description: '**CHR:** Observations - Vitals can be entered in the **Encounters → Vitals** section within an encounter, with graph visualization available. Vitals are also accessible from the patient **Health Profile → Vitals** section.'
package_name: telus.dw.emr.extract-1-1-21
derivation: constraint
name: DwObservationVitals
type: Observation
elements:
  category:
    mustSupport: true
    index: 17
    elements:
      coding:
        binding: {strength: preferred, valueSet: 'http://hl7.org/fhir/ValueSet/observation-category'}
        mustSupport: true
        index: 18
        elements:
          system:
            pattern: {type: Uri, value: 'http://terminology.hl7.org/CodeSystem/observation-category'}
            index: 19
          code:
            pattern: {type: Code, value: vital-signs}
            index: 20
    required: [coding]
  meta:
    elements:
      lastUpdated: {mustSupport: true, index: 1}
      source: {mustSupport: true, index: 2}
      security: {mustSupport: true, index: 3}
  encounter:
    type: Reference
    mustSupport: true
    refers: ['https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwEncounter']
    index: 27
  value:
    mustSupport: true
    choices: []
    index: 33
  component: {mustSupport: true, index: 36}
  note: {mustSupport: true, index: 34}
  extension:
    index: 5
    slicing:
      rules: open
      ordered: false
      discriminator:
      - {path: url, type: value}
      min: null
      slices:
        BodyPosition:
          match: {url: null}
          schema:
            type: Extension
            mustSupport: true
            url: https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/ext-VitalsBodyPosition
            index: 6
            extensions: {}
            elements:
              extension: {index: 7}
              value:
                choices: [valueCodeableConcept]
                index: 9
              valueCodeableConcept: {type: CodeableConcept, choiceOf: value, index: 10}
              value[x]:
                elements:
                  coding:
                    binding: {strength: preferred, valueSet: 'http://loinc.org'}
                    index: 11
                    elements:
                      system:
                        binding: {strength: preferred, valueSet: 'http://loinc.org'}
                        index: 12
                      code: {index: 13}
                      display: {index: 14}
  status: {mustSupport: true, index: 16}
  effective:
    mustSupport: true
    choices: []
    index: 29
  id: {mustSupport: true, index: 0}
  code:
    binding: {strength: preferred, valueSet: 'http://loinc.org'}
    mustSupport: true
    index: 21
    elements:
      coding:
        binding: {strength: example, valueSet: 'http://hl7.org/fhir/ValueSet/observation-codes'}
        mustSupport: true
        index: 22
        elements:
          system:
            pattern: {type: Uri, value: 'http://loinc.org'}
            mustSupport: true
            index: 23
          code: {mustSupport: true, index: 24}
      text: {mustSupport: true, index: 25}
    required: [text]
  identifier: {mustSupport: true, index: 15}
  bodySite: {mustSupport: true, index: 35}
  issued: {index: 30}
  subject:
    type: Reference
    mustSupport: true
    refers: ['https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwPatient']
    index: 26
  performer:
    type: Reference
    refers: ['https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwCareTeam', 'https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwOrganization', 'https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwPatient', 'https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwPractitioner', 'https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwPractitionerRole']
    index: 31
  text: {mustSupport: true, index: 4}
package_version: 1.1.21
extensions:
  BodyPosition:
    url: https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/ext-VitalsBodyPosition
    type: Extension
    mustSupport: true
    index: 6
    extensions: {}
    elements:
      extension: {index: 7}
      value:
        choices: [valueCodeableConcept]
        index: 9
      valueCodeableConcept: {type: CodeableConcept, choiceOf: value, index: 10}
      value[x]:
        elements:
          coding:
            binding: {strength: preferred, valueSet: 'http://loinc.org'}
            index: 11
            elements:
              system:
                binding: {strength: preferred, valueSet: 'http://loinc.org'}
                index: 12
              code: {index: 13}
              display: {index: 14}
class: profile
kind: resource
url: https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwObservationVitals
base: http://hl7.org/fhir/StructureDefinition/Observation
version: 2.0.0
required: [id, subject, category]