Bộ Hướng dẫn Triển khai Core FHIR cho Việt Nam
0.4.0 - STU1 Draft
Bộ Hướng dẫn Triển khai Core FHIR cho Việt Nam - Local Development build (v0.4.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| URL chính thức: http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-observation-blood-pressure | Phiên bản: 0.4.0 | ||||
| Computable Name: VNCoreObservationBloodPressure | |||||
Bản quyền/Pháp lý: Căn cứ pháp lý Việt Nam: TT 13/2025/TT-BYT ngày 06/06/2025; QĐ 1227/QĐ-BYT ngày 11/04/2025. |
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Profile Observation huyết áp cho Việt Nam, dùng LOINC 85354-9 và hai component LOINC cho huyết áp tâm thu/tâm trương. Phục vụ ghi nhận sinh hiệu trong khám chữa bệnh, bệnh án điện tử và liên thông dữ liệu lâm sàng theo TT 13/2025/TT-BYT (06/06/2025). QĐ 1227/QĐ-BYT (11/04/2025) là căn cứ chuẩn hóa thuật ngữ chỉ số cận lâm sàng và ánh xạ LOINC khi triển khai trong nước.
Usages:
You can also check for usages in the FHIR IG Statistics
Mô tả profile, differential, snapshot và các biểu diễn liên quan.
| Name | Flags | Card. | Type | Description & Constraints Filter:   |
|---|---|---|---|---|
  Observation |
C | 0..* | VNCoreObservationVitalSigns | FHIR Vital Signs Profile Constraints: obs-6, obs-7, vs-2 |
  implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
| status |
?!SΣ | 1..1 | code | Trạng thái kết quả huyết áp 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. |
   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 | Mã huyết áp 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:system |
| coding:loinc |
SΣ | 1..1 | Coding | Mã sinh hiệu LOINC Binding: Mã LOINC sinh hiệu VN Core — VN Core Vital Signs LOINC Codes ValueSet (required) |
 system |
Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org |
| code |
SΣ | 1..1 | code | Mã LOINC sinh hiệu Fixed Value: 85354-9 |
 display |
SΣ | 0..1 | string | Tên LOINC sinh hiệu Required Pattern: Blood pressure panel with all children optional |
 subject |
SΣ | 1..1 | Reference(Bệnh nhân VN Core — VN Core Patient Profile) | Bệnh nhân được đo huyết áp |
| effective[x] |
SΣC | 1..1 | dateTime | Thời điểm đo huyết áp Constraints: vs-1 |
| dataAbsentReason |
SC | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
| Slices for component |
SΣC | 1..* | BackboneElement | Thành phần huyết áp Slice: Unordered, Open by value:code 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:systolic |
SΣC | 0..1 | BackboneElement | Huyết áp tâm thu 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. Required Pattern: At least the following |
 id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
 coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 8480-6 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Systolic blood pressure | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| value[x] |
SΣC | 1..1 | Quantity | Giá trị huyết áp tâm thu Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs. |
| 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 Fixed Value: mmHg |
| 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] |
| 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:diastolic |
SΣC | 0..1 | BackboneElement | Huyết áp tâm trương 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. Required Pattern: At least the following |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 8462-4 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Diastolic blood pressure | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| value[x] |
SΣC | 1..1 | Quantity | Giá trị huyết áp tâm trương Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs. |
| 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 Fixed Value: mmHg |
| 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] |
| dataAbsentReason |
SC | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
| Documentation for this format | ||||
| 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.code.coding:loinc | Base | required | Mã LOINC sinh hiệu VN Core — VN Core Vital Signs LOINC Codes ValueSet | 📦0.4.0 | This IG |
| Observation.dataAbsentReason | Base | extensible | DataAbsentReason | 📍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:systolic.code | Base | extensible | Vital Signs | 📍4.0.1 | FHIR Std. |
| Observation.component:systolic.value[x] | Base | extensible | Vital Signs Units | 📍4.0.1 | FHIR Std. |
| Observation.component:systolic.value[x].comparator | Base | required | QuantityComparator | 📍4.0.1 | FHIR Std. |
| Observation.component:systolic.dataAbsentReason | Base | extensible | DataAbsentReason | 📍4.0.1 | FHIR Std. |
| Observation.component:diastolic.code | Base | extensible | Vital Signs | 📍4.0.1 | FHIR Std. |
| Observation.component:diastolic.value[x] | Base | extensible | Vital Signs Units | 📍4.0.1 | FHIR Std. |
| Observation.component:diastolic.value[x].comparator | Base | required | QuantityComparator | 📍4.0.1 | FHIR Std. |
| Observation.component:diastolic.dataAbsentReason | Base | extensible | DataAbsentReason | 📍4.0.1 | FHIR Std. |
| 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:systolic, Observation.component:diastolic | If there is no a value a data absent reason must be present |
value.exists() or dataAbsentReason.exists()
|
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Observation |
0..* | VNCoreObservationVitalSigns | FHIR Vital Signs Profile | |
| status |
1..1 | code | Trạng thái kết quả huyết áp | |
| code |
1..1 | CodeableConcept | Mã huyết áp | |
| Slices for coding |
Content/Rules for all slices | |||
| coding:loinc |
1..1 | Coding | Mã sinh hiệu LOINC | |
| code |
1..1 | code | Mã LOINC sinh hiệu Fixed Value: 85354-9 | |
| display |
0..1 | string | Tên LOINC sinh hiệu Required Pattern: Blood pressure panel with all children optional | |
| subject |
1..1 | Reference(Bệnh nhân VN Core — VN Core Patient Profile) | Bệnh nhân được đo huyết áp | |
| effective[x] |
1..1 | dateTime | Thời điểm đo huyết áp | |
| value[x] |
0..0 | Không dùng giá trị trực tiếp; huyết áp dùng component | ||
| Slices for component |
1..* | BackboneElement | Thành phần huyết áp Slice: Unordered, Open by value:code | |
| component:systolic |
S | 0..1 | BackboneElement | Huyết áp tâm thu |
| code |
1..1 | CodeableConcept | Type of component observation (code / type) 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 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Systolic blood pressure | |
| value[x] |
1..1 | Quantity | Giá trị huyết áp tâm thu | |
| unit |
1..1 | string | Unit representation Fixed Value: mmHg | |
| system |
1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org | |
| code |
1..1 | code | Coded form of the unit Fixed Value: mm[Hg] | |
| component:diastolic |
S | 0..1 | BackboneElement | Huyết áp tâm trương |
| code |
1..1 | CodeableConcept | Type of component observation (code / type) 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 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Diastolic blood pressure | |
| value[x] |
1..1 | Quantity | Giá trị huyết áp tâm trương | |
| unit |
1..1 | string | Unit representation Fixed Value: mmHg | |
| system |
1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org | |
| code |
1..1 | code | Coded form of the unit Fixed Value: mm[Hg] | |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Observation |
C | 0..* | VNCoreObservationVitalSigns | FHIR Vital Signs Profile 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 | ||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| 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 | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
 extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier |
Σ | 0..* | Identifier | Business Identifier for observation | ||||
| basedOn |
Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order | ||||
| partOf |
Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event | ||||
| status |
?!SΣ | 1..1 | code | Trạng thái kết quả huyết áp 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. | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding |
SΣ | 1..* | Coding | Code defined by a terminology system | ||||
| 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 |
SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| 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 | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| code |
SΣ | 1..1 | CodeableConcept | Mã huyết áp Binding: VitalSigns (extensible): This identifies the vital sign result type. | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| 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:system | ||||
| coding:loinc |
SΣ | 1..1 | Coding | Mã sinh hiệu LOINC Binding: Mã LOINC sinh hiệu VN Core — VN Core Vital Signs LOINC Codes ValueSet (required) | ||||
| 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://loinc.org | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
SΣ | 1..1 | code | Mã LOINC sinh hiệu Fixed Value: 85354-9 | ||||
| display |
SΣ | 0..1 | string | Tên LOINC sinh hiệu Required Pattern: Blood pressure panel with all children optional | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| subject |
SΣ | 1..1 | Reference(Bệnh nhân VN Core — VN Core Patient Profile) | Bệnh nhân được đo huyết áp | ||||
| focus |
Σ | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record | ||||
| encounter |
Σ | 0..1 | Reference(Encounter) | Healthcare event during which this observation is made | ||||
| effective[x] |
SΣC | 1..1 | dateTime | Thời điểm đo huyết áp Constraints: vs-1 | ||||
| issued |
Σ | 0..1 | instant | Date/Time this version was made available | ||||
| performer |
Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Who is responsible for the observation | ||||
| dataAbsentReason |
SC | 0..1 | CodeableConcept | Why the 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. | |||||
| note |
0..* | Annotation | Comments about the observation | |||||
| bodySite |
0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | |||||
| method |
0..1 | CodeableConcept | How it was done Binding: ObservationMethods (example): Methods for simple observations. | |||||
| specimen |
0..1 | Reference(Specimen) | Specimen used for this observation | |||||
| device |
0..1 | Reference(Device | DeviceMetric) | (Measurement) Device | |||||
| referenceRange |
C | 0..* | BackboneElement | Provides guide for interpretation Constraints: obs-3 | ||||
| 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 | ||||
| low |
C | 0..1 | SimpleQuantity(4.0.1) | Low Range, if relevant | ||||
| high |
C | 0..1 | SimpleQuantity(4.0.1) | High Range, if relevant | ||||
| type |
0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range. | |||||
| appliesTo |
0..* | CodeableConcept | Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to. | |||||
| age |
0..1 | Range | Applicable age range, if relevant | |||||
| text |
0..1 | string | Text based reference range in an observation | |||||
| hasMember |
Σ | 0..* | Reference(QuestionnaireResponse | MolecularSequence | Vital Signs Profile) | Used when reporting vital signs panel components | ||||
| derivedFrom |
Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | MolecularSequence | Vital Signs Profile) | Related measurements the observation is made from | ||||
| Slices for component |
SΣC | 1..* | BackboneElement | Thành phần huyết áp Slice: Unordered, Open by value:code 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:systolic |
SΣC | 0..1 | BackboneElement | Huyết áp tâm thu Constraints: vs-3 | ||||
| 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. Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 8480-6 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Systolic blood pressure | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| value[x] |
SΣC | 1..1 | Quantity | Giá trị huyết áp tâm thu Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs. | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| value |
Σ | 0..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 Fixed Value: mmHg | ||||
| 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] | ||||
| 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:diastolic |
SΣC | 0..1 | BackboneElement | Huyết áp tâm trương Constraints: vs-3 | ||||
| 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. Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 8462-4 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Diastolic blood pressure | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| value[x] |
SΣC | 1..1 | Quantity | Giá trị huyết áp tâm trương Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs. | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| value |
Σ | 0..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 Fixed Value: mmHg | ||||
| 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] | ||||
| 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 | |||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Observation.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| 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.code.coding:loinc | Base | required | Mã LOINC sinh hiệu VN Core — VN Core Vital Signs LOINC Codes ValueSet | 📦0.4.0 | This IG |
| Observation.dataAbsentReason | Base | extensible | DataAbsentReason | 📍4.0.1 | FHIR Std. |
| Observation.interpretation | Base | extensible | Observation Interpretation Codes | 📍4.0.1 | FHIR Std. |
| Observation.bodySite | Base | example | SNOMED CT Body Structures | 📍4.0.1 | FHIR Std. |
| Observation.method | Base | example | Observation Methods | 📍4.0.1 | FHIR Std. |
| 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:systolic.code | Base | extensible | Vital Signs | 📍4.0.1 | FHIR Std. |
| Observation.component:systolic.value[x] | Base | extensible | Vital Signs Units | 📍4.0.1 | FHIR Std. |
| Observation.component:systolic.value[x].comparator | Base | required | QuantityComparator | 📍4.0.1 | FHIR Std. |
| Observation.component:systolic.dataAbsentReason | Base | extensible | DataAbsentReason | 📍4.0.1 | FHIR Std. |
| Observation.component:systolic.interpretation | Base | extensible | Observation Interpretation Codes | 📍4.0.1 | FHIR Std. |
| Observation.component:diastolic.code | Base | extensible | Vital Signs | 📍4.0.1 | FHIR Std. |
| Observation.component:diastolic.value[x] | Base | extensible | Vital Signs Units | 📍4.0.1 | FHIR Std. |
| Observation.component:diastolic.value[x].comparator | Base | required | QuantityComparator | 📍4.0.1 | FHIR Std. |
| Observation.component:diastolic.dataAbsentReason | Base | extensible | DataAbsentReason | 📍4.0.1 | FHIR Std. |
| Observation.component:diastolic.interpretation | Base | extensible | Observation Interpretation Codes | 📍4.0.1 | FHIR Std. |
| 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-3 | error | Observation.referenceRange | Must have at least a low or a high or text |
low.exists() or high.exists() or text.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:systolic, Observation.component:diastolic | If there is no a value a data absent reason must be present |
value.exists() or dataAbsentReason.exists()
|
Summary
Mandatory: 1 element(8 nested mandatory elements)
Must-Support: 2 elements
Fixed: 7 elements
Prohibited: 1 element
Slices
This structure defines the following Slices:
Dạng xem phần tử chính
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Observation |
C | 0..* | VNCoreObservationVitalSigns | FHIR Vital Signs Profile Constraints: obs-6, obs-7, vs-2 |
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
| status |
?!SΣ | 1..1 | code | Trạng thái kết quả huyết áp 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. |
| 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 | Mã huyết áp 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:system |
| coding:loinc |
SΣ | 1..1 | Coding | Mã sinh hiệu LOINC Binding: Mã LOINC sinh hiệu VN Core — VN Core Vital Signs LOINC Codes ValueSet (required) |
| system |
Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org |
| code |
SΣ | 1..1 | code | Mã LOINC sinh hiệu Fixed Value: 85354-9 |
| display |
SΣ | 0..1 | string | Tên LOINC sinh hiệu Required Pattern: Blood pressure panel with all children optional |
| subject |
SΣ | 1..1 | Reference(Bệnh nhân VN Core — VN Core Patient Profile) | Bệnh nhân được đo huyết áp |
| effective[x] |
SΣC | 1..1 | dateTime | Thời điểm đo huyết áp Constraints: vs-1 |
| dataAbsentReason |
SC | 0..1 | CodeableConcept | Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
| Slices for component |
SΣC | 1..* | BackboneElement | Thành phần huyết áp Slice: Unordered, Open by value:code 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:systolic |
SΣC | 0..1 | BackboneElement | Huyết áp tâm thu 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. Required Pattern: At least the following |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 8480-6 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Systolic blood pressure | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| value[x] |
SΣC | 1..1 | Quantity | Giá trị huyết áp tâm thu Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs. |
| 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 Fixed Value: mmHg |
| 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] |
| 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:diastolic |
SΣC | 0..1 | BackboneElement | Huyết áp tâm trương 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. Required Pattern: At least the following |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 8462-4 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Diastolic blood pressure | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| value[x] |
SΣC | 1..1 | Quantity | Giá trị huyết áp tâm trương Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs. |
| 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 Fixed Value: mmHg |
| 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] |
| dataAbsentReason |
SC | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
| Documentation for this format | ||||
| 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.code.coding:loinc | Base | required | Mã LOINC sinh hiệu VN Core — VN Core Vital Signs LOINC Codes ValueSet | 📦0.4.0 | This IG |
| Observation.dataAbsentReason | Base | extensible | DataAbsentReason | 📍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:systolic.code | Base | extensible | Vital Signs | 📍4.0.1 | FHIR Std. |
| Observation.component:systolic.value[x] | Base | extensible | Vital Signs Units | 📍4.0.1 | FHIR Std. |
| Observation.component:systolic.value[x].comparator | Base | required | QuantityComparator | 📍4.0.1 | FHIR Std. |
| Observation.component:systolic.dataAbsentReason | Base | extensible | DataAbsentReason | 📍4.0.1 | FHIR Std. |
| Observation.component:diastolic.code | Base | extensible | Vital Signs | 📍4.0.1 | FHIR Std. |
| Observation.component:diastolic.value[x] | Base | extensible | Vital Signs Units | 📍4.0.1 | FHIR Std. |
| Observation.component:diastolic.value[x].comparator | Base | required | QuantityComparator | 📍4.0.1 | FHIR Std. |
| Observation.component:diastolic.dataAbsentReason | Base | extensible | DataAbsentReason | 📍4.0.1 | FHIR Std. |
| 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:systolic, Observation.component:diastolic | If there is no a value a data absent reason must be present |
value.exists() or dataAbsentReason.exists()
|
Dạng xem Differential
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Observation |
0..* | VNCoreObservationVitalSigns | FHIR Vital Signs Profile | |
| status |
1..1 | code | Trạng thái kết quả huyết áp | |
| code |
1..1 | CodeableConcept | Mã huyết áp | |
| Slices for coding |
Content/Rules for all slices | |||
| coding:loinc |
1..1 | Coding | Mã sinh hiệu LOINC | |
| code |
1..1 | code | Mã LOINC sinh hiệu Fixed Value: 85354-9 | |
| display |
0..1 | string | Tên LOINC sinh hiệu Required Pattern: Blood pressure panel with all children optional | |
| subject |
1..1 | Reference(Bệnh nhân VN Core — VN Core Patient Profile) | Bệnh nhân được đo huyết áp | |
| effective[x] |
1..1 | dateTime | Thời điểm đo huyết áp | |
| value[x] |
0..0 | Không dùng giá trị trực tiếp; huyết áp dùng component | ||
| Slices for component |
1..* | BackboneElement | Thành phần huyết áp Slice: Unordered, Open by value:code | |
| component:systolic |
S | 0..1 | BackboneElement | Huyết áp tâm thu |
| code |
1..1 | CodeableConcept | Type of component observation (code / type) 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 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Systolic blood pressure | |
| value[x] |
1..1 | Quantity | Giá trị huyết áp tâm thu | |
| unit |
1..1 | string | Unit representation Fixed Value: mmHg | |
| system |
1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org | |
| code |
1..1 | code | Coded form of the unit Fixed Value: mm[Hg] | |
| component:diastolic |
S | 0..1 | BackboneElement | Huyết áp tâm trương |
| code |
1..1 | CodeableConcept | Type of component observation (code / type) 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 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Diastolic blood pressure | |
| value[x] |
1..1 | Quantity | Giá trị huyết áp tâm trương | |
| unit |
1..1 | string | Unit representation Fixed Value: mmHg | |
| system |
1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org | |
| code |
1..1 | code | Coded form of the unit Fixed Value: mm[Hg] | |
| Documentation for this format | ||||
Dạng xem SnapshotView
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Observation |
C | 0..* | VNCoreObservationVitalSigns | FHIR Vital Signs Profile 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 | ||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| 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 | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier |
Σ | 0..* | Identifier | Business Identifier for observation | ||||
| basedOn |
Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order | ||||
| partOf |
Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event | ||||
| status |
?!SΣ | 1..1 | code | Trạng thái kết quả huyết áp 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. | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding |
SΣ | 1..* | Coding | Code defined by a terminology system | ||||
| 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 |
SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| 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 | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| code |
SΣ | 1..1 | CodeableConcept | Mã huyết áp Binding: VitalSigns (extensible): This identifies the vital sign result type. | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| 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:system | ||||
| coding:loinc |
SΣ | 1..1 | Coding | Mã sinh hiệu LOINC Binding: Mã LOINC sinh hiệu VN Core — VN Core Vital Signs LOINC Codes ValueSet (required) | ||||
| 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://loinc.org | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
SΣ | 1..1 | code | Mã LOINC sinh hiệu Fixed Value: 85354-9 | ||||
| display |
SΣ | 0..1 | string | Tên LOINC sinh hiệu Required Pattern: Blood pressure panel with all children optional | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| subject |
SΣ | 1..1 | Reference(Bệnh nhân VN Core — VN Core Patient Profile) | Bệnh nhân được đo huyết áp | ||||
| focus |
Σ | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record | ||||
| encounter |
Σ | 0..1 | Reference(Encounter) | Healthcare event during which this observation is made | ||||
| effective[x] |
SΣC | 1..1 | dateTime | Thời điểm đo huyết áp Constraints: vs-1 | ||||
| issued |
Σ | 0..1 | instant | Date/Time this version was made available | ||||
| performer |
Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Who is responsible for the observation | ||||
| dataAbsentReason |
SC | 0..1 | CodeableConcept | Why the 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. | |||||
| note |
0..* | Annotation | Comments about the observation | |||||
| bodySite |
0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | |||||
| method |
0..1 | CodeableConcept | How it was done Binding: ObservationMethods (example): Methods for simple observations. | |||||
| specimen |
0..1 | Reference(Specimen) | Specimen used for this observation | |||||
| device |
0..1 | Reference(Device | DeviceMetric) | (Measurement) Device | |||||
| referenceRange |
C | 0..* | BackboneElement | Provides guide for interpretation Constraints: obs-3 | ||||
| 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 | ||||
| low |
C | 0..1 | SimpleQuantity(4.0.1) | Low Range, if relevant | ||||
| high |
C | 0..1 | SimpleQuantity(4.0.1) | High Range, if relevant | ||||
| type |
0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range. | |||||
| appliesTo |
0..* | CodeableConcept | Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to. | |||||
| age |
0..1 | Range | Applicable age range, if relevant | |||||
| text |
0..1 | string | Text based reference range in an observation | |||||
| hasMember |
Σ | 0..* | Reference(QuestionnaireResponse | MolecularSequence | Vital Signs Profile) | Used when reporting vital signs panel components | ||||
| derivedFrom |
Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | MolecularSequence | Vital Signs Profile) | Related measurements the observation is made from | ||||
| Slices for component |
SΣC | 1..* | BackboneElement | Thành phần huyết áp Slice: Unordered, Open by value:code 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:systolic |
SΣC | 0..1 | BackboneElement | Huyết áp tâm thu Constraints: vs-3 | ||||
| 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. Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 8480-6 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Systolic blood pressure | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| value[x] |
SΣC | 1..1 | Quantity | Giá trị huyết áp tâm thu Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs. | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| value |
Σ | 0..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 Fixed Value: mmHg | ||||
| 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] | ||||
| 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:diastolic |
SΣC | 0..1 | BackboneElement | Huyết áp tâm trương Constraints: vs-3 | ||||
| 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. Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 8462-4 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Diastolic blood pressure | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| value[x] |
SΣC | 1..1 | Quantity | Giá trị huyết áp tâm trương Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs. | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| value |
Σ | 0..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 Fixed Value: mmHg | ||||
| 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] | ||||
| 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 | |||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Observation.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| 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.code.coding:loinc | Base | required | Mã LOINC sinh hiệu VN Core — VN Core Vital Signs LOINC Codes ValueSet | 📦0.4.0 | This IG |
| Observation.dataAbsentReason | Base | extensible | DataAbsentReason | 📍4.0.1 | FHIR Std. |
| Observation.interpretation | Base | extensible | Observation Interpretation Codes | 📍4.0.1 | FHIR Std. |
| Observation.bodySite | Base | example | SNOMED CT Body Structures | 📍4.0.1 | FHIR Std. |
| Observation.method | Base | example | Observation Methods | 📍4.0.1 | FHIR Std. |
| 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:systolic.code | Base | extensible | Vital Signs | 📍4.0.1 | FHIR Std. |
| Observation.component:systolic.value[x] | Base | extensible | Vital Signs Units | 📍4.0.1 | FHIR Std. |
| Observation.component:systolic.value[x].comparator | Base | required | QuantityComparator | 📍4.0.1 | FHIR Std. |
| Observation.component:systolic.dataAbsentReason | Base | extensible | DataAbsentReason | 📍4.0.1 | FHIR Std. |
| Observation.component:systolic.interpretation | Base | extensible | Observation Interpretation Codes | 📍4.0.1 | FHIR Std. |
| Observation.component:diastolic.code | Base | extensible | Vital Signs | 📍4.0.1 | FHIR Std. |
| Observation.component:diastolic.value[x] | Base | extensible | Vital Signs Units | 📍4.0.1 | FHIR Std. |
| Observation.component:diastolic.value[x].comparator | Base | required | QuantityComparator | 📍4.0.1 | FHIR Std. |
| Observation.component:diastolic.dataAbsentReason | Base | extensible | DataAbsentReason | 📍4.0.1 | FHIR Std. |
| Observation.component:diastolic.interpretation | Base | extensible | Observation Interpretation Codes | 📍4.0.1 | FHIR Std. |
| 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-3 | error | Observation.referenceRange | Must have at least a low or a high or text |
low.exists() or high.exists() or text.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:systolic, Observation.component:diastolic | If there is no a value a data absent reason must be present |
value.exists() or dataAbsentReason.exists()
|
Summary
Mandatory: 1 element(8 nested mandatory elements)
Must-Support: 2 elements
Fixed: 7 elements
Prohibited: 1 element
Slices
This structure defines the following Slices:
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