<status value="draft" /> <description value="Based on [LONIC Vital Signs](https://loinc.org/67795-5) converted to SNOMED CT with the addition of level of `consciousness or new confusion` from [Royal College of Physicians NEWS2](https://www.rcp.ac.uk/improving-care/resources/national-early-warning-score-news-2/)" /> <useContext> <code> <system value="http://terminology.hl7.org/CodeSystem/usage-context-type" /> <code value="focus" /> </code> <valueCodeableConcept> <coding> <system value="http://snomed.info/sct" /> <code value="163121000000106" /> <display value="Findings" /> </coding> </valueCodeableConcept> </useContext> <code> <system value="http://snomed.info/sct" /> <code value="118227000" /> <display value="Vital signs finding" /> </code> <item> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationLinkPeriod"> <valueDuration> <value value="2" /> <unit value="weeks" /> <system value="http://unitsofmeasure.org" /> <code value="wk" /> </valueDuration> </extension> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract"> <valueBoolean value="true" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption"> <valueCoding> <system value="http://unitsofmeasure.org" /> <code value="%" /> <display value="percent" /> </valueCoding> </extension> <linkId value="/927981000000106" /> <definition value="http://hl7.org/fhir/StructureDefinition/Observation#valueQuantity" /> <code> <system value="http://snomed.info/sct" /> <code value="927981000000106" /> <display value="Baseline SpO2 (oxygen saturation at periphery)" /> </code> <code> <system value="http://loinc.org" /> <code value="59408-5" /> </code> <prefix value="1" /> <text value="Baseline SpO2 (oxygen saturation at periphery)" /> <type value="quantity" /> <required value="false" /> <initial> <valueQuantity> <unit value="percent" /> <system value="http://unitsofmeasure.org" /> <code value="%" /> </valueQuantity> </initial> </item> <item> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationLinkPeriod"> <valueDuration> <value value="2" /> <unit value="weeks" /> <system value="http://unitsofmeasure.org" /> <code value="wk" /> </valueDuration> </extension> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract"> <valueBoolean value="true" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption"> <valueCoding> <system value="http://unitsofmeasure.org" /> <code value="kg" /> <display value="kilogram" /> </valueCoding> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption"> <valueCoding> <system value="http://unitsofmeasure.org" /> <code value="[lb_av]" /> <display value="pound" /> </valueCoding> </extension> <linkId value="/27113001" /> <definition value="http://hl7.org/fhir/StructureDefinition/Observation#valueQuantity" /> <code> <system value="http://snomed.info/sct" /> <code value="27113001" /> <display value="Body weight" /> </code> <code> <system value="http://loinc.org" /> <code value="29463-7" /> </code> <prefix value="2" /> <text value="Weight Measured" /> <type value="quantity" /> <required value="false" /> <initial> <valueQuantity> <unit value="kilogram" /> <system value="http://unitsofmeasure.org" /> <code value="kg" /> </valueQuantity> </initial> </item> <item> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationLinkPeriod"> <valueDuration> <value value="2" /> <unit value="weeks" /> <system value="http://unitsofmeasure.org" /> <code value="wk" /> </valueDuration> </extension> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract"> <valueBoolean value="true" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption"> <valueCoding> <system value="http://unitsofmeasure.org" /> <code value="cm" /> <display value="centimeter" /> </valueCoding> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption"> <valueCoding> <system value="http://unitsofmeasure.org" /> <code value="[in_i]" /> <display value="inch" /> </valueCoding> </extension> <linkId value="/363811000" /> <definition value="http://hl7.org/fhir/StructureDefinition/Observation#valueQuantity" /> <code> <system value="http://snomed.info/sct" /> <code value="363811000" /> <display value="Head circumference measure" /> </code> <prefix value="3" /> <text value="Head circumference" /> <type value="quantity" /> <required value="false" /> <initial> <valueQuantity> <unit value="centimeter" /> <system value="http://unitsofmeasure.org" /> <code value="cm" /> </valueQuantity> </initial> </item> <item> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationLinkPeriod"> <valueDuration> <value value="2" /> <unit value="weeks" /> <system value="http://unitsofmeasure.org" /> <code value="wk" /> </valueDuration> </extension> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract"> <valueBoolean value="true" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption"> <valueCoding> <system value="http://unitsofmeasure.org" /> <code value="cm" /> <display value="centimeter" /> </valueCoding> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption"> <valueCoding> <system value="http://unitsofmeasure.org" /> <code value="[in_i]" /> <display value="inch" /> </valueCoding> </extension> <linkId value="/50373000" /> <definition value="http://hl7.org/fhir/StructureDefinition/Observation#valueQuantity" /> <code> <system value="http://snomed.info/sct" /> <code value="50373000" /> <display value="Body height measure" /> </code> <code> <system value="http://loinc.org" /> <code value="8302-2" /> </code> <prefix value="4" /> <text value="Body height" /> <type value="quantity" /> <required value="false" /> <initial> <valueQuantity> <unit value="centimeter" /> <system value="http://unitsofmeasure.org" /> <code value="cm" /> </valueQuantity> </initial> </item> <item> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationLinkPeriod"> <valueDuration> <value value="2" /> <unit value="weeks" /> <system value="http://unitsofmeasure.org" /> <code value="wk" /> </valueDuration> </extension> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract"> <valueBoolean value="true" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption"> <valueCoding> <system value="http://unitsofmeasure.org" /> <code value="Cel" /> <display value="degree Celsius" /> </valueCoding> </extension> <linkId value="/276885007" /> <definition value="http://hl7.org/fhir/StructureDefinition/Observation#valueQuantity" /> <code> <system value="http://snomed.info/sct" /> <code value="276885007" /> <display value="Core body temperature" /> </code> <code> <system value="http://loinc.org" /> <code value="8310-5" /> <display value="Temperature (deg F) OR" /> </code> <prefix value="5" /> <text value="Body temperature" /> <type value="quantity" /> <required value="false" /> <initial> <valueQuantity> <unit value="degree Celsius" /> <system value="http://unitsofmeasure.org" /> <code value="Cel" /> </valueQuantity> </initial> </item> <item> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract"> <valueBoolean value="true" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption"> <valueCoding> <system value="http://unitsofmeasure.org" /> <code value="mm[Hg]" /> <display value="millimeter of mercury" /> </valueCoding> </extension> <linkId value="/72313002" /> <definition value="http://hl7.org/fhir/StructureDefinition/Observation#component.valueQuantity" /> <code> <system value="http://snomed.info/sct" /> <code value="72313002" /> <display value="Systolic arterial pressure" /> </code> <code> <system value="http://loinc.org" /> <code value="8480-6" /> <display value="Systolic Blood Pressure (mm/Hg)" /> </code> <prefix value="6" /> <text value="Systolic blood pressure" /> <type value="quantity" /> <required value="false" /> <initial> <valueQuantity> <unit value="millimeter of mercury" /> <system value="http://unitsofmeasure.org" /> <code value="mm[Hg]" /> </valueQuantity> </initial> </item> <item> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationLinkPeriod"> <valueDuration> <value value="2" /> <unit value="weeks" /> <system value="http://unitsofmeasure.org" /> <code value="wk" /> </valueDuration> </extension> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract"> <valueBoolean value="true" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption"> <valueCoding> <system value="http://unitsofmeasure.org" /> <code value="mm[Hg]" /> <display value="millimeter of mercury" /> </valueCoding> </extension> <linkId value="/1091811000000102" /> <definition value="http://hl7.org/fhir/StructureDefinition/Observation#component.valueQuantity" /> <code> <system value="http://snomed.info/sct" /> <code value="1091811000000102" /> <display value="Diastolic arterial pressure" /> </code> <code> <system value="http://loinc.org" /> <code value="8462-4" /> <display value="Diastolic Blood Pressure (mm/Hg)" /> </code> <prefix value="7" /> <text value="Diastolic blood pressure" /> <type value="quantity" /> <required value="false" /> <initial> <valueQuantity> <unit value="millimeter of mercury" /> <system value="http://unitsofmeasure.org" /> <code value="mm[Hg]" /> </valueQuantity> </initial> </item> <item> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationLinkPeriod"> <valueDuration> <value value="2" /> <unit value="weeks" /> <system value="http://unitsofmeasure.org" /> <code value="wk" /> </valueDuration> </extension> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract"> <valueBoolean value="true" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption"> <valueCoding> <system value="http://unitsofmeasure.org" /> <code value="{beats}/min" /> <display value="heart beats per minute" /> </valueCoding> </extension> <linkId value="/364075005" /> <definition value="http://hl7.org/fhir/StructureDefinition/Observation#valueQuantity" /> <code> <system value="http://snomed.info/sct" /> <code value="364075005" /> <display value="Heart rate" /> </code> <code> <system value="http://loinc.org" /> <code value="8867-4" /> </code> <prefix value="8" /> <text value="Heart rate" /> <type value="quantity" /> <required value="false" /> <initial> <valueQuantity> <unit value="heart beats per minute" /> <system value="http://unitsofmeasure.org" /> <code value="{beats}/min" /> </valueQuantity> </initial> </item> <item> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationLinkPeriod"> <valueDuration> <value value="2" /> <unit value="weeks" /> <system value="http://unitsofmeasure.org" /> <code value="wk" /> </valueDuration> </extension> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract"> <valueBoolean value="true" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption"> <valueCoding> <system value="http://unitsofmeasure.org" /> <code value="{Breaths}/min" /> <display value="Breaths / minute" /> </valueCoding> </extension> <linkId value="/86290005" /> <code> <system value="http://snomed.info/sct" /> <code value="86290005" /> <display value="Respiratory rate" /> </code> <code> <system value="http://loinc.org" /> <code value="9279-1" /> <display value="Respiratory Rate (breaths/min)" /> </code> <prefix value="9" /> <text value="Resp rate" /> <type value="quantity" /> <required value="false" /> <initial> <valueQuantity> <unit value="Breaths / minute" /> <system value="http://unitsofmeasure.org" /> <code value="{Breaths}/min" /> </valueQuantity> </initial> </item> <item> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationLinkPeriod"> <valueDuration> <value value="2" /> <unit value="weeks" /> <system value="http://unitsofmeasure.org" /> <code value="wk" /> </valueDuration> </extension> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract"> <valueBoolean value="true" /> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption"> <valueCoding> <system value="http://unitsofmeasure.org" /> <code value="kg/m2" /> <display value="kilogram per square meter" /> </valueCoding> </extension> <linkId value="/60621009" /> <definition value="http://hl7.org/fhir/StructureDefinition/Observation#valueQuantity" /> <code> <system value="http://snomed.info/sct" /> <code value="60621009" /> <display value="Body mass index" /> </code> <prefix value="10" /> <text value="BMI" /> <type value="quantity" /> <required value="false" /> </item> <item> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationLinkPeriod"> <valueDuration> <value value="2" /> <unit value="weeks" /> <system value="http://unitsofmeasure.org" /> <code value="wk" /> </valueDuration> </extension> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract"> <valueBoolean value="true" /> </extension> <linkId value="7858131839876" /> <definition value="http://hl7.org/fhir/StructureDefinition/Observation#valueCodeableConcept" /> <code> <system value="http://snomed.info/sct" /> <code value="1104441000000107" /> <display value="Alert Confusion Voice Pain Unresponsive scale score" /> </code> <prefix value="11" /> <text value="ACVPU (Alert Confusion Voice Pain Unresponsive) scale" /> <type value="choice" /> <answerOption> <valueCoding> <system value="http://snomed.info/sct" /> <code value="248234008" /> <display value="Mentally alert" /> </valueCoding> </answerOption> <answerOption> <valueCoding> <system value="http://snomed.info/sct" /> <code value="300202002" /> <display value="Responds to voice" /> </valueCoding> </answerOption> <answerOption> <valueCoding> <system value="http://snomed.info/sct" /> <code value="450847001" /> <display value="Responds to pain" /> </valueCoding> </answerOption> <answerOption> <valueCoding> <system value="http://snomed.info/sct" /> <code value="422768004" /> <display value="Unresponsive" /> </valueCoding> </answerOption> <answerOption> <valueCoding> <system value="http://snomed.info/sct" /> <code value="130987000" /> <display value="Acute confusion" /> </valueCoding> </answerOption> </item> <item> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract"> <valueBoolean value="true" /> </extension> <extension url="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationLinkPeriod"> <valueDuration> <value value="2" /> <unit value="weeks" /> <system value="http://unitsofmeasure.org" /> <code value="wk" /> </valueDuration> </extension> <linkId value="4461500479416" /> <definition value="http://hl7.org/fhir/StructureDefinition/Observation#valueCodeableConcept" /> <code> <system value="http://snomed.info/sct" /> <code value="301282008" /> <display value="Finding of respiration" /> </code> <prefix value="12" /> <text value="Inspired Oxygen" /> <type value="choice" /> <answerOption> <valueCoding> <system value="http://snomed.info/sct" /> <code value="722742002" /> <display value="Breathing room air" /> </valueCoding> </answerOption> <answerOption> <valueCoding> <system value="http://snomed.info/sct" /> <code value="371825009" /> <display value="Patient on oxygen" /> </valueCoding> </answerOption> </item> </Questionnaire>