(Comment about http://hl7.org/fhir/R4/observation-vitalsigns.html#vitals-table)
Such an observation is meaningless in isolation and should be a component, if it can't be accommodated with CIMI extension associatedSituationExt or with Observation.method.
Make clothing state a method, component, or extension (VS ~ https://build.fhir.org/ig/HL7/cimi-vital-signs/ValueSet-AssociatedSituationVS.html)
8352-7 - Clothing worn during measure and 8361-8 - Body position with respect to gravity MAY be included as additional observation codes.
(Comment 4 - imported by: Jean Duteau)