentReason.empty() or value.empty()
obs-7 error Observation If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
vs-1 error Observation.effective[x] if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day $this is dateTime implies $this.toString().length() >= 10
vs-2 error Observation If there is no component or hasMember element then either a value[x] or a data absent reason must be present. (component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists())
vs-3 error Observation.component, Observation.component:SystolicBP, Observation.component:DiastolicBP, Observation.component:MeanArterialPressure If there is no a value a data absent reason must be present value.exists() or dataAbsentReason.exists()

Differential View

This structure is derived from NoDomainVitalSignsObservationBloodpressure

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation 0..* NoDomainVitalSignsObservationBloodpressure FHIR Blood Pressure Profile Norway
... implicitRules 0..0 A set of rules under which this content was created
... language 0..0 Language of the resource content
... contained 0..0 Contained, inline Resources
... Slices for extension Content/Rules for all slices
.... extension:headTiltAngle 0..0 Extension
.... extension:sleepStatus 0..0 Extension
.... extension:cuffSize 0..0 Extension
.... extension:formulaMAPCalc 0..0 Extension
.... extension:formulaSystolicCalc 0..0 Extension
.... extension:formulaDiastolicCalc 0..0 Extension
.... extension:DIPSJournalId 0..* Reference() Extension
URL: http://dips.no/fhir/StructureDefinition/DIPSJournalId
.... extension:DIPSLocation 0..1 Coding Extension
URL: http://dips.no/fhir/StructureDefinition/DIPSLocation
Binding: DIPSLocation (required)
... Slices for identifier 0..* Identifier Business Identifier for observation
Slice: Unordered, Open by value:system
.... identifier:RelativeEhrUri 0..1 Identifier Business Identifier for observation
..... id 0..0 Unique id for inter-element referencing
..... use 0..0 usual | official | temp | secondary | old (If known)
..... type 0..0 Description of identifier
..... system 1..1 uri The namespace for the identifier value
Fixed Value: http://dips.no/fhir/namingsystem/dips-RelativeEhrUri
..... value 1..1 string The value that is unique
..... period 0..0 Time period when id is/was valid for use
..... assigner 0..0 Organization that issued id (may be just text)
.... identifier:Id 0..1 Identifier Business Identifier for observation
..... id 0..0 Unique id for inter-element referencing
..... use 0..0 usual | official | temp | secondary | old (If known)
..... type 0..0 Description of identifier
..... system 1..1 uri The namespace for the identifier value
Fixed Value: http://dips.no/fhir/namingsystem/dips-ObservationId
..... value 1..1 string The value that is unique
..... period 0..0 Time period when id is/was valid for use
..... assigner 0..0 Organization that issued id (may be just text)
.... identifier:VersionIdependentId 0..1 Identifier Business Identifier for observation
..... id 0..0 Unique id for inter-element referencing
..... use 0..0 usual | official | temp | secondary | old (If known)
..... type 0..0 Description of identifier
..... system 1..1 uri The namespace for the identifier value
Fixed Value: http://dips.no/fhir/namingsystem/dips-VersionIndependentId
..... value 1..1 string The value that is unique
..... period 0..0 Time period when id is/was valid for use
..... assigner 0..0 Organization that issued id (may be just text)
.... identifier:ExternalId 0..1 Identifier Business Identifier for observation
..... id 0..0 Unique id for inter-element referencing
..... use 0..0 usual | official | temp | secondary | old (If known)
..... type 0..0 Description of identifier
..... system 1..1 uri The namespace for the identifier value
Fixed Value: http://dips.no/fhir/namingsystem/externalId
..... value 1..1 string The value that is unique
..... period 0..0 Time period when id is/was valid for use
..... assigner 0..0 Organization that issued id (may be just text)
.... identifier:ExternalFhirId 0..* Identifier Business Identifier for observation
..... id 0..0 Unique id for inter-element referencing
..... use 0..0 usual | official | temp | secondary | old (If known)
..... type 0..0 Description of identifier
..... system 1..1 uri The namespace for the identifier value
Fixed Value: http://dips.no/fhir/namingsystem/external-fhirid
..... value 1..1 string The value that is unique
..... period 0..0 Time period when id is/was valid for use
..... assigner 0..0 Organization that issued id (may be just text)
... basedOn 0..0 Fulfills plan, proposal or order
... partOf 0..0 Part of referenced event
... Slices for category Content/Rules for all slices
.... category:VSCat 1..1 CodeableConcept Classification of type of observation
..... id 0..0 Unique id for inter-element referencing
..... coding
...... id 0..0 Unique id for inter-element referencing
...... version 0..0 Version of the system - if relevant
...... userSelected 0..0 If this coding was chosen directly by the user
..... text 0..0 Plain text representation of the concept
... code
.... id 0..0 Unique id for inter-element referencing
.... Slices for coding Content/Rules for all slices
..... coding:BPCode 1..1 Coding Code defined by a terminology system
...... id 0..0 Unique id for inter-element referencing
...... version 0..0 Version of the system - if relevant
...... userSelected 0..0 If this coding was chosen directly by the user
.... text 0..0 Plain text representation of the concept
... subject 1..1 Reference(DIPSVitalSignsObservationSubjectReference) Who and/or what the observation is about
... focus 0..0 What the observation is about, when it is not about the subject of record
... encounter 0..1 Reference(DIPSVitalSignsObservationEncounterReference) Healthcare event during which this observation is made
... effective[x] 1..1 dateTime Often just a dateTime for Vital Signs
... issued 0..0 Date/Time this version was made available
... performer 1..* Reference(PractitionerRole | Organization) Who is responsible for the observation
... Slices for performer Content/Rules for all slices
.... performer:Author 0..* Reference(DIPSVitalSignsPerformerAuthorReference) Who is responsible for the observation
.... performer:organization 0..* Reference(DIPSVitalSignsObservationOrganizationReference) Who is responsible for the observation
... value[x] 0..0 Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.
... dataAbsentReason 0..0 Why the result is missing
... interpretation 0..0 High, low, normal, etc.
... note 0..0 Comments about the observation
... bodySite 0..0 Observed body part
... method 0..0 Method of measurement of blood pressure.
Binding: DIPSVitalSignsObservationBloodPressureMeasurementMethod (required)
... specimen 0..0 Specimen used for this observation
... device 0..0 (Measurement) Device
... referenceRange 0..0 Provides guide for interpretation
... hasMember 0..0 Used when reporting vital signs panel components
... derivedFrom 0..0 Related measurements the observation is made from
... Slices for component Content/Rules for all slices
.... component:SystolicBP 1..1 BackboneElement Peak systemic arterial blood pressure - measured in systolic or contraction phase of the heart cycle.
..... id 0..0 Unique id for inter-element referencing
..... code
...... id 0..0 Unique id for inter-element referencing
...... Slices for coding Content/Rules for all slices
....... coding:SBPCode 1..1 Coding Systolic Blood Pressure
........ id 0..0 Unique id for inter-element referencing
........ version 0..0 Version of the system - if relevant
........ userSelected 0..0 If this coding was chosen directly by the user
...... text 0..0 Plain text representation of the concept
..... value[x]
...... id 0..0 Unique id for inter-element referencing
..... dataAbsentReason 0..0 Why the component result is missing
..... interpretation 0..0 High, low, normal, etc.
.... component:DiastolicBP 1..1 BackboneElement Minimum systemic arterial blood pressure - measured in the diastolic or relaxation phase of the heart cycle.
..... id 0..0 Unique id for inter-element referencing
..... code
...... id 0..0 Unique id for inter-element referencing
...... Slices for coding Content/Rules for all slices
....... coding:DBPCode 1..1 Coding Diastolic Blood Pressure
........ id 0..0 Unique id for inter-element referencing
........ version 0..0 Version of the system - if relevant
........ userSelected 0..0 If this coding was chosen directly by the user
...... text 0..0 Plain text representation of the concept
..... value[x]
...... id 0..0 Unique id for inter-element referencing
..... dataAbsentReason 0..0 Why the component result is missing
..... interpretation 0..0 High, low, normal, etc.
.... component:MeanArterialPressure 0..1 BackboneElement The average arterial pressure that occurs over the entire course of the heart contraction and relaxation cycle.
..... id 0..0 Unique id for inter-element referencing
..... code
...... id 0..0 Unique id for inter-element referencing
...... coding 1..* Coding Mean Arterial Pressure
...... Slices for coding Content/Rules for all slices
....... coding:MAPCode 1..1 Coding Mean Arterial Pressure loinc code
........ id 0..0 Unique id for inter-element referencing
........ version 0..0 Version of the system - if relevant
........ userSelected 0..0 If this coding was chosen directly by the user
...... text 0..0 Plain text representation of the concept
..... value[x]
...... id 0..0 Unique id for inter-element referencing
..... dataAbsentReason 0..0 Why the component result is missing
..... interpretation 0..0 High, low, normal, etc.
.... component:PulsePressure 0..0 The difference between the systolic and diastolic pressure.

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Observation.method.coding Base required DIPSVitalSignsObservationBloodPressureMeasurementMethod 📦0.1.0 This IG

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* NoDomainVitalSignsObservationBloodpressure FHIR Blood Pressure Profile Norway
Constraints: obs-6, obs-7, vs-2
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... 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
.... extension:confoundingFactor 0..1 CodeableConcept Extension
URL: http://hl7.no/fhir/no-domain/vitalsigns/StructureDefinition/NoDomainVitalSignsConfoundingFactorExtension
.... extension:bodyPosition 0..1 Coding The position of the individual at the time of measurement.
URL: http://hl7.no/fhir/no-domain/vitalsigns/StructureDefinition/NoDomainVitalSignsBloodpressureBodyPositionExtension
Binding: NoDomainVitalSignsBloodpressureBodyPosition-ValueSet (required)
.... extension:DIPSJournalId 0..* Reference() Extension
URL: http://dips.no/fhir/StructureDefinition/DIPSJournalId
.... extension:DIPSLocation 0..1 Coding Extension
URL: http://dips.no/fhir/StructureDefinition/DIPSLocation
Binding: DIPSLocation (required)
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for identifier Σ 0..* Identifier Business Identifier for observation
Slice: Unordered, Open by value:system
.... identifier:RelativeEhrUri Σ 0..1 Identifier Business Identifier for observation
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: http://dips.no/fhir/namingsystem/dips-RelativeEhrUri
..... value Σ 1..1 string The value that is unique
Example General: 123456
.... identifier:Id Σ 0..1 Identifier Business Identifier for observation
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: http://dips.no/fhir/namingsystem/dips-ObservationId
..... value Σ 1..1 string The value that is unique
Example General: 123456
.... identifier:VersionIdependentId Σ 0..1 Identifier Business Identifier for observation
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: http://dips.no/fhir/namingsystem/dips-VersionIndependentId
..... value Σ 1..1 string The value that is unique
Example General: 123456
.... identifier:ExternalId Σ 0..1 Identifier Business Identifier for observation
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: http://dips.no/fhir/namingsystem/externalId
..... value Σ 1..1 string The value that is unique
Example General: 123456
.... identifier:ExternalFhirId Σ 0..* Identifier Business Identifier for observation
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: http://dips.no/fhir/namingsystem/external-fhirid
..... value Σ 1..1 string The value that is unique
Example General: 123456
... status ?!SΣ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required)
... Slices for category S 1..* CodeableConcept Classification of type of observation
Slice: Unordered, Open by value:coding.code, value:coding.system
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
.... category:VSCat S 1..1 CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... coding SΣ 1..* Coding Code defined by a terminology system
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... code SΣ 1..1 code Symbol in syntax defined by the system
Fixed Value: vital-signs
...... display Σ 0..1 string Representation defined by the system
... code SΣ 1..1 CodeableConcept Blood Pressure
Binding: VitalSigns (extensible): This identifies the vital sign result type.
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:code, value:system
..... coding:BPCode Σ 1..1 Coding Code defined by a terminology system
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: 85354-9
...... display Σ 0..1 string Representation defined by the system
... subject SΣ 1..1 Reference(DIPSVitalSignsObservationSubjectReference) Who and/or what the observation is about
... encounter Σ 0..1 Reference(DIPSVitalSignsObservationEncounterReference) Healthcare event during which this observation is made
... effective[x] SΣC 1..1 dateTime Often just a dateTime for Vital Signs
Constraints: vs-1
... Slices for performer Σ 1..* Reference(PractitionerRole | Organization) Who is responsible for the observation
Slice: Unordered, Open by type:type
.... performer:Author Σ 0..* Reference(DIPSVitalSignsPerformerAuthorReference) Who is responsible for the observation
.... performer:organization Σ 0..* Reference(DIPSVitalSignsObservationOrganizationReference) Who is responsible for the observation
... Slices for component SΣC 2..* BackboneElement Used when reporting systolic and diastolic blood pressure.
Slice: Unordered, Open by value:code.coding.code, value:code.coding.system
Constraints: vs-3
.... component:All Slices Content/Rules for all slices
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code SΣ 1..1 CodeableConcept Type of component observation (code / type)
Binding: VitalSigns (extensible): This identifies the vital sign result type.
..... value[x] SΣC 0..1 Vital Sign Value recorded with UCUM
Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs.
...... valueQuantity Quantity
...... valueCodeableConcept CodeableConcept
...... valueString string
...... valueBoolean boolean
...... valueInteger integer
...... valueRange Range
...... valueRatio Ratio
...... valueSampledData SampledData
...... valueTime time
...... valueDateTime dateTime
...... valuePeriod Period
..... dataAbsentReason SC 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
..... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
..... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
.... component:SystolicBP SΣC 1..1 BackboneElement Peak systemic arterial blood pressure - measured in systolic or contraction phase of the heart cycle.
Constraints: vs-3
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code SΣ 1..1 CodeableConcept Type of component observation (code / type)
Binding: VitalSigns (extensible): This identifies the vital sign result type.
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... Slices for coding Σ 1..* Coding Systolic Blood Pressure
Slice: Unordered, Open by value:code, value:system
...... Slices for coding Content/Rules for all slices
....... coding:SBPCode Σ 1..1 Coding Systolic Blood Pressure
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
........ code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: 8480-6
........ display Σ 0..1 string Representation defined by the system
....... coding:SystolicSnomed Σ 0..1 Coding Systolic Blood Pressure
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
........ version Σ 0..1 string Version of the system - if relevant
........ code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: 4471000202106
........ display Σ 0..1 string Representation defined by the system
........ userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... value[x] SΣC 0..1 Quantity Vital Sign Value recorded with UCUM
Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs.
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... value SΣ 1..1 decimal Numerical value (with implicit precision)
...... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit SΣ 1..1 string Unit representation
...... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
...... code SΣ 1..1 code Coded responses from the common UCUM units for vital signs value set.
Fixed Value: mm[Hg]
..... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
.... component:DiastolicBP SΣC 1..1 BackboneElement Minimum systemic arterial blood pressure - measured in the diastolic or relaxation phase of the heart cycle.
Constraints: vs-3
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code SΣ 1..1 CodeableConcept Type of component observation (code / type)
Binding: VitalSigns (extensible): This identifies the vital sign result type.
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... Slices for coding Σ 1..* Coding Diastolic Blood Pressure
Slice: Unordered, Open by value:code, value:system
...... Slices for coding Content/Rules for all slices
....... coding:DBPCode Σ 1..1 Coding Diastolic Blood Pressure
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
........ code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: 8462-4
........ display Σ 0..1 string Representation defined by the system
....... coding:DiastolicBPSnomed Σ 0..1 Coding Diastolic Blood Pressure
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
........ version Σ 0..1 string Version of the system - if relevant
........ code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: 4481000202108
........ display Σ 0..1 string Representation defined by the system
........ userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... value[x] SΣC 0..1 Quantity Vital Sign Value recorded with UCUM
Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs.
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... value SΣ 1..1 decimal Numerical value (with implicit precision)
...... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit SΣ 1..1 string Unit representation
...... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
...... code SΣ 1..1 code Coded responses from the common UCUM units for vital signs value set.
Fixed Value: mm[Hg]
..... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
.... component:MeanArterialPressure SΣC 0..1 BackboneElement The average arterial pressure that occurs over the entire course of the heart contraction and relaxation cycle.
Constraints: vs-3
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code SΣ 1..1 CodeableConcept Type of component observation (code / type)
Binding: VitalSigns (extensible): This identifies the vital sign result type.
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... Slices for coding Σ 1..* Coding Mean Arterial Pressure
Slice: Unordered, Open by value:code, value:system
...... Slices for coding Content/Rules for all slices
....... coding:MAPCode Σ 1..1 Coding Mean Arterial Pressure loinc code
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
........ code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: 8478-0
........ display Σ 0..1 string Representation defined by the system
....... coding:MAPSnomedCode Σ 0..1 Coding Mean Arterial Pressure snomed code
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
........ version Σ 0..1 string Version of the system - if relevant
........ code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: 4501000202102
........ display Σ 0..1 string Representation defined by the system
........ userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... value[x] SΣC 0..1 Quantity Vital Sign Value recorded with UCUM
Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs.
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... value Σ 1..1 decimal Numerical value (with implicit precision)
...... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit Σ 1..1 string Unit representation
...... system ΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
...... code Σ 1..1 code Coded form of the unit
Fixed Value: mm[Hg]
..... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.status Base required ObservationStatus 📍4.0.1 FHIR Std.
Observation.category Base preferred Observation Category Codes 📍4.0.1 FHIR Std.
Observation.category:VSCat Base preferred Observation Category Codes 📍4.0.1 FHIR Std.
Observation.code Base extensible Vital Signs 📍4.0.1 FHIR Std.
Observation.bodySite.​coding Base required NoDomainVitalSignsBloodpressureBodySite-ValueSet 📦0.9.74 hl7.fhir.no.domain.vitalsigns v0.9
Observation.method.coding Base required DIPSVitalSignsObservationBloodPressureMeasurementMethod 📦0.1.0 This IG
Observation.referenceRange.​type Base preferred Observation Reference Range Meaning Codes 📍4.0.1 FHIR Std.
Observation.referenceRange.​appliesTo Base example Observation Reference Range Applies To Codes 📍4.0.1 FHIR Std.
Observation.component.​code Base extensible Vital Signs 📍4.0.1 FHIR Std.
Observation.component.​value[x] Base extensible Vital Signs Units 📍4.0.1 FHIR Std.
Observation.component.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:SystolicBP.​code Base extensible Vital Signs 📍4.0.1 FHIR Std.
Observation.component:SystolicBP.​value[x] Base extensible Vital Signs Units 📍4.0.1 FHIR Std.
Observation.component:SystolicBP.​value[x].comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:DiastolicBP.​code Base extensible Vital Signs 📍4.0.1 FHIR Std.
Observation.component:DiastolicBP.​value[x] Base extensible Vital Signs Units 📍4.0.1 FHIR Std.
Observation.component:DiastolicBP.​value[x].comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:MeanArterialPressure.​code Base extensible Vital Signs 📍4.0.1 FHIR Std.
Observation.component:MeanArterialPressure.​value[x] Base extensible Vital Signs Units 📍4.0.1 FHIR Std.
Observation.component:MeanArterialPressure.​value[x].comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:PulsePressure.​code Base extensible Vital Signs 📍4.0.1 FHIR Std.
Observation.component:PulsePressure.​value[x] Base extensible Vital Signs Units 📍4.0.1 FHIR Std.
Observation.component:PulsePressure.​value[x].comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:PulsePressure.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:PulsePressure.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Observation If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Observation If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Observation If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Observation If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Observation A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
obs-6 error Observation dataAbsentReason SHALL only be present if Observation.value[x] is not present dataAbsentReason.empty() or value.empty()
obs-7 error Observation If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
vs-1 error Observation.effective[x] if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day $this is dateTime implies $this.toString().length() >= 10
vs-2 error Observation If there is no component or hasMember element then either a value[x] or a data absent reason must be present. (component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists())
vs-3 error Observation.component, Observation.component:SystolicBP, Observation.component:DiastolicBP, Observation.component:MeanArterialPressure If there is no a value a data absent reason must be present value.exists() or dataAbsentReason.exists()

 

Other representations of profile: CSV, Excel, Schematron

Notes:

Interactions:

This resource only supports search - there is no GET [base]/Observation/[id] read-by-id operation, and no create or update through the standard REST interface.

Search Parameters:

  1. SHALL support searching Observation using the documentId search parameter:

    GET [base]/Observation?documentId=[id]

    Example:

    1. GET [base]/Observation?documentId=1008418

    Implementation Notes: documentId identifies the DIPS clinical document (journal entry) the vital sign was recorded in, not the Observation's own resource id. Fetches a bundle containing every vital sign Observation recorded in that document whose type matches this profile ([how to search by string]).

  2. At least one of patient, fhirId, externalFhirId or documentId is required, or the search is rejected with a 422 error. Of these, only documentId currently returns matching results - patient, fhirId and externalFhirId are accepted by this validation but the search behind them is not yet implemented, so a request using only one of them returns an empty bundle rather than an error or a result.

  3. The standard _profile search parameter can also be appended to a request:

    GET [base]/Observation?documentId=[id]&_profile=[profile]

    Example:

    1. GET [base]/Observation?documentId=1008418&_profile=DIPSVitalSignsObservationBloodpressure

    Implementation Notes: _profile is not currently read by this endpoint - it has no effect on the result, whether or not it's present, and whichever profile is passed. It is accepted here only because it is a standard FHIR search parameter the underlying framework parses generically; nothing in the vital sign search code consults it. The set of values it is meant to take, once implemented, is the 13 DIPSVitalSignsObservation* profile ids - see the "FHIR VitalSign Observation" section of Documentation for the full list.

Operation: $SaveExtData

  1. SHALL support linking an externally recorded value to a DIPS clinical document:

    POST [base]/Observation/$SaveExtData

    Example:

     POST [base]/Observation/$SaveExtData

 <Parameters xmlns="http://hl7.org/fhir">
     <parameter>
         <name value="FhirId"/>
         <valueString value="[fhir resource id]"/>
     </parameter>
     <parameter>
         <name value="ExternalId"/>
         <valueString value="18730-7773-External_Identifier_value"/>
     </parameter>
     <parameter>
         <name value="Source"/>
         <valueString value="MetaVision"/>
     </parameter>
     <parameter>
         <name value="JournalId"/>
         <valueString value="1008418"/>
     </parameter>
     <parameter>
         <name value="IssuedTime"/>
         <valueDateTime value="2026-03-03T11:00:00+02:00"/>
     </parameter>
     <parameter>
         <name value="VersionID"/>
         <valueString value="1"/>
     </parameter>
 </Parameters>

    Implementation Notes: JournalId (the operation's name for documentId) is required and must be numeric, and must identify a document that already exists in DIPS - the operation records a mapping from that document to an externally sourced value, it does not create the document. ExternalId and Source together identify the external record being linked; a request repeating a JournalId/Source pair already mapped is rejected with a 400 error.