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

• Inhalt
• Detaillierte Beschreibungen
• Mappings
• Beispiele
• XML
• JSON

Ressourcenprofil: MII PR Kardio Observation Rauchen

Profil zur Erfassung des Rauchverhaltens einer Person im Kontext des Modul Kardiologie.

Usages:

• Examples for this Profile: Observation/mii-exa-kardio-raucherstatus

You can also check for usages in the FHIR IG Statistics

Formale Ansichten des Profilinhalts

Beschreibung von Profilen, Differentials, Snapshots und deren Repräsentationen.

• Schlüsselelemente-Tabelle
• Differential-Tabelle
• Snapshot-Tabelle
• Statistiken/Referenzen
• Alle

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	ISiKRaucherStatus(6.0.0)	Measurements and simple assertions Constraints: obs-6, obs-7
id	SΣ	0..1	id	serverseitige, interne ID des Datensatzes
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Constraints: ext-1
status	?!SΣ	1..1	code	Status Binding: ObservationStatus (required): Codes providing the status of an observation.
category	S	1..1	CodeableConcept	Kategorie Binding: ObservationCategoryCodes (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
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: social-history
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code	SΣ	1..1	CodeableConcept	Code Binding: LOINCCodes (example): Codes identifying names of simple observations.
Slices for coding	SΣ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:system
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:snomed-ct	SΣ	0..1	ISiKSnomedCTCoding(6.0.0)	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 77176002
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
coding:loinc	SΣ	1..1	ISiKLoincCoding(6.0.0)	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 72166-2
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
subject	SΣ	1..1	Reference(Patient)	Patientenbezug
reference	SΣC	1..1	string	Patienten-Link
encounter	SΣ	0..1	Reference(Encounter)	Aufenthaltsbezug
reference	SΣC	1..1	string	Encounter-Link
effective[x]	SΣ	1..1		Zeitpunkt/-raum der Beobachtung
effectiveDateTime			dateTime
effectivePeriod			Period
performer	SΣ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)	Who is responsible for the observation
Slices for value[x]	SΣC	1..1	CodeableConcept	Current Smoking Status als Loinc-Answer Code (siehe ISiK VS: CurrentSmokingStatusUvIps) Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept	SΣC	1..1	CodeableConcept	Actual result Binding: CurrentSmokingStatusUvIps (1.1.0) (required)
hasMember	Σ	0..*	Reference(Observation | QuestionnaireResponse)	Related resource that belongs to the Observation group
derivedFrom	Σ	0..*	Reference(DocumentReference | Media | QuestionnaireResponse | Observation)	Related measurements the observation is made from
Slices for component	Σ	0..*	BackboneElement	Zusätzliche Angaben zum Rauchverhalten. Slice: Unordered, Open by value:code
component:All Slices				Content/Rules for all slices
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.
component:packungsjahre	Σ	0..*	BackboneElement	Die Zahl der täglich konsumierten Zigarettenpackungen (Inhalt 20 Stück) wird mit der Zahl der Raucherjahre multipliziert (siehe https://cde.nlm.nih.gov/deView?tinyId=Q1fNmemkyg).
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. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 401201003
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	1..1	Quantity	Actual component result
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
comparator	?!SΣ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	Σ	0..1	string	Unit representation Required Pattern: {pack-years}
system	ΣC	0..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	Σ	0..1	code	Coded form of the unit Required Pattern: {pack-years}
component:zigarettenProTag	Σ	0..*	BackboneElement	Component results
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. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 63640-7
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	1..1	Quantity	Actual component result
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
comparator	?!SΣ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	Σ	0..1	string	Unit representation Required Pattern: {cigarettes-per-day}
system	ΣC	0..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	Σ	0..1	code	Coded form of the unit Required Pattern: {cigarettes-per-day}
component:rauchbeginn	Σ	0..*	BackboneElement	Component results
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. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 266929003
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
Slices for value[x]	Σ	0..1		Actual component result Slice: Unordered, Closed by type:$this
valueQuantity			Quantity
valueDateTime			dateTime
Slices for value[x]				Content/Rules for all slices
value[x]:valueDateTime	SΣ	0..1	dateTime	Actual component result
value[x]:valueQuantity	Σ	0..1	Quantity	Actual component result
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	Σ	0..1	string	Unit representation Required Pattern: year
system	ΣC	0..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	Σ	0..1	code	Coded form of the unit Required Pattern: a
component:rauchdauer	Σ	0..*	BackboneElement	Component results
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. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 228487000
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	1..1	Quantity	Actual component result
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
comparator	?!SΣ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	Σ	0..1	string	Unit representation Required Pattern: year
system	ΣC	0..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	Σ	0..1	code	Coded form of the unit Required Pattern: a
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.value[x]:valueCodeableConcept	Base	required	Current Smoking Status - IPS	📍1.1.0	de.gematik.isik v6.0
Observation.component.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:packungsjahre.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:packungsjahre.​value[x].comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.component:zigarettenProTag.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:zigarettenProTag.​value[x].comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.component:rauchbeginn.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:rauchbeginn.​value[x]:valueQuantity.​comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.component:rauchdauer.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:rauchdauer.​value[x].comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	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:snomed-ct, Observation.code.coding:loinc, Observation.subject, Observation.subject.reference, Observation.encounter, Observation.encounter.reference, Observation.effective[x], Observation.performer, Observation.value[x], Observation.value[x]:valueCodeableConcept, Observation.hasMember, Observation.derivedFrom, Observation.component, Observation.component.modifierExtension, Observation.component.code, Observation.component:packungsjahre, Observation.component:packungsjahre.modifierExtension, Observation.component:packungsjahre.code, Observation.component:packungsjahre.value[x], Observation.component:packungsjahre.value[x].value, Observation.component:packungsjahre.value[x].comparator, Observation.component:packungsjahre.value[x].unit, Observation.component:packungsjahre.value[x].system, Observation.component:packungsjahre.value[x].code, Observation.component:zigarettenProTag, Observation.component:zigarettenProTag.modifierExtension, Observation.component:zigarettenProTag.code, Observation.component:zigarettenProTag.value[x], Observation.component:zigarettenProTag.value[x].value, Observation.component:zigarettenProTag.value[x].comparator, Observation.component:zigarettenProTag.value[x].unit, Observation.component:zigarettenProTag.value[x].system, Observation.component:zigarettenProTag.value[x].code, Observation.component:rauchbeginn, Observation.component:rauchbeginn.modifierExtension, Observation.component:rauchbeginn.code, Observation.component:rauchbeginn.value[x], Observation.component:rauchbeginn.value[x]:valueDateTime, Observation.component:rauchbeginn.value[x]:valueQuantity, Observation.component:rauchbeginn.value[x]:valueQuantity.comparator, Observation.component:rauchbeginn.value[x]:valueQuantity.unit, Observation.component:rauchbeginn.value[x]:valueQuantity.system, Observation.component:rauchbeginn.value[x]:valueQuantity.code, Observation.component:rauchdauer, Observation.component:rauchdauer.modifierExtension, Observation.component:rauchdauer.code, Observation.component:rauchdauer.value[x], Observation.component:rauchdauer.value[x].value, Observation.component:rauchdauer.value[x].comparator, Observation.component:rauchdauer.value[x].unit, Observation.component:rauchdauer.value[x].system, Observation.component:rauchdauer.value[x].code	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	Observation.modifierExtension, Observation.component.modifierExtension, Observation.component:packungsjahre.modifierExtension, Observation.component:zigarettenProTag.modifierExtension, Observation.component:rauchbeginn.modifierExtension, Observation.component:rauchdauer.modifierExtension	Must have either extensions or value[x], not both	extension.exists() != value.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present	dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present	value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

Diese Struktur ist abgeleitet von ISiKRaucherStatus

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation		0..*	ISiKRaucherStatus(6.0.0)	Measurements and simple assertions
category		1..1	CodeableConcept	Kategorie Binding: ObservationCategoryCodes (required)
code
coding		1..*	Coding	Code defined by a terminology system
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
Slices for coding				Content/Rules for all slices
coding:snomed-ct		0..1	ISiKSnomedCTCoding(6.0.0)	Code defined by a terminology system
coding:loinc		1..1	ISiKLoincCoding(6.0.0)	Code defined by a terminology system
subject		1..1	Reference(Patient)	Patientenbezug
performer	S	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)	Who is responsible for the observation
value[x]		1..1	CodeableConcept	Current Smoking Status als Loinc-Answer Code (siehe ISiK VS: CurrentSmokingStatusUvIps)
Slices for value[x]				Content/Rules for all slices
value[x]:valueDateTime		0..0		Actual result
hasMember		0..*	Reference(Observation | QuestionnaireResponse)	Related resource that belongs to the Observation group
derivedFrom		0..*	Reference(DocumentReference | Media | QuestionnaireResponse | Observation)	Related measurements the observation is made from
Slices for component		0..*	BackboneElement	Zusätzliche Angaben zum Rauchverhalten. Slice: Unordered, Open by value:code
component:packungsjahre		0..*	BackboneElement	Die Zahl der täglich konsumierten Zigarettenpackungen (Inhalt 20 Stück) wird mit der Zahl der Raucherjahre multipliziert (siehe https://cde.nlm.nih.gov/deView?tinyId=Q1fNmemkyg).
code		1..1	CodeableConcept	Type of component observation (code / type) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 401201003
value[x]	S	1..1	Quantity	Actual component result
value	S	1..1	decimal	Numerical value (with implicit precision)
comparator	S	0..1	code	< | <= | >= | > - how to understand the value
unit		0..1	string	Unit representation Required Pattern: {pack-years}
system		0..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code		0..1	code	Coded form of the unit Required Pattern: {pack-years}
component:zigarettenProTag		0..*	BackboneElement	Component results
code		1..1	CodeableConcept	Type of component observation (code / type) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 63640-7
value[x]	S	1..1	Quantity	Actual component result
value	S	1..1	decimal	Numerical value (with implicit precision)
comparator	S	0..1	code	< | <= | >= | > - how to understand the value
unit		0..1	string	Unit representation Required Pattern: {cigarettes-per-day}
system		0..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code		0..1	code	Coded form of the unit Required Pattern: {cigarettes-per-day}
component:rauchbeginn		0..*	BackboneElement	Component results
code		1..1	CodeableConcept	Type of component observation (code / type) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 266929003
Slices for value[x]		0..1		Actual component result Slice: Unordered, Open by type:$this
valueQuantity			Quantity
valueDateTime			dateTime
Slices for value[x]				Content/Rules for all slices
value[x]:valueDateTime	S	0..1	dateTime	Actual component result
value[x]:valueQuantity		0..1	Quantity	Actual component result
unit		0..1	string	Unit representation Required Pattern: year
system		0..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code		0..1	code	Coded form of the unit Required Pattern: a
component:rauchdauer		0..*	BackboneElement	Component results
code		1..1	CodeableConcept	Type of component observation (code / type) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 228487000
value[x]	S	1..1	Quantity	Actual component result
value	S	1..1	decimal	Numerical value (with implicit precision)
comparator	S	0..1	code	< | <= | >= | > - how to understand the value
unit		0..1	string	Unit representation Required Pattern: year
system		0..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code		0..1	code	Coded form of the unit Required Pattern: a
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.

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	ISiKRaucherStatus(6.0.0)	Measurements and simple assertions Constraints: obs-6, obs-7
id	SΣ	0..1	id	serverseitige, interne ID des Datensatzes
meta	Σ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
versionId	Σ	0..1	id	Eindeutiger Name der serverseitigen Version des Datensatzes
lastUpdated	Σ	0..1	instant	Zeitpunkt der letzten Änderung
source	Σ	0..1	uri	Identifies where the resource comes from
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation 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	?!SΣ	1..1	code	Status Binding: ObservationStatus (required): Codes providing the status of an observation.
category	S	1..1	CodeableConcept	Kategorie Binding: ObservationCategoryCodes (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
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: social-history
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code	SΣ	1..1	CodeableConcept	Code 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, Open by pattern:system
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:snomed-ct	SΣ	0..1	ISiKSnomedCTCoding(6.0.0)	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 77176002
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
coding:loinc	SΣ	1..1	ISiKLoincCoding(6.0.0)	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 72166-2
display		0..1	string	Representation defined by the system
userSelected		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)	Patientenbezug
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
reference	SΣC	1..1	string	Patienten-Link
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
focus	Σ	0..*	Reference(Resource)	What the observation is about, when it is not about the subject of record
encounter	SΣ	0..1	Reference(Encounter)	Aufenthaltsbezug
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
reference	SΣC	1..1	string	Encounter-Link
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
effective[x]	SΣ	1..1		Zeitpunkt/-raum der Beobachtung
effectiveDateTime			dateTime
effectivePeriod			Period
issued	Σ	0..1	instant	Date/Time this version was made available
performer	SΣ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)	Who is responsible for the observation
Slices for value[x]	SΣC	1..1	CodeableConcept	Current Smoking Status als Loinc-Answer Code (siehe ISiK VS: CurrentSmokingStatusUvIps) Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept	SΣC	1..1	CodeableConcept	Actual result Binding: CurrentSmokingStatusUvIps (1.1.0) (required)
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)	Related resource that belongs to the Observation group
derivedFrom	Σ	0..*	Reference(DocumentReference | Media | QuestionnaireResponse | Observation)	Related measurements the observation is made from
Slices for component	Σ	0..*	BackboneElement	Zusätzliche Angaben zum Rauchverhalten. Slice: Unordered, Open by value:code
component:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations 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
component:packungsjahre	Σ	0..*	BackboneElement	Die Zahl der täglich konsumierten Zigarettenpackungen (Inhalt 20 Stück) wird mit der Zahl der Raucherjahre multipliziert (siehe https://cde.nlm.nih.gov/deView?tinyId=Q1fNmemkyg).
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. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 401201003
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	1..1	Quantity	Actual component result
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
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
comparator	?!SΣ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	Σ	0..1	string	Unit representation Required Pattern: {pack-years}
system	ΣC	0..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	Σ	0..1	code	Coded form of the unit Required Pattern: {pack-years}
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:zigarettenProTag	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. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 63640-7
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	1..1	Quantity	Actual component result
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
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
comparator	?!SΣ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	Σ	0..1	string	Unit representation Required Pattern: {cigarettes-per-day}
system	ΣC	0..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	Σ	0..1	code	Coded form of the unit Required Pattern: {cigarettes-per-day}
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:rauchbeginn	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. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 266929003
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
Slices for value[x]	Σ	0..1		Actual component result Slice: Unordered, Closed by type:$this
valueQuantity			Quantity
valueDateTime			dateTime
Slices for value[x]				Content/Rules for all slices
value[x]:valueDateTime	SΣ	0..1	dateTime	Actual component result
value[x]:valueQuantity	Σ	0..1	Quantity	Actual component result
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
value	Σ	0..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	Σ	0..1	string	Unit representation Required Pattern: year
system	ΣC	0..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	Σ	0..1	code	Coded form of the unit Required Pattern: a
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:rauchdauer	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. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 228487000
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	1..1	Quantity	Actual component result
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
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
comparator	?!SΣ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	Σ	0..1	string	Unit representation Required Pattern: year
system	ΣC	0..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	Σ	0..1	code	Coded form of the unit Required Pattern: a
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
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Observation.meta.security	Base	extensible	SecurityLabels	📍4.0.1	FHIR Std.
Observation.meta.tag	Base	example	Common Tags	📍4.0.1	FHIR Std.
Observation.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Observation.status	Base	required	ObservationStatus	📍4.0.1	FHIR Std.
Observation.category	Base	required	Observation Category Codes	📍4.0.1	FHIR Std.
Observation.code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.subject.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Observation.encounter.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Observation.value[x]:valueCodeableConcept	Base	required	Current Smoking Status - IPS	📍1.1.0	de.gematik.isik v6.0
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.
Observation.component:packungsjahre.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:packungsjahre.​value[x].comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.component:packungsjahre.​dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.component:packungsjahre.​interpretation	Base	extensible	Observation Interpretation Codes	📍4.0.1	FHIR Std.
Observation.component:zigarettenProTag.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:zigarettenProTag.​value[x].comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.component:zigarettenProTag.​dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.component:zigarettenProTag.​interpretation	Base	extensible	Observation Interpretation Codes	📍4.0.1	FHIR Std.
Observation.component:rauchbeginn.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:rauchbeginn.​value[x]:valueQuantity.​comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.component:rauchbeginn.​dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.component:rauchbeginn.​interpretation	Base	extensible	Observation Interpretation Codes	📍4.0.1	FHIR Std.
Observation.component:rauchdauer.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:rauchdauer.​value[x].comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.component:rauchdauer.​dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.component:rauchdauer.​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.meta.extension, Observation.meta.versionId, Observation.meta.lastUpdated, Observation.meta.source, Observation.meta.profile, Observation.meta.security, Observation.meta.tag, 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:snomed-ct, Observation.code.coding:loinc, Observation.code.text, Observation.subject, Observation.subject.extension, Observation.subject.reference, Observation.subject.type, Observation.subject.identifier, Observation.subject.display, Observation.focus, Observation.encounter, Observation.encounter.extension, Observation.encounter.reference, Observation.encounter.type, Observation.encounter.identifier, Observation.encounter.display, Observation.effective[x], Observation.issued, Observation.performer, Observation.value[x], Observation.value[x]:valueCodeableConcept, 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, Observation.component:packungsjahre, Observation.component:packungsjahre.extension, Observation.component:packungsjahre.modifierExtension, Observation.component:packungsjahre.code, Observation.component:packungsjahre.value[x], Observation.component:packungsjahre.value[x].extension, Observation.component:packungsjahre.value[x].value, Observation.component:packungsjahre.value[x].comparator, Observation.component:packungsjahre.value[x].unit, Observation.component:packungsjahre.value[x].system, Observation.component:packungsjahre.value[x].code, Observation.component:packungsjahre.dataAbsentReason, Observation.component:packungsjahre.interpretation, Observation.component:packungsjahre.referenceRange, Observation.component:zigarettenProTag, Observation.component:zigarettenProTag.extension, Observation.component:zigarettenProTag.modifierExtension, Observation.component:zigarettenProTag.code, Observation.component:zigarettenProTag.value[x], Observation.component:zigarettenProTag.value[x].extension, Observation.component:zigarettenProTag.value[x].value, Observation.component:zigarettenProTag.value[x].comparator, Observation.component:zigarettenProTag.value[x].unit, Observation.component:zigarettenProTag.value[x].system, Observation.component:zigarettenProTag.value[x].code, Observation.component:zigarettenProTag.dataAbsentReason, Observation.component:zigarettenProTag.interpretation, Observation.component:zigarettenProTag.referenceRange, Observation.component:rauchbeginn, Observation.component:rauchbeginn.extension, Observation.component:rauchbeginn.modifierExtension, Observation.component:rauchbeginn.code, Observation.component:rauchbeginn.value[x], Observation.component:rauchbeginn.value[x]:valueDateTime, Observation.component:rauchbeginn.value[x]:valueQuantity, Observation.component:rauchbeginn.value[x]:valueQuantity.extension, Observation.component:rauchbeginn.value[x]:valueQuantity.value, Observation.component:rauchbeginn.value[x]:valueQuantity.comparator, Observation.component:rauchbeginn.value[x]:valueQuantity.unit, Observation.component:rauchbeginn.value[x]:valueQuantity.system, Observation.component:rauchbeginn.value[x]:valueQuantity.code, Observation.component:rauchbeginn.dataAbsentReason, Observation.component:rauchbeginn.interpretation, Observation.component:rauchbeginn.referenceRange, Observation.component:rauchdauer, Observation.component:rauchdauer.extension, Observation.component:rauchdauer.modifierExtension, Observation.component:rauchdauer.code, Observation.component:rauchdauer.value[x], Observation.component:rauchdauer.value[x].extension, Observation.component:rauchdauer.value[x].value, Observation.component:rauchdauer.value[x].comparator, Observation.component:rauchdauer.value[x].unit, Observation.component:rauchdauer.value[x].system, Observation.component:rauchdauer.value[x].code, Observation.component:rauchdauer.dataAbsentReason, Observation.component:rauchdauer.interpretation, Observation.component:rauchdauer.referenceRange	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	Observation.meta.extension, Observation.extension, Observation.modifierExtension, Observation.code.extension, Observation.code.coding.extension, Observation.subject.extension, Observation.encounter.extension, Observation.referenceRange.extension, Observation.referenceRange.modifierExtension, Observation.component.extension, Observation.component.modifierExtension, Observation.component:packungsjahre.extension, Observation.component:packungsjahre.modifierExtension, Observation.component:packungsjahre.value[x].extension, Observation.component:zigarettenProTag.extension, Observation.component:zigarettenProTag.modifierExtension, Observation.component:zigarettenProTag.value[x].extension, Observation.component:rauchbeginn.extension, Observation.component:rauchbeginn.modifierExtension, Observation.component:rauchbeginn.value[x]:valueQuantity.extension, Observation.component:rauchdauer.extension, Observation.component:rauchdauer.modifierExtension, Observation.component:rauchdauer.value[x].extension	Must have either extensions or value[x], not both	extension.exists() != value.exists()
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 ISiKRaucherStatus

Summary

Mandatory: 4 elements(6 nested mandatory elements)
Must-Support: 14 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

• Patient (http://hl7.org/fhir/StructureDefinition/Patient|4.0.1)
• Observation (http://hl7.org/fhir/StructureDefinition/Observation|4.0.1)
• QuestionnaireResponse (http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse|4.0.1)
• DocumentReference (http://hl7.org/fhir/StructureDefinition/DocumentReference|4.0.1)
• Media (http://hl7.org/fhir/StructureDefinition/Media|4.0.1)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Observation.component
• The element 1 is sliced based on the value of Observation.component.value[x]

Schlüsselelemente-Ansicht

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	ISiKRaucherStatus(6.0.0)	Measurements and simple assertions Constraints: obs-6, obs-7
id	SΣ	0..1	id	serverseitige, interne ID des Datensatzes
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Constraints: ext-1
status	?!SΣ	1..1	code	Status Binding: ObservationStatus (required): Codes providing the status of an observation.
category	S	1..1	CodeableConcept	Kategorie Binding: ObservationCategoryCodes (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
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: social-history
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code	SΣ	1..1	CodeableConcept	Code Binding: LOINCCodes (example): Codes identifying names of simple observations.
Slices for coding	SΣ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:system
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:snomed-ct	SΣ	0..1	ISiKSnomedCTCoding(6.0.0)	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 77176002
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
coding:loinc	SΣ	1..1	ISiKLoincCoding(6.0.0)	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 72166-2
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
subject	SΣ	1..1	Reference(Patient)	Patientenbezug
reference	SΣC	1..1	string	Patienten-Link
encounter	SΣ	0..1	Reference(Encounter)	Aufenthaltsbezug
reference	SΣC	1..1	string	Encounter-Link
effective[x]	SΣ	1..1		Zeitpunkt/-raum der Beobachtung
effectiveDateTime			dateTime
effectivePeriod			Period
performer	SΣ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)	Who is responsible for the observation
Slices for value[x]	SΣC	1..1	CodeableConcept	Current Smoking Status als Loinc-Answer Code (siehe ISiK VS: CurrentSmokingStatusUvIps) Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept	SΣC	1..1	CodeableConcept	Actual result Binding: CurrentSmokingStatusUvIps (1.1.0) (required)
hasMember	Σ	0..*	Reference(Observation | QuestionnaireResponse)	Related resource that belongs to the Observation group
derivedFrom	Σ	0..*	Reference(DocumentReference | Media | QuestionnaireResponse | Observation)	Related measurements the observation is made from
Slices for component	Σ	0..*	BackboneElement	Zusätzliche Angaben zum Rauchverhalten. Slice: Unordered, Open by value:code
component:All Slices				Content/Rules for all slices
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.
component:packungsjahre	Σ	0..*	BackboneElement	Die Zahl der täglich konsumierten Zigarettenpackungen (Inhalt 20 Stück) wird mit der Zahl der Raucherjahre multipliziert (siehe https://cde.nlm.nih.gov/deView?tinyId=Q1fNmemkyg).
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. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 401201003
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	1..1	Quantity	Actual component result
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
comparator	?!SΣ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	Σ	0..1	string	Unit representation Required Pattern: {pack-years}
system	ΣC	0..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	Σ	0..1	code	Coded form of the unit Required Pattern: {pack-years}
component:zigarettenProTag	Σ	0..*	BackboneElement	Component results
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. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 63640-7
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	1..1	Quantity	Actual component result
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
comparator	?!SΣ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	Σ	0..1	string	Unit representation Required Pattern: {cigarettes-per-day}
system	ΣC	0..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	Σ	0..1	code	Coded form of the unit Required Pattern: {cigarettes-per-day}
component:rauchbeginn	Σ	0..*	BackboneElement	Component results
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. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 266929003
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
Slices for value[x]	Σ	0..1		Actual component result Slice: Unordered, Closed by type:$this
valueQuantity			Quantity
valueDateTime			dateTime
Slices for value[x]				Content/Rules for all slices
value[x]:valueDateTime	SΣ	0..1	dateTime	Actual component result
value[x]:valueQuantity	Σ	0..1	Quantity	Actual component result
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	Σ	0..1	string	Unit representation Required Pattern: year
system	ΣC	0..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	Σ	0..1	code	Coded form of the unit Required Pattern: a
component:rauchdauer	Σ	0..*	BackboneElement	Component results
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. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 228487000
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	1..1	Quantity	Actual component result
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
comparator	?!SΣ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	Σ	0..1	string	Unit representation Required Pattern: year
system	ΣC	0..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	Σ	0..1	code	Coded form of the unit Required Pattern: a
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.value[x]:valueCodeableConcept	Base	required	Current Smoking Status - IPS	📍1.1.0	de.gematik.isik v6.0
Observation.component.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:packungsjahre.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:packungsjahre.​value[x].comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.component:zigarettenProTag.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:zigarettenProTag.​value[x].comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.component:rauchbeginn.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:rauchbeginn.​value[x]:valueQuantity.​comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.component:rauchdauer.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:rauchdauer.​value[x].comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	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:snomed-ct, Observation.code.coding:loinc, Observation.subject, Observation.subject.reference, Observation.encounter, Observation.encounter.reference, Observation.effective[x], Observation.performer, Observation.value[x], Observation.value[x]:valueCodeableConcept, Observation.hasMember, Observation.derivedFrom, Observation.component, Observation.component.modifierExtension, Observation.component.code, Observation.component:packungsjahre, Observation.component:packungsjahre.modifierExtension, Observation.component:packungsjahre.code, Observation.component:packungsjahre.value[x], Observation.component:packungsjahre.value[x].value, Observation.component:packungsjahre.value[x].comparator, Observation.component:packungsjahre.value[x].unit, Observation.component:packungsjahre.value[x].system, Observation.component:packungsjahre.value[x].code, Observation.component:zigarettenProTag, Observation.component:zigarettenProTag.modifierExtension, Observation.component:zigarettenProTag.code, Observation.component:zigarettenProTag.value[x], Observation.component:zigarettenProTag.value[x].value, Observation.component:zigarettenProTag.value[x].comparator, Observation.component:zigarettenProTag.value[x].unit, Observation.component:zigarettenProTag.value[x].system, Observation.component:zigarettenProTag.value[x].code, Observation.component:rauchbeginn, Observation.component:rauchbeginn.modifierExtension, Observation.component:rauchbeginn.code, Observation.component:rauchbeginn.value[x], Observation.component:rauchbeginn.value[x]:valueDateTime, Observation.component:rauchbeginn.value[x]:valueQuantity, Observation.component:rauchbeginn.value[x]:valueQuantity.comparator, Observation.component:rauchbeginn.value[x]:valueQuantity.unit, Observation.component:rauchbeginn.value[x]:valueQuantity.system, Observation.component:rauchbeginn.value[x]:valueQuantity.code, Observation.component:rauchdauer, Observation.component:rauchdauer.modifierExtension, Observation.component:rauchdauer.code, Observation.component:rauchdauer.value[x], Observation.component:rauchdauer.value[x].value, Observation.component:rauchdauer.value[x].comparator, Observation.component:rauchdauer.value[x].unit, Observation.component:rauchdauer.value[x].system, Observation.component:rauchdauer.value[x].code	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	Observation.modifierExtension, Observation.component.modifierExtension, Observation.component:packungsjahre.modifierExtension, Observation.component:zigarettenProTag.modifierExtension, Observation.component:rauchbeginn.modifierExtension, Observation.component:rauchdauer.modifierExtension	Must have either extensions or value[x], not both	extension.exists() != value.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present	dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present	value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

Differential-Ansicht

Diese Struktur ist abgeleitet von ISiKRaucherStatus

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation		0..*	ISiKRaucherStatus(6.0.0)	Measurements and simple assertions
category		1..1	CodeableConcept	Kategorie Binding: ObservationCategoryCodes (required)
code
coding		1..*	Coding	Code defined by a terminology system
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
Slices for coding				Content/Rules for all slices
coding:snomed-ct		0..1	ISiKSnomedCTCoding(6.0.0)	Code defined by a terminology system
coding:loinc		1..1	ISiKLoincCoding(6.0.0)	Code defined by a terminology system
subject		1..1	Reference(Patient)	Patientenbezug
performer	S	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)	Who is responsible for the observation
value[x]		1..1	CodeableConcept	Current Smoking Status als Loinc-Answer Code (siehe ISiK VS: CurrentSmokingStatusUvIps)
Slices for value[x]				Content/Rules for all slices
value[x]:valueDateTime		0..0		Actual result
hasMember		0..*	Reference(Observation | QuestionnaireResponse)	Related resource that belongs to the Observation group
derivedFrom		0..*	Reference(DocumentReference | Media | QuestionnaireResponse | Observation)	Related measurements the observation is made from
Slices for component		0..*	BackboneElement	Zusätzliche Angaben zum Rauchverhalten. Slice: Unordered, Open by value:code
component:packungsjahre		0..*	BackboneElement	Die Zahl der täglich konsumierten Zigarettenpackungen (Inhalt 20 Stück) wird mit der Zahl der Raucherjahre multipliziert (siehe https://cde.nlm.nih.gov/deView?tinyId=Q1fNmemkyg).
code		1..1	CodeableConcept	Type of component observation (code / type) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 401201003
value[x]	S	1..1	Quantity	Actual component result
value	S	1..1	decimal	Numerical value (with implicit precision)
comparator	S	0..1	code	< | <= | >= | > - how to understand the value
unit		0..1	string	Unit representation Required Pattern: {pack-years}
system		0..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code		0..1	code	Coded form of the unit Required Pattern: {pack-years}
component:zigarettenProTag		0..*	BackboneElement	Component results
code		1..1	CodeableConcept	Type of component observation (code / type) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 63640-7
value[x]	S	1..1	Quantity	Actual component result
value	S	1..1	decimal	Numerical value (with implicit precision)
comparator	S	0..1	code	< | <= | >= | > - how to understand the value
unit		0..1	string	Unit representation Required Pattern: {cigarettes-per-day}
system		0..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code		0..1	code	Coded form of the unit Required Pattern: {cigarettes-per-day}
component:rauchbeginn		0..*	BackboneElement	Component results
code		1..1	CodeableConcept	Type of component observation (code / type) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 266929003
Slices for value[x]		0..1		Actual component result Slice: Unordered, Open by type:$this
valueQuantity			Quantity
valueDateTime			dateTime
Slices for value[x]				Content/Rules for all slices
value[x]:valueDateTime	S	0..1	dateTime	Actual component result
value[x]:valueQuantity		0..1	Quantity	Actual component result
unit		0..1	string	Unit representation Required Pattern: year
system		0..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code		0..1	code	Coded form of the unit Required Pattern: a
component:rauchdauer		0..*	BackboneElement	Component results
code		1..1	CodeableConcept	Type of component observation (code / type) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 228487000
value[x]	S	1..1	Quantity	Actual component result
value	S	1..1	decimal	Numerical value (with implicit precision)
comparator	S	0..1	code	< | <= | >= | > - how to understand the value
unit		0..1	string	Unit representation Required Pattern: year
system		0..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code		0..1	code	Coded form of the unit Required Pattern: a
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.

Snapshot-AnsichtView

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	ISiKRaucherStatus(6.0.0)	Measurements and simple assertions Constraints: obs-6, obs-7
id	SΣ	0..1	id	serverseitige, interne ID des Datensatzes
meta	Σ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
versionId	Σ	0..1	id	Eindeutiger Name der serverseitigen Version des Datensatzes
lastUpdated	Σ	0..1	instant	Zeitpunkt der letzten Änderung
source	Σ	0..1	uri	Identifies where the resource comes from
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation 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	?!SΣ	1..1	code	Status Binding: ObservationStatus (required): Codes providing the status of an observation.
category	S	1..1	CodeableConcept	Kategorie Binding: ObservationCategoryCodes (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
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: social-history
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code	SΣ	1..1	CodeableConcept	Code 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, Open by pattern:system
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:snomed-ct	SΣ	0..1	ISiKSnomedCTCoding(6.0.0)	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 77176002
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
coding:loinc	SΣ	1..1	ISiKLoincCoding(6.0.0)	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 72166-2
display		0..1	string	Representation defined by the system
userSelected		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)	Patientenbezug
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
reference	SΣC	1..1	string	Patienten-Link
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
focus	Σ	0..*	Reference(Resource)	What the observation is about, when it is not about the subject of record
encounter	SΣ	0..1	Reference(Encounter)	Aufenthaltsbezug
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
reference	SΣC	1..1	string	Encounter-Link
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
effective[x]	SΣ	1..1		Zeitpunkt/-raum der Beobachtung
effectiveDateTime			dateTime
effectivePeriod			Period
issued	Σ	0..1	instant	Date/Time this version was made available
performer	SΣ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)	Who is responsible for the observation
Slices for value[x]	SΣC	1..1	CodeableConcept	Current Smoking Status als Loinc-Answer Code (siehe ISiK VS: CurrentSmokingStatusUvIps) Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept	SΣC	1..1	CodeableConcept	Actual result Binding: CurrentSmokingStatusUvIps (1.1.0) (required)
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)	Related resource that belongs to the Observation group
derivedFrom	Σ	0..*	Reference(DocumentReference | Media | QuestionnaireResponse | Observation)	Related measurements the observation is made from
Slices for component	Σ	0..*	BackboneElement	Zusätzliche Angaben zum Rauchverhalten. Slice: Unordered, Open by value:code
component:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations 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
component:packungsjahre	Σ	0..*	BackboneElement	Die Zahl der täglich konsumierten Zigarettenpackungen (Inhalt 20 Stück) wird mit der Zahl der Raucherjahre multipliziert (siehe https://cde.nlm.nih.gov/deView?tinyId=Q1fNmemkyg).
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. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 401201003
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	1..1	Quantity	Actual component result
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
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
comparator	?!SΣ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	Σ	0..1	string	Unit representation Required Pattern: {pack-years}
system	ΣC	0..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	Σ	0..1	code	Coded form of the unit Required Pattern: {pack-years}
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:zigarettenProTag	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. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 63640-7
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	1..1	Quantity	Actual component result
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
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
comparator	?!SΣ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	Σ	0..1	string	Unit representation Required Pattern: {cigarettes-per-day}
system	ΣC	0..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	Σ	0..1	code	Coded form of the unit Required Pattern: {cigarettes-per-day}
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:rauchbeginn	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. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 266929003
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
Slices for value[x]	Σ	0..1		Actual component result Slice: Unordered, Closed by type:$this
valueQuantity			Quantity
valueDateTime			dateTime
Slices for value[x]				Content/Rules for all slices
value[x]:valueDateTime	SΣ	0..1	dateTime	Actual component result
value[x]:valueQuantity	Σ	0..1	Quantity	Actual component result
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
value	Σ	0..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	Σ	0..1	string	Unit representation Required Pattern: year
system	ΣC	0..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	Σ	0..1	code	Coded form of the unit Required Pattern: a
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:rauchdauer	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. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 228487000
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	1..1	Quantity	Actual component result
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
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
comparator	?!SΣ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	Σ	0..1	string	Unit representation Required Pattern: year
system	ΣC	0..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	Σ	0..1	code	Coded form of the unit Required Pattern: a
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
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Observation.meta.security	Base	extensible	SecurityLabels	📍4.0.1	FHIR Std.
Observation.meta.tag	Base	example	Common Tags	📍4.0.1	FHIR Std.
Observation.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Observation.status	Base	required	ObservationStatus	📍4.0.1	FHIR Std.
Observation.category	Base	required	Observation Category Codes	📍4.0.1	FHIR Std.
Observation.code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.subject.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Observation.encounter.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Observation.value[x]:valueCodeableConcept	Base	required	Current Smoking Status - IPS	📍1.1.0	de.gematik.isik v6.0
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.
Observation.component:packungsjahre.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:packungsjahre.​value[x].comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.component:packungsjahre.​dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.component:packungsjahre.​interpretation	Base	extensible	Observation Interpretation Codes	📍4.0.1	FHIR Std.
Observation.component:zigarettenProTag.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:zigarettenProTag.​value[x].comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.component:zigarettenProTag.​dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.component:zigarettenProTag.​interpretation	Base	extensible	Observation Interpretation Codes	📍4.0.1	FHIR Std.
Observation.component:rauchbeginn.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:rauchbeginn.​value[x]:valueQuantity.​comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.component:rauchbeginn.​dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.component:rauchbeginn.​interpretation	Base	extensible	Observation Interpretation Codes	📍4.0.1	FHIR Std.
Observation.component:rauchdauer.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:rauchdauer.​value[x].comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.component:rauchdauer.​dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.component:rauchdauer.​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.meta.extension, Observation.meta.versionId, Observation.meta.lastUpdated, Observation.meta.source, Observation.meta.profile, Observation.meta.security, Observation.meta.tag, 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:snomed-ct, Observation.code.coding:loinc, Observation.code.text, Observation.subject, Observation.subject.extension, Observation.subject.reference, Observation.subject.type, Observation.subject.identifier, Observation.subject.display, Observation.focus, Observation.encounter, Observation.encounter.extension, Observation.encounter.reference, Observation.encounter.type, Observation.encounter.identifier, Observation.encounter.display, Observation.effective[x], Observation.issued, Observation.performer, Observation.value[x], Observation.value[x]:valueCodeableConcept, 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, Observation.component:packungsjahre, Observation.component:packungsjahre.extension, Observation.component:packungsjahre.modifierExtension, Observation.component:packungsjahre.code, Observation.component:packungsjahre.value[x], Observation.component:packungsjahre.value[x].extension, Observation.component:packungsjahre.value[x].value, Observation.component:packungsjahre.value[x].comparator, Observation.component:packungsjahre.value[x].unit, Observation.component:packungsjahre.value[x].system, Observation.component:packungsjahre.value[x].code, Observation.component:packungsjahre.dataAbsentReason, Observation.component:packungsjahre.interpretation, Observation.component:packungsjahre.referenceRange, Observation.component:zigarettenProTag, Observation.component:zigarettenProTag.extension, Observation.component:zigarettenProTag.modifierExtension, Observation.component:zigarettenProTag.code, Observation.component:zigarettenProTag.value[x], Observation.component:zigarettenProTag.value[x].extension, Observation.component:zigarettenProTag.value[x].value, Observation.component:zigarettenProTag.value[x].comparator, Observation.component:zigarettenProTag.value[x].unit, Observation.component:zigarettenProTag.value[x].system, Observation.component:zigarettenProTag.value[x].code, Observation.component:zigarettenProTag.dataAbsentReason, Observation.component:zigarettenProTag.interpretation, Observation.component:zigarettenProTag.referenceRange, Observation.component:rauchbeginn, Observation.component:rauchbeginn.extension, Observation.component:rauchbeginn.modifierExtension, Observation.component:rauchbeginn.code, Observation.component:rauchbeginn.value[x], Observation.component:rauchbeginn.value[x]:valueDateTime, Observation.component:rauchbeginn.value[x]:valueQuantity, Observation.component:rauchbeginn.value[x]:valueQuantity.extension, Observation.component:rauchbeginn.value[x]:valueQuantity.value, Observation.component:rauchbeginn.value[x]:valueQuantity.comparator, Observation.component:rauchbeginn.value[x]:valueQuantity.unit, Observation.component:rauchbeginn.value[x]:valueQuantity.system, Observation.component:rauchbeginn.value[x]:valueQuantity.code, Observation.component:rauchbeginn.dataAbsentReason, Observation.component:rauchbeginn.interpretation, Observation.component:rauchbeginn.referenceRange, Observation.component:rauchdauer, Observation.component:rauchdauer.extension, Observation.component:rauchdauer.modifierExtension, Observation.component:rauchdauer.code, Observation.component:rauchdauer.value[x], Observation.component:rauchdauer.value[x].extension, Observation.component:rauchdauer.value[x].value, Observation.component:rauchdauer.value[x].comparator, Observation.component:rauchdauer.value[x].unit, Observation.component:rauchdauer.value[x].system, Observation.component:rauchdauer.value[x].code, Observation.component:rauchdauer.dataAbsentReason, Observation.component:rauchdauer.interpretation, Observation.component:rauchdauer.referenceRange	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	Observation.meta.extension, Observation.extension, Observation.modifierExtension, Observation.code.extension, Observation.code.coding.extension, Observation.subject.extension, Observation.encounter.extension, Observation.referenceRange.extension, Observation.referenceRange.modifierExtension, Observation.component.extension, Observation.component.modifierExtension, Observation.component:packungsjahre.extension, Observation.component:packungsjahre.modifierExtension, Observation.component:packungsjahre.value[x].extension, Observation.component:zigarettenProTag.extension, Observation.component:zigarettenProTag.modifierExtension, Observation.component:zigarettenProTag.value[x].extension, Observation.component:rauchbeginn.extension, Observation.component:rauchbeginn.modifierExtension, Observation.component:rauchbeginn.value[x]:valueQuantity.extension, Observation.component:rauchdauer.extension, Observation.component:rauchdauer.modifierExtension, Observation.component:rauchdauer.value[x].extension	Must have either extensions or value[x], not both	extension.exists() != value.exists()
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 ISiKRaucherStatus

Summary

Mandatory: 4 elements(6 nested mandatory elements)
Must-Support: 14 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

• Patient (http://hl7.org/fhir/StructureDefinition/Patient|4.0.1)
• Observation (http://hl7.org/fhir/StructureDefinition/Observation|4.0.1)
• QuestionnaireResponse (http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse|4.0.1)
• DocumentReference (http://hl7.org/fhir/StructureDefinition/DocumentReference|4.0.1)
• Media (http://hl7.org/fhir/StructureDefinition/Media|4.0.1)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Observation.component
• The element 1 is sliced based on the value of Observation.component.value[x]