description: Israel Core proposed constraints and extensions on the Observation Resource for use in querying and retrieving Vital Signs information.
package_name: rs/il.core.fhir.r4
derivation: constraint
name: ILCoreVitalSigns
type: Observation
elements:
  category:
    index: 4
    slicing:
      rules: open
      ordered: false
      discriminator:
      - {path: coding.code, type: value}
      - {path: coding.system, type: value}
      min: 1
      slices:
        VSCat:
          match:
            coding: {code: vital-signs, system: 'http://terminology.hl7.org/CodeSystem/observation-category'}
          schema:
            _required: true
            index: 5
            elements:
              coding:
                index: 6
                elements:
                  system:
                    pattern: {type: uri, value: 'http://terminology.hl7.org/CodeSystem/observation-category'}
                    mustSupport: true
                    type: uri
                    index: 7
                  code:
                    pattern: {type: code, value: vital-signs}
                    mustSupport: true
                    type: code
                    index: 8
                required: [code, system]
            required: [coding]
  hasMember:
    type: Reference
    refers: ['http://fhir.health.gov.il/StructureDefinition/il-core-vital-signs']
    index: 22
  derivedFrom:
    type: Reference
    refers: ['http://fhir.health.gov.il/StructureDefinition/il-core-document-reference', 'http://fhir.health.gov.il/StructureDefinition/il-core-imaging-study', 'http://fhir.health.gov.il/StructureDefinition/il-core-media', 'http://fhir.health.gov.il/StructureDefinition/il-core-molecular-sequence', 'http://fhir.health.gov.il/StructureDefinition/il-core-questionnaire-response', 'http://fhir.health.gov.il/StructureDefinition/il-core-vital-signs']
    index: 23
  valueQuantity:
    type: Quantity
    short: Vital Signs values are recorded with UCUM
    choiceOf: value
    index: 20
    slicing:
      slices:
        valueQuantity:
          match: {}
          schema: {type: Quantity, short: Vital Signs values are recorded with UCUM, choiceOf: value, index: 20}
  value:
    short: Vital Signs values are recorded with UCUM
    choices: [valueQuantity]
    index: 19
    slicing:
      slices:
        valueQuantity:
          match: {}
          schema:
            short: Vital Signs values are recorded with UCUM
            choices: [valueQuantity]
            index: 19
  valueString: {type: string, short: Vital Signs value are recorded using the Quantity data type., choiceOf: value, index: 17}
  component:
    constraint:
      il-vs3: {human: If there is no a value a data absent reason must be present, source: 'http://fhir.health.gov.il/StructureDefinition/il-core-vital-signs', severity: error, expression: value.exists() or dataAbsentReason.exists()}
    mustSupport: true
    index: 24
    elements:
      code:
        binding: {strength: extensible, valueSet: 'http://fhir.health.gov.il/ValueSet/bp-components'}
        mustSupport: true
        index: 25
      value:
        short: BP values are recorded with UCUM
        choices: [valueQuantity]
        index: 32
        slicing:
          slices:
            valueQuantity:
              match: {}
              schema:
                short: BP values are recorded with UCUM
                choices: [valueQuantity]
                index: 32
      valueQuantity:
        type: Quantity
        short: BP values are recorded with UCUM
        choiceOf: value
        index: 33
        slicing:
          slices:
            valueQuantity:
              match: {}
              schema: {type: Quantity, short: BP values are recorded with UCUM, choiceOf: value, index: 33}
      valueCodeableConcept: {type: CodeableConcept, choiceOf: value, index: 29}
      valueString: {type: string, choiceOf: value, index: 30}
      dataAbsentReason: {mustSupport: true, index: 34}
  extension:
    index: 0
    slicing:
      rules: open
      ordered: false
      discriminator:
      - {path: url, type: value}
      min: null
      slices:
        body-position:
          match: {url: null}
          schema:
            type: Extension
            url: http://hl7.org/fhir/StructureDefinition/observation-bodyPosition
            index: 1
            elements:
              value:
                choices: []
                index: 3
  effective:
    short: Often just a dateTime for Vital Signs
    constraint:
      il-vs1: {human: 'if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day', source: 'http://fhir.health.gov.il/StructureDefinition/il-core-vital-signs', severity: error, expression: ($this as dateTime).toString().length() >= 8}
    choices: []
    index: 12
  code:
    binding: {strength: extensible, valueSet: 'http://hl7.org/fhir/ValueSet/observation-vitalsignresult'}
    index: 9
  valueCodeableConcept: {type: CodeableConcept, short: Vital Signs value are recorded using the Quantity data type., choiceOf: value, index: 16}
  subject:
    type: Reference
    refers: ['http://fhir.health.gov.il/StructureDefinition/il-core-patient']
    index: 10
  dataAbsentReason: {mustSupport: true, index: 21}
package_version: 0.17.1
extensions:
  body-position:
    url: http://hl7.org/fhir/StructureDefinition/observation-bodyPosition
    type: Extension
    index: 1
    elements:
      value:
        choices: []
        index: 3
class: profile
kind: resource
url: http://fhir.health.gov.il/StructureDefinition/il-core-vital-signs
base: http://fhir.health.gov.il/StructureDefinition/il-core-observation
version: 0.17.0
required: [category, effective, subject]