{
"description": "A Vital Signs profile to carry blood pressure information that contains at least one component for systolic and/or diastolic pressure.",
"_filename": "CareConnect-BloodPressure-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-BloodPressure-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": "7389c822-e4b5-4181-93b9-2737f9dd31ca",
"kind": "resource",
"url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-BloodPressure-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": "required"
},
"mustSupport": true
}, {
"id": "Observation.category.coding",
"max": "1",
"min": 1,
"path": "Observation.category.coding",
"mustSupport": false
}, {
"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": "85354-9"
}, {
"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": "75367002"
}, {
"id": "Observation.code.coding:snomedCT.display",
"min": 1,
"path": "Observation.code.coding.display",
"fixedString": "Blood pressure"
}, {
"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 the observation",
"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",
"max": "0",
"path": "Observation.valueQuantity",
"type": [ {
"code": "Quantity"
} ],
"short": "Vital Sign Value recorded with UCUM",
"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",
"max": "1",
"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": true
}, {
"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/StructureDefinition/CareConnect-Observation-1"
}, {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"
}, {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Sequence"
}, {
"code": "Reference",
"targetProfile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-VitalSigns-Observation-1"
} ],
"mustSupport": true
}, {
"id": "Observation.component",
"path": "Observation.component",
"short": "Used when reporting systolic and diastolic blood pressure.",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "code",
"type": "value"
} ]
}
}, {
"id": "Observation.component:systolicComponent",
"path": "Observation.component",
"sliceName": "systolicComponent"
}, {
"id": "Observation.component:systolicComponent.code",
"path": "Observation.component.code",
"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"
}
}
}, {
"id": "Observation.component:systolicComponent.code.coding",
"path": "Observation.component.code.coding",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "code",
"type": "value"
} ]
}
}, {
"id": "Observation.component:systolicComponent.code.coding:loinc",
"max": "1",
"min": 1,
"path": "Observation.component.code.coding",
"short": "Systolic Blood Pressure",
"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:systolicComponent.code.coding:loinc.system",
"min": 1,
"path": "Observation.component.code.coding.system",
"fixedUri": "http://loinc.org"
}, {
"id": "Observation.component:systolicComponent.code.coding:loinc.code",
"min": 1,
"path": "Observation.component.code.coding.code",
"fixedCode": "8480-6"
}, {
"id": "Observation.component:systolicComponent.code.coding:snomedCT",
"max": "1",
"min": 1,
"path": "Observation.component.code.coding",
"short": "Systolic Blood Pressure",
"sliceName": "snomedCT"
}, {
"id": "Observation.component:systolicComponent.code.coding:snomedCT.extension",
"min": 0,
"path": "Observation.component.code.coding.extension",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
}
}, {
"id": "Observation.component:systolicComponent.code.coding:snomedCT.extension:snomedCTDescriptionID",
"min": 0,
"path": "Observation.component.code.coding.extension",
"type": [ {
"code": "Extension",
"profile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid"
} ],
"sliceName": "snomedCTDescriptionID"
}, {
"id": "Observation.component:systolicComponent.code.coding:snomedCT.system",
"min": 1,
"path": "Observation.component.code.coding.system",
"fixedUri": "http://snomed.info/sct"
}, {
"id": "Observation.component:systolicComponent.code.coding:snomedCT.version",
"max": "0",
"path": "Observation.component.code.coding.version"
}, {
"id": "Observation.component:systolicComponent.code.coding:snomedCT.code",
"min": 1,
"path": "Observation.component.code.coding.code",
"fixedCode": "72313002"
}, {
"id": "Observation.component:systolicComponent.code.coding:snomedCT.display",
"min": 1,
"path": "Observation.component.code.coding.display",
"fixedString": "Systolic arterial pressure"
}, {
"id": "Observation.component:systolicComponent.value[x]:valueQuantity",
"path": "Observation.component.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/stu3/valueset-ucum-vitals-common.html"
}
},
"sliceName": "valueQuantity"
}, {
"id": "Observation.component:systolicComponent.value[x]:valueQuantity.value",
"min": 1,
"path": "Observation.component.valueQuantity.value"
}, {
"id": "Observation.component:systolicComponent.value[x]:valueQuantity.unit",
"min": 1,
"path": "Observation.component.valueQuantity.unit"
}, {
"id": "Observation.component:systolicComponent.value[x]:valueQuantity.system",
"min": 1,
"path": "Observation.component.valueQuantity.system",
"fixedUri": "http://unitsofmeasure.org"
}, {
"id": "Observation.component:systolicComponent.value[x]:valueQuantity.code",
"min": 1,
"path": "Observation.component.valueQuantity.code",
"short": "Coded responses from the common UCUM units for vital signs value set.",
"fixedCode": "mm[Hg]"
}, {
"id": "Observation.component:diastolicComponent",
"path": "Observation.component",
"sliceName": "diastolicComponent"
}, {
"id": "Observation.component:diastolicComponent.code",
"path": "Observation.component.code",
"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"
}
}
}, {
"id": "Observation.component:diastolicComponent.code.coding",
"path": "Observation.component.code.coding",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "code",
"type": "value"
} ]
}
}, {
"id": "Observation.component:diastolicComponent.code.coding:loinc",
"max": "1",
"min": 1,
"path": "Observation.component.code.coding",
"short": "Diastolic Blood Pressure",
"binding": {
"strength": "extensible",
"description": "This value set indicates the allowed vital sign result types",
"valueSetUri": "http://hl7.org/fhir/stu3/valueset-observation-vitalsignresult.html"
},
"sliceName": "loinc"
}, {
"id": "Observation.component:diastolicComponent.code.coding:loinc.system",
"min": 1,
"path": "Observation.component.code.coding.system",
"fixedUri": "http://loinc.org"
}, {
"id": "Observation.component:diastolicComponent.code.coding:loinc.code",
"min": 1,
"path": "Observation.component.code.coding.code",
"fixedCode": "8462-4"
}, {
"id": "Observation.component:diastolicComponent.code.coding:snomedCT",
"max": "1",
"min": 1,
"path": "Observation.component.code.coding",
"short": "Diastolic Blood Pressure",
"sliceName": "snomedCT"
}, {
"id": "Observation.component:diastolicComponent.code.coding:snomedCT.extension",
"min": 0,
"path": "Observation.component.code.coding.extension",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
}
}, {
"id": "Observation.component:diastolicComponent.code.coding:snomedCT.extension:snomedCTDescriptionID",
"min": 0,
"path": "Observation.component.code.coding.extension",
"type": [ {
"code": "Extension",
"profile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid"
} ],
"sliceName": "snomedCTDescriptionID"
}, {
"id": "Observation.component:diastolicComponent.code.coding:snomedCT.system",
"min": 1,
"path": "Observation.component.code.coding.system",
"fixedUri": "http://snomed.info/sct"
}, {
"id": "Observation.component:diastolicComponent.code.coding:snomedCT.version",
"max": "0",
"path": "Observation.component.code.coding.version"
}, {
"id": "Observation.component:diastolicComponent.code.coding:snomedCT.code",
"min": 1,
"path": "Observation.component.code.coding.code",
"fixedCode": "1091811000000102"
}, {
"id": "Observation.component:diastolicComponent.code.coding:snomedCT.display",
"min": 1,
"path": "Observation.component.code.coding.display",
"fixedString": "Diastolic arterial pressure"
}, {
"id": "Observation.component:diastolicComponent.value[x]:valueQuantity",
"path": "Observation.component.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/stu3/valueset-ucum-vitals-common.html"
}
},
"sliceName": "valueQuantity"
}, {
"id": "Observation.component:diastolicComponent.value[x]:valueQuantity.value",
"min": 1,
"path": "Observation.component.valueQuantity.value"
}, {
"id": "Observation.component:diastolicComponent.value[x]:valueQuantity.unit",
"min": 1,
"path": "Observation.component.valueQuantity.unit"
}, {
"id": "Observation.component:diastolicComponent.value[x]:valueQuantity.system",
"min": 1,
"path": "Observation.component.valueQuantity.system",
"fixedUri": "http://unitsofmeasure.org"
}, {
"id": "Observation.component:diastolicComponent.value[x]:valueQuantity.code",
"min": 1,
"path": "Observation.component.valueQuantity.code",
"short": "Coded responses from the common UCUM units for vital signs value set.",
"fixedCode": "mm[Hg]"
} ]
},
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Observation"
}