MII IG Kerndatensatz-Modul Lungenfunktion
2027.0.0-ballot.1 -
Germany
MII IG Kerndatensatz-Modul Lungenfunktion
2027.0.0-ballot.1 -
Germany
This page is part of the MII Implementation Guide Lungenfunktion (Pulmonary Function) (v2027.0.0-ballot.1: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions
| Official URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-lungenfunktion/StructureDefinition/mii-pr-lungenfunktion-bodyplethysmographie | Version: 2027.0.0-ballot.1 | |||
| Active as of 2026-09-15 | Computable Name: MII_PR_Lungenfunktion_Bodyplethysmographie | |||
The profile describes a diagnostic report for a bodyplethysmography.
This DiagnosticReport represents the body plethysmography report. The measured values are referenced as Observations.
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots, and their representations.
| Name | Flags | Card. | Type | Description & Constraints Filter:   |
|---|---|---|---|---|
  DiagnosticReport |
0..* | MII_PR_Lungenfunktion_Befund | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports | |
  id |
SΣ | 0..1 | id | Logical id of this artifact |
  meta |
SΣ | 0..1 | Meta | Metadata about the resource |
 source |
SΣ | 0..1 | uri | Identifies where the resource comes from |
 profile |
SΣ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to |
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
| status |
?!SΣ | 1..1 | code | Status Binding: DiagnosticReportStatus (required): The status of the diagnostic report. |
| category |
SΣ | 1..* | CodeableConcept | Kategorie Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. |
  Slices for coding |
SΣ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this |
   coding:loinc |
SΣ | 0..* | Coding | LOINC Code 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: 58477-1 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Pulmonary function study | |
 userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| coding:diagnostic-service-sections |
SΣ | 0..* | Coding | Code defined by a terminology system Required Pattern: At least the following |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0074 | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: PF | |
| display |
0..1 | string | Representation defined by the system | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
 coding:sct |
SΣ | 1..1 | Coding | SNOMED CT Code 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 |
1..1 | string | Version of the system - if relevant Fixed Value: http://snomed.info/sct/900000000000207008/version/20260701 | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 720449003 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Pulmonary function report (record artifact) | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| code |
SΣ | 1..1 | CodeableConcept | Code Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports. |
| Slices for coding |
Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:$this |
| coding:sct |
SΣ | 0..1 | Coding | SNOMED CT Code Binding: MII VS Lufu SCT Procedure (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 | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| version |
1..1 | string | Version of the system - if relevant Fixed Value: http://snomed.info/sct/900000000000207008/version/20260701 | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 28275007 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Total body plethysmography (procedure) | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| coding:loinc |
SΣ | 0..1 | Coding | LOINC Code Binding: MII VS Lufu LNC Procedure Report (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 | |
| 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: TODO | |
| 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) | Person |
| encounter |
SΣ | 0..1 | Reference(Encounter) | Versorgungssstellenkontakt |
| Slices for effective[x] |
SΣ | 0..1 | Untersuchungszeitpunkt Slice: Unordered, Closed by type:$this | |
 effectiveDateTime |
dateTime | |||
| effectivePeriod |
Period | |||
| effective[x]:effectiveDateTime |
SΣ | 0..1 | dateTime | Durchführungsdatum |
 effective[x]:effectivePeriod |
SΣ | 0..1 | Period | Durchführungszeitraum |
| issued |
SΣ | 0..1 | instant | Erstellungszeitpunkt |
| Slices for result |
S | 0..* | Reference(Observation) | Ergebnis Slice: Unordered, Open by type:$this |
| result:BF |
S | 0..1 | Reference(MII PR Lungenfunktion BF) | Ergebnis |
| result:FEV_FVC |
S | 0..* | Reference(MII PR Lungenfunktion FEV/FVC) | Ergebnis |
| result:FEV |
S | 0..* | Reference(MII PR Lungenfunktion FEV) | Ergebnis |
| result:FVC |
S | 0..* | Reference(MII PR Lungenfunktion FVC) | Ergebnis |
| result:IC |
S | 0..1 | Reference(MII PR Lungenfunktion IC) | Ergebnis |
| result:MEF |
S | 0..* | Reference(MII PR Lungenfunktion MEF) | Ergebnis |
| result:PEF |
S | 0..* | Reference(MII PR Lungenfunktion PEF) | Ergebnis |
| result:IRV_ERV |
S | 0..* | Reference(MII PR Lungenfunktion Reserve Volumen) | Ergebnis |
| result:VC |
S | 0..* | Reference(MII PR Lungenfunktion VC) | Ergebnis |
| result:FRC |
S | 0..1 | Reference(MII PR Lungenfunktion FRC) | Ergebnis |
| result:R_tot |
S | 0..1 | Reference(MII PR Lungenfunktion R) | Ergebnis |
| result:sR_tot |
S | 0..1 | Reference(MII PR Lungenfunktion R Spezifisch) | Ergebnis |
| result:sR_eff |
S | 0..1 | Reference(MII PR Lungenfunktion R Effektiv) | Ergebnis |
| result:sG_tot |
S | 0..1 | Reference(MII PR Lungenfunktion sG Total) | Ergebnis |
| result:TLC |
S | 0..1 | Reference(MII PR Lungenfunktion TLC) | Ergebnis |
| result:RV |
S | 0..1 | Reference(MII PR Lungenfunktion RV) | Ergebnis |
| result:RV_TLC |
S | 0..1 | Reference(MII PR Lungenfunktion Anteil Residualvolumen an Lungenkapazität) | Ergebnis |
| conclusion |
S | 0..1 | string | Fazit |
| conclusionCode |
S | 0..* | CodeableConcept | Strukturiertes Fazit Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report. |
| Slices for coding |
SΣ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this |
| coding:icd10-gm |
SΣ | 0..* | Coding | Code defined by a terminology system Required Pattern: At least the following |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/bfarm/icd-10-gm | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
0..1 | code | Symbol in syntax defined by the system | |
| display |
0..1 | string | Representation defined by the system | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| coding:sct |
SΣ | 0..* | Coding | SNOMED CT Code Binding: MII VS Lufu SCT Findings (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 | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct|http://snomed.info/sct/900000000000207008/version/20260701 | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
0..1 | code | Symbol in syntax defined by the system | |
| display |
0..1 | string | Representation defined by the system | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| presentedForm |
S | 0..* | Attachment | Anhang |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| DiagnosticReport.status | Base | required | DiagnosticReportStatus | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.category | Base | example | Diagnostic Service Section Codes | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.code | Base | preferred | LOINC Diagnostic Report Codes | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.code.coding:sct | Base | required | MII VS Lufu SCT Procedure | 📦2027.0.0-ballot.1 | This IG |
| DiagnosticReport.code.coding:loinc | Base | required | MII VS Lufu LNC Procedure Report | 📦2027.0.0-ballot.1 | This IG |
| DiagnosticReport.conclusionCode | Base | example | SNOMED CT Clinical Findings | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.conclusionCode.coding:sct | Base | required | MII VS Lufu SCT Findings | 📦2027.0.0-ballot.1 | This IG |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | DiagnosticReport | 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 | DiagnosticReport | 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 | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | DiagnosticReport | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| DiagnosticReport |
0..* | MII_PR_Lungenfunktion_Befund | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports | |
 code |
||||
| Slices for coding |
Content/Rules for all slices | |||
| coding:sct |
0..1 | Coding | SNOMED CT Code Required Pattern: At least the following | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| version |
1..1 | string | Version of the system - if relevant Fixed Value: http://snomed.info/sct/900000000000207008/version/20260701 | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 28275007 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Total body plethysmography (procedure) | |
| coding:loinc |
0..1 | Coding | LOINC Code Required Pattern: At least the following | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: TODO | |
| Slices for result |
0..* | Reference(Observation) | Ergebnis Slice: Unordered, Open by type:$this | |
| result:BF |
S | 0..1 | Reference(MII PR Lungenfunktion BF) | Ergebnis |
| result:FEV_FVC |
S | 0..* | Reference(MII PR Lungenfunktion FEV/FVC) | Ergebnis |
| result:FEV |
S | 0..* | Reference(MII PR Lungenfunktion FEV) | Ergebnis |
| result:FVC |
S | 0..* | Reference(MII PR Lungenfunktion FVC) | Ergebnis |
| result:IC |
S | 0..1 | Reference(MII PR Lungenfunktion IC) | Ergebnis |
| result:MEF |
S | 0..* | Reference(MII PR Lungenfunktion MEF) | Ergebnis |
| result:PEF |
S | 0..* | Reference(MII PR Lungenfunktion PEF) | Ergebnis |
| result:IRV_ERV |
S | 0..* | Reference(MII PR Lungenfunktion Reserve Volumen) | Ergebnis |
| result:VC |
S | 0..* | Reference(MII PR Lungenfunktion VC) | Ergebnis |
| result:FRC |
S | 0..1 | Reference(MII PR Lungenfunktion FRC) | Ergebnis |
| result:R_tot |
S | 0..1 | Reference(MII PR Lungenfunktion R) | Ergebnis |
| result:sR_tot |
S | 0..1 | Reference(MII PR Lungenfunktion R Spezifisch) | Ergebnis |
| result:sR_eff |
S | 0..1 | Reference(MII PR Lungenfunktion R Effektiv) | Ergebnis |
| result:sG_tot |
S | 0..1 | Reference(MII PR Lungenfunktion sG Total) | Ergebnis |
| result:TLC |
S | 0..1 | Reference(MII PR Lungenfunktion TLC) | Ergebnis |
| result:RV |
S | 0..1 | Reference(MII PR Lungenfunktion RV) | Ergebnis |
| result:RV_TLC |
S | 0..1 | Reference(MII PR Lungenfunktion Anteil Residualvolumen an Lungenkapazität) | Ergebnis |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| DiagnosticReport |
0..* | MII_PR_Lungenfunktion_Befund | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports | |||||
| id |
SΣ | 0..1 | id | Logical id of this artifact | ||||
| meta |
SΣ | 0..1 | Meta | Metadata about the resource | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
 extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| versionId |
Σ | 0..1 | id | Version specific identifier | ||||
| lastUpdated |
Σ | 0..1 | instant | When the resource version last changed | ||||
| source |
SΣ | 0..1 | uri | Identifies where the resource comes from | ||||
| profile |
SΣ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to | ||||
| security |
Σ | 0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. | ||||
| tag |
Σ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". | ||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier |
Σ | 0..* | Identifier | Business identifier for report | ||||
| basedOn |
0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested | |||||
| status |
?!SΣ | 1..1 | code | Status Binding: DiagnosticReportStatus (required): The status of the diagnostic report. | ||||
| category |
SΣ | 1..* | CodeableConcept | Kategorie Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| Slices for coding |
SΣ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this | ||||
| coding:loinc |
SΣ | 0..* | Coding | LOINC Code 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: 58477-1 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Pulmonary function study | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| coding:diagnostic-service-sections |
SΣ | 0..* | Coding | Code defined by a terminology system Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0074 | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: PF | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| coding:sct |
SΣ | 1..1 | Coding | SNOMED CT Code 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 |
1..1 | string | Version of the system - if relevant Fixed Value: http://snomed.info/sct/900000000000207008/version/20260701 | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 720449003 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Pulmonary function report (record artifact) | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| code |
SΣ | 1..1 | CodeableConcept | Code Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports. | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| Slices for coding |
Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:$this | ||||
| coding:sct |
SΣ | 0..1 | Coding | SNOMED CT Code Binding: MII VS Lufu SCT Procedure (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 | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |||||
| version |
1..1 | string | Version of the system - if relevant Fixed Value: http://snomed.info/sct/900000000000207008/version/20260701 | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 28275007 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Total body plethysmography (procedure) | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| coding:loinc |
SΣ | 0..1 | Coding | LOINC Code Binding: MII VS Lufu LNC Procedure Report (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 | |||||
| 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: TODO | |||||
| 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) | Person | ||||
| encounter |
SΣ | 0..1 | Reference(Encounter) | Versorgungssstellenkontakt | ||||
| Slices for effective[x] |
SΣ | 0..1 | Untersuchungszeitpunkt Slice: Unordered, Closed by type:$this | |||||
| effectiveDateTime |
dateTime | |||||||
| effectivePeriod |
Period | |||||||
| effective[x]:effectiveDateTime |
SΣ | 0..1 | dateTime | Durchführungsdatum | ||||
| effective[x]:effectivePeriod |
SΣ | 0..1 | Period | Durchführungszeitraum | ||||
| issued |
SΣ | 0..1 | instant | Erstellungszeitpunkt | ||||
| performer |
Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Responsible Diagnostic Service | ||||
| resultsInterpreter |
Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Primary result interpreter | ||||
| specimen |
0..* | Reference(Specimen) | Specimens this report is based on | |||||
| Slices for result |
S | 0..* | Reference(Observation) | Ergebnis Slice: Unordered, Open by type:$this | ||||
| result:BF |
S | 0..1 | Reference(MII PR Lungenfunktion BF) | Ergebnis | ||||
| result:FEV_FVC |
S | 0..* | Reference(MII PR Lungenfunktion FEV/FVC) | Ergebnis | ||||
| result:FEV |
S | 0..* | Reference(MII PR Lungenfunktion FEV) | Ergebnis | ||||
| result:FVC |
S | 0..* | Reference(MII PR Lungenfunktion FVC) | Ergebnis | ||||
| result:IC |
S | 0..1 | Reference(MII PR Lungenfunktion IC) | Ergebnis | ||||
| result:MEF |
S | 0..* | Reference(MII PR Lungenfunktion MEF) | Ergebnis | ||||
| result:PEF |
S | 0..* | Reference(MII PR Lungenfunktion PEF) | Ergebnis | ||||
| result:IRV_ERV |
S | 0..* | Reference(MII PR Lungenfunktion Reserve Volumen) | Ergebnis | ||||
| result:VC |
S | 0..* | Reference(MII PR Lungenfunktion VC) | Ergebnis | ||||
| result:FRC |
S | 0..1 | Reference(MII PR Lungenfunktion FRC) | Ergebnis | ||||
| result:R_tot |
S | 0..1 | Reference(MII PR Lungenfunktion R) | Ergebnis | ||||
| result:sR_tot |
S | 0..1 | Reference(MII PR Lungenfunktion R Spezifisch) | Ergebnis | ||||
| result:sR_eff |
S | 0..1 | Reference(MII PR Lungenfunktion R Effektiv) | Ergebnis | ||||
| result:sG_tot |
S | 0..1 | Reference(MII PR Lungenfunktion sG Total) | Ergebnis | ||||
| result:TLC |
S | 0..1 | Reference(MII PR Lungenfunktion TLC) | Ergebnis | ||||
| result:RV |
S | 0..1 | Reference(MII PR Lungenfunktion RV) | Ergebnis | ||||
| result:RV_TLC |
S | 0..1 | Reference(MII PR Lungenfunktion Anteil Residualvolumen an Lungenkapazität) | Ergebnis | ||||
| imagingStudy |
0..* | Reference(ImagingStudy) | Reference to full details of imaging associated with the diagnostic report | |||||
| media |
Σ | 0..* | BackboneElement | Key images associated with this report | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| comment |
0..1 | string | Comment about the image (e.g. explanation) | |||||
| link |
Σ | 1..1 | Reference(Media) | Reference to the image source | ||||
| conclusion |
S | 0..1 | string | Fazit | ||||
| conclusionCode |
S | 0..* | CodeableConcept | Strukturiertes Fazit Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report. | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| Slices for coding |
SΣ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this | ||||
| coding:icd10-gm |
SΣ | 0..* | Coding | Code defined by a terminology system Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/bfarm/icd-10-gm | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
0..1 | code | Symbol in syntax defined by the system | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| coding:sct |
SΣ | 0..* | Coding | SNOMED CT Code Binding: MII VS Lufu SCT Findings (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 | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct|http://snomed.info/sct/900000000000207008/version/20260701 | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
0..1 | code | Symbol in syntax defined by the system | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| presentedForm |
S | 0..* | Attachment | Anhang | ||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| DiagnosticReport.meta.security | Base | extensible | SecurityLabels | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.meta.tag | Base | example | Common Tags | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.status | Base | required | DiagnosticReportStatus | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.category | Base | example | Diagnostic Service Section Codes | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.code | Base | preferred | LOINC Diagnostic Report Codes | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.code.coding:sct | Base | required | MII VS Lufu SCT Procedure | 📦2027.0.0-ballot.1 | This IG |
| DiagnosticReport.code.coding:loinc | Base | required | MII VS Lufu LNC Procedure Report | 📦2027.0.0-ballot.1 | This IG |
| DiagnosticReport.conclusionCode | Base | example | SNOMED CT Clinical Findings | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.conclusionCode.coding:sct | Base | required | MII VS Lufu SCT Findings | 📦2027.0.0-ballot.1 | This IG |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | DiagnosticReport | 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 | DiagnosticReport | 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 | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | DiagnosticReport | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
Summary
Must-Support: 17 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| DiagnosticReport |
0..* | MII_PR_Lungenfunktion_Befund | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports | |
| id |
SΣ | 0..1 | id | Logical id of this artifact |
| meta |
SΣ | 0..1 | Meta | Metadata about the resource |
| source |
SΣ | 0..1 | uri | Identifies where the resource comes from |
| profile |
SΣ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to |
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
| status |
?!SΣ | 1..1 | code | Status Binding: DiagnosticReportStatus (required): The status of the diagnostic report. |
| category |
SΣ | 1..* | CodeableConcept | Kategorie Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. |
| Slices for coding |
SΣ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this |
| coding:loinc |
SΣ | 0..* | Coding | LOINC Code 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: 58477-1 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Pulmonary function study | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| coding:diagnostic-service-sections |
SΣ | 0..* | Coding | Code defined by a terminology system Required Pattern: At least the following |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0074 | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: PF | |
| display |
0..1 | string | Representation defined by the system | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| coding:sct |
SΣ | 1..1 | Coding | SNOMED CT Code 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 |
1..1 | string | Version of the system - if relevant Fixed Value: http://snomed.info/sct/900000000000207008/version/20260701 | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 720449003 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Pulmonary function report (record artifact) | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| code |
SΣ | 1..1 | CodeableConcept | Code Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports. |
| Slices for coding |
Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:$this |
| coding:sct |
SΣ | 0..1 | Coding | SNOMED CT Code Binding: MII VS Lufu SCT Procedure (required) Required Pattern: At least the following |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| version |
1..1 | string | Version of the system - if relevant Fixed Value: http://snomed.info/sct/900000000000207008/version/20260701 | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 28275007 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Total body plethysmography (procedure) | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| coding:loinc |
SΣ | 0..1 | Coding | LOINC Code Binding: MII VS Lufu LNC Procedure Report (required) Required Pattern: At least the following |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: TODO | |
| display |
0..1 | string | Representation defined by the system | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| subject |
SΣ | 1..1 | Reference(Patient) | Person |
| encounter |
SΣ | 0..1 | Reference(Encounter) | Versorgungssstellenkontakt |
| Slices for effective[x] |
SΣ | 0..1 | Untersuchungszeitpunkt Slice: Unordered, Closed by type:$this | |
| effectiveDateTime |
dateTime | |||
| effectivePeriod |
Period | |||
| effective[x]:effectiveDateTime |
SΣ | 0..1 | dateTime | Durchführungsdatum |
| effective[x]:effectivePeriod |
SΣ | 0..1 | Period | Durchführungszeitraum |
| issued |
SΣ | 0..1 | instant | Erstellungszeitpunkt |
| Slices for result |
S | 0..* | Reference(Observation) | Ergebnis Slice: Unordered, Open by type:$this |
| result:BF |
S | 0..1 | Reference(MII PR Lungenfunktion BF) | Ergebnis |
| result:FEV_FVC |
S | 0..* | Reference(MII PR Lungenfunktion FEV/FVC) | Ergebnis |
| result:FEV |
S | 0..* | Reference(MII PR Lungenfunktion FEV) | Ergebnis |
| result:FVC |
S | 0..* | Reference(MII PR Lungenfunktion FVC) | Ergebnis |
| result:IC |
S | 0..1 | Reference(MII PR Lungenfunktion IC) | Ergebnis |
| result:MEF |
S | 0..* | Reference(MII PR Lungenfunktion MEF) | Ergebnis |
| result:PEF |
S | 0..* | Reference(MII PR Lungenfunktion PEF) | Ergebnis |
| result:IRV_ERV |
S | 0..* | Reference(MII PR Lungenfunktion Reserve Volumen) | Ergebnis |
| result:VC |
S | 0..* | Reference(MII PR Lungenfunktion VC) | Ergebnis |
| result:FRC |
S | 0..1 | Reference(MII PR Lungenfunktion FRC) | Ergebnis |
| result:R_tot |
S | 0..1 | Reference(MII PR Lungenfunktion R) | Ergebnis |
| result:sR_tot |
S | 0..1 | Reference(MII PR Lungenfunktion R Spezifisch) | Ergebnis |
| result:sR_eff |
S | 0..1 | Reference(MII PR Lungenfunktion R Effektiv) | Ergebnis |
| result:sG_tot |
S | 0..1 | Reference(MII PR Lungenfunktion sG Total) | Ergebnis |
| result:TLC |
S | 0..1 | Reference(MII PR Lungenfunktion TLC) | Ergebnis |
| result:RV |
S | 0..1 | Reference(MII PR Lungenfunktion RV) | Ergebnis |
| result:RV_TLC |
S | 0..1 | Reference(MII PR Lungenfunktion Anteil Residualvolumen an Lungenkapazität) | Ergebnis |
| conclusion |
S | 0..1 | string | Fazit |
| conclusionCode |
S | 0..* | CodeableConcept | Strukturiertes Fazit Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report. |
| Slices for coding |
SΣ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this |
| coding:icd10-gm |
SΣ | 0..* | Coding | Code defined by a terminology system Required Pattern: At least the following |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/bfarm/icd-10-gm | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
0..1 | code | Symbol in syntax defined by the system | |
| display |
0..1 | string | Representation defined by the system | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| coding:sct |
SΣ | 0..* | Coding | SNOMED CT Code Binding: MII VS Lufu SCT Findings (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 | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct|http://snomed.info/sct/900000000000207008/version/20260701 | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
0..1 | code | Symbol in syntax defined by the system | |
| display |
0..1 | string | Representation defined by the system | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| presentedForm |
S | 0..* | Attachment | Anhang |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| DiagnosticReport.status | Base | required | DiagnosticReportStatus | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.category | Base | example | Diagnostic Service Section Codes | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.code | Base | preferred | LOINC Diagnostic Report Codes | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.code.coding:sct | Base | required | MII VS Lufu SCT Procedure | 📦2027.0.0-ballot.1 | This IG |
| DiagnosticReport.code.coding:loinc | Base | required | MII VS Lufu LNC Procedure Report | 📦2027.0.0-ballot.1 | This IG |
| DiagnosticReport.conclusionCode | Base | example | SNOMED CT Clinical Findings | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.conclusionCode.coding:sct | Base | required | MII VS Lufu SCT Findings | 📦2027.0.0-ballot.1 | This IG |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | DiagnosticReport | 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 | DiagnosticReport | 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 | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | DiagnosticReport | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
Differential View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| DiagnosticReport |
0..* | MII_PR_Lungenfunktion_Befund | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports | |
| code |
||||
| Slices for coding |
Content/Rules for all slices | |||
| coding:sct |
0..1 | Coding | SNOMED CT Code Required Pattern: At least the following | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| version |
1..1 | string | Version of the system - if relevant Fixed Value: http://snomed.info/sct/900000000000207008/version/20260701 | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 28275007 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Total body plethysmography (procedure) | |
| coding:loinc |
0..1 | Coding | LOINC Code Required Pattern: At least the following | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: TODO | |
| Slices for result |
0..* | Reference(Observation) | Ergebnis Slice: Unordered, Open by type:$this | |
| result:BF |
S | 0..1 | Reference(MII PR Lungenfunktion BF) | Ergebnis |
| result:FEV_FVC |
S | 0..* | Reference(MII PR Lungenfunktion FEV/FVC) | Ergebnis |
| result:FEV |
S | 0..* | Reference(MII PR Lungenfunktion FEV) | Ergebnis |
| result:FVC |
S | 0..* | Reference(MII PR Lungenfunktion FVC) | Ergebnis |
| result:IC |
S | 0..1 | Reference(MII PR Lungenfunktion IC) | Ergebnis |
| result:MEF |
S | 0..* | Reference(MII PR Lungenfunktion MEF) | Ergebnis |
| result:PEF |
S | 0..* | Reference(MII PR Lungenfunktion PEF) | Ergebnis |
| result:IRV_ERV |
S | 0..* | Reference(MII PR Lungenfunktion Reserve Volumen) | Ergebnis |
| result:VC |
S | 0..* | Reference(MII PR Lungenfunktion VC) | Ergebnis |
| result:FRC |
S | 0..1 | Reference(MII PR Lungenfunktion FRC) | Ergebnis |
| result:R_tot |
S | 0..1 | Reference(MII PR Lungenfunktion R) | Ergebnis |
| result:sR_tot |
S | 0..1 | Reference(MII PR Lungenfunktion R Spezifisch) | Ergebnis |
| result:sR_eff |
S | 0..1 | Reference(MII PR Lungenfunktion R Effektiv) | Ergebnis |
| result:sG_tot |
S | 0..1 | Reference(MII PR Lungenfunktion sG Total) | Ergebnis |
| result:TLC |
S | 0..1 | Reference(MII PR Lungenfunktion TLC) | Ergebnis |
| result:RV |
S | 0..1 | Reference(MII PR Lungenfunktion RV) | Ergebnis |
| result:RV_TLC |
S | 0..1 | Reference(MII PR Lungenfunktion Anteil Residualvolumen an Lungenkapazität) | Ergebnis |
| Documentation for this format | ||||
Snapshot ViewView
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| DiagnosticReport |
0..* | MII_PR_Lungenfunktion_Befund | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports | |||||
| id |
SΣ | 0..1 | id | Logical id of this artifact | ||||
| meta |
SΣ | 0..1 | Meta | Metadata about the resource | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| versionId |
Σ | 0..1 | id | Version specific identifier | ||||
| lastUpdated |
Σ | 0..1 | instant | When the resource version last changed | ||||
| source |
SΣ | 0..1 | uri | Identifies where the resource comes from | ||||
| profile |
SΣ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to | ||||
| security |
Σ | 0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. | ||||
| tag |
Σ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". | ||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier |
Σ | 0..* | Identifier | Business identifier for report | ||||
| basedOn |
0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested | |||||
| status |
?!SΣ | 1..1 | code | Status Binding: DiagnosticReportStatus (required): The status of the diagnostic report. | ||||
| category |
SΣ | 1..* | CodeableConcept | Kategorie Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| Slices for coding |
SΣ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this | ||||
| coding:loinc |
SΣ | 0..* | Coding | LOINC Code 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: 58477-1 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Pulmonary function study | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| coding:diagnostic-service-sections |
SΣ | 0..* | Coding | Code defined by a terminology system Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0074 | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: PF | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| coding:sct |
SΣ | 1..1 | Coding | SNOMED CT Code 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 |
1..1 | string | Version of the system - if relevant Fixed Value: http://snomed.info/sct/900000000000207008/version/20260701 | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 720449003 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Pulmonary function report (record artifact) | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| code |
SΣ | 1..1 | CodeableConcept | Code Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports. | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| Slices for coding |
Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:$this | ||||
| coding:sct |
SΣ | 0..1 | Coding | SNOMED CT Code Binding: MII VS Lufu SCT Procedure (required) Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |||||
| version |
1..1 | string | Version of the system - if relevant Fixed Value: http://snomed.info/sct/900000000000207008/version/20260701 | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 28275007 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Total body plethysmography (procedure) | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| coding:loinc |
SΣ | 0..1 | Coding | LOINC Code Binding: MII VS Lufu LNC Procedure Report (required) Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: TODO | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| subject |
SΣ | 1..1 | Reference(Patient) | Person | ||||
| encounter |
SΣ | 0..1 | Reference(Encounter) | Versorgungssstellenkontakt | ||||
| Slices for effective[x] |
SΣ | 0..1 | Untersuchungszeitpunkt Slice: Unordered, Closed by type:$this | |||||
| effectiveDateTime |
dateTime | |||||||
| effectivePeriod |
Period | |||||||
| effective[x]:effectiveDateTime |
SΣ | 0..1 | dateTime | Durchführungsdatum | ||||
| effective[x]:effectivePeriod |
SΣ | 0..1 | Period | Durchführungszeitraum | ||||
| issued |
SΣ | 0..1 | instant | Erstellungszeitpunkt | ||||
| performer |
Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Responsible Diagnostic Service | ||||
| resultsInterpreter |
Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Primary result interpreter | ||||
| specimen |
0..* | Reference(Specimen) | Specimens this report is based on | |||||
| Slices for result |
S | 0..* | Reference(Observation) | Ergebnis Slice: Unordered, Open by type:$this | ||||
| result:BF |
S | 0..1 | Reference(MII PR Lungenfunktion BF) | Ergebnis | ||||
| result:FEV_FVC |
S | 0..* | Reference(MII PR Lungenfunktion FEV/FVC) | Ergebnis | ||||
| result:FEV |
S | 0..* | Reference(MII PR Lungenfunktion FEV) | Ergebnis | ||||
| result:FVC |
S | 0..* | Reference(MII PR Lungenfunktion FVC) | Ergebnis | ||||
| result:IC |
S | 0..1 | Reference(MII PR Lungenfunktion IC) | Ergebnis | ||||
| result:MEF |
S | 0..* | Reference(MII PR Lungenfunktion MEF) | Ergebnis | ||||
| result:PEF |
S | 0..* | Reference(MII PR Lungenfunktion PEF) | Ergebnis | ||||
| result:IRV_ERV |
S | 0..* | Reference(MII PR Lungenfunktion Reserve Volumen) | Ergebnis | ||||
| result:VC |
S | 0..* | Reference(MII PR Lungenfunktion VC) | Ergebnis | ||||
| result:FRC |
S | 0..1 | Reference(MII PR Lungenfunktion FRC) | Ergebnis | ||||
| result:R_tot |
S | 0..1 | Reference(MII PR Lungenfunktion R) | Ergebnis | ||||
| result:sR_tot |
S | 0..1 | Reference(MII PR Lungenfunktion R Spezifisch) | Ergebnis | ||||
| result:sR_eff |
S | 0..1 | Reference(MII PR Lungenfunktion R Effektiv) | Ergebnis | ||||
| result:sG_tot |
S | 0..1 | Reference(MII PR Lungenfunktion sG Total) | Ergebnis | ||||
| result:TLC |
S | 0..1 | Reference(MII PR Lungenfunktion TLC) | Ergebnis | ||||
| result:RV |
S | 0..1 | Reference(MII PR Lungenfunktion RV) | Ergebnis | ||||
| result:RV_TLC |
S | 0..1 | Reference(MII PR Lungenfunktion Anteil Residualvolumen an Lungenkapazität) | Ergebnis | ||||
| imagingStudy |
0..* | Reference(ImagingStudy) | Reference to full details of imaging associated with the diagnostic report | |||||
| media |
Σ | 0..* | BackboneElement | Key images associated with this report | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| comment |
0..1 | string | Comment about the image (e.g. explanation) | |||||
| link |
Σ | 1..1 | Reference(Media) | Reference to the image source | ||||
| conclusion |
S | 0..1 | string | Fazit | ||||
| conclusionCode |
S | 0..* | CodeableConcept | Strukturiertes Fazit Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report. | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| Slices for coding |
SΣ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this | ||||
| coding:icd10-gm |
SΣ | 0..* | Coding | Code defined by a terminology system Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/bfarm/icd-10-gm | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
0..1 | code | Symbol in syntax defined by the system | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| coding:sct |
SΣ | 0..* | Coding | SNOMED CT Code Binding: MII VS Lufu SCT Findings (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 | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct|http://snomed.info/sct/900000000000207008/version/20260701 | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
0..1 | code | Symbol in syntax defined by the system | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| presentedForm |
S | 0..* | Attachment | Anhang | ||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| DiagnosticReport.meta.security | Base | extensible | SecurityLabels | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.meta.tag | Base | example | Common Tags | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.status | Base | required | DiagnosticReportStatus | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.category | Base | example | Diagnostic Service Section Codes | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.code | Base | preferred | LOINC Diagnostic Report Codes | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.code.coding:sct | Base | required | MII VS Lufu SCT Procedure | 📦2027.0.0-ballot.1 | This IG |
| DiagnosticReport.code.coding:loinc | Base | required | MII VS Lufu LNC Procedure Report | 📦2027.0.0-ballot.1 | This IG |
| DiagnosticReport.conclusionCode | Base | example | SNOMED CT Clinical Findings | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.conclusionCode.coding:sct | Base | required | MII VS Lufu SCT Findings | 📦2027.0.0-ballot.1 | This IG |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | DiagnosticReport | 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 | DiagnosticReport | 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 | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | DiagnosticReport | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
Summary
Must-Support: 17 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron