ISiK Formularmodul Implementation Guide
Version 6.0.0-rc - ci-build

Resource Profile: SD MII ICU Sonstige pulsatile Druecke Generisch

Official URL: https://gematik.de/fhir/isik/StructureDefinition/sd-mii-icu-sonstige-pulsatile-druecke-generisch Version: 6.0.0-rc
Active as of 2025-12-17 Computable Name: SD_MII_ICU_Sonstige_Pulsatile_Druecke_Generisch

Dieses Profil bietet eine abstrahierte Schicht zur Abbildung sonstiger pulsatiler Drücke in der Akutmedizin. Es ist generisch im Sinne der Profil-Abstraktion, allerdings explizit nicht im Sinne einer Blutdruckmessung (siehe dafür Profile zu Blutdruck im generischen Modul Vitalparameter).

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..* Observation Measurements and simple assertions
Constraints: obs-6, obs-7
... id SΣ 0..1 id serverseitige, interne ID des Datensatzes
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... basedOn Σ 0..1 Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
... status ?!SΣ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.
... category S 0..* CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
... code SΣ 1..1 CodeableConcept Type of observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
.... Slices for coding SΣ 2..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... coding:All Slices Content/Rules for all slices
...... system SΣ 1..1 uri Identity of the terminology system
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display SΣ 0..1 string Representation defined by the system
..... coding:sct-generic SΣ 1..1 Coding Code defined by a terminology system

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 75367002
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
...... system SΣ 1..1 uri Identity of the terminology system
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display SΣ 0..1 string Representation defined by the system
..... coding:sct SΣ 1..1 Coding Code defined by a terminology system
...... system SΣ 1..1 uri Identity of the terminology system
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display SΣ 0..1 string Representation defined by the system
... subject SΣ 0..1 Reference(Patient | Group | Device | Location) Who and/or what the observation is about
... encounter SΣ 0..1 Reference(Encounter) Healthcare event during which this observation is made
... effective[x] SΣ 0..1 Clinically relevant time/time-period for observation
.... effectiveDateTime dateTime
.... effectivePeriod Period
.... effectiveTiming Timing
.... effectiveInstant instant
... performer SΣ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) Who is responsible for the observation
... interpretation S 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
... bodySite S 0..1 CodeableConcept Observed body part
Binding: VS MII ICU BodySite Observation Blutdruck (extensible): Codes describing anatomical locations. May include laterality. Subset of ValueSet for Monitoring und Vitaldaten.
... method S 0..1 CodeableConcept How it was done
Binding: VS MII ICU Method Observation Blutdruck (extensible)
.... coding SΣ 0..* Coding Code defined by a terminology system
..... system SΣ 0..1 uri Identity of the terminology system
..... code SΣ 0..1 code Symbol in syntax defined by the system
... device S 0..1 Reference(Device | DeviceMetric) (Measurement) Device
... Slices for component SΣ 0..* BackboneElement Component results
Slice: Unordered, Open by pattern:code
.... component:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code SΣ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
.... component:SystolicBP SΣC 0..1 BackboneElement Component results
Constraints: vs-de-3
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code SΣ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8480-6
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
...... Slices for coding SΣ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
....... coding:loinc SΣ 1..1 Coding Code defined by a terminology system

Required Pattern: At least the following
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
........ system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
........ version 0..1 string Version of the system - if relevant
........ code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8480-6
........ display 0..1 string Representation defined by the system
........ userSelected 0..1 boolean If this coding was chosen directly by the user
........ system SΣ 1..1 uri Identity of the terminology system
........ code SΣ 1..1 code Symbol in syntax defined by the system
........ display SΣ 0..1 string Representation defined by the system
....... coding:sct SΣ 0..1 Coding Code defined by a terminology system

Required Pattern: At least the following
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
........ system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
........ version 0..1 string Version of the system - if relevant
........ code 1..1 code Symbol in syntax defined by the system
Fixed Value: 271649006
........ display 0..1 string Representation defined by the system
........ userSelected 0..1 boolean If this coding was chosen directly by the user
........ system SΣ 1..1 uri Identity of the terminology system
........ code SΣ 1..1 code Symbol in syntax defined by the system
........ display SΣ 0..1 string Representation defined by the system
....... coding:IEEE-11073 SΣ 0..* Coding Code defined by a terminology system

Required Pattern: At least the following
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
........ system 1..1 uri Identity of the terminology system
Fixed Value: urn:iso:std:iso:11073:10101
........ version 0..1 string Version of the system - if relevant
........ code 0..1 code Symbol in syntax defined by the system
........ display 0..1 string Representation defined by the system
........ userSelected 0..1 boolean If this coding was chosen directly by the user
........ system SΣ 1..1 uri Identity of the terminology system
........ code SΣ 1..1 code Symbol in syntax defined by the system
........ display SΣ 0..1 string Representation defined by the system
..... value[x] SΣ 0..1 Quantity Actual component result
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... value 0..1 decimal Numerical value (with implicit precision)
...... comparator 0..1 code < | <= | >= | > - how to understand the value
...... unit 1..1 string Unit representation
Fixed Value: millimeter Mercury column
...... system 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
...... code 1..1 code Coded form of the unit
Fixed Value: mm[Hg]
...... value SΣ 1..1 decimal Numerical value (with implicit precision)
...... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit SΣ 1..1 string Unit representation
...... system SΣC 1..1 uri System that defines coded unit form
...... code SΣ 1..1 code Coded form of the unit
..... dataAbsentReason SC 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
.... component:DiastolicBP SΣC 0..1 BackboneElement Component results
Constraints: vs-de-3
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code SΣ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8462-4
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
...... Slices for coding SΣ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
....... coding:loinc SΣ 1..1 Coding Code defined by a terminology system

Required Pattern: At least the following
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
........ system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
........ version 0..1 string Version of the system - if relevant
........ code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8462-4
........ display 0..1 string Representation defined by the system
........ userSelected 0..1 boolean If this coding was chosen directly by the user
........ system SΣ 1..1 uri Identity of the terminology system
........ code SΣ 1..1 code Symbol in syntax defined by the system
........ display SΣ 0..1 string Representation defined by the system
....... coding:sct SΣ 0..1 Coding Code defined by a terminology system

Required Pattern: At least the following
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
........ system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
........ version 0..1 string Version of the system - if relevant
........ code 1..1 code Symbol in syntax defined by the system
Fixed Value: 271650006
........ display 0..1 string Representation defined by the system
........ userSelected 0..1 boolean If this coding was chosen directly by the user
........ system SΣ 1..1 uri Identity of the terminology system
........ code SΣ 1..1 code Symbol in syntax defined by the system
........ display SΣ 0..1 string Representation defined by the system
....... coding:IEEE-11073 SΣ 0..* Coding Code defined by a terminology system

Required Pattern: At least the following
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
........ system 1..1 uri Identity of the terminology system
Fixed Value: urn:iso:std:iso:11073:10101
........ version 0..1 string Version of the system - if relevant
........ code 0..1 code Symbol in syntax defined by the system
........ display 0..1 string Representation defined by the system
........ userSelected 0..1 boolean If this coding was chosen directly by the user
........ system SΣ 1..1 uri Identity of the terminology system
........ code SΣ 1..1 code Symbol in syntax defined by the system
........ display SΣ 0..1 string Representation defined by the system
..... value[x] SΣ 0..1 Quantity Actual component result
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... value 0..1 decimal Numerical value (with implicit precision)
...... comparator 0..1 code < | <= | >= | > - how to understand the value
...... unit 1..1 string Unit representation
Fixed Value: millimeter Mercury column
...... system 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
...... code 1..1 code Coded form of the unit
Fixed Value: mm[Hg]
...... value SΣ 1..1 decimal Numerical value (with implicit precision)
...... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit SΣ 1..1 string Unit representation
...... system SΣC 1..1 uri System that defines coded unit form
...... code SΣ 1..1 code Coded form of the unit
..... dataAbsentReason SC 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
.... component:meanBP SΣC 0..1 BackboneElement Component results
Constraints: vs-de-3
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code SΣ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8478-0
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
...... Slices for coding SΣ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
....... coding:loinc SΣ 1..1 Coding Code defined by a terminology system

Required Pattern: At least the following
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
........ system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
........ version 0..1 string Version of the system - if relevant
........ code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8478-0
........ display 0..1 string Representation defined by the system
........ userSelected 0..1 boolean If this coding was chosen directly by the user
........ system SΣ 1..1 uri Identity of the terminology system
........ code SΣ 1..1 code Symbol in syntax defined by the system
........ display SΣ 0..1 string Representation defined by the system
....... coding:sct SΣ 0..1 Coding Code defined by a terminology system

Required Pattern: At least the following
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
........ system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
........ version 0..1 string Version of the system - if relevant
........ code 1..1 code Symbol in syntax defined by the system
Fixed Value: 6797001
........ display 0..1 string Representation defined by the system
........ userSelected 0..1 boolean If this coding was chosen directly by the user
........ system SΣ 1..1 uri Identity of the terminology system
........ code SΣ 1..1 code Symbol in syntax defined by the system
........ display SΣ 0..1 string Representation defined by the system
....... coding:IEEE-11073 SΣ 0..* Coding Code defined by a terminology system

Required Pattern: At least the following
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
........ system 1..1 uri Identity of the terminology system
Fixed Value: urn:iso:std:iso:11073:10101
........ version 0..1 string Version of the system - if relevant
........ code 0..1 code Symbol in syntax defined by the system
........ display 0..1 string Representation defined by the system
........ userSelected 0..1 boolean If this coding was chosen directly by the user
........ system SΣ 1..1 uri Identity of the terminology system
........ code SΣ 1..1 code Symbol in syntax defined by the system
........ display SΣ 0..1 string Representation defined by the system
..... value[x] SΣ 0..1 Quantity Actual component result
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... value 0..1 decimal Numerical value (with implicit precision)
...... comparator 0..1 code < | <= | >= | > - how to understand the value
...... unit 1..1 string Unit representation
Fixed Value: millimeter Mercury column
...... system 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
...... code 1..1 code Coded form of the unit
Fixed Value: mm[Hg]
...... value SΣ 1..1 decimal Numerical value (with implicit precision)
...... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit SΣ 1..1 string Unit representation
...... system SΣC 1..1 uri System that defines coded unit form
...... code SΣ 1..1 code Coded form of the unit

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.code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.bodySite Base extensible VS MII ICU BodySite Observation Blutdruck 📦6.0.0-rc This IG
Observation.method Base extensible VS MII ICU Method Observation Blutdruck 📦6.0.0-rc This IG
Observation.component.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:SystolicBP.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:SystolicBP.​value[x].comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:SystolicBP.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:DiastolicBP.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:DiastolicBP.​value[x].comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:DiastolicBP.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:meanBP.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:meanBP.​value[x].comparator Base required QuantityComparator 📍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 **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions 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-de-3 error Observation.component:SystolicBP, Observation.component:DiastolicBP, Observation.component:meanBP If there is no value a data absent reason must be present value.exists() xor dataAbsentReason.exists()

This structure is derived from Observation

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation 0..* Observation Measurements and simple assertions
... id S 0..1 id serverseitige, interne ID des Datensatzes
... meta
.... versionId 0..1 id Eindeutiger Name der serverseitigen Version des Datensatzes
.... lastUpdated 0..1 instant Zeitpunkt der letzten Änderung
... identifier S 0..* Identifier Business Identifier for observation
... status S 1..1 code registered | preliminary | final | amended +
... category S 0..* CodeableConcept Classification of type of observation
... code S 1..1 CodeableConcept Type of observation (code / type)
.... Slices for coding S 2..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... coding:All Slices Content/Rules for all slices
...... system S 1..1 uri Identity of the terminology system
...... code S 1..1 code Symbol in syntax defined by the system
...... display S 0..1 string Representation defined by the system
..... coding:sct-generic S 1..1 Coding Code defined by a terminology system
Required Pattern: At least the following
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 75367002
..... coding:sct S 1..1 Coding Code defined by a terminology system
... subject S 0..1 Reference(Patient | Group | Device | Location) Who and/or what the observation is about
... encounter S 0..1 Reference(Encounter) Healthcare event during which this observation is made
... effective[x] S 0..1 dateTime, Period, Timing, instant Clinically relevant time/time-period for observation
... performer S 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) Who is responsible for the observation
... value[x] S 0..0 Actual result
... dataAbsentReason S 0..0 Why the result is missing
... interpretation S 0..* CodeableConcept High, low, normal, etc.
... bodySite S 0..1 CodeableConcept Observed body part
Binding: VS MII ICU BodySite Observation Blutdruck (extensible): Codes describing anatomical locations. May include laterality. Subset of ValueSet for Monitoring und Vitaldaten.
... method S 0..1 CodeableConcept How it was done
Binding: VS MII ICU Method Observation Blutdruck (extensible)
.... coding S 0..* Coding Code defined by a terminology system
..... system S 0..1 uri Identity of the terminology system
..... code S 0..1 code Symbol in syntax defined by the system
... device S 0..1 Reference(Device | DeviceMetric) (Measurement) Device
... referenceRange S 0..0 Provides guide for interpretation
... Slices for component S 0..* BackboneElement Component results
Slice: Unordered, Open by pattern:code
.... component:All Slices Content/Rules for all slices
..... code S 1..1 CodeableConcept Type of component observation (code / type)
.... component:SystolicBP SC 0..1 BackboneElement Component results
Constraints: vs-de-3
..... code 1..1 CodeableConcept Type of component observation (code / type)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8480-6
...... Slices for coding S 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
....... coding:loinc S 1..1 Coding Code defined by a terminology system
Required Pattern: At least the following
........ system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
........ code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8480-6
........ system S 1..1 uri Identity of the terminology system
........ code S 1..1 code Symbol in syntax defined by the system
........ display S 0..1 string Representation defined by the system
....... coding:sct S 0..1 Coding Code defined by a terminology system
Required Pattern: At least the following
........ system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
........ code 1..1 code Symbol in syntax defined by the system
Fixed Value: 271649006
........ system S 1..1 uri Identity of the terminology system
........ code S 1..1 code Symbol in syntax defined by the system
........ display S 0..1 string Representation defined by the system
....... coding:IEEE-11073 S 0..* Coding Code defined by a terminology system

Required Pattern: At least the following
........ system 1..1 uri Identity of the terminology system
Fixed Value: urn:iso:std:iso:11073:10101
........ system S 1..1 uri Identity of the terminology system
........ code S 1..1 code Symbol in syntax defined by the system
........ display S 0..1 string Representation defined by the system
..... value[x] S 0..1 Quantity Actual component result
Required Pattern: At least the following
...... unit 1..1 string Unit representation
Fixed Value: millimeter Mercury column
...... system 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
...... code 1..1 code Coded form of the unit
Fixed Value: mm[Hg]
...... value S 1..1 decimal Numerical value (with implicit precision)
...... unit S 1..1 string Unit representation
...... system S 1..1 uri System that defines coded unit form
...... code S 1..1 code Coded form of the unit
..... dataAbsentReason S 0..1 CodeableConcept Why the component result is missing
.... component:DiastolicBP SC 0..1 BackboneElement Component results
Constraints: vs-de-3
..... code 1..1 CodeableConcept Type of component observation (code / type)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8462-4
...... Slices for coding S 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
....... coding:loinc S 1..1 Coding Code defined by a terminology system
Required Pattern: At least the following
........ system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
........ code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8462-4
........ system S 1..1 uri Identity of the terminology system
........ code S 1..1 code Symbol in syntax defined by the system
........ display S 0..1 string Representation defined by the system
....... coding:sct S 0..1 Coding Code defined by a terminology system
Required Pattern: At least the following
........ system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
........ code 1..1 code Symbol in syntax defined by the system
Fixed Value: 271650006
........ system S 1..1 uri Identity of the terminology system
........ code S 1..1 code Symbol in syntax defined by the system
........ display S 0..1 string Representation defined by the system
....... coding:IEEE-11073 S 0..* Coding Code defined by a terminology system

Required Pattern: At least the following
........ system 1..1 uri Identity of the terminology system
Fixed Value: urn:iso:std:iso:11073:10101
........ system S 1..1 uri Identity of the terminology system
........ code S 1..1 code Symbol in syntax defined by the system
........ display S 0..1 string Representation defined by the system
..... value[x] S 0..1 Quantity Actual component result
Required Pattern: At least the following
...... unit 1..1 string Unit representation
Fixed Value: millimeter Mercury column
...... system 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
...... code 1..1 code Coded form of the unit
Fixed Value: mm[Hg]
...... value S 1..1 decimal Numerical value (with implicit precision)
...... unit S 1..1 string Unit representation
...... system S 1..1 uri System that defines coded unit form
...... code S 1..1 code Coded form of the unit
..... dataAbsentReason S 0..1 CodeableConcept Why the component result is missing
.... component:meanBP SC 0..1 BackboneElement Component results
Constraints: vs-de-3
..... code 1..1 CodeableConcept Type of component observation (code / type)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8478-0
...... Slices for coding S 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
....... coding:loinc S 1..1 Coding Code defined by a terminology system
Required Pattern: At least the following
........ system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
........ code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8478-0
........ system S 1..1 uri Identity of the terminology system
........ code S 1..1 code Symbol in syntax defined by the system
........ display S 0..1 string Representation defined by the system
....... coding:sct S 0..1 Coding Code defined by a terminology system
Required Pattern: At least the following
........ system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
........ code 1..1 code Symbol in syntax defined by the system
Fixed Value: 6797001
........ system S 1..1 uri Identity of the terminology system
........ code S 1..1 code Symbol in syntax defined by the system
........ display S 0..1 string Representation defined by the system
....... coding:IEEE-11073 S 0..* Coding Code defined by a terminology system

Required Pattern: At least the following
........ system 1..1 uri Identity of the terminology system
Fixed Value: urn:iso:std:iso:11073:10101
........ system S 1..1 uri Identity of the terminology system
........ code S 1..1 code Symbol in syntax defined by the system
........ display S 0..1 string Representation defined by the system
..... value[x] S 0..1 Quantity Actual component result
Required Pattern: At least the following
...... unit 1..1 string Unit representation
Fixed Value: millimeter Mercury column
...... system 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
...... code 1..1 code Coded form of the unit
Fixed Value: mm[Hg]
...... value S 1..1 decimal Numerical value (with implicit precision)
...... unit S 1..1 string Unit representation
...... system S 1..1 uri System that defines coded unit form
...... code S 1..1 code Coded form of the unit

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Observation.bodySite Base extensible VS MII ICU BodySite Observation Blutdruck 📦6.0.0-rc This IG
Observation.method Base extensible VS MII ICU Method Observation Blutdruck 📦6.0.0-rc This IG

Constraints

Id Grade Path(s) Description Expression
vs-de-3 error Observation.component:SystolicBP, Observation.component:DiastolicBP, Observation.component:meanBP If there is no value a data absent reason must be present value.exists() xor dataAbsentReason.exists()
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* Observation Measurements and simple assertions
Constraints: obs-6, obs-7
... id SΣ 0..1 id serverseitige, interne ID des Datensatzes
... meta Σ 0..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Eindeutiger Name der serverseitigen Version des Datensatzes
.... lastUpdated Σ 0..1 instant Zeitpunkt der letzten Änderung
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile Σ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... 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
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 0..* Identifier Business Identifier for observation
... basedOn Σ 0..1 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 registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.
... category S 0..* CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
... code SΣ 1..1 CodeableConcept Type of observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
.... 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 SΣ 2..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... coding: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
...... system SΣ 1..1 uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display SΣ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:sct-generic SΣ 1..1 Coding Code defined by a terminology system

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 75367002
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
...... 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
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display SΣ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:sct 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
...... system SΣ 1..1 uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display SΣ 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
... subject SΣ 0..1 Reference(Patient | Group | Device | Location) 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 SΣ 0..1 Reference(Encounter) Healthcare event during which this observation is made
... effective[x] SΣ 0..1 Clinically relevant time/time-period for observation
.... effectiveDateTime dateTime
.... effectivePeriod Period
.... effectiveTiming Timing
.... effectiveInstant instant
... issued Σ 0..1 instant Date/Time this version was made available
... performer SΣ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) Who is responsible for the observation
... interpretation S 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
... note 0..* Annotation Comments about the observation
... bodySite S 0..1 CodeableConcept Observed body part
Binding: VS MII ICU BodySite Observation Blutdruck (extensible): Codes describing anatomical locations. May include laterality. Subset of ValueSet for Monitoring und Vitaldaten.
... method S 0..1 CodeableConcept How it was done
Binding: VS MII ICU Method Observation Blutdruck (extensible)
.... 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 SΣ 0..* 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 0..1 uri Identity of the terminology system
..... version Σ 0..1 string Version of the system - if relevant
..... code SΣ 0..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
... specimen 0..1 Reference(Specimen) Specimen used for this observation
... device S 0..1 Reference(Device | DeviceMetric) (Measurement) Device
... hasMember Σ 0..* Reference(Observation | QuestionnaireResponse | MolecularSequence) Related resource that belongs to the Observation group
... derivedFrom Σ 0..* Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) Related measurements the observation is made from
... Slices for component SΣ 0..* BackboneElement Component results
Slice: Unordered, Open by pattern:code
.... component: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
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code SΣ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
..... value[x] Σ 0..1 Actual component result
...... valueQuantity Quantity
...... valueCodeableConcept CodeableConcept
...... valueString string
...... valueBoolean boolean
...... valueInteger integer
...... valueRange Range
...... valueRatio Ratio
...... valueSampledData SampledData
...... valueTime time
...... valueDateTime dateTime
...... valuePeriod Period
..... dataAbsentReason C 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..* See referenceRange (Observation) Provides guide for interpretation of component result
.... component:SystolicBP SΣC 0..1 BackboneElement Component results
Constraints: vs-de-3
..... 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: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8480-6
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
...... 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 SΣ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
....... coding:loinc SΣ 1..1 Coding Code defined by a terminology system

Required Pattern: At least the following
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
........ system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
........ version 0..1 string Version of the system - if relevant
........ code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8480-6
........ display 0..1 string Representation defined by the system
........ userSelected 0..1 boolean If this coding was chosen directly by the user
........ 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
........ version Σ 0..1 string Version of the system - if relevant
........ code SΣ 1..1 code Symbol in syntax defined by the system
........ display SΣ 0..1 string Representation defined by the system
........ userSelected Σ 0..1 boolean If this coding was chosen directly by the user
....... coding:sct SΣ 0..1 Coding Code defined by a terminology system

Required Pattern: At least the following
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
........ system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
........ version 0..1 string Version of the system - if relevant
........ code 1..1 code Symbol in syntax defined by the system
Fixed Value: 271649006
........ display 0..1 string Representation defined by the system
........ userSelected 0..1 boolean If this coding was chosen directly by the user
........ 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
........ version Σ 0..1 string Version of the system - if relevant
........ code SΣ 1..1 code Symbol in syntax defined by the system
........ display SΣ 0..1 string Representation defined by the system
........ userSelected Σ 0..1 boolean If this coding was chosen directly by the user
....... coding:IEEE-11073 SΣ 0..* Coding Code defined by a terminology system

Required Pattern: At least the following
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
........ system 1..1 uri Identity of the terminology system
Fixed Value: urn:iso:std:iso:11073:10101
........ version 0..1 string Version of the system - if relevant
........ code 0..1 code Symbol in syntax defined by the system
........ display 0..1 string Representation defined by the system
........ userSelected 0..1 boolean If this coding was chosen directly by the user
........ 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
........ version Σ 0..1 string Version of the system - if relevant
........ code SΣ 1..1 code Symbol in syntax defined by the system
........ display SΣ 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
..... value[x] SΣ 0..1 Quantity Actual component result
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... value 0..1 decimal Numerical value (with implicit precision)
...... comparator 0..1 code < | <= | >= | > - how to understand the value
...... unit 1..1 string Unit representation
Fixed Value: millimeter Mercury column
...... system 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
...... code 1..1 code Coded form of the unit
Fixed Value: mm[Hg]
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... value SΣ 1..1 decimal Numerical value (with implicit precision)
...... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit SΣ 1..1 string Unit representation
...... system SΣC 1..1 uri System that defines coded unit form
...... code SΣ 1..1 code Coded form of the unit
..... 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..* See referenceRange (Observation) Provides guide for interpretation of component result
.... component:DiastolicBP SΣC 0..1 BackboneElement Component results
Constraints: vs-de-3
..... 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: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8462-4
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
...... 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 SΣ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
....... coding:loinc SΣ 1..1 Coding Code defined by a terminology system

Required Pattern: At least the following
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
........ system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
........ version 0..1 string Version of the system - if relevant
........ code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8462-4
........ display 0..1 string Representation defined by the system
........ userSelected 0..1 boolean If this coding was chosen directly by the user
........ 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
........ version Σ 0..1 string Version of the system - if relevant
........ code SΣ 1..1 code Symbol in syntax defined by the system
........ display SΣ 0..1 string Representation defined by the system
........ userSelected Σ 0..1 boolean If this coding was chosen directly by the user
....... coding:sct SΣ 0..1 Coding Code defined by a terminology system

Required Pattern: At least the following
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
........ system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
........ version 0..1 string Version of the system - if relevant
........ code 1..1 code Symbol in syntax defined by the system
Fixed Value: 271650006
........ display 0..1 string Representation defined by the system
........ userSelected 0..1 boolean If this coding was chosen directly by the user
........ 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
........ version Σ 0..1 string Version of the system - if relevant
........ code SΣ 1..1 code Symbol in syntax defined by the system
........ display SΣ 0..1 string Representation defined by the system
........ userSelected Σ 0..1 boolean If this coding was chosen directly by the user
....... coding:IEEE-11073 SΣ 0..* Coding Code defined by a terminology system

Required Pattern: At least the following
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
........ system 1..1 uri Identity of the terminology system
Fixed Value: urn:iso:std:iso:11073:10101
........ version 0..1 string Version of the system - if relevant
........ code 0..1 code Symbol in syntax defined by the system
........ display 0..1 string Representation defined by the system
........ userSelected 0..1 boolean If this coding was chosen directly by the user
........ 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
........ version Σ 0..1 string Version of the system - if relevant
........ code SΣ 1..1 code Symbol in syntax defined by the system
........ display SΣ 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
..... value[x] SΣ 0..1 Quantity Actual component result
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... value 0..1 decimal Numerical value (with implicit precision)
...... comparator 0..1 code < | <= | >= | > - how to understand the value
...... unit 1..1 string Unit representation
Fixed Value: millimeter Mercury column
...... system 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
...... code 1..1 code Coded form of the unit
Fixed Value: mm[Hg]
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... value SΣ 1..1 decimal Numerical value (with implicit precision)
...... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit SΣ 1..1 string Unit representation
...... system SΣC 1..1 uri System that defines coded unit form
...... code SΣ 1..1 code Coded form of the unit
..... 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..* See referenceRange (Observation) Provides guide for interpretation of component result
.... component:meanBP SΣC 0..1 BackboneElement Component results
Constraints: vs-de-3
..... 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: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8478-0
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
...... 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 SΣ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
....... coding:loinc SΣ 1..1 Coding Code defined by a terminology system

Required Pattern: At least the following
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
........ system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
........ version 0..1 string Version of the system - if relevant
........ code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8478-0
........ display 0..1 string Representation defined by the system
........ userSelected 0..1 boolean If this coding was chosen directly by the user
........ 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
........ version Σ 0..1 string Version of the system - if relevant
........ code SΣ 1..1 code Symbol in syntax defined by the system
........ display SΣ 0..1 string Representation defined by the system
........ userSelected Σ 0..1 boolean If this coding was chosen directly by the user
....... coding:sct SΣ 0..1 Coding Code defined by a terminology system

Required Pattern: At least the following
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
........ system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
........ version 0..1 string Version of the system - if relevant
........ code 1..1 code Symbol in syntax defined by the system
Fixed Value: 6797001
........ display 0..1 string Representation defined by the system
........ userSelected 0..1 boolean If this coding was chosen directly by the user
........ 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
........ version Σ 0..1 string Version of the system - if relevant
........ code SΣ 1..1 code Symbol in syntax defined by the system
........ display SΣ 0..1 string Representation defined by the system
........ userSelected Σ 0..1 boolean If this coding was chosen directly by the user
....... coding:IEEE-11073 SΣ 0..* Coding Code defined by a terminology system

Required Pattern: At least the following
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
........ system 1..1 uri Identity of the terminology system
Fixed Value: urn:iso:std:iso:11073:10101
........ version 0..1 string Version of the system - if relevant
........ code 0..1 code Symbol in syntax defined by the system
........ display 0..1 string Representation defined by the system
........ userSelected 0..1 boolean If this coding was chosen directly by the user
........ 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
........ version Σ 0..1 string Version of the system - if relevant
........ code SΣ 1..1 code Symbol in syntax defined by the system
........ display SΣ 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
..... value[x] SΣ 0..1 Quantity Actual component result
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... value 0..1 decimal Numerical value (with implicit precision)
...... comparator 0..1 code < | <= | >= | > - how to understand the value
...... unit 1..1 string Unit representation
Fixed Value: millimeter Mercury column
...... system 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
...... code 1..1 code Coded form of the unit
Fixed Value: mm[Hg]
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... value SΣ 1..1 decimal Numerical value (with implicit precision)
...... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit SΣ 1..1 string Unit representation
...... system SΣC 1..1 uri System that defines coded unit form
...... code SΣ 1..1 code Coded form of the unit
..... dataAbsentReason C 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..* See referenceRange (Observation) Provides guide for interpretation of component result

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.meta.security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
Observation.meta.tag Base example Common Tags 📍4.0.1 FHIR Std.
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.code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.bodySite Base extensible VS MII ICU BodySite Observation Blutdruck 📦6.0.0-rc This IG
Observation.method Base extensible VS MII ICU Method Observation Blutdruck 📦6.0.0-rc This IG
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 example LOINC Codes 📍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.
Observation.component:SystolicBP.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:SystolicBP.​value[x].comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:SystolicBP.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:SystolicBP.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:DiastolicBP.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:DiastolicBP.​value[x].comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:DiastolicBP.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:DiastolicBP.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:meanBP.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:meanBP.​value[x].comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:meanBP.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:meanBP.​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 **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions 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-de-3 error Observation.component:SystolicBP, Observation.component:DiastolicBP, Observation.component:meanBP If there is no value a data absent reason must be present value.exists() xor dataAbsentReason.exists()
ElementShort descriptionNotes
Observation.bodySite
Observation.category
Observation.code
Observation.code.coding
Observation.code.coding.code
Observation.code.coding.display
Observation.code.coding.system
Observation.code.coding:sct
Observation.code.coding:sct-generic
Observation.component
Observation.component.code
Observation.component:DiastolicBP
Observation.component:DiastolicBP.code.coding
Observation.component:DiastolicBP.code.coding:IEEE-11073
Observation.component:DiastolicBP.code.coding:IEEE-11073.code
Observation.component:DiastolicBP.code.coding:IEEE-11073.display
Observation.component:DiastolicBP.code.coding:IEEE-11073.system
Observation.component:DiastolicBP.code.coding:loinc
Observation.component:DiastolicBP.code.coding:loinc.code
Observation.component:DiastolicBP.code.coding:loinc.display
Observation.component:DiastolicBP.code.coding:loinc.system
Observation.component:DiastolicBP.code.coding:sct
Observation.component:DiastolicBP.code.coding:sct.code
Observation.component:DiastolicBP.code.coding:sct.display
Observation.component:DiastolicBP.code.coding:sct.system
Observation.component:DiastolicBP.dataAbsentReason
Observation.component:DiastolicBP.value[x]
Observation.component:DiastolicBP.value[x].code
Observation.component:DiastolicBP.value[x].system
Observation.component:DiastolicBP.value[x].unit
Observation.component:DiastolicBP.value[x].value
Observation.component:SystolicBP
Observation.component:SystolicBP.code.coding
Observation.component:SystolicBP.code.coding:IEEE-11073
Observation.component:SystolicBP.code.coding:IEEE-11073.code
Observation.component:SystolicBP.code.coding:IEEE-11073.display
Observation.component:SystolicBP.code.coding:IEEE-11073.system
Observation.component:SystolicBP.code.coding:loinc
Observation.component:SystolicBP.code.coding:loinc.code
Observation.component:SystolicBP.code.coding:loinc.display
Observation.component:SystolicBP.code.coding:loinc.system
Observation.component:SystolicBP.code.coding:sct
Observation.component:SystolicBP.code.coding:sct.code
Observation.component:SystolicBP.code.coding:sct.display
Observation.component:SystolicBP.code.coding:sct.system
Observation.component:SystolicBP.dataAbsentReason
Observation.component:SystolicBP.value[x]
Observation.component:SystolicBP.value[x].code
Observation.component:SystolicBP.value[x].system
Observation.component:SystolicBP.value[x].unit
Observation.component:SystolicBP.value[x].value
Observation.component:meanBP
Observation.component:meanBP.code.coding
Observation.component:meanBP.code.coding:IEEE-11073
Observation.component:meanBP.code.coding:IEEE-11073.code
Observation.component:meanBP.code.coding:IEEE-11073.display
Observation.component:meanBP.code.coding:IEEE-11073.system
Observation.component:meanBP.code.coding:loinc
Observation.component:meanBP.code.coding:loinc.code
Observation.component:meanBP.code.coding:loinc.display
Observation.component:meanBP.code.coding:loinc.system
Observation.component:meanBP.code.coding:sct
Observation.component:meanBP.code.coding:sct.code
Observation.component:meanBP.code.coding:sct.display
Observation.component:meanBP.code.coding:sct.system
Observation.component:meanBP.value[x]
Observation.component:meanBP.value[x].code
Observation.component:meanBP.value[x].system
Observation.component:meanBP.value[x].unit
Observation.component:meanBP.value[x].value
Observation.dataAbsentReason
Observation.device
Observation.effective[x]
Observation.encounter
Observation.id serverseitige, interne ID des Datensatzes

bedingtes Pflichtfeld/bedingtes MS: Alle von einem Server bereitgestellten Ressourcen MÜSSEN über eine id verfügen. Von Clients erzeugte Ressourcen, die im Kontext einer CREATE-Interaktion übermittelt werden, MÜSSEN NICHT über eine idverfügen.

Observation.identifier
Observation.interpretation
Observation.method
Observation.method.coding
Observation.method.coding.code
Observation.method.coding.system
Observation.performer

Motivation MS: Dieses Feld stellt eine präzisierende Angaben zum Zweck der Qualitätsbewertung bereit

Observation.referenceRange
Observation.status

Motivation MS: Observation.status ist bereits durch die Kardinalität der Basisklasse Observation erzwungen. Dieses Feld dient der Präzisierung des Status der Untersuchung

Observation.subject
Observation.value[x]

This structure is derived from Observation

Summary

Mandatory: 4 elements(36 nested mandatory elements)
Must-Support: 86 elements
Prohibited: 3 elements

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Observation.code.coding
  • The element 1 is sliced based on the value of Observation.component
  • The element 1 is sliced based on the value of Observation.component.code.coding

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* Observation Measurements and simple assertions
Constraints: obs-6, obs-7
... id SΣ 0..1 id serverseitige, interne ID des Datensatzes
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... basedOn Σ 0..1 Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
... status ?!SΣ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.
... category S 0..* CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
... code SΣ 1..1 CodeableConcept Type of observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
.... Slices for coding SΣ 2..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... coding:All Slices Content/Rules for all slices
...... system SΣ 1..1 uri Identity of the terminology system
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display SΣ 0..1 string Representation defined by the system
..... coding:sct-generic SΣ 1..1 Coding Code defined by a terminology system

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 75367002
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
...... system SΣ 1..1 uri Identity of the terminology system
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display SΣ 0..1 string Representation defined by the system
..... coding:sct SΣ 1..1 Coding Code defined by a terminology system
...... system SΣ 1..1 uri Identity of the terminology system
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display SΣ 0..1 string Representation defined by the system
... subject SΣ 0..1 Reference(Patient | Group | Device | Location) Who and/or what the observation is about
... encounter SΣ 0..1 Reference(Encounter) Healthcare event during which this observation is made
... effective[x] SΣ 0..1 Clinically relevant time/time-period for observation
.... effectiveDateTime dateTime
.... effectivePeriod Period
.... effectiveTiming Timing
.... effectiveInstant instant
... performer SΣ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) Who is responsible for the observation
... interpretation S 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
... bodySite S 0..1 CodeableConcept Observed body part
Binding: VS MII ICU BodySite Observation Blutdruck (extensible): Codes describing anatomical locations. May include laterality. Subset of ValueSet for Monitoring und Vitaldaten.
... method S 0..1 CodeableConcept How it was done
Binding: VS MII ICU Method Observation Blutdruck (extensible)
.... coding SΣ 0..* Coding Code defined by a terminology system
..... system SΣ 0..1 uri Identity of the terminology system
..... code SΣ 0..1 code Symbol in syntax defined by the system
... device S 0..1 Reference(Device | DeviceMetric) (Measurement) Device
... Slices for component SΣ 0..* BackboneElement Component results
Slice: Unordered, Open by pattern:code
.... component:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code SΣ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
.... component:SystolicBP SΣC 0..1 BackboneElement Component results
Constraints: vs-de-3
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code SΣ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8480-6
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
...... Slices for coding SΣ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
....... coding:loinc SΣ 1..1 Coding Code defined by a terminology system

Required Pattern: At least the following
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
........ system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
........ version 0..1 string Version of the system - if relevant
........ code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8480-6
........ display 0..1 string Representation defined by the system
........ userSelected 0..1 boolean If this coding was chosen directly by the user
........ system SΣ 1..1 uri Identity of the terminology system
........ code SΣ 1..1 code Symbol in syntax defined by the system
........ display SΣ 0..1 string Representation defined by the system
....... coding:sct SΣ 0..1 Coding Code defined by a terminology system

Required Pattern: At least the following
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
........ system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
........ version 0..1 string Version of the system - if relevant
........ code 1..1 code Symbol in syntax defined by the system
Fixed Value: 271649006
........ display 0..1 string Representation defined by the system
........ userSelected 0..1 boolean If this coding was chosen directly by the user
........ system SΣ 1..1 uri Identity of the terminology system
........ code SΣ 1..1 code Symbol in syntax defined by the system
........ display SΣ 0..1 string Representation defined by the system
....... coding:IEEE-11073 SΣ 0..* Coding Code defined by a terminology system

Required Pattern: At least the following
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
........ system 1..1 uri Identity of the terminology system
Fixed Value: urn:iso:std:iso:11073:10101
........ version 0..1 string Version of the system - if relevant
........ code 0..1 code Symbol in syntax defined by the system
........ display 0..1 string Representation defined by the system
........ userSelected 0..1 boolean If this coding was chosen directly by the user
........ system SΣ 1..1 uri Identity of the terminology system
........ code SΣ 1..1 code Symbol in syntax defined by the system
........ display SΣ 0..1 string Representation defined by the system
..... value[x] SΣ 0..1 Quantity Actual component result
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... value 0..1 decimal Numerical value (with implicit precision)
...... comparator 0..1 code < | <= | >= | > - how to understand the value
...... unit 1..1 string Unit representation
Fixed Value: millimeter Mercury column
...... system 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
...... code 1..1 code Coded form of the unit
Fixed Value: mm[Hg]
...... value SΣ 1..1 decimal Numerical value (with implicit precision)
...... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit SΣ 1..1 string Unit representation
...... system SΣC 1..1 uri System that defines coded unit form
...... code SΣ 1..1 code Coded form of the unit
..... dataAbsentReason SC 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
.... component:DiastolicBP SΣC 0..1 BackboneElement Component results
Constraints: vs-de-3
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code SΣ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8462-4
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
...... Slices for coding SΣ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
....... coding:loinc SΣ 1..1 Coding Code defined by a terminology system

Required Pattern: At least the following
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
........ system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
........ version 0..1 string Version of the system - if relevant
........ code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8462-4
........ display 0..1 string Representation defined by the system
........ userSelected 0..1 boolean If this coding was chosen directly by the user
........ system SΣ 1..1 uri Identity of the terminology system
........ code SΣ 1..1 code Symbol in syntax defined by the system
........ display SΣ 0..1 string Representation defined by the system
....... coding:sct SΣ 0..1 Coding Code defined by a terminology system

Required Pattern: At least the following
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
........ system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
........ version 0..1 string Version of the system - if relevant
........ code 1..1 code Symbol in syntax defined by the system
Fixed Value: 271650006
........ display 0..1 string Representation defined by the system
........ userSelected 0..1 boolean If this coding was chosen directly by the user
........ system SΣ 1..1 uri Identity of the terminology system
........ code SΣ 1..1 code Symbol in syntax defined by the system
........ display SΣ 0..1 string Representation defined by the system
....... coding:IEEE-11073 SΣ 0..* Coding Code defined by a terminology system

Required Pattern: At least the following
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
........ system 1..1 uri Identity of the terminology system
Fixed Value: urn:iso:std:iso:11073:10101
........ version 0..1 string Version of the system - if relevant
........ code 0..1 code Symbol in syntax defined by the system
........ display 0..1 string Representation defined by the system
........ userSelected 0..1 boolean If this coding was chosen directly by the user
........ system SΣ 1..1 uri Identity of the terminology system
........ code SΣ 1..1 code Symbol in syntax defined by the system
........ display SΣ 0..1 string Representation defined by the system
..... value[x] SΣ 0..1 Quantity Actual component result
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... value 0..1 decimal Numerical value (with implicit precision)
...... comparator 0..1 code < | <= | >= | > - how to understand the value
...... unit 1..1 string Unit representation
Fixed Value: millimeter Mercury column
...... system 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
...... code 1..1 code Coded form of the unit
Fixed Value: mm[Hg]
...... value SΣ 1..1 decimal Numerical value (with implicit precision)
...... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit SΣ 1..1 string Unit representation
...... system SΣC 1..1 uri System that defines coded unit form
...... code SΣ 1..1 code Coded form of the unit
..... dataAbsentReason SC 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
.... component:meanBP SΣC 0..1 BackboneElement Component results
Constraints: vs-de-3
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code SΣ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8478-0
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
...... Slices for coding SΣ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
....... coding:loinc SΣ 1..1 Coding Code defined by a terminology system

Required Pattern: At least the following
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
........ system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
........ version 0..1 string Version of the system - if relevant
........ code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8478-0
........ display 0..1 string Representation defined by the system
........ userSelected 0..1 boolean If this coding was chosen directly by the user
........ system SΣ 1..1 uri Identity of the terminology system
........ code SΣ 1..1 code Symbol in syntax defined by the system
........ display SΣ 0..1 string Representation defined by the system
....... coding:sct SΣ 0..1 Coding Code defined by a terminology system

Required Pattern: At least the following
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
........ system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
........ version 0..1 string Version of the system - if relevant
........ code 1..1 code Symbol in syntax defined by the system
Fixed Value: 6797001
........ display 0..1 string Representation defined by the system
........ userSelected 0..1 boolean If this coding was chosen directly by the user
........ system SΣ 1..1 uri Identity of the terminology system
........ code SΣ 1..1 code Symbol in syntax defined by the system
........ display SΣ 0..1 string Representation defined by the system
....... coding:IEEE-11073 SΣ 0..* Coding Code defined by a terminology system

Required Pattern: At least the following
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
........ system 1..1 uri Identity of the terminology system
Fixed Value: urn:iso:std:iso:11073:10101
........ version 0..1 string Version of the system - if relevant
........ code 0..1 code Symbol in syntax defined by the system
........ display 0..1 string Representation defined by the system
........ userSelected 0..1 boolean If this coding was chosen directly by the user
........ system SΣ 1..1 uri Identity of the terminology system
........ code SΣ 1..1 code Symbol in syntax defined by the system
........ display SΣ 0..1 string Representation defined by the system
..... value[x] SΣ 0..1 Quantity Actual component result
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... value 0..1 decimal Numerical value (with implicit precision)
...... comparator 0..1 code < | <= | >= | > - how to understand the value
...... unit 1..1 string Unit representation
Fixed Value: millimeter Mercury column
...... system 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
...... code 1..1 code Coded form of the unit
Fixed Value: mm[Hg]
...... value SΣ 1..1 decimal Numerical value (with implicit precision)
...... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit SΣ 1..1 string Unit representation
...... system SΣC 1..1 uri System that defines coded unit form
...... code SΣ 1..1 code Coded form of the unit

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.code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.bodySite Base extensible VS MII ICU BodySite Observation Blutdruck 📦6.0.0-rc This IG
Observation.method Base extensible VS MII ICU Method Observation Blutdruck 📦6.0.0-rc This IG
Observation.component.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:SystolicBP.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:SystolicBP.​value[x].comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:SystolicBP.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:DiastolicBP.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:DiastolicBP.​value[x].comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:DiastolicBP.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:meanBP.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:meanBP.​value[x].comparator Base required QuantityComparator 📍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 **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions 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-de-3 error Observation.component:SystolicBP, Observation.component:DiastolicBP, Observation.component:meanBP If there is no value a data absent reason must be present value.exists() xor dataAbsentReason.exists()

Differential View

This structure is derived from Observation

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation 0..* Observation Measurements and simple assertions
... id S 0..1 id serverseitige, interne ID des Datensatzes
... meta
.... versionId 0..1 id Eindeutiger Name der serverseitigen Version des Datensatzes
.... lastUpdated 0..1 instant Zeitpunkt der letzten Änderung
... identifier S 0..* Identifier Business Identifier for observation
... status S 1..1 code registered | preliminary | final | amended +
... category S 0..* CodeableConcept Classification of type of observation
... code S 1..1 CodeableConcept Type of observation (code / type)
.... Slices for coding S 2..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... coding:All Slices Content/Rules for all slices
...... system S 1..1 uri Identity of the terminology system
...... code S 1..1 code Symbol in syntax defined by the system
...... display S 0..1 string Representation defined by the system
..... coding:sct-generic S 1..1 Coding Code defined by a terminology system
Required Pattern: At least the following
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 75367002
..... coding:sct S 1..1 Coding Code defined by a terminology system
... subject S 0..1 Reference(Patient | Group | Device | Location) Who and/or what the observation is about
... encounter S 0..1 Reference(Encounter) Healthcare event during which this observation is made
... effective[x] S 0..1 dateTime, Period, Timing, instant Clinically relevant time/time-period for observation
... performer S 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) Who is responsible for the observation
... value[x] S 0..0 Actual result
... dataAbsentReason S 0..0 Why the result is missing
... interpretation S 0..* CodeableConcept High, low, normal, etc.
... bodySite S 0..1 CodeableConcept Observed body part
Binding: VS MII ICU BodySite Observation Blutdruck (extensible): Codes describing anatomical locations. May include laterality. Subset of ValueSet for Monitoring und Vitaldaten.
... method S 0..1 CodeableConcept How it was done
Binding: VS MII ICU Method Observation Blutdruck (extensible)
.... coding S 0..* Coding Code defined by a terminology system
..... system S 0..1 uri Identity of the terminology system
..... code S 0..1 code Symbol in syntax defined by the system
... device S 0..1 Reference(Device | DeviceMetric) (Measurement) Device
... referenceRange S 0..0 Provides guide for interpretation
... Slices for component S 0..* BackboneElement Component results
Slice: Unordered, Open by pattern:code
.... component:All Slices Content/Rules for all slices
..... code S 1..1 CodeableConcept Type of component observation (code / type)
.... component:SystolicBP SC 0..1 BackboneElement Component results
Constraints: vs-de-3
..... code 1..1 CodeableConcept Type of component observation (code / type)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8480-6
...... Slices for coding S 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
....... coding:loinc S 1..1 Coding Code defined by a terminology system
Required Pattern: At least the following
........ system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
........ code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8480-6
........ system S 1..1 uri Identity of the terminology system
........ code S 1..1 code Symbol in syntax defined by the system
........ display S 0..1 string Representation defined by the system
....... coding:sct S 0..1 Coding Code defined by a terminology system
Required Pattern: At least the following
........ system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
........ code 1..1 code Symbol in syntax defined by the system
Fixed Value: 271649006
........ system S 1..1 uri Identity of the terminology system
........ code S 1..1 code Symbol in syntax defined by the system
........ display S 0..1 string Representation defined by the system
....... coding:IEEE-11073 S 0..* Coding Code defined by a terminology system

Required Pattern: At least the following
........ system 1..1 uri Identity of the terminology system
Fixed Value: urn:iso:std:iso:11073:10101
........ system S 1..1 uri Identity of the terminology system
........ code S 1..1 code Symbol in syntax defined by the system
........ display S 0..1 string Representation defined by the system
..... value[x] S 0..1 Quantity Actual component result
Required Pattern: At least the following
...... unit 1..1 string Unit representation
Fixed Value: millimeter Mercury column
...... system 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
...... code 1..1 code Coded form of the unit
Fixed Value: mm[Hg]
...... value S 1..1 decimal Numerical value (with implicit precision)
...... unit S 1..1 string Unit representation
...... system S 1..1 uri System that defines coded unit form
...... code S 1..1 code Coded form of the unit
..... dataAbsentReason S 0..1 CodeableConcept Why the component result is missing
.... component:DiastolicBP SC 0..1 BackboneElement Component results
Constraints: vs-de-3
..... code 1..1 CodeableConcept Type of component observation (code / type)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8462-4
...... Slices for coding S 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
....... coding:loinc S 1..1 Coding Code defined by a terminology system
Required Pattern: At least the following
........ system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
........ code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8462-4
........ system S 1..1 uri Identity of the terminology system
........ code S 1..1 code Symbol in syntax defined by the system
........ display S 0..1 string Representation defined by the system
....... coding:sct S 0..1 Coding Code defined by a terminology system
Required Pattern: At least the following
........ system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
........ code 1..1 code Symbol in syntax defined by the system
Fixed Value: 271650006
........ system S 1..1 uri Identity of the terminology system
........ code S 1..1 code Symbol in syntax defined by the system
........ display S 0..1 string Representation defined by the system
....... coding:IEEE-11073 S 0..* Coding Code defined by a terminology system

Required Pattern: At least the following
........ system 1..1 uri Identity of the terminology system
Fixed Value: urn:iso:std:iso:11073:10101
........ system S 1..1 uri Identity of the terminology system
........ code S 1..1 code Symbol in syntax defined by the system
........ display S 0..1 string Representation defined by the system
..... value[x] S 0..1 Quantity Actual component result
Required Pattern: At least the following
...... unit 1..1 string Unit representation
Fixed Value: millimeter Mercury column
...... system 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
...... code 1..1 code Coded form of the unit
Fixed Value: mm[Hg]
...... value S 1..1 decimal Numerical value (with implicit precision)
...... unit S 1..1 string Unit representation
...... system S 1..1 uri System that defines coded unit form
...... code S 1..1 code Coded form of the unit
..... dataAbsentReason S 0..1 CodeableConcept Why the component result is missing
.... component:meanBP SC 0..1 BackboneElement Component results
Constraints: vs-de-3
..... code 1..1 CodeableConcept Type of component observation (code / type)
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8478-0
...... Slices for coding S 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
....... coding:loinc S 1..1 Coding Code defined by a terminology system
Required Pattern: At least the following
........ system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
........ code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8478-0
........ system S 1..1 uri Identity of the terminology system
........ code S 1..1 code Symbol in syntax defined by the system
........ display S 0..1 string Representation defined by the system
....... coding:sct S 0..1 Coding Code defined by a terminology system
Required Pattern: At least the following
........ system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
........ code 1..1 code Symbol in syntax defined by the system
Fixed Value: 6797001
........ system S 1..1 uri Identity of the terminology system
........ code S 1..1 code Symbol in syntax defined by the system
........ display S 0..1 string Representation defined by the system
....... coding:IEEE-11073 S 0..* Coding Code defined by a terminology system

Required Pattern: At least the following
........ system 1..1 uri Identity of the terminology system
Fixed Value: urn:iso:std:iso:11073:10101
........ system S 1..1 uri Identity of the terminology system
........ code S 1..1 code Symbol in syntax defined by the system
........ display S 0..1 string Representation defined by the system
..... value[x] S 0..1 Quantity Actual component result
Required Pattern: At least the following
...... unit 1..1 string Unit representation
Fixed Value: millimeter Mercury column
...... system 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
...... code 1..1 code Coded form of the unit
Fixed Value: mm[Hg]
...... value S 1..1 decimal Numerical value (with implicit precision)
...... unit S 1..1 string Unit representation
...... system S 1..1 uri System that defines coded unit form
...... code S 1..1 code Coded form of the unit

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Observation.bodySite Base extensible VS MII ICU BodySite Observation Blutdruck 📦6.0.0-rc This IG
Observation.method Base extensible VS MII ICU Method Observation Blutdruck 📦6.0.0-rc This IG

Constraints

Id Grade Path(s) Description Expression
vs-de-3 error Observation.component:SystolicBP, Observation.component:DiastolicBP, Observation.component:meanBP If there is no value a data absent reason must be present value.exists() xor dataAbsentReason.exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* Observation Measurements and simple assertions
Constraints: obs-6, obs-7
... id SΣ 0..1 id serverseitige, interne ID des Datensatzes
... meta Σ 0..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Eindeutiger Name der serverseitigen Version des Datensatzes
.... lastUpdated Σ 0..1 instant Zeitpunkt der letzten Änderung
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile Σ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... 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
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 0..* Identifier Business Identifier for observation
... basedOn Σ 0..1 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 registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.
... category S 0..* CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
... code SΣ 1..1 CodeableConcept Type of observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
.... 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 SΣ 2..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... coding: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
...... system SΣ 1..1 uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display SΣ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:sct-generic SΣ 1..1 Coding Code defined by a terminology system

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 75367002
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
...... 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
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display SΣ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:sct 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
...... system SΣ 1..1 uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display SΣ 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
... subject SΣ 0..1 Reference(Patient | Group | Device | Location) 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 SΣ 0..1 Reference(Encounter) Healthcare event during which this observation is made
... effective[x] SΣ 0..1 Clinically relevant time/time-period for observation
.... effectiveDateTime dateTime
.... effectivePeriod Period
.... effectiveTiming Timing
.... effectiveInstant instant
... issued Σ 0..1 instant Date/Time this version was made available
... performer SΣ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) Who is responsible for the observation
... interpretation S 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
... note 0..* Annotation Comments about the observation
... bodySite S 0..1 CodeableConcept Observed body part
Binding: VS MII ICU BodySite Observation Blutdruck (extensible): Codes describing anatomical locations. May include laterality. Subset of ValueSet for Monitoring und Vitaldaten.
... method S 0..1 CodeableConcept How it was done
Binding: VS MII ICU Method Observation Blutdruck (extensible)
.... 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 SΣ 0..* 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 0..1 uri Identity of the terminology system
..... version Σ 0..1 string Version of the system - if relevant
..... code SΣ 0..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
... specimen 0..1 Reference(Specimen) Specimen used for this observation
... device S 0..1 Reference(Device | DeviceMetric) (Measurement) Device
... hasMember Σ 0..* Reference(Observation | QuestionnaireResponse | MolecularSequence) Related resource that belongs to the Observation group
... derivedFrom Σ 0..* Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) Related measurements the observation is made from
... Slices for component SΣ 0..* BackboneElement Component results
Slice: Unordered, Open by pattern:code
.... component: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
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code SΣ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
..... value[x] Σ 0..1 Actual component result
...... valueQuantity Quantity
...... valueCodeableConcept CodeableConcept
...... valueString string
...... valueBoolean boolean
...... valueInteger integer
...... valueRange Range
...... valueRatio Ratio
...... valueSampledData SampledData
...... valueTime time
...... valueDateTime dateTime
...... valuePeriod Period
..... dataAbsentReason C 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..* See referenceRange (Observation) Provides guide for interpretation of component result
.... component:SystolicBP SΣC 0..1 BackboneElement Component results
Constraints: vs-de-3
..... 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: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8480-6
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
...... 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 SΣ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
....... coding:loinc SΣ 1..1 Coding Code defined by a terminology system

Required Pattern: At least the following
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
........ system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
........ version 0..1 string Version of the system - if relevant
........ code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8480-6
........ display 0..1 string Representation defined by the system
........ userSelected 0..1 boolean If this coding was chosen directly by the user
........ 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
........ version Σ 0..1 string Version of the system - if relevant
........ code SΣ 1..1 code Symbol in syntax defined by the system
........ display SΣ 0..1 string Representation defined by the system
........ userSelected Σ 0..1 boolean If this coding was chosen directly by the user
....... coding:sct SΣ 0..1 Coding Code defined by a terminology system

Required Pattern: At least the following
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
........ system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
........ version 0..1 string Version of the system - if relevant
........ code 1..1 code Symbol in syntax defined by the system
Fixed Value: 271649006
........ display 0..1 string Representation defined by the system
........ userSelected 0..1 boolean If this coding was chosen directly by the user
........ 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
........ version Σ 0..1 string Version of the system - if relevant
........ code SΣ 1..1 code Symbol in syntax defined by the system
........ display SΣ 0..1 string Representation defined by the system
........ userSelected Σ 0..1 boolean If this coding was chosen directly by the user
....... coding:IEEE-11073 SΣ 0..* Coding Code defined by a terminology system

Required Pattern: At least the following
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
........ system 1..1 uri Identity of the terminology system
Fixed Value: urn:iso:std:iso:11073:10101
........ version 0..1 string Version of the system - if relevant
........ code 0..1 code Symbol in syntax defined by the system
........ display 0..1 string Representation defined by the system
........ userSelected 0..1 boolean If this coding was chosen directly by the user
........ 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
........ version Σ 0..1 string Version of the system - if relevant
........ code SΣ 1..1 code Symbol in syntax defined by the system
........ display SΣ 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
..... value[x] SΣ 0..1 Quantity Actual component result
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... value 0..1 decimal Numerical value (with implicit precision)
...... comparator 0..1 code < | <= | >= | > - how to understand the value
...... unit 1..1 string Unit representation
Fixed Value: millimeter Mercury column
...... system 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
...... code 1..1 code Coded form of the unit
Fixed Value: mm[Hg]
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... value SΣ 1..1 decimal Numerical value (with implicit precision)
...... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit SΣ 1..1 string Unit representation
...... system SΣC 1..1 uri System that defines coded unit form
...... code SΣ 1..1 code Coded form of the unit
..... 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..* See referenceRange (Observation) Provides guide for interpretation of component result
.... component:DiastolicBP SΣC 0..1 BackboneElement Component results
Constraints: vs-de-3
..... 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: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8462-4
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
...... 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 SΣ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
....... coding:loinc SΣ 1..1 Coding Code defined by a terminology system

Required Pattern: At least the following
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
........ system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
........ version 0..1 string Version of the system - if relevant
........ code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8462-4
........ display 0..1 string Representation defined by the system
........ userSelected 0..1 boolean If this coding was chosen directly by the user
........ 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
........ version Σ 0..1 string Version of the system - if relevant
........ code SΣ 1..1 code Symbol in syntax defined by the system
........ display SΣ 0..1 string Representation defined by the system
........ userSelected Σ 0..1 boolean If this coding was chosen directly by the user
....... coding:sct SΣ 0..1 Coding Code defined by a terminology system

Required Pattern: At least the following
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
........ system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
........ version 0..1 string Version of the system - if relevant
........ code 1..1 code Symbol in syntax defined by the system
Fixed Value: 271650006
........ display 0..1 string Representation defined by the system
........ userSelected 0..1 boolean If this coding was chosen directly by the user
........ 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
........ version Σ 0..1 string Version of the system - if relevant
........ code SΣ 1..1 code Symbol in syntax defined by the system
........ display SΣ 0..1 string Representation defined by the system
........ userSelected Σ 0..1 boolean If this coding was chosen directly by the user
....... coding:IEEE-11073 SΣ 0..* Coding Code defined by a terminology system

Required Pattern: At least the following
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
........ system 1..1 uri Identity of the terminology system
Fixed Value: urn:iso:std:iso:11073:10101
........ version 0..1 string Version of the system - if relevant
........ code 0..1 code Symbol in syntax defined by the system
........ display 0..1 string Representation defined by the system
........ userSelected 0..1 boolean If this coding was chosen directly by the user
........ 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
........ version Σ 0..1 string Version of the system - if relevant
........ code SΣ 1..1 code Symbol in syntax defined by the system
........ display SΣ 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
..... value[x] SΣ 0..1 Quantity Actual component result
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... value 0..1 decimal Numerical value (with implicit precision)
...... comparator 0..1 code < | <= | >= | > - how to understand the value
...... unit 1..1 string Unit representation
Fixed Value: millimeter Mercury column
...... system 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
...... code 1..1 code Coded form of the unit
Fixed Value: mm[Hg]
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... value SΣ 1..1 decimal Numerical value (with implicit precision)
...... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit SΣ 1..1 string Unit representation
...... system SΣC 1..1 uri System that defines coded unit form
...... code SΣ 1..1 code Coded form of the unit
..... 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..* See referenceRange (Observation) Provides guide for interpretation of component result
.... component:meanBP SΣC 0..1 BackboneElement Component results
Constraints: vs-de-3
..... 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: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8478-0
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
...... 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 SΣ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
....... coding:loinc SΣ 1..1 Coding Code defined by a terminology system

Required Pattern: At least the following
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
........ system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
........ version 0..1 string Version of the system - if relevant
........ code 1..1 code Symbol in syntax defined by the system
Fixed Value: 8478-0
........ display 0..1 string Representation defined by the system
........ userSelected 0..1 boolean If this coding was chosen directly by the user
........ 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
........ version Σ 0..1 string Version of the system - if relevant
........ code SΣ 1..1 code Symbol in syntax defined by the system
........ display SΣ 0..1 string Representation defined by the system
........ userSelected Σ 0..1 boolean If this coding was chosen directly by the user
....... coding:sct SΣ 0..1 Coding Code defined by a terminology system

Required Pattern: At least the following
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
........ system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
........ version 0..1 string Version of the system - if relevant
........ code 1..1 code Symbol in syntax defined by the system
Fixed Value: 6797001
........ display 0..1 string Representation defined by the system
........ userSelected 0..1 boolean If this coding was chosen directly by the user
........ 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
........ version Σ 0..1 string Version of the system - if relevant
........ code SΣ 1..1 code Symbol in syntax defined by the system
........ display SΣ 0..1 string Representation defined by the system
........ userSelected Σ 0..1 boolean If this coding was chosen directly by the user
....... coding:IEEE-11073 SΣ 0..* Coding Code defined by a terminology system

Required Pattern: At least the following
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
........ system 1..1 uri Identity of the terminology system
Fixed Value: urn:iso:std:iso:11073:10101
........ version 0..1 string Version of the system - if relevant
........ code 0..1 code Symbol in syntax defined by the system
........ display 0..1 string Representation defined by the system
........ userSelected 0..1 boolean If this coding was chosen directly by the user
........ 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
........ version Σ 0..1 string Version of the system - if relevant
........ code SΣ 1..1 code Symbol in syntax defined by the system
........ display SΣ 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
..... value[x] SΣ 0..1 Quantity Actual component result
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... value 0..1 decimal Numerical value (with implicit precision)
...... comparator 0..1 code < | <= | >= | > - how to understand the value
...... unit 1..1 string Unit representation
Fixed Value: millimeter Mercury column
...... system 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
...... code 1..1 code Coded form of the unit
Fixed Value: mm[Hg]
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... value SΣ 1..1 decimal Numerical value (with implicit precision)
...... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit SΣ 1..1 string Unit representation
...... system SΣC 1..1 uri System that defines coded unit form
...... code SΣ 1..1 code Coded form of the unit
..... dataAbsentReason C 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..* See referenceRange (Observation) Provides guide for interpretation of component result

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.meta.security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
Observation.meta.tag Base example Common Tags 📍4.0.1 FHIR Std.
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.code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.bodySite Base extensible VS MII ICU BodySite Observation Blutdruck 📦6.0.0-rc This IG
Observation.method Base extensible VS MII ICU Method Observation Blutdruck 📦6.0.0-rc This IG
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 example LOINC Codes 📍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.
Observation.component:SystolicBP.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:SystolicBP.​value[x].comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:SystolicBP.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:SystolicBP.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:DiastolicBP.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:DiastolicBP.​value[x].comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:DiastolicBP.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:DiastolicBP.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:meanBP.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:meanBP.​value[x].comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:meanBP.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:meanBP.​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 **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions 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-de-3 error Observation.component:SystolicBP, Observation.component:DiastolicBP, Observation.component:meanBP If there is no value a data absent reason must be present value.exists() xor dataAbsentReason.exists()

This structure is derived from Observation

Summary

Mandatory: 4 elements(36 nested mandatory elements)
Must-Support: 86 elements
Prohibited: 3 elements

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Observation.code.coding
  • The element 1 is sliced based on the value of Observation.component
  • The element 1 is sliced based on the value of Observation.component.code.coding

 

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