FHIR Server FHIR Server Version n/a

{
  "resourceType" : "StructureDefinition",
  "id" : "sd-mii-icu-monitoring-und-vitaldaten",
  "url" : "https://gematik.de/fhir/isik/StructureDefinition/sd-mii-icu-monitoring-und-vitaldaten",
  "version" : "5.0.0-rc",
  "name" : "SD_MII_ICU_Monitoring_Und_Vitaldaten",
  "title" : "SD MII ICU Monitoring und Vitaldaten",
  "status" : "active",
  "experimental" : false,
  "date" : "2025-05-13",
  "publisher" : "gematik GmbH",
  "fhirVersion" : "4.0.1",
  "kind" : "resource",
  "abstract" : false,
  "type" : "Observation",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Observation",
  "derivation" : "constraint",
  "differential" : {
    "element" : [
      {
        "id" : "Observation",
        "path" : "Observation",
        "constraint" : [
          {
            "key" : "vs-de-2",
            "human" : "If there is no component or hasMember element then either a value[x] or a data absent reason must be present",
            "source" : "https://gematik.de/fhir/isik/StructureDefinition/sd-mii-icu-monitoring-und-vitaldaten",
            "severity" : "error",
            "expression" : "(component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists())"
          }
        ]
      },
      {
        "id" : "Observation.identifier",
        "path" : "Observation.identifier",
        "mustSupport" : true
      },
      {
        "id" : "Observation.basedOn",
        "path" : "Observation.basedOn",
        "short" : "maximal Kardinalität bei Übernahme aus MII-Kerndatensatz-ICU entfernt",
        "mustSupport" : true
      },
      {
        "id" : "Observation.partOf",
        "path" : "Observation.partOf",
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Procedure"
            ]
          }
        ]
      },
      {
        "id" : "Observation.status",
        "path" : "Observation.status",
        "comment" : "Motivation MS: Observation.status ist bereits durch die Kardinalität der Basisklasse Observation erzwungen. Dieses Feld dient der Präzisierung des Status der Untersuchung",
        "mustSupport" : true
      },
      {
        "id" : "Observation.category",
        "path" : "Observation.category",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "pattern",
              "path" : "$this"
            }
          ],
          "ordered" : false,
          "rules" : "open"
        },
        "min" : 1,
        "mustSupport" : true
      },
      {
        "id" : "Observation.category:vs-cat",
        "path" : "Observation.category",
        "sliceName" : "vs-cat",
        "min" : 1,
        "max" : "1",
        "patternCodeableConcept" : {
          "coding" : [
            {
              "code" : "vital-signs",
              "system" : "http://terminology.hl7.org/CodeSystem/observation-category"
            }
          ]
        },
        "mustSupport" : true
      },
      {
        "id" : "Observation.category:vs-cat.coding",
        "path" : "Observation.category.coding",
        "mustSupport" : true
      },
      {
        "id" : "Observation.category:vs-cat.coding.system",
        "path" : "Observation.category.coding.system",
        "min" : 1,
        "mustSupport" : true
      },
      {
        "id" : "Observation.category:vs-cat.coding.code",
        "path" : "Observation.category.coding.code",
        "min" : 1,
        "mustSupport" : true
      },
      {
        "id" : "Observation.code",
        "path" : "Observation.code",
        "constraint" : [
          {
            "key" : "code-coding-icu",
            "human" : "Es muss mindestens ein snomed oder loinc code vorhanden sein",
            "source" : "https://gematik.de/fhir/isik/StructureDefinition/sd-mii-icu-monitoring-und-vitaldaten",
            "severity" : "error",
            "expression" : "coding.exists() implies coding.where(system = 'http://snomed.info/sct').exists() or coding.where(system = 'http://loinc.org').exists()"
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Observation.code.coding",
        "path" : "Observation.code.coding",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "pattern",
              "path" : "$this"
            }
          ],
          "rules" : "open"
        },
        "min" : 1
      },
      {
        "id" : "Observation.code.coding:sct",
        "path" : "Observation.code.coding",
        "sliceName" : "sct",
        "min" : 0,
        "max" : "*",
        "patternCoding" : {
          "system" : "http://snomed.info/sct"
        },
        "mustSupport" : true,
        "binding" : {
          "strength" : "required",
          "valueSet" : "https://gematik.de/fhir/isik/ValueSet/vs-mii-icu-code-monitoring-und-vitaldaten-snomed"
        }
      },
      {
        "id" : "Observation.code.coding:sct.system",
        "path" : "Observation.code.coding.system",
        "min" : 1,
        "mustSupport" : true
      },
      {
        "id" : "Observation.code.coding:sct.code",
        "path" : "Observation.code.coding.code",
        "min" : 1,
        "mustSupport" : true
      },
      {
        "id" : "Observation.code.coding:loinc",
        "path" : "Observation.code.coding",
        "sliceName" : "loinc",
        "min" : 0,
        "max" : "*",
        "patternCoding" : {
          "system" : "http://loinc.org"
        },
        "mustSupport" : true,
        "binding" : {
          "strength" : "required",
          "valueSet" : "https://gematik.de/fhir/isik/ValueSet/vs-mii-icu-code-monitoring-und-vitaldaten-loinc"
        }
      },
      {
        "id" : "Observation.code.coding:loinc.system",
        "path" : "Observation.code.coding.system",
        "min" : 1,
        "mustSupport" : true
      },
      {
        "id" : "Observation.code.coding:loinc.code",
        "path" : "Observation.code.coding.code",
        "min" : 1,
        "mustSupport" : true
      },
      {
        "id" : "Observation.code.coding:IEEE-11073",
        "path" : "Observation.code.coding",
        "sliceName" : "IEEE-11073",
        "min" : 0,
        "max" : "*",
        "patternCoding" : {
          "system" : "urn:iso:std:iso:11073:10101"
        },
        "mustSupport" : true,
        "binding" : {
          "strength" : "required",
          "valueSet" : "https://gematik.de/fhir/isik/ValueSet/vs-mii-icu-code-monitoring-und-vitaldaten-iso11073"
        }
      },
      {
        "id" : "Observation.code.coding:IEEE-11073.system",
        "path" : "Observation.code.coding.system",
        "min" : 1,
        "mustSupport" : true
      },
      {
        "id" : "Observation.code.coding:IEEE-11073.code",
        "path" : "Observation.code.coding.code",
        "min" : 1,
        "mustSupport" : true
      },
      {
        "id" : "Observation.subject",
        "path" : "Observation.subject",
        "min" : 1,
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org/fhir/StructureDefinition/Patient"
            ]
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Observation.encounter",
        "path" : "Observation.encounter",
        "mustSupport" : true
      },
      {
        "id" : "Observation.effective[x]",
        "path" : "Observation.effective[x]",
        "min" : 1,
        "type" : [
          {
            "code" : "dateTime"
          },
          {
            "code" : "Period"
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Observation.performer",
        "path" : "Observation.performer",
        "comment" : "Motivation MS: Dieses Feld stellt eine präzisierende Angaben zum Zweck der Qualitätsbewertung bereit",
        "mustSupport" : true
      },
      {
        "id" : "Observation.value[x]",
        "path" : "Observation.value[x]",
        "type" : [
          {
            "code" : "Quantity"
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Observation.value[x].value",
        "path" : "Observation.value[x].value",
        "min" : 1,
        "mustSupport" : true
      },
      {
        "id" : "Observation.value[x].unit",
        "path" : "Observation.value[x].unit",
        "mustSupport" : true
      },
      {
        "id" : "Observation.value[x].system",
        "path" : "Observation.value[x].system",
        "min" : 1,
        "patternUri" : "http://unitsofmeasure.org",
        "mustSupport" : true
      },
      {
        "id" : "Observation.value[x].code",
        "path" : "Observation.value[x].code",
        "min" : 1,
        "mustSupport" : true
      },
      {
        "id" : "Observation.dataAbsentReason",
        "path" : "Observation.dataAbsentReason",
        "constraint" : [
          {
            "key" : "mii-icu-1",
            "human" : "If there is no Observation.value, a dataAbsentReason must be given.",
            "source" : "https://gematik.de/fhir/isik/StructureDefinition/sd-mii-icu-monitoring-und-vitaldaten",
            "severity" : "error",
            "expression" : "value.exists().not() implies dataAbsentReason.exists()"
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Observation.interpretation",
        "path" : "Observation.interpretation",
        "mustSupport" : true
      },
      {
        "id" : "Observation.bodySite",
        "path" : "Observation.bodySite",
        "mustSupport" : true,
        "binding" : {
          "strength" : "extensible",
          "valueSet" : "https://gematik.de/fhir/isik/ValueSet/vs-mii-icu-bodysite-observation-monitoring-und-vitaldaten"
        }
      },
      {
        "id" : "Observation.method",
        "path" : "Observation.method",
        "comment" : "Motivation MS: Dieses Feld stellt eine präzisierende Angaben zum Zweck der Qualitätsbewertung bereit",
        "mustSupport" : true
      },
      {
        "id" : "Observation.device",
        "path" : "Observation.device",
        "mustSupport" : true
      },
      {
        "id" : "Observation.referenceRange",
        "path" : "Observation.referenceRange",
        "mustSupport" : true
      },
      {
        "id" : "Observation.component",
        "path" : "Observation.component",
        "mustSupport" : true
      },
      {
        "id" : "Observation.component.code",
        "path" : "Observation.component.code",
        "mustSupport" : true
      },
      {
        "id" : "Observation.component.value[x]",
        "path" : "Observation.component.value[x]",
        "type" : [
          {
            "code" : "Quantity"
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Observation.component.dataAbsentReason",
        "path" : "Observation.component.dataAbsentReason",
        "mustSupport" : true
      },
      {
        "id" : "Observation.component.interpretation",
        "path" : "Observation.component.interpretation",
        "mustSupport" : true
      },
      {
        "id" : "Observation.component.referenceRange",
        "path" : "Observation.component.referenceRange",
        "mustSupport" : true
      }
    ]
  },
  "text" : {
  }
}

XIG built as of ??metadata-date??. Found ??metadata-resources?? resources in ??metadata-packages?? packages.