Care Coordination and 360 Referrals (Proof of Concept)
0.1.0 - proof-of-concept
Care Coordination and 360 Referrals (Proof of Concept)
0.1.0 - proof-of-concept
Care Coordination and 360 Referrals (Proof of Concept) - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| Draft as of 2026-11-03 |
{
"resourceType" : "Questionnaire",
"id" : "VitalSigns",
"language" : "en",
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Questionnaire VitalSigns</b></p><a name=\"VitalSigns\"> </a><a name=\"hcVitalSigns\"> </a><b>Structure</b><table border=\"1\" cellpadding=\"0\" cellspacing=\"0\" class=\"xhtTableBorder1\"><tr class=\"xhtRowBorder2\"><th scope=\"col\" style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"The linkID for the item\">LinkID</a></th><th scope=\"col\" style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Text for the item\">Text</a></th><th scope=\"col\" style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Minimum and Maximum # of times the item can appear in the instance\">Cardinality</a></th><th scope=\"col\" style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"The type of the item\">Type</a></th><th scope=\"col\" style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Additional information about the item\">Description & Constraints</a><span style=\"float: right\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAABmJLR0QA/wD/AP+gvaeTAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3goXBCwdPqAP0wAAAldJREFUOMuNk0tIlFEYhp9z/vE2jHkhxXA0zJCMitrUQlq4lnSltEqCFhFG2MJFhIvIFpkEWaTQqjaWZRkp0g26URZkTpbaaOJkDqk10szoODP//7XIMUe0elcfnPd9zsfLOYplGrpRwZaqTtw3K7PtGem7Q6FoidbGgqHVy/HRb669R+56zx7eRV1L31JGxYbBtjKK93cxeqfyQHbehkZbUkK20goELEuIzEd+dHS+qz/Y8PTSif0FnGkbiwcAjHaU1+QWOptFiyCLp/LnKptpqIuXHx6rbR26kJcBX3yLgBfnd7CxwJmflpP2wUg0HIAoUUpZBmKzELGWcN8nAr6Gpu7tLU/CkwAaoKTWRSQyt89Q8w6J+oVQkKnBoblH7V0PPvUOvDYXfopE/SJmALsxnVm6LbkotrUtNowMeIrVrBcBpaMmdS0j9df7abpSuy7HWehwJdt1lhVwi/J58U5beXGAF6c3UXLycw1wdFklArBn87xdh0ZsZtArghBdAA3+OEDVubG4UEzP6x1FOWneHh2VDAHBAt80IbdXDcesNoCvs3E5AFyNSU5nbrDPZpcUEQQTFZiEVx+51fxMhhyJEAgvlriadIJZZksRuwBYMOPBbO3hePVVqgEJhFeUuFLhIPkRP6BQLIBrmMenujm/3g4zc398awIe90Zb5A1vREALqneMcYgP/xVQWlG+Ncu5vgwwlaUNx+3799rfe96u9K0JSDXcOzOTJg4B6IgmXfsygc7/Bvg9g9E58/cDVmGIBOP/zT8Bz1zqWqpbXIsd0O9hajXfL6u4BaOS6SeWAAAAAElFTkSuQmCC\" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck1.png)\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_q_root.gif\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"QuestionnaireRoot\" class=\"hierarchy\"/> VitalSigns</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Vital signs captured with a referral (for example baseline observations for a virtual\nward or exercise referral) or during monitoring. Each item has SNOMED CT (and LOINC)\ncodes, a UCUM unit and a `definition` pointing to this guide's\n[Observation](StructureDefinition-Observation.html) profile, so answers can be extracted\nas vital signs Observations. Codes and answer lists follow the NHS England\n[Clinical Observations](https://simplifier.net/guide/ClinicalObservations/Home) guide\n(2.0.0-Alpha, draft).</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Questionnaire</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">https://fhir.acmeexample.org.uk/PatientCareCoordination/Questionnaire/VitalSigns#0.1.0</td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck10.png)\" id=\"item.SCT/86290005\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-decimal.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"decimal\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">VitalSigns / </span>SCT/86290005</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Respiratory rate (breaths per minute)</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal\">decimal</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Definition: <a href=\"StructureDefinition-Observation.html#Observation.value[x]\">Observation.value[x]</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck10.png)\" id=\"item.SCT/103228002\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-decimal.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"decimal\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">VitalSigns / </span>SCT/103228002</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Oxygen saturation (%)</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal\">decimal</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Definition: <a href=\"StructureDefinition-Observation.html#Observation.value[x]\">Observation.value[x]</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck10.png)\" id=\"item.SCT/852641000000103\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-decimal.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"decimal\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">VitalSigns / </span>SCT/852641000000103</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Target oxygen saturation (%)</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal\">decimal</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Definition: <a href=\"StructureDefinition-Observation.html#Observation.value[x]\">Observation.value[x]</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck10.png)\" id=\"item.SCT/722742002\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">VitalSigns / </span>SCT/722742002</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Breathing room air or on supplemental oxygen</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Definition: <a href=\"StructureDefinition-Observation.html#Observation.code\">Observation.code</a><br/>Options: <a href=\"#opt-item.SCT/722742002\">2 options</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck10.png)\" id=\"item.SCT/371825009\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-decimal.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"decimal\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">VitalSigns / </span>SCT/371825009</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Inspired oxygen flow rate (litres per minute)</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal\">decimal</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Definition: <a href=\"StructureDefinition-Observation.html#Observation.value[x]\">Observation.value[x]</a><br/>Enable When: <span><a href=\"#item.SCT/722742002\">SCT/722742002</a> = Patient on oxygen (SNOMED CT#371825009)</span></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck10.png)\" id=\"item.OXYGEN-DELIVERY\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">VitalSigns / </span>OXYGEN-DELIVERY</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Oxygen delivery route</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Definition: <a href=\"StructureDefinition-Observation.html#Observation.method\">Observation.method</a><br/>Enable When: <span><a href=\"#item.SCT/722742002\">SCT/722742002</a> = Patient on oxygen (SNOMED CT#371825009)</span><br/>Options: <a href=\"#opt-item.OXYGEN-DELIVERY\">2 options</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck11.png)\" id=\"item.SCT/75367002\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"group\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">VitalSigns / </span>SCT/75367002</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Blood pressure</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Definition: <a href=\"StructureDefinition-Observation.html#Observation.component\">Observation.component</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck110.png)\" id=\"item.SCT/72313002\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-decimal.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"decimal\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">VitalSigns / SCT/75367002 / </span>SCT/72313002</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Systolic blood pressure (mmHg)</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal\">decimal</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Definition: <a href=\"StructureDefinition-Observation.html#Observation.component.value[x]\">Observation.component.value[x]</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck100.png)\" id=\"item.SCT/1091811000000102\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-decimal.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"decimal\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">VitalSigns / SCT/75367002 / </span>SCT/1091811000000102</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Diastolic blood pressure (mmHg)</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal\">decimal</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Definition: <a href=\"StructureDefinition-Observation.html#Observation.component.value[x]\">Observation.component.value[x]</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck10.png)\" id=\"item.SCT/364075005\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-decimal.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"decimal\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">VitalSigns / </span>SCT/364075005</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Heart rate (beats per minute)</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal\">decimal</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Definition: <a href=\"StructureDefinition-Observation.html#Observation.value[x]\">Observation.value[x]</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck10.png)\" id=\"item.SCT/1104441000000107\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">VitalSigns / </span>SCT/1104441000000107</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Level of consciousness (ACVPU)</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Definition: <a href=\"StructureDefinition-Observation.html#Observation.code\">Observation.code</a><br/>Options: <a href=\"#opt-item.SCT/1104441000000107\">5 options</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck10.png)\" id=\"item.SCT/276885007\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-decimal.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"decimal\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">VitalSigns / </span>SCT/276885007</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Temperature (°C)</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal\">decimal</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Definition: <a href=\"StructureDefinition-Observation.html#Observation.value[x]\">Observation.value[x]</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck10.png)\" id=\"item.SCT/27113001\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-decimal.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"decimal\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">VitalSigns / </span>SCT/27113001</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Body weight (kg)</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal\">decimal</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Definition: <a href=\"StructureDefinition-Observation.html#Observation.value[x]\">Observation.value[x]</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck10.png)\" id=\"item.SCT/50373000\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-decimal.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"decimal\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">VitalSigns / </span>SCT/50373000</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Height (cm)</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal\">decimal</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Definition: <a href=\"StructureDefinition-Observation.html#Observation.value[x]\">Observation.value[x]</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck10.png)\" id=\"item.SCT/60621009\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-decimal.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"decimal\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">VitalSigns / </span>SCT/60621009</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Body mass index (kg/m2)</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal\">decimal</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Definition: <a href=\"StructureDefinition-Observation.html#Observation.value[x]\">Observation.value[x]</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck10.png)\" id=\"item.SCT/363811000\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-decimal.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"decimal\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">VitalSigns / </span>SCT/363811000</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Head circumference (cm)</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal\">decimal</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Definition: <a href=\"StructureDefinition-Observation.html#Observation.value[x]\">Observation.value[x]</a></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck00.png)\" id=\"item.SCT/225908003\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-integer.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"integer\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">VitalSigns / </span>SCT/225908003</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Pain score (0 to 10)</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-integer\">integer</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Definition: <a href=\"StructureDefinition-Observation.html#Observation.value[x]\">Observation.value[x]</a></td></tr>\r\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table><hr/><p><b>Options Sets</b></p><a name=\"opt-item.SCT/722742002\"> </a><p><b>Answer options for SCT/722742002 </b></p><ul><li style=\"font-size: 11px\">http://snomed.info/sct#722742002 ("Breathing room air")</li><li style=\"font-size: 11px\">http://snomed.info/sct#371825009 ("Patient on oxygen")</li></ul><a name=\"opt-item.OXYGEN-DELIVERY\"> </a><p><b>Answer options for OXYGEN-DELIVERY </b></p><ul><li style=\"font-size: 11px\">http://snomed.info/sct#371907003 ("Oxygen administration by nasal cannula")</li><li style=\"font-size: 11px\">http://snomed.info/sct#371908008 ("Oxygen administration by mask")</li></ul><a name=\"opt-item.SCT/1104441000000107\"> </a><p><b>Answer options for SCT/1104441000000107 </b></p><ul><li style=\"font-size: 11px\">http://snomed.info/sct#248234008 ("Mentally alert")</li><li style=\"font-size: 11px\">http://snomed.info/sct#130987000 ("Acute confusion")</li><li style=\"font-size: 11px\">http://snomed.info/sct#300202002 ("Responds to voice")</li><li style=\"font-size: 11px\">http://snomed.info/sct#450847001 ("Responds to pain")</li><li style=\"font-size: 11px\">http://snomed.info/sct#422768004 ("Unresponsive")</li></ul></div>"
},
"url" : "https://fhir.acmeexample.org.uk/PatientCareCoordination/Questionnaire/VitalSigns",
"version" : "0.1.0",
"name" : "VitalSigns",
"title" : "Vital Signs",
"status" : "draft",
"experimental" : true,
"subjectType" : [
"Patient"
],
"date" : "2026-11-03T05:48:20+00:00",
"publisher" : "Kevin Mayfield",
"contact" : [
{
"telecom" : [
{
"system" : "url",
"value" : "https://github.com/KevinMayfield/PatientCareCoordination"
}
]
}
],
"description" : "Vital signs captured with a referral (for example baseline observations for a virtual\nward or exercise referral) or during monitoring. Each item has SNOMED CT (and LOINC)\ncodes, a UCUM unit and a `definition` pointing to this guide's\n[Observation](StructureDefinition-Observation.html) profile, so answers can be extracted\nas vital signs Observations. Codes and answer lists follow the NHS England\n[Clinical Observations](https://simplifier.net/guide/ClinicalObservations/Home) guide\n(2.0.0-Alpha, draft).",
"jurisdiction" : [
{
"coding" : [
{
"system" : "urn:iso:std:iso:3166",
"code" : "GB",
"display" : "United Kingdom of Great Britain and Northern Ireland"
}
]
}
],
"code" : [
{
"system" : "http://loinc.org",
"code" : "85353-1",
"display" : "Vital signs, weight, height, head circumference, oxygen saturation and BMI panel"
}
],
"item" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
"valueCoding" : {
"system" : "http://unitsofmeasure.org",
"code" : "{Breaths}/min",
"display" : "{Breaths}/min"
}
}
],
"linkId" : "SCT/86290005",
"definition" : "https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/Observation#Observation.value[x]",
"code" : [
{
"system" : "http://snomed.info/sct",
"code" : "86290005",
"display" : "Respiratory rate"
},
{
"system" : "http://loinc.org",
"code" : "9279-1",
"display" : "Respiratory rate"
}
],
"text" : "Respiratory rate (breaths per minute)",
"type" : "decimal"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
"valueCoding" : {
"system" : "http://unitsofmeasure.org",
"code" : "%",
"display" : "percent"
}
}
],
"linkId" : "SCT/103228002",
"definition" : "https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/Observation#Observation.value[x]",
"code" : [
{
"system" : "http://snomed.info/sct",
"code" : "103228002",
"display" : "Hemoglobin saturation with oxygen"
},
{
"system" : "http://loinc.org",
"code" : "2708-6",
"display" : "Oxygen saturation in Arterial blood"
}
],
"text" : "Oxygen saturation (%)",
"type" : "decimal"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
"valueCoding" : {
"system" : "http://unitsofmeasure.org",
"code" : "%",
"display" : "percent"
}
}
],
"linkId" : "SCT/852641000000103",
"definition" : "https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/Observation#Observation.value[x]",
"code" : [
{
"system" : "http://snomed.info/sct",
"code" : "852641000000103",
"display" : "Target peripheral oxygen saturation"
}
],
"text" : "Target oxygen saturation (%)",
"type" : "decimal"
},
{
"linkId" : "SCT/722742002",
"definition" : "https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/Observation#Observation.code",
"text" : "Breathing room air or on supplemental oxygen",
"type" : "choice",
"answerOption" : [
{
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "722742002",
"display" : "Breathing room air"
}
},
{
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "371825009",
"display" : "Patient on oxygen"
}
}
]
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
"valueCoding" : {
"system" : "http://unitsofmeasure.org",
"code" : "L/min",
"display" : "liter per minute"
}
}
],
"linkId" : "SCT/371825009",
"definition" : "https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/Observation#Observation.value[x]",
"code" : [
{
"system" : "http://snomed.info/sct",
"code" : "371825009",
"display" : "Patient on oxygen"
}
],
"text" : "Inspired oxygen flow rate (litres per minute)",
"type" : "decimal",
"enableWhen" : [
{
"question" : "SCT/722742002",
"operator" : "=",
"answerCoding" : {
"system" : "http://snomed.info/sct",
"code" : "371825009"
}
}
]
},
{
"linkId" : "OXYGEN-DELIVERY",
"definition" : "https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/Observation#Observation.method",
"text" : "Oxygen delivery route",
"type" : "choice",
"enableWhen" : [
{
"question" : "SCT/722742002",
"operator" : "=",
"answerCoding" : {
"system" : "http://snomed.info/sct",
"code" : "371825009"
}
}
],
"answerOption" : [
{
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "371907003",
"display" : "Oxygen administration by nasal cannula"
}
},
{
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "371908008",
"display" : "Oxygen administration by mask"
}
}
]
},
{
"linkId" : "SCT/75367002",
"definition" : "https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/Observation#Observation.component",
"code" : [
{
"system" : "http://snomed.info/sct",
"code" : "75367002",
"display" : "Blood pressure"
},
{
"system" : "http://loinc.org",
"code" : "85354-9",
"display" : "Blood pressure panel with all children optional"
}
],
"text" : "Blood pressure",
"type" : "group",
"item" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
"valueCoding" : {
"system" : "http://unitsofmeasure.org",
"code" : "mm[Hg]",
"display" : "millimeter of mercury"
}
}
],
"linkId" : "SCT/72313002",
"definition" : "https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/Observation#Observation.component.value[x]",
"code" : [
{
"system" : "http://snomed.info/sct",
"code" : "72313002",
"display" : "Systolic arterial pressure"
},
{
"system" : "http://loinc.org",
"code" : "8480-6",
"display" : "Systolic blood pressure"
}
],
"text" : "Systolic blood pressure (mmHg)",
"type" : "decimal"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
"valueCoding" : {
"system" : "http://unitsofmeasure.org",
"code" : "mm[Hg]",
"display" : "millimeter of mercury"
}
}
],
"linkId" : "SCT/1091811000000102",
"definition" : "https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/Observation#Observation.component.value[x]",
"code" : [
{
"system" : "http://snomed.info/sct",
"code" : "1091811000000102",
"display" : "Diastolic arterial pressure"
},
{
"system" : "http://loinc.org",
"code" : "8462-4",
"display" : "Diastolic blood pressure"
}
],
"text" : "Diastolic blood pressure (mmHg)",
"type" : "decimal"
}
]
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
"valueCoding" : {
"system" : "http://unitsofmeasure.org",
"code" : "{beats}/min",
"display" : "{beats}/min"
}
}
],
"linkId" : "SCT/364075005",
"definition" : "https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/Observation#Observation.value[x]",
"code" : [
{
"system" : "http://snomed.info/sct",
"code" : "364075005",
"display" : "Heart rate"
},
{
"system" : "http://loinc.org",
"code" : "8867-4",
"display" : "Heart rate"
}
],
"text" : "Heart rate (beats per minute)",
"type" : "decimal"
},
{
"linkId" : "SCT/1104441000000107",
"definition" : "https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/Observation#Observation.code",
"code" : [
{
"system" : "http://snomed.info/sct",
"code" : "1104441000000107",
"display" : "Alert Confusion Voice Pain Unresponsive scale score"
}
],
"text" : "Level of consciousness (ACVPU)",
"type" : "choice",
"answerOption" : [
{
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "248234008",
"display" : "Mentally alert"
}
},
{
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "130987000",
"display" : "Acute confusion"
}
},
{
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "300202002",
"display" : "Responds to voice"
}
},
{
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "450847001",
"display" : "Responds to pain"
}
},
{
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "422768004",
"display" : "Unresponsive"
}
}
]
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
"valueCoding" : {
"system" : "http://unitsofmeasure.org",
"code" : "Cel",
"display" : "degree Celsius"
}
}
],
"linkId" : "SCT/276885007",
"definition" : "https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/Observation#Observation.value[x]",
"code" : [
{
"system" : "http://snomed.info/sct",
"code" : "276885007",
"display" : "Core body temperature"
},
{
"system" : "http://loinc.org",
"code" : "8310-5",
"display" : "Body temperature"
}
],
"text" : "Temperature (°C)",
"type" : "decimal"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
"valueCoding" : {
"system" : "http://unitsofmeasure.org",
"code" : "kg",
"display" : "kilogram"
}
}
],
"linkId" : "SCT/27113001",
"definition" : "https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/Observation#Observation.value[x]",
"code" : [
{
"system" : "http://snomed.info/sct",
"code" : "27113001",
"display" : "Body weight"
},
{
"system" : "http://loinc.org",
"code" : "29463-7",
"display" : "Body weight"
}
],
"text" : "Body weight (kg)",
"type" : "decimal"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
"valueCoding" : {
"system" : "http://unitsofmeasure.org",
"code" : "cm",
"display" : "centimeter"
}
}
],
"linkId" : "SCT/50373000",
"definition" : "https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/Observation#Observation.value[x]",
"code" : [
{
"system" : "http://snomed.info/sct",
"code" : "50373000",
"display" : "Body height measure"
},
{
"system" : "http://loinc.org",
"code" : "8302-2",
"display" : "Body height"
}
],
"text" : "Height (cm)",
"type" : "decimal"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
"valueCoding" : {
"system" : "http://unitsofmeasure.org",
"code" : "kg/m2",
"display" : "kilogram / (meter ^ 2)"
}
}
],
"linkId" : "SCT/60621009",
"definition" : "https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/Observation#Observation.value[x]",
"code" : [
{
"system" : "http://snomed.info/sct",
"code" : "60621009",
"display" : "Body mass index"
},
{
"system" : "http://loinc.org",
"code" : "39156-5",
"display" : "Body mass index (BMI) [Ratio]"
}
],
"text" : "Body mass index (kg/m2)",
"type" : "decimal"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
"valueCoding" : {
"system" : "http://unitsofmeasure.org",
"code" : "cm",
"display" : "centimeter"
}
}
],
"linkId" : "SCT/363811000",
"definition" : "https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/Observation#Observation.value[x]",
"code" : [
{
"system" : "http://snomed.info/sct",
"code" : "363811000",
"display" : "Head circumference measure"
},
{
"system" : "http://loinc.org",
"code" : "9843-4",
"display" : "Head Occipital-frontal circumference"
}
],
"text" : "Head circumference (cm)",
"type" : "decimal"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
"valueCoding" : {
"system" : "http://unitsofmeasure.org",
"code" : "{score}",
"display" : "{score}"
}
}
],
"linkId" : "SCT/225908003",
"definition" : "https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/Observation#Observation.value[x]",
"code" : [
{
"system" : "http://snomed.info/sct",
"code" : "225908003",
"display" : "Pain score"
}
],
"text" : "Pain score (0 to 10)",
"type" : "integer"
}
]
}