Profile
This profile contains LOINC bindings. SNOMED CT users might want to use SNOMED CT codes in addition to the LOINC codes, i.e. having two code.codings.
http://build.fhir.org/observation-vitalsigns.html
Bindings
The table below is copied from the profile page above.
In the first round generic SNOMED CT concept have been selected but likely there may be (or should be) more specific SNOMED CT Observables. Some of these concepts have been fully defined using the (not so anymore) new Observables model whereas others are primitive. It is suggested that the not-yet-modeled concepts be modeled similar to what was done for resp. rate, heart rate, body temp., and blood pressure.
Profile Name | "Magic Value" (LOINC) | LOINC Name and Comments | SNOMED CT concept | SNOMED CT comment | UCUM Unit Code | Examples |
---|---|---|---|---|---|---|
Vital Signs Panel | 85353-1 | Vital signs, weight, height, head circumference, oxygen saturation and BMI panel - It represent a panel of vital signs listed in this table. All members of the panel are optional and note that querying for the panel may miss individual results that are not part of the actual panel. When used, Observation.valueQuantity is not present; instead, related links (with type=has-member) reference the vital signs observations (e.g. respiratory rate, heart rate, BP, etc.). This code replaces the deprecated code 8716-3 - Vital signs which is used in the Argonaut Data Query Implementation Guide. | - | - | Vital Signs Panel Example | |
Respiratory Rate | 9279-1 | Respiratory Rate | 86290005 | Respiratory rate (observable entity) | | /min | Respiratory Rate Example | |
Heart rate | 8867-4 | Heart rate - To supplement this vital sign observation, 8887-2 - Heart rate device type MAY be used as an additional observation. | 364075005 | Heart rate (observable entity) | | /min | Heart Rate Example | |
Oxygen saturation | 59408-5 | Oxygen saturation in Arterial blood by Pulse oximetry - This code replaces the deprecated code 2710-2 - Deprecated Oxygen saturation in Capillary blood by Oximetry which had been listed in C-CDA. | 442476006 | Arterial oxygen saturation (observable entity) | | Pulse oximetry is missing from concept | % | Oxygen Saturation Example |
Body temperature | 8310-5 | Body temperature - To supplement this vital sign observation, 8327-9 - Body temperature measurement site (oral, forehead, rectal, etc.) and 8326-1 -Type of body temperature device MAY be used as additional observations | 276885007 | Core body temperature (observable entity) | | There are specific concepts subsumed corresponding to the measurement site. | Cel, [degF] | Body Temperature Example |
Body height | 8302-2 | Body height | 50373000 | Body height measure (observable entity) | | cm, [in_i] | Body height Example | |
Body length | 8306-3 | Body height --lying - Like height, but lying down, typically this is used for infants | 248334005 | Length of body (observable entity) | | Is subsumed by 50373000 | Body height measure (observable entity) | | cm, [in_i] | Body Length Example |
Head circumference | 8287-5 | Head Occipital-frontal circumference by Tape measure | 363812007 | Head circumference (observable entity) | | Tape measure is not in SNOMED CT concept | cm, [in_i] | Head Circumference Example |
Body weight | 29463-7 | Body weight - To supplement this vital sign observation, 8352-7 - Clothing worn during measure and 8361-8 - Body position with respect to gravity MAY be used as additional observations. | 27113001 | Body weight (observable entity) | | There are specific clothing related observables subsumed by this SNOMED CT concept | g, kg,[lb_av] | Body Weight Example |
Body mass index | 39156-5 | Body mass index (BMI) [Ratio] | 60621009 | Body mass index (observable entity) | | kg/m2 | Body Mass Example | |
Blood pressure systolic and diastolic | 85354-9 | Blood pressure panel with all children optional - This is a component observation. It has no value in Observation.valueQuantity and contains at least one component (systolic and/or diastolic). To supplement this vital sign observation, 8478-0 - Mean blood pressure, 8357-6 - Blood pressure method, 41904-4 - Blood pressure measurement site, 8358-4 - Blood pressure device cuff size, 41901-0 - Type of blood pressure device MAY be used as additional observations. | - | Blood Pressure Example, Blood Pressure Example with missing Diastolic measurement | ||
Systolic blood pressure | 8480-6 | Systolic blood pressure - Observation.component code for a blood pressure Observation | 72313002 | Systolic arterial pressure (observable entity) | | mm[Hg] | Blood Pressure Example | |
Diastolic blood pressure | 8462-4 | Diastolic blood pressure - Observation.component code for a blood pressure Observation | 271650006 | Diastolic blood pressure (observable entity) | | mm[Hg] | Blood Pressure Example |