<status value="draft" /> <experimental value="false" /> <date value="2016-03-25" /> <publisher value="Health Level Seven International (Orders and Observations Workgroup)" /> <contact> <telecom> <system value="url" /> <value value="http://www.hl7.org/Special/committees/orders/index.cfm Orders and Observations" /> </telecom> </contact> <description value="FHIR Vital Signs Profile" /> <fhirVersion value="3.0.1" /> <mapping> <identity value="workflow" /> <uri value="http://hl7.org/fhir/workflow" /> <name value="Workflow Mapping" /> </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/w5" /> <name value="W5 Mapping" /> </mapping> <mapping> <identity value="sct-attr" /> <uri value="http://snomed.info/sct" /> <name value="SNOMED CT Attribute Binding" /> </mapping> <kind value="resource" /> <abstract value="false" /> <type value="Observation" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Observation" /> <derivation value="constraint" /> <differential> <element id="Observation"> <path value="Observation" /> <short value="FHIR Vital Signs Profile" /> <definition value="The FHIR Vitals Signs profile sets a minimum expectations for the Observation Resource to record, search and fetch the vital signs associated with a patient." /> <alias value="Vital Signs" /> <alias value="Measurement" /> <alias value="Results" /> <alias value="Tests" /> <min value="0" /> <max value="*" /> <constraint> <key value="vs-2" /> <severity value="error" /> <human value="If there is no component or related element then either a value[x] or a data absent reason must be present" /> <expression value="(component.empty() and related.empty()) implies (dataAbsentReason or value)" /> <xpath value="exists(f:component) or exists(f:related) or exists(f:*[starts-with(local-name(.), 'value')]) or exists(f:dataAbsentReason)" /> </constraint> </element> <element id="Observation.status"> <path value="Observation.status" /> <min value="1" /> <max value="1" /> <type> <code value="code" /> </type> <mustSupport value="true" /> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="Status" /> </extension> <strength value="required" /> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/observation-status" /> </valueSetReference> </binding> </element> <element id="Observation.category"> <path value="Observation.category" /> <min value="1" /> <max value="*" /> <type> <code value="CodeableConcept" /> </type> <condition value="vs-4" /> <constraint> <key value="vs-4" /> <severity value="error" /> <human value="Must have a category of 'vital-signs' and a code system 'http://hl7.org/fhir/observation-category'" /> <expression value="where(coding.system='http://hl7.org/fhir/observation-category' and coding.code='vital-signs').exists()" /> <xpath value="exists(f:coding/code[@value='vital-signs']) and exists(f:coding/system[@value='http://hl7.org/fhir/observation-category'])" /> </constraint> <mustSupport value="true" /> </element> <element id="Observation.code"> <path value="Observation.code" /> <short value="Coded Responses from C-CDA Vital Sign Results" /> <definition value="Coded Responses from C-CDA Vital Sign Results." /> <requirements value="5. SHALL contain exactly one [1..1] code, where the @code SHOULD be selected from ValueSet HITSP Vital Sign Result Type 2.16.840.1.113883.3.88.12.80.62 DYNAMIC (CONF:7301)." /> <min value="1" /> <max value="1" /> <type> <code value="CodeableConcept" /> </type> <mustSupport value="true" /> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="VitalSigns" /> </extension> <strength value="extensible" /> <description value="This identifies the vital sign result type." /> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/observation-vitalsignresult" /> </valueSetReference> </binding> </element> <element id="Observation.subject"> <path value="Observation.subject" /> <min value="1" /> <max value="1" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient" /> </type> <mustSupport value="true" /> </element> <element id="Observation.effective[x]"> <path value="Observation.effective[x]" /> <short value="Often just a dateTime for Vital Signs" /> <definition value="Often just a dateTime for Vital Signs." /> <min value="1" /> <max value="1" /> <type> <code value="dateTime" /> </type> <type> <code value="Period" /> </type> <condition value="vs-1" /> <constraint> <key value="vs-1" /> <severity value="error" /> <human value="Datetime must be at least to day." /> <expression value="($this as dateTime).toString().length() >= 8" /> <xpath value="f:matches(effectiveDateTime,/\d{4}-[01]\d-[0-3]\dT[0-2]\d:[0-5]\d([+-][0-2]\d:[0-5]\d|Z)/)" /> </constraint> <mustSupport value="true" /> </element> <element id="Observation.valueQuantity"> <path value="Observation.valueQuantity" /> <short value="Vital Sign Value recorded with UCUM" /> <definition value="Vital Sign Value recorded with UCUM." /> <requirements value="9. SHALL contain exactly one [1..1] value with @xsi:type="PQ" (CONF:7305)." /> <min value="0" /> <max value="1" /> <type> <code value="Quantity" /> </type> <condition value="vs-2" /> <mustSupport value="true" /> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="VitalSignsUnits" /> </extension> <strength value="required" /> <description value="Common UCUM units for recording Vital Signs" /> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/ucum-vitals-common" /> </valueSetReference> </binding> </element> <element id="Observation.valueQuantity.value"> <path value="Observation.valueQuantity.value" /> <min value="1" /> <max value="1" /> <type> <code value="decimal" /> </type> <mustSupport value="true" /> </element> <element id="Observation.valueQuantity.unit"> <path value="Observation.valueQuantity.unit" /> <min value="1" /> <max value="1" /> <type> <code value="string" /> </type> <mustSupport value="true" /> </element> <element id="Observation.valueQuantity.system"> <path value="Observation.valueQuantity.system" /> <min value="1" /> <max value="1" /> <type> <code value="uri" /> </type> <fixedUri value="http://unitsofmeasure.org" /> <mustSupport value="true" /> </element> <element id="Observation.valueQuantity.code"> <path value="Observation.valueQuantity.code" /> <short value="Coded responses from the common UCUM units for vital signs value set." /> <definition value="Coded responses from the common UCUM units for vital signs value set." /> <min value="1" /> <max value="1" /> <type> <code value="code" /> </type> <mustSupport value="true" /> </element> <element id="Observation.dataAbsentReason"> <path value="Observation.dataAbsentReason" /> <min value="0" /> <max value="1" /> <type> <code value="CodeableConcept" /> </type> <condition value="vs-2" /> <mustSupport value="true" /> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="DAR" /> </extension> <strength value="extensible" /> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/observation-valueabsentreason" /> </valueSetReference> </binding> </element> <element id="Observation.related"> <path value="Observation.related" /> <short value="Used when reporting vital signs panel components" /> <definition value="Used when reporting vital signs panel components." /> <mustSupport value="true" /> </element> <element id="Observation.related.type"> <path value="Observation.related.type" /> <min value="1" /> <max value="1" /> <type> <code value="code" /> </type> <fixedCode value="has-member" /> <mustSupport value="true" /> </element> <element id="Observation.related.target"> <path value="Observation.related.target" /> <min value="1" /> <max value="1" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/vitalsigns" /> </type> <mustSupport value="true" /> </element> <element id="Observation.component"> <path value="Observation.component" /> <short value="Used when reporting systolic and diastolic blood pressure." /> <definition value="Used when reporting systolic and diastolic blood pressure." /> <constraint> <key value="vs-3" /> <severity value="error" /> <human value="If there is no a value a data absent reason must be present" /> <expression value="value.exists() or dataAbsentReason.exists()" /> <xpath value="exists(f:*[starts-with(local-name(.), 'value')]) or exists(f:dataAbsentReason)" /> </constraint> <mustSupport value="true" /> </element> <element id="Observation.component.code"> <path value="Observation.component.code" /> <min value="1" /> <max value="1" /> <type> <code value="CodeableConcept" /> </type> <mustSupport value="true" /> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="VitalSigns" /> </extension> <strength value="extensible" /> <description value="This identifies the vital sign result type." /> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/observation-vitalsignresult" /> </valueSetReference> </binding> </element> <element id="Observation.component.valueQuantity"> <path value="Observation.component.valueQuantity" /> <short value="Vital Sign Value recorded with UCUM" /> <definition value="Vital Sign Value recorded with UCUM." /> <requirements value="9. SHALL contain exactly one [1..1] value with @xsi:type="PQ" (CONF:7305)." /> <min value="0" /> <max value="1" /> <type> <code value="Quantity" /> </type> <condition value="vs-3" /> <mustSupport value="true" /> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="VitalSignsUnits" /> </extension> <strength value="required" /> <description value="Common UCUM units for recording Vital Signs" /> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/ucum-vitals-common" /> </valueSetReference> </binding> </element> <element id="Observation.component.valueQuantity.value"> <path value="Observation.component.valueQuantity.value" /> <min value="1" /> <max value="1" /> <type> <code value="decimal" /> </type> <mustSupport value="true" /> </element> <element id="Observation.component.valueQuantity.unit"> <path value="Observation.component.valueQuantity.unit" /> <min value="1" /> <max value="1" /> <type> <code value="string" /> </type> <mustSupport value="true" /> </element> <element id="Observation.component.valueQuantity.system"> <path value="Observation.component.valueQuantity.system" /> <min value="1" /> <max value="1" /> <type> <code value="uri" /> </type> <fixedUri value="http://unitsofmeasure.org" /> <mustSupport value="true" /> </element> <element id="Observation.component.valueQuantity.code"> <path value="Observation.component.valueQuantity.code" /> <short value="Coded responses from the common UCUM units for vital signs value set." /> <definition value="Coded responses from the common UCUM units for vital signs value set." /> <min value="1" /> <max value="1" /> <type> <code value="code" /> </type> <mustSupport value="true" /> </element> <element id="Observation.component.dataAbsentReason"> <path value="Observation.component.dataAbsentReason" /> <min value="0" /> <max value="1" /> <type> <code value="CodeableConcept" /> </type> <condition value="vs-3" /> <mustSupport value="true" /> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="DAR" /> </extension> <strength value="extensible" /> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/observation-valueabsentreason" /> </valueSetReference> </binding> </element> </differential> </StructureDefinition>

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