description: A Vital Signs profile to carry blood pressure information that contains at least one component for systolic and/or diastolic pressure.
package_name: careconnect.stu3.03.00.00
derivation: constraint
name: CareConnect-BloodPressure-Observation-1
type: Observation
elements:
  category:
    mustSupport: true
    index: 5
    elements:
      coding:
        mustSupport: false
        index: 6
        elements:
          system:
            pattern: {type: Uri, value: 'http://hl7.org/fhir/observation-category'}
            mustSupport: false
            index: 7
          version: {index: 8}
          code:
            pattern: {type: Code, value: vital-signs}
            index: 9
          display:
            pattern: {type: String, value: Vital Signs}
            index: 10
        required: [system, code]
    required: [coding]
  method:
    elements:
      coding:
        index: 43
        slicing:
          rules: open
          discriminator:
          - {path: system, type: value}
          min: null
          slices:
            snomedCT:
              match: {system: 'http://snomed.info/sct'}
              schema:
                index: 44
                extensions:
                  snomedCTDescriptionID: {url: h, min: 0, type: Extension, index: 46}
                elements:
                  extension:
                    index: 45
                    slicing:
                      rules: open
                      discriminator:
                      - {path: url, type: value}
                      min: 0
                      slices:
                        snomedCTDescriptionID:
                          match: {url: null}
                          schema: {type: Extension, url: h, index: 46}
                          min: 0
                  system:
                    pattern: {type: Uri, value: 'http://snomed.info/sct'}
                    index: 47
                  version: {index: 48}
                  code: {index: 49}
                  display: {index: 50}
                required: [display, system, code]
  specimen:
    type: Reference
    refers: ['https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Specimen-1']
    index: 51
  valueQuantity:
    type: Quantity
    short: Vital Sign Value recorded with UCUM
    mustSupport: true
    index: 28
    slicing:
      slices:
        valueQuantity:
          match: {}
          schema:
            type: Quantity
            short: Vital Sign Value recorded with UCUM
            mustSupport: true
            index: 28
            elements:
              value: {mustSupport: true, index: 29}
              unit: {mustSupport: true, index: 30}
              system:
                pattern: {type: Uri, value: 'http://unitsofmeasure.org'}
                mustSupport: true
                index: 31
              code: {mustSupport: true, index: 32}
            required: [value, unit, system, code]
  related:
    mustSupport: true
    index: 52
    elements:
      type:
        pattern: {type: Code, value: has-member}
        mustSupport: true
        index: 53
      target:
        type: Reference
        mustSupport: true
        refers: ['http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse', 'http://hl7.org/fhir/StructureDefinition/Sequence', 'https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-VitalSigns-Observation-1', 'https://fhir.hl7.org.uk/StructureDefinition/CareConnect-Observation-1']
        index: 54
    required: [type]
  component:
    short: Used when reporting systolic and diastolic blood pressure.
    index: 55
    slicing:
      rules: open
      discriminator:
      - {path: code, type: value}
      min: null
      slices:
        systolicComponent:
          match: {code: null}
          schema:
            index: 56
            elements:
              code:
                index: 57
                elements:
                  coding:
                    index: 58
                    slicing:
                      rules: open
                      discriminator:
                      - {path: code, type: value}
                      min: null
                      slices:
                        loinc:
                          match: {code: 8480-6}
                          schema:
                            short: Systolic Blood Pressure
                            _required: true
                            index: 59
                            elements:
                              system:
                                pattern: {type: Uri, value: 'http://loinc.org'}
                                index: 60
                              code:
                                pattern: {type: Code, value: 8480-6}
                                index: 61
                            required: [system, code]
                        snomedCT:
                          match: {code: '72313002'}
                          schema:
                            short: Systolic Blood Pressure
                            _required: true
                            index: 62
                            extensions:
                              snomedCTDescriptionID: {url: h, min: 0, type: Extension, index: 64}
                            elements:
                              extension:
                                index: 63
                                slicing:
                                  rules: open
                                  discriminator:
                                  - {path: url, type: value}
                                  min: 0
                                  slices:
                                    snomedCTDescriptionID:
                                      match: {url: null}
                                      schema: {type: Extension, url: h, index: 64}
                                      min: 0
                              system:
                                pattern: {type: Uri, value: 'http://snomed.info/sct'}
                                index: 65
                              version: {index: 66}
                              code:
                                pattern: {type: Code, value: '72313002'}
                                index: 67
                              display:
                                pattern: {type: String, value: Systolic arterial pressure}
                                index: 68
                            required: [display, system, code]
              valueQuantity:
                type: Quantity
                short: Vital Sign Value recorded with UCUM
                index: 69
                slicing:
                  slices:
                    valueQuantity:
                      match: {}
                      schema:
                        type: Quantity
                        short: Vital Sign Value recorded with UCUM
                        index: 69
                        elements:
                          value: {index: 70}
                          unit: {index: 71}
                          system:
                            pattern: {type: Uri, value: 'http://unitsofmeasure.org'}
                            index: 72
                          code:
                            short: Coded responses from the common UCUM units for vital signs value set.
                            pattern: {type: Code, value: 'mm[Hg]'}
                            index: 73
                        required: [value, unit, system, code]
        diastolicComponent:
          match: {code: null}
          schema:
            index: 74
            elements:
              code:
                index: 75
                elements:
                  coding:
                    index: 76
                    slicing:
                      rules: open
                      discriminator:
                      - {path: code, type: value}
                      min: null
                      slices:
                        loinc:
                          match: {code: 8462-4}
                          schema:
                            short: Diastolic Blood Pressure
                            _required: true
                            index: 77
                            elements:
                              system:
                                pattern: {type: Uri, value: 'http://loinc.org'}
                                index: 78
                              code:
                                pattern: {type: Code, value: 8462-4}
                                index: 79
                            required: [system, code]
                        snomedCT:
                          match: {code: '1091811000000102'}
                          schema:
                            short: Diastolic Blood Pressure
                            _required: true
                            index: 80
                            extensions:
                              snomedCTDescriptionID: {url: h, min: 0, type: Extension, index: 82}
                            elements:
                              extension:
                                index: 81
                                slicing:
                                  rules: open
                                  discriminator:
                                  - {path: url, type: value}
                                  min: 0
                                  slices:
                                    snomedCTDescriptionID:
                                      match: {url: null}
                                      schema: {type: Extension, url: h, index: 82}
                                      min: 0
                              system:
                                pattern: {type: Uri, value: 'http://snomed.info/sct'}
                                index: 83
                              version: {index: 84}
                              code:
                                pattern: {type: Code, value: '1091811000000102'}
                                index: 85
                              display:
                                pattern: {type: String, value: Diastolic arterial pressure}
                                index: 86
                            required: [display, system, code]
              valueQuantity:
                type: Quantity
                short: Vital Sign Value recorded with UCUM
                index: 87
                slicing:
                  slices:
                    valueQuantity:
                      match: {}
                      schema:
                        type: Quantity
                        short: Vital Sign Value recorded with UCUM
                        index: 87
                        elements:
                          value: {index: 88}
                          unit: {index: 89}
                          system:
                            pattern: {type: Uri, value: 'http://unitsofmeasure.org'}
                            index: 90
                          code:
                            short: Coded responses from the common UCUM units for vital signs value set.
                            pattern: {type: Code, value: 'mm[Hg]'}
                            index: 91
                        required: [value, unit, system, code]
  status:
    pattern: {type: Code, value: final}
    mustSupport: true
    index: 4
  effective:
    short: Clinically relevant time/time-period for the observation
    mustSupport: true
    choices: []
    index: 26
  code:
    mustSupport: true
    index: 11
    elements:
      coding:
        index: 12
        slicing:
          rules: open
          ordered: false
          discriminator:
          - {path: code, type: value}
          min: 1
          slices:
            loinc:
              match: {code: 85354-9}
              schema:
                _required: true
                index: 13
                elements:
                  system:
                    pattern: {type: Uri, value: 'http://loinc.org'}
                    index: 14
                  code:
                    pattern: {type: Code, value: 85354-9}
                    index: 15
                required: [system, code]
            snomedCT:
              match: {code: '75367002'}
              schema:
                _required: true
                index: 16
                extensions:
                  snomedCTDescriptionID: {url: h, min: 0, type: Extension, index: 18}
                elements:
                  extension:
                    index: 17
                    slicing:
                      rules: open
                      discriminator:
                      - {path: url, type: value}
                      min: 0
                      slices:
                        snomedCTDescriptionID:
                          match: {url: null}
                          schema: {type: Extension, url: h, index: 18}
                          min: 0
                  system:
                    pattern: {type: Uri, value: 'http://snomed.info/sct'}
                    index: 19
                  version: {index: 20}
                  code:
                    pattern: {type: Code, value: '75367002'}
                    index: 21
                  display:
                    pattern: {type: String, value: Blood pressure}
                    index: 22
                required: [display, system, code]
    required: [coding]
  identifier:
    elements:
      system: {index: 0}
      value: {index: 1}
      assigner:
        type: Reference
        refers: ['https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Organization-1']
        index: 2
    required: [value, system]
  bodySite:
    elements:
      coding:
        index: 35
        slicing:
          rules: open
          discriminator:
          - {path: system, type: value}
          min: null
          slices:
            snomedCT:
              match: {system: 'http://snomed.info/sct'}
              schema:
                index: 36
                extensions:
                  snomedCTDescriptionID: {url: h, min: 0, type: Extension, index: 38}
                elements:
                  extension:
                    index: 37
                    slicing:
                      rules: open
                      discriminator:
                      - {path: url, type: value}
                      min: 0
                      slices:
                        snomedCTDescriptionID:
                          match: {url: null}
                          schema: {type: Extension, url: h, index: 38}
                          min: 0
                  system:
                    pattern: {type: Uri, value: 'http://snomed.info/sct'}
                    index: 39
                  version: {index: 40}
                  code: {index: 41}
                  display: {index: 42}
                required: [display, system, code]
  context:
    type: Reference
    refers: ['https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Encounter-1', 'https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-EpisodeOfCare-1']
    index: 24
  basedOn:
    type: Reference
    refers: ['http://hl7.org/fhir/StructureDefinition/DeviceRequest', 'http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation', 'http://hl7.org/fhir/StructureDefinition/NutritionOrder', 'https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-CarePlan-1', 'https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-MedicationRequest-1', 'https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-ProcedureRequest-1', 'https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-ReferralRequest-1']
    index: 3
  subject:
    type: Reference
    mustSupport: true
    refers: ['https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Patient-1']
    index: 23
  performer:
    type: Reference
    refers: ['https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Organization-1', 'https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Patient-1', 'https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Practitioner-1', 'https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-RelatedPerson-1']
    index: 27
  dataAbsentReason:
    mustSupport: true
    index: 33
    elements:
      coding:
        elements:
          code: {mustSupport: false, index: 34}
package_version: 3.1.0
class: profile
kind: resource
url: https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-BloodPressure-Observation-1
base: http://hl7.org/fhir/StructureDefinition/Observation
version: 1.1.0
required: [subject, category, effective]