{
  "description": "Israel Core proposed constraints and extensions on the Observation Resource for use in querying and retrieving Vital Signs information.",
  "_filename": "StructureDefinition-il-core-vital-signs.json",
  "package_name": "rs/il.core.fhir.r4",
  "date": "2024-04-07",
  "derivation": "constraint",
  "publisher": "Israel Core Team",
  "fhirVersion": "4.0.1",
  "name": "ILCoreVitalSigns",
  "abstract": false,
  "type": "Observation",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": "ILCore Vital Signs Profile",
  "package_version": "0.14.0",
  "extension": [ {
    "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
    "valueCode": "draft"
  }, {
    "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
    "valueInteger": 0
  } ],
  "status": "draft",
  "id": "ffbc55c5-59cf-41b3-9f13-11b9696f584b",
  "kind": "resource",
  "url": "http://fhir.health.gov.il/StructureDefinition/il-core-vital-signs",
  "version": "0.14.0",
  "differential": {
    "element": [ {
      "id": "Observation",
      "path": "Observation",
      "short": "ILCore Vital Signs Profile",
      "constraint": [ {
        "key": "il-vs2",
        "human": "If there is no component or hasMember element then either a value[x] or a data absent reason must be present.",
        "source": "http://fhir.health.gov.il/StructureDefinition/il-core-vital-signs",
        "severity": "error",
        "expression": "(component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists())"
      } ]
    }, {
      "id": "Observation.category",
      "min": 1,
      "path": "Observation.category",
      "slicing": {
        "rules": "open",
        "ordered": false,
        "discriminator": [ {
          "path": "coding.code",
          "type": "value"
        }, {
          "path": "coding.system",
          "type": "value"
        } ]
      }
    }, {
      "id": "Observation.category:VSCat",
      "max": "1",
      "min": 1,
      "path": "Observation.category",
      "sliceName": "VSCat"
    }, {
      "id": "Observation.category:VSCat.coding",
      "min": 1,
      "path": "Observation.category.coding"
    }, {
      "id": "Observation.category:VSCat.coding.system",
      "min": 1,
      "path": "Observation.category.coding.system",
      "fixedUri": "http://terminology.hl7.org/CodeSystem/observation-category",
      "mustSupport": true
    }, {
      "id": "Observation.category:VSCat.coding.code",
      "min": 1,
      "path": "Observation.category.coding.code",
      "fixedCode": "vital-signs",
      "mustSupport": true
    }, {
      "id": "Observation.code",
      "path": "Observation.code",
      "binding": {
        "strength": "extensible",
        "valueSet": "http://hl7.org/fhir/ValueSet/observation-vitalsignresult"
      },
      "definition": "Code specifying Vital Sign measurement type"
    }, {
      "id": "Observation.subject",
      "min": 1,
      "path": "Observation.subject",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://fhir.health.gov.il/StructureDefinition/il-core-patient" ]
      } ]
    }, {
      "id": "Observation.effective[x]",
      "min": 1,
      "path": "Observation.effective[x]",
      "short": "Often just a dateTime for Vital Signs",
      "constraint": [ {
        "key": "il-vs1",
        "human": "if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day",
        "source": "http://fhir.health.gov.il/StructureDefinition/il-core-vital-signs",
        "severity": "error",
        "expression": "($this as dateTime).toString().length() >= 8"
      } ]
    }, {
      "id": "Observation.value[x]",
      "path": "Observation.value[x]",
      "type": [ {
        "code": "Quantity"
      }, {
        "code": "CodeableConcept"
      }, {
        "code": "string"
      } ],
      "short": "Vital Signs value are recorded using the Quantity data type.",
      "definition": "Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept, as well as String."
    }, {
      "id": "Observation.value[x]:valueQuantity",
      "path": "Observation.value[x]",
      "type": [ {
        "code": "Quantity"
      } ],
      "short": "Vital Signs values are recorded with UCUM",
      "binding": {
        "strength": "required",
        "valueSet": "http://hl7.org/fhir/ValueSet/ucum-vitals-common"
      },
      "sliceName": "valueQuantity",
      "definition": "Vital Signs values are recorded with UCUM"
    }, {
      "id": "Observation.dataAbsentReason",
      "path": "Observation.dataAbsentReason",
      "mustSupport": true
    }, {
      "id": "Observation.hasMember",
      "path": "Observation.hasMember",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://fhir.health.gov.il/StructureDefinition/il-core-vital-signs" ]
      } ],
      "definition": "Used when reporting vital signs panel components"
    }, {
      "id": "Observation.derivedFrom",
      "path": "Observation.derivedFrom",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://fhir.health.gov.il/StructureDefinition/il-core-document-reference", "http://fhir.health.gov.il/StructureDefinition/il-core-imaging-study", "http://fhir.health.gov.il/StructureDefinition/il-core-media", "http://fhir.health.gov.il/StructureDefinition/il-core-questionnaire-response", "http://fhir.health.gov.il/StructureDefinition/il-core-vital-signs", "http://hl7.org/fhir/StructureDefinition/MolecularSequence" ]
      } ]
    }, {
      "id": "Observation.component",
      "path": "Observation.component",
      "constraint": [ {
        "key": "il-vs3",
        "human": "If there is no a value a data absent reason must be present",
        "source": "http://fhir.health.gov.il/StructureDefinition/il-core-vital-signs",
        "severity": "error",
        "expression": "value.exists() or dataAbsentReason.exists()"
      } ],
      "mustSupport": true
    }, {
      "id": "Observation.component.code",
      "path": "Observation.component.code",
      "binding": {
        "strength": "extensible",
        "valueSet": "http://fhir.health.gov.il/ValueSet/bp-components"
      },
      "mustSupport": true
    }, {
      "id": "Observation.component.value[x]",
      "path": "Observation.component.value[x]",
      "type": [ {
        "code": "Quantity"
      }, {
        "code": "CodeableConcept"
      }, {
        "code": "string"
      } ],
      "condition": [ "il-vs3" ]
    }, {
      "id": "Observation.component.value[x]:valueQuantity",
      "path": "Observation.component.value[x]",
      "type": [ {
        "code": "Quantity"
      } ],
      "short": "BP values are recorded with UCUM",
      "binding": {
        "strength": "extensible",
        "valueSet": "http://fhir.health.gov.il/ValueSet/bp-unit"
      },
      "sliceName": "valueQuantity",
      "definition": "Blood pressuer values are recorded with UCUM"
    }, {
      "id": "Observation.component.dataAbsentReason",
      "path": "Observation.component.dataAbsentReason",
      "condition": [ "il-vs3" ],
      "mustSupport": true
    } ]
  },
  "contact": [ {
    "telecom": [ {
      "value": "tal.primak@moh.gov.il",
      "system": "email"
    } ]
  } ],
  "baseDefinition": "http://fhir.health.gov.il/StructureDefinition/il-core-observation"
}