description: This profile contains Required and Must Support data elements for reporting observation-vital signs information to the NHSN Acute Care Hospital (ACH) Monthly Digital Quality Measure. This profile is based on the [HL7 FHIR® R4 Observation Vital Signs Profile v4.0.1](https://hl7.org/fhir/R4/vitalsigns.html).
package_name: gov.cdc.nhsn.dqm
derivation: constraint
name: AcuteCareHospitalMonthlyReportingVitalsObservation
type: Observation
elements:
  referenceRange:
    mustSupport: true
    index: 11
    elements:
      low: {mustSupport: true, index: 12}
      high: {mustSupport: true, index: 13}
      age: {mustSupport: true, index: 14}
  hasMember:
    mustSupport: true
    index: 15
    elements:
      reference: {mustSupport: true, index: 16}
    required: [reference]
  meta:
    extensions:
      link-received-date-extension: {url: 'http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension', min: 0, max: 1, type: Extension, index: 1}
    elements:
      extension:
        type: Extension
        url: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
        index: 1
        slicing:
          slices:
            link-received-date-extension:
              match: {}
              schema: {type: Extension, url: 'http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension', index: 1}
              min: 0
              max: 1
  interpretation: {mustSupport: true, index: 8}
  encounter:
    elements:
      reference: {mustSupport: true, index: 6}
    required: [reference]
  method:
    binding: {strength: extensible, valueSet: 'http://hl7.org/fhir/ValueSet/observation-methods'}
    mustSupport: true
    index: 10
  component:
    elements:
      interpretation: {mustSupport: true, index: 17}
      referenceRange:
        type: BackboneElement
        mustSupport: true
        index: 18
        elements:
          low: {mustSupport: true, index: 19}
          high: {mustSupport: true, index: 20}
          age: {mustSupport: true, index: 21}
  id: {index: 0}
  code:
    binding: {strength: extensible, valueSet: 'http://hl7.org/fhir/ValueSet/observation-vitalsignresult'}
    index: 4
  bodySite:
    binding: {strength: extensible, valueSet: 'http://hl7.org/fhir/ValueSet/body-site'}
    mustSupport: true
    index: 9
  issued: {mustSupport: true, index: 7}
  partOf:
    mustSupport: true
    index: 2
    elements:
      reference: {mustSupport: true, index: 3}
    required: [reference]
  subject:
    elements:
      reference: {mustSupport: true, index: 5}
    required: [reference]
package_version: 1.0.0
class: profile
kind: resource
url: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-observation-vitals
base: http://hl7.org/fhir/StructureDefinition/vitalsigns
version: 1.0.0
required: [id]