<status value="draft"/> <experimental value="true"/> <subjectType value="Patient"/> <date value="2026-11-03T05:48:20+00:00"/> <publisher value="Kevin Mayfield"/> <contact> <telecom> <system value="url"/> <value value="https://github.com/KevinMayfield/PatientCareCoordination"/> </telecom> </contact> <description value="Vital signs captured with a referral (for example baseline observations for a virtual ward or exercise referral) or during monitoring. Each item has SNOMED CT (and LOINC) codes, a UCUM unit and a `definition` pointing to this guide's [Observation](StructureDefinition-Observation.html) profile, so answers can be extracted as vital signs Observations. Codes and answer lists follow the NHS England [Clinical Observations](https://simplifier.net/guide/ClinicalObservations/Home) guide (2.0.0-Alpha, draft)."/> <jurisdiction> <coding> <system value="urn:iso:std:iso:3166"/> <code value="GB"/> <display value="United Kingdom of Great Britain and Northern Ireland"/> </coding> </jurisdiction> <code> <system value="http://loinc.org"/> <code value="85353-1"/> <display value="Vital signs, weight, height, head circumference, oxygen saturation and BMI panel"/> </code> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-unit"> <valueCoding> <system value="http://unitsofmeasure.org"/> <code value="{Breaths}/min"/> <display value="{Breaths}/min"/> </valueCoding> </extension> <linkId value="SCT/86290005"/> <definition value="https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/Observation#Observation.value[x]"/> <code> <system value="http://snomed.info/sct"/> <code value="86290005"/> <display value="Respiratory rate"/> </code> <code> <system value="http://loinc.org"/> <code value="9279-1"/> <display value="Respiratory rate"/> </code> <text value="Respiratory rate (breaths per minute)"/> <type value="decimal"/> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-unit"> <valueCoding> <system value="http://unitsofmeasure.org"/> <code value="%"/> <display value="percent"/> </valueCoding> </extension> <linkId value="SCT/103228002"/> <definition value="https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/Observation#Observation.value[x]"/> <code> <system value="http://snomed.info/sct"/> <code value="103228002"/> <display value="Hemoglobin saturation with oxygen"/> </code> <code> <system value="http://loinc.org"/> <code value="2708-6"/> <display value="Oxygen saturation in Arterial blood"/> </code> <text value="Oxygen saturation (%)"/> <type value="decimal"/> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-unit"> <valueCoding> <system value="http://unitsofmeasure.org"/> <code value="%"/> <display value="percent"/> </valueCoding> </extension> <linkId value="SCT/852641000000103"/> <definition value="https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/Observation#Observation.value[x]"/> <code> <system value="http://snomed.info/sct"/> <code value="852641000000103"/> <display value="Target peripheral oxygen saturation"/> </code> <text value="Target oxygen saturation (%)"/> <type value="decimal"/> </item> <item> <linkId value="SCT/722742002"/> <definition value="https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/Observation#Observation.code"/> <text value="Breathing room air or on supplemental oxygen"/> <type value="choice"/> <answerOption> <valueCoding> <system value="http://snomed.info/sct"/> <code value="722742002"/> <display value="Breathing room air"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <system value="http://snomed.info/sct"/> <code value="371825009"/> <display value="Patient on oxygen"/> </valueCoding> </answerOption> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-unit"> <valueCoding> <system value="http://unitsofmeasure.org"/> <code value="L/min"/> <display value="liter per minute"/> </valueCoding> </extension> <linkId value="SCT/371825009"/> <definition value="https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/Observation#Observation.value[x]"/> <code> <system value="http://snomed.info/sct"/> <code value="371825009"/> <display value="Patient on oxygen"/> </code> <text value="Inspired oxygen flow rate (litres per minute)"/> <type value="decimal"/> <enableWhen> <question value="SCT/722742002"/> <operator value="="/> <answerCoding> <system value="http://snomed.info/sct"/> <code value="371825009"/> </answerCoding> </enableWhen> </item> <item> <linkId value="OXYGEN-DELIVERY"/> <definition value="https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/Observation#Observation.method"/> <text value="Oxygen delivery route"/> <type value="choice"/> <enableWhen> <question value="SCT/722742002"/> <operator value="="/> <answerCoding> <system value="http://snomed.info/sct"/> <code value="371825009"/> </answerCoding> </enableWhen> <answerOption> <valueCoding> <system value="http://snomed.info/sct"/> <code value="371907003"/> <display value="Oxygen administration by nasal cannula"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <system value="http://snomed.info/sct"/> <code value="371908008"/> <display value="Oxygen administration by mask"/> </valueCoding> </answerOption> </item> <item> <linkId value="SCT/75367002"/> <definition value="https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/Observation#Observation.component"/> <code> <system value="http://snomed.info/sct"/> <code value="75367002"/> <display value="Blood pressure"/> </code> <code> <system value="http://loinc.org"/> <code value="85354-9"/> <display value="Blood pressure panel with all children optional"/> </code> <text value="Blood pressure"/> <type value="group"/> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-unit"> <valueCoding> <system value="http://unitsofmeasure.org"/> <code value="mm[Hg]"/> <display value="millimeter of mercury"/> </valueCoding> </extension> <linkId value="SCT/72313002"/> <definition value="https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/Observation#Observation.component.value[x]"/> <code> <system value="http://snomed.info/sct"/> <code value="72313002"/> <display value="Systolic arterial pressure"/> </code> <code> <system value="http://loinc.org"/> <code value="8480-6"/> <display value="Systolic blood pressure"/> </code> <text value="Systolic blood pressure (mmHg)"/> <type value="decimal"/> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-unit"> <valueCoding> <system value="http://unitsofmeasure.org"/> <code value="mm[Hg]"/> <display value="millimeter of mercury"/> </valueCoding> </extension> <linkId value="SCT/1091811000000102"/> <definition value="https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/Observation#Observation.component.value[x]"/> <code> <system value="http://snomed.info/sct"/> <code value="1091811000000102"/> <display value="Diastolic arterial pressure"/> </code> <code> <system value="http://loinc.org"/> <code value="8462-4"/> <display value="Diastolic blood pressure"/> </code> <text value="Diastolic blood pressure (mmHg)"/> <type value="decimal"/> </item> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-unit"> <valueCoding> <system value="http://unitsofmeasure.org"/> <code value="{beats}/min"/> <display value="{beats}/min"/> </valueCoding> </extension> <linkId value="SCT/364075005"/> <definition value="https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/Observation#Observation.value[x]"/> <code> <system value="http://snomed.info/sct"/> <code value="364075005"/> <display value="Heart rate"/> </code> <code> <system value="http://loinc.org"/> <code value="8867-4"/> <display value="Heart rate"/> </code> <text value="Heart rate (beats per minute)"/> <type value="decimal"/> </item> <item> <linkId value="SCT/1104441000000107"/> <definition value="https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/Observation#Observation.code"/> <code> <system value="http://snomed.info/sct"/> <code value="1104441000000107"/> <display value="Alert Confusion Voice Pain Unresponsive scale score"/> </code> <text value="Level of consciousness (ACVPU)"/> <type value="choice"/> <answerOption> <valueCoding> <system value="http://snomed.info/sct"/> <code value="248234008"/> <display value="Mentally alert"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <system value="http://snomed.info/sct"/> <code value="130987000"/> <display value="Acute confusion"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <system value="http://snomed.info/sct"/> <code value="300202002"/> <display value="Responds to voice"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <system value="http://snomed.info/sct"/> <code value="450847001"/> <display value="Responds to pain"/> </valueCoding> </answerOption> <answerOption> <valueCoding> <system value="http://snomed.info/sct"/> <code value="422768004"/> <display value="Unresponsive"/> </valueCoding> </answerOption> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-unit"> <valueCoding> <system value="http://unitsofmeasure.org"/> <code value="Cel"/> <display value="degree Celsius"/> </valueCoding> </extension> <linkId value="SCT/276885007"/> <definition value="https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/Observation#Observation.value[x]"/> <code> <system value="http://snomed.info/sct"/> <code value="276885007"/> <display value="Core body temperature"/> </code> <code> <system value="http://loinc.org"/> <code value="8310-5"/> <display value="Body temperature"/> </code> <text value="Temperature (°C)"/> <type value="decimal"/> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-unit"> <valueCoding> <system value="http://unitsofmeasure.org"/> <code value="kg"/> <display value="kilogram"/> </valueCoding> </extension> <linkId value="SCT/27113001"/> <definition value="https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/Observation#Observation.value[x]"/> <code> <system value="http://snomed.info/sct"/> <code value="27113001"/> <display value="Body weight"/> </code> <code> <system value="http://loinc.org"/> <code value="29463-7"/> <display value="Body weight"/> </code> <text value="Body weight (kg)"/> <type value="decimal"/> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-unit"> <valueCoding> <system value="http://unitsofmeasure.org"/> <code value="cm"/> <display value="centimeter"/> </valueCoding> </extension> <linkId value="SCT/50373000"/> <definition value="https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/Observation#Observation.value[x]"/> <code> <system value="http://snomed.info/sct"/> <code value="50373000"/> <display value="Body height measure"/> </code> <code> <system value="http://loinc.org"/> <code value="8302-2"/> <display value="Body height"/> </code> <text value="Height (cm)"/> <type value="decimal"/> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-unit"> <valueCoding> <system value="http://unitsofmeasure.org"/> <code value="kg/m2"/> <display value="kilogram / (meter ^ 2)"/> </valueCoding> </extension> <linkId value="SCT/60621009"/> <definition value="https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/Observation#Observation.value[x]"/> <code> <system value="http://snomed.info/sct"/> <code value="60621009"/> <display value="Body mass index"/> </code> <code> <system value="http://loinc.org"/> <code value="39156-5"/> <display value="Body mass index (BMI) [Ratio]"/> </code> <text value="Body mass index (kg/m2)"/> <type value="decimal"/> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-unit"> <valueCoding> <system value="http://unitsofmeasure.org"/> <code value="cm"/> <display value="centimeter"/> </valueCoding> </extension> <linkId value="SCT/363811000"/> <definition value="https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/Observation#Observation.value[x]"/> <code> <system value="http://snomed.info/sct"/> <code value="363811000"/> <display value="Head circumference measure"/> </code> <code> <system value="http://loinc.org"/> <code value="9843-4"/> <display value="Head Occipital-frontal circumference"/> </code> <text value="Head circumference (cm)"/> <type value="decimal"/> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-unit"> <valueCoding> <system value="http://unitsofmeasure.org"/> <code value="{score}"/> <display value="{score}"/> </valueCoding> </extension> <linkId value="SCT/225908003"/> <definition value="https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/Observation#Observation.value[x]"/> <code> <system value="http://snomed.info/sct"/> <code value="225908003"/> <display value="Pain score"/> </code> <text value="Pain score (0 to 10)"/> <type value="integer"/> </item> </Questionnaire>

Generated Narrative: Questionnaire VitalSigns

Structure

Options Sets

Answer options for SCT/722742002

Answer options for OXYGEN-DELIVERY

Answer options for SCT/1104441000000107