Written during migration - review before release. TODO:REVIEW Der EN-Guide hatte keine Gegenseite zu dieser Seite; die englische Fassung unter input/intro-notes/StructureDefinition-mii-pr-icu-dm-eingestellte-gemessene-parameter-beatmung-intro.md wurde bei der Migration uebersetzt. Diese deutsche Fassung ist das Original.

Empfehlung: Für gemessenen sowie eingestellten Werte können wir zwei Fälle unterscheiden (siehe hierzu auch die Seite Beschreibung Modul):

1. Das Gerät, welches den Messwert erhoben hat/bei dem ein Wert eingestellt wurde, ist bekannt und soll modelliert werden.

2. Das Gerät ist nicht bekannt und kann nicht modelliert werden sowie das Gerät ist bekannt und kann/soll nicht modelliert werden .

Die Information, ob der Wert gemessen, oder eingestellt ist, trägt die DeviceMetric, die Information, mit welchem Gerät dies geschehen ist, trägt eine Device-Ressource, welche aus der DeviceMetric heraus referenziert wird. Für obige beiden Punkte möchten wir folgende Vorschläge machen:

1. DeviceMetric und Device für einen solchen Messwert gehören zusammen. Für eine Gruppe von Werten, die sich eine gemeinsame Messmethode und ein gemeinsames Messgerät teilen, kann ein gemeinsames solches Paar aus DeviceMetric und Device angelegt werden, welche aus Observation.device heraus referenziert wird.

2. Wir schlagen vor, initial zwei "Dummy-Ressourcen" anzulegen. Je eine DeviceMetric für gemessene und eine für eingestellte Werte. Diese DeviceMetrics können dann statisch in allen Observation.device referenziert werden. Dies dient dazu, die minimal nötige Information zu tragen, ob ein Wert gemessen oder eingestellt ist. Dieses Vorgehen kann bei Bedarf weiter verfeinert werden, in dem man bspw. eine eigene DeviceMetric (je einmal gemessen/eingestellt) für jede Geräteart anlegt (für welche man dann jeweils eine entprechendes statisches Device unter DeviceMetric.device referenziert).

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DeviceMetric		0..*	DeviceMetric	Measurement, calculation or setting capability of a medical device
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
type	SΣ	1..1	CodeableConcept	Identity of metric, for example Heart Rate or PEEP Setting Binding: MII VS ICU Category Procedure Beatmung SNOMED (required)
coding	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
version		0..1	string	Version of the system - if relevant
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code	SΣ	1..1	code	Symbol in syntax defined by the system
source	SΣ	0..1	Reference(MII PR ICU Device)	Describes the link to the source Device
category	SΣ	1..1	code	measurement | setting | calculation | unspecified Binding: DeviceMetricCategory (required): Describes the category of the metric.
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
DeviceMetric.type	Base	required	MII VS ICU Category Procedure Beatmung SNOMED	📦2027.0.0-ballot.3	This IG
DeviceMetric.category	Base	required	DeviceMetricCategory	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	DeviceMetric	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	DeviceMetric	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	DeviceMetric	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	DeviceMetric	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	DeviceMetric	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()

Diese Struktur ist abgeleitet von DeviceMetric

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DeviceMetric		0..*	DeviceMetric	Measurement, calculation or setting capability of a medical device
type	S	1..1	CodeableConcept	Identity of metric, for example Heart Rate or PEEP Setting Binding: MII VS ICU Category Procedure Beatmung SNOMED (required)
coding	S	0..*	Coding	Code defined by a terminology system Required Pattern: At least the following
system	S	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code	S	1..1	code	Symbol in syntax defined by the system
source	S	0..1	Reference(MII PR ICU Device)	Describes the link to the source Device
category	S	1..1	code	measurement | setting | calculation | unspecified
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
DeviceMetric.type	Base	required	MII VS ICU Category Procedure Beatmung SNOMED	📦2027.0.0-ballot.3	This IG

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DeviceMetric		0..*	DeviceMetric	Measurement, calculation or setting capability of a medical device
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional 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
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Instance identifier
type	SΣ	1..1	CodeableConcept	Identity of metric, for example Heart Rate or PEEP Setting Binding: MII VS ICU Category Procedure Beatmung SNOMED (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	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 Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	Σ	0..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
text	Σ	0..1	string	Plain text representation of the concept
unit	Σ	0..1	CodeableConcept	Unit of Measure for the Metric Binding: DeviceMetricAndComponentTypes (preferred): Describes the unit of the metric.
source	SΣ	0..1	Reference(MII PR ICU Device)	Describes the link to the source Device
parent	Σ	0..1	Reference(Device)	Describes the link to the parent Device
operationalStatus	Σ	0..1	code	on | off | standby | entered-in-error Binding: DeviceMetricOperationalStatus (required): Describes the operational status of the DeviceMetric.
color	Σ	0..1	code	black | red | green | yellow | blue | magenta | cyan | white Binding: DeviceMetricColor (required): Describes the typical color of representation.
category	SΣ	1..1	code	measurement | setting | calculation | unspecified Binding: DeviceMetricCategory (required): Describes the category of the metric.
measurementPeriod	Σ	0..1	Timing	Describes the measurement repetition time
calibration	Σ	0..*	BackboneElement	Describes the calibrations that have been performed or that are required to be performed
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
type	Σ	0..1	code	unspecified | offset | gain | two-point Binding: DeviceMetricCalibrationType (required): Describes the type of a metric calibration.
state	Σ	0..1	code	not-calibrated | calibration-required | calibrated | unspecified Binding: DeviceMetricCalibrationState (required): Describes the state of a metric calibration.
time	Σ	0..1	instant	Describes the time last calibration has been performed
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
DeviceMetric.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
DeviceMetric.type	Base	required	MII VS ICU Category Procedure Beatmung SNOMED	📦2027.0.0-ballot.3	This IG
DeviceMetric.unit	Base	preferred	Device Metric and Component Types	📍4.0.1	FHIR Std.
DeviceMetric.operationalStatus	Base	required	DeviceMetricOperationalStatus	📍4.0.1	FHIR Std.
DeviceMetric.color	Base	required	DeviceMetricColor	📍4.0.1	FHIR Std.
DeviceMetric.category	Base	required	DeviceMetricCategory	📍4.0.1	FHIR Std.
DeviceMetric.calibration.​type	Base	required	DeviceMetricCalibrationType	📍4.0.1	FHIR Std.
DeviceMetric.calibration.​state	Base	required	DeviceMetricCalibrationState	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	DeviceMetric	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	DeviceMetric	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	DeviceMetric	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	DeviceMetric	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	DeviceMetric	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()

Schlüsselelemente-Ansicht

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DeviceMetric		0..*	DeviceMetric	Measurement, calculation or setting capability of a medical device
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
type	SΣ	1..1	CodeableConcept	Identity of metric, for example Heart Rate or PEEP Setting Binding: MII VS ICU Category Procedure Beatmung SNOMED (required)
coding	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
version		0..1	string	Version of the system - if relevant
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code	SΣ	1..1	code	Symbol in syntax defined by the system
source	SΣ	0..1	Reference(MII PR ICU Device)	Describes the link to the source Device
category	SΣ	1..1	code	measurement | setting | calculation | unspecified Binding: DeviceMetricCategory (required): Describes the category of the metric.
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
DeviceMetric.type	Base	required	MII VS ICU Category Procedure Beatmung SNOMED	📦2027.0.0-ballot.3	This IG
DeviceMetric.category	Base	required	DeviceMetricCategory	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	DeviceMetric	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	DeviceMetric	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	DeviceMetric	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	DeviceMetric	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	DeviceMetric	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-Ansicht

Diese Struktur ist abgeleitet von DeviceMetric

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DeviceMetric		0..*	DeviceMetric	Measurement, calculation or setting capability of a medical device
type	S	1..1	CodeableConcept	Identity of metric, for example Heart Rate or PEEP Setting Binding: MII VS ICU Category Procedure Beatmung SNOMED (required)
coding	S	0..*	Coding	Code defined by a terminology system Required Pattern: At least the following
system	S	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code	S	1..1	code	Symbol in syntax defined by the system
source	S	0..1	Reference(MII PR ICU Device)	Describes the link to the source Device
category	S	1..1	code	measurement | setting | calculation | unspecified
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
DeviceMetric.type	Base	required	MII VS ICU Category Procedure Beatmung SNOMED	📦2027.0.0-ballot.3	This IG

Snapshot-AnsichtView

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DeviceMetric		0..*	DeviceMetric	Measurement, calculation or setting capability of a medical device
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional 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
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Instance identifier
type	SΣ	1..1	CodeableConcept	Identity of metric, for example Heart Rate or PEEP Setting Binding: MII VS ICU Category Procedure Beatmung SNOMED (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	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 Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	Σ	0..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
text	Σ	0..1	string	Plain text representation of the concept
unit	Σ	0..1	CodeableConcept	Unit of Measure for the Metric Binding: DeviceMetricAndComponentTypes (preferred): Describes the unit of the metric.
source	SΣ	0..1	Reference(MII PR ICU Device)	Describes the link to the source Device
parent	Σ	0..1	Reference(Device)	Describes the link to the parent Device
operationalStatus	Σ	0..1	code	on | off | standby | entered-in-error Binding: DeviceMetricOperationalStatus (required): Describes the operational status of the DeviceMetric.
color	Σ	0..1	code	black | red | green | yellow | blue | magenta | cyan | white Binding: DeviceMetricColor (required): Describes the typical color of representation.
category	SΣ	1..1	code	measurement | setting | calculation | unspecified Binding: DeviceMetricCategory (required): Describes the category of the metric.
measurementPeriod	Σ	0..1	Timing	Describes the measurement repetition time
calibration	Σ	0..*	BackboneElement	Describes the calibrations that have been performed or that are required to be performed
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
type	Σ	0..1	code	unspecified | offset | gain | two-point Binding: DeviceMetricCalibrationType (required): Describes the type of a metric calibration.
state	Σ	0..1	code	not-calibrated | calibration-required | calibrated | unspecified Binding: DeviceMetricCalibrationState (required): Describes the state of a metric calibration.
time	Σ	0..1	instant	Describes the time last calibration has been performed
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
DeviceMetric.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
DeviceMetric.type	Base	required	MII VS ICU Category Procedure Beatmung SNOMED	📦2027.0.0-ballot.3	This IG
DeviceMetric.unit	Base	preferred	Device Metric and Component Types	📍4.0.1	FHIR Std.
DeviceMetric.operationalStatus	Base	required	DeviceMetricOperationalStatus	📍4.0.1	FHIR Std.
DeviceMetric.color	Base	required	DeviceMetricColor	📍4.0.1	FHIR Std.
DeviceMetric.category	Base	required	DeviceMetricCategory	📍4.0.1	FHIR Std.
DeviceMetric.calibration.​type	Base	required	DeviceMetricCalibrationType	📍4.0.1	FHIR Std.
DeviceMetric.calibration.​state	Base	required	DeviceMetricCalibrationState	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	DeviceMetric	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	DeviceMetric	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	DeviceMetric	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	DeviceMetric	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	DeviceMetric	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()

Diese Struktur ist abgeleitet von DeviceMetric

Summary

Mandatory: 0 element(2 nested mandatory elements)
Must-Support: 6 elements

Structures

This structure refers to these other structures:

• MII PR ICU Device (https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/mii-pr-icu-device)