<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="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="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 minimum expectations for the Observation Resource to record, search and fetch the vital signs associated with a patient." /> <constraint> <key value="vs-2" /> <severity value="error" /> <human value="If there is no component or hasMember element then either a value[x] or a data absent reason must be present." /> <expression value="(component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists())" /> <xpath value="f:component or f:memberOF or f:*[starts-with(local-name(.), 'value')] or f:dataAbsentReason" /> <source value="http://hl7.org/fhir/StructureDefinition/vitalsigns" /> </constraint> </element> <element id="Observation.status"> <path value="Observation.status" /> <mustSupport value="true" /> <binding> <strength value="required" /> </binding> </element> <element id="Observation.category"> <path value="Observation.category" /> <slicing> <discriminator> <type value="value" /> <path value="coding.code" /> </discriminator> <discriminator> <type value="value" /> <path value="coding.system" /> </discriminator> <ordered value="false" /> <rules value="open" /> </slicing> <min value="1" /> <mustSupport value="true" /> </element> <element id="Observation.category:VSCat"> <path value="Observation.category" /> <sliceName value="VSCat" /> <min value="1" /> <max value="1" /> <mustSupport value="true" /> </element> <element id="Observation.category:VSCat.coding"> <path value="Observation.category.coding" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Observation.category:VSCat.coding.system"> <path value="Observation.category.coding.system" /> <min value="1" /> <fixedUri value="http://terminology.hl7.org/CodeSystem/observation-category" /> <mustSupport value="true" /> </element> <element id="Observation.category:VSCat.coding.code"> <path value="Observation.category.coding.code" /> <min value="1" /> <fixedCode value="vital-signs" /> <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)." /> <mustSupport value="true" /> <binding> <strength value="extensible" /> <description value="This identifies the vital sign result type." /> <valueSet value="http://hl7.org/fhir/ValueSet/observation-vitalsignresult" /> </binding> </element> <element id="Observation.subject"> <path value="Observation.subject" /> <min 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" /> <type> <code value="dateTime" /> </type> <type> <code value="Period" /> </type> <condition value="vs-1" /> <constraint> <key value="vs-1" /> <severity value="error" /> <human value="if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day" /> <expression value="($this as dateTime).toString().length() >= 8" /> <xpath value="f:effectiveDateTime[matches(@value, '^\d{4}-\d{2}-\d{2}')]" /> <source value="http://hl7.org/fhir/StructureDefinition/vitalsigns" /> </constraint> <mustSupport value="true" /> </element> <element id="Observation.value[x]"> <path value="Observation.value[x]" /> <short value="Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept." /> <definition value="Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept." /> <requirements value="9. SHALL contain exactly one [1..1] value with @xsi:type="PQ" (CONF:7305)." /> <condition value="vs-2" /> <mustSupport value="true" /> </element> <element id="Observation.dataAbsentReason"> <path value="Observation.dataAbsentReason" /> <condition value="vs-2" /> <mustSupport value="true" /> </element> <element id="Observation.hasMember"> <path value="Observation.hasMember" /> <short value="Used when reporting vital signs panel components" /> <definition value="Used when reporting vital signs panel components." /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/MolecularSequence" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/vitalsigns" /> </type> </element> <element id="Observation.derivedFrom"> <path value="Observation.derivedFrom" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/DocumentReference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/ImagingStudy" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Media" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/MolecularSequence" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/vitalsigns" /> </type> </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="f:*[starts-with(local-name(.), 'value')] or f:dataAbsentReason" /> <source value="http://hl7.org/fhir/StructureDefinition/vitalsigns" /> </constraint> <mustSupport value="true" /> </element> <element id="Observation.component.code"> <path value="Observation.component.code" /> <mustSupport value="true" /> <binding> <strength value="extensible" /> <description value="This identifies the vital sign result type." /> <valueSet value="http://hl7.org/fhir/ValueSet/observation-vitalsignresult" /> </binding> </element> <element id="Observation.component.value[x]"> <path value="Observation.component.value[x]" /> <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)." /> <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." /> <valueSet value="http://hl7.org/fhir/ValueSet/ucum-vitals-common|4.0.1" /> </binding> </element> <element id="Observation.component.dataAbsentReason"> <path value="Observation.component.dataAbsentReason" /> <condition value="vs-3" /> <mustSupport value="true" /> </element> </differential> </StructureDefinition>

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