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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"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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</meta>
<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/)" />
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