Union of http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-observation-vitals and http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-observation-vitals

This is the set of resources that conform to either of the profiles ACH Monthly Event Observation - Vital Signs (http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-observation-vitals) and ACH Monthly Event Observation - Vital Signs (http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-observation-vitals). E.g. what you have to deal with if you get resources conforming to one of them

Structure

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C0..*left: FHIR Vital Signs Profile; right: US Core Vital Signs Profile
Constraints: obs-6, obs-7, vs-2
... meta Σ0..1MetaMetadata about the resource
.... extension 0..*ExtensionAdditional content defined by implementations
.... versionId Σ0..1idVersion specific identifier
.... lastUpdated Σ0..1instantWhen the resource version last changed
.... source Σ0..1uriIdentifies where the resource comes from
.... profile Σ0..*canonical(StructureDefinition)Profiles this resource claims to conform to
.... security Σ0..*CodingSecurity Labels applied to this resource
Binding: ?? (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ0..*CodingTags applied to this resource
Binding: ?? (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: ?? (preferred): A human language.
... text 0..1NarrativeText summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierBusiness Identifier for observation
... basedOn Σ0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)Fulfills plan, proposal or order
... partOf SΣ0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) {b}left: Part of referenced event; right: (NHSN-MS) Part of referenced event
.... extension 0..*ExtensionAdditional content defined by implementations
.... reference SΣ1..1stringleft: Literal reference, Relative, internal or absolute URL; right: (NHSN-MS) Literal reference, Relative, internal or absolute URL
.... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
.... display Σ0..1stringText alternative for the resource
... status ?!SΣ1..1codeleft: registered | preliminary | final | amended +; right: (NHSN-MS)(USCDI) registered | preliminary | final | amended +
Binding: ?? (required)
... category S1..*CodeableConceptleft: Classification of type of observation; right: (NHSN-MS)(USCDI) Classification of type of observation
Binding: ?? (preferred): Codes for high level observation categories.
... code SΣ1..1CodeableConceptleft: Coded Responses from C-CDA Vital Sign Results; right: (NHSN-MS)(USCDI) Coded Responses from C-CDA Vital Sign Results
Binding: ?? (extensible): The vital sign codes from the base FHIR and US Core Vital Signs.
... subject SΣ1..1Reference(Patient) {b}left: Who and/or what the observation is about; right: (NHSN-MS)(USCDI) Who and/or what the observation is about
.... extension 0..*ExtensionAdditional content defined by implementations
.... reference SΣ1..1stringleft: Literal reference, Relative, internal or absolute URL; right: (NHSN-MS) Literal reference, Relative, internal or absolute URL
.... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
.... display Σ0..1stringText alternative for the resource
... focus Σ0..*Reference(Resource)What the observation is about, when it is not about the subject of record
... encounter SΣ0..1Reference(Encounter) {b}left: Healthcare event during which this observation is made; right: (NHSN-MS)Healthcare event during which this observation is made
.... extension 0..*ExtensionAdditional content defined by implementations
.... reference SΣ1..1stringleft: Literal reference, Relative, internal or absolute URL; right: (NHSN-MS) Literal reference, Relative, internal or absolute URL
.... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
.... display Σ0..1stringText alternative for the resource
... effective[x] SΣC1..1left: Often just a dateTime for Vital Signs; right: (NHSN-MS)(USCDI) Often just a dateTime for Vital Signs
Constraints: vs-1
.... effectiveDateTimedateTime
.... effectivePeriodPeriod
... issued SΣ0..1instantleft: Date/Time this version was made available; right: (NHSN-MS) Date/Time this version was made available
... performer Σ0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)Who is responsible for the observation
... value[x] SΣ0..1left: Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.; right: (NHSN-MS)(USCDI) Vital Signs Value
Binding: ?? (example): Common UCUM units for recording Vital Signs.
.... valueQuantityQuantity
.... valueCodeableConceptCodeableConcept
.... valueStringstring
.... valueBooleanboolean
.... valueIntegerinteger
.... valueRangeRange
.... valueRatioRatio
.... valueSampledDataSampledData
.... valueTimetime
.... valueDateTimedateTime
.... valuePeriodPeriod
... dataAbsentReason S0..1CodeableConceptleft: Why the result is missing; right: (USCDI) Why the result is missing
Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing.
... interpretation S0..*CodeableConceptleft: High, low, normal, etc.; right: (NHSN-MS)(QI-Core) High, low, normal, etc.
Binding: ?? (extensible): Codes identifying interpretations of observations.
... note 0..*AnnotationComments about the observation
... bodySite S0..1CodeableConceptleft: Observed body part; right: (NHSN-MS) Observed body part
Binding: ?? (extensible)
... method S0..1CodeableConceptleft: How it was done; right: (NHSN-MS) How it was done
Binding: ?? (extensible)
... specimen 0..1Reference(Specimen)Specimen used for this observation
... device 0..1Reference(Device | DeviceMetric)(Measurement) Device
... referenceRange SC0..*BackboneElementleft: Provides guide for interpretation; right: (NHSN-MS) Provides guide for interpretation
Constraints: obs-3
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... low S0..1??left: Low Range, if relevant; right: (NHSN-MS) Low Range, if relevant
.... high S0..1??left: High Range, if relevant; right: (NHSN-MS) High Range, if relevant
.... type 0..1CodeableConceptReference range qualifier
Binding: ?? (preferred): Code for the meaning of a reference range.
.... appliesTo 0..*CodeableConceptReference range population
Binding: ?? (example): Codes identifying the population the reference range applies to.
.... age S0..1Rangeleft: Applicable age range, if relevant; right: (NHSN-MS) Applicable age range, if relevant
.... text 0..1stringText based reference range in an observation
... hasMember SΣ0..*Reference(QuestionnaireResponse | MolecularSequence | Vital Signs Profile) {b}left: Used when reporting vital signs panel components; right: (NHSN-MS) Used when reporting vital signs panel components
.... extension 0..*ExtensionAdditional content defined by implementations
.... reference SΣ1..1stringleft: Literal reference, Relative, internal or absolute URL; right: (NHSN-MS) Literal reference, Relative, internal or absolute URL
.... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
.... display Σ0..1stringText alternative for the resource
... derivedFrom Σ0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | MolecularSequence | Vital Signs Profile)Related measurements the observation is made from
... component SΣC0..*BackboneElementleft: Used when reporting systolic and diastolic blood pressure.; right: (NHSN-MS)(USCDI) Component observations
Constraints: vs-3
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code SΣ1..1CodeableConceptleft: Type of component observation (code / type); right: (NHSN-MS)(USCDI) Type of component observation (code / type)
Binding: ?? (extensible): This identifies the vital sign result type.
.... value[x] SΣ0..1left: Vital Sign Value recorded with UCUM; right: (NHSN-MS)(USCDI) Vital Sign Component Value
Binding: ?? (extensible): Common UCUM units for recording Vital Signs.
..... valueQuantityQuantity
..... valueCodeableConceptCodeableConcept
..... valueStringstring
..... valueBooleanboolean
..... valueIntegerinteger
..... valueRangeRange
..... valueRatioRatio
..... valueSampledDataSampledData
..... valueTimetime
..... valueDateTimedateTime
..... valuePeriodPeriod
.... dataAbsentReason S0..1CodeableConceptleft: Why the component result is missing; right: (USCDI) Why the component result is missing
Binding: ?? (extensible): Codes specifying why the result (Observation.value[x]) is missing.
.... interpretation S0..*CodeableConceptleft: High, low, normal, etc.; right: (NHSN-MS) High, low, normal, etc.
Binding: ?? (extensible): Codes identifying interpretations of observations.
.... referenceRange S0..*BackboneElementleft: Provides guide for interpretation of component result; right: (NHSN-MS) Provides guide for interpretation of component result
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... low S0..1??left: Low Range, if relevant; right: (NHSN-MS) Low Range, if relevant
..... high S0..1??left: High Range, if relevant; right: (NHSN-MS) High Range, if relevant
..... type 0..1CodeableConceptReference range qualifier
Binding: ?? (preferred): Code for the meaning of a reference range.
..... appliesTo 0..*CodeableConceptReference range population
Binding: ?? (example): Codes identifying the population the reference range applies to.
..... age S0..1Rangeleft: Applicable age range, if relevant; right: (NHSN-MS) Applicable age range, if relevant
..... text 0..1stringText based reference range in an observation

doco Documentation for this format