Atención de Urgencia Interoperable
0.1.2-qa-preview - qa-preview Chile flag

Atención de Urgencia Interoperable, published by Unidad de Interoperabilidad - MINSAL. This guide is not an authorized publication; it is the continuous build for version 0.1.2-qa-preview built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/Minsal-CL/IG_Urgencia/ and changes regularly. See the Directory of published versions

Resource Profile: Observación Signos Vitales

Official URL: https://interoperabilidad.minsal.cl/fhir/ig/urgencia/StructureDefinition/ObservationSignosVitales Version: 0.1.2-qa-preview
Draft as of 2025-10-09 Computable Name: ObservationSignosVitales

Recurso empleado para registrar la información de signos vitales de un paciente en un servicio de urgencia.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* CLCoreSignosVitalesPerfil(1.9.4) FHIR Vital Signs Profile
Constraints: obs-6, obs-7, vs-2
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... status ?!SΣ 1..1 code Estado de la observación
Binding: ObservationStatus (required)
Required Pattern: registered
.... category:All Slices Content/Rules for all slices
..... coding SΣ 1..1 Coding Code defined by a terminology system
...... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: http://terminology.hl7.org/CodeSystem/observation-category
...... code SΣ 1..1 code Symbol in syntax defined by the system
Required Pattern: vital-signs
.... category:VSCat S 1..1 CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
..... coding SΣ 1..1 Coding Code defined by a terminology system
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... code SΣ 1..1 code Symbol in syntax defined by the system
Fixed Value: vital-signs
... code SΣ 1..1 CodeableConcept Código de la observación
Binding: VSSignosVitales (0.1.2-qa-preview) (extensible)
... subject SΣ 1..1 Reference(Paciente Urgencia(0.1.2-qa-preview)) Paciente categorizado
... encounter SΣ 1..1 Reference(Encuentro Urgencia(0.1.2-qa-preview)) Encuentro de urgencia asociado
... Slices for effective[x] SΣC 1..1 dateTime A menudo solo una fecha y hora para los signos vitales
Slice: Unordered, Closed by type:$this
Constraints: vs-1
.... effective[x]:effectiveDateTime SΣC 1..1 dateTime Fecha y hora en la que se registraron los signos vitales
Constraints: vs-1
... performer SΣ 1..1 Reference(Prestador Profesional de Urgencia(0.1.2-qa-preview)) Profesional que registra los signos vitales
... value[x] SΣC 0..1 Valor de la observación
Binding: VitalSignsUnits (extensible)
.... valueQuantity Quantity S
.... valueCodeableConcept CodeableConcept
.... valueString string
.... valueBoolean boolean
.... valueInteger integer
.... valueRange Range
.... valueRatio Ratio
.... valueSampledData SampledData
.... valueTime time
.... valueDateTime dateTime
.... valuePeriod Period
... dataAbsentReason SC 0..1 CodeableConcept Razón de ausencia de datos
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
... component SΣC 0..* BackboneElement Componentes de la observación
Constraints: vs-3
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... code SΣ 1..1 CodeableConcept Código del componente
Binding: VSSignosVitales (0.1.2-qa-preview) (extensible)
.... value[x] SΣC 0..1 Valor del componente
Binding: VitalSignsUnits (required)
..... valueQuantity Quantity S
..... valueCodeableConcept CodeableConcept
..... valueString string
..... valueBoolean boolean
..... valueInteger integer
..... valueRange Range
..... valueRatio Ratio
..... valueSampledData SampledData
..... valueTime time
..... valueDateTime dateTime
..... valuePeriod Period
.... dataAbsentReason SC 0..1 CodeableConcept Razón de ausencia de datos
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.status Base required ObservationStatus 📍4.0.1 FHIR Std.
Observation.category Base preferred Observation Category Codes 📍4.0.1 FHIR Std.
Observation.category:VSCat Base preferred Observation Category Codes 📍4.0.1 FHIR Std.
Observation.code Base extensible Signos Vitales 📍0.1.2-qa-preview This IG
Observation.value[x] Base extensible Vital Signs Units 📍4.0.1 FHIR Std.
Observation.dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component.​code Base extensible Signos Vitales 📍0.1.2-qa-preview This IG
Observation.component.​value[x] Base required Vital Signs Units 📍4.0.1 FHIR Std.
Observation.component.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Observation If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Observation If 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-4 error Observation If 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-5 error Observation If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Observation A resource should have narrative for robust management text.`div`.exists()
ele-1 error Observation.implicitRules, Observation.modifierExtension, Observation.status, Observation.category, Observation.category.coding, Observation.category.coding.system, Observation.category.coding.code, Observation.category:VSCat, Observation.category:VSCat.coding, Observation.category:VSCat.coding.system, Observation.category:VSCat.coding.code, Observation.code, Observation.subject, Observation.encounter, Observation.effective[x], Observation.effective[x]:effectiveDateTime, Observation.performer, Observation.value[x], Observation.dataAbsentReason, Observation.component, Observation.component.modifierExtension, Observation.component.code, Observation.component.value[x], Observation.component.dataAbsentReason All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error Observation.modifierExtension, Observation.component.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()
obs-6 error Observation dataAbsentReason SHALL only be present if Observation.value[x] is not present dataAbsentReason.empty() or value.empty()
obs-7 error Observation If 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-1 error Observation.effective[x], Observation.effective[x]:effectiveDateTime if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day $this is dateTime implies $this.toString().length() >= 10
vs-2 error Observation If 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())
vs-3 error Observation.component If there is no a value a data absent reason must be present value.exists() or dataAbsentReason.exists()

This structure is derived from CLCoreSignosVitalesPerfil

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation CLCoreSignosVitalesPerfil(1.9.4)
... status 1..1 code Estado de la observación
Required Pattern: registered
... category 1..1 CodeableConcept Categoría de la observación
.... coding S 1..1 Coding Code defined by a terminology system
..... system S 1..1 uri Identity of the terminology system
Required Pattern: http://terminology.hl7.org/CodeSystem/observation-category
..... code S 1..1 code Symbol in syntax defined by the system
Required Pattern: vital-signs
... Slices for category Content/Rules for all slices
.... category:VSCat 1..1 CodeableConcept Classification of type of observation
..... coding 1..1 Coding Code defined by a terminology system
... subject 1..1 Reference(Paciente Urgencia(0.1.2-qa-preview)) Paciente categorizado
... encounter S 1..1 Reference(Encuentro Urgencia(0.1.2-qa-preview)) Encuentro de urgencia asociado
... Slices for effective[x] 1..1 dateTime A menudo solo una fecha y hora para los signos vitales
Slice: Unordered, Open by type:$this
.... effective[x]:effectiveDateTime S 1..1 dateTime Fecha y hora en la que se registraron los signos vitales
... performer 1..1 Reference(Prestador Profesional de Urgencia(0.1.2-qa-preview)) Profesional que registra los signos vitales
... value[x] 0..1 Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period Valor de la observación
... dataAbsentReason 0..1 CodeableConcept Razón de ausencia de datos
... component 0..* BackboneElement Componentes de la observación
.... code 1..1 CodeableConcept Código del componente
Binding: VSSignosVitales (0.1.2-qa-preview) (extensible)
.... value[x] 0..1 Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period Valor del componente
.... dataAbsentReason 0..1 CodeableConcept Razón de ausencia de datos

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Observation.code Base extensible Signos Vitales 📍0.1.2-qa-preview This IG
Observation.component.​code Base extensible Signos Vitales 📍0.1.2-qa-preview This IG
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* CLCoreSignosVitalesPerfil(1.9.4) FHIR Vital Signs Profile
Constraints: obs-6, obs-7, vs-2
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... identifier Σ 0..* Identifier Business Identifier for observation
... basedOn Σ 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
... partOf Σ 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) Part of referenced event
... status ?!SΣ 1..1 code Estado de la observación
Binding: ObservationStatus (required)
Required Pattern: registered
... Slices for category S 1..1 CodeableConcept Categoría de la observación
Slice: Unordered, Open by value:coding.code, value:coding.system
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
.... category:All Slices Content/Rules for all slices
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
..... coding SΣ 1..1 Coding Code defined by a terminology system
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
...... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: http://terminology.hl7.org/CodeSystem/observation-category
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
Required Pattern: vital-signs
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text Σ 0..1 string Plain text representation of the concept
.... category:VSCat S 1..1 CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
..... coding SΣ 1..1 Coding Code defined by a terminology system
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
Fixed Value: vital-signs
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text Σ 0..1 string Plain text representation of the concept
... code SΣ 1..1 CodeableConcept Código de la observación
Binding: VSSignosVitales (0.1.2-qa-preview) (extensible)
... subject SΣ 1..1 Reference(Paciente Urgencia(0.1.2-qa-preview)) Paciente categorizado
... focus Σ 0..* Reference(Resource) What the observation is about, when it is not about the subject of record
... encounter SΣ 1..1 Reference(Encuentro Urgencia(0.1.2-qa-preview)) Encuentro de urgencia asociado
... Slices for effective[x] SΣC 1..1 dateTime A menudo solo una fecha y hora para los signos vitales
Slice: Unordered, Closed by type:$this
Constraints: vs-1
.... effective[x]:effectiveDateTime SΣC 1..1 dateTime Fecha y hora en la que se registraron los signos vitales
Constraints: vs-1
... issued Σ 0..1 instant Date/Time this version was made available
... performer SΣ 1..1 Reference(Prestador Profesional de Urgencia(0.1.2-qa-preview)) Profesional que registra los signos vitales
... value[x] SΣC 0..1 Valor de la observación
Binding: VitalSignsUnits (extensible)
.... valueQuantity Quantity S
.... valueCodeableConcept CodeableConcept
.... valueString string
.... valueBoolean boolean
.... valueInteger integer
.... valueRange Range
.... valueRatio Ratio
.... valueSampledData SampledData
.... valueTime time
.... valueDateTime dateTime
.... valuePeriod Period
... dataAbsentReason SC 0..1 CodeableConcept Razón de ausencia de datos
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
... note 0..* Annotation Comments about the observation
... bodySite 0..1 CodeableConcept Observed body part
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
... method 0..1 CodeableConcept How it was done
Binding: ObservationMethods (example): Methods for simple observations.
... specimen 0..1 Reference(Specimen) Specimen used for this observation
... device 0..1 Reference(Device | DeviceMetric) (Measurement) Device
... referenceRange C 0..* BackboneElement Provides guide for interpretation
Constraints: obs-3
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... low C 0..1 SimpleQuantity(4.0.1) Low Range, if relevant
.... high C 0..1 SimpleQuantity(4.0.1) High Range, if relevant
.... type 0..1 CodeableConcept Reference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
.... appliesTo 0..* CodeableConcept Reference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
.... age 0..1 Range Applicable age range, if relevant
.... text 0..1 string Text based reference range in an observation
... hasMember Σ 0..* Reference(QuestionnaireResponse | MolecularSequence | Vital Signs Profile) Used when reporting vital signs panel components
... derivedFrom Σ 0..* Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | MolecularSequence | Vital Signs Profile) Related measurements the observation is made from
... component SΣC 0..* BackboneElement Componentes de la observación
Constraints: vs-3
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... code SΣ 1..1 CodeableConcept Código del componente
Binding: VSSignosVitales (0.1.2-qa-preview) (extensible)
.... value[x] SΣC 0..1 Valor del componente
Binding: VitalSignsUnits (required)
..... valueQuantity Quantity S
..... valueCodeableConcept CodeableConcept
..... valueString string
..... valueBoolean boolean
..... valueInteger integer
..... valueRange Range
..... valueRatio Ratio
..... valueSampledData SampledData
..... valueTime time
..... valueDateTime dateTime
..... valuePeriod Period
.... dataAbsentReason SC 0..1 CodeableConcept Razón de ausencia de datos
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
.... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
.... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Observation.status Base required ObservationStatus 📍4.0.1 FHIR Std.
Observation.category Base preferred Observation Category Codes 📍4.0.1 FHIR Std.
Observation.category:VSCat Base preferred Observation Category Codes 📍4.0.1 FHIR Std.
Observation.code Base extensible Signos Vitales 📍0.1.2-qa-preview This IG
Observation.value[x] Base extensible Vital Signs Units 📍4.0.1 FHIR Std.
Observation.dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.bodySite Base example SNOMED CT Body Structures 📍4.0.1 FHIR Std.
Observation.method Base example Observation Methods 📍4.0.1 FHIR Std.
Observation.referenceRange.​type Base preferred Observation Reference Range Meaning Codes 📍4.0.1 FHIR Std.
Observation.referenceRange.​appliesTo Base example Observation Reference Range Applies To Codes 📍4.0.1 FHIR Std.
Observation.component.​code Base extensible Signos Vitales 📍0.1.2-qa-preview This IG
Observation.component.​value[x] Base required Vital Signs Units 📍4.0.1 FHIR Std.
Observation.component.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Observation If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Observation If 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-4 error Observation If 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-5 error Observation If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Observation A resource should have narrative for robust management text.`div`.exists()
ele-1 error Observation.meta, Observation.implicitRules, Observation.language, Observation.text, Observation.extension, Observation.modifierExtension, Observation.identifier, Observation.basedOn, Observation.partOf, Observation.status, Observation.category, Observation.category.extension, Observation.category.coding, Observation.category.coding.extension, Observation.category.coding.system, Observation.category.coding.version, Observation.category.coding.code, Observation.category.coding.display, Observation.category.coding.userSelected, Observation.category.text, Observation.category:VSCat, Observation.category:VSCat.extension, Observation.category:VSCat.coding, Observation.category:VSCat.coding.extension, Observation.category:VSCat.coding.system, Observation.category:VSCat.coding.version, Observation.category:VSCat.coding.code, Observation.category:VSCat.coding.display, Observation.category:VSCat.coding.userSelected, Observation.category:VSCat.text, Observation.code, Observation.subject, Observation.focus, Observation.encounter, Observation.effective[x], Observation.effective[x]:effectiveDateTime, Observation.issued, Observation.performer, Observation.value[x], Observation.dataAbsentReason, Observation.interpretation, Observation.note, Observation.bodySite, Observation.method, Observation.specimen, Observation.device, Observation.referenceRange, Observation.referenceRange.extension, Observation.referenceRange.modifierExtension, Observation.referenceRange.low, Observation.referenceRange.high, Observation.referenceRange.type, Observation.referenceRange.appliesTo, Observation.referenceRange.age, Observation.referenceRange.text, Observation.hasMember, Observation.derivedFrom, Observation.component, Observation.component.extension, Observation.component.modifierExtension, Observation.component.code, Observation.component.value[x], Observation.component.dataAbsentReason, Observation.component.interpretation, Observation.component.referenceRange All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error Observation.extension, Observation.modifierExtension, Observation.category.extension, Observation.category.coding.extension, Observation.category:VSCat.extension, Observation.category:VSCat.coding.extension, Observation.referenceRange.extension, Observation.referenceRange.modifierExtension, Observation.component.extension, Observation.component.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()
obs-3 error Observation.referenceRange Must have at least a low or a high or text low.exists() or high.exists() or text.exists()
obs-6 error Observation dataAbsentReason SHALL only be present if Observation.value[x] is not present dataAbsentReason.empty() or value.empty()
obs-7 error Observation If 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-1 error Observation.effective[x], Observation.effective[x]:effectiveDateTime if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day $this is dateTime implies $this.toString().length() >= 10
vs-2 error Observation If 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())
vs-3 error Observation.component If there is no a value a data absent reason must be present value.exists() or dataAbsentReason.exists()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* CLCoreSignosVitalesPerfil(1.9.4) FHIR Vital Signs Profile
Constraints: obs-6, obs-7, vs-2
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... status ?!SΣ 1..1 code Estado de la observación
Binding: ObservationStatus (required)
Required Pattern: registered
.... category:All Slices Content/Rules for all slices
..... coding SΣ 1..1 Coding Code defined by a terminology system
...... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: http://terminology.hl7.org/CodeSystem/observation-category
...... code SΣ 1..1 code Symbol in syntax defined by the system
Required Pattern: vital-signs
.... category:VSCat S 1..1 CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
..... coding SΣ 1..1 Coding Code defined by a terminology system
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... code SΣ 1..1 code Symbol in syntax defined by the system
Fixed Value: vital-signs
... code SΣ 1..1 CodeableConcept Código de la observación
Binding: VSSignosVitales (0.1.2-qa-preview) (extensible)
... subject SΣ 1..1 Reference(Paciente Urgencia(0.1.2-qa-preview)) Paciente categorizado
... encounter SΣ 1..1 Reference(Encuentro Urgencia(0.1.2-qa-preview)) Encuentro de urgencia asociado
... Slices for effective[x] SΣC 1..1 dateTime A menudo solo una fecha y hora para los signos vitales
Slice: Unordered, Closed by type:$this
Constraints: vs-1
.... effective[x]:effectiveDateTime SΣC 1..1 dateTime Fecha y hora en la que se registraron los signos vitales
Constraints: vs-1
... performer SΣ 1..1 Reference(Prestador Profesional de Urgencia(0.1.2-qa-preview)) Profesional que registra los signos vitales
... value[x] SΣC 0..1 Valor de la observación
Binding: VitalSignsUnits (extensible)
.... valueQuantity Quantity S
.... valueCodeableConcept CodeableConcept
.... valueString string
.... valueBoolean boolean
.... valueInteger integer
.... valueRange Range
.... valueRatio Ratio
.... valueSampledData SampledData
.... valueTime time
.... valueDateTime dateTime
.... valuePeriod Period
... dataAbsentReason SC 0..1 CodeableConcept Razón de ausencia de datos
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
... component SΣC 0..* BackboneElement Componentes de la observación
Constraints: vs-3
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... code SΣ 1..1 CodeableConcept Código del componente
Binding: VSSignosVitales (0.1.2-qa-preview) (extensible)
.... value[x] SΣC 0..1 Valor del componente
Binding: VitalSignsUnits (required)
..... valueQuantity Quantity S
..... valueCodeableConcept CodeableConcept
..... valueString string
..... valueBoolean boolean
..... valueInteger integer
..... valueRange Range
..... valueRatio Ratio
..... valueSampledData SampledData
..... valueTime time
..... valueDateTime dateTime
..... valuePeriod Period
.... dataAbsentReason SC 0..1 CodeableConcept Razón de ausencia de datos
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.status Base required ObservationStatus 📍4.0.1 FHIR Std.
Observation.category Base preferred Observation Category Codes 📍4.0.1 FHIR Std.
Observation.category:VSCat Base preferred Observation Category Codes 📍4.0.1 FHIR Std.
Observation.code Base extensible Signos Vitales 📍0.1.2-qa-preview This IG
Observation.value[x] Base extensible Vital Signs Units 📍4.0.1 FHIR Std.
Observation.dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component.​code Base extensible Signos Vitales 📍0.1.2-qa-preview This IG
Observation.component.​value[x] Base required Vital Signs Units 📍4.0.1 FHIR Std.
Observation.component.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Observation If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Observation If 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-4 error Observation If 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-5 error Observation If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Observation A resource should have narrative for robust management text.`div`.exists()
ele-1 error Observation.implicitRules, Observation.modifierExtension, Observation.status, Observation.category, Observation.category.coding, Observation.category.coding.system, Observation.category.coding.code, Observation.category:VSCat, Observation.category:VSCat.coding, Observation.category:VSCat.coding.system, Observation.category:VSCat.coding.code, Observation.code, Observation.subject, Observation.encounter, Observation.effective[x], Observation.effective[x]:effectiveDateTime, Observation.performer, Observation.value[x], Observation.dataAbsentReason, Observation.component, Observation.component.modifierExtension, Observation.component.code, Observation.component.value[x], Observation.component.dataAbsentReason All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error Observation.modifierExtension, Observation.component.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()
obs-6 error Observation dataAbsentReason SHALL only be present if Observation.value[x] is not present dataAbsentReason.empty() or value.empty()
obs-7 error Observation If 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-1 error Observation.effective[x], Observation.effective[x]:effectiveDateTime if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day $this is dateTime implies $this.toString().length() >= 10
vs-2 error Observation If 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())
vs-3 error Observation.component If there is no a value a data absent reason must be present value.exists() or dataAbsentReason.exists()

Differential View

This structure is derived from CLCoreSignosVitalesPerfil

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation CLCoreSignosVitalesPerfil(1.9.4)
... status 1..1 code Estado de la observación
Required Pattern: registered
... category 1..1 CodeableConcept Categoría de la observación
.... coding S 1..1 Coding Code defined by a terminology system
..... system S 1..1 uri Identity of the terminology system
Required Pattern: http://terminology.hl7.org/CodeSystem/observation-category
..... code S 1..1 code Symbol in syntax defined by the system
Required Pattern: vital-signs
... Slices for category Content/Rules for all slices
.... category:VSCat 1..1 CodeableConcept Classification of type of observation
..... coding 1..1 Coding Code defined by a terminology system
... subject 1..1 Reference(Paciente Urgencia(0.1.2-qa-preview)) Paciente categorizado
... encounter S 1..1 Reference(Encuentro Urgencia(0.1.2-qa-preview)) Encuentro de urgencia asociado
... Slices for effective[x] 1..1 dateTime A menudo solo una fecha y hora para los signos vitales
Slice: Unordered, Open by type:$this
.... effective[x]:effectiveDateTime S 1..1 dateTime Fecha y hora en la que se registraron los signos vitales
... performer 1..1 Reference(Prestador Profesional de Urgencia(0.1.2-qa-preview)) Profesional que registra los signos vitales
... value[x] 0..1 Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period Valor de la observación
... dataAbsentReason 0..1 CodeableConcept Razón de ausencia de datos
... component 0..* BackboneElement Componentes de la observación
.... code 1..1 CodeableConcept Código del componente
Binding: VSSignosVitales (0.1.2-qa-preview) (extensible)
.... value[x] 0..1 Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period Valor del componente
.... dataAbsentReason 0..1 CodeableConcept Razón de ausencia de datos

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Observation.code Base extensible Signos Vitales 📍0.1.2-qa-preview This IG
Observation.component.​code Base extensible Signos Vitales 📍0.1.2-qa-preview This IG

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* CLCoreSignosVitalesPerfil(1.9.4) FHIR Vital Signs Profile
Constraints: obs-6, obs-7, vs-2
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... identifier Σ 0..* Identifier Business Identifier for observation
... basedOn Σ 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
... partOf Σ 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) Part of referenced event
... status ?!SΣ 1..1 code Estado de la observación
Binding: ObservationStatus (required)
Required Pattern: registered
... Slices for category S 1..1 CodeableConcept Categoría de la observación
Slice: Unordered, Open by value:coding.code, value:coding.system
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
.... category:All Slices Content/Rules for all slices
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
..... coding SΣ 1..1 Coding Code defined by a terminology system
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
...... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: http://terminology.hl7.org/CodeSystem/observation-category
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
Required Pattern: vital-signs
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text Σ 0..1 string Plain text representation of the concept
.... category:VSCat S 1..1 CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
..... coding SΣ 1..1 Coding Code defined by a terminology system
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
Fixed Value: vital-signs
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text Σ 0..1 string Plain text representation of the concept
... code SΣ 1..1 CodeableConcept Código de la observación
Binding: VSSignosVitales (0.1.2-qa-preview) (extensible)
... subject SΣ 1..1 Reference(Paciente Urgencia(0.1.2-qa-preview)) Paciente categorizado
... focus Σ 0..* Reference(Resource) What the observation is about, when it is not about the subject of record
... encounter SΣ 1..1 Reference(Encuentro Urgencia(0.1.2-qa-preview)) Encuentro de urgencia asociado
... Slices for effective[x] SΣC 1..1 dateTime A menudo solo una fecha y hora para los signos vitales
Slice: Unordered, Closed by type:$this
Constraints: vs-1
.... effective[x]:effectiveDateTime SΣC 1..1 dateTime Fecha y hora en la que se registraron los signos vitales
Constraints: vs-1
... issued Σ 0..1 instant Date/Time this version was made available
... performer SΣ 1..1 Reference(Prestador Profesional de Urgencia(0.1.2-qa-preview)) Profesional que registra los signos vitales
... value[x] SΣC 0..1 Valor de la observación
Binding: VitalSignsUnits (extensible)
.... valueQuantity Quantity S
.... valueCodeableConcept CodeableConcept
.... valueString string
.... valueBoolean boolean
.... valueInteger integer
.... valueRange Range
.... valueRatio Ratio
.... valueSampledData SampledData
.... valueTime time
.... valueDateTime dateTime
.... valuePeriod Period
... dataAbsentReason SC 0..1 CodeableConcept Razón de ausencia de datos
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
... note 0..* Annotation Comments about the observation
... bodySite 0..1 CodeableConcept Observed body part
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
... method 0..1 CodeableConcept How it was done
Binding: ObservationMethods (example): Methods for simple observations.
... specimen 0..1 Reference(Specimen) Specimen used for this observation
... device 0..1 Reference(Device | DeviceMetric) (Measurement) Device
... referenceRange C 0..* BackboneElement Provides guide for interpretation
Constraints: obs-3
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... low C 0..1 SimpleQuantity(4.0.1) Low Range, if relevant
.... high C 0..1 SimpleQuantity(4.0.1) High Range, if relevant
.... type 0..1 CodeableConcept Reference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
.... appliesTo 0..* CodeableConcept Reference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
.... age 0..1 Range Applicable age range, if relevant
.... text 0..1 string Text based reference range in an observation
... hasMember Σ 0..* Reference(QuestionnaireResponse | MolecularSequence | Vital Signs Profile) Used when reporting vital signs panel components
... derivedFrom Σ 0..* Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | MolecularSequence | Vital Signs Profile) Related measurements the observation is made from
... component SΣC 0..* BackboneElement Componentes de la observación
Constraints: vs-3
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... code SΣ 1..1 CodeableConcept Código del componente
Binding: VSSignosVitales (0.1.2-qa-preview) (extensible)
.... value[x] SΣC 0..1 Valor del componente
Binding: VitalSignsUnits (required)
..... valueQuantity Quantity S
..... valueCodeableConcept CodeableConcept
..... valueString string
..... valueBoolean boolean
..... valueInteger integer
..... valueRange Range
..... valueRatio Ratio
..... valueSampledData SampledData
..... valueTime time
..... valueDateTime dateTime
..... valuePeriod Period
.... dataAbsentReason SC 0..1 CodeableConcept Razón de ausencia de datos
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
.... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
.... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Observation.status Base required ObservationStatus 📍4.0.1 FHIR Std.
Observation.category Base preferred Observation Category Codes 📍4.0.1 FHIR Std.
Observation.category:VSCat Base preferred Observation Category Codes 📍4.0.1 FHIR Std.
Observation.code Base extensible Signos Vitales 📍0.1.2-qa-preview This IG
Observation.value[x] Base extensible Vital Signs Units 📍4.0.1 FHIR Std.
Observation.dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.bodySite Base example SNOMED CT Body Structures 📍4.0.1 FHIR Std.
Observation.method Base example Observation Methods 📍4.0.1 FHIR Std.
Observation.referenceRange.​type Base preferred Observation Reference Range Meaning Codes 📍4.0.1 FHIR Std.
Observation.referenceRange.​appliesTo Base example Observation Reference Range Applies To Codes 📍4.0.1 FHIR Std.
Observation.component.​code Base extensible Signos Vitales 📍0.1.2-qa-preview This IG
Observation.component.​value[x] Base required Vital Signs Units 📍4.0.1 FHIR Std.
Observation.component.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Observation If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Observation If 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-4 error Observation If 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-5 error Observation If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Observation A resource should have narrative for robust management text.`div`.exists()
ele-1 error Observation.meta, Observation.implicitRules, Observation.language, Observation.text, Observation.extension, Observation.modifierExtension, Observation.identifier, Observation.basedOn, Observation.partOf, Observation.status, Observation.category, Observation.category.extension, Observation.category.coding, Observation.category.coding.extension, Observation.category.coding.system, Observation.category.coding.version, Observation.category.coding.code, Observation.category.coding.display, Observation.category.coding.userSelected, Observation.category.text, Observation.category:VSCat, Observation.category:VSCat.extension, Observation.category:VSCat.coding, Observation.category:VSCat.coding.extension, Observation.category:VSCat.coding.system, Observation.category:VSCat.coding.version, Observation.category:VSCat.coding.code, Observation.category:VSCat.coding.display, Observation.category:VSCat.coding.userSelected, Observation.category:VSCat.text, Observation.code, Observation.subject, Observation.focus, Observation.encounter, Observation.effective[x], Observation.effective[x]:effectiveDateTime, Observation.issued, Observation.performer, Observation.value[x], Observation.dataAbsentReason, Observation.interpretation, Observation.note, Observation.bodySite, Observation.method, Observation.specimen, Observation.device, Observation.referenceRange, Observation.referenceRange.extension, Observation.referenceRange.modifierExtension, Observation.referenceRange.low, Observation.referenceRange.high, Observation.referenceRange.type, Observation.referenceRange.appliesTo, Observation.referenceRange.age, Observation.referenceRange.text, Observation.hasMember, Observation.derivedFrom, Observation.component, Observation.component.extension, Observation.component.modifierExtension, Observation.component.code, Observation.component.value[x], Observation.component.dataAbsentReason, Observation.component.interpretation, Observation.component.referenceRange All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error Observation.extension, Observation.modifierExtension, Observation.category.extension, Observation.category.coding.extension, Observation.category:VSCat.extension, Observation.category:VSCat.coding.extension, Observation.referenceRange.extension, Observation.referenceRange.modifierExtension, Observation.component.extension, Observation.component.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()
obs-3 error Observation.referenceRange Must have at least a low or a high or text low.exists() or high.exists() or text.exists()
obs-6 error Observation dataAbsentReason SHALL only be present if Observation.value[x] is not present dataAbsentReason.empty() or value.empty()
obs-7 error Observation If 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-1 error Observation.effective[x], Observation.effective[x]:effectiveDateTime if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day $this is dateTime implies $this.toString().length() >= 10
vs-2 error Observation If 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())
vs-3 error Observation.component If there is no a value a data absent reason must be present value.exists() or dataAbsentReason.exists()

 

Other representations of profile: CSV, Excel, Schematron