<status value="active" /> <experimental value="false" /> <date value="2022-04-20" /> <publisher value="HL7 International - Cross-Group Projects" /> <contact> <name value="HL7 International - Cross-Group Projects" /> <telecom> <system value="url" /> <value value="http://www.hl7.org/Special/committees/cgp" /> </telecom> <telecom> <system value="email" /> <value value="cgp@lists.HL7.org" /> </telecom> </contact> <description value="To promote interoperability and adoption through common implementation, this profile sets minimum expectations for the Observation resource to record, search, and fetch diastolic and systolic blood pressure observations with standard LOINC codes and UCUM units of measure. It is based on the US Core Vital Signs Profile and identifies which *additional* core elements, extensions, vocabularies, and value sets **SHALL** be present and constrains the way the elements are used when using the profile. It provides the floor for standards development for specific use cases." /> <jurisdiction> <coding> <system value="urn:iso:std:iso:3166" /> <code value="US" /> </coding> </jurisdiction> <copyright value="Used by permission of HL7 International, all rights reserved Creative Commons License" /> <fhirVersion value="4.0.1" /> <mapping> <identity value="workflow" /> <uri value="http://hl7.org/fhir/workflow" /> <name value="Workflow Pattern" /> </mapping> <mapping> <identity value="sct-concept" /> <uri value="http://snomed.info/conceptdomain" /> <name value="SNOMED CT Concept Domain Binding" /> </mapping> <mapping> <identity value="v2" /> <uri value="http://hl7.org/v2" /> <name value="HL7 v2 Mapping" /> </mapping> <mapping> <identity value="rim" /> <uri value="http://hl7.org/v3" /> <name value="RIM Mapping" /> </mapping> <mapping> <identity value="w5" /> <uri value="http://hl7.org/fhir/fivews" /> <name value="FiveWs Pattern Mapping" /> </mapping> <mapping> <identity value="sct-attr" /> <uri value="http://snomed.org/attributebinding" /> <name value="SNOMED CT Attribute Binding" /> </mapping> <kind value="resource" /> <abstract value="false" /> <type value="Observation" /> <baseDefinition value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-vital-signs" /> <derivation value="constraint" /> <snapshot /> <differential> <element id="Observation"> <path value="Observation" /> <short value="US Core Blood Pressure Profile" /> <definition value="\-" /> <comment value="\-" /> </element> <element id="Observation.code"> <extension url="http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement"> <valueBoolean value="true" /> </extension> <path value="Observation.code" /> <short value="(USCDI) Blood Pressure" /> <type> <code value="CodeableConcept" /> </type> <patternCodeableConcept> <coding> <system value="http://loinc.org" /> <code value="85354-9" /> </coding> </patternCodeableConcept> <mustSupport value="true" /> </element> <element id="Observation.component"> <extension url="http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement"> <valueBoolean value="true" /> </extension> <path value="Observation.component" /> <slicing> <discriminator> <type value="pattern" /> <path value="code" /> </discriminator> <ordered value="false" /> <rules value="open" /> </slicing> <short value="(USCDI) Component observations" /> <min value="2" /> <max value="*" /> <mustSupport value="true" /> </element> <element id="Observation.component:systolic"> <extension url="http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement"> <valueBoolean value="true" /> </extension> <path value="Observation.component" /> <sliceName value="systolic" /> <short value="(USCDI) Systolic Blood Pressure" /> <min value="1" /> <max value="1" /> <mustSupport value="true" /> </element> <element id="Observation.component:systolic.code"> <extension url="http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement"> <valueBoolean value="true" /> </extension> <path value="Observation.component.code" /> <short value="(USCDI) Systolic Blood Pressure Code" /> <min value="1" /> <max value="1" /> <patternCodeableConcept> <coding> <system value="http://loinc.org" /> <code value="8480-6" /> </coding> </patternCodeableConcept> <mustSupport value="true" /> </element> <element id="Observation.component:systolic.valueQuantity"> <extension url="http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement"> <valueBoolean value="true" /> </extension> <path value="Observation.component.valueQuantity" /> <short value="(USCDI) Vital Sign Component Value" /> <type> <code value="Quantity" /> </type> <mustSupport value="true" /> </element> <element id="Observation.component:systolic.valueQuantity.value"> <extension url="http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement"> <valueBoolean value="true" /> </extension> <path value="Observation.component.valueQuantity.value" /> <short value="(USCDI) Numerical value (with implicit precision)" /> <min value="1" /> <max value="1" /> <type> <code value="decimal" /> </type> <mustSupport value="true" /> </element> <element id="Observation.component:systolic.valueQuantity.unit"> <extension url="http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement"> <valueBoolean value="true" /> </extension> <path value="Observation.component.valueQuantity.unit" /> <short value="(USCDI) Unit representation" /> <min value="1" /> <max value="1" /> <type> <code value="string" /> </type> <mustSupport value="true" /> </element> <element id="Observation.component:systolic.valueQuantity.system"> <extension url="http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement"> <valueBoolean value="true" /> </extension> <path value="Observation.component.valueQuantity.system" /> <short value="(USCDI) System that defines coded unit form" /> <min value="1" /> <max value="1" /> <type> <code value="uri" /> </type> <fixedUri value="http://unitsofmeasure.org" /> <mustSupport value="true" /> </element> <element id="Observation.component:systolic.valueQuantity.code"> <extension url="http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement"> <valueBoolean value="true" /> </extension> <path value="Observation.component.valueQuantity.code" /> <short value="(USCDI) Coded form of the unit" /> <min value="1" /> <max value="1" /> <type> <code value="code" /> </type> <fixedCode value="mm[Hg]" /> <mustSupport value="true" /> </element> <element id="Observation.component:diastolic"> <extension url="http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement"> <valueBoolean value="true" /> </extension> <path value="Observation.component" /> <sliceName value="diastolic" /> <short value="(USCDI) Diastolic Blood Pressure" /> <min value="1" /> <max value="1" /> <mustSupport value="true" /> </element> <element id="Observation.component:diastolic.code"> <extension url="http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement"> <valueBoolean value="true" /> </extension> <path value="Observation.component.code" /> <short value="(USCDI) Diastolic Blood Pressure Code" /> <min value="1" /> <max value="1" /> <patternCodeableConcept> <coding> <system value="http://loinc.org" /> <code value="8462-4" /> </coding> </patternCodeableConcept> <mustSupport value="true" /> </element> <element id="Observation.component:diastolic.valueQuantity"> <extension url="http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement"> <valueBoolean value="true" /> </extension> <path value="Observation.component.valueQuantity" /> <short value="(USCDI) Vital Sign Component Value" /> <type> <code value="Quantity" /> </type> <mustSupport value="true" /> </element> <element id="Observation.component:diastolic.valueQuantity.value"> <extension url="http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement"> <valueBoolean value="true" /> </extension> <path value="Observation.component.valueQuantity.value" /> <short value="(USCDI) Numerical value (with implicit precision)" /> <min value="1" /> <max value="1" /> <type> <code value="decimal" /> </type> <mustSupport value="true" /> </element> <element id="Observation.component:diastolic.valueQuantity.unit"> <extension url="http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement"> <valueBoolean value="true" /> </extension> <path value="Observation.component.valueQuantity.unit" /> <short value="(USCDI) Unit representation" /> <min value="1" /> <max value="1" /> <type> <code value="string" /> </type> <mustSupport value="true" /> </element> <element id="Observation.component:diastolic.valueQuantity.system"> <extension url="http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement"> <valueBoolean value="true" /> </extension> <path value="Observation.component.valueQuantity.system" /> <short value="(USCDI) System that defines coded unit form" /> <min value="1" /> <max value="1" /> <type> <code value="uri" /> </type> <fixedUri value="http://unitsofmeasure.org" /> <mustSupport value="true" /> </element> <element id="Observation.component:diastolic.valueQuantity.code"> <extension url="http://hl7.org/fhir/us/core/StructureDefinition/uscdi-requirement"> <valueBoolean value="true" /> </extension> <path value="Observation.component.valueQuantity.code" /> <short value="(USCDI) Coded form of the unit" /> <min value="1" /> <max value="1" /> <type> <code value="code" /> </type> <fixedCode value="mm[Hg]" /> <mustSupport value="true" /> </element> </differential> </StructureDefinition>

Name	Flags	Card.	Type	Description & Constraints
Observation		0 .. *	USCoreVitalSignsProfile	US Core Blood Pressure Profile
code	S	1 .. 1	CodeableConcept	(USCDI) Blood Pressure Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 85354-9
Slices for component	S	2 .. *	BackboneElement	(USCDI) Component observations Slice: Unordered, Open by pattern:code
component:systolic	S	1..1	BackboneElement	(USCDI) Systolic Blood Pressure
code	S	1..1	CodeableConcept	(USCDI) Systolic Blood Pressure Code Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 8480-6
valueQuantity	S	0 .. 1	Quantity	(USCDI) Vital Sign Component Value
value	S	1..1	decimal	(USCDI) Numerical value (with implicit precision)
unit	S	1..1	string	(USCDI) Unit representation
system	S	1..1	uri	(USCDI) System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code	S	1..1	code	(USCDI) Coded form of the unit Fixed Value: mm[Hg]
component:diastolic	S	1..1	BackboneElement	(USCDI) Diastolic Blood Pressure
code	S	1..1	CodeableConcept	(USCDI) Diastolic Blood Pressure Code Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 8462-4
valueQuantity	S	0 .. 1	Quantity	(USCDI) Vital Sign Component Value
value	S	1..1	decimal	(USCDI) Numerical value (with implicit precision)
unit	S	1..1	string	(USCDI) Unit representation
system	S	1..1	uri	(USCDI) System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code	S	1..1	code	(USCDI) Coded form of the unit Fixed Value: mm[Hg]
Documentation for this format