{
  "description": "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.",
  "_filename": "UKCore-Observation-VitalSigns.json",
  "package_name": "fhir.r4.ukcore.stu3.currentbuild",
  "date": "2023-09-12",
  "derivation": "constraint",
  "publisher": "HL7 UK",
  "fhirVersion": "4.0.1",
  "purpose": "This profile allows exchange of internationally FHIR compliant vital signs information based on measurements and simple assertions made about an individual.",
  "name": "UKCoreObservationVitalSigns",
  "mapping": [ {
    "uri": "http://hl7.org/fhir/workflow",
    "name": "Workflow Pattern",
    "identity": "workflow"
  }, {
    "uri": "http://snomed.info/conceptdomain",
    "name": "SNOMED CT Concept Domain Binding",
    "identity": "sct-concept"
  }, {
    "uri": "http://hl7.org/v2",
    "name": "HL7 v2 Mapping",
    "identity": "v2"
  }, {
    "uri": "http://hl7.org/v3",
    "name": "RIM Mapping",
    "identity": "rim"
  }, {
    "uri": "http://hl7.org/fhir/fivews",
    "name": "FiveWs Pattern Mapping",
    "identity": "w5"
  }, {
    "uri": "http://snomed.org/attributebinding",
    "name": "SNOMED CT Attribute Binding",
    "identity": "sct-attr"
  } ],
  "abstract": false,
  "copyright": "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.",
  "type": "Observation",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": "UK Core Observation Vital Signs",
  "package_version": "0.0.7-sprint-7-review",
  "status": "draft",
  "id": "1f32018f-41bf-41b2-9752-8215023aca75",
  "kind": "resource",
  "url": "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-VitalSigns",
  "version": "1.1.0",
  "differential": {
    "element": [ {
      "id": "Observation",
      "path": "Observation",
      "constraint": [ {
        "key": "ukcore-obs-vs-001",
        "human": "Where the category is Vital Signs the code.coding SHALL include a LOINC \"magic code\"",
        "severity": "error",
        "expression": "category.where(code='vital-signs').exists() implies code.coding.where(system='http://loinc.org').exists()"
      } ]
    }, {
      "id": "Observation.extension:bodyPosition",
      "path": "Observation.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://hl7.org/fhir/StructureDefinition/observation-bodyPosition" ]
      } ],
      "sliceName": "bodyPosition",
      "isModifier": false
    }, {
      "id": "Observation.extension:bodyPosition.value[x]",
      "path": "Observation.extension.value[x]",
      "binding": {
        "strength": "preferred",
        "valueSet": "https://fhir.hl7.org.uk/ValueSet/UKCore-BodyPosition"
      }
    }, {
      "id": "Observation.extension:recordingSetting",
      "path": "Observation.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-RecordingSetting" ]
      } ],
      "sliceName": "recordingSetting",
      "isModifier": false
    }, {
      "id": "Observation.status",
      "path": "Observation.status",
      "fixedCode": "final"
    }, {
      "id": "Observation.category",
      "max": "1",
      "min": 1,
      "path": "Observation.category"
    }, {
      "id": "Observation.category.coding.system",
      "path": "Observation.category.coding.system",
      "fixedUri": "http://terminology.hl7.org/CodeSystem/observation-category"
    }, {
      "id": "Observation.category.coding.code",
      "path": "Observation.category.coding.code",
      "fixedCode": "vital-signs"
    }, {
      "id": "Observation.code.coding",
      "path": "Observation.code.coding",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "system",
          "type": "value"
        } ]
      }
    }, {
      "id": "Observation.code.coding:loinc",
      "path": "Observation.code.coding",
      "binding": {
        "strength": "extensible",
        "valueSet": "http://hl7.org/fhir/ValueSet/observation-vitalsignresult"
      },
      "sliceName": "loinc"
    }, {
      "id": "Observation.code.coding:loinc.system",
      "path": "Observation.code.coding.system",
      "fixedUri": "http://loinc.org"
    }, {
      "id": "Observation.code.coding:snomedCT",
      "path": "Observation.code.coding",
      "binding": {
        "strength": "preferred",
        "valueSet": "https://fhir.hl7.org.uk/ValueSet/UKCore-ObservationVitalSignsType",
        "description": "A code from the SNOMED Clinical Terminology UK coding system describing a type of observation"
      },
      "sliceName": "snomedCT"
    }, {
      "id": "Observation.code.coding:snomedCT.system",
      "path": "Observation.code.coding.system",
      "fixedUri": "http://snomed.info/sct"
    }, {
      "id": "Observation.subject",
      "min": 1,
      "path": "Observation.subject",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Patient" ]
      } ]
    }, {
      "id": "Observation.effective[x]",
      "min": 1,
      "path": "Observation.effective[x]"
    }, {
      "id": "Observation.component.code",
      "path": "Observation.component.code",
      "binding": {
        "strength": "preferred",
        "valueSet": "https://fhir.hl7.org.uk/ValueSet/UKCore-ObservationVitalSignsType",
        "description": "A code from the SNOMED Clinical Terminology UK coding system describing a type of vital sign."
      }
    }, {
      "id": "Observation.component.code.coding",
      "path": "Observation.component.code.coding",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "system",
          "type": "value"
        } ]
      }
    }, {
      "id": "Observation.component.code.coding:loinc",
      "path": "Observation.component.code.coding",
      "binding": {
        "strength": "extensible",
        "valueSet": "http://hl7.org/fhir/ValueSet/observation-vitalsignresult"
      },
      "sliceName": "loinc"
    }, {
      "id": "Observation.component.code.coding:loinc.system",
      "path": "Observation.component.code.coding.system",
      "fixedUri": "http://loinc.org"
    }, {
      "id": "Observation.component.code.coding:snomedCT",
      "path": "Observation.component.code.coding",
      "binding": {
        "strength": "preferred",
        "valueSet": "https://fhir.hl7.org.uk/ValueSet/UKCore-ObservationVitalSignsType",
        "description": "A code from the SNOMED Clinical Terminology UK coding system describing a type of observation for vital-signs"
      },
      "sliceName": "snomedCT"
    }, {
      "id": "Observation.component.code.coding:snomedCT.system",
      "path": "Observation.component.code.coding.system",
      "fixedUri": "http://snomed.info/sct"
    } ]
  },
  "contact": [ {
    "name": "HL7 UK",
    "telecom": [ {
      "use": "work",
      "rank": 1,
      "value": "ukcore@hl7.org.uk",
      "system": "email"
    } ]
  } ],
  "baseDefinition": "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation"
}