MII IG ICU
2027.0.0-ballot.3 - Germany

This page is part of the MII IG ICU (v2027.0.0-ballot.3: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Ressourcenprofil: MII PR ICU MUV Arterieller Blutdruck

Offizielle URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/mii-pr-icu-muv-arterieller-blutdruck Version: 2027.0.0-ballot.3
Active Stand: 2026-09-17 Maschinenlesbarer Name: MII_PR_ICU_MUV_Arterieller_Blutdruck

Es handelt sich hier um einen pulsatilen Druck. Für diesen gelten neben den Eigenschaften des generischen Profils zu Monitoring und Vitaldaten (Observation) außerdem die Besonderheiten, die auf der Seite des Profils zu Blutdruck (Observation) beschrieben sind. Siehe dort für nähere Informationen hinsichtlich Erklärungen der Items, oder Bezug der Einträge in der FHIR-Ressource zum Logical Model.

Usages:

You can also check for usages in the FHIR IG Statistics

Formale Ansichten des Profilinhalts

Beschreibung von Profilen, Differentials, Snapshots und deren Repräsentationen.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* VitalSignDE_Blutdruck(1.6.0) Measurements and simple assertions
Constraints: obs-7, obs-6, vs-de-2
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Slice: Unordered, Open by value:url
... status ?!Σ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.
.... category:VSCat 1..1 CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.

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: vital-signs
...... 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 Type of observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
.... Slices for coding SΣ 2..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... coding:loinc SΣ 1..1 Coding Code defined by a terminology system

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... version 0..1 string Version of the system - if relevant
...... 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://loinc.org
...... code SΣ 1..1 code Symbol in syntax defined by the system
Fixed Value: 85354-9
...... display SΣ 0..1 string Representation defined by the system
..... coding:snomed Σ 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 Σ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: 75367002
..... coding:sct SΣ 1..1 Coding Code defined by a terminology system

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... version 0..1 string Version of the system - if relevant
...... userSelected 0..1 boolean If this coding was chosen directly by the user
...... system SΣ 0..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... code SΣ 0..1 code Symbol in syntax defined by the system
Fixed Value: 364090009
...... display SΣ 0..1 string Representation defined by the system
... subject SΣC 1..1 Reference(Patient) Who and/or what the observation is about
Constraints: ref-1
... encounter SΣC 0..1 Reference(Encounter) Healthcare event during which this observation is made
Constraints: ref-1
... effective[x] SΣC 1..1 Clinically relevant time/time-period for observation
Constraints: vs-de-1
.... effectiveDateTime dateTime
.... effectivePeriod Period
... interpretation S 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
... bodySite S 0..1 CodeableConcept Observed body part
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
... method S 0..1 CodeableConcept How it was done
Binding: ObservationMethods (example): Methods for simple observations.
... device SC 0..1 Reference(Device | DeviceMetric) (Measurement) Device
Constraints: ref-1
... referenceRange SC 0..1 BackboneElement Provides guide for interpretation
Constraints: obs-3
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... low C 0..1 SimpleQuantity Low Range, if relevant
Constraints: qty-3, sqty-1
.... high C 0..1 SimpleQuantity High Range, if relevant
Constraints: qty-3, sqty-1
... Slices for component SΣC 2..3 BackboneElement Component results
Slice: Unordered, Open by pattern:code
Constraints: vs-de-3
.... component:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
..... Slices for value[x] Σ 0..1 Actual component result
Slice: Unordered, Open by type:$this
...... valueQuantity Quantity
...... valueCodeableConcept CodeableConcept
...... valueString string
...... valueBoolean boolean
...... valueInteger integer
...... valueRange Range
...... valueRatio Ratio
...... valueSampledData SampledData
...... valueTime time
...... valueDateTime dateTime
...... valuePeriod Period
...... value[x]:valueQuantity Σ 0..1 Quantity Actual component result
....... value Σ 1..1 decimal Numerical value (with implicit precision)
....... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
....... unit Σ 1..1 string Unit representation
....... system ΣC 1..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
....... code Σ 1..1 code Coded form of the unit
..... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
.... component:SystolicBP SΣC 1..1 BackboneElement Component results
Constraints: vs-de-3
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... text 0..1 string Plain text representation of the concept
...... Slices for coding Σ 3..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this

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: 8480-6
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... Slices for coding Content/Rules for all slices
....... coding:loinc SΣ 1..1 Coding Code defined by a terminology system

Required Pattern: At least the following
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
........ version 0..1 string Version of the system - if relevant
........ 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://loinc.org
........ code SΣ 1..1 code Symbol in syntax defined by the system
Fixed Value: 8480-6
........ display SΣ 0..1 string Representation defined by the system
....... coding:sct SΣ 1..1 Coding Code defined by a terminology system

Required Pattern: At least the following
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
........ version 0..1 string Version of the system - if relevant
........ 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
Fixed Value: 271649006
........ display SΣ 0..1 string Representation defined by the system
....... coding:IEEE-11073 SΣ 1..1 Coding Code defined by a terminology system

Required Pattern: At least the following
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
........ version 0..1 string Version of the system - if relevant
........ 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: urn:iso:std:iso:11073:10101
........ code SΣ 1..1 code Symbol in syntax defined by the system
Fixed Value: 150017
........ display SΣ 0..1 string Representation defined by the system
..... Slices for value[x] SΣ 0..1 Quantity Actual component result
Slice: Unordered, Closed by type:$this
Required Pattern: At least the following
...... value[x]:All Slices Content/Rules for all slices
....... value SΣ 1..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 SΣ 1..1 string Unit representation
Fixed Value: millimeter Mercury column
....... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
....... code SΣ 1..1 code Coded form of the unit
Fixed Value: mm[Hg]
..... Slices for value[x] Content/Rules for all slices
...... value[x]:valueQuantity Σ 0..1 Quantity Actual component result
Required Pattern: At least the following
....... value SΣ 1..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 SΣ 1..1 string Unit representation
....... system SΣC 1..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
....... code SΣ 1..1 code Coded form of the unit
Fixed Value: mm[Hg]
..... dataAbsentReason SC 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
.... component:DiastolicBP SΣC 1..1 BackboneElement Component results
Constraints: vs-de-3
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... 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
...... text 0..1 string Plain text representation of the concept
...... Slices for coding Σ 3..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this

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: 8462-4
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... Slices for coding Content/Rules for all slices
....... coding:loinc SΣ 1..1 Coding Code defined by a terminology system

Required Pattern: At least the following
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
........ version 0..1 string Version of the system - if relevant
........ 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://loinc.org
........ code SΣ 1..1 code Symbol in syntax defined by the system
Fixed Value: 8462-4
........ display SΣ 0..1 string Representation defined by the system
....... coding:sct SΣ 1..1 Coding Code defined by a terminology system

Required Pattern: At least the following
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
........ version 0..1 string Version of the system - if relevant
........ 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
Fixed Value: 271650006
........ display SΣ 0..1 string Representation defined by the system
....... coding:IEEE-11073 SΣ 1..1 Coding Code defined by a terminology system

Required Pattern: At least the following
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
........ version 0..1 string Version of the system - if relevant
........ 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: urn:iso:std:iso:11073:10101
........ code SΣ 1..1 code Symbol in syntax defined by the system
Fixed Value: 150018
........ display SΣ 0..1 string Representation defined by the system
..... Slices for value[x] SΣ 0..1 Quantity Actual component result
Slice: Unordered, Closed by type:$this
Required Pattern: At least the following
...... value[x]:All Slices Content/Rules for all slices
....... value SΣ 1..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 SΣ 1..1 string Unit representation
Fixed Value: millimeter Mercury column
....... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
....... code SΣ 1..1 code Coded form of the unit
Fixed Value: mm[Hg]
..... Slices for value[x] Content/Rules for all slices
...... value[x]:valueQuantity Σ 0..1 Quantity Actual component result
Required Pattern: At least the following
....... value SΣ 1..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 SΣ 1..1 string Unit representation
....... system SΣC 1..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
....... code SΣ 1..1 code Coded form of the unit
Fixed Value: mm[Hg]
..... dataAbsentReason SC 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
.... component:meanBP SΣC 0..1 BackboneElement Component results
Constraints: vs-de-3
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... 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
...... text 0..1 string Plain text representation of the concept
...... Slices for coding Σ 3..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this

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: 8478-0
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... Slices for coding Content/Rules for all slices
....... coding:loinc SΣ 1..1 Coding Code defined by a terminology system

Required Pattern: At least the following
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
........ version 0..1 string Version of the system - if relevant
........ 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://loinc.org
........ code SΣ 1..1 code Symbol in syntax defined by the system
Fixed Value: 8478-0
........ display SΣ 0..1 string Representation defined by the system
....... coding:sct SΣ 1..1 Coding Code defined by a terminology system

Required Pattern: At least the following
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
........ version 0..1 string Version of the system - if relevant
........ 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
Fixed Value: 6797001
........ display SΣ 0..1 string Representation defined by the system
....... coding:IEEE-11073 SΣ 1..1 Coding Code defined by a terminology system

Required Pattern: At least the following
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
........ version 0..1 string Version of the system - if relevant
........ 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: urn:iso:std:iso:11073:10101
........ code SΣ 1..1 code Symbol in syntax defined by the system
Fixed Value: 150019
........ display SΣ 0..1 string Representation defined by the system
..... Slices for value[x] SΣ 0..1 Quantity Actual component result
Slice: Unordered, Closed by type:$this
Required Pattern: At least the following
...... value[x]:All Slices Content/Rules for all slices
....... value SΣ 1..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 SΣ 1..1 string Unit representation
Fixed Value: millimeter Mercury column
....... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
....... code SΣ 1..1 code Coded form of the unit
Fixed Value: mm[Hg]
..... Slices for value[x] Content/Rules for all slices
...... value[x]:valueQuantity Σ 0..1 Quantity Actual component result
Required Pattern: At least the following
....... value SΣ 1..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 SΣ 1..1 string Unit representation
....... system SΣC 1..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
....... code SΣ 1..1 code Coded form of the unit
Fixed Value: mm[Hg]
..... dataAbsentReason SC 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.status Base required ObservationStatus 📍4.0.1 FHIR Std.
Observation.category Base preferred Observation Category Codes 📦4.0.1 FHIR Std.
Observation.category:VSCat Base preferred Observation Category Codes 📦4.0.1 FHIR Std.
Observation.code Base example LOINC Codes 📦4.0.1 FHIR Std.
Observation.value[x]:valueQuantity.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.value[x]:valueQuantity.​code Base required UCUM Vitals Common DE 📦1.6.0 de.basisprofil.r4 v1.6
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.component.​code Base example LOINC Codes 📦4.0.1 FHIR Std.
Observation.component.​value[x]:valueQuantity.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component.​dataAbsentReason Base extensible DataAbsentReason 📦4.0.1 FHIR Std.
Observation.component:SystolicBP.​code Base example LOINC Codes 📦4.0.1 FHIR Std.
Observation.component:SystolicBP.​value[x].comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:SystolicBP.​value[x]:valueQuantity.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:SystolicBP.​dataAbsentReason Base extensible DataAbsentReason 📦4.0.1 FHIR Std.
Observation.component:DiastolicBP.​code Base example LOINC Codes 📦4.0.1 FHIR Std.
Observation.component:DiastolicBP.​value[x].comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:DiastolicBP.​value[x]:valueQuantity.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:DiastolicBP.​dataAbsentReason Base extensible DataAbsentReason 📦4.0.1 FHIR Std.
Observation.component:meanBP.​code Base example LOINC Codes 📦4.0.1 FHIR Std.
Observation.component:meanBP.​value[x].comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:meanBP.​value[x]:valueQuantity.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:meanBP.​dataAbsentReason Base extensible DataAbsentReason 📦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 **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()
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()
qty-3 error Observation.referenceRange.low, Observation.referenceRange.high If a code for the unit is present, the system SHALL also be present code.empty() or system.exists()
ref-1 error Observation.subject, Observation.encounter, Observation.device SHALL have a contained resource if a local reference is provided reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))
sqty-1 error Observation.referenceRange.low, Observation.referenceRange.high The comparator is not used on a SimpleQuantity comparator.empty()
vs-de-1 error Observation.effective[x] If Observation.effective[x] has a value then that value shall be precise to the day (($this is dateTime) implies ($this as dateTime).toString().length() >= 10) and ($this.start.exists() implies ($this.start as dateTime).toString().length() >= 10) and ($this.end.exists() implies ($this.end as dateTime).toString().length() >= 10)
vs-de-2 error Observation If there is no component or hasMember element then either a value[x] or a data absent reason must be present (component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists())
vs-de-3 error Observation.component, Observation.component:SystolicBP, Observation.component:DiastolicBP, Observation.component:meanBP If there is no a value a data absent reason must be present value.exists() xor dataAbsentReason.exists()

Diese Struktur ist abgeleitet von VitalSignDE_Blutdruck

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation 0..* VitalSignDE_Blutdruck(1.6.0) Measurements and simple assertions
... category S 1..* CodeableConcept Classification of type of observation
... code S 1..1 CodeableConcept Type of observation (code / type)
.... coding S 2..* Coding Code defined by a terminology system
.... Slices for coding Content/Rules for all slices
..... coding:loinc S 1..1 Coding Code defined by a terminology system
...... system S 1..1 uri Identity of the terminology system
...... code S 1..1 code Symbol in syntax defined by the system
...... display S 0..1 string Representation defined by the system
..... coding:sct S 1..1 Coding Code defined by a terminology system
Required Pattern: At least the following
...... system S 0..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... code S 0..1 code Symbol in syntax defined by the system
Fixed Value: 364090009
...... display S 0..1 string Representation defined by the system
... subject S 1..1 Reference(Patient) Who and/or what the observation is about
... effective[x] S 1..1 dateTime, Period Clinically relevant time/time-period for observation
... value[x] S 0..0 CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period Actual result
... dataAbsentReason S 0..0 Why the result is missing
... interpretation S 0..* CodeableConcept High, low, normal, etc.
... bodySite S 0..1 CodeableConcept Observed body part
... method S 0..1 CodeableConcept How it was done
... device S 0..1 Reference(Device | DeviceMetric) (Measurement) Device
... referenceRange S 0..1 BackboneElement Provides guide for interpretation
... component S 2..3 BackboneElement Component results
... Slices for component Content/Rules for all slices
.... component:SystolicBP S 1..1 BackboneElement Component results
..... code
...... Slices for coding 3..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
...... Slices for coding Content/Rules for all slices
....... coding:loinc S 1..1 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://loinc.org
........ code S 1..1 code Symbol in syntax defined by the system
Fixed Value: 8480-6
........ display S 0..1 string Representation defined by the system
....... coding:sct S 1..1 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
Fixed Value: 271649006
........ display S 0..1 string Representation defined by the system
....... coding:IEEE-11073 S 1..1 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: urn:iso:std:iso:11073:10101
........ code S 1..1 code Symbol in syntax defined by the system
Fixed Value: 150017
........ display S 0..1 string Representation defined by the system
..... value[x] S 0..1 Quantity Actual component result
Required Pattern: At least the following
...... value S 1..1 decimal Numerical value (with implicit precision)
...... unit S 1..1 string Unit representation
Fixed Value: millimeter Mercury column
...... system S 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
...... code S 1..1 code Coded form of the unit
Fixed Value: mm[Hg]
..... Slices for value[x] Content/Rules for all slices
...... value[x]:valueQuantity 0..1 Quantity Actual component result
....... value S 1..1 decimal Numerical value (with implicit precision)
....... unit S 1..1 string Unit representation
....... system S 1..1 uri System that defines coded unit form
....... code S 1..1 code Coded form of the unit
..... dataAbsentReason S 0..1 CodeableConcept Why the component result is missing
.... component:DiastolicBP S 1..1 BackboneElement Component results
..... code
...... Slices for coding 3..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
...... Slices for coding Content/Rules for all slices
....... coding:loinc S 1..1 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://loinc.org
........ code S 1..1 code Symbol in syntax defined by the system
Fixed Value: 8462-4
........ display S 0..1 string Representation defined by the system
....... coding:sct S 1..1 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
Fixed Value: 271650006
........ display S 0..1 string Representation defined by the system
....... coding:IEEE-11073 S 1..1 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: urn:iso:std:iso:11073:10101
........ code S 1..1 code Symbol in syntax defined by the system
Fixed Value: 150018
........ display S 0..1 string Representation defined by the system
..... value[x] S 0..1 Quantity Actual component result
Required Pattern: At least the following
...... value S 1..1 decimal Numerical value (with implicit precision)
...... unit S 1..1 string Unit representation
Fixed Value: millimeter Mercury column
...... system S 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
...... code S 1..1 code Coded form of the unit
Fixed Value: mm[Hg]
..... Slices for value[x] Content/Rules for all slices
...... value[x]:valueQuantity 0..1 Quantity Actual component result
....... value S 1..1 decimal Numerical value (with implicit precision)
....... unit S 1..1 string Unit representation
....... system S 1..1 uri System that defines coded unit form
....... code S 1..1 code Coded form of the unit
..... dataAbsentReason S 0..1 CodeableConcept Why the component result is missing
.... component:meanBP S 0..1 BackboneElement Component results
..... code
...... Slices for coding 3..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
...... Slices for coding Content/Rules for all slices
....... coding:loinc S 1..1 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://loinc.org
........ code S 1..1 code Symbol in syntax defined by the system
Fixed Value: 8478-0
........ display S 0..1 string Representation defined by the system
....... coding:sct S 1..1 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
Fixed Value: 6797001
........ display S 0..1 string Representation defined by the system
....... coding:IEEE-11073 S 1..1 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: urn:iso:std:iso:11073:10101
........ code S 1..1 code Symbol in syntax defined by the system
Fixed Value: 150019
........ display S 0..1 string Representation defined by the system
..... value[x] S 0..1 Quantity Actual component result
Required Pattern: At least the following
...... value S 1..1 decimal Numerical value (with implicit precision)
...... unit S 1..1 string Unit representation
Fixed Value: millimeter Mercury column
...... system S 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
...... code S 1..1 code Coded form of the unit
Fixed Value: mm[Hg]
..... Slices for value[x] Content/Rules for all slices
...... value[x]:valueQuantity 0..1 Quantity Actual component result
....... value S 1..1 decimal Numerical value (with implicit precision)
....... unit S 1..1 string Unit representation
....... system S 1..1 uri System that defines coded unit form
....... code S 1..1 code Coded form of the unit
..... dataAbsentReason S 0..1 CodeableConcept Why the component result is missing

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* VitalSignDE_Blutdruck(1.6.0) Measurements and simple assertions
Constraints: obs-7, obs-6, vs-de-2
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Slice: Unordered, Open by value:url
... identifier Σ 0..* Identifier Business Identifier for observation
... basedOn ΣC 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
Constraints: ref-1
... partOf ΣC 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) Part of referenced event
Constraints: ref-1
... status ?!Σ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.
... Slices for category S 1..* CodeableConcept Classification of type of observation
Slice: Unordered, Open by pattern:$this
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
.... category:VSCat 1..1 CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.

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: vital-signs
...... 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 Type of observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding SΣ 2..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... coding:loinc SΣ 1..1 Coding Code defined by a terminology system

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
Fixed Value: 85354-9
...... display SΣ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:snomed Σ 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 Σ 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 Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: 75367002
...... 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:sct SΣ 1..1 Coding Code defined by a terminology system

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 0..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 0..1 code Symbol in syntax defined by the system
Fixed Value: 364090009
...... display SΣ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... subject SΣC 1..1 Reference(Patient) Who and/or what the observation is about
Constraints: ref-1
... focus ΣC 0..* Reference(Resource) What the observation is about, when it is not about the subject of record
Constraints: ref-1
... encounter SΣC 0..1 Reference(Encounter) Healthcare event during which this observation is made
Constraints: ref-1
... effective[x] SΣC 1..1 Clinically relevant time/time-period for observation
Constraints: vs-de-1
.... effectiveDateTime dateTime
.... effectivePeriod Period
... issued Σ 0..1 instant Date/Time this version was made available
... performer ΣC 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) Who is responsible for the observation
Constraints: ref-1
... interpretation S 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
... note 0..* Annotation Comments about the observation
... bodySite S 0..1 CodeableConcept Observed body part
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
... method S 0..1 CodeableConcept How it was done
Binding: ObservationMethods (example): Methods for simple observations.
... specimen C 0..1 Reference(Specimen) Specimen used for this observation
Constraints: ref-1
... device SC 0..1 Reference(Device | DeviceMetric) (Measurement) Device
Constraints: ref-1
... referenceRange SC 0..1 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
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... low C 0..1 SimpleQuantity Low Range, if relevant
Constraints: qty-3, sqty-1
.... high C 0..1 SimpleQuantity High Range, if relevant
Constraints: qty-3, sqty-1
.... 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 C 0..1 Range Applicable age range, if relevant
Constraints: rng-2
.... text 0..1 string Text based reference range in an observation
... hasMember ΣC 0..* Reference(Observation | QuestionnaireResponse | MolecularSequence) Related resource that belongs to the Observation group
Constraints: ref-1
... derivedFrom ΣC 0..* Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) Related measurements the observation is made from
Constraints: ref-1
... Slices for component SΣC 2..3 BackboneElement Component results
Slice: Unordered, Open by pattern:code
Constraints: vs-de-3
.... 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
Slice: Unordered, Open by value:url
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
..... Slices for value[x] Σ 0..1 Actual component result
Slice: Unordered, Open by type:$this
...... valueQuantity Quantity
...... valueCodeableConcept CodeableConcept
...... valueString string
...... valueBoolean boolean
...... valueInteger integer
...... valueRange Range
...... valueRatio Ratio
...... valueSampledData SampledData
...... valueTime time
...... valueDateTime dateTime
...... valuePeriod Period
...... 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
....... value Σ 1..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 1..1 string Unit representation
....... system ΣC 1..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
....... code Σ 1..1 code Coded form of the unit
..... 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:SystolicBP SΣC 1..1 BackboneElement Component results
Constraints: vs-de-3
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... 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
Slice: Unordered, Open by value:url
...... Slices for coding Σ 3..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this

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: 8480-6
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... Slices for coding Content/Rules for all slices
....... coding:loinc SΣ 1..1 Coding Code defined by a terminology system

Required Pattern: At least the following
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
........ version Σ 0..1 string Version of the system - if relevant
........ code SΣ 1..1 code Symbol in syntax defined by the system
Fixed Value: 8480-6
........ display SΣ 0..1 string Representation defined by the system
........ userSelected Σ 0..1 boolean If this coding was chosen directly by the user
....... coding:sct SΣ 1..1 Coding Code defined by a terminology system

Required Pattern: At least the following
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ 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
Fixed Value: 271649006
........ display SΣ 0..1 string Representation defined by the system
........ userSelected Σ 0..1 boolean If this coding was chosen directly by the user
....... coding:IEEE-11073 SΣ 1..1 Coding Code defined by a terminology system

Required Pattern: At least the following
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ system SΣ 1..1 uri Identity of the terminology system
Fixed Value: urn:iso:std:iso:11073:10101
........ version Σ 0..1 string Version of the system - if relevant
........ code SΣ 1..1 code Symbol in syntax defined by the system
Fixed Value: 150017
........ display SΣ 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
..... Slices for value[x] SΣ 0..1 Quantity Actual component result
Slice: Unordered, Closed by type:$this
Required Pattern: At least the following
...... value[x]: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
....... value SΣ 1..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 SΣ 1..1 string Unit representation
Fixed Value: millimeter Mercury column
....... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
....... code SΣ 1..1 code Coded form of the unit
Fixed Value: mm[Hg]
..... Slices for value[x] Content/Rules for all slices
...... value[x]:valueQuantity Σ 0..1 Quantity Actual component result
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
....... value SΣ 1..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 SΣ 1..1 string Unit representation
....... system SΣC 1..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
....... code SΣ 1..1 code Coded form of the unit
Fixed Value: mm[Hg]
..... dataAbsentReason SC 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:DiastolicBP SΣC 1..1 BackboneElement Component results
Constraints: vs-de-3
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... 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
Slice: Unordered, Open by value:url
...... Slices for coding Σ 3..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this

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: 8462-4
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... Slices for coding Content/Rules for all slices
....... coding:loinc SΣ 1..1 Coding Code defined by a terminology system

Required Pattern: At least the following
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
........ version Σ 0..1 string Version of the system - if relevant
........ code SΣ 1..1 code Symbol in syntax defined by the system
Fixed Value: 8462-4
........ display SΣ 0..1 string Representation defined by the system
........ userSelected Σ 0..1 boolean If this coding was chosen directly by the user
....... coding:sct SΣ 1..1 Coding Code defined by a terminology system

Required Pattern: At least the following
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ 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
Fixed Value: 271650006
........ display SΣ 0..1 string Representation defined by the system
........ userSelected Σ 0..1 boolean If this coding was chosen directly by the user
....... coding:IEEE-11073 SΣ 1..1 Coding Code defined by a terminology system

Required Pattern: At least the following
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ system SΣ 1..1 uri Identity of the terminology system
Fixed Value: urn:iso:std:iso:11073:10101
........ version Σ 0..1 string Version of the system - if relevant
........ code SΣ 1..1 code Symbol in syntax defined by the system
Fixed Value: 150018
........ display SΣ 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
..... Slices for value[x] SΣ 0..1 Quantity Actual component result
Slice: Unordered, Closed by type:$this
Required Pattern: At least the following
...... value[x]: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
....... value SΣ 1..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 SΣ 1..1 string Unit representation
Fixed Value: millimeter Mercury column
....... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
....... code SΣ 1..1 code Coded form of the unit
Fixed Value: mm[Hg]
..... Slices for value[x] Content/Rules for all slices
...... value[x]:valueQuantity Σ 0..1 Quantity Actual component result
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
....... value SΣ 1..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 SΣ 1..1 string Unit representation
....... system SΣC 1..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
....... code SΣ 1..1 code Coded form of the unit
Fixed Value: mm[Hg]
..... dataAbsentReason SC 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:meanBP SΣC 0..1 BackboneElement Component results
Constraints: vs-de-3
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... 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
Slice: Unordered, Open by value:url
...... Slices for coding Σ 3..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this

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: 8478-0
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... Slices for coding Content/Rules for all slices
....... coding:loinc SΣ 1..1 Coding Code defined by a terminology system

Required Pattern: At least the following
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
........ version Σ 0..1 string Version of the system - if relevant
........ code SΣ 1..1 code Symbol in syntax defined by the system
Fixed Value: 8478-0
........ display SΣ 0..1 string Representation defined by the system
........ userSelected Σ 0..1 boolean If this coding was chosen directly by the user
....... coding:sct SΣ 1..1 Coding Code defined by a terminology system

Required Pattern: At least the following
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ 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
Fixed Value: 6797001
........ display SΣ 0..1 string Representation defined by the system
........ userSelected Σ 0..1 boolean If this coding was chosen directly by the user
....... coding:IEEE-11073 SΣ 1..1 Coding Code defined by a terminology system

Required Pattern: At least the following
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ system SΣ 1..1 uri Identity of the terminology system
Fixed Value: urn:iso:std:iso:11073:10101
........ version Σ 0..1 string Version of the system - if relevant
........ code SΣ 1..1 code Symbol in syntax defined by the system
Fixed Value: 150019
........ display SΣ 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
..... Slices for value[x] SΣ 0..1 Quantity Actual component result
Slice: Unordered, Closed by type:$this
Required Pattern: At least the following
...... value[x]: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
....... value SΣ 1..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 SΣ 1..1 string Unit representation
Fixed Value: millimeter Mercury column
....... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
....... code SΣ 1..1 code Coded form of the unit
Fixed Value: mm[Hg]
..... Slices for value[x] Content/Rules for all slices
...... value[x]:valueQuantity Σ 0..1 Quantity Actual component result
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
....... value SΣ 1..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 SΣ 1..1 string Unit representation
....... system SΣC 1..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
....... code SΣ 1..1 code Coded form of the unit
Fixed Value: mm[Hg]
..... dataAbsentReason SC 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
..... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
..... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.language Base preferred Common Languages 📦4.0.1 FHIR Std.
Observation.status Base required ObservationStatus 📍4.0.1 FHIR Std.
Observation.category Base preferred Observation Category Codes 📦4.0.1 FHIR Std.
Observation.category:VSCat Base preferred Observation Category Codes 📦4.0.1 FHIR Std.
Observation.code Base example LOINC Codes 📦4.0.1 FHIR Std.
Observation.value[x]:valueQuantity.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.value[x]:valueQuantity.​code Base required UCUM Vitals Common DE 📦1.6.0 de.basisprofil.r4 v1.6
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.​value[x]:valueQuantity.​comparator Base required QuantityComparator 📍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:SystolicBP.​code Base example LOINC Codes 📦4.0.1 FHIR Std.
Observation.component:SystolicBP.​value[x].comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:SystolicBP.​value[x]:valueQuantity.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:SystolicBP.​dataAbsentReason Base extensible DataAbsentReason 📦4.0.1 FHIR Std.
Observation.component:SystolicBP.​interpretation Base extensible Observation Interpretation Codes 📦4.0.1 FHIR Std.
Observation.component:DiastolicBP.​code Base example LOINC Codes 📦4.0.1 FHIR Std.
Observation.component:DiastolicBP.​value[x].comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:DiastolicBP.​value[x]:valueQuantity.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:DiastolicBP.​dataAbsentReason Base extensible DataAbsentReason 📦4.0.1 FHIR Std.
Observation.component:DiastolicBP.​interpretation Base extensible Observation Interpretation Codes 📦4.0.1 FHIR Std.
Observation.component:meanBP.​code Base example LOINC Codes 📦4.0.1 FHIR Std.
Observation.component:meanBP.​value[x].comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:meanBP.​value[x]:valueQuantity.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:meanBP.​dataAbsentReason Base extensible DataAbsentReason 📦4.0.1 FHIR Std.
Observation.component:meanBP.​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 **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()
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()
qty-3 error Observation.referenceRange.low, Observation.referenceRange.high If a code for the unit is present, the system SHALL also be present code.empty() or system.exists()
ref-1 error Observation.basedOn, Observation.partOf, Observation.subject, Observation.focus, Observation.encounter, Observation.performer, Observation.specimen, Observation.device, Observation.hasMember, Observation.derivedFrom SHALL have a contained resource if a local reference is provided reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))
rng-2 error Observation.referenceRange.age If present, low SHALL have a lower value than high low.empty() or high.empty() or (low <= high)
sqty-1 error Observation.referenceRange.low, Observation.referenceRange.high The comparator is not used on a SimpleQuantity comparator.empty()
vs-de-1 error Observation.effective[x] If Observation.effective[x] has a value then that value shall be precise to the day (($this is dateTime) implies ($this as dateTime).toString().length() >= 10) and ($this.start.exists() implies ($this.start as dateTime).toString().length() >= 10) and ($this.end.exists() implies ($this.end as dateTime).toString().length() >= 10)
vs-de-2 error Observation If there is no component or hasMember element then either a value[x] or a data absent reason must be present (component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists())
vs-de-3 error Observation.component, Observation.component:SystolicBP, Observation.component:DiastolicBP, Observation.component:meanBP If there is no a value a data absent reason must be present value.exists() xor dataAbsentReason.exists()

Diese Struktur ist abgeleitet von VitalSignDE_Blutdruck

Summary

Mandatory: 19 elements(21 nested mandatory elements)
Must-Support: 91 elements
Prohibited: 1 element

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Observation.component.code.coding

Schlüsselelemente-Ansicht

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* VitalSignDE_Blutdruck(1.6.0) Measurements and simple assertions
Constraints: obs-7, obs-6, vs-de-2
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Slice: Unordered, Open by value:url
... status ?!Σ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.
.... category:VSCat 1..1 CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.

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: vital-signs
...... 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 Type of observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
.... Slices for coding SΣ 2..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... coding:loinc SΣ 1..1 Coding Code defined by a terminology system

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... version 0..1 string Version of the system - if relevant
...... 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://loinc.org
...... code SΣ 1..1 code Symbol in syntax defined by the system
Fixed Value: 85354-9
...... display SΣ 0..1 string Representation defined by the system
..... coding:snomed Σ 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 Σ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: 75367002
..... coding:sct SΣ 1..1 Coding Code defined by a terminology system

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... version 0..1 string Version of the system - if relevant
...... userSelected 0..1 boolean If this coding was chosen directly by the user
...... system SΣ 0..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... code SΣ 0..1 code Symbol in syntax defined by the system
Fixed Value: 364090009
...... display SΣ 0..1 string Representation defined by the system
... subject SΣC 1..1 Reference(Patient) Who and/or what the observation is about
Constraints: ref-1
... encounter SΣC 0..1 Reference(Encounter) Healthcare event during which this observation is made
Constraints: ref-1
... effective[x] SΣC 1..1 Clinically relevant time/time-period for observation
Constraints: vs-de-1
.... effectiveDateTime dateTime
.... effectivePeriod Period
... interpretation S 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
... bodySite S 0..1 CodeableConcept Observed body part
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
... method S 0..1 CodeableConcept How it was done
Binding: ObservationMethods (example): Methods for simple observations.
... device SC 0..1 Reference(Device | DeviceMetric) (Measurement) Device
Constraints: ref-1
... referenceRange SC 0..1 BackboneElement Provides guide for interpretation
Constraints: obs-3
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... low C 0..1 SimpleQuantity Low Range, if relevant
Constraints: qty-3, sqty-1
.... high C 0..1 SimpleQuantity High Range, if relevant
Constraints: qty-3, sqty-1
... Slices for component SΣC 2..3 BackboneElement Component results
Slice: Unordered, Open by pattern:code
Constraints: vs-de-3
.... component:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
..... Slices for value[x] Σ 0..1 Actual component result
Slice: Unordered, Open by type:$this
...... valueQuantity Quantity
...... valueCodeableConcept CodeableConcept
...... valueString string
...... valueBoolean boolean
...... valueInteger integer
...... valueRange Range
...... valueRatio Ratio
...... valueSampledData SampledData
...... valueTime time
...... valueDateTime dateTime
...... valuePeriod Period
...... value[x]:valueQuantity Σ 0..1 Quantity Actual component result
....... value Σ 1..1 decimal Numerical value (with implicit precision)
....... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
....... unit Σ 1..1 string Unit representation
....... system ΣC 1..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
....... code Σ 1..1 code Coded form of the unit
..... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
.... component:SystolicBP SΣC 1..1 BackboneElement Component results
Constraints: vs-de-3
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... text 0..1 string Plain text representation of the concept
...... Slices for coding Σ 3..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this

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: 8480-6
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... Slices for coding Content/Rules for all slices
....... coding:loinc SΣ 1..1 Coding Code defined by a terminology system

Required Pattern: At least the following
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
........ version 0..1 string Version of the system - if relevant
........ 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://loinc.org
........ code SΣ 1..1 code Symbol in syntax defined by the system
Fixed Value: 8480-6
........ display SΣ 0..1 string Representation defined by the system
....... coding:sct SΣ 1..1 Coding Code defined by a terminology system

Required Pattern: At least the following
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
........ version 0..1 string Version of the system - if relevant
........ 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
Fixed Value: 271649006
........ display SΣ 0..1 string Representation defined by the system
....... coding:IEEE-11073 SΣ 1..1 Coding Code defined by a terminology system

Required Pattern: At least the following
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
........ version 0..1 string Version of the system - if relevant
........ 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: urn:iso:std:iso:11073:10101
........ code SΣ 1..1 code Symbol in syntax defined by the system
Fixed Value: 150017
........ display SΣ 0..1 string Representation defined by the system
..... Slices for value[x] SΣ 0..1 Quantity Actual component result
Slice: Unordered, Closed by type:$this
Required Pattern: At least the following
...... value[x]:All Slices Content/Rules for all slices
....... value SΣ 1..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 SΣ 1..1 string Unit representation
Fixed Value: millimeter Mercury column
....... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
....... code SΣ 1..1 code Coded form of the unit
Fixed Value: mm[Hg]
..... Slices for value[x] Content/Rules for all slices
...... value[x]:valueQuantity Σ 0..1 Quantity Actual component result
Required Pattern: At least the following
....... value SΣ 1..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 SΣ 1..1 string Unit representation
....... system SΣC 1..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
....... code SΣ 1..1 code Coded form of the unit
Fixed Value: mm[Hg]
..... dataAbsentReason SC 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
.... component:DiastolicBP SΣC 1..1 BackboneElement Component results
Constraints: vs-de-3
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... 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
...... text 0..1 string Plain text representation of the concept
...... Slices for coding Σ 3..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this

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: 8462-4
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... Slices for coding Content/Rules for all slices
....... coding:loinc SΣ 1..1 Coding Code defined by a terminology system

Required Pattern: At least the following
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
........ version 0..1 string Version of the system - if relevant
........ 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://loinc.org
........ code SΣ 1..1 code Symbol in syntax defined by the system
Fixed Value: 8462-4
........ display SΣ 0..1 string Representation defined by the system
....... coding:sct SΣ 1..1 Coding Code defined by a terminology system

Required Pattern: At least the following
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
........ version 0..1 string Version of the system - if relevant
........ 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
Fixed Value: 271650006
........ display SΣ 0..1 string Representation defined by the system
....... coding:IEEE-11073 SΣ 1..1 Coding Code defined by a terminology system

Required Pattern: At least the following
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
........ version 0..1 string Version of the system - if relevant
........ 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: urn:iso:std:iso:11073:10101
........ code SΣ 1..1 code Symbol in syntax defined by the system
Fixed Value: 150018
........ display SΣ 0..1 string Representation defined by the system
..... Slices for value[x] SΣ 0..1 Quantity Actual component result
Slice: Unordered, Closed by type:$this
Required Pattern: At least the following
...... value[x]:All Slices Content/Rules for all slices
....... value SΣ 1..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 SΣ 1..1 string Unit representation
Fixed Value: millimeter Mercury column
....... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
....... code SΣ 1..1 code Coded form of the unit
Fixed Value: mm[Hg]
..... Slices for value[x] Content/Rules for all slices
...... value[x]:valueQuantity Σ 0..1 Quantity Actual component result
Required Pattern: At least the following
....... value SΣ 1..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 SΣ 1..1 string Unit representation
....... system SΣC 1..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
....... code SΣ 1..1 code Coded form of the unit
Fixed Value: mm[Hg]
..... dataAbsentReason SC 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
.... component:meanBP SΣC 0..1 BackboneElement Component results
Constraints: vs-de-3
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... 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
...... text 0..1 string Plain text representation of the concept
...... Slices for coding Σ 3..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this

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: 8478-0
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... Slices for coding Content/Rules for all slices
....... coding:loinc SΣ 1..1 Coding Code defined by a terminology system

Required Pattern: At least the following
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
........ version 0..1 string Version of the system - if relevant
........ 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://loinc.org
........ code SΣ 1..1 code Symbol in syntax defined by the system
Fixed Value: 8478-0
........ display SΣ 0..1 string Representation defined by the system
....... coding:sct SΣ 1..1 Coding Code defined by a terminology system

Required Pattern: At least the following
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
........ version 0..1 string Version of the system - if relevant
........ 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
Fixed Value: 6797001
........ display SΣ 0..1 string Representation defined by the system
....... coding:IEEE-11073 SΣ 1..1 Coding Code defined by a terminology system

Required Pattern: At least the following
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
........ version 0..1 string Version of the system - if relevant
........ 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: urn:iso:std:iso:11073:10101
........ code SΣ 1..1 code Symbol in syntax defined by the system
Fixed Value: 150019
........ display SΣ 0..1 string Representation defined by the system
..... Slices for value[x] SΣ 0..1 Quantity Actual component result
Slice: Unordered, Closed by type:$this
Required Pattern: At least the following
...... value[x]:All Slices Content/Rules for all slices
....... value SΣ 1..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 SΣ 1..1 string Unit representation
Fixed Value: millimeter Mercury column
....... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
....... code SΣ 1..1 code Coded form of the unit
Fixed Value: mm[Hg]
..... Slices for value[x] Content/Rules for all slices
...... value[x]:valueQuantity Σ 0..1 Quantity Actual component result
Required Pattern: At least the following
....... value SΣ 1..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 SΣ 1..1 string Unit representation
....... system SΣC 1..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
....... code SΣ 1..1 code Coded form of the unit
Fixed Value: mm[Hg]
..... dataAbsentReason SC 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.status Base required ObservationStatus 📍4.0.1 FHIR Std.
Observation.category Base preferred Observation Category Codes 📦4.0.1 FHIR Std.
Observation.category:VSCat Base preferred Observation Category Codes 📦4.0.1 FHIR Std.
Observation.code Base example LOINC Codes 📦4.0.1 FHIR Std.
Observation.value[x]:valueQuantity.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.value[x]:valueQuantity.​code Base required UCUM Vitals Common DE 📦1.6.0 de.basisprofil.r4 v1.6
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.component.​code Base example LOINC Codes 📦4.0.1 FHIR Std.
Observation.component.​value[x]:valueQuantity.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component.​dataAbsentReason Base extensible DataAbsentReason 📦4.0.1 FHIR Std.
Observation.component:SystolicBP.​code Base example LOINC Codes 📦4.0.1 FHIR Std.
Observation.component:SystolicBP.​value[x].comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:SystolicBP.​value[x]:valueQuantity.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:SystolicBP.​dataAbsentReason Base extensible DataAbsentReason 📦4.0.1 FHIR Std.
Observation.component:DiastolicBP.​code Base example LOINC Codes 📦4.0.1 FHIR Std.
Observation.component:DiastolicBP.​value[x].comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:DiastolicBP.​value[x]:valueQuantity.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:DiastolicBP.​dataAbsentReason Base extensible DataAbsentReason 📦4.0.1 FHIR Std.
Observation.component:meanBP.​code Base example LOINC Codes 📦4.0.1 FHIR Std.
Observation.component:meanBP.​value[x].comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:meanBP.​value[x]:valueQuantity.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:meanBP.​dataAbsentReason Base extensible DataAbsentReason 📦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 **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()
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()
qty-3 error Observation.referenceRange.low, Observation.referenceRange.high If a code for the unit is present, the system SHALL also be present code.empty() or system.exists()
ref-1 error Observation.subject, Observation.encounter, Observation.device SHALL have a contained resource if a local reference is provided reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))
sqty-1 error Observation.referenceRange.low, Observation.referenceRange.high The comparator is not used on a SimpleQuantity comparator.empty()
vs-de-1 error Observation.effective[x] If Observation.effective[x] has a value then that value shall be precise to the day (($this is dateTime) implies ($this as dateTime).toString().length() >= 10) and ($this.start.exists() implies ($this.start as dateTime).toString().length() >= 10) and ($this.end.exists() implies ($this.end as dateTime).toString().length() >= 10)
vs-de-2 error Observation If there is no component or hasMember element then either a value[x] or a data absent reason must be present (component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists())
vs-de-3 error Observation.component, Observation.component:SystolicBP, Observation.component:DiastolicBP, Observation.component:meanBP If there is no a value a data absent reason must be present value.exists() xor dataAbsentReason.exists()

Differential-Ansicht

Diese Struktur ist abgeleitet von VitalSignDE_Blutdruck

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation 0..* VitalSignDE_Blutdruck(1.6.0) Measurements and simple assertions
... category S 1..* CodeableConcept Classification of type of observation
... code S 1..1 CodeableConcept Type of observation (code / type)
.... coding S 2..* Coding Code defined by a terminology system
.... Slices for coding Content/Rules for all slices
..... coding:loinc S 1..1 Coding Code defined by a terminology system
...... system S 1..1 uri Identity of the terminology system
...... code S 1..1 code Symbol in syntax defined by the system
...... display S 0..1 string Representation defined by the system
..... coding:sct S 1..1 Coding Code defined by a terminology system
Required Pattern: At least the following
...... system S 0..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... code S 0..1 code Symbol in syntax defined by the system
Fixed Value: 364090009
...... display S 0..1 string Representation defined by the system
... subject S 1..1 Reference(Patient) Who and/or what the observation is about
... effective[x] S 1..1 dateTime, Period Clinically relevant time/time-period for observation
... value[x] S 0..0 CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period Actual result
... dataAbsentReason S 0..0 Why the result is missing
... interpretation S 0..* CodeableConcept High, low, normal, etc.
... bodySite S 0..1 CodeableConcept Observed body part
... method S 0..1 CodeableConcept How it was done
... device S 0..1 Reference(Device | DeviceMetric) (Measurement) Device
... referenceRange S 0..1 BackboneElement Provides guide for interpretation
... component S 2..3 BackboneElement Component results
... Slices for component Content/Rules for all slices
.... component:SystolicBP S 1..1 BackboneElement Component results
..... code
...... Slices for coding 3..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
...... Slices for coding Content/Rules for all slices
....... coding:loinc S 1..1 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://loinc.org
........ code S 1..1 code Symbol in syntax defined by the system
Fixed Value: 8480-6
........ display S 0..1 string Representation defined by the system
....... coding:sct S 1..1 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
Fixed Value: 271649006
........ display S 0..1 string Representation defined by the system
....... coding:IEEE-11073 S 1..1 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: urn:iso:std:iso:11073:10101
........ code S 1..1 code Symbol in syntax defined by the system
Fixed Value: 150017
........ display S 0..1 string Representation defined by the system
..... value[x] S 0..1 Quantity Actual component result
Required Pattern: At least the following
...... value S 1..1 decimal Numerical value (with implicit precision)
...... unit S 1..1 string Unit representation
Fixed Value: millimeter Mercury column
...... system S 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
...... code S 1..1 code Coded form of the unit
Fixed Value: mm[Hg]
..... Slices for value[x] Content/Rules for all slices
...... value[x]:valueQuantity 0..1 Quantity Actual component result
....... value S 1..1 decimal Numerical value (with implicit precision)
....... unit S 1..1 string Unit representation
....... system S 1..1 uri System that defines coded unit form
....... code S 1..1 code Coded form of the unit
..... dataAbsentReason S 0..1 CodeableConcept Why the component result is missing
.... component:DiastolicBP S 1..1 BackboneElement Component results
..... code
...... Slices for coding 3..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
...... Slices for coding Content/Rules for all slices
....... coding:loinc S 1..1 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://loinc.org
........ code S 1..1 code Symbol in syntax defined by the system
Fixed Value: 8462-4
........ display S 0..1 string Representation defined by the system
....... coding:sct S 1..1 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
Fixed Value: 271650006
........ display S 0..1 string Representation defined by the system
....... coding:IEEE-11073 S 1..1 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: urn:iso:std:iso:11073:10101
........ code S 1..1 code Symbol in syntax defined by the system
Fixed Value: 150018
........ display S 0..1 string Representation defined by the system
..... value[x] S 0..1 Quantity Actual component result
Required Pattern: At least the following
...... value S 1..1 decimal Numerical value (with implicit precision)
...... unit S 1..1 string Unit representation
Fixed Value: millimeter Mercury column
...... system S 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
...... code S 1..1 code Coded form of the unit
Fixed Value: mm[Hg]
..... Slices for value[x] Content/Rules for all slices
...... value[x]:valueQuantity 0..1 Quantity Actual component result
....... value S 1..1 decimal Numerical value (with implicit precision)
....... unit S 1..1 string Unit representation
....... system S 1..1 uri System that defines coded unit form
....... code S 1..1 code Coded form of the unit
..... dataAbsentReason S 0..1 CodeableConcept Why the component result is missing
.... component:meanBP S 0..1 BackboneElement Component results
..... code
...... Slices for coding 3..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
...... Slices for coding Content/Rules for all slices
....... coding:loinc S 1..1 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://loinc.org
........ code S 1..1 code Symbol in syntax defined by the system
Fixed Value: 8478-0
........ display S 0..1 string Representation defined by the system
....... coding:sct S 1..1 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
Fixed Value: 6797001
........ display S 0..1 string Representation defined by the system
....... coding:IEEE-11073 S 1..1 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: urn:iso:std:iso:11073:10101
........ code S 1..1 code Symbol in syntax defined by the system
Fixed Value: 150019
........ display S 0..1 string Representation defined by the system
..... value[x] S 0..1 Quantity Actual component result
Required Pattern: At least the following
...... value S 1..1 decimal Numerical value (with implicit precision)
...... unit S 1..1 string Unit representation
Fixed Value: millimeter Mercury column
...... system S 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
...... code S 1..1 code Coded form of the unit
Fixed Value: mm[Hg]
..... Slices for value[x] Content/Rules for all slices
...... value[x]:valueQuantity 0..1 Quantity Actual component result
....... value S 1..1 decimal Numerical value (with implicit precision)
....... unit S 1..1 string Unit representation
....... system S 1..1 uri System that defines coded unit form
....... code S 1..1 code Coded form of the unit
..... dataAbsentReason S 0..1 CodeableConcept Why the component result is missing

doco Documentation for this format

Snapshot-AnsichtView

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* VitalSignDE_Blutdruck(1.6.0) Measurements and simple assertions
Constraints: obs-7, obs-6, vs-de-2
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Slice: Unordered, Open by value:url
... identifier Σ 0..* Identifier Business Identifier for observation
... basedOn ΣC 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
Constraints: ref-1
... partOf ΣC 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) Part of referenced event
Constraints: ref-1
... status ?!Σ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.
... Slices for category S 1..* CodeableConcept Classification of type of observation
Slice: Unordered, Open by pattern:$this
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
.... category:VSCat 1..1 CodeableConcept Classification of type of observation
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.

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: vital-signs
...... 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 Type of observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding SΣ 2..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... coding:loinc SΣ 1..1 Coding Code defined by a terminology system

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
Fixed Value: 85354-9
...... display SΣ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:snomed Σ 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 Σ 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 Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: 75367002
...... 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:sct SΣ 1..1 Coding Code defined by a terminology system

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 0..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 0..1 code Symbol in syntax defined by the system
Fixed Value: 364090009
...... display SΣ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... subject SΣC 1..1 Reference(Patient) Who and/or what the observation is about
Constraints: ref-1
... focus ΣC 0..* Reference(Resource) What the observation is about, when it is not about the subject of record
Constraints: ref-1
... encounter SΣC 0..1 Reference(Encounter) Healthcare event during which this observation is made
Constraints: ref-1
... effective[x] SΣC 1..1 Clinically relevant time/time-period for observation
Constraints: vs-de-1
.... effectiveDateTime dateTime
.... effectivePeriod Period
... issued Σ 0..1 instant Date/Time this version was made available
... performer ΣC 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) Who is responsible for the observation
Constraints: ref-1
... interpretation S 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
... note 0..* Annotation Comments about the observation
... bodySite S 0..1 CodeableConcept Observed body part
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
... method S 0..1 CodeableConcept How it was done
Binding: ObservationMethods (example): Methods for simple observations.
... specimen C 0..1 Reference(Specimen) Specimen used for this observation
Constraints: ref-1
... device SC 0..1 Reference(Device | DeviceMetric) (Measurement) Device
Constraints: ref-1
... referenceRange SC 0..1 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
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... low C 0..1 SimpleQuantity Low Range, if relevant
Constraints: qty-3, sqty-1
.... high C 0..1 SimpleQuantity High Range, if relevant
Constraints: qty-3, sqty-1
.... 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 C 0..1 Range Applicable age range, if relevant
Constraints: rng-2
.... text 0..1 string Text based reference range in an observation
... hasMember ΣC 0..* Reference(Observation | QuestionnaireResponse | MolecularSequence) Related resource that belongs to the Observation group
Constraints: ref-1
... derivedFrom ΣC 0..* Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) Related measurements the observation is made from
Constraints: ref-1
... Slices for component SΣC 2..3 BackboneElement Component results
Slice: Unordered, Open by pattern:code
Constraints: vs-de-3
.... 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
Slice: Unordered, Open by value:url
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
..... Slices for value[x] Σ 0..1 Actual component result
Slice: Unordered, Open by type:$this
...... valueQuantity Quantity
...... valueCodeableConcept CodeableConcept
...... valueString string
...... valueBoolean boolean
...... valueInteger integer
...... valueRange Range
...... valueRatio Ratio
...... valueSampledData SampledData
...... valueTime time
...... valueDateTime dateTime
...... valuePeriod Period
...... 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
....... value Σ 1..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 1..1 string Unit representation
....... system ΣC 1..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
....... code Σ 1..1 code Coded form of the unit
..... 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:SystolicBP SΣC 1..1 BackboneElement Component results
Constraints: vs-de-3
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... 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
Slice: Unordered, Open by value:url
...... Slices for coding Σ 3..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this

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: 8480-6
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... Slices for coding Content/Rules for all slices
....... coding:loinc SΣ 1..1 Coding Code defined by a terminology system

Required Pattern: At least the following
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
........ version Σ 0..1 string Version of the system - if relevant
........ code SΣ 1..1 code Symbol in syntax defined by the system
Fixed Value: 8480-6
........ display SΣ 0..1 string Representation defined by the system
........ userSelected Σ 0..1 boolean If this coding was chosen directly by the user
....... coding:sct SΣ 1..1 Coding Code defined by a terminology system

Required Pattern: At least the following
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ 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
Fixed Value: 271649006
........ display SΣ 0..1 string Representation defined by the system
........ userSelected Σ 0..1 boolean If this coding was chosen directly by the user
....... coding:IEEE-11073 SΣ 1..1 Coding Code defined by a terminology system

Required Pattern: At least the following
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ system SΣ 1..1 uri Identity of the terminology system
Fixed Value: urn:iso:std:iso:11073:10101
........ version Σ 0..1 string Version of the system - if relevant
........ code SΣ 1..1 code Symbol in syntax defined by the system
Fixed Value: 150017
........ display SΣ 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
..... Slices for value[x] SΣ 0..1 Quantity Actual component result
Slice: Unordered, Closed by type:$this
Required Pattern: At least the following
...... value[x]: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
....... value SΣ 1..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 SΣ 1..1 string Unit representation
Fixed Value: millimeter Mercury column
....... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
....... code SΣ 1..1 code Coded form of the unit
Fixed Value: mm[Hg]
..... Slices for value[x] Content/Rules for all slices
...... value[x]:valueQuantity Σ 0..1 Quantity Actual component result
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
....... value SΣ 1..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 SΣ 1..1 string Unit representation
....... system SΣC 1..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
....... code SΣ 1..1 code Coded form of the unit
Fixed Value: mm[Hg]
..... dataAbsentReason SC 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:DiastolicBP SΣC 1..1 BackboneElement Component results
Constraints: vs-de-3
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... 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
Slice: Unordered, Open by value:url
...... Slices for coding Σ 3..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this

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: 8462-4
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... Slices for coding Content/Rules for all slices
....... coding:loinc SΣ 1..1 Coding Code defined by a terminology system

Required Pattern: At least the following
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
........ version Σ 0..1 string Version of the system - if relevant
........ code SΣ 1..1 code Symbol in syntax defined by the system
Fixed Value: 8462-4
........ display SΣ 0..1 string Representation defined by the system
........ userSelected Σ 0..1 boolean If this coding was chosen directly by the user
....... coding:sct SΣ 1..1 Coding Code defined by a terminology system

Required Pattern: At least the following
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ 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
Fixed Value: 271650006
........ display SΣ 0..1 string Representation defined by the system
........ userSelected Σ 0..1 boolean If this coding was chosen directly by the user
....... coding:IEEE-11073 SΣ 1..1 Coding Code defined by a terminology system

Required Pattern: At least the following
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ system SΣ 1..1 uri Identity of the terminology system
Fixed Value: urn:iso:std:iso:11073:10101
........ version Σ 0..1 string Version of the system - if relevant
........ code SΣ 1..1 code Symbol in syntax defined by the system
Fixed Value: 150018
........ display SΣ 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
..... Slices for value[x] SΣ 0..1 Quantity Actual component result
Slice: Unordered, Closed by type:$this
Required Pattern: At least the following
...... value[x]: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
....... value SΣ 1..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 SΣ 1..1 string Unit representation
Fixed Value: millimeter Mercury column
....... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
....... code SΣ 1..1 code Coded form of the unit
Fixed Value: mm[Hg]
..... Slices for value[x] Content/Rules for all slices
...... value[x]:valueQuantity Σ 0..1 Quantity Actual component result
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
....... value SΣ 1..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 SΣ 1..1 string Unit representation
....... system SΣC 1..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
....... code SΣ 1..1 code Coded form of the unit
Fixed Value: mm[Hg]
..... dataAbsentReason SC 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:meanBP SΣC 0..1 BackboneElement Component results
Constraints: vs-de-3
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... 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
Slice: Unordered, Open by value:url
...... Slices for coding Σ 3..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this

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: 8478-0
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... Slices for coding Content/Rules for all slices
....... coding:loinc SΣ 1..1 Coding Code defined by a terminology system

Required Pattern: At least the following
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
........ version Σ 0..1 string Version of the system - if relevant
........ code SΣ 1..1 code Symbol in syntax defined by the system
Fixed Value: 8478-0
........ display SΣ 0..1 string Representation defined by the system
........ userSelected Σ 0..1 boolean If this coding was chosen directly by the user
....... coding:sct SΣ 1..1 Coding Code defined by a terminology system

Required Pattern: At least the following
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ 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
Fixed Value: 6797001
........ display SΣ 0..1 string Representation defined by the system
........ userSelected Σ 0..1 boolean If this coding was chosen directly by the user
....... coding:IEEE-11073 SΣ 1..1 Coding Code defined by a terminology system

Required Pattern: At least the following
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ system SΣ 1..1 uri Identity of the terminology system
Fixed Value: urn:iso:std:iso:11073:10101
........ version Σ 0..1 string Version of the system - if relevant
........ code SΣ 1..1 code Symbol in syntax defined by the system
Fixed Value: 150019
........ display SΣ 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
..... Slices for value[x] SΣ 0..1 Quantity Actual component result
Slice: Unordered, Closed by type:$this
Required Pattern: At least the following
...... value[x]: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
....... value SΣ 1..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 SΣ 1..1 string Unit representation
Fixed Value: millimeter Mercury column
....... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
....... code SΣ 1..1 code Coded form of the unit
Fixed Value: mm[Hg]
..... Slices for value[x] Content/Rules for all slices
...... value[x]:valueQuantity Σ 0..1 Quantity Actual component result
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
....... value SΣ 1..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 SΣ 1..1 string Unit representation
....... system SΣC 1..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
....... code SΣ 1..1 code Coded form of the unit
Fixed Value: mm[Hg]
..... dataAbsentReason SC 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
..... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
..... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.language Base preferred Common Languages 📦4.0.1 FHIR Std.
Observation.status Base required ObservationStatus 📍4.0.1 FHIR Std.
Observation.category Base preferred Observation Category Codes 📦4.0.1 FHIR Std.
Observation.category:VSCat Base preferred Observation Category Codes 📦4.0.1 FHIR Std.
Observation.code Base example LOINC Codes 📦4.0.1 FHIR Std.
Observation.value[x]:valueQuantity.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.value[x]:valueQuantity.​code Base required UCUM Vitals Common DE 📦1.6.0 de.basisprofil.r4 v1.6
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.​value[x]:valueQuantity.​comparator Base required QuantityComparator 📍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:SystolicBP.​code Base example LOINC Codes 📦4.0.1 FHIR Std.
Observation.component:SystolicBP.​value[x].comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:SystolicBP.​value[x]:valueQuantity.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:SystolicBP.​dataAbsentReason Base extensible DataAbsentReason 📦4.0.1 FHIR Std.
Observation.component:SystolicBP.​interpretation Base extensible Observation Interpretation Codes 📦4.0.1 FHIR Std.
Observation.component:DiastolicBP.​code Base example LOINC Codes 📦4.0.1 FHIR Std.
Observation.component:DiastolicBP.​value[x].comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:DiastolicBP.​value[x]:valueQuantity.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:DiastolicBP.​dataAbsentReason Base extensible DataAbsentReason 📦4.0.1 FHIR Std.
Observation.component:DiastolicBP.​interpretation Base extensible Observation Interpretation Codes 📦4.0.1 FHIR Std.
Observation.component:meanBP.​code Base example LOINC Codes 📦4.0.1 FHIR Std.
Observation.component:meanBP.​value[x].comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:meanBP.​value[x]:valueQuantity.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component:meanBP.​dataAbsentReason Base extensible DataAbsentReason 📦4.0.1 FHIR Std.
Observation.component:meanBP.​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 **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()
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()
qty-3 error Observation.referenceRange.low, Observation.referenceRange.high If a code for the unit is present, the system SHALL also be present code.empty() or system.exists()
ref-1 error Observation.basedOn, Observation.partOf, Observation.subject, Observation.focus, Observation.encounter, Observation.performer, Observation.specimen, Observation.device, Observation.hasMember, Observation.derivedFrom SHALL have a contained resource if a local reference is provided reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))
rng-2 error Observation.referenceRange.age If present, low SHALL have a lower value than high low.empty() or high.empty() or (low <= high)
sqty-1 error Observation.referenceRange.low, Observation.referenceRange.high The comparator is not used on a SimpleQuantity comparator.empty()
vs-de-1 error Observation.effective[x] If Observation.effective[x] has a value then that value shall be precise to the day (($this is dateTime) implies ($this as dateTime).toString().length() >= 10) and ($this.start.exists() implies ($this.start as dateTime).toString().length() >= 10) and ($this.end.exists() implies ($this.end as dateTime).toString().length() >= 10)
vs-de-2 error Observation If there is no component or hasMember element then either a value[x] or a data absent reason must be present (component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists())
vs-de-3 error Observation.component, Observation.component:SystolicBP, Observation.component:DiastolicBP, Observation.component:meanBP If there is no a value a data absent reason must be present value.exists() xor dataAbsentReason.exists()

Diese Struktur ist abgeleitet von VitalSignDE_Blutdruck

Summary

Mandatory: 19 elements(21 nested mandatory elements)
Must-Support: 91 elements
Prohibited: 1 element

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Observation.component.code.coding

 

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