<status value="draft" /> <date value="2023-08-10" /> <publisher value="HL7 UK" /> <contact> <name value="HL7 UK" /> <telecom> <system value="email" /> <value value="ukcore@hl7.org.uk" /> <use value="work" /> <rank value="1" /> </telecom> </contact> <description value="Defines the observation constraints and extensions on the UK Core observation resource for the minimal set of data to query and retrieve clinical observation vital signs information." /> <purpose value="This profile allows exchange of information of Measurements and simple assertions made about an individual, device or other subject." /> <copyright value="Copyright © 2021+ HL7 UK Licensed under the Apache License, Version 2.0 (the "License"); you may not use this file except in compliance with the License. You may obtain a copy of the License at http://www.apache.org/licenses/LICENSE-2.0 Unless required by applicable law or agreed to in writing, software distributed under the License is distributed on an "AS IS" BASIS, WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied. See the License for the specific language governing permissions and limitations under the License. HL7® FHIR® standard Copyright © 2011+ HL7 The HL7® FHIR® standard is used under the FHIR license. You may obtain a copy of the FHIR license at https://www.hl7.org/fhir/license.html." /> <fhirVersion value="4.0.1" /> <mapping> <identity value="workflow" /> <uri value="http://hl7.org/fhir/workflow" /> <name value="Workflow Pattern" /> </mapping> <mapping> <identity value="sct-concept" /> <uri value="http://snomed.info/conceptdomain" /> <name value="SNOMED CT Concept Domain Binding" /> </mapping> <mapping> <identity value="v2" /> <uri value="http://hl7.org/v2" /> <name value="HL7 v2 Mapping" /> </mapping> <mapping> <identity value="rim" /> <uri value="http://hl7.org/v3" /> <name value="RIM Mapping" /> </mapping> <mapping> <identity value="w5" /> <uri value="http://hl7.org/fhir/fivews" /> <name value="FiveWs Pattern Mapping" /> </mapping> <mapping> <identity value="sct-attr" /> <uri value="http://snomed.org/attributebinding" /> <name value="SNOMED CT Attribute Binding" /> </mapping> <kind value="resource" /> <abstract value="false" /> <type value="Observation" /> <baseDefinition value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation" /> <derivation value="constraint" /> <differential> <element id="Observation"> <path value="Observation" /> <constraint> <key value="ukcore-obs-vs-001" /> <severity value="error" /> <human value="Where the category is Vital Signs the code.coding SHALL include a LOINC "magic code"" /> <expression value="category.where(code='vital-signs') implies code.coding.where(system='http://loinc.org').exists()" /> </constraint> </element> <element id="Observation.status"> <path value="Observation.status" /> <fixedCode value="final" /> </element> <element id="Observation.category"> <path value="Observation.category" /> <slicing> <discriminator> <type value="value" /> <path value="coding.code" /> </discriminator> <rules value="closed" /> </slicing> <min value="1" /> <max value="1" /> </element> <element id="Observation.category:vitalSigns"> <path value="Observation.category" /> <sliceName value="vitalSigns" /> <max value="1" /> </element> <element id="Observation.category:vitalSigns.coding.system"> <path value="Observation.category.coding.system" /> <fixedUri value="http://terminology.hl7.org/CodeSystem/observation-category" /> </element> <element id="Observation.category:vitalSigns.coding.code"> <path value="Observation.category.coding.code" /> <fixedCode value="vital-signs" /> </element> <element id="Observation.category:vitalSigns.coding.display"> <path value="Observation.category.coding.display" /> <fixedString value="Vital Signs" /> </element> <element id="Observation.category:survey"> <path value="Observation.category" /> <sliceName value="survey" /> <max value="1" /> </element> <element id="Observation.category:survey.coding.system"> <path value="Observation.category.coding.system" /> <fixedUri value="http://terminology.hl7.org/CodeSystem/observation-category" /> </element> <element id="Observation.category:survey.coding.code"> <path value="Observation.category.coding.code" /> <fixedCode value="survey" /> </element> <element id="Observation.category:survey.coding.display"> <path value="Observation.category.coding.display" /> <fixedString value="Survey" /> </element> <element id="Observation.code.coding"> <path value="Observation.code.coding" /> <slicing> <discriminator> <type value="value" /> <path value="system" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="Observation.code.coding:loinc"> <path value="Observation.code.coding" /> <sliceName value="loinc" /> <binding> <strength value="extensible" /> <valueSet value="http://hl7.org/fhir/ValueSet/observation-vitalsignresult" /> </binding> </element> <element id="Observation.code.coding:loinc.system"> <path value="Observation.code.coding.system" /> <fixedUri value="http://loinc.org" /> </element> <element id="Observation.code.coding:snomedCT"> <path value="Observation.code.coding" /> <sliceName value="snomedCT" /> <binding> <strength value="preferred" /> <description value="A code from the SNOMED Clinical Terminology UK coding system describing a type of observation" /> <valueSet value="https://fhir.hl7.org.uk/ValueSet/UKCore-ObservationVitalSignsType" /> </binding> </element> <element id="Observation.code.coding:snomedCT.system"> <path value="Observation.code.coding.system" /> <fixedUri value="http://snomed.info/sct" /> </element> <element id="Observation.subject"> <path value="Observation.subject" /> <min value="1" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Patient" /> </type> </element> <element id="Observation.effective[x]"> <path value="Observation.effective[x]" /> <min value="1" /> </element> <element id="Observation.hasMember"> <path value="Observation.hasMember" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-QuestionnaireResponse" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/MolecularSequence" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-VitalSigns" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation" /> </type> </element> <element id="Observation.derivedFrom"> <path value="Observation.derivedFrom" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-ImagingStudy" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Media" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-QuestionnaireResponse" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/MolecularSequence" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-VitalSigns" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-DocumentReference" /> <targetProfile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation" /> </type> </element> <element id="Observation.component.code"> <path value="Observation.component.code" /> <binding> <strength value="preferred" /> <description value="A code from the SNOMED Clinical Terminology UK coding system describing a type of vital sign." /> <valueSet value="https://fhir.hl7.org.uk/ValueSet/UKCore-ObservationVitalSignsType" /> </binding> </element> <element id="Observation.component.code.coding"> <path value="Observation.component.code.coding" /> <slicing> <discriminator> <type value="value" /> <path value="system" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="Observation.component.code.coding:loinc"> <path value="Observation.component.code.coding" /> <sliceName value="loinc" /> <binding> <strength value="extensible" /> <valueSet value="http://hl7.org/fhir/ValueSet/observation-vitalsignresult" /> </binding> </element> <element id="Observation.component.code.coding:loinc.system"> <path value="Observation.component.code.coding.system" /> <fixedUri value="http://loinc.org" /> </element> <element id="Observation.component.code.coding:snomedCT"> <path value="Observation.component.code.coding" /> <sliceName value="snomedCT" /> <binding> <strength value="preferred" /> <description value="A code from the SNOMED Clinical Terminology UK coding system describing a type of observation for vital-signs" /> <valueSet value="https://fhir.hl7.org.uk/ValueSet/UKCore-ObservationVitalSignsType" /> </binding> </element> <element id="Observation.component.code.coding:snomedCT.system"> <path value="Observation.component.code.coding.system" /> <fixedUri value="http://snomed.info/sct" /> </element> </differential> </StructureDefinition>