MII IG Modul Kardio DE
2027.0.0-ballot - Germany

MII IG Modul Kardio DE - Local Development build (v2027.0.0-ballot) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Ressourcenprofil: MII PR Kardio Diagnose Prozedur Nein Unbekannt

Offizielle URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-kardio/StructureDefinition/mii-pr-kardio-diagnose-prozedur-nein-unbekannt Version: 2027.0.0-ballot
Active Stand: 2025-09-04 Maschinenlesbarer Name: MII_PR_Kardio_Diagnose_Prozedur_Nein_Unbekannt

Dieses Profil bildet das anamnestische Nichtvorliegen einer Diagnose, bzw. Prozedur, oder Unklarheit darüber ab.

Usages:

You can also check for usages in the FHIR IG Statistics

Formale Ansichten des Profilinhalts

Beschreibung von Profilen, Differentials, Snapshots und deren Repräsentationen.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* Observation(4.0.1) Measurements and simple assertions
Constraints: obs-6, obs-7
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... status ?!Σ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.
... code SΣ 1..1 CodeableConcept Type of observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
.... Slices for coding SΣ 1..* Coding Code defined by a terminology system
Slice: Unordered, Closed by value:$this
..... coding:All Slices Content/Rules for all slices
...... system SΣ 1..1 uri Identity of the terminology system
...... version SΣ 1..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
..... coding:icd10-gm SΣ 0..1 CodingICD10GM(1.6.0) Code defined by a terminology system
Binding: MII_VS_Diagnose_ICD10GM (2027.0.0-ballot) (required)

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
...... Slices for extension Content/Rules for all slices
....... extension:Mehrfachcodierungs-Kennzeichen 0..1 Coding Optional Extensions Element
URL: http://fhir.de/StructureDefinition/icd-10-gm-mehrfachcodierungs-kennzeichen
Binding: Mehrfachkodierungs-Kennzeichen ICD10GM ValueSet (required)
Constraints: ext-1
....... extension:Seitenlokalisation 0..1 Coding Optional Extensions Element
URL: http://fhir.de/StructureDefinition/seitenlokalisation
Binding: KBV_VS_SFHIR_ICD_SEITENLOKALISATION . (required)
Constraints: ext-1
....... extension:Diagnosesicherheit 0..1 Coding Optional Extensions Element
URL: http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit
Binding: KBV_VS_SFHIR_ICD_DIAGNOSESICHERHEIT . (required)
Constraints: ext-1
...... system SΣ 1..1 uri Canonische CodeSystem URL für ICD-10-GM
Fixed Value: http://fhir.de/CodeSystem/bfarm/icd-10-gm
...... version SΣ 1..1 string Die Jahresversion von ICD-10-GM. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017")
...... code SΣC 1..1 code Der ICD-10-Code
Constraints: icd-regex
Example Einfacher ICD-Code: F17.4
..... coding:diagnoseSnomed SΣ 0..1 Coding Code defined by a terminology system
Binding: MII_VS_Kardio_Extended_MII_DiagnoseCodes_SNOMED (2027.0.0-ballot) (required)
...... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: http://snomed.info/sct
...... version SΣ 1..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
..... coding:prozedurSnomed SΣ 0..1 Coding Code defined by a terminology system
Binding: MII_VS_Prozedur_Prozeduren_SNOMEDCT (2027.0.0-ballot) (required)
...... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: http://snomed.info/sct
...... version SΣ 1..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
..... coding:alpha-id SΣ 0..1 CodingAlphaID(1.6.0) Code defined by a terminology system
Binding: MII_VS_Diagnose_AlphaID (2027.0.0-ballot) (required)

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... 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 Canonische CodeSystem URL für Alpha-ID
Fixed Value: http://fhir.de/CodeSystem/bfarm/alpha-id
...... version SΣ 1..1 string Die Jahresversion von Alpha-ID. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017")
...... code SΣ 1..1 code Der Alpha-ID-Code
..... coding:orphanet SΣ 0..1 Coding Code defined by a terminology system
Binding: MII_VS_Diagnose_Orphanet (2027.0.0-ballot) (required)

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... 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
Fixed Value: http://www.orpha.net
...... version SΣ 1..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
..... coding:kardio 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
...... 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
Fixed Value: https://www.medizininformatik-initiative.de/fhir/ext/modul-kardio/CodeSystem/mii-cs-kardio-atherosklerotisches-ereignis
...... version SΣ 1..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
Fixed Value: eg-cv
... subject SΣ 1..1 Reference(Patient) Who and/or what the observation is about
... effective[x] SΣ 1..1 Clinically relevant time/time-period for observation
.... effectiveDateTime dateTime
.... effectivePeriod Period
.... effectiveInstant instant
... value[x] SΣC 0..1 CodeableConcept Actual result
Binding: MII_VS_Kardio_Nein_Unbekannt (2027.0.0-ballot) (extensible)

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 required Observation Category Codes 📍4.0.1 FHIR Std.
Observation.code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.code.coding:icd10-gm Base required MII VS Diagnose ICD-10-GM 📍2027.0.0-ballot MII Implementation Guide Core Dataset Base v2027.0
Observation.code.coding:diagnoseSnomed Base required MII VS Kardio Extended MII DiagnoseCodes [SNOMED CT] 📍2027.0.0-ballot This IG
Observation.code.coding:prozedurSnomed Base required MII VS Prozedur Prozeduren [SNOMED CT] 📍2027.0.0-ballot MII Implementation Guide Core Dataset Base v2027.0
Observation.code.coding:alpha-id Base required MII VS Diagnose Alpha-ID 📍2027.0.0-ballot MII Implementation Guide Core Dataset Base v2027.0
Observation.code.coding:orphanet Base required MII VS Diagnose Orphanet 📍2027.0.0-ballot MII Implementation Guide Core Dataset Base v2027.0
Observation.value[x] Base extensible MII VS Kardio Nein Unbekannt 📍2027.0.0-ballot This IG

Constraints

Id Grade Path(s) Description Expression
dom-2 error Observation If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Observation If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Observation If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Observation If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Observation A resource should have narrative for robust management text.`div`.exists()
ele-1 error Observation.implicitRules, Observation.modifierExtension, Observation.status, Observation.category, Observation.code, Observation.code.coding, Observation.code.coding.system, Observation.code.coding.version, Observation.code.coding.code, Observation.code.coding:icd10-gm, Observation.code.coding:icd10-gm.extension:Mehrfachcodierungs-Kennzeichen, Observation.code.coding:icd10-gm.extension:Seitenlokalisation, Observation.code.coding:icd10-gm.extension:Diagnosesicherheit, Observation.code.coding:icd10-gm.system, Observation.code.coding:icd10-gm.version, Observation.code.coding:icd10-gm.code, Observation.code.coding:diagnoseSnomed, Observation.code.coding:diagnoseSnomed.system, Observation.code.coding:diagnoseSnomed.version, Observation.code.coding:diagnoseSnomed.code, Observation.code.coding:prozedurSnomed, Observation.code.coding:prozedurSnomed.system, Observation.code.coding:prozedurSnomed.version, Observation.code.coding:prozedurSnomed.code, Observation.code.coding:alpha-id, Observation.code.coding:alpha-id.system, Observation.code.coding:alpha-id.version, Observation.code.coding:alpha-id.code, Observation.code.coding:orphanet, Observation.code.coding:orphanet.system, Observation.code.coding:orphanet.version, Observation.code.coding:orphanet.code, Observation.code.coding:kardio, Observation.code.coding:kardio.system, Observation.code.coding:kardio.version, Observation.code.coding:kardio.code, Observation.subject, Observation.effective[x], Observation.value[x] All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error Observation.modifierExtension, Observation.code.coding:icd10-gm.extension:Mehrfachcodierungs-Kennzeichen, Observation.code.coding:icd10-gm.extension:Seitenlokalisation, Observation.code.coding:icd10-gm.extension:Diagnosesicherheit Must have either extensions or value[x], not both extension.exists() != value.exists()
icd-regex warning Observation.code.coding:icd10-gm.code In code sind nur gültige ICD-10-Codes ohne Zusätze erlaubt matches('^[A-Z][0-9][A-Z0-9](\\.?[A-Z0-9]{0,4})?$')
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()

Diese Struktur ist abgeleitet von Observation

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation 0..* Observation(4.0.1) Measurements and simple assertions
... category 0..* CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (required)
... code S 1..1 CodeableConcept Type of observation (code / type)
.... Slices for coding S 1..* Coding Code defined by a terminology system
Slice: Unordered, Closed by value:$this
..... coding:All Slices Content/Rules for all slices
...... system S 1..1 uri Identity of the terminology system
...... version S 1..1 string Version of the system - if relevant
...... code S 1..1 code Symbol in syntax defined by the system
..... coding:icd10-gm S 0..1 CodingICD10GM(1.6.0) Code defined by a terminology system
Binding: MII_VS_Diagnose_ICD10GM (2027.0.0-ballot) (required)
Required Pattern: At least the following
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://fhir.de/CodeSystem/bfarm/icd-10-gm
..... coding:diagnoseSnomed S 0..1 Coding Code defined by a terminology system
Binding: MII_VS_Kardio_Extended_MII_DiagnoseCodes_SNOMED (2027.0.0-ballot) (required)
...... system 1..1 uri Identity of the terminology system
Required Pattern: http://snomed.info/sct
..... coding:prozedurSnomed S 0..1 Coding Code defined by a terminology system
Binding: MII_VS_Prozedur_Prozeduren_SNOMEDCT (2027.0.0-ballot) (required)
...... system 1..1 uri Identity of the terminology system
Required Pattern: http://snomed.info/sct
..... coding:alpha-id S 0..1 CodingAlphaID(1.6.0) Code defined by a terminology system
Binding: MII_VS_Diagnose_AlphaID (2027.0.0-ballot) (required)
Required Pattern: At least the following
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://fhir.de/CodeSystem/bfarm/alpha-id
..... coding:orphanet S 0..1 Coding Code defined by a terminology system
Binding: MII_VS_Diagnose_Orphanet (2027.0.0-ballot) (required)
Required Pattern: At least the following
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://www.orpha.net
..... coding:kardio 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: https://www.medizininformatik-initiative.de/fhir/ext/modul-kardio/CodeSystem/mii-cs-kardio-atherosklerotisches-ereignis
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: eg-cv
... subject S 1..1 Reference(Patient) Who and/or what the observation is about
.... effectiveDateTime dateTime
.... effectivePeriod Period
.... effectiveInstant instant
... value[x] S 0..1 CodeableConcept Actual result
Binding: MII_VS_Kardio_Nein_Unbekannt (2027.0.0-ballot) (extensible)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Observation.category Base required Observation Category Codes 📍4.0.1 FHIR Std.
Observation.code.coding:icd10-gm Base required MII VS Diagnose ICD-10-GM 📍2027.0.0-ballot MII Implementation Guide Core Dataset Base v2027.0
Observation.code.coding:diagnoseSnomed Base required MII VS Kardio Extended MII DiagnoseCodes [SNOMED CT] 📍2027.0.0-ballot This IG
Observation.code.coding:prozedurSnomed Base required MII VS Prozedur Prozeduren [SNOMED CT] 📍2027.0.0-ballot MII Implementation Guide Core Dataset Base v2027.0
Observation.code.coding:alpha-id Base required MII VS Diagnose Alpha-ID 📍2027.0.0-ballot MII Implementation Guide Core Dataset Base v2027.0
Observation.code.coding:orphanet Base required MII VS Diagnose Orphanet 📍2027.0.0-ballot MII Implementation Guide Core Dataset Base v2027.0
Observation.value[x] Base extensible MII VS Kardio Nein Unbekannt 📍2027.0.0-ballot This IG
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* Observation(4.0.1) Measurements and simple assertions
Constraints: obs-6, obs-7
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... identifier Σ 0..* Identifier Business Identifier for observation
... basedOn Σ 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
... partOf Σ 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) Part of referenced event
... status ?!Σ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.
... category 0..* CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (required)
... 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
Constraints: ext-1
.... Slices for coding SΣ 1..* Coding Code defined by a terminology system
Slice: Unordered, Closed by value:$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
Constraints: ext-1
...... system SΣ 1..1 uri Identity of the terminology system
...... version SΣ 1..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:icd10-gm SΣ 0..1 CodingICD10GM(1.6.0) Code defined by a terminology system
Binding: MII_VS_Diagnose_ICD10GM (2027.0.0-ballot) (required)

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
...... Slices for extension Content/Rules for all slices
....... extension:Mehrfachcodierungs-Kennzeichen 0..1 Coding Optional Extensions Element
URL: http://fhir.de/StructureDefinition/icd-10-gm-mehrfachcodierungs-kennzeichen
Binding: Mehrfachkodierungs-Kennzeichen ICD10GM ValueSet (required)
Constraints: ext-1
....... extension:Seitenlokalisation 0..1 Coding Optional Extensions Element
URL: http://fhir.de/StructureDefinition/seitenlokalisation
Binding: KBV_VS_SFHIR_ICD_SEITENLOKALISATION . (required)
Constraints: ext-1
....... extension:Diagnosesicherheit 0..1 Coding Optional Extensions Element
URL: http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit
Binding: KBV_VS_SFHIR_ICD_DIAGNOSESICHERHEIT . (required)
Constraints: ext-1
...... system SΣ 1..1 uri Canonische CodeSystem URL für ICD-10-GM
Fixed Value: http://fhir.de/CodeSystem/bfarm/icd-10-gm
...... version SΣ 1..1 string Die Jahresversion von ICD-10-GM. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017")
...... code SΣC 1..1 code Der ICD-10-Code
Constraints: icd-regex
Example Einfacher ICD-Code: F17.4
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:diagnoseSnomed SΣ 0..1 Coding Code defined by a terminology system
Binding: MII_VS_Kardio_Extended_MII_DiagnoseCodes_SNOMED (2027.0.0-ballot) (required)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
...... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: http://snomed.info/sct
...... version SΣ 1..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:prozedurSnomed SΣ 0..1 Coding Code defined by a terminology system
Binding: MII_VS_Prozedur_Prozeduren_SNOMEDCT (2027.0.0-ballot) (required)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
...... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: http://snomed.info/sct
...... version SΣ 1..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:alpha-id SΣ 0..1 CodingAlphaID(1.6.0) Code defined by a terminology system
Binding: MII_VS_Diagnose_AlphaID (2027.0.0-ballot) (required)

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
...... system SΣ 1..1 uri Canonische CodeSystem URL für Alpha-ID
Fixed Value: http://fhir.de/CodeSystem/bfarm/alpha-id
...... version SΣ 1..1 string Die Jahresversion von Alpha-ID. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017")
...... code SΣ 1..1 code Der Alpha-ID-Code
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:orphanet SΣ 0..1 Coding Code defined by a terminology system
Binding: MII_VS_Diagnose_Orphanet (2027.0.0-ballot) (required)

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://www.orpha.net
...... version SΣ 1..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:kardio 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
Slice: Unordered, Open by value:url
Constraints: ext-1
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: https://www.medizininformatik-initiative.de/fhir/ext/modul-kardio/CodeSystem/mii-cs-kardio-atherosklerotisches-ereignis
...... version SΣ 1..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
Fixed Value: eg-cv
...... 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
... subject SΣ 1..1 Reference(Patient) Who and/or what the observation is about
... focus Σ 0..* Reference(Resource) What the observation is about, when it is not about the subject of record
... encounter Σ 0..1 Reference(Encounter) Healthcare event during which this observation is made
... effective[x] SΣ 1..1 Clinically relevant time/time-period for observation
.... effectiveDateTime dateTime
.... effectivePeriod Period
.... effectiveInstant instant
... issued Σ 0..1 instant Date/Time this version was made available
... performer Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) Who is responsible for the observation
... value[x] SΣC 0..1 CodeableConcept Actual result
Binding: MII_VS_Kardio_Nein_Unbekannt (2027.0.0-ballot) (extensible)
... dataAbsentReason C 0..1 CodeableConcept Why the 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.
... note 0..* Annotation Comments about the observation
... bodySite 0..1 CodeableConcept Observed body part
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
... method 0..1 CodeableConcept How it was done
Binding: ObservationMethods (example): Methods for simple observations.
... specimen 0..1 Reference(Specimen) Specimen used for this observation
... device 0..1 Reference(Device | DeviceMetric) (Measurement) Device
... referenceRange C 0..* BackboneElement Provides guide for interpretation
Constraints: obs-3
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... low C 0..1 SimpleQuantity(4.0.1) Low Range, if relevant
.... high C 0..1 SimpleQuantity(4.0.1) High Range, if relevant
.... type 0..1 CodeableConcept Reference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
.... appliesTo 0..* CodeableConcept Reference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
.... age 0..1 Range Applicable age range, if relevant
.... text 0..1 string Text based reference range in an observation
... hasMember Σ 0..* Reference(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
... component Σ 0..* BackboneElement Component results
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... code Σ 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

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Observation.status Base required ObservationStatus 📍4.0.1 FHIR Std.
Observation.category Base required Observation Category Codes 📍4.0.1 FHIR Std.
Observation.code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.code.coding:icd10-gm Base required MII VS Diagnose ICD-10-GM 📍2027.0.0-ballot MII Implementation Guide Core Dataset Base v2027.0
Observation.code.coding:diagnoseSnomed Base required MII VS Kardio Extended MII DiagnoseCodes [SNOMED CT] 📍2027.0.0-ballot This IG
Observation.code.coding:prozedurSnomed Base required MII VS Prozedur Prozeduren [SNOMED CT] 📍2027.0.0-ballot MII Implementation Guide Core Dataset Base v2027.0
Observation.code.coding:alpha-id Base required MII VS Diagnose Alpha-ID 📍2027.0.0-ballot MII Implementation Guide Core Dataset Base v2027.0
Observation.code.coding:orphanet Base required MII VS Diagnose Orphanet 📍2027.0.0-ballot MII Implementation Guide Core Dataset Base v2027.0
Observation.value[x] Base extensible MII VS Kardio Nein Unbekannt 📍2027.0.0-ballot This IG
Observation.dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.bodySite Base example SNOMED CT Body Structures 📍4.0.1 FHIR Std.
Observation.method Base example Observation Methods 📍4.0.1 FHIR Std.
Observation.referenceRange.​type Base preferred Observation Reference Range Meaning Codes 📍4.0.1 FHIR Std.
Observation.referenceRange.​appliesTo Base example Observation Reference Range Applies To Codes 📍4.0.1 FHIR Std.
Observation.component.​code Base 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.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Observation If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Observation If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Observation If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Observation If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Observation A resource should have narrative for robust management text.`div`.exists()
ele-1 error Observation.meta, Observation.implicitRules, Observation.language, Observation.text, Observation.extension, Observation.modifierExtension, Observation.identifier, Observation.basedOn, Observation.partOf, Observation.status, Observation.category, Observation.code, Observation.code.extension, Observation.code.coding, Observation.code.coding.extension, Observation.code.coding.system, Observation.code.coding.version, Observation.code.coding.code, Observation.code.coding.display, Observation.code.coding.userSelected, Observation.code.coding:icd10-gm, Observation.code.coding:icd10-gm.extension, Observation.code.coding:icd10-gm.extension:Mehrfachcodierungs-Kennzeichen, Observation.code.coding:icd10-gm.extension:Seitenlokalisation, Observation.code.coding:icd10-gm.extension:Diagnosesicherheit, Observation.code.coding:icd10-gm.system, Observation.code.coding:icd10-gm.version, Observation.code.coding:icd10-gm.code, Observation.code.coding:icd10-gm.display, Observation.code.coding:icd10-gm.userSelected, Observation.code.coding:diagnoseSnomed, Observation.code.coding:diagnoseSnomed.extension, Observation.code.coding:diagnoseSnomed.system, Observation.code.coding:diagnoseSnomed.version, Observation.code.coding:diagnoseSnomed.code, Observation.code.coding:diagnoseSnomed.display, Observation.code.coding:diagnoseSnomed.userSelected, Observation.code.coding:prozedurSnomed, Observation.code.coding:prozedurSnomed.extension, Observation.code.coding:prozedurSnomed.system, Observation.code.coding:prozedurSnomed.version, Observation.code.coding:prozedurSnomed.code, Observation.code.coding:prozedurSnomed.display, Observation.code.coding:prozedurSnomed.userSelected, Observation.code.coding:alpha-id, Observation.code.coding:alpha-id.extension, Observation.code.coding:alpha-id.system, Observation.code.coding:alpha-id.version, Observation.code.coding:alpha-id.code, Observation.code.coding:alpha-id.display, Observation.code.coding:alpha-id.userSelected, Observation.code.coding:orphanet, Observation.code.coding:orphanet.extension, Observation.code.coding:orphanet.system, Observation.code.coding:orphanet.version, Observation.code.coding:orphanet.code, Observation.code.coding:orphanet.display, Observation.code.coding:orphanet.userSelected, Observation.code.coding:kardio, Observation.code.coding:kardio.extension, Observation.code.coding:kardio.system, Observation.code.coding:kardio.version, Observation.code.coding:kardio.code, Observation.code.coding:kardio.display, Observation.code.coding:kardio.userSelected, Observation.code.text, Observation.subject, Observation.focus, Observation.encounter, Observation.effective[x], Observation.issued, Observation.performer, Observation.value[x], Observation.dataAbsentReason, Observation.interpretation, Observation.note, Observation.bodySite, Observation.method, Observation.specimen, Observation.device, Observation.referenceRange, Observation.referenceRange.extension, Observation.referenceRange.modifierExtension, Observation.referenceRange.low, Observation.referenceRange.high, Observation.referenceRange.type, Observation.referenceRange.appliesTo, Observation.referenceRange.age, Observation.referenceRange.text, Observation.hasMember, Observation.derivedFrom, Observation.component, Observation.component.extension, Observation.component.modifierExtension, Observation.component.code, Observation.component.value[x], Observation.component.dataAbsentReason, Observation.component.interpretation, Observation.component.referenceRange All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error Observation.extension, Observation.modifierExtension, Observation.code.extension, Observation.code.coding.extension, Observation.code.coding:icd10-gm.extension, Observation.code.coding:icd10-gm.extension:Mehrfachcodierungs-Kennzeichen, Observation.code.coding:icd10-gm.extension:Seitenlokalisation, Observation.code.coding:icd10-gm.extension:Diagnosesicherheit, Observation.code.coding:diagnoseSnomed.extension, Observation.code.coding:prozedurSnomed.extension, Observation.code.coding:alpha-id.extension, Observation.code.coding:orphanet.extension, Observation.code.coding:kardio.extension, Observation.referenceRange.extension, Observation.referenceRange.modifierExtension, Observation.component.extension, Observation.component.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()
icd-regex warning Observation.code.coding:icd10-gm.code In code sind nur gültige ICD-10-Codes ohne Zusätze erlaubt matches('^[A-Z][0-9][A-Z0-9](\\.?[A-Z0-9]{0,4})?$')
obs-3 error Observation.referenceRange Must have at least a low or a high or text low.exists() or high.exists() or text.exists()
obs-6 error Observation dataAbsentReason SHALL only be present if Observation.value[x] is not present dataAbsentReason.empty() or value.empty()
obs-7 error Observation If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

Diese Struktur ist abgeleitet von Observation

Summary

Mandatory: 3 elements(3 nested mandatory elements)
Must-Support: 14 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Observation.code.coding (Closed)

Schlüsselelemente-Ansicht

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* Observation(4.0.1) Measurements and simple assertions
Constraints: obs-6, obs-7
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... status ?!Σ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.
... code SΣ 1..1 CodeableConcept Type of observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
.... Slices for coding SΣ 1..* Coding Code defined by a terminology system
Slice: Unordered, Closed by value:$this
..... coding:All Slices Content/Rules for all slices
...... system SΣ 1..1 uri Identity of the terminology system
...... version SΣ 1..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
..... coding:icd10-gm SΣ 0..1 CodingICD10GM(1.6.0) Code defined by a terminology system
Binding: MII_VS_Diagnose_ICD10GM (2027.0.0-ballot) (required)

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
...... Slices for extension Content/Rules for all slices
....... extension:Mehrfachcodierungs-Kennzeichen 0..1 Coding Optional Extensions Element
URL: http://fhir.de/StructureDefinition/icd-10-gm-mehrfachcodierungs-kennzeichen
Binding: Mehrfachkodierungs-Kennzeichen ICD10GM ValueSet (required)
Constraints: ext-1
....... extension:Seitenlokalisation 0..1 Coding Optional Extensions Element
URL: http://fhir.de/StructureDefinition/seitenlokalisation
Binding: KBV_VS_SFHIR_ICD_SEITENLOKALISATION . (required)
Constraints: ext-1
....... extension:Diagnosesicherheit 0..1 Coding Optional Extensions Element
URL: http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit
Binding: KBV_VS_SFHIR_ICD_DIAGNOSESICHERHEIT . (required)
Constraints: ext-1
...... system SΣ 1..1 uri Canonische CodeSystem URL für ICD-10-GM
Fixed Value: http://fhir.de/CodeSystem/bfarm/icd-10-gm
...... version SΣ 1..1 string Die Jahresversion von ICD-10-GM. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017")
...... code SΣC 1..1 code Der ICD-10-Code
Constraints: icd-regex
Example Einfacher ICD-Code: F17.4
..... coding:diagnoseSnomed SΣ 0..1 Coding Code defined by a terminology system
Binding: MII_VS_Kardio_Extended_MII_DiagnoseCodes_SNOMED (2027.0.0-ballot) (required)
...... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: http://snomed.info/sct
...... version SΣ 1..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
..... coding:prozedurSnomed SΣ 0..1 Coding Code defined by a terminology system
Binding: MII_VS_Prozedur_Prozeduren_SNOMEDCT (2027.0.0-ballot) (required)
...... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: http://snomed.info/sct
...... version SΣ 1..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
..... coding:alpha-id SΣ 0..1 CodingAlphaID(1.6.0) Code defined by a terminology system
Binding: MII_VS_Diagnose_AlphaID (2027.0.0-ballot) (required)

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... 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 Canonische CodeSystem URL für Alpha-ID
Fixed Value: http://fhir.de/CodeSystem/bfarm/alpha-id
...... version SΣ 1..1 string Die Jahresversion von Alpha-ID. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017")
...... code SΣ 1..1 code Der Alpha-ID-Code
..... coding:orphanet SΣ 0..1 Coding Code defined by a terminology system
Binding: MII_VS_Diagnose_Orphanet (2027.0.0-ballot) (required)

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... 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
Fixed Value: http://www.orpha.net
...... version SΣ 1..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
..... coding:kardio 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
...... 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
Fixed Value: https://www.medizininformatik-initiative.de/fhir/ext/modul-kardio/CodeSystem/mii-cs-kardio-atherosklerotisches-ereignis
...... version SΣ 1..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
Fixed Value: eg-cv
... subject SΣ 1..1 Reference(Patient) Who and/or what the observation is about
... effective[x] SΣ 1..1 Clinically relevant time/time-period for observation
.... effectiveDateTime dateTime
.... effectivePeriod Period
.... effectiveInstant instant
... value[x] SΣC 0..1 CodeableConcept Actual result
Binding: MII_VS_Kardio_Nein_Unbekannt (2027.0.0-ballot) (extensible)

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 required Observation Category Codes 📍4.0.1 FHIR Std.
Observation.code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.code.coding:icd10-gm Base required MII VS Diagnose ICD-10-GM 📍2027.0.0-ballot MII Implementation Guide Core Dataset Base v2027.0
Observation.code.coding:diagnoseSnomed Base required MII VS Kardio Extended MII DiagnoseCodes [SNOMED CT] 📍2027.0.0-ballot This IG
Observation.code.coding:prozedurSnomed Base required MII VS Prozedur Prozeduren [SNOMED CT] 📍2027.0.0-ballot MII Implementation Guide Core Dataset Base v2027.0
Observation.code.coding:alpha-id Base required MII VS Diagnose Alpha-ID 📍2027.0.0-ballot MII Implementation Guide Core Dataset Base v2027.0
Observation.code.coding:orphanet Base required MII VS Diagnose Orphanet 📍2027.0.0-ballot MII Implementation Guide Core Dataset Base v2027.0
Observation.value[x] Base extensible MII VS Kardio Nein Unbekannt 📍2027.0.0-ballot This IG

Constraints

Id Grade Path(s) Description Expression
dom-2 error Observation If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Observation If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Observation If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Observation If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Observation A resource should have narrative for robust management text.`div`.exists()
ele-1 error Observation.implicitRules, Observation.modifierExtension, Observation.status, Observation.category, Observation.code, Observation.code.coding, Observation.code.coding.system, Observation.code.coding.version, Observation.code.coding.code, Observation.code.coding:icd10-gm, Observation.code.coding:icd10-gm.extension:Mehrfachcodierungs-Kennzeichen, Observation.code.coding:icd10-gm.extension:Seitenlokalisation, Observation.code.coding:icd10-gm.extension:Diagnosesicherheit, Observation.code.coding:icd10-gm.system, Observation.code.coding:icd10-gm.version, Observation.code.coding:icd10-gm.code, Observation.code.coding:diagnoseSnomed, Observation.code.coding:diagnoseSnomed.system, Observation.code.coding:diagnoseSnomed.version, Observation.code.coding:diagnoseSnomed.code, Observation.code.coding:prozedurSnomed, Observation.code.coding:prozedurSnomed.system, Observation.code.coding:prozedurSnomed.version, Observation.code.coding:prozedurSnomed.code, Observation.code.coding:alpha-id, Observation.code.coding:alpha-id.system, Observation.code.coding:alpha-id.version, Observation.code.coding:alpha-id.code, Observation.code.coding:orphanet, Observation.code.coding:orphanet.system, Observation.code.coding:orphanet.version, Observation.code.coding:orphanet.code, Observation.code.coding:kardio, Observation.code.coding:kardio.system, Observation.code.coding:kardio.version, Observation.code.coding:kardio.code, Observation.subject, Observation.effective[x], Observation.value[x] All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error Observation.modifierExtension, Observation.code.coding:icd10-gm.extension:Mehrfachcodierungs-Kennzeichen, Observation.code.coding:icd10-gm.extension:Seitenlokalisation, Observation.code.coding:icd10-gm.extension:Diagnosesicherheit Must have either extensions or value[x], not both extension.exists() != value.exists()
icd-regex warning Observation.code.coding:icd10-gm.code In code sind nur gültige ICD-10-Codes ohne Zusätze erlaubt matches('^[A-Z][0-9][A-Z0-9](\\.?[A-Z0-9]{0,4})?$')
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()

Differential-Ansicht

Diese Struktur ist abgeleitet von Observation

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation 0..* Observation(4.0.1) Measurements and simple assertions
... category 0..* CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (required)
... code S 1..1 CodeableConcept Type of observation (code / type)
.... Slices for coding S 1..* Coding Code defined by a terminology system
Slice: Unordered, Closed by value:$this
..... coding:All Slices Content/Rules for all slices
...... system S 1..1 uri Identity of the terminology system
...... version S 1..1 string Version of the system - if relevant
...... code S 1..1 code Symbol in syntax defined by the system
..... coding:icd10-gm S 0..1 CodingICD10GM(1.6.0) Code defined by a terminology system
Binding: MII_VS_Diagnose_ICD10GM (2027.0.0-ballot) (required)
Required Pattern: At least the following
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://fhir.de/CodeSystem/bfarm/icd-10-gm
..... coding:diagnoseSnomed S 0..1 Coding Code defined by a terminology system
Binding: MII_VS_Kardio_Extended_MII_DiagnoseCodes_SNOMED (2027.0.0-ballot) (required)
...... system 1..1 uri Identity of the terminology system
Required Pattern: http://snomed.info/sct
..... coding:prozedurSnomed S 0..1 Coding Code defined by a terminology system
Binding: MII_VS_Prozedur_Prozeduren_SNOMEDCT (2027.0.0-ballot) (required)
...... system 1..1 uri Identity of the terminology system
Required Pattern: http://snomed.info/sct
..... coding:alpha-id S 0..1 CodingAlphaID(1.6.0) Code defined by a terminology system
Binding: MII_VS_Diagnose_AlphaID (2027.0.0-ballot) (required)
Required Pattern: At least the following
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://fhir.de/CodeSystem/bfarm/alpha-id
..... coding:orphanet S 0..1 Coding Code defined by a terminology system
Binding: MII_VS_Diagnose_Orphanet (2027.0.0-ballot) (required)
Required Pattern: At least the following
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://www.orpha.net
..... coding:kardio 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: https://www.medizininformatik-initiative.de/fhir/ext/modul-kardio/CodeSystem/mii-cs-kardio-atherosklerotisches-ereignis
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: eg-cv
... subject S 1..1 Reference(Patient) Who and/or what the observation is about
.... effectiveDateTime dateTime
.... effectivePeriod Period
.... effectiveInstant instant
... value[x] S 0..1 CodeableConcept Actual result
Binding: MII_VS_Kardio_Nein_Unbekannt (2027.0.0-ballot) (extensible)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Observation.category Base required Observation Category Codes 📍4.0.1 FHIR Std.
Observation.code.coding:icd10-gm Base required MII VS Diagnose ICD-10-GM 📍2027.0.0-ballot MII Implementation Guide Core Dataset Base v2027.0
Observation.code.coding:diagnoseSnomed Base required MII VS Kardio Extended MII DiagnoseCodes [SNOMED CT] 📍2027.0.0-ballot This IG
Observation.code.coding:prozedurSnomed Base required MII VS Prozedur Prozeduren [SNOMED CT] 📍2027.0.0-ballot MII Implementation Guide Core Dataset Base v2027.0
Observation.code.coding:alpha-id Base required MII VS Diagnose Alpha-ID 📍2027.0.0-ballot MII Implementation Guide Core Dataset Base v2027.0
Observation.code.coding:orphanet Base required MII VS Diagnose Orphanet 📍2027.0.0-ballot MII Implementation Guide Core Dataset Base v2027.0
Observation.value[x] Base extensible MII VS Kardio Nein Unbekannt 📍2027.0.0-ballot This IG

Snapshot-AnsichtView

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* Observation(4.0.1) Measurements and simple assertions
Constraints: obs-6, obs-7
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... identifier Σ 0..* Identifier Business Identifier for observation
... basedOn Σ 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
... partOf Σ 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) Part of referenced event
... status ?!Σ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.
... category 0..* CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (required)
... 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
Constraints: ext-1
.... Slices for coding SΣ 1..* Coding Code defined by a terminology system
Slice: Unordered, Closed by value:$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
Constraints: ext-1
...... system SΣ 1..1 uri Identity of the terminology system
...... version SΣ 1..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:icd10-gm SΣ 0..1 CodingICD10GM(1.6.0) Code defined by a terminology system
Binding: MII_VS_Diagnose_ICD10GM (2027.0.0-ballot) (required)

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
...... Slices for extension Content/Rules for all slices
....... extension:Mehrfachcodierungs-Kennzeichen 0..1 Coding Optional Extensions Element
URL: http://fhir.de/StructureDefinition/icd-10-gm-mehrfachcodierungs-kennzeichen
Binding: Mehrfachkodierungs-Kennzeichen ICD10GM ValueSet (required)
Constraints: ext-1
....... extension:Seitenlokalisation 0..1 Coding Optional Extensions Element
URL: http://fhir.de/StructureDefinition/seitenlokalisation
Binding: KBV_VS_SFHIR_ICD_SEITENLOKALISATION . (required)
Constraints: ext-1
....... extension:Diagnosesicherheit 0..1 Coding Optional Extensions Element
URL: http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit
Binding: KBV_VS_SFHIR_ICD_DIAGNOSESICHERHEIT . (required)
Constraints: ext-1
...... system SΣ 1..1 uri Canonische CodeSystem URL für ICD-10-GM
Fixed Value: http://fhir.de/CodeSystem/bfarm/icd-10-gm
...... version SΣ 1..1 string Die Jahresversion von ICD-10-GM. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017")
...... code SΣC 1..1 code Der ICD-10-Code
Constraints: icd-regex
Example Einfacher ICD-Code: F17.4
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:diagnoseSnomed SΣ 0..1 Coding Code defined by a terminology system
Binding: MII_VS_Kardio_Extended_MII_DiagnoseCodes_SNOMED (2027.0.0-ballot) (required)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
...... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: http://snomed.info/sct
...... version SΣ 1..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:prozedurSnomed SΣ 0..1 Coding Code defined by a terminology system
Binding: MII_VS_Prozedur_Prozeduren_SNOMEDCT (2027.0.0-ballot) (required)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
...... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: http://snomed.info/sct
...... version SΣ 1..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:alpha-id SΣ 0..1 CodingAlphaID(1.6.0) Code defined by a terminology system
Binding: MII_VS_Diagnose_AlphaID (2027.0.0-ballot) (required)

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
...... system SΣ 1..1 uri Canonische CodeSystem URL für Alpha-ID
Fixed Value: http://fhir.de/CodeSystem/bfarm/alpha-id
...... version SΣ 1..1 string Die Jahresversion von Alpha-ID. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017")
...... code SΣ 1..1 code Der Alpha-ID-Code
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:orphanet SΣ 0..1 Coding Code defined by a terminology system
Binding: MII_VS_Diagnose_Orphanet (2027.0.0-ballot) (required)

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://www.orpha.net
...... version SΣ 1..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:kardio 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
Slice: Unordered, Open by value:url
Constraints: ext-1
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: https://www.medizininformatik-initiative.de/fhir/ext/modul-kardio/CodeSystem/mii-cs-kardio-atherosklerotisches-ereignis
...... version SΣ 1..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
Fixed Value: eg-cv
...... 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
... subject SΣ 1..1 Reference(Patient) Who and/or what the observation is about
... focus Σ 0..* Reference(Resource) What the observation is about, when it is not about the subject of record
... encounter Σ 0..1 Reference(Encounter) Healthcare event during which this observation is made
... effective[x] SΣ 1..1 Clinically relevant time/time-period for observation
.... effectiveDateTime dateTime
.... effectivePeriod Period
.... effectiveInstant instant
... issued Σ 0..1 instant Date/Time this version was made available
... performer Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) Who is responsible for the observation
... value[x] SΣC 0..1 CodeableConcept Actual result
Binding: MII_VS_Kardio_Nein_Unbekannt (2027.0.0-ballot) (extensible)
... dataAbsentReason C 0..1 CodeableConcept Why the 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.
... note 0..* Annotation Comments about the observation
... bodySite 0..1 CodeableConcept Observed body part
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
... method 0..1 CodeableConcept How it was done
Binding: ObservationMethods (example): Methods for simple observations.
... specimen 0..1 Reference(Specimen) Specimen used for this observation
... device 0..1 Reference(Device | DeviceMetric) (Measurement) Device
... referenceRange C 0..* BackboneElement Provides guide for interpretation
Constraints: obs-3
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... low C 0..1 SimpleQuantity(4.0.1) Low Range, if relevant
.... high C 0..1 SimpleQuantity(4.0.1) High Range, if relevant
.... type 0..1 CodeableConcept Reference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
.... appliesTo 0..* CodeableConcept Reference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
.... age 0..1 Range Applicable age range, if relevant
.... text 0..1 string Text based reference range in an observation
... hasMember Σ 0..* Reference(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
... component Σ 0..* BackboneElement Component results
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... code Σ 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

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Observation.status Base required ObservationStatus 📍4.0.1 FHIR Std.
Observation.category Base required Observation Category Codes 📍4.0.1 FHIR Std.
Observation.code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.code.coding:icd10-gm Base required MII VS Diagnose ICD-10-GM 📍2027.0.0-ballot MII Implementation Guide Core Dataset Base v2027.0
Observation.code.coding:diagnoseSnomed Base required MII VS Kardio Extended MII DiagnoseCodes [SNOMED CT] 📍2027.0.0-ballot This IG
Observation.code.coding:prozedurSnomed Base required MII VS Prozedur Prozeduren [SNOMED CT] 📍2027.0.0-ballot MII Implementation Guide Core Dataset Base v2027.0
Observation.code.coding:alpha-id Base required MII VS Diagnose Alpha-ID 📍2027.0.0-ballot MII Implementation Guide Core Dataset Base v2027.0
Observation.code.coding:orphanet Base required MII VS Diagnose Orphanet 📍2027.0.0-ballot MII Implementation Guide Core Dataset Base v2027.0
Observation.value[x] Base extensible MII VS Kardio Nein Unbekannt 📍2027.0.0-ballot This IG
Observation.dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.bodySite Base example SNOMED CT Body Structures 📍4.0.1 FHIR Std.
Observation.method Base example Observation Methods 📍4.0.1 FHIR Std.
Observation.referenceRange.​type Base preferred Observation Reference Range Meaning Codes 📍4.0.1 FHIR Std.
Observation.referenceRange.​appliesTo Base example Observation Reference Range Applies To Codes 📍4.0.1 FHIR Std.
Observation.component.​code Base 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.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Observation If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Observation If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Observation If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Observation If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Observation A resource should have narrative for robust management text.`div`.exists()
ele-1 error Observation.meta, Observation.implicitRules, Observation.language, Observation.text, Observation.extension, Observation.modifierExtension, Observation.identifier, Observation.basedOn, Observation.partOf, Observation.status, Observation.category, Observation.code, Observation.code.extension, Observation.code.coding, Observation.code.coding.extension, Observation.code.coding.system, Observation.code.coding.version, Observation.code.coding.code, Observation.code.coding.display, Observation.code.coding.userSelected, Observation.code.coding:icd10-gm, Observation.code.coding:icd10-gm.extension, Observation.code.coding:icd10-gm.extension:Mehrfachcodierungs-Kennzeichen, Observation.code.coding:icd10-gm.extension:Seitenlokalisation, Observation.code.coding:icd10-gm.extension:Diagnosesicherheit, Observation.code.coding:icd10-gm.system, Observation.code.coding:icd10-gm.version, Observation.code.coding:icd10-gm.code, Observation.code.coding:icd10-gm.display, Observation.code.coding:icd10-gm.userSelected, Observation.code.coding:diagnoseSnomed, Observation.code.coding:diagnoseSnomed.extension, Observation.code.coding:diagnoseSnomed.system, Observation.code.coding:diagnoseSnomed.version, Observation.code.coding:diagnoseSnomed.code, Observation.code.coding:diagnoseSnomed.display, Observation.code.coding:diagnoseSnomed.userSelected, Observation.code.coding:prozedurSnomed, Observation.code.coding:prozedurSnomed.extension, Observation.code.coding:prozedurSnomed.system, Observation.code.coding:prozedurSnomed.version, Observation.code.coding:prozedurSnomed.code, Observation.code.coding:prozedurSnomed.display, Observation.code.coding:prozedurSnomed.userSelected, Observation.code.coding:alpha-id, Observation.code.coding:alpha-id.extension, Observation.code.coding:alpha-id.system, Observation.code.coding:alpha-id.version, Observation.code.coding:alpha-id.code, Observation.code.coding:alpha-id.display, Observation.code.coding:alpha-id.userSelected, Observation.code.coding:orphanet, Observation.code.coding:orphanet.extension, Observation.code.coding:orphanet.system, Observation.code.coding:orphanet.version, Observation.code.coding:orphanet.code, Observation.code.coding:orphanet.display, Observation.code.coding:orphanet.userSelected, Observation.code.coding:kardio, Observation.code.coding:kardio.extension, Observation.code.coding:kardio.system, Observation.code.coding:kardio.version, Observation.code.coding:kardio.code, Observation.code.coding:kardio.display, Observation.code.coding:kardio.userSelected, Observation.code.text, Observation.subject, Observation.focus, Observation.encounter, Observation.effective[x], Observation.issued, Observation.performer, Observation.value[x], Observation.dataAbsentReason, Observation.interpretation, Observation.note, Observation.bodySite, Observation.method, Observation.specimen, Observation.device, Observation.referenceRange, Observation.referenceRange.extension, Observation.referenceRange.modifierExtension, Observation.referenceRange.low, Observation.referenceRange.high, Observation.referenceRange.type, Observation.referenceRange.appliesTo, Observation.referenceRange.age, Observation.referenceRange.text, Observation.hasMember, Observation.derivedFrom, Observation.component, Observation.component.extension, Observation.component.modifierExtension, Observation.component.code, Observation.component.value[x], Observation.component.dataAbsentReason, Observation.component.interpretation, Observation.component.referenceRange All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error Observation.extension, Observation.modifierExtension, Observation.code.extension, Observation.code.coding.extension, Observation.code.coding:icd10-gm.extension, Observation.code.coding:icd10-gm.extension:Mehrfachcodierungs-Kennzeichen, Observation.code.coding:icd10-gm.extension:Seitenlokalisation, Observation.code.coding:icd10-gm.extension:Diagnosesicherheit, Observation.code.coding:diagnoseSnomed.extension, Observation.code.coding:prozedurSnomed.extension, Observation.code.coding:alpha-id.extension, Observation.code.coding:orphanet.extension, Observation.code.coding:kardio.extension, Observation.referenceRange.extension, Observation.referenceRange.modifierExtension, Observation.component.extension, Observation.component.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()
icd-regex warning Observation.code.coding:icd10-gm.code In code sind nur gültige ICD-10-Codes ohne Zusätze erlaubt matches('^[A-Z][0-9][A-Z0-9](\\.?[A-Z0-9]{0,4})?$')
obs-3 error Observation.referenceRange Must have at least a low or a high or text low.exists() or high.exists() or text.exists()
obs-6 error Observation dataAbsentReason SHALL only be present if Observation.value[x] is not present dataAbsentReason.empty() or value.empty()
obs-7 error Observation If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

Diese Struktur ist abgeleitet von Observation

Summary

Mandatory: 3 elements(3 nested mandatory elements)
Must-Support: 14 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Observation.code.coding (Closed)

 

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