# MII PR Person Vitalstatus - MII Implementation Guide Core Dataset Base v2026.0.1

## Ressourcenprofil: MII PR Person Vitalstatus 

 
Vitalstatus einer Patientin oder eines Patienten. 

**Beispielhafte Anwendungsszenarien:**

* Dokumentation des Vitalstatus (lebend/verstorben) einer PatientIn zu bestimmten Zeitpunkten
* Nachverfolgung des letzten bekannten Lebenszeitpunktes für PatientInnen in klinischen und Forschungskontexten
* Erfassung von Vitalstatus-Observationen bei jeder Krankenhausaufnahme und Entlassung
* Unterstützung von Mortalitätsanalysen und Überlebensstudien in Forschungsanwendungen
* Pflege der Vitalstatus-Historie durch mehrere Observation-Instanzen über die Zeit

### Profilspezifische Implementierungshinweise

Dieser Abschnitt enthält detaillierte Implementierungshinweise für das MII-Vitalstatus-Profil.

#### Anforderungen an Observation-Instanzen

**Mehrere Observationen:**

* Für jede Beobachtung/Angabe des Vitalstatus einer PatientIn **MUSS** eine **neue** Observation-Instanz erzeugt werden
* Alle Observation-Instanzen **MÜSSEN** `status='final'` haben
* Jede Instanz repräsentiert eine zeitpunktbezogene Aussage über den Vitalstatus der PatientIn

**Häufigkeit der Dokumentation:**

* Der Vitalstatus ("letzter bekannter Lebenszeitpunkt") **SOLL** mindestens bei jeder Aufnahme/Entlassung anlassbezogen als Observation erstellt werden
* Die Häufigkeit der Erhebung ist ansonsten nicht weiter geregelt und kann variieren
* Die Quelldaten sind oft nur schwer zu erschließen und erfordern möglicherweise manuelle Recherche (z.B. Kontaktaufnahme, öffentliche Informationen wie Todesanzeigen)

##### Best Practice - Datenquellen für Vitalstatus

**Administrative Entlassung:** Die administrative Entlassung der PatientIn aufgrund des Todes **SOLL** dokumentiert werden (siehe Modul Fall - Entlassungsgrund) und **KANN** als nützliche Datenquelle für den Vitalstatus dienen.

**Integration:** Systeme **SOLLEN** Workflows etablieren, um automatisch Vitalstatus-Observationen zu erstellen, wenn der Entlassungsgrund auf Tod hinweist, um Konsistenz zwischen administrativer und klinischer Dokumentation zu gewährleisten.

**Manuelle Recherche:** In Fällen, in denen der Vitalstatus unklar ist, kann manuelle Recherche notwendig sein (Kontaktversuche, öffentliche Aufzeichnungen). Dokumentieren Sie die Informationsquelle angemessen in zugehörigen Metadaten (Provenance-Ressource).

#### Verpflichtende Elemente

**Feste Werte:**

* **`Observation.category`**: Fester Wert `survey` **MUSS** vorhanden sein; weitere Codings sind **OPTIONAL**
* **`Observation.code`**: Fester LOINC-Code `67162-8` **MUSS** vorhanden sein; weitere Codings sind **OPTIONAL**

**Patientenbezug:**

* **`Observation.subject`**: Referenz auf Patient **MUSS** gegeben sein
* Der Vitalstatus ist inhärent patientenspezifisch und kann ohne diese Referenz nicht existieren

**Effective DateTime:**

* **`Observation.effectiveDateTime`**: **VERPFLICHTEND** genaue Angabe des letzten Lebendzeitpunktes 
* **KANN** partielle Datumsangaben enthalten (Jahr, Jahr-Monat), wenn das genaue Datum unbekannt ist
* Enthält **nicht** den Todeszeitpunkt (siehe `Patient.deceased[x]` für die Dokumentation des Todes)
* Repräsentiert den Zeitpunkt, zu dem die PatientIn bekanntermaßen im dokumentierten Vitalstatus war
 

##### Best Practice - effectiveDateTime vs. Patient.deceased[x]

**Unterscheidung:** `Observation.effectiveDateTime` repräsentiert den **letzten bekannten Lebendzeitpunkt** oder den Zeitpunkt der Vitalstatus-Feststellung, NICHT den Todeszeitpunkt.

**Dokumentation des Todes:** Verwenden Sie `Patient.deceased[x]` (vorzugsweise `deceasedDateTime`), um den tatsächlichen Todeszeitpunkt zu dokumentieren.

**Beispielszenario:**

* PatientIn lebend entlassen am 15.03.2024 → Vitalstatus-Observation mit `effectiveDateTime = 2024-03-15` und `valueCodeableConcept = "L" (lebend)`
* PatientIn verstorben bestätigt am 20.04.2024 → Aktualisierung `Patient.deceasedDateTime = 2024-04-20` und Erstellung einer neuen Vitalstatus-Observation mit `effectiveDateTime = 2024-04-20` und `valueCodeableConcept = "T" (tot)`

#### Wert-Dokumentation

**`Observation.valueCodeableConcept`:**

* Verwendet Codes aus dem MII Vitalstatus CodeSystem: 
* `L` = lebend
* `T` = tot
* `X` = unbekannt
 

Siehe [Formal Views](#profile) für das vollständige ValueSet-Binding.

**Usages:**

* Examples for this Profile: [Observation/mii-exa-person-observation-vitalstatus-discharge](Observation-mii-exa-person-observation-vitalstatus-discharge.md) and [Observation/mii-exa-person-observation-vitalstatus](Observation-mii-exa-person-observation-vitalstatus.md)
* CapabilityStatements using this Profile: [MII CPS Person CapabilityStatement](CapabilityStatement-mii-cps-person-capabilitystatement.md)

You can also check for [usages in the FHIR IG Statistics](https://packages2.fhir.org/xig/resource/de.medizininformatikinitiative.kerndatensatz.base|current/StructureDefinition/StructureDefinition-mii-pr-person-vitalstatus.json)

### Formale Ansichten des Profilinhalts

 [Beschreibung von Profilen, Differentials, Snapshots und deren Repräsentationen](http://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#structure-definitions). 

*  [Schlüsselelemente-Tabelle](#tabs-key) 
*  [Differential-Tabelle](#tabs-diff) 
*  [Snapshot-Tabelle](#tabs-snap) 
*  [Statistiken/Referenzen](#tabs-summ) 
*  [Alle](#tabs-all) 

#### Terminology Bindings

#### Constraints

Diese Struktur ist abgeleitet von [Observation](http://hl7.org/fhir/R4/observation.html) 

#### Terminology Bindings (Differential)

#### Terminology Bindings

#### Constraints

Diese Struktur ist abgeleitet von [Observation](http://hl7.org/fhir/R4/observation.html) 

** Summary **

Mandatory: 13 elements
 Must-Support: 25 elements
 Fixed: 1 element
 Prohibited: 4 elements

**Slices**

This structure defines the following [Slices](http://hl7.org/fhir/R4/profiling.html#slices):

* The element 1 is sliced based on the value of Observation.category
* The element 1 is sliced based on the value of Observation.code.coding
* The element 1 is sliced based on the value of Observation.value[x].coding

 **Schlüsselelemente-Ansicht** 

#### Terminology Bindings

#### Constraints

 **Differential-Ansicht** 

Diese Struktur ist abgeleitet von [Observation](http://hl7.org/fhir/R4/observation.html) 

#### Terminology Bindings (Differential)

 **Snapshot-AnsichtView** 

#### Terminology Bindings

#### Constraints

Diese Struktur ist abgeleitet von [Observation](http://hl7.org/fhir/R4/observation.html) 

** Summary **

Mandatory: 13 elements
 Must-Support: 25 elements
 Fixed: 1 element
 Prohibited: 4 elements

**Slices**

This structure defines the following [Slices](http://hl7.org/fhir/R4/profiling.html#slices):

* The element 1 is sliced based on the value of Observation.category
* The element 1 is sliced based on the value of Observation.code.coding
* The element 1 is sliced based on the value of Observation.value[x].coding

 

Weitere Repräsentationen des Profils: [CSV](../StructureDefinition-mii-pr-person-vitalstatus.csv), [Excel](../StructureDefinition-mii-pr-person-vitalstatus.xlsx), [Schematron](../StructureDefinition-mii-pr-person-vitalstatus.sch) 



## Resource Content

```json
{
  "resourceType" : "StructureDefinition",
  "id" : "mii-pr-person-vitalstatus",
  "meta" : {
    "extension" : [{
      "url" : "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-license",
      "valueCode" : "CC-BY-4.0"
    },
    {
      "extension" : [{
        "url" : "packageId",
        "valueId" : "de.medizininformatikinitiative.kerndatensatz.base"
      },
      {
        "url" : "version",
        "valueString" : "2026.0.1"
      },
      {
        "url" : "uri",
        "valueUri" : "https://www.medizininformatik-initiative.de/fhir/modul-base"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/package-source"
    }],
    "profile" : ["http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareablestructuredefinition",
    "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-publishablestructuredefinition"]
  },
  "extension" : [{
    "url" : "http://hl7.org/fhir/StructureDefinition/artifact-versionAlgorithm",
    "valueCoding" : {
      "system" : "http://hl7.org/fhir/version-algorithm",
      "code" : "semver",
      "display" : "SemVer"
    }
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability",
    "valueCode" : "shareable"
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability",
    "valueCode" : "publishable"
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/artifact-versionPolicy",
    "valueCodeableConcept" : {
      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/artifact-version-policy-codes",
        "code" : "package",
        "display" : "Package"
      }]
    }
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/artifact-usage",
    "valueMarkdown" : "Use this profile as the technical FHIR representation of the corresponding Medical Informatics Initiative logical model. The profile constrains a base FHIR resource for the MII module context by specifying how elements are used, which elements are required or not used, which extensions and terminology bindings apply, and how the resource maps to the module-specific content model. Implementers should produce and consume resource instances that conform to this profile when exchanging data for the corresponding MII module."
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/resource-approvalDate",
    "valueDate" : "2024-03-07"
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/resource-effectivePeriod",
    "valuePeriod" : {
      "start" : "2026"
    }
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/artifact-topic",
    "valueCodeableConcept" : {
      "coding" : [{
        "system" : "http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl",
        "code" : "C25717"
      }]
    }
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/artifact-author",
    "valueContactDetail" : {
      "telecom" : [{
        "system" : "email",
        "value" : "julian.sass@charite.de"
      }]
    }
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/artifact-editor",
    "valueContactDetail" : {
      "name" : "Taskforce Core Data Set"
    }
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/artifact-reviewer",
    "valueContactDetail" : {
      "name" : "Interoperability Working Group",
      "telecom" : [{
        "system" : "url",
        "value" : "https://www.medizininformatik-initiative.de/en/collaboration/interoperability-working-group"
      }]
    }
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/artifact-reviewer",
    "valueContactDetail" : {
      "name" : "National Steering Committee",
      "telecom" : [{
        "system" : "url",
        "value" : "https://www.medizininformatik-initiative.de/en/collaboration/national-steering-committee"
      }]
    }
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/artifact-endorser",
    "valueContactDetail" : {
      "name" : "Interoperability Working Group",
      "telecom" : [{
        "system" : "url",
        "value" : "https://www.medizininformatik-initiative.de/en/collaboration/interoperability-working-group"
      }]
    }
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/artifact-endorser",
    "valueContactDetail" : {
      "name" : "National Steering Committee",
      "telecom" : [{
        "system" : "url",
        "value" : "https://www.medizininformatik-initiative.de/en/collaboration/national-steering-committee"
      }]
    }
  }],
  "url" : "https://www.medizininformatik-initiative.de/fhir/core/modul-person/StructureDefinition/Vitalstatus",
  "version" : "2026.0.1",
  "name" : "MII_PR_Person_Vitalstatus",
  "title" : "MII PR Person Vitalstatus",
  "_title" : {
    "extension" : [{
      "extension" : [{
        "url" : "lang",
        "valueCode" : "de-DE"
      },
      {
        "url" : "content",
        "valueString" : "Vitalstatus"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/translation"
    },
    {
      "extension" : [{
        "url" : "lang",
        "valueCode" : "en-US"
      },
      {
        "url" : "content",
        "valueString" : "Vital status"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/translation"
    }]
  },
  "status" : "active",
  "experimental" : false,
  "date" : "2026-06-09",
  "publisher" : "Medical Informatics Initiative (MII)",
  "contact" : [{
    "name" : "Medical Informatics Initiative (MII)",
    "telecom" : [{
      "system" : "url",
      "value" : "https://www.medizininformatik-initiative.de/en"
    }]
  }],
  "description" : "Dieses Profil beschreibt den Vitalstatus der Patient*in in der Medizininformatik-Initiative.",
  "_description" : {
    "extension" : [{
      "extension" : [{
        "url" : "lang",
        "valueCode" : "de-DE"
      },
      {
        "url" : "content",
        "valueString" : "Vitalstatus einer Patientin oder eines Patienten."
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/translation"
    },
    {
      "extension" : [{
        "url" : "lang",
        "valueCode" : "en-US"
      },
      {
        "url" : "content",
        "valueString" : "Vital status of a patient."
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/translation"
    }]
  },
  "jurisdiction" : [{
    "coding" : [{
      "system" : "urn:iso:std:iso:3166",
      "code" : "DE",
      "display" : "Germany"
    }]
  }],
  "purpose" : "Constrain the FHIR Observation resource to represent vital status information consistently as part of the MII Person module.",
  "fhirVersion" : "4.0.1",
  "mapping" : [{
    "identity" : "workflow",
    "uri" : "http://hl7.org/fhir/workflow",
    "name" : "Workflow Pattern"
  },
  {
    "identity" : "sct-concept",
    "uri" : "http://snomed.info/conceptdomain",
    "name" : "SNOMED CT Concept Domain Binding"
  },
  {
    "identity" : "v2",
    "uri" : "http://hl7.org/v2",
    "name" : "HL7 v2 Mapping"
  },
  {
    "identity" : "w5",
    "uri" : "http://hl7.org/fhir/fivews",
    "name" : "FiveWs Pattern Mapping"
  },
  {
    "identity" : "sct-attr",
    "uri" : "http://snomed.org/attributebinding",
    "name" : "SNOMED CT Attribute Binding"
  }],
  "kind" : "resource",
  "abstract" : false,
  "type" : "Observation",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Observation",
  "derivation" : "constraint",
  "differential" : {
    "element" : [{
      "id" : "Observation",
      "path" : "Observation"
    },
    {
      "id" : "Observation.id",
      "path" : "Observation.id",
      "mustSupport" : true
    },
    {
      "id" : "Observation.meta",
      "path" : "Observation.meta",
      "mustSupport" : true
    },
    {
      "id" : "Observation.meta.profile",
      "path" : "Observation.meta.profile",
      "mustSupport" : true
    },
    {
      "id" : "Observation.status",
      "path" : "Observation.status",
      "short" : "Status",
      "_short" : {
        "extension" : [{
          "extension" : [{
            "url" : "lang",
            "valueCode" : "de-DE"
          },
          {
            "url" : "content",
            "valueString" : "Status"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        },
        {
          "extension" : [{
            "url" : "lang",
            "valueCode" : "en-US"
          },
          {
            "url" : "content",
            "valueString" : "Status"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        }]
      },
      "definition" : "abgeschlossen",
      "_definition" : {
        "extension" : [{
          "extension" : [{
            "url" : "lang",
            "valueCode" : "de-DE"
          },
          {
            "url" : "content",
            "valueString" : "abgeschlossen"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        },
        {
          "extension" : [{
            "url" : "lang",
            "valueCode" : "en-US"
          },
          {
            "url" : "content",
            "valueString" : "completed"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        }]
      },
      "fixedCode" : "final",
      "mustSupport" : true
    },
    {
      "id" : "Observation.category",
      "path" : "Observation.category",
      "slicing" : {
        "discriminator" : [{
          "type" : "pattern",
          "path" : "$this"
        }],
        "rules" : "open"
      },
      "short" : "Kategorie",
      "_short" : {
        "extension" : [{
          "extension" : [{
            "url" : "lang",
            "valueCode" : "de-DE"
          },
          {
            "url" : "content",
            "valueString" : "Kategorie"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        },
        {
          "extension" : [{
            "url" : "lang",
            "valueCode" : "en-US"
          },
          {
            "url" : "content",
            "valueString" : "Category"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        }]
      },
      "definition" : "Klassifikation des Typs der Beobachtung für den Vitalstatus.",
      "_definition" : {
        "extension" : [{
          "extension" : [{
            "url" : "lang",
            "valueCode" : "de-DE"
          },
          {
            "url" : "content",
            "valueString" : "Klassifikation des Typs der Beobachtung für den Vitalstatus."
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        },
        {
          "extension" : [{
            "url" : "lang",
            "valueCode" : "en-US"
          },
          {
            "url" : "content",
            "valueString" : "Classification of type of observation for vital status."
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        }]
      },
      "min" : 1,
      "mustSupport" : true
    },
    {
      "id" : "Observation.category:survey",
      "path" : "Observation.category",
      "sliceName" : "survey",
      "min" : 1,
      "max" : "1",
      "patternCodeableConcept" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
          "code" : "survey"
        }]
      },
      "mustSupport" : true
    },
    {
      "id" : "Observation.category:survey.coding",
      "path" : "Observation.category.coding",
      "mustSupport" : true
    },
    {
      "id" : "Observation.category:survey.coding.system",
      "path" : "Observation.category.coding.system",
      "mustSupport" : true
    },
    {
      "id" : "Observation.category:survey.coding.code",
      "path" : "Observation.category.coding.code",
      "mustSupport" : true
    },
    {
      "id" : "Observation.code",
      "path" : "Observation.code",
      "short" : "Code",
      "_short" : {
        "extension" : [{
          "extension" : [{
            "url" : "lang",
            "valueCode" : "de-DE"
          },
          {
            "url" : "content",
            "valueString" : "Code"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        },
        {
          "extension" : [{
            "url" : "lang",
            "valueCode" : "en-US"
          },
          {
            "url" : "content",
            "valueString" : "Code"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        }]
      },
      "definition" : "Ein LOINC Code, der die Vitalstatus Beobachtung identifiziert.",
      "_definition" : {
        "extension" : [{
          "extension" : [{
            "url" : "lang",
            "valueCode" : "de-DE"
          },
          {
            "url" : "content",
            "valueString" : "Ein LOINC Code, der die Vitalstatus Beobachtung identifiziert."
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        },
        {
          "extension" : [{
            "url" : "lang",
            "valueCode" : "en-US"
          },
          {
            "url" : "content",
            "valueString" : "A LOINC code identifying the vital status observation."
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        }]
      },
      "mustSupport" : true
    },
    {
      "id" : "Observation.code.coding",
      "path" : "Observation.code.coding",
      "slicing" : {
        "discriminator" : [{
          "type" : "pattern",
          "path" : "$this"
        }],
        "rules" : "open"
      },
      "min" : 1,
      "mustSupport" : true
    },
    {
      "id" : "Observation.code.coding:loinc",
      "path" : "Observation.code.coding",
      "sliceName" : "loinc",
      "short" : "LOINC Code",
      "definition" : "LOINC Code für Vitalstatus",
      "min" : 1,
      "max" : "1",
      "patternCoding" : {
        "system" : "http://loinc.org",
        "code" : "67162-8"
      },
      "mustSupport" : true
    },
    {
      "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.subject",
      "path" : "Observation.subject",
      "min" : 1,
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
        "http://hl7.org/fhir/StructureDefinition/Group"]
      }],
      "mustSupport" : true
    },
    {
      "id" : "Observation.subject.reference",
      "path" : "Observation.subject.reference",
      "mustSupport" : true
    },
    {
      "id" : "Observation.encounter",
      "path" : "Observation.encounter",
      "short" : "Kontakt (Aufenthaltsbezug)",
      "_short" : {
        "extension" : [{
          "extension" : [{
            "url" : "lang",
            "valueCode" : "de-DE"
          },
          {
            "url" : "content",
            "valueString" : "Kontakt"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        },
        {
          "extension" : [{
            "url" : "lang",
            "valueCode" : "en-US"
          },
          {
            "url" : "content",
            "valueString" : "Encounter"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        }]
      },
      "definition" : "Kontakt, bei dem der Vitalstatus festgestellt wurde.",
      "_definition" : {
        "extension" : [{
          "extension" : [{
            "url" : "lang",
            "valueCode" : "de-DE"
          },
          {
            "url" : "content",
            "valueString" : "Kontakt, bei dem der Vitalstatus festgestellt wurde."
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        },
        {
          "extension" : [{
            "url" : "lang",
            "valueCode" : "en-US"
          },
          {
            "url" : "content",
            "valueString" : "Encounter during which the vital status was determined."
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        }]
      },
      "mustSupport" : true
    },
    {
      "id" : "Observation.encounter.reference",
      "path" : "Observation.encounter.reference",
      "mustSupport" : true
    },
    {
      "id" : "Observation.effective[x]",
      "path" : "Observation.effective[x]",
      "short" : "Zeitpunkt",
      "_short" : {
        "extension" : [{
          "extension" : [{
            "url" : "lang",
            "valueCode" : "de-DE"
          },
          {
            "url" : "content",
            "valueString" : "Zeitpunkt"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        },
        {
          "extension" : [{
            "url" : "lang",
            "valueCode" : "en-US"
          },
          {
            "url" : "content",
            "valueString" : "Point in time"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        }]
      },
      "definition" : "Der Zeitpunkt, zu dem der beobachtete Vitalstatus als wahr festgestellt wird.",
      "_definition" : {
        "extension" : [{
          "extension" : [{
            "url" : "lang",
            "valueCode" : "de-DE"
          },
          {
            "url" : "content",
            "valueString" : "Der Zeitpunkt, zu dem der beobachtete Vitalstatus als wahr festgestellt wird."
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        },
        {
          "extension" : [{
            "url" : "lang",
            "valueCode" : "en-US"
          },
          {
            "url" : "content",
            "valueString" : "The time the observed vital status is asserted as being true."
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        }]
      },
      "min" : 1,
      "type" : [{
        "code" : "dateTime"
      }],
      "mustSupport" : true
    },
    {
      "id" : "Observation.value[x]",
      "path" : "Observation.value[x]",
      "short" : "Codierter Wert",
      "_short" : {
        "extension" : [{
          "extension" : [{
            "url" : "lang",
            "valueCode" : "de-DE"
          },
          {
            "url" : "content",
            "valueString" : "Wert"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        },
        {
          "extension" : [{
            "url" : "lang",
            "valueCode" : "en-US"
          },
          {
            "url" : "content",
            "valueString" : "Value"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        }]
      },
      "definition" : "Der codierte Wert für den Vitalstatus.",
      "_definition" : {
        "extension" : [{
          "extension" : [{
            "url" : "lang",
            "valueCode" : "de-DE"
          },
          {
            "url" : "content",
            "valueString" : "lebendig | verstorben | unbekannt"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        },
        {
          "extension" : [{
            "url" : "lang",
            "valueCode" : "en-US"
          },
          {
            "url" : "content",
            "valueString" : "alive | deceased | unknown"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        }]
      },
      "min" : 1,
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "mustSupport" : true
    },
    {
      "id" : "Observation.value[x].coding",
      "path" : "Observation.value[x].coding",
      "slicing" : {
        "discriminator" : [{
          "type" : "pattern",
          "path" : "$this"
        }],
        "rules" : "open"
      },
      "min" : 1,
      "mustSupport" : true
    },
    {
      "id" : "Observation.value[x].coding:Vitalstatus",
      "path" : "Observation.value[x].coding",
      "sliceName" : "Vitalstatus",
      "short" : "Vitalstatus",
      "definition" : "Der Vitalstatus der Person.",
      "min" : 1,
      "max" : "1",
      "mustSupport" : true,
      "binding" : {
        "strength" : "required",
        "valueSet" : "https://www.medizininformatik-initiative.de/fhir/core/modul-person/ValueSet/Vitalstatus"
      }
    },
    {
      "id" : "Observation.value[x].coding:Vitalstatus.system",
      "path" : "Observation.value[x].coding.system",
      "min" : 1,
      "mustSupport" : true
    },
    {
      "id" : "Observation.value[x].coding:Vitalstatus.code",
      "path" : "Observation.value[x].coding.code",
      "min" : 1,
      "mustSupport" : true
    },
    {
      "id" : "Observation.note",
      "path" : "Observation.note",
      "short" : "Hinweis",
      "_short" : {
        "extension" : [{
          "extension" : [{
            "url" : "lang",
            "valueCode" : "de-DE"
          },
          {
            "url" : "content",
            "valueString" : "Hinweis"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        },
        {
          "extension" : [{
            "url" : "lang",
            "valueCode" : "en-US"
          },
          {
            "url" : "content",
            "valueString" : "Note"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        }]
      },
      "definition" : "Zusätzliche Informationen zum Vitalstatus als Freitext.",
      "_definition" : {
        "extension" : [{
          "extension" : [{
            "url" : "lang",
            "valueCode" : "de-DE"
          },
          {
            "url" : "content",
            "valueString" : "Zusätzliche Informationen zum Vitalstatus als Freitext."
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        },
        {
          "extension" : [{
            "url" : "lang",
            "valueCode" : "en-US"
          },
          {
            "url" : "content",
            "valueString" : "Additional information about the vital status as free text."
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        }]
      },
      "mustSupport" : true
    },
    {
      "id" : "Observation.bodySite",
      "path" : "Observation.bodySite",
      "max" : "0"
    },
    {
      "id" : "Observation.specimen",
      "path" : "Observation.specimen",
      "max" : "0"
    },
    {
      "id" : "Observation.referenceRange",
      "path" : "Observation.referenceRange",
      "max" : "0"
    },
    {
      "id" : "Observation.component",
      "path" : "Observation.component",
      "max" : "0"
    }]
  }
}

```
