<status value="active" /> <date value="2026-03-23" /> <publisher value="Israel Core Team" /> <contact> <telecom> <system value="email" /> <value value="tal.primak@moh.gov.il" /> </telecom> </contact> <description value="Israel Core proposed constraints and extensions on the Observation Resource for use in Blood Pressure measurements." /> <fhirVersion value="4.0.1" /> <kind value="resource" /> <abstract value="false" /> <type value="Observation" /> <baseDefinition value="http://fhir.health.gov.il/StructureDefinition/il-core-vital-signs" /> <derivation value="constraint" /> <differential> <element id="Observation"> <path value="Observation" /> <short value="ILCore Blood Pressure Profile" /> </element> <element id="Observation.code.coding"> <path value="Observation.code.coding" /> <slicing> <discriminator> <type value="value" /> <path value="system" /> </discriminator> <discriminator> <type value="value" /> <path value="code" /> </discriminator> <rules value="open" /> </slicing> <definition value="Code specifying blood pressure measurement type" /> <min value="1" /> </element> <element id="Observation.code.coding:ilcore"> <path value="Observation.code.coding" /> <sliceName value="ilcore" /> <min value="1" /> <max value="1" /> </element> <element id="Observation.code.coding:ilcore.system"> <path value="Observation.code.coding.system" /> <min value="1" /> <fixedUri value="http://loinc.org" /> </element> <element id="Observation.code.coding:ilcore.code"> <path value="Observation.code.coding.code" /> <min value="1" /> <fixedCode value="85354-9" /> </element> <element id="Observation.code.coding:ilcore.display"> <path value="Observation.code.coding.display" /> <fixedString value="Blood pressure panel with all children optional" /> </element> <element id="Observation.value[x]"> <path value="Observation.value[x]" /> <comment value="Should be filled in the 'component' elements" /> <max value="0" /> </element> <element id="Observation.value[x]:valueQuantity"> <path value="Observation.value[x]" /> <sliceName value="valueQuantity" /> <max value="0" /> <type> <code value="Quantity" /> </type> </element> <element id="Observation.value[x]:valueCodeableConcept"> <path value="Observation.value[x]" /> <sliceName value="valueCodeableConcept" /> <max value="0" /> <type> <code value="CodeableConcept" /> </type> </element> <element id="Observation.value[x]:valueString"> <path value="Observation.value[x]" /> <sliceName value="valueString" /> <min value="0" /> <max value="0" /> <type> <code value="string" /> </type> </element> <element id="Observation.referenceRange"> <path value="Observation.referenceRange" /> <comment value="Should be filled in the 'component' elements" /> <max value="0" /> </element> <element id="Observation.component"> <path value="Observation.component" /> <slicing> <discriminator> <type value="value" /> <path value="code.coding.system" /> </discriminator> <discriminator> <type value="value" /> <path value="code.coding.code" /> </discriminator> <ordered value="false" /> <rules value="open" /> </slicing> <min value="2" /> </element> <element id="Observation.component:SystolicBP"> <path value="Observation.component" /> <sliceName value="SystolicBP" /> <min value="1" /> <max value="1" /> </element> <element id="Observation.component:SystolicBP.code.coding"> <path value="Observation.component.code.coding" /> <slicing> <discriminator> <type value="value" /> <path value="system" /> </discriminator> <discriminator> <type value="value" /> <path value="code" /> </discriminator> <ordered value="false" /> <rules value="open" /> </slicing> <min value="1" /> </element> <element id="Observation.component:SystolicBP.code.coding:SBPCode"> <path value="Observation.component.code.coding" /> <sliceName value="SBPCode" /> <min value="1" /> <max value="1" /> </element> <element id="Observation.component:SystolicBP.code.coding:SBPCode.system"> <path value="Observation.component.code.coding.system" /> <min value="1" /> <fixedUri value="http://loinc.org" /> <mustSupport value="true" /> </element> <element id="Observation.component:SystolicBP.code.coding:SBPCode.code"> <path value="Observation.component.code.coding.code" /> <min value="1" /> <fixedCode value="8480-6" /> <mustSupport value="true" /> </element> <element id="Observation.component:SystolicBP.value[x]"> <path value="Observation.component.value[x]" /> <type> <code value="Quantity" /> </type> </element> <element id="Observation.component:SystolicBP.value[x]:valueQuantity"> <path value="Observation.component.value[x]" /> <sliceName value="valueQuantity" /> <type> <code value="Quantity" /> </type> </element> <element id="Observation.component:SystolicBP.value[x]:valueQuantity.value"> <path value="Observation.component.value[x].value" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Observation.component:SystolicBP.value[x]:valueQuantity.unit"> <path value="Observation.component.value[x].unit" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Observation.component:SystolicBP.value[x]:valueQuantity.system"> <path value="Observation.component.value[x].system" /> <min value="1" /> <fixedUri value="http://unitsofmeasure.org" /> <mustSupport value="true" /> </element> <element id="Observation.component:SystolicBP.value[x]:valueQuantity.code"> <path value="Observation.component.value[x].code" /> <min value="1" /> <fixedCode value="mm[Hg]" /> <mustSupport value="true" /> </element> <element id="Observation.component:SystolicBP.value[x]:valueCodeableConcept"> <path value="Observation.component.value[x]" /> <sliceName value="valueCodeableConcept" /> <max value="0" /> <type> <code value="CodeableConcept" /> </type> </element> <element id="Observation.component:DiastolicBP"> <path value="Observation.component" /> <sliceName value="DiastolicBP" /> <min value="1" /> <max value="1" /> </element> <element id="Observation.component:DiastolicBP.code.coding"> <path value="Observation.component.code.coding" /> <slicing> <discriminator> <type value="value" /> <path value="system" /> </discriminator> <discriminator> <type value="value" /> <path value="code" /> </discriminator> <ordered value="false" /> <rules value="open" /> </slicing> <min value="1" /> </element> <element id="Observation.component:DiastolicBP.code.coding:DBPCode"> <path value="Observation.component.code.coding" /> <sliceName value="DBPCode" /> <min value="1" /> <max value="1" /> </element> <element id="Observation.component:DiastolicBP.code.coding:DBPCode.system"> <path value="Observation.component.code.coding.system" /> <min value="1" /> <fixedUri value="http://loinc.org" /> <mustSupport value="true" /> </element> <element id="Observation.component:DiastolicBP.code.coding:DBPCode.code"> <path value="Observation.component.code.coding.code" /> <min value="1" /> <fixedCode value="8462-4" /> <mustSupport value="true" /> </element> <element id="Observation.component:DiastolicBP.value[x]"> <path value="Observation.component.value[x]" /> <type> <code value="Quantity" /> </type> </element> <element id="Observation.component:DiastolicBP.value[x]:valueQuantity"> <path value="Observation.component.value[x]" /> <sliceName value="valueQuantity" /> <type> <code value="Quantity" /> </type> </element> <element id="Observation.component:DiastolicBP.value[x]:valueQuantity.value"> <path value="Observation.component.value[x].value" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Observation.component:DiastolicBP.value[x]:valueQuantity.unit"> <path value="Observation.component.value[x].unit" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Observation.component:DiastolicBP.value[x]:valueQuantity.system"> <path value="Observation.component.value[x].system" /> <min value="1" /> <fixedUri value="http://unitsofmeasure.org" /> <mustSupport value="true" /> </element> <element id="Observation.component:DiastolicBP.value[x]:valueQuantity.code"> <path value="Observation.component.value[x].code" /> <min value="1" /> <fixedCode value="mm[Hg]" /> <mustSupport value="true" /> </element> <element id="Observation.component:DiastolicBP.value[x]:valueCodeableConcept"> <path value="Observation.component.value[x]" /> <sliceName value="valueCodeableConcept" /> <max value="0" /> <type> <code value="CodeableConcept" /> </type> </element> </differential> </StructureDefinition>