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<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="profile-DwObservationVitals" />
  <url value="https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwObservationVitals" />
  <name value="DwObservationVitals" />
  <status value="draft" />
  <date value="2024-05-03T22:11:40.4165223+00:00" />
  <fhirVersion value="4.0.1" />
  <kind value="resource" />
  <abstract value="false" />
  <type value="Observation" />
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Observation" />
  <derivation value="constraint" />
  <differential>
    <element id="Observation.id">
      <path value="Observation.id" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.text">
      <path value="Observation.text" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.extension:BodyPosition">
      <path value="Observation.extension" />
      <sliceName value="BodyPosition" />
      <max value="1" />
      <type>
        <code value="Extension" />
        <profile value="https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/ext-VitalsBodyPosition" />
      </type>
      <mustSupport value="true" />
      <isModifier value="false" />
    </element>
    <element id="Observation.extension:BodyPosition.value[x]">
      <path value="Observation.extension.value[x]" />
      <type>
        <code value="CodeableConcept" />
      </type>
    </element>
    <element id="Observation.extension:BodyPosition.value[x].coding">
      <path value="Observation.extension.value[x].coding" />
      <comment value="Usage Note: For CHR map BP position  as follows Sit -&gt; LA11868-9, Stand -&gt;LA11870-5 and Lay -&gt; LA11869-7&#xD;&#xA;&#xD;&#xA;Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true." />
      <binding>
        <strength value="preferred" />
        <valueSet value="http://loinc.org" />
      </binding>
    </element>
    <element id="Observation.extension:BodyPosition.value[x].coding.system">
      <path value="Observation.extension.value[x].coding.system" />
      <binding>
        <strength value="preferred" />
        <valueSet value="http://loinc.org" />
      </binding>
    </element>
    <element id="Observation.extension:BodyPosition.value[x].coding.code">
      <path value="Observation.extension.value[x].coding.code" />
      <comment value="Usage Note: For CHR map BP position  as follows Sit -&gt; LA11868-9, Stand -&gt;LA11870-5 and Lay -&gt; LA11869-7&#xD;&#xA;&#xD;&#xA;Note that FHIR strings SHALL NOT exceed 1MB in size" />
    </element>
    <element id="Observation.extension:BodyPosition.value[x].coding.display">
      <path value="Observation.extension.value[x].coding.display" />
      <comment value="Usage Note: For CHR map BP position  as follows Sit -&gt; Sitting, Stand -&gt; Standing and Lay -&gt; Lying&#xD;&#xA;&#xD;&#xA;Note that FHIR strings SHALL NOT exceed 1MB in size" />
    </element>
    <element id="Observation.identifier">
      <path value="Observation.identifier" />
      <comment value="urn:telus:emr:&lt;emrtype&gt;:&lt;emrInstance&gt;:vitals" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.status">
      <path value="Observation.status" />
      <comment value="PSS --&gt;FHIR&#xD;&#xA;finished --&gt; final&#xD;&#xA;deleted --&gt; entered-in-error - only if delta is being sent&#xD;&#xA;If &quot;unavailable&quot; value --&gt; unknown&#xD;&#xA;&#xD;&#xA;MA --&gt;FHIR&#xD;&#xA;finished --&gt; final&#xD;&#xA;deleted --&gt; entered-in-error - only if delta is being sent&#xD;&#xA;If &quot;unavailable&quot; value --&gt; unknown&#xD;&#xA;&#xD;&#xA;Usage note: Status will always be finished. Use a value of &quot;unknown&quot; where this value is unavailable.&#xD;&#xA;&#xD;&#xA;This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid." />
      <fixedCode value="final" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.category">
      <path value="Observation.category" />
      <min value="1" />
      <max value="1" />
      <fixedCodeableConcept>
        <text value="vital-signs" />
      </fixedCodeableConcept>
      <mustSupport value="true" />
    </element>
    <element id="Observation.code">
      <path value="Observation.code" />
      <comment value="Usage note: PSS - Custom vitals in the vital tables will not have loinic codes attached and will be provided as text&#xD;&#xA;&#xD;&#xA;*All* code-value and, if present, component.code-component.value pairs need to be taken into account to correctly understand the meaning of the observation." />
      <mustSupport value="true" />
      <binding>
        <strength value="preferred" />
        <valueSet value="https://loinc.org" />
      </binding>
    </element>
    <element id="Observation.code.coding">
      <path value="Observation.code.coding" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.code.coding.system">
      <path value="Observation.code.coding.system" />
      <fixedUri value="http://loinc.org" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.code.coding.code">
      <path value="Observation.code.coding.code" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.code.text">
      <path value="Observation.code.text" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.subject">
      <path value="Observation.subject" />
      <min value="1" />
      <type>
        <code value="Reference" />
        <targetProfile value="https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwPatient" />
        <aggregation value="bundled" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Observation.encounter">
      <path value="Observation.encounter" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.effective[x]">
      <path value="Observation.effective[x]" />
      <comment value="Usage note: Standard vital list will have effective[x] as effective.dateTime. Effective.period, instant and timing are not relevant types. &#xD;&#xA;&#xD;&#xA;At least a date should be present unless this observation is a historical report.  For recording imprecise or &quot;fuzzy&quot; times (For example, a blood glucose measurement taken &quot;after breakfast&quot;) use the [Timing](datatypes.html#timing) datatype which allow the measurement to be tied to regular life events." />
      <mustSupport value="true" />
    </element>
    <element id="Observation.value[x]">
      <path value="Observation.value[x]" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.note">
      <path value="Observation.note" />
      <comment value="Usage Note: This will be supported by MA as there is a single note per vital. PSS does not have a vital note; entered in context of an encounter note. PSS will not convey comments. &#xD;&#xA;&#xD;&#xA;May include general statements about the observation, or statements about significant, unexpected or unreliable results values, or information about its source when relevant to its interpretation." />
      <mustSupport value="true" />
    </element>
    <element id="Observation.bodySite">
      <path value="Observation.bodySite" />
      <comment value="Usage Note:  When body site for the vital is recorded this will be provided&#xD;&#xA;&#xD;&#xA;Only used if not implicit in code found in Observation.code.  In many systems, this may be represented as a related observation instead of an inline component.   &#xA;&#xA;If the use case requires BodySite to be handled as a separate resource (e.g. to identify and track separately) then use the standard extension[ bodySite](extension-bodysite.html)." />
      <mustSupport value="true" />
    </element>
    <element id="Observation.component">
      <path value="Observation.component" />
      <comment value="Usage note: Typically used for BP systolic and BP Diastolic&#xD;&#xA;&#xD;&#xA;&#xD;&#xA;&#xD;&#xA;For a discussion on the ways Observations can be assembled in groups together see [Notes](observation.html#notes) below." />
      <mustSupport value="true" />
    </element>
  </differential>
</StructureDefinition>

name : DwObservationVitals

{

}

<name value="DwObservationVitals" />