{
  "description": "A vital signs profile which sets minimum expectations for the Observation resource to record, search and fetch the vital signs associated with a patient that include the primary vital signs plus additional measurements such as height, weight and BMI.",
  "_filename": "CareConnect-VitalSigns-Observation-1.json",
  "package_name": "careconnect.stu3.03.00.00",
  "date": "2019-06-17",
  "derivation": "constraint",
  "publisher": "HL7 UK",
  "fhirVersion": "3.0.2",
  "name": "CareConnect-VitalSigns-Observation-1",
  "abstract": false,
  "copyright": "Copyright © 2019 HL7 UK\r\nLicensed 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\r\n\r\nhttp://www.apache.org/licenses/LICENSE-2.0\r\n\r\nUnless 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.\r\n\r\nHL7® FHIR® standard Copyright © 2011+ HL7\r\n\r\nThe HL7® FHIR® standard is used under the FHIR license. You may obtain a copy of the FHIR license at\r\n\r\nhttps://www.hl7.org/fhir/license.html",
  "type": "Observation",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": null,
  "package_version": "3.1.0",
  "status": "draft",
  "id": "57d5225e-a190-42d1-b0e5-33d7996743d7",
  "kind": "resource",
  "url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-VitalSigns-Observation-1",
  "version": "1.1.0",
  "differential": {
    "element": [ {
      "id": "Observation.identifier.system",
      "min": 1,
      "path": "Observation.identifier.system"
    }, {
      "id": "Observation.identifier.value",
      "min": 1,
      "path": "Observation.identifier.value"
    }, {
      "id": "Observation.identifier.assigner",
      "path": "Observation.identifier.assigner",
      "type": [ {
        "code": "Reference",
        "targetProfile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Organization-1"
      } ]
    }, {
      "id": "Observation.basedOn",
      "path": "Observation.basedOn",
      "type": [ {
        "code": "Reference",
        "targetProfile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-CarePlan-1"
      }, {
        "code": "Reference",
        "targetProfile": "http://hl7.org/fhir/StructureDefinition/DeviceRequest"
      }, {
        "code": "Reference",
        "targetProfile": "http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation"
      }, {
        "code": "Reference",
        "targetProfile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-MedicationRequest-1"
      }, {
        "code": "Reference",
        "targetProfile": "http://hl7.org/fhir/StructureDefinition/NutritionOrder"
      }, {
        "code": "Reference",
        "targetProfile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-ReferralRequest-1"
      }, {
        "code": "Reference",
        "targetProfile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-ProcedureRequest-1"
      } ]
    }, {
      "id": "Observation.status",
      "path": "Observation.status",
      "fixedCode": "final",
      "mustSupport": true
    }, {
      "id": "Observation.category",
      "min": 1,
      "path": "Observation.category",
      "binding": {
        "strength": "preferred",
        "description": "Codes for high level observation categories",
        "valueSetUri": "http://hl7.org/fhir/ValueSet/observation-category"
      },
      "mustSupport": true
    }, {
      "id": "Observation.category.coding",
      "max": "1",
      "min": 1,
      "path": "Observation.category.coding",
      "mustSupport": true
    }, {
      "id": "Observation.category.coding.system",
      "min": 1,
      "path": "Observation.category.coding.system",
      "fixedUri": "http://hl7.org/fhir/observation-category",
      "mustSupport": false
    }, {
      "id": "Observation.category.coding.version",
      "max": "0",
      "path": "Observation.category.coding.version"
    }, {
      "id": "Observation.category.coding.code",
      "min": 1,
      "path": "Observation.category.coding.code",
      "fixedCode": "vital-signs"
    }, {
      "id": "Observation.category.coding.display",
      "path": "Observation.category.coding.display",
      "fixedString": "Vital Signs"
    }, {
      "id": "Observation.code",
      "path": "Observation.code",
      "binding": {
        "strength": "extensible",
        "description": "This value set indicates the allowed vital sign result types.",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/observation-vitalsignresult"
        }
      },
      "mustSupport": true
    }, {
      "id": "Observation.code.coding",
      "min": 1,
      "path": "Observation.code.coding",
      "slicing": {
        "rules": "open",
        "ordered": false,
        "discriminator": [ {
          "path": "code",
          "type": "value"
        } ]
      }
    }, {
      "id": "Observation.code.coding:loinc",
      "max": "1",
      "min": 1,
      "path": "Observation.code.coding",
      "binding": {
        "strength": "extensible",
        "description": "This value set indicates the allowed vital sign result types",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/observation-vitalsignresult"
        }
      },
      "sliceName": "loinc"
    }, {
      "id": "Observation.code.coding:loinc.system",
      "min": 1,
      "path": "Observation.code.coding.system",
      "fixedUri": "http://loinc.org"
    }, {
      "id": "Observation.code.coding:loinc.code",
      "min": 1,
      "path": "Observation.code.coding.code",
      "fixedCode": "85353-1"
    }, {
      "id": "Observation.code.coding:snomedCT",
      "max": "1",
      "min": 1,
      "path": "Observation.code.coding",
      "sliceName": "snomedCT"
    }, {
      "id": "Observation.code.coding:snomedCT.extension",
      "min": 0,
      "path": "Observation.code.coding.extension",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "Observation.code.coding:snomedCT.extension:snomedCTDescriptionID",
      "min": 0,
      "path": "Observation.code.coding.extension",
      "type": [ {
        "code": "Extension",
        "profile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid"
      } ],
      "sliceName": "snomedCTDescriptionID"
    }, {
      "id": "Observation.code.coding:snomedCT.system",
      "min": 1,
      "path": "Observation.code.coding.system",
      "fixedUri": "http://snomed.info/sct"
    }, {
      "id": "Observation.code.coding:snomedCT.version",
      "max": "0",
      "path": "Observation.code.coding.version"
    }, {
      "id": "Observation.code.coding:snomedCT.code",
      "min": 1,
      "path": "Observation.code.coding.code",
      "fixedCode": "118227000"
    }, {
      "id": "Observation.code.coding:snomedCT.display",
      "min": 1,
      "path": "Observation.code.coding.display",
      "fixedString": "Vital signs"
    }, {
      "id": "Observation.subject",
      "min": 1,
      "path": "Observation.subject",
      "type": [ {
        "code": "Reference",
        "targetProfile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Patient-1"
      } ],
      "mustSupport": true
    }, {
      "id": "Observation.context",
      "path": "Observation.context",
      "type": [ {
        "code": "Reference",
        "targetProfile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-EpisodeOfCare-1"
      }, {
        "code": "Reference",
        "targetProfile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Encounter-1"
      } ]
    }, {
      "id": "Observation.effective[x]",
      "min": 1,
      "path": "Observation.effective[x]",
      "short": "Clinically relevant time/time-period for theobservation",
      "mustSupport": true
    }, {
      "id": "Observation.performer",
      "path": "Observation.performer",
      "type": [ {
        "code": "Reference",
        "targetProfile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-RelatedPerson-1"
      }, {
        "code": "Reference",
        "targetProfile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Practitioner-1"
      }, {
        "code": "Reference",
        "targetProfile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Organization-1"
      }, {
        "code": "Reference",
        "targetProfile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Patient-1"
      } ]
    }, {
      "id": "Observation.value[x]:valueQuantity",
      "path": "Observation.valueQuantity",
      "type": [ {
        "code": "Quantity"
      } ],
      "short": "Vital Sign Value recorded with UCUM",
      "binding": {
        "strength": "required",
        "description": "A value set describing common UCUM units for recording vital signs",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/ucum-vitals-common"
        }
      },
      "sliceName": "valueQuantity",
      "mustSupport": true
    }, {
      "id": "Observation.value[x]:valueQuantity.value",
      "min": 1,
      "path": "Observation.valueQuantity.value",
      "mustSupport": true
    }, {
      "id": "Observation.value[x]:valueQuantity.unit",
      "min": 1,
      "path": "Observation.valueQuantity.unit",
      "mustSupport": true
    }, {
      "id": "Observation.value[x]:valueQuantity.system",
      "min": 1,
      "path": "Observation.valueQuantity.system",
      "fixedUri": "http://unitsofmeasure.org",
      "mustSupport": true
    }, {
      "id": "Observation.value[x]:valueQuantity.code",
      "min": 1,
      "path": "Observation.valueQuantity.code",
      "binding": {
        "strength": "required",
        "description": "A value set for common UCUM units for recording vital signs",
        "valueSetUri": "http://hl7.org/fhir/ValueSet/ucum-vitals-common"
      },
      "mustSupport": true
    }, {
      "id": "Observation.dataAbsentReason",
      "path": "Observation.dataAbsentReason",
      "mustSupport": true
    }, {
      "id": "Observation.dataAbsentReason.coding.code",
      "path": "Observation.dataAbsentReason.coding.code",
      "mustSupport": false
    }, {
      "id": "Observation.bodySite.coding",
      "path": "Observation.bodySite.coding",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "system",
          "type": "value"
        } ]
      }
    }, {
      "id": "Observation.bodySite.coding:snomedCT",
      "max": "1",
      "path": "Observation.bodySite.coding",
      "binding": {
        "strength": "preferred",
        "description": "A code from the SNOMED Clinical Terminology UK with the expression (<<442083009 |anatomical or acquired body structure|).",
        "valueSetReference": {
          "reference": "https://fhir.hl7.org.uk/STU3/ValueSet/CareConnect-BodySite-1"
        }
      },
      "sliceName": "snomedCT"
    }, {
      "id": "Observation.bodySite.coding:snomedCT.extension",
      "min": 0,
      "path": "Observation.bodySite.coding.extension",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "Observation.bodySite.coding:snomedCT.extension:snomedCTDescriptionID",
      "min": 0,
      "path": "Observation.bodySite.coding.extension",
      "type": [ {
        "code": "Extension",
        "profile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid"
      } ],
      "sliceName": "snomedCTDescriptionID"
    }, {
      "id": "Observation.bodySite.coding:snomedCT.system",
      "min": 1,
      "path": "Observation.bodySite.coding.system",
      "fixedUri": "http://snomed.info/sct"
    }, {
      "id": "Observation.bodySite.coding:snomedCT.version",
      "max": "0",
      "path": "Observation.bodySite.coding.version"
    }, {
      "id": "Observation.bodySite.coding:snomedCT.code",
      "min": 1,
      "path": "Observation.bodySite.coding.code"
    }, {
      "id": "Observation.bodySite.coding:snomedCT.display",
      "min": 1,
      "path": "Observation.bodySite.coding.display"
    }, {
      "id": "Observation.method.coding",
      "path": "Observation.method.coding",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "system",
          "type": "value"
        } ]
      }
    }, {
      "id": "Observation.method.coding:snomedCT",
      "path": "Observation.method.coding",
      "binding": {
        "strength": "preferred",
        "description": "A code from SNOMED Clinical Terminology UK",
        "valueSetReference": {
          "reference": "https://fhir.hl7.org.uk/STU3/ValueSet/CareConnect-ObservationMethod-1"
        }
      },
      "sliceName": "snomedCT"
    }, {
      "id": "Observation.method.coding:snomedCT.extension",
      "min": 0,
      "path": "Observation.method.coding.extension",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "Observation.method.coding:snomedCT.extension:snomedCTDescriptionID",
      "min": 0,
      "path": "Observation.method.coding.extension",
      "type": [ {
        "code": "Extension",
        "profile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid"
      } ],
      "sliceName": "snomedCTDescriptionID"
    }, {
      "id": "Observation.method.coding:snomedCT.system",
      "min": 1,
      "path": "Observation.method.coding.system",
      "fixedUri": "http://snomed.info/sct"
    }, {
      "id": "Observation.method.coding:snomedCT.version",
      "max": "0",
      "path": "Observation.method.coding.version"
    }, {
      "id": "Observation.method.coding:snomedCT.code",
      "min": 1,
      "path": "Observation.method.coding.code"
    }, {
      "id": "Observation.method.coding:snomedCT.display",
      "min": 1,
      "path": "Observation.method.coding.display"
    }, {
      "id": "Observation.specimen",
      "path": "Observation.specimen",
      "type": [ {
        "code": "Reference",
        "targetProfile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Specimen-1"
      } ]
    }, {
      "id": "Observation.related",
      "path": "Observation.related",
      "mustSupport": false
    }, {
      "id": "Observation.related.type",
      "min": 1,
      "path": "Observation.related.type",
      "fixedCode": "has-member",
      "mustSupport": true
    }, {
      "id": "Observation.related.target",
      "path": "Observation.related.target",
      "type": [ {
        "code": "Reference",
        "targetProfile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-VitalSigns-Observation-1"
      }, {
        "code": "Reference",
        "targetProfile": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"
      }, {
        "code": "Reference",
        "targetProfile": "http://hl7.org/fhir/StructureDefinition/Sequence"
      } ],
      "mustSupport": true
    }, {
      "id": "Observation.component",
      "path": "Observation.component",
      "mustSupport": true
    }, {
      "id": "Observation.component.code",
      "path": "Observation.component.code",
      "binding": {
        "strength": "extensible",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/observation-vitalsignresult"
        }
      },
      "mustSupport": true
    }, {
      "id": "Observation.component.code.coding",
      "path": "Observation.component.code.coding",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "code",
          "type": "value"
        } ]
      }
    }, {
      "id": "Observation.component.code.coding:loinc",
      "max": "1",
      "min": 1,
      "path": "Observation.component.code.coding",
      "binding": {
        "strength": "extensible",
        "description": "This value set indicates the allowed vital sign result types",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/stu3/valueset-observation-vitalsignresult.html"
        }
      },
      "sliceName": "loinc"
    }, {
      "id": "Observation.component.code.coding:loinc.system",
      "min": 1,
      "path": "Observation.component.code.coding.system",
      "fixedUri": "http://loinc.org"
    }, {
      "id": "Observation.component.code.coding:loinc.code",
      "min": 1,
      "path": "Observation.component.code.coding.code"
    }, {
      "id": "Observation.component.code.coding:snomedCT",
      "max": "1",
      "min": 1,
      "path": "Observation.component.code.coding",
      "sliceName": "snomedCT"
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      "path": "Observation.component.code.coding.extension",
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        "rules": "open",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "Observation.component.code.coding:snomedCT.extension:snomedCTDescriptionID",
      "min": 0,
      "path": "Observation.component.code.coding.extension",
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        "code": "Extension",
        "profile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid"
      } ],
      "sliceName": "snomedCTDescriptionID"
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      "path": "Observation.component.code.coding.system",
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    }, {
      "id": "Observation.component.code.coding:snomedCT.version",
      "max": "0",
      "path": "Observation.component.code.coding.version"
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      "min": 1,
      "path": "Observation.component.code.coding.code"
    }, {
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      "min": 1,
      "path": "Observation.component.code.coding.display"
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      "type": [ {
        "code": "Quantity"
      } ],
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        "strength": "required",
        "description": "A value set describing common UCUM units for recording vital signs",
        "valueSetUri": "http://hl7.org/fhir/ValueSet/ucum-vitals-common"
      },
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      "mustSupport": true
    }, {
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      "min": 1,
      "path": "Observation.component.valueQuantity.value",
      "mustSupport": true
    }, {
      "id": "Observation.component.value[x]:valueQuantity.unit",
      "min": 1,
      "path": "Observation.component.valueQuantity.unit",
      "mustSupport": true
    }, {
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      "fixedUri": "http://unitsofmeasure.org",
      "mustSupport": true
    }, {
      "id": "Observation.component.value[x]:valueQuantity.code",
      "min": 1,
      "path": "Observation.component.valueQuantity.code",
      "short": "Coded responses from the common UCUM units for vital signs value set.",
      "binding": {
        "strength": "required",
        "description": "A value set for common UCUM units for recording vital signs",
        "valueSetReference": {
          "reference": "http://hl7.org/fhir/ValueSet/ucum-vitals-common"
        }
      },
      "mustSupport": true
    }, {
      "id": "Observation.component.dataAbsentReason",
      "path": "Observation.component.dataAbsentReason",
      "mustSupport": true
    }, {
      "id": "Observation.component.dataAbsentReason.coding",
      "path": "Observation.component.dataAbsentReason.coding",
      "mustSupport": false
    }, {
      "id": "Observation.component.dataAbsentReason.coding.code",
      "path": "Observation.component.dataAbsentReason.coding.code",
      "mustSupport": false
    } ]
  },
  "contact": [ {
    "name": "INTEROPen",
    "telecom": [ {
      "use": "work",
      "value": "admin@interopen.org",
      "system": "email"
    } ]
  } ],
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Observation"
}