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 |
<Questionnaire xmlns="http://hl7.org/fhir">
<id value="VitalSigns"/>
<language value="en"/>
<text>
<status value="extensions"/>
<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
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).</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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
</text>
<url
value="https://fhir.acmeexample.org.uk/PatientCareCoordination/Questionnaire/VitalSigns"/>
<version value="0.1.0"/>
<name value="VitalSigns"/>
<title value="Vital Signs"/>
<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>