description: FHIR Vital Signs Profile
package_name: ans.cisis.fhir.r4
derivation: constraint
name: ObservationVitalsigns
type: Observation
elements:
  category:
    mustSupport: true
    index: 1
    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:
            mustSupport: true
            _required: true
            index: 2
            elements:
              coding:
                mustSupport: true
                index: 3
                elements:
                  system:
                    pattern: {type: Uri, value: 'http://terminology.hl7.org/CodeSystem/observation-category'}
                    mustSupport: true
                    index: 4
                  code:
                    pattern: {type: Code, value: vital-signs}
                    mustSupport: true
                    index: 5
                required: [system, code]
            required: [coding]
  hasMember:
    type: Reference
    short: Used when reporting vital signs panel components
    refers: ['http://hl7.org/fhir/StructureDefinition/MolecularSequence', 'http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse', 'http://hl7.org/fhir/StructureDefinition/vitalsigns']
    index: 15
  derivedFrom:
    type: Reference
    refers: ['http://hl7.org/fhir/StructureDefinition/DocumentReference', 'http://hl7.org/fhir/StructureDefinition/ImagingStudy', 'http://hl7.org/fhir/StructureDefinition/Media', 'http://hl7.org/fhir/StructureDefinition/MolecularSequence', 'http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse', 'http://hl7.org/fhir/StructureDefinition/vitalsigns']
    index: 16
  value:
    short: Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.
    mustSupport: true
    choices: []
    index: 13
  component:
    short: Used when reporting systolic and diastolic blood pressure.
    constraint:
      vs-3: {human: If there is no a value a data absent reason must be present, source: 'http://hl7.org/fhir/StructureDefinition/vitalsigns', severity: error, expression: value.exists() or dataAbsentReason.exists()}
    mustSupport: true
    index: 17
    elements:
      code:
        binding: {strength: extensible, valueSet: 'http://hl7.org/fhir/ValueSet/observation-vitalsignresult'}
        mustSupport: true
        index: 18
      value:
        short: Vital Sign Value recorded with UCUM
        mustSupport: true
        choices: []
        index: 20
      dataAbsentReason: {mustSupport: true, index: 21}
  effectiveDateTime:
    constraint:
      vs-1: {human: 'if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day', source: 'http://hl7.org/fhir/StructureDefinition/vitalsigns', severity: error, expression: ($this as dateTime).toString().length() >= 8}
    short: Often just a dateTime for Vital Signs
    type: dateTime
    mustSupport: true
    choiceOf: effective
    index: 10
  status: {mustSupport: true, index: 0}
  effective:
    constraint:
      vs-1: {human: 'if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day', source: 'http://hl7.org/fhir/StructureDefinition/vitalsigns', severity: error, expression: ($this as dateTime).toString().length() >= 8}
    short: Often just a dateTime for Vital Signs
    mustSupport: true
    choices: [effectiveDateTime, effectivePeriod]
    index: 9
  code:
    short: Coded Responses from C-CDA Vital Sign Results
    binding: {strength: extensible, valueSet: 'http://hl7.org/fhir/ValueSet/observation-vitalsignresult'}
    mustSupport: true
    index: 6
  subject:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/StructureDefinition/Patient']
    index: 7
  dataAbsentReason: {mustSupport: true, index: 14}
  effectivePeriod:
    constraint:
      vs-1: {human: 'if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day', source: 'http://hl7.org/fhir/StructureDefinition/vitalsigns', severity: error, expression: ($this as dateTime).toString().length() >= 8}
    short: Often just a dateTime for Vital Signs
    type: Period
    mustSupport: true
    choiceOf: effective
    index: 11
package_version: 2.0.0
class: profile
kind: resource
url: http://hl7.org/fhir/StructureDefinition/vitalsigns
base: http://hl7.org/fhir/StructureDefinition/Observation
version: 4.0.1
required: [effectiveDateTime, effectivePeriod, subject, category, effective]