This page is part of the IL-Core IG (v0.18.0: draft-1 Draft) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

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Resource Profile: ILCore Vital Signs Profile

Israel Core proposed constraints and extensions on the Observation Resource for use in querying and retrieving Vital Signs information.

Usage:

• Derived from this Resource Profile: ILCore Blood Pressure Profile
• Refer to this Resource Profile: ILCore Vital Signs Profile
• Examples for this Resource Profile: Observation/observation-VS-cuff-size

Formal Views of Profile Content

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

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from ILCoreObservation

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	ILCoreObservation	ILCore Vital Signs Profile il-vs2: If there is no component or hasMember element then either a value[x] or a data absent reason must be present.
Slices for category		1..*	CodeableConcept	Classification of type of observation Slice: Unordered, Open by value:coding.code, value:coding.system
category:VSCat		1..1	CodeableConcept	Classification of type of observation
coding		1..*	Coding	Code defined by a terminology system
system	S	1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
code	S	1..1	code	Symbol in syntax defined by the system Fixed Value: vital-signs
code		1..1	CodeableConcept	Type of observation (code / type) Binding: VitalSigns (extensible)
subject		1..1	Reference(ILCore Patient Profile)	Who and/or what the observation is about
effective[x]	C	1..1	dateTime, Period, Timing, instant	Often just a dateTime for Vital Signs il-vs1: if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day
value[x]		0..1		Vital Signs value are recorded using the Quantity data type.
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
Slices for value[x]				Content/Rules for all slices
value[x]:valueQuantity		0..1	Quantity	Vital Signs values are recorded with UCUM Binding: VitalSignsUnits (required)
dataAbsentReason	S	0..1	CodeableConcept	Why the result is missing
hasMember		0..*	Reference(ILCore Vital Signs Profile)	Related resource that belongs to the Observation group
component	SC	0..*	BackboneElement	Component results il-vs3: If there is no a value a data absent reason must be present
code	S	1..1	CodeableConcept	Type of component observation (code / type) Binding: Blood Pressure component codes (extensible)
value[x]	C	0..1		Actual component result
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
Slices for value[x]				Content/Rules for all slices
value[x]:valueQuantity		0..1	Quantity	BP values are recorded with UCUM Binding: Blood Pressure Unit code (extensible)
dataAbsentReason	SC	0..1	CodeableConcept	Why the component result is missing
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Observation.code	extensible	VitalSigns http://hl7.org/fhir/ValueSet/observation-vitalsignresult from the FHIR Standard
Observation.value[x]:valueQuantity	required	VitalSignsUnits http://hl7.org/fhir/ValueSet/ucum-vitals-common from the FHIR Standard
Observation.component.code	extensible	BPComponents http://fhir.health.gov.il/ValueSet/bp-components from this IG
Observation.component.value[x]:valueQuantity	extensible	BPUnit http://fhir.health.gov.il/ValueSet/bp-unit from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
il-vs1	error	Observation.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
il-vs2	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())
il-vs3	error	Observation.component	If there is no a value a data absent reason must be present : value.exists() or dataAbsentReason.exists()

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	ILCoreObservation	ILCore Vital Signs Profile obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present il-vs2: If there is no component or hasMember element then either a value[x] or a data absent reason must be present.
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!SΣ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
Slices for category	S	1..*	CodeableConcept	Classification of type of observation Slice: Unordered, Open by value:coding.code, value:coding.system Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
category:VSCat	S	1..1	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
coding	Σ	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	Type of observation (code / type) Binding: VitalSigns (extensible)
subject	SΣ	1..1	Reference(ILCore Patient Profile)	Who and/or what the observation is about
effective[x]	ΣC	1..1		Often just a dateTime for Vital Signs il-vs1: if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day
effectiveDateTime			dateTime
effectivePeriod			Period
effectiveTiming			Timing
effectiveInstant			instant
Slices for value[x]	SΣC	0..1		Vital Signs value are recorded using the Quantity data type. Slice: Unordered, Closed by type:$this
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
value[x]:valueQuantity	ΣC	0..1	Quantity	Vital Signs values are recorded with UCUM Binding: VitalSignsUnits (required) il-obs-ucum: SHOULD use UCUM for coded quantity units
value[x]:valueCodeableConcept	ΣC	0..1	CodeableConcept	Actual result Binding: IL Core Observation Value Codes (preferred) il-obs-value-cc: SHOULD use SNOMED-CT or LOINC Answers for coded results
dataAbsentReason	SC	0..1	CodeableConcept	Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. il-obs-not-performed: dataAbsentReason - if an IL-Core 'not-performed-reason' code is supplied, 'not performed' code MUST be supplied as well
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:not-performed-reason	Σ	0..1	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: http://fhir.health.gov.il/cs/il-core-not-performed-reason
code	Σ	1..1	code	Symbol in syntax defined by the system
hasMember	Σ	0..*	Reference(ILCore Vital Signs Profile)	Related resource that belongs to the Observation group
component	SΣC	0..*	BackboneElement	Component results il-vs3: If there is no a value a data absent reason must be present
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣ	1..1	CodeableConcept	Type of component observation (code / type) Binding: Blood Pressure component codes (extensible)
Slices for value[x]	ΣC	0..1		Actual component result Slice: Unordered, Closed by type:$this
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
value[x]:valueQuantity	ΣC	0..1	Quantity	BP values are recorded with UCUM Binding: Blood Pressure Unit code (extensible) il-obs-ucum: SHOULD use UCUM for coded quantity units
value[x]:valueCodeableConcept	ΣC	0..1	CodeableConcept	Actual component result Binding: IL Core Observation Value Codes (preferred) il-obs-value-cc: SHOULD use SNOMED-CT or LOINC Answers for coded results
dataAbsentReason	SC	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard
Observation.category	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.category:VSCat	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.code	extensible	VitalSigns http://hl7.org/fhir/ValueSet/observation-vitalsignresult from the FHIR Standard
Observation.value[x]:valueQuantity	required	VitalSignsUnits http://hl7.org/fhir/ValueSet/ucum-vitals-common from the FHIR Standard
Observation.value[x]:valueCodeableConcept	preferred	ILCoreObservationValue http://fhir.health.gov.il/ValueSet/il-core-observation-value from this IG
Observation.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component.code	extensible	BPComponents http://fhir.health.gov.il/ValueSet/bp-components from this IG
Observation.component.value[x]:valueQuantity	extensible	BPUnit http://fhir.health.gov.il/ValueSet/bp-unit from this IG
Observation.component.value[x]:valueCodeableConcept	preferred	ILCoreObservationValue http://fhir.health.gov.il/ValueSet/il-core-observation-value from this IG
Observation.component.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
il-vs1	error	Observation.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
il-vs2	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())
il-vs3	error	Observation.component	If there is no a value a data absent reason must be present : value.exists() or dataAbsentReason.exists()

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	ILCoreObservation	ILCore Vital Signs Profile obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present il-vs2: If there is no component or hasMember element then either a value[x] or a data absent reason must be present.
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 Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business Identifier for observation
basedOn	Σ	0..*	Reference(ILCore CarePlan Profile | ILCore DeviceRequest Profile | ILCore ImmunizationRecommendation Profile | ILCore MedicationRequest Profile | ILCore Molecular Sequence | ILCore ServiceRequest Profile)	Fulfills plan, proposal or order
partOf	Σ	0..*	Reference(ILCore MedicationAdministration Profile | ILCore MedicationDispense Profile | ILCore Procedure Profile | ILCore Immunization Profile | ILCore ImagingStudy Profile | ILCore MedicationStatement Profile)	Part of referenced event
status	?!SΣ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
Slices for category	S	1..*	CodeableConcept	Classification of type of observation Slice: Unordered, Open by value:coding.code, value:coding.system Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
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
coding	Σ	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
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	Type of observation (code / type) Binding: VitalSigns (extensible)
subject	SΣ	1..1	Reference(ILCore Patient Profile)	Who and/or what the observation is about
focus	Σ	0..*	Reference(Resource)	What the observation is about, when it is not about the subject of record
encounter	Σ	0..1	Reference(ILCore Encounter Profile)	Healthcare event during which this observation is made
effective[x]	ΣC	1..1		Often just a dateTime for Vital Signs il-vs1: if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day
effectiveDateTime			dateTime
effectivePeriod			Period
effectiveTiming			Timing
effectiveInstant			instant
issued	Σ	0..1	instant	Date/Time this version was made available
performer	Σ	0..*	Reference(ILCore Practitioner Profile | ILCore PractitionerRole Profile | ILCore Organization Profile | ILCore CareTeam Profile | ILCore Patient Profile | ILCore RelatedPerson Profile)	Who is responsible for the observation
Slices for value[x]	SΣC	0..1		Vital Signs value are recorded using the Quantity data type. Slice: Unordered, Closed by type:$this
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
value[x]:valueQuantity	ΣC	0..1	Quantity	Vital Signs values are recorded with UCUM Binding: VitalSignsUnits (required) il-obs-ucum: SHOULD use UCUM for coded quantity units
value[x]:valueCodeableConcept	ΣC	0..1	CodeableConcept	Actual result Binding: IL Core Observation Value Codes (preferred) il-obs-value-cc: SHOULD use SNOMED-CT or LOINC Answers for coded results
dataAbsentReason	SC	0..1	CodeableConcept	Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. il-obs-not-performed: dataAbsentReason - if an IL-Core 'not-performed-reason' code is supplied, 'not performed' code MUST be supplied as well
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:not-performed-reason	Σ	0..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
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: http://fhir.health.gov.il/cs/il-core-not-performed-reason
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
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
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 (preferred): Codes describing anatomical locations. May include laterality.
method		0..1	CodeableConcept	How it was done Binding: ObservationMethods (preferred): Methods for simple observations.
specimen		0..1	Reference(ILCore Specimen Profile)	Specimen used for this observation
device		0..1	Reference(ILCore Device Profile | DeviceMetric)	(Measurement) Device
referenceRange	C	0..*	BackboneElement	Provides guide for interpretation obs-3: Must have at least a low or a high or text
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
low	C	0..1	SimpleQuantity	Low Range, if relevant il-obs-ucum: SHOULD use UCUM for coded quantity units
high	C	0..1	SimpleQuantity	High Range, if relevant il-obs-ucum: SHOULD use UCUM for coded quantity units
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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
low	Σ	0..1	SimpleQuantity	Low limit Binding: CommonUCUMCodesForAge (required)
high	Σ	0..1	SimpleQuantity	High limit Binding: CommonUCUMCodesForAge (required)
text		0..1	string	Text based reference range in an observation
hasMember	Σ	0..*	Reference(ILCore Vital Signs Profile)	Related resource that belongs to the Observation group
derivedFrom	Σ	0..*	Reference(ILCore DocumentReference Profile | ILCore ImagingStudy Profile | ILCore Media Profile | ILCore QuestionnaireResponse Profile | ILCore Observation Profile | ILCore Molecular Sequence)	Related measurements the observation is made from
component	SΣC	0..*	BackboneElement	Component results il-vs3: If there is no a value a data absent reason must be present
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣ	1..1	CodeableConcept	Type of component observation (code / type) Binding: Blood Pressure component codes (extensible)
Slices for value[x]	ΣC	0..1		Actual component result Slice: Unordered, Closed by type:$this
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
value[x]:valueQuantity	ΣC	0..1	Quantity	BP values are recorded with UCUM Binding: Blood Pressure Unit code (extensible) il-obs-ucum: SHOULD use UCUM for coded quantity units
value[x]:valueCodeableConcept	ΣC	0..1	CodeableConcept	Actual component result Binding: IL Core Observation Value Codes (preferred) il-obs-value-cc: SHOULD use SNOMED-CT or LOINC Answers for coded results
dataAbsentReason	SC	0..1	CodeableConcept	Why the component result is missing 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..*	BackboneElement	Provides guide for interpretation of component result
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
low	C	0..1	SimpleQuantity	Low Range, if relevant il-obs-ucum: SHOULD use UCUM for coded quantity units
high	C	0..1	SimpleQuantity	High Range, if relevant il-obs-ucum: SHOULD use UCUM for coded quantity units
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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
low	Σ	0..1	SimpleQuantity	Low limit Binding: CommonUCUMCodesForAge (required)
high	Σ	0..1	SimpleQuantity	High limit Binding: CommonUCUMCodesForAge (required)
text		0..1	string	Text based reference range in an observation
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Observation.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard
Observation.category	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.category:VSCat	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.code	extensible	VitalSigns http://hl7.org/fhir/ValueSet/observation-vitalsignresult from the FHIR Standard
Observation.value[x]:valueQuantity	required	VitalSignsUnits http://hl7.org/fhir/ValueSet/ucum-vitals-common from the FHIR Standard
Observation.value[x]:valueCodeableConcept	preferred	ILCoreObservationValue http://fhir.health.gov.il/ValueSet/il-core-observation-value from this IG
Observation.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.bodySite	preferred	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
Observation.method	preferred	ObservationMethods http://hl7.org/fhir/ValueSet/observation-methods from the FHIR Standard
Observation.referenceRange.type	preferred	ObservationReferenceRangeMeaningCodes http://hl7.org/fhir/ValueSet/referencerange-meaning from the FHIR Standard
Observation.referenceRange.appliesTo	example	ObservationReferenceRangeAppliesToCodes http://hl7.org/fhir/ValueSet/referencerange-appliesto from the FHIR Standard
Observation.referenceRange.age.low	required	CommonUCUMCodesForAge http://hl7.org/fhir/ValueSet/age-units from the FHIR Standard
Observation.referenceRange.age.high	required	CommonUCUMCodesForAge http://hl7.org/fhir/ValueSet/age-units from the FHIR Standard
Observation.component.code	extensible	BPComponents http://fhir.health.gov.il/ValueSet/bp-components from this IG
Observation.component.value[x]:valueQuantity	extensible	BPUnit http://fhir.health.gov.il/ValueSet/bp-unit from this IG
Observation.component.value[x]:valueCodeableConcept	preferred	ILCoreObservationValue http://fhir.health.gov.il/ValueSet/il-core-observation-value from this IG
Observation.component.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.component.referenceRange.type	preferred	ObservationReferenceRangeMeaningCodes http://hl7.org/fhir/ValueSet/referencerange-meaning from the FHIR Standard
Observation.component.referenceRange.appliesTo	example	ObservationReferenceRangeAppliesToCodes http://hl7.org/fhir/ValueSet/referencerange-appliesto from the FHIR Standard
Observation.component.referenceRange.age.low	required	CommonUCUMCodesForAge http://hl7.org/fhir/ValueSet/age-units from the FHIR Standard
Observation.component.referenceRange.age.high	required	CommonUCUMCodesForAge http://hl7.org/fhir/ValueSet/age-units from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
il-vs1	error	Observation.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
il-vs2	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())
il-vs3	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 ILCoreObservation

Differential View

This structure is derived from ILCoreObservation

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	ILCoreObservation	ILCore Vital Signs Profile il-vs2: If there is no component or hasMember element then either a value[x] or a data absent reason must be present.
Slices for category		1..*	CodeableConcept	Classification of type of observation Slice: Unordered, Open by value:coding.code, value:coding.system
category:VSCat		1..1	CodeableConcept	Classification of type of observation
coding		1..*	Coding	Code defined by a terminology system
system	S	1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
code	S	1..1	code	Symbol in syntax defined by the system Fixed Value: vital-signs
code		1..1	CodeableConcept	Type of observation (code / type) Binding: VitalSigns (extensible)
subject		1..1	Reference(ILCore Patient Profile)	Who and/or what the observation is about
effective[x]	C	1..1	dateTime, Period, Timing, instant	Often just a dateTime for Vital Signs il-vs1: if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day
value[x]		0..1		Vital Signs value are recorded using the Quantity data type.
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
Slices for value[x]				Content/Rules for all slices
value[x]:valueQuantity		0..1	Quantity	Vital Signs values are recorded with UCUM Binding: VitalSignsUnits (required)
dataAbsentReason	S	0..1	CodeableConcept	Why the result is missing
hasMember		0..*	Reference(ILCore Vital Signs Profile)	Related resource that belongs to the Observation group
component	SC	0..*	BackboneElement	Component results il-vs3: If there is no a value a data absent reason must be present
code	S	1..1	CodeableConcept	Type of component observation (code / type) Binding: Blood Pressure component codes (extensible)
value[x]	C	0..1		Actual component result
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
Slices for value[x]				Content/Rules for all slices
value[x]:valueQuantity		0..1	Quantity	BP values are recorded with UCUM Binding: Blood Pressure Unit code (extensible)
dataAbsentReason	SC	0..1	CodeableConcept	Why the component result is missing
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Observation.code	extensible	VitalSigns http://hl7.org/fhir/ValueSet/observation-vitalsignresult from the FHIR Standard
Observation.value[x]:valueQuantity	required	VitalSignsUnits http://hl7.org/fhir/ValueSet/ucum-vitals-common from the FHIR Standard
Observation.component.code	extensible	BPComponents http://fhir.health.gov.il/ValueSet/bp-components from this IG
Observation.component.value[x]:valueQuantity	extensible	BPUnit http://fhir.health.gov.il/ValueSet/bp-unit from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
il-vs1	error	Observation.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
il-vs2	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())
il-vs3	error	Observation.component	If there is no a value a data absent reason must be present : value.exists() or dataAbsentReason.exists()

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	ILCoreObservation	ILCore Vital Signs Profile obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present il-vs2: If there is no component or hasMember element then either a value[x] or a data absent reason must be present.
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!SΣ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
Slices for category	S	1..*	CodeableConcept	Classification of type of observation Slice: Unordered, Open by value:coding.code, value:coding.system Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
category:VSCat	S	1..1	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
coding	Σ	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	Type of observation (code / type) Binding: VitalSigns (extensible)
subject	SΣ	1..1	Reference(ILCore Patient Profile)	Who and/or what the observation is about
effective[x]	ΣC	1..1		Often just a dateTime for Vital Signs il-vs1: if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day
effectiveDateTime			dateTime
effectivePeriod			Period
effectiveTiming			Timing
effectiveInstant			instant
Slices for value[x]	SΣC	0..1		Vital Signs value are recorded using the Quantity data type. Slice: Unordered, Closed by type:$this
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
value[x]:valueQuantity	ΣC	0..1	Quantity	Vital Signs values are recorded with UCUM Binding: VitalSignsUnits (required) il-obs-ucum: SHOULD use UCUM for coded quantity units
value[x]:valueCodeableConcept	ΣC	0..1	CodeableConcept	Actual result Binding: IL Core Observation Value Codes (preferred) il-obs-value-cc: SHOULD use SNOMED-CT or LOINC Answers for coded results
dataAbsentReason	SC	0..1	CodeableConcept	Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. il-obs-not-performed: dataAbsentReason - if an IL-Core 'not-performed-reason' code is supplied, 'not performed' code MUST be supplied as well
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:not-performed-reason	Σ	0..1	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: http://fhir.health.gov.il/cs/il-core-not-performed-reason
code	Σ	1..1	code	Symbol in syntax defined by the system
hasMember	Σ	0..*	Reference(ILCore Vital Signs Profile)	Related resource that belongs to the Observation group
component	SΣC	0..*	BackboneElement	Component results il-vs3: If there is no a value a data absent reason must be present
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣ	1..1	CodeableConcept	Type of component observation (code / type) Binding: Blood Pressure component codes (extensible)
Slices for value[x]	ΣC	0..1		Actual component result Slice: Unordered, Closed by type:$this
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
value[x]:valueQuantity	ΣC	0..1	Quantity	BP values are recorded with UCUM Binding: Blood Pressure Unit code (extensible) il-obs-ucum: SHOULD use UCUM for coded quantity units
value[x]:valueCodeableConcept	ΣC	0..1	CodeableConcept	Actual component result Binding: IL Core Observation Value Codes (preferred) il-obs-value-cc: SHOULD use SNOMED-CT or LOINC Answers for coded results
dataAbsentReason	SC	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard
Observation.category	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.category:VSCat	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.code	extensible	VitalSigns http://hl7.org/fhir/ValueSet/observation-vitalsignresult from the FHIR Standard
Observation.value[x]:valueQuantity	required	VitalSignsUnits http://hl7.org/fhir/ValueSet/ucum-vitals-common from the FHIR Standard
Observation.value[x]:valueCodeableConcept	preferred	ILCoreObservationValue http://fhir.health.gov.il/ValueSet/il-core-observation-value from this IG
Observation.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component.code	extensible	BPComponents http://fhir.health.gov.il/ValueSet/bp-components from this IG
Observation.component.value[x]:valueQuantity	extensible	BPUnit http://fhir.health.gov.il/ValueSet/bp-unit from this IG
Observation.component.value[x]:valueCodeableConcept	preferred	ILCoreObservationValue http://fhir.health.gov.il/ValueSet/il-core-observation-value from this IG
Observation.component.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
il-vs1	error	Observation.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
il-vs2	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())
il-vs3	error	Observation.component	If there is no a value a data absent reason must be present : value.exists() or dataAbsentReason.exists()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	ILCoreObservation	ILCore Vital Signs Profile obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present il-vs2: If there is no component or hasMember element then either a value[x] or a data absent reason must be present.
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 Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business Identifier for observation
basedOn	Σ	0..*	Reference(ILCore CarePlan Profile | ILCore DeviceRequest Profile | ILCore ImmunizationRecommendation Profile | ILCore MedicationRequest Profile | ILCore Molecular Sequence | ILCore ServiceRequest Profile)	Fulfills plan, proposal or order
partOf	Σ	0..*	Reference(ILCore MedicationAdministration Profile | ILCore MedicationDispense Profile | ILCore Procedure Profile | ILCore Immunization Profile | ILCore ImagingStudy Profile | ILCore MedicationStatement Profile)	Part of referenced event
status	?!SΣ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
Slices for category	S	1..*	CodeableConcept	Classification of type of observation Slice: Unordered, Open by value:coding.code, value:coding.system Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
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
coding	Σ	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
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	Type of observation (code / type) Binding: VitalSigns (extensible)
subject	SΣ	1..1	Reference(ILCore Patient Profile)	Who and/or what the observation is about
focus	Σ	0..*	Reference(Resource)	What the observation is about, when it is not about the subject of record
encounter	Σ	0..1	Reference(ILCore Encounter Profile)	Healthcare event during which this observation is made
effective[x]	ΣC	1..1		Often just a dateTime for Vital Signs il-vs1: if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day
effectiveDateTime			dateTime
effectivePeriod			Period
effectiveTiming			Timing
effectiveInstant			instant
issued	Σ	0..1	instant	Date/Time this version was made available
performer	Σ	0..*	Reference(ILCore Practitioner Profile | ILCore PractitionerRole Profile | ILCore Organization Profile | ILCore CareTeam Profile | ILCore Patient Profile | ILCore RelatedPerson Profile)	Who is responsible for the observation
Slices for value[x]	SΣC	0..1		Vital Signs value are recorded using the Quantity data type. Slice: Unordered, Closed by type:$this
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
value[x]:valueQuantity	ΣC	0..1	Quantity	Vital Signs values are recorded with UCUM Binding: VitalSignsUnits (required) il-obs-ucum: SHOULD use UCUM for coded quantity units
value[x]:valueCodeableConcept	ΣC	0..1	CodeableConcept	Actual result Binding: IL Core Observation Value Codes (preferred) il-obs-value-cc: SHOULD use SNOMED-CT or LOINC Answers for coded results
dataAbsentReason	SC	0..1	CodeableConcept	Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. il-obs-not-performed: dataAbsentReason - if an IL-Core 'not-performed-reason' code is supplied, 'not performed' code MUST be supplied as well
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:not-performed-reason	Σ	0..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
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: http://fhir.health.gov.il/cs/il-core-not-performed-reason
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
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
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 (preferred): Codes describing anatomical locations. May include laterality.
method		0..1	CodeableConcept	How it was done Binding: ObservationMethods (preferred): Methods for simple observations.
specimen		0..1	Reference(ILCore Specimen Profile)	Specimen used for this observation
device		0..1	Reference(ILCore Device Profile | DeviceMetric)	(Measurement) Device
referenceRange	C	0..*	BackboneElement	Provides guide for interpretation obs-3: Must have at least a low or a high or text
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
low	C	0..1	SimpleQuantity	Low Range, if relevant il-obs-ucum: SHOULD use UCUM for coded quantity units
high	C	0..1	SimpleQuantity	High Range, if relevant il-obs-ucum: SHOULD use UCUM for coded quantity units
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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
low	Σ	0..1	SimpleQuantity	Low limit Binding: CommonUCUMCodesForAge (required)
high	Σ	0..1	SimpleQuantity	High limit Binding: CommonUCUMCodesForAge (required)
text		0..1	string	Text based reference range in an observation
hasMember	Σ	0..*	Reference(ILCore Vital Signs Profile)	Related resource that belongs to the Observation group
derivedFrom	Σ	0..*	Reference(ILCore DocumentReference Profile | ILCore ImagingStudy Profile | ILCore Media Profile | ILCore QuestionnaireResponse Profile | ILCore Observation Profile | ILCore Molecular Sequence)	Related measurements the observation is made from
component	SΣC	0..*	BackboneElement	Component results il-vs3: If there is no a value a data absent reason must be present
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣ	1..1	CodeableConcept	Type of component observation (code / type) Binding: Blood Pressure component codes (extensible)
Slices for value[x]	ΣC	0..1		Actual component result Slice: Unordered, Closed by type:$this
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
value[x]:valueQuantity	ΣC	0..1	Quantity	BP values are recorded with UCUM Binding: Blood Pressure Unit code (extensible) il-obs-ucum: SHOULD use UCUM for coded quantity units
value[x]:valueCodeableConcept	ΣC	0..1	CodeableConcept	Actual component result Binding: IL Core Observation Value Codes (preferred) il-obs-value-cc: SHOULD use SNOMED-CT or LOINC Answers for coded results
dataAbsentReason	SC	0..1	CodeableConcept	Why the component result is missing 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..*	BackboneElement	Provides guide for interpretation of component result
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
low	C	0..1	SimpleQuantity	Low Range, if relevant il-obs-ucum: SHOULD use UCUM for coded quantity units
high	C	0..1	SimpleQuantity	High Range, if relevant il-obs-ucum: SHOULD use UCUM for coded quantity units
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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
low	Σ	0..1	SimpleQuantity	Low limit Binding: CommonUCUMCodesForAge (required)
high	Σ	0..1	SimpleQuantity	High limit Binding: CommonUCUMCodesForAge (required)
text		0..1	string	Text based reference range in an observation
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Observation.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard
Observation.category	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.category:VSCat	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.code	extensible	VitalSigns http://hl7.org/fhir/ValueSet/observation-vitalsignresult from the FHIR Standard
Observation.value[x]:valueQuantity	required	VitalSignsUnits http://hl7.org/fhir/ValueSet/ucum-vitals-common from the FHIR Standard
Observation.value[x]:valueCodeableConcept	preferred	ILCoreObservationValue http://fhir.health.gov.il/ValueSet/il-core-observation-value from this IG
Observation.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.bodySite	preferred	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
Observation.method	preferred	ObservationMethods http://hl7.org/fhir/ValueSet/observation-methods from the FHIR Standard
Observation.referenceRange.type	preferred	ObservationReferenceRangeMeaningCodes http://hl7.org/fhir/ValueSet/referencerange-meaning from the FHIR Standard
Observation.referenceRange.appliesTo	example	ObservationReferenceRangeAppliesToCodes http://hl7.org/fhir/ValueSet/referencerange-appliesto from the FHIR Standard
Observation.referenceRange.age.low	required	CommonUCUMCodesForAge http://hl7.org/fhir/ValueSet/age-units from the FHIR Standard
Observation.referenceRange.age.high	required	CommonUCUMCodesForAge http://hl7.org/fhir/ValueSet/age-units from the FHIR Standard
Observation.component.code	extensible	BPComponents http://fhir.health.gov.il/ValueSet/bp-components from this IG
Observation.component.value[x]:valueQuantity	extensible	BPUnit http://fhir.health.gov.il/ValueSet/bp-unit from this IG
Observation.component.value[x]:valueCodeableConcept	preferred	ILCoreObservationValue http://fhir.health.gov.il/ValueSet/il-core-observation-value from this IG
Observation.component.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.component.referenceRange.type	preferred	ObservationReferenceRangeMeaningCodes http://hl7.org/fhir/ValueSet/referencerange-meaning from the FHIR Standard
Observation.component.referenceRange.appliesTo	example	ObservationReferenceRangeAppliesToCodes http://hl7.org/fhir/ValueSet/referencerange-appliesto from the FHIR Standard
Observation.component.referenceRange.age.low	required	CommonUCUMCodesForAge http://hl7.org/fhir/ValueSet/age-units from the FHIR Standard
Observation.component.referenceRange.age.high	required	CommonUCUMCodesForAge http://hl7.org/fhir/ValueSet/age-units from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
il-vs1	error	Observation.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
il-vs2	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())
il-vs3	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 ILCoreObservation

Other representations of profile: CSV, Excel, Schematron