Vital Signs Implementation Guide version 0.1.0 (Release 0.1.0 Ballot )

This page is part of the Vital Signs FHIR IG (v0.1.0: STU 1 Ballot 1) based on FHIR R4. The current version which supercedes this version is 1.0.0. For a full list of available versions, see the Directory of published versions

StructureDefinition-VitalSignsPanel

Vital Signs Panel; a grouping of the vital signs elements.

Formal Views of Profile Content

Description of Profiles, Differentials, and Snapshots.

The official URL for this profile is: http://hl7.org/fhir/us/vitals/StructureDefinition/VitalSignsPanel

Published on Wed May 29 00:00:00 UTC 2019 as a draft by HSPC.

This profile builds on observation-vitalspanel

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 0..*observation-vitalspanelFHIR Vital Signs Panel Profile
... ExerciseAssociationExt S0..1CodeableConceptExercise Association
URL: http://hl7.org/fhir/us/vitals/StructureDefinition/ExerciseAssociationExt
Binding: Exertion Phase value set (preferred)
... MeasurementSettingExt 0..1CodeableConceptMeasurement setting
URL: http://hl7.org/fhir/us/vitals/StructureDefinition/MeasurementSettingExt
Binding: Measurement Setting value set (preferred)
... status S1..1coderegistered | preliminary | final | amended +
... code S1..1CodeableConceptVital Signs Panel
Required Pattern: At least the following
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 85353-1
..... display1..1stringRepresentation defined by the system
Fixed Value: Vital signs, weight, height, head circumference, oxygen saturation and BMI panel
... subject S1..1Reference(US Core Patient Profile)Who and/or what the observation is about
... effective[x] S1..1dateTime, PeriodOften just a dateTime for Vital Signs
... valueQuantity 0..0
... dataAbsentReason S0..1CodeableConceptWhy the result is missing
... interpretation 0..*CodeableConceptHigh, low, normal, etc.
Binding: Defined Limits value set (preferred)
... bodySite 0..0
... method 0..0
... specimen 0..0
... device 0..0
... referenceRange 0..0
... hasMember:vitalSignsElements 0..*(Slice Definition)Used when reporting vital signs panel components
Slice: Unordered, Closed by profile:hasMember.reference.resolve
.... hasMember:OxygenSaturationArterialBloodPulseOx 1..*Reference(Oxygen Saturation in Arterial Blood by Pulse Oximetery)Used when reporting vital signs panel components
.... hasMember:OxygenSaturationArterialBlood 1..*Reference(Oxygen Saturation in Arterial blood, method not specified)Used when reporting vital signs panel components
.... hasMember:BodyWeight 1..*Reference(BodyWeight)Used when reporting vital signs panel components
.... hasMember:HeadOccipitalFrontalCircumference 1..*Reference(Head Occipital-Frontal Circumference)Used when reporting vital signs panel components
.... hasMember:Height 1..*Reference(Height)Used when reporting vital signs panel components
.... hasMember:BodyLength 1..*Reference(BodyLength)Used when reporting vital signs panel components
.... hasMember:BodyTemperature 1..*Reference(BodyTemperature)Used when reporting vital signs panel components
.... hasMember:BloodPressurePanel 1..*Reference(Blood Pressure Panel)Used when reporting vital signs panel components
.... hasMember:HeartRate 1..*Reference(HeartRate)Used when reporting vital signs panel components
.... hasMember:RespiratoryRate 1..*Reference(Respiratory Rate)Used when reporting vital signs panel components
.... hasMember:BodyMassIndex 1..*Reference(BodyMassIndex)Used when reporting vital signs panel components
... component 0..0

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation I0..*observation-vitalspanelFHIR Vital Signs Panel Profile
... id Σ0..1stringLogical id of this artifact
... meta ΣI0..1MetaMetadata about the resource
... implicitRules ?!ΣI0..1uriA set of rules under which this content was created
... language I0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension I0..*ExtensionExtension
Slice: Unordered, Open by value:url
... ExerciseAssociationExt SI0..1CodeableConceptExercise Association
URL: http://hl7.org/fhir/us/vitals/StructureDefinition/ExerciseAssociationExt
... MeasurementSettingExt I0..1CodeableConceptMeasurement setting
URL: http://hl7.org/fhir/us/vitals/StructureDefinition/MeasurementSettingExt
... modifierExtension ?!I0..*ExtensionExtensions that cannot be ignored
... identifier ΣI0..*IdentifierBusiness Identifier for observation
... basedOn ΣI0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)Fulfills plan, proposal or order
... partOf ΣI0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)Part of referenced event
... status ?!SΣI1..1coderegistered | preliminary | final | amended +
Binding: ObservationStatus (required)
... category SI1..*(Slice Definition)Classification of type of observation
Slice: Unordered, Open by value:coding.code, value:coding.system
Binding: ObservationCategoryCodes (preferred)
.... category:VSCat SI1..1CodeableConceptClassification of type of observation
Binding: ObservationCategoryCodes (preferred)
..... id 0..1stringUnique id for inter-element referencing
..... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... coding SΣI1..*CodingCode defined by a terminology system
...... id 0..1stringUnique id for inter-element referencing
...... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣI1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... version ΣI0..1stringVersion of the system - if relevant
...... code SΣI1..1codeSymbol in syntax defined by the system
Fixed Value: vital-signs
...... display ΣI0..1stringRepresentation defined by the system
...... userSelected ΣI0..1booleanIf this coding was chosen directly by the user
..... text ΣI0..1stringPlain text representation of the concept
... code SΣI1..1CodeableConceptVital Signs Panel
Binding: VitalSigns (extensible)
Required Pattern: At least the following
.... id0..1stringUnique id for inter-element referencing
.... extension0..*ExtensionAdditional content defined by implementations
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
..... version0..1stringVersion of the system - if relevant
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 85353-1
..... display1..1stringRepresentation defined by the system
Fixed Value: Vital signs, weight, height, head circumference, oxygen saturation and BMI panel
..... userSelected0..1booleanIf this coding was chosen directly by the user
.... text0..1stringPlain text representation of the concept
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... coding ΣI0..*(Slice Definition)Code defined by a terminology system
Slice: Unordered, Open by value:code, value:system
..... coding:VitalsPanelCode ΣI0..*CodingCode defined by a terminology system
...... id 0..1stringUnique id for inter-element referencing
...... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... system ΣI0..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
...... version ΣI0..1stringVersion of the system - if relevant
...... code ΣI0..1codeSymbol in syntax defined by the system
Fixed Value: 85353-1
...... display ΣI0..1stringRepresentation defined by the system
...... userSelected ΣI0..1booleanIf this coding was chosen directly by the user
.... text ΣI0..1stringPlain text representation of the concept
... subject SΣI1..1Reference(US Core Patient Profile)Who and/or what the observation is about
... focus ΣI0..*Reference(Resource)What the observation is about, when it is not about the subject of record
... encounter ΣI0..1Reference(Encounter)Healthcare event during which this observation is made
... effective[x] SΣI1..1Often just a dateTime for Vital Signs
.... effectiveDateTimedateTime
.... effectivePeriodPeriod
... issued ΣI0..1instantDate/Time this version was made available
... performer ΣI0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)Who is responsible for the observation
... dataAbsentReason SI0..1CodeableConceptWhy the result is missing
Binding: DataAbsentReason (extensible)
... interpretation I0..*CodeableConceptHigh, low, normal, etc.
Binding: Defined Limits value set (preferred)
... note I0..*AnnotationComments about the observation
... hasMember SΣI1..*(Slice Definition)Used when reporting vital signs panel components
Slice: Unordered, Closed by profile:hasMember.reference.resolve
.... hasMember:vitalSignsElements SΣI0..*Reference(QuestionnaireResponse | MolecularSequence | Vital Signs Profile)Used when reporting vital signs panel components
.... hasMember:OxygenSaturationArterialBloodPulseOx SΣI1..*Reference(Oxygen Saturation in Arterial Blood by Pulse Oximetery)Used when reporting vital signs panel components
.... hasMember:OxygenSaturationArterialBlood SΣI1..*Reference(Oxygen Saturation in Arterial blood, method not specified)Used when reporting vital signs panel components
.... hasMember:BodyWeight SΣI1..*Reference(BodyWeight)Used when reporting vital signs panel components
.... hasMember:HeadOccipitalFrontalCircumference SΣI1..*Reference(Head Occipital-Frontal Circumference)Used when reporting vital signs panel components
.... hasMember:Height SΣI1..*Reference(Height)Used when reporting vital signs panel components
.... hasMember:BodyLength SΣI1..*Reference(BodyLength)Used when reporting vital signs panel components
.... hasMember:BodyTemperature SΣI1..*Reference(BodyTemperature)Used when reporting vital signs panel components
.... hasMember:BloodPressurePanel SΣI1..*Reference(Blood Pressure Panel)Used when reporting vital signs panel components
.... hasMember:HeartRate SΣI1..*Reference(HeartRate)Used when reporting vital signs panel components
.... hasMember:RespiratoryRate SΣI1..*Reference(Respiratory Rate)Used when reporting vital signs panel components
.... hasMember:BodyMassIndex SΣI1..*Reference(BodyMassIndex)Used when reporting vital signs panel components
... derivedFrom ΣI0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | MolecularSequence | Vital Signs Profile)Related measurements the observation is made from

doco Documentation for this format

Differential View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 0..*observation-vitalspanelFHIR Vital Signs Panel Profile
... ExerciseAssociationExt S0..1CodeableConceptExercise Association
URL: http://hl7.org/fhir/us/vitals/StructureDefinition/ExerciseAssociationExt
Binding: Exertion Phase value set (preferred)
... MeasurementSettingExt 0..1CodeableConceptMeasurement setting
URL: http://hl7.org/fhir/us/vitals/StructureDefinition/MeasurementSettingExt
Binding: Measurement Setting value set (preferred)
... status S1..1coderegistered | preliminary | final | amended +
... code S1..1CodeableConceptVital Signs Panel
Required Pattern: At least the following
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 85353-1
..... display1..1stringRepresentation defined by the system
Fixed Value: Vital signs, weight, height, head circumference, oxygen saturation and BMI panel
... subject S1..1Reference(US Core Patient Profile)Who and/or what the observation is about
... effective[x] S1..1dateTime, PeriodOften just a dateTime for Vital Signs
... valueQuantity 0..0
... dataAbsentReason S0..1CodeableConceptWhy the result is missing
... interpretation 0..*CodeableConceptHigh, low, normal, etc.
Binding: Defined Limits value set (preferred)
... bodySite 0..0
... method 0..0
... specimen 0..0
... device 0..0
... referenceRange 0..0
... hasMember:vitalSignsElements 0..*(Slice Definition)Used when reporting vital signs panel components
Slice: Unordered, Closed by profile:hasMember.reference.resolve
.... hasMember:OxygenSaturationArterialBloodPulseOx 1..*Reference(Oxygen Saturation in Arterial Blood by Pulse Oximetery)Used when reporting vital signs panel components
.... hasMember:OxygenSaturationArterialBlood 1..*Reference(Oxygen Saturation in Arterial blood, method not specified)Used when reporting vital signs panel components
.... hasMember:BodyWeight 1..*Reference(BodyWeight)Used when reporting vital signs panel components
.... hasMember:HeadOccipitalFrontalCircumference 1..*Reference(Head Occipital-Frontal Circumference)Used when reporting vital signs panel components
.... hasMember:Height 1..*Reference(Height)Used when reporting vital signs panel components
.... hasMember:BodyLength 1..*Reference(BodyLength)Used when reporting vital signs panel components
.... hasMember:BodyTemperature 1..*Reference(BodyTemperature)Used when reporting vital signs panel components
.... hasMember:BloodPressurePanel 1..*Reference(Blood Pressure Panel)Used when reporting vital signs panel components
.... hasMember:HeartRate 1..*Reference(HeartRate)Used when reporting vital signs panel components
.... hasMember:RespiratoryRate 1..*Reference(Respiratory Rate)Used when reporting vital signs panel components
.... hasMember:BodyMassIndex 1..*Reference(BodyMassIndex)Used when reporting vital signs panel components
... component 0..0

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation I0..*observation-vitalspanelFHIR Vital Signs Panel Profile
... id Σ0..1stringLogical id of this artifact
... meta ΣI0..1MetaMetadata about the resource
... implicitRules ?!ΣI0..1uriA set of rules under which this content was created
... language I0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension I0..*ExtensionExtension
Slice: Unordered, Open by value:url
... ExerciseAssociationExt SI0..1CodeableConceptExercise Association
URL: http://hl7.org/fhir/us/vitals/StructureDefinition/ExerciseAssociationExt
... MeasurementSettingExt I0..1CodeableConceptMeasurement setting
URL: http://hl7.org/fhir/us/vitals/StructureDefinition/MeasurementSettingExt
... modifierExtension ?!I0..*ExtensionExtensions that cannot be ignored
... identifier ΣI0..*IdentifierBusiness Identifier for observation
... basedOn ΣI0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)Fulfills plan, proposal or order
... partOf ΣI0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)Part of referenced event
... status ?!SΣI1..1coderegistered | preliminary | final | amended +
Binding: ObservationStatus (required)
... category SI1..*(Slice Definition)Classification of type of observation
Slice: Unordered, Open by value:coding.code, value:coding.system
Binding: ObservationCategoryCodes (preferred)
.... category:VSCat SI1..1CodeableConceptClassification of type of observation
Binding: ObservationCategoryCodes (preferred)
..... id 0..1stringUnique id for inter-element referencing
..... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... coding SΣI1..*CodingCode defined by a terminology system
...... id 0..1stringUnique id for inter-element referencing
...... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣI1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... version ΣI0..1stringVersion of the system - if relevant
...... code SΣI1..1codeSymbol in syntax defined by the system
Fixed Value: vital-signs
...... display ΣI0..1stringRepresentation defined by the system
...... userSelected ΣI0..1booleanIf this coding was chosen directly by the user
..... text ΣI0..1stringPlain text representation of the concept
... code SΣI1..1CodeableConceptVital Signs Panel
Binding: VitalSigns (extensible)
Required Pattern: At least the following
.... id0..1stringUnique id for inter-element referencing
.... extension0..*ExtensionAdditional content defined by implementations
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
..... version0..1stringVersion of the system - if relevant
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 85353-1
..... display1..1stringRepresentation defined by the system
Fixed Value: Vital signs, weight, height, head circumference, oxygen saturation and BMI panel
..... userSelected0..1booleanIf this coding was chosen directly by the user
.... text0..1stringPlain text representation of the concept
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... coding ΣI0..*(Slice Definition)Code defined by a terminology system
Slice: Unordered, Open by value:code, value:system
..... coding:VitalsPanelCode ΣI0..*CodingCode defined by a terminology system
...... id 0..1stringUnique id for inter-element referencing
...... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... system ΣI0..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
...... version ΣI0..1stringVersion of the system - if relevant
...... code ΣI0..1codeSymbol in syntax defined by the system
Fixed Value: 85353-1
...... display ΣI0..1stringRepresentation defined by the system
...... userSelected ΣI0..1booleanIf this coding was chosen directly by the user
.... text ΣI0..1stringPlain text representation of the concept
... subject SΣI1..1Reference(US Core Patient Profile)Who and/or what the observation is about
... focus ΣI0..*Reference(Resource)What the observation is about, when it is not about the subject of record
... encounter ΣI0..1Reference(Encounter)Healthcare event during which this observation is made
... effective[x] SΣI1..1Often just a dateTime for Vital Signs
.... effectiveDateTimedateTime
.... effectivePeriodPeriod
... issued ΣI0..1instantDate/Time this version was made available
... performer ΣI0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)Who is responsible for the observation
... dataAbsentReason SI0..1CodeableConceptWhy the result is missing
Binding: DataAbsentReason (extensible)
... interpretation I0..*CodeableConceptHigh, low, normal, etc.
Binding: Defined Limits value set (preferred)
... note I0..*AnnotationComments about the observation
... hasMember SΣI1..*(Slice Definition)Used when reporting vital signs panel components
Slice: Unordered, Closed by profile:hasMember.reference.resolve
.... hasMember:vitalSignsElements SΣI0..*Reference(QuestionnaireResponse | MolecularSequence | Vital Signs Profile)Used when reporting vital signs panel components
.... hasMember:OxygenSaturationArterialBloodPulseOx SΣI1..*Reference(Oxygen Saturation in Arterial Blood by Pulse Oximetery)Used when reporting vital signs panel components
.... hasMember:OxygenSaturationArterialBlood SΣI1..*Reference(Oxygen Saturation in Arterial blood, method not specified)Used when reporting vital signs panel components
.... hasMember:BodyWeight SΣI1..*Reference(BodyWeight)Used when reporting vital signs panel components
.... hasMember:HeadOccipitalFrontalCircumference SΣI1..*Reference(Head Occipital-Frontal Circumference)Used when reporting vital signs panel components
.... hasMember:Height SΣI1..*Reference(Height)Used when reporting vital signs panel components
.... hasMember:BodyLength SΣI1..*Reference(BodyLength)Used when reporting vital signs panel components
.... hasMember:BodyTemperature SΣI1..*Reference(BodyTemperature)Used when reporting vital signs panel components
.... hasMember:BloodPressurePanel SΣI1..*Reference(Blood Pressure Panel)Used when reporting vital signs panel components
.... hasMember:HeartRate SΣI1..*Reference(HeartRate)Used when reporting vital signs panel components
.... hasMember:RespiratoryRate SΣI1..*Reference(Respiratory Rate)Used when reporting vital signs panel components
.... hasMember:BodyMassIndex SΣI1..*Reference(BodyMassIndex)Used when reporting vital signs panel components
... derivedFrom ΣI0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | MolecularSequence | Vital Signs Profile)Related measurements the observation is made from

doco Documentation for this format

Downloads: StructureDefinition: (XML, JSON), Schema: XML Schematron

Terminology Bindings

PathConformanceValueSet / Code
Observation.languagepreferredCommonLanguages
Max Binding: AllLanguages
Observation.statusrequiredObservationStatus
Observation.categorypreferredObservationCategoryCodes
Observation.category:VSCatpreferredObservationCategoryCodes
Observation.codeextensiblePattern: LOINC code 85353-1("Vital signs, weight, height, head circumference, oxygen saturation and BMI panel")
Observation.dataAbsentReasonextensibleDataAbsentReason
Observation.interpretationpreferredDefinedLimitsvalueset
Observation.referenceRange.typepreferredObservationReferenceRangeMeaningCodes
Observation.referenceRange.appliesToexampleObservationReferenceRangeAppliesToCodes
Observation.component.codeextensibleVitalSigns
Observation.component.value[x]requiredVitalSignsUnits
Observation.component.dataAbsentReasonextensibleDataAbsentReason
Observation.component.interpretationextensibleObservationInterpretationCodes

Constraints

IdPathDetailsRequirements
dom-2ObservationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3ObservationIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4ObservationIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5ObservationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6ObservationA resource should have narrative for robust management
: text.`div`.exists()
obs-6ObservationdataAbsentReason SHALL only be present if Observation.value[x] is not present
: dataAbsentReason.empty() or value.empty()
obs-7ObservationIf Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
: value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
vs-2ObservationIf there is no component or hasMember element then either a value[x] or a data absent reason must be present.
: (component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists())
ele-1Observation.metaAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.implicitRulesAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.languageAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Observation.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Observation.extension:exerciseAssociationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Observation.extension:exerciseAssociationMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Observation.extension:MeasurementSettingAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Observation.extension:MeasurementSettingMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Observation.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Observation.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Observation.identifierAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.basedOnAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.partOfAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.statusAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.categoryAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.category:VSCatAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.category:VSCat.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Observation.category:VSCat.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Observation.category:VSCat.codingAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.category:VSCat.coding.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Observation.category:VSCat.coding.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Observation.category:VSCat.coding.systemAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.category:VSCat.coding.versionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.category:VSCat.coding.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.category:VSCat.coding.displayAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.category:VSCat.coding.userSelectedAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.category:VSCat.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.code.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Observation.code.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Observation.code.codingAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.code.coding:VitalsPanelCodeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.code.coding:VitalsPanelCode.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Observation.code.coding:VitalsPanelCode.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Observation.code.coding:VitalsPanelCode.systemAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.code.coding:VitalsPanelCode.versionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.code.coding:VitalsPanelCode.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.code.coding:VitalsPanelCode.displayAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.code.coding:VitalsPanelCode.userSelectedAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.code.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.subjectAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.focusAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.encounterAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.effective[x]All FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
vs-1Observation.effective[x]if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day
: ($this as dateTime).toString().length() >= 8
ele-1Observation.issuedAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.performerAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.dataAbsentReasonAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.interpretationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.noteAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.referenceRange.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Observation.referenceRange.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Observation.referenceRange.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Observation.referenceRange.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Observation.referenceRange.lowAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.referenceRange.highAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.referenceRange.typeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.referenceRange.appliesToAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.referenceRange.ageAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.referenceRange.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.hasMemberAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.hasMember:vitalSignsElementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.hasMember:OxygenSaturationArterialBloodPulseOxAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.hasMember:OxygenSaturationArterialBloodAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.hasMember:BodyWeightAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.hasMember:HeadOccipitalFrontalCircumferenceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.hasMember:HeightAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.hasMember:BodyLengthAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.hasMember:BodyTemperatureAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.hasMember:BloodPressurePanelAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.hasMember:HeartRateAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.hasMember:RespiratoryRateAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.hasMember:BodyMassIndexAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.derivedFromAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.component.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Observation.component.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Observation.component.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Observation.component.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Observation.component.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.component.value[x]All FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.component.dataAbsentReasonAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.component.interpretationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Observation.component.referenceRangeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())