Appointment Framework

WARNING

This guidance is under active development by NHS England and content may be added or updated on a regular basis.

Vital Signs Findings

This is based on the US LOINC 74728-7 Vital signs, weight, height, head circumference, oximetry, BMI, and BSA panel - HL7.CCDAr1.1, which has been converted to use UK SNOMED CT.

Questionnaire

id : 0d9fccea-9c98-4e61-b3e0-bc9b3a9db675

meta

versionId : 24

lastUpdated : 2024-05-12T10:22:58.032+00:00

url : https://example.fhir.nhs.uk/Questionnaire/VitalSignsFinding

title : Vital signs finding

status : draft

description : 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 : http://terminology.hl7.org/CodeSystem/usage-context-type

code : focus

value

coding

system : http://snomed.info/sct

code : 163121000000106

display : Findings

code

system : http://snomed.info/sct

code : 118227000

display : Vital signs finding

item

extension

url : http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationLinkPeriod

value

value : 2

unit : weeks

system : http://unitsofmeasure.org

code : wk

extension

url : http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract

value : True

extension

url : http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption

value

system : http://unitsofmeasure.org

code : %

display : percent

linkId : /927981000000106

definition : http://hl7.org/fhir/StructureDefinition/Observation#valueQuantity

code

system : http://snomed.info/sct

code : 927981000000106

display : Baseline SpO2 (oxygen saturation at periphery)

code

system : http://loinc.org

code : 59408-5

prefix : 1

text : Baseline SpO2 (oxygen saturation at periphery)

type : quantity

required : False

initial

value

unit : percent

system : http://unitsofmeasure.org

code : %

item

extension

url : http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationLinkPeriod

value

value : 2

unit : weeks

system : http://unitsofmeasure.org

code : wk

extension

url : http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract

value : True

extension

url : http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption

value

system : http://unitsofmeasure.org

code : kg

display : kilogram

extension

url : http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption

value

system : http://unitsofmeasure.org

code : [lb_av]

display : pound

linkId : /27113001

definition : http://hl7.org/fhir/StructureDefinition/Observation#valueQuantity

code

system : http://snomed.info/sct

code : 27113001

display : Body weight

code

system : http://loinc.org

code : 29463-7

prefix : 2

text : Weight Measured

type : quantity

required : False

initial

value

unit : kilogram

system : http://unitsofmeasure.org

code : kg

item

extension

url : http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationLinkPeriod

value

value : 2

unit : weeks

system : http://unitsofmeasure.org

code : wk

extension

url : http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract

value : True

extension

url : http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption

value

system : http://unitsofmeasure.org

code : cm

display : centimeter

extension

url : http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption

value

system : http://unitsofmeasure.org

code : [in_i]

display : inch

linkId : /363811000

definition : http://hl7.org/fhir/StructureDefinition/Observation#valueQuantity

code

system : http://snomed.info/sct

code : 363811000

display : Head circumference measure

prefix : 3

text : Head circumference

type : quantity

required : False

initial

value

unit : centimeter

system : http://unitsofmeasure.org

code : cm

item

extension

url : http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationLinkPeriod

value

value : 2

unit : weeks

system : http://unitsofmeasure.org

code : wk

extension

url : http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract

value : True

extension

url : http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption

value

system : http://unitsofmeasure.org

code : cm

display : centimeter

extension

url : http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption

value

system : http://unitsofmeasure.org

code : [in_i]

display : inch

linkId : /50373000

definition : http://hl7.org/fhir/StructureDefinition/Observation#valueQuantity

code

system : http://snomed.info/sct

code : 50373000

display : Body height measure

code

system : http://loinc.org

code : 8302-2

prefix : 4

text : Body height

type : quantity

required : False

initial

value

unit : centimeter

system : http://unitsofmeasure.org

code : cm

item

extension

url : http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationLinkPeriod

value

value : 2

unit : weeks

system : http://unitsofmeasure.org

code : wk

extension

url : http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract

value : True

extension

url : http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption

value

system : http://unitsofmeasure.org

code : Cel

display : degree Celsius

linkId : /276885007

definition : http://hl7.org/fhir/StructureDefinition/Observation#valueQuantity

code

system : http://snomed.info/sct

code : 276885007

display : Core body temperature

code

system : http://loinc.org

code : 8310-5

display : Temperature (deg F) OR

prefix : 5

text : Body temperature

type : quantity

required : False

initial

value

unit : degree Celsius

system : http://unitsofmeasure.org

code : Cel

item

extension

url : http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract

value : True

extension

url : http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption

value

system : http://unitsofmeasure.org

code : mm[Hg]

display : millimeter of mercury

linkId : /72313002

definition : http://hl7.org/fhir/StructureDefinition/Observation#component.valueQuantity

code

system : http://snomed.info/sct

code : 72313002

display : Systolic arterial pressure

code

system : http://loinc.org

code : 8480-6

display : Systolic Blood Pressure (mm/Hg)

prefix : 6

text : Systolic blood pressure

type : quantity

required : False

initial

value

unit : millimeter of mercury

system : http://unitsofmeasure.org

code : mm[Hg]

item

extension

url : http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationLinkPeriod

value

value : 2

unit : weeks

system : http://unitsofmeasure.org

code : wk

extension

url : http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract

value : True

extension

url : http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption

value

system : http://unitsofmeasure.org

code : mm[Hg]

display : millimeter of mercury

linkId : /1091811000000102

definition : http://hl7.org/fhir/StructureDefinition/Observation#component.valueQuantity

code

system : http://snomed.info/sct

code : 1091811000000102

display : Diastolic arterial pressure

code

system : http://loinc.org

code : 8462-4

display : Diastolic Blood Pressure (mm/Hg)

prefix : 7

text : Diastolic blood pressure

type : quantity

required : False

initial

value

unit : millimeter of mercury

system : http://unitsofmeasure.org

code : mm[Hg]

item

extension

url : http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationLinkPeriod

value

value : 2

unit : weeks

system : http://unitsofmeasure.org

code : wk

extension

url : http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract

value : True

extension

url : http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption

value

system : http://unitsofmeasure.org

code : {beats}/min

display : heart beats per minute

linkId : /364075005

definition : http://hl7.org/fhir/StructureDefinition/Observation#valueQuantity

code

system : http://snomed.info/sct

code : 364075005

display : Heart rate

code

system : http://loinc.org

code : 8867-4

prefix : 8

text : Heart rate

type : quantity

required : False

initial

value

unit : heart beats per minute

system : http://unitsofmeasure.org

code : {beats}/min

item

extension

url : http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationLinkPeriod

value

value : 2

unit : weeks

system : http://unitsofmeasure.org

code : wk

extension

url : http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract

value : True

extension

url : http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption

value

system : http://unitsofmeasure.org

code : {Breaths}/min

display : Breaths / minute

linkId : /86290005

code

system : http://snomed.info/sct

code : 86290005

display : Respiratory rate

code

system : http://loinc.org

code : 9279-1

display : Respiratory Rate (breaths/min)

prefix : 9

text : Resp rate

type : quantity

required : False

initial

value

unit : Breaths / minute

system : http://unitsofmeasure.org

code : {Breaths}/min

item

extension

url : http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationLinkPeriod

value

value : 2

unit : weeks

system : http://unitsofmeasure.org

code : wk

extension

url : http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract

value : True

extension

url : http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption

value

system : http://unitsofmeasure.org

code : kg/m2

display : kilogram per square meter

linkId : /60621009

definition : http://hl7.org/fhir/StructureDefinition/Observation#valueQuantity

code

system : http://snomed.info/sct

code : 60621009

display : Body mass index

prefix : 10

text : BMI

type : quantity

required : False

item

extension

url : http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationLinkPeriod

value

value : 2

unit : weeks

system : http://unitsofmeasure.org

code : wk

extension

url : http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract

value : True

linkId : 7858131839876

definition : http://hl7.org/fhir/StructureDefinition/Observation#valueCodeableConcept

code

system : http://snomed.info/sct

code : 1104441000000107

display : Alert Confusion Voice Pain Unresponsive scale score

prefix : 11

text : ACVPU (Alert Confusion Voice Pain Unresponsive) scale

type : choice

answerOption

value

system : http://snomed.info/sct

code : 248234008

display : Mentally alert

answerOption

value

system : http://snomed.info/sct

code : 300202002

display : Responds to voice

answerOption

value

system : http://snomed.info/sct

code : 450847001

display : Responds to pain

answerOption

value

system : http://snomed.info/sct

code : 422768004

display : Unresponsive

answerOption

value

system : http://snomed.info/sct

code : 130987000

display : Acute confusion

item

extension

url : http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract

value : True

extension

url : http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationLinkPeriod

value

value : 2

unit : weeks

system : http://unitsofmeasure.org

code : wk

linkId : 4461500479416

definition : http://hl7.org/fhir/StructureDefinition/Observation#valueCodeableConcept

code

system : http://snomed.info/sct

code : 301282008

display : Finding of respiration

prefix : 12

text : Inspired Oxygen

type : choice

answerOption

value

system : http://snomed.info/sct

code : 722742002

display : Breathing room air

answerOption

value

system : http://snomed.info/sct

code : 371825009

display : Patient on oxygen

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        "versionId": "24",
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    "title": "Vital signs finding",
    "status": "draft",
    "description": "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/)",
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            ],
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            "text": "Weight Measured",
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                    "valueQuantity": {
                        "unit": "kilogram",
                        "system": "http://unitsofmeasure.org",
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        {
            "extension":  [
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                        "display": "centimeter"
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            "code":  [
                {
                    "system": "http://snomed.info/sct",
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                }
            ],
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            "code":  [
                {
                    "system": "http://snomed.info/sct",
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                },
                {
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                    "code": "8302-2"
                }
            ],
            "prefix": "4",
            "text": "Body height",
            "type": "quantity",
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            "initial":  [
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                    "valueQuantity": {
                        "unit": "centimeter",
                        "system": "http://unitsofmeasure.org",
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        {
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                        "system": "http://unitsofmeasure.org",
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                {
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                },
                {
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                {
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                }
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                    "valueCoding": {
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                        "code": "mm[Hg]",
                        "display": "millimeter of mercury"
                    }
                }
            ],
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            "definition": "http://hl7.org/fhir/StructureDefinition/Observation#component.valueQuantity",
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                {
                    "system": "http://snomed.info/sct",
                    "code": "72313002",
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                },
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                    "display": "Systolic Blood Pressure (mm/Hg)"
                }
            ],
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            "required": false,
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                        "system": "http://unitsofmeasure.org",
                        "code": "mm[Hg]"
                    }
                }
            ]
        },
        {
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                        "system": "http://unitsofmeasure.org",
                        "code": "wk"
                    }
                },
                {
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                    "valueBoolean": true
                },
                {
                    "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption",
                    "valueCoding": {
                        "system": "http://unitsofmeasure.org",
                        "code": "mm[Hg]",
                        "display": "millimeter of mercury"
                    }
                }
            ],
            "linkId": "/1091811000000102",
            "definition": "http://hl7.org/fhir/StructureDefinition/Observation#component.valueQuantity",
            "code":  [
                {
                    "system": "http://snomed.info/sct",
                    "code": "1091811000000102",
                    "display": "Diastolic arterial pressure"
                },
                {
                    "system": "http://loinc.org",
                    "code": "8462-4",
                    "display": "Diastolic Blood Pressure (mm/Hg)"
                }
            ],
            "prefix": "7",
            "text": "Diastolic blood pressure",
            "type": "quantity",
            "required": false,
            "initial":  [
                {
                    "valueQuantity": {
                        "unit": "millimeter of mercury",
                        "system": "http://unitsofmeasure.org",
                        "code": "mm[Hg]"
                    }
                }
            ]
        },
        {
            "extension":  [
                {
                    "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationLinkPeriod",
                    "valueDuration": {
                        "value": 2,
                        "unit": "weeks",
                        "system": "http://unitsofmeasure.org",
                        "code": "wk"
                    }
                },
                {
                    "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract",
                    "valueBoolean": true
                },
                {
                    "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption",
                    "valueCoding": {
                        "system": "http://unitsofmeasure.org",
                        "code": "{beats}/min",
                        "display": "heart beats per minute"
                    }
                }
            ],
            "linkId": "/364075005",
            "definition": "http://hl7.org/fhir/StructureDefinition/Observation#valueQuantity",
            "code":  [
                {
                    "system": "http://snomed.info/sct",
                    "code": "364075005",
                    "display": "Heart rate"
                },
                {
                    "system": "http://loinc.org",
                    "code": "8867-4"
                }
            ],
            "prefix": "8",
            "text": "Heart rate",
            "type": "quantity",
            "required": false,
            "initial":  [
                {
                    "valueQuantity": {
                        "unit": "heart beats per minute",
                        "system": "http://unitsofmeasure.org",
                        "code": "{beats}/min"
                    }
                }
            ]
        },
        {
            "extension":  [
                {
                    "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationLinkPeriod",
                    "valueDuration": {
                        "value": 2,
                        "unit": "weeks",
                        "system": "http://unitsofmeasure.org",
                        "code": "wk"
                    }
                },
                {
                    "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract",
                    "valueBoolean": true
                },
                {
                    "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption",
                    "valueCoding": {
                        "system": "http://unitsofmeasure.org",
                        "code": "{Breaths}/min",
                        "display": "Breaths / minute"
                    }
                }
            ],
            "linkId": "/86290005",
            "code":  [
                {
                    "system": "http://snomed.info/sct",
                    "code": "86290005",
                    "display": "Respiratory rate"
                },
                {
                    "system": "http://loinc.org",
                    "code": "9279-1",
                    "display": "Respiratory Rate (breaths/min)"
                }
            ],
            "prefix": "9",
            "text": "Resp rate",
            "type": "quantity",
            "required": false,
            "initial":  [
                {
                    "valueQuantity": {
                        "unit": "Breaths / minute",
                        "system": "http://unitsofmeasure.org",
                        "code": "{Breaths}/min"
                    }
                }
            ]
        },
        {
            "extension":  [
                {
                    "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationLinkPeriod",
                    "valueDuration": {
                        "value": 2,
                        "unit": "weeks",
                        "system": "http://unitsofmeasure.org",
                        "code": "wk"
                    }
                },
                {
                    "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract",
                    "valueBoolean": true
                },
                {
                    "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption",
                    "valueCoding": {
                        "system": "http://unitsofmeasure.org",
                        "code": "kg/m2",
                        "display": "kilogram per square meter"
                    }
                }
            ],
            "linkId": "/60621009",
            "definition": "http://hl7.org/fhir/StructureDefinition/Observation#valueQuantity",
            "code":  [
                {
                    "system": "http://snomed.info/sct",
                    "code": "60621009",
                    "display": "Body mass index"
                }
            ],
            "prefix": "10",
            "text": "BMI",
            "type": "quantity",
            "required": false
        },
        {
            "extension":  [
                {
                    "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationLinkPeriod",
                    "valueDuration": {
                        "value": 2,
                        "unit": "weeks",
                        "system": "http://unitsofmeasure.org",
                        "code": "wk"
                    }
                },
                {
                    "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract",
                    "valueBoolean": true
                }
            ],
            "linkId": "7858131839876",
            "definition": "http://hl7.org/fhir/StructureDefinition/Observation#valueCodeableConcept",
            "code":  [
                {
                    "system": "http://snomed.info/sct",
                    "code": "1104441000000107",
                    "display": "Alert Confusion Voice Pain Unresponsive scale score"
                }
            ],
            "prefix": "11",
            "text": "ACVPU (Alert Confusion Voice Pain Unresponsive) scale",
            "type": "choice",
            "answerOption":  [
                {
                    "valueCoding": {
                        "system": "http://snomed.info/sct",
                        "code": "248234008",
                        "display": "Mentally alert"
                    }
                },
                {
                    "valueCoding": {
                        "system": "http://snomed.info/sct",
                        "code": "300202002",
                        "display": "Responds to voice"
                    }
                },
                {
                    "valueCoding": {
                        "system": "http://snomed.info/sct",
                        "code": "450847001",
                        "display": "Responds to pain"
                    }
                },
                {
                    "valueCoding": {
                        "system": "http://snomed.info/sct",
                        "code": "422768004",
                        "display": "Unresponsive"
                    }
                },
                {
                    "valueCoding": {
                        "system": "http://snomed.info/sct",
                        "code": "130987000",
                        "display": "Acute confusion"
                    }
                }
            ]
        },
        {
            "extension":  [
                {
                    "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract",
                    "valueBoolean": true
                },
                {
                    "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationLinkPeriod",
                    "valueDuration": {
                        "value": 2,
                        "unit": "weeks",
                        "system": "http://unitsofmeasure.org",
                        "code": "wk"
                    }
                }
            ],
            "linkId": "4461500479416",
            "definition": "http://hl7.org/fhir/StructureDefinition/Observation#valueCodeableConcept",
            "code":  [
                {
                    "system": "http://snomed.info/sct",
                    "code": "301282008",
                    "display": "Finding of respiration"
                }
            ],
            "prefix": "12",
            "text": "Inspired Oxygen",
            "type": "choice",
            "answerOption":  [
                {
                    "valueCoding": {
                        "system": "http://snomed.info/sct",
                        "code": "722742002",
                        "display": "Breathing room air"
                    }
                },
                {
                    "valueCoding": {
                        "system": "http://snomed.info/sct",
                        "code": "371825009",
                        "display": "Patient on oxygen"
                    }
                }
            ]
        }
    ]
}

<Questionnaire xmlns="http://hl7.org/fhir">
    <id value="0d9fccea-9c98-4e61-b3e0-bc9b3a9db675" />
    <meta>
        <versionId value="24" />
        <lastUpdated value="2024-05-12T10:22:58.032Z" />
    </meta>
    <url value="https://example.fhir.nhs.uk/Questionnaire/VitalSignsFinding" />
    <title value="Vital signs finding" />
    <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>