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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.

Short Description:

US Realm Implementation Guide for fully qualified Vital Signs observations with extensions for qualifying data.

Long Description:

Vital signs are collected on nearly every patient encounter. Oftentimes, the clinician needs to know the patient position, device, body location or method


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.

Involved parties:



Intermountain Healthcare