Committee Approval Date:
Orders & Observations project approval May 23, 2019
CIMI project approval May 23, 2019
Nathan Davis, CIMI
Contributing or Reviewing Work Groups:
FHIR Development Project Insight ID:
Vital Signs PSS ID 1541
Scope of coverage:
To create the terminology content, logical models, FHIR profiles and implementation guides for all of vital signs including all qualifying observations (patient position, body location, device, method, etc.) and coded value sets, building on the FHIR Vital Signs profile currently in place.
https://github.com/HL7/cimi-vital-signs Github repository for the IG
http://build.fhir.org/ig/HL7/cimi-vital-signs/branches/master/index.html Landing page for the IG
Proposed IG realm and code:
All logical models, FHIR profiles, and the IG will be maintained by CIMI. Terminology bindings and links will be reviewed and updated with each release.
US Realm Implementation Guide for Vital Signs observations with extensions for qualifying data.
Vital signs are collected on nearly every patient encounter. Oftentimes, the clinician needs to know the patient position, device, body location or method by which the measures were taken. This implementation guide provides further definition of the relevant value sets and extensions for qualifying data to document vital signs in the US based on the FHIR Core Vital Signs profile.
Examples include capturing cuff size, body position, clothing worn during measure, body location (more extensive than BodySite), exertion phase, etc.
University of Utah
University of Utah
Federal Health Information Model
Intermountain Healthcare Clinical Element Models
Respiratory rate taken with patient sleeping in a supine position.
Heart rate measured using radial artery palpation.
Orthostatic Blood Pressure (sitting/standing/lying)
Proper constraints on both FHIR Core Vital Signs & US Core IG
- Develop the logical model (complete)
- Curate the needed terminology content with LOINC and SNOMED CT (complete).
- Develop the FHIR profiles (first draft complete, second draft 1/31/2020)
- QA the FHIR profile with CIMI
- Develop the IG. (first draft complete, second draft 1/31/2020)
- Connectathon (currently being planned 1/6/2020 using HSPC sandbox)
- Ballot May 2020