<StructureDefinition xmlns="http://hl7.org/fhir">
  <url value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-HeartRate-Observation-1" />
  <version value="1.1.0" />
  <name value="CareConnect-HeartRate-Observation-1" />
  <status value="draft" />
  <date value="2019-06-17" />
  <publisher value="HL7 UK" />
  <contact>
    <name value="INTEROPen" />
    <telecom>
      <system value="email" />
      <value value="admin@interopen.org" />
      <use value="work" />
    </telecom>
  </contact>
  <description value="A Vital Signs profile to carry a patient's heart rate or pulse." />
  <copyright value="Copyright © 2018 HL7 UK&#xD;&#xA;Licensed under the Apache License, Version 2.0 (the &quot;License&quot;); you may not use this file except in compliance with the License. You may obtain a copy of the License at&#xD;&#xA;&#xD;&#xA;http://www.apache.org/licenses/LICENSE-2.0&#xD;&#xA;&#xD;&#xA;Unless required by applicable law or agreed to in writing, software distributed under the License is distributed on an &quot;AS IS&quot; 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.&#xD;&#xA;&#xD;&#xA;HL7® FHIR® standard Copyright © 2011+ HL7&#xD;&#xA;&#xD;&#xA;The HL7® FHIR® standard is used under the FHIR license. You may obtain a copy of the FHIR license at&#xD;&#xA;&#xD;&#xA;https://www.hl7.org/fhir/license.html" />
  <fhirVersion value="3.0.2" />
  <kind value="resource" />
  <abstract value="false" />
  <type value="Observation" />
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Observation" />
  <derivation value="constraint" />
  <differential>
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      <path value="Observation.identifier.system" />
      <min value="1" />
    </element>
    <element id="Observation.identifier.value">
      <path value="Observation.identifier.value" />
      <min value="1" />
    </element>
    <element id="Observation.identifier.assigner">
      <path value="Observation.identifier.assigner" />
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        <code value="Reference" />
        <targetProfile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Organization-1" />
      </type>
    </element>
    <element id="Observation.basedOn">
      <path value="Observation.basedOn" />
      <min value="1" />
      <max value="1" />
      <type>
        <code value="Reference" />
        <targetProfile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-CarePlan-1" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/DeviceRequest" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-MedicationRequest-1" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/NutritionOrder" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-ProcedureRequest-1" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-ReferralRequest-1" />
      </type>
    </element>
    <element id="Observation.status">
      <path value="Observation.status" />
      <fixedCode value="final" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.category">
      <path value="Observation.category" />
      <min value="1" />
      <mustSupport value="true" />
      <binding>
        <strength value="required" />
      </binding>
    </element>
    <element id="Observation.category.coding">
      <path value="Observation.category.coding" />
      <min value="1" />
      <max value="1" />
      <mustSupport value="false" />
    </element>
    <element id="Observation.category.coding.system">
      <path value="Observation.category.coding.system" />
      <min value="1" />
      <fixedUri value="http://hl7.org/fhir/observation-category" />
      <mustSupport value="false" />
    </element>
    <element id="Observation.category.coding.version">
      <path value="Observation.category.coding.version" />
      <max value="0" />
    </element>
    <element id="Observation.category.coding.code">
      <path value="Observation.category.coding.code" />
      <min value="1" />
      <fixedCode value="vital-signs" />
    </element>
    <element id="Observation.category.coding.display">
      <path value="Observation.category.coding.display" />
      <fixedString value="Vital Signs" />
    </element>
    <element id="Observation.code">
      <path value="Observation.code" />
      <mustSupport value="true" />
      <binding>
        <strength value="extensible" />
        <description value="This value set indicates the allowed vital sign result types." />
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/observation-vitalsignresult" />
        </valueSetReference>
      </binding>
    </element>
    <element id="Observation.code.coding">
      <path value="Observation.code.coding" />
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        <discriminator>
          <type value="value" />
          <path value="code" />
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        <ordered value="false" />
        <rules value="open" />
      </slicing>
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      <path value="Observation.code.coding" />
      <sliceName value="loinc" />
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      <max value="1" />
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        <strength value="extensible" />
        <description value="This value set indicates the allowed vital sign result types." />
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/observation-vitalsignresult" />
        </valueSetReference>
      </binding>
    </element>
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      <path value="Observation.code.coding.system" />
      <min value="1" />
      <fixedUri value="http://loinc.org" />
      <mustSupport value="false" />
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      <path value="Observation.code.coding.code" />
      <min value="1" />
      <fixedCode value="8867-4" />
      <mustSupport value="false" />
    </element>
    <element id="Observation.code.coding:snomedCT">
      <path value="Observation.code.coding" />
      <sliceName value="snomedCT" />
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      <max value="1" />
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      <path value="Observation.code.coding.extension" />
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        <discriminator>
          <type value="value" />
          <path value="url" />
        </discriminator>
        <rules value="open" />
      </slicing>
      <min value="0" />
    </element>
    <element id="Observation.code.coding:snomedCT.extension:snomedCTDescriptionID">
      <path value="Observation.code.coding.extension" />
      <sliceName value="snomedCTDescriptionID" />
      <min value="0" />
      <type>
        <code value="Extension" />
        <profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid" />
      </type>
    </element>
    <element id="Observation.code.coding:snomedCT.system">
      <path value="Observation.code.coding.system" />
      <min value="1" />
      <fixedUri value="http://snomed.info/sct" />
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    <element id="Observation.code.coding:snomedCT.version">
      <path value="Observation.code.coding.version" />
      <max value="0" />
    </element>
    <element id="Observation.code.coding:snomedCT.code">
      <path value="Observation.code.coding.code" />
      <min value="1" />
      <fixedCode value="364075005" />
    </element>
    <element id="Observation.code.coding:snomedCT.display">
      <path value="Observation.code.coding.display" />
      <min value="1" />
      <fixedString value="Heart rate" />
    </element>
    <element id="Observation.subject">
      <path value="Observation.subject" />
      <min value="1" />
      <type>
        <code value="Reference" />
        <targetProfile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Patient-1" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Observation.context">
      <path value="Observation.context" />
      <type>
        <code value="Reference" />
        <targetProfile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-EpisodeOfCare-1" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Encounter-1" />
      </type>
    </element>
    <element id="Observation.effective[x]">
      <path value="Observation.effective[x]" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.performer">
      <path value="Observation.performer" />
      <type>
        <code value="Reference" />
        <targetProfile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-RelatedPerson-1" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Practitioner-1" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Organization-1" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Patient-1" />
      </type>
    </element>
    <element id="Observation.value[x]:valueQuantity">
      <path value="Observation.valueQuantity" />
      <sliceName value="valueQuantity" />
      <type>
        <code value="Quantity" />
      </type>
      <mustSupport value="true" />
      <binding>
        <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.value[x]:valueQuantity.value">
      <path value="Observation.valueQuantity.value" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.value[x]:valueQuantity.unit">
      <path value="Observation.valueQuantity.unit" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.value[x]:valueQuantity.system">
      <path value="Observation.valueQuantity.system" />
      <min value="1" />
      <fixedUri value="http://unitsofmeasure.org" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.value[x]:valueQuantity.code">
      <path value="Observation.valueQuantity.code" />
      <short value="Coded responses from the common UCUM units for vital signs value set." />
      <min value="1" />
      <fixedCode value="/min" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.dataAbsentReason">
      <path value="Observation.dataAbsentReason" />
      <mustSupport value="true" />
      <binding>
        <strength value="extensible" />
        <description value="This value set defines the set of codes for identifying the reason why the expected result in Observation.value[x] is missing." />
      </binding>
    </element>
    <element id="Observation.dataAbsentReason.coding.code">
      <path value="Observation.dataAbsentReason.coding.code" />
      <mustSupport value="false" />
    </element>
    <element id="Observation.interpretation">
      <path value="Observation.interpretation" />
      <binding>
        <strength value="extensible" />
        <description value="This value set defines the set of codes that can be used to indicate the meaning/use of a reference range." />
      </binding>
    </element>
    <element id="Observation.bodySite.coding">
      <path value="Observation.bodySite.coding" />
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        <discriminator>
          <type value="value" />
          <path value="system" />
        </discriminator>
        <ordered value="false" />
        <rules value="open" />
      </slicing>
    </element>
    <element id="Observation.bodySite.coding:snomedCT">
      <path value="Observation.bodySite.coding" />
      <sliceName value="snomedCT" />
      <max value="1" />
      <binding>
        <strength value="preferred" />
        <description value="A code from the SNOMED Clinical Terminology UK with the expression (&lt;&lt;442083009 |anatomical or acquired body structure|)." />
        <valueSetReference>
          <reference value="https://fhir.hl7.org.uk/STU3/ValueSet/CareConnect-BodySite-1" />
        </valueSetReference>
      </binding>
    </element>
    <element id="Observation.bodySite.coding:snomedCT.extension">
      <path value="Observation.bodySite.coding.extension" />
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        <discriminator>
          <type value="value" />
          <path value="url" />
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        <rules value="open" />
      </slicing>
      <min value="0" />
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    <element id="Observation.bodySite.coding:snomedCT.extension:snomedCTDescriptionID">
      <path value="Observation.bodySite.coding.extension" />
      <sliceName value="snomedCTDescriptionID" />
      <min value="0" />
      <type>
        <code value="Extension" />
        <profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid" />
      </type>
    </element>
    <element id="Observation.bodySite.coding:snomedCT.system">
      <path value="Observation.bodySite.coding.system" />
      <min value="1" />
      <fixedUri value="http://snomed.info/sct" />
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      <path value="Observation.bodySite.coding.version" />
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      <path value="Observation.bodySite.coding.code" />
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      <path value="Observation.bodySite.coding.display" />
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        <discriminator>
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      <path value="Observation.method.coding" />
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        <strength value="preferred" />
        <description value="A code from SNOMED Clinical Terminology UK" />
        <valueSetReference>
          <reference value="https://fhir.hl7.org.uk/STU3/ValueSet/CareConnect-ObservationMethod-1" />
        </valueSetReference>
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    </element>
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      <path value="Observation.method.coding.extension" />
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          <type value="value" />
          <path value="url" />
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      <fixedUri value="http://snomed.info/sct" />
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      <path value="Observation.method.coding.display" />
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        <code value="Reference" />
        <targetProfile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Specimen-1" />
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    </element>
    <element id="Observation.related">
      <path value="Observation.related" />
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      <path value="Observation.related.type" />
      <min value="1" />
      <fixedCode value="has-member" />
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    <element id="Observation.related.target">
      <path value="Observation.related.target" />
      <type>
        <code value="Reference" />
        <targetProfile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-VitalSigns-Observation-1" />
      </type>
      <mustSupport value="true" />
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    <element id="Observation.component">
      <path value="Observation.component" />
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      <path value="Observation.component.code" />
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        <strength value="extensible" />
        <description value="This value set indicates the allowed vital sign result types." />
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/observation-vitalsignresult" />
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        <discriminator>
          <type value="value" />
          <path value="code" />
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      <max value="1" />
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        <strength value="extensible" />
        <description value="This value set indicates the allowed vital sign result types" />
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        <code value="Quantity" />
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        <strength value="required" />
        <description value="Common UCUM units for recording Vital Signs" />
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</StructureDefinition>