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

• Inhalt
• Detaillierte Beschreibungen
• Mappings
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Ressourcenprofil: MII PR ICU Score GCS

Usages:

• Examples for this Profile: Observation/mii-exa-icu-score-gcs

You can also check for usages in the FHIR IG Statistics

Formale Ansichten des Profilinhalts

Beschreibung von Profilen, Differentials, Snapshots und deren Repräsentationen.

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	MII_PR_ICU_Score	Measurements and simple assertions Constraints: obs-6, obs-7, mii-icu-val-xor-dar, mii-icu-enc-or-sub, mii-icu-comp-xor-val, gcs-total-range
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
Slices for category	S	2..*	CodeableConcept	Classification of type of observation Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
category:survey	S	1..1	CodeableConcept	Survey category 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
text		0..1	string	Plain text representation of the concept
coding	SΣ	1..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: survey
display		1..1	string	Representation defined by the system Fixed Value: Survey
userSelected		0..1	boolean	If this coding was chosen directly by the user
category:assessment-scale	S	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
text		0..1	string	Plain text representation of the concept
coding	SΣ	1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 273249006
display		1..1	string	Representation defined by the system Fixed Value: Assessment scales (assessment scale)
userSelected		0..1	boolean	If this coding was chosen directly by the user
code	SΣC	1..1	CodeableConcept	Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Constraints: mii-icu-loinc-sct-dgai-ieee11073
Slices for coding	SΣ	3..3	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
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: http://loinc.org
code	SΣ	1..1	code	Symbol in syntax defined by the system Required Pattern: 9269-2
display	Σ	0..1	string	Representation defined by the system Required Pattern: Glasgow coma score total
coding:sct	SΣ	1..1	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: http://snomed.info/sct
version	SΣ	0..1	string	Version of the system - if relevant Required Pattern: http://snomed.info/sct/900000000000207008/version/20260701
code	SΣ	1..1	code	Symbol in syntax defined by the system Required Pattern: 248241002
display	Σ	0..1	string	Representation defined by the system Required Pattern: Glasgow coma score (observable entity)
coding:ieee11073	SΣ	1..1	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: urn:iso:std:iso:11073:10101
code	SΣ	1..1	code	Symbol in syntax defined by the system Required Pattern: 153728
subject	SΣ	1..1	Reference(Patient)	Patient being assessed
encounter	SΣ	0..1	Reference(Encounter)	Healthcare event during which this observation is made
effective[x]	SΣ	1..1		Clinically relevant time/time-period for observation
effectiveDateTime			dateTime
effectivePeriod			Period
issued	SΣ	0..1	instant	Date/Time this version was made available
performer	SΣ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)	Who is responsible for the observation
value[x]	SΣC	1..1	Quantity	GCS Gesamtwert
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 Required Pattern: {score}
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 Required Pattern: {score}
dataAbsentReason	SC	0..1	CodeableConcept	Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation	S	0..1	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
device	S	0..1	Reference(Device | DeviceMetric)	(Measurement) Device
hasMember	SΣ	0..*	Reference(Observation | QuestionnaireResponse | MolecularSequence)	Related resource that belongs to the Observation group
derivedFrom	SΣ	0..*	Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)	Related measurements the observation is made from
Slices for component	SΣC	0..3	BackboneElement	Component results Slice: Unordered, Open by pattern:code Constraints: mii-icu-val-xor-dar
component:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
value[x]	SΣ	0..1		Actual component result
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueInteger			integer
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:GCSeyes	SΣC	0..1	BackboneElement	Component results Constraints: mii-icu-val-xor-dar
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
coding	Σ	0..*	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system Required Pattern: http://loinc.org
code	SΣ	1..1	code	Symbol in syntax defined by the system Required Pattern: 9267-6
display	SΣ	1..1	string	Representation defined by the system
value[x]	SΣ	0..1	CodeableConcept	Actual component result Binding: MII VS ICU Component GCS Eyes (required)
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:GCSmotor	SΣC	0..1	BackboneElement	Component results Constraints: mii-icu-val-xor-dar
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
coding	Σ	0..*	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system Required Pattern: http://loinc.org
code	SΣ	1..1	code	Symbol in syntax defined by the system Required Pattern: 9268-4
display	SΣ	1..1	string	Representation defined by the system
value[x]	SΣ	0..1	CodeableConcept	Actual component result Binding: MII VS ICU Component GCS Motor (required)
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:GCSverbal	SΣC	0..1	BackboneElement	Component results Constraints: mii-icu-val-xor-dar
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
coding	Σ	0..*	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system Required Pattern: http://loinc.org
code	SΣ	1..1	code	Symbol in syntax defined by the system Required Pattern: 9270-0
display	SΣ	1..1	string	Representation defined by the system
value[x]	SΣ	0..1	CodeableConcept	Actual component result Binding: MII VS ICU Component GCS Verbal (required)
dataAbsentReason	SC	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
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:survey	Base	preferred	Observation Category Codes	📍4.0.1	FHIR Std.
Observation.category:assessment-scale	Base	preferred	Observation Category Codes	📍4.0.1	FHIR Std.
Observation.code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.value[x].​comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.interpretation	Base	extensible	Observation Interpretation Codes	📍4.0.1	FHIR Std.
Observation.component.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component.​dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.component:GCSeyes.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:GCSeyes.​value[x]	Base	required	MII VS ICU Component GCS Eyes	📦2027.0.0-ballot.3	This IG
Observation.component:GCSeyes.​dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.component:GCSmotor.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:GCSmotor.​value[x]	Base	required	MII VS ICU Component GCS Motor	📦2027.0.0-ballot.3	This IG
Observation.component:GCSmotor.​dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.component:GCSverbal.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:GCSverbal.​value[x]	Base	required	MII VS ICU Component GCS Verbal	📦2027.0.0-ballot.3	This IG
Observation.component:GCSverbal.​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()
gcs-total-range	error	Observation	Glasgow Coma Scale Gesamtscore muss zwischen 3 und 15 liegen.	value.exists() implies (value.ofType(Quantity) >= 3 and value.ofType(Quantity) <= 15)
mii-icu-comp-xor-val	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() xor value.exists())
mii-icu-enc-or-sub	error	Observation	Either subject OR encounter exists	$this.encounter.exists() or $this.subject.exists()
mii-icu-loinc-sct-dgai-ieee11073	error	Observation.code	Es muss mindestens ein LOINC, SnomedCT, IEEE-11073 oder DGAI Code vorhanden sein	coding.where(system='http://loinc.org').exists() or coding.where(system='http://snomed.info/sct').exists() or coding.where(system='urn:iso:std:iso:11073:10101').exists() or coding.where(system='http://dgai.de').exists()
mii-icu-val-xor-dar	error	Observation, Observation.component, Observation.component:GCSeyes, Observation.component:GCSmotor, Observation.component:GCSverbal	Resource must have either value or dataAbsentReason.	value.exists() xor dataAbsentReason.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present	dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present	value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

Diese Struktur ist abgeleitet von MII_PR_ICU_Score

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	MII_PR_ICU_Score	Measurements and simple assertions Constraints: gcs-total-range
code	S	1..1	CodeableConcept	Type of observation (code / type)
coding		3..3	Coding	Code defined by a terminology system
Slices for coding				Content/Rules for all slices
coding:loinc		1..1	Coding	Code defined by a terminology system
code		1..1	code	Symbol in syntax defined by the system Required Pattern: 9269-2
display		0..1	string	Representation defined by the system Required Pattern: Glasgow coma score total
coding:sct		1..1	Coding	Code defined by a terminology system
code		1..1	code	Symbol in syntax defined by the system Required Pattern: 248241002
display		0..1	string	Representation defined by the system Required Pattern: Glasgow coma score (observable entity)
coding:ieee11073		1..1	Coding	Code defined by a terminology system
code		1..1	code	Symbol in syntax defined by the system Required Pattern: 153728
value[x]		1..1	Quantity	GCS Gesamtwert
value		1..1	decimal	Numerical value (with implicit precision)
unit		1..1	string	Unit representation Required Pattern: {score}
system		1..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code		1..1	code	Coded form of the unit Required Pattern: {score}
bodySite		0..0		Observed body part
Slices for component		0..3	BackboneElement	Component results Slice: Unordered, Open by pattern:code
component:GCSeyes	S	0..1	BackboneElement	Component results
code
coding
system	S	1..1	uri	Identity of the terminology system Required Pattern: http://loinc.org
code	S	1..1	code	Symbol in syntax defined by the system Required Pattern: 9267-6
display	S	1..1	string	Representation defined by the system
value[x]		0..1	CodeableConcept	Actual component result Binding: MII VS ICU Component GCS Eyes (required)
component:GCSmotor	S	0..1	BackboneElement	Component results
code
coding
system	S	1..1	uri	Identity of the terminology system Required Pattern: http://loinc.org
code	S	1..1	code	Symbol in syntax defined by the system Required Pattern: 9268-4
display	S	1..1	string	Representation defined by the system
value[x]		0..1	CodeableConcept	Actual component result Binding: MII VS ICU Component GCS Motor (required)
component:GCSverbal	S	0..1	BackboneElement	Component results
code
coding
system	S	1..1	uri	Identity of the terminology system Required Pattern: http://loinc.org
code	S	1..1	code	Symbol in syntax defined by the system Required Pattern: 9270-0
display	S	1..1	string	Representation defined by the system
value[x]		0..1	CodeableConcept	Actual component result Binding: MII VS ICU Component GCS Verbal (required)
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Observation.component:GCSeyes.​value[x]	Base	required	MII VS ICU Component GCS Eyes	📦2027.0.0-ballot.3	This IG
Observation.component:GCSmotor.​value[x]	Base	required	MII VS ICU Component GCS Motor	📦2027.0.0-ballot.3	This IG
Observation.component:GCSverbal.​value[x]	Base	required	MII VS ICU Component GCS Verbal	📦2027.0.0-ballot.3	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
gcs-total-range	error	Observation	Glasgow Coma Scale Gesamtscore muss zwischen 3 und 15 liegen.	value.exists() implies (value.ofType(Quantity) >= 3 and value.ofType(Quantity) <= 15)

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	MII_PR_ICU_Score	Measurements and simple assertions Constraints: obs-6, obs-7, mii-icu-val-xor-dar, mii-icu-enc-or-sub, mii-icu-comp-xor-val, gcs-total-range
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business Identifier for observation
basedOn	Σ	0..*	Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	Fulfills plan, proposal or order
partOf	Σ	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)	Part of referenced event
status	?!Σ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
Slices for category	S	2..*	CodeableConcept	Classification of type of observation Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
category:survey	S	1..1	CodeableConcept	Survey category 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 Slice: Unordered, Open by value:url
coding	SΣ	1..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: survey
display		1..1	string	Representation defined by the system Fixed Value: Survey
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
category:assessment-scale	S	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 Slice: Unordered, Open by value:url
coding	SΣ	1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 273249006
display		1..1	string	Representation defined by the system Fixed Value: Assessment scales (assessment scale)
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
code	SΣC	1..1	CodeableConcept	Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Constraints: mii-icu-loinc-sct-dgai-ieee11073
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	3..3	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
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 Required Pattern: 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 Required Pattern: 9269-2
display	Σ	0..1	string	Representation defined by the system Required Pattern: Glasgow coma score total
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
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 Required Pattern: http://snomed.info/sct
version	SΣ	0..1	string	Version of the system - if relevant Required Pattern: http://snomed.info/sct/900000000000207008/version/20260701
code	SΣ	1..1	code	Symbol in syntax defined by the system Required Pattern: 248241002
display	Σ	0..1	string	Representation defined by the system Required Pattern: Glasgow coma score (observable entity)
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:ieee11073	SΣ	1..1	Coding	Code defined by a terminology system
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 Required Pattern: 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 Required Pattern: 153728
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
subject	SΣ	1..1	Reference(Patient)	Patient being assessed
focus	Σ	0..*	Reference(Resource)	What the observation is about, when it is not about the subject of record
encounter	SΣ	0..1	Reference(Encounter)	Healthcare event during which this observation is made
effective[x]	SΣ	1..1		Clinically relevant time/time-period for observation
effectiveDateTime			dateTime
effectivePeriod			Period
issued	SΣ	0..1	instant	Date/Time this version was made available
performer	SΣ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)	Who is responsible for the observation
value[x]	SΣC	1..1	Quantity	GCS Gesamtwert
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 Required Pattern: {score}
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 Required Pattern: {score}
dataAbsentReason	SC	0..1	CodeableConcept	Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation	S	0..1	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
note		0..*	Annotation	Comments about the observation
method		0..1	CodeableConcept	How it was done Binding: ObservationMethods (example): Methods for simple observations.
device	S	0..1	Reference(Device | DeviceMetric)	(Measurement) Device
referenceRange	C	0..*	BackboneElement	Provides guide for interpretation Constraints: obs-3
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
low	C	0..1	SimpleQuantity(4.0.1)	Low Range, if relevant
high	C	0..1	SimpleQuantity(4.0.1)	High Range, if relevant
type		0..1	CodeableConcept	Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
appliesTo		0..*	CodeableConcept	Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
age		0..1	Range	Applicable age range, if relevant
text		0..1	string	Text based reference range in an observation
hasMember	SΣ	0..*	Reference(Observation | QuestionnaireResponse | MolecularSequence)	Related resource that belongs to the Observation group
derivedFrom	SΣ	0..*	Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)	Related measurements the observation is made from
Slices for component	SΣC	0..3	BackboneElement	Component results Slice: Unordered, Open by pattern:code Constraints: mii-icu-val-xor-dar
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
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
value[x]	SΣ	0..1		Actual component result
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueInteger			integer
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:GCSeyes	SΣC	0..1	BackboneElement	Component results Constraints: mii-icu-val-xor-dar
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣ	1..1	CodeableConcept	Type of component 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
coding	Σ	0..*	Coding	Code defined by a terminology system
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 Required Pattern: 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 Required Pattern: 9267-6
display	SΣ	1..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
value[x]	SΣ	0..1	CodeableConcept	Actual component result Binding: MII VS ICU Component GCS Eyes (required)
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:GCSmotor	SΣC	0..1	BackboneElement	Component results Constraints: mii-icu-val-xor-dar
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣ	1..1	CodeableConcept	Type of component 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
coding	Σ	0..*	Coding	Code defined by a terminology system
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 Required Pattern: 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 Required Pattern: 9268-4
display	SΣ	1..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
value[x]	SΣ	0..1	CodeableConcept	Actual component result Binding: MII VS ICU Component GCS Motor (required)
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:GCSverbal	SΣC	0..1	BackboneElement	Component results Constraints: mii-icu-val-xor-dar
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣ	1..1	CodeableConcept	Type of component 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
coding	Σ	0..*	Coding	Code defined by a terminology system
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 Required Pattern: 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 Required Pattern: 9270-0
display	SΣ	1..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
value[x]	SΣ	0..1	CodeableConcept	Actual component result Binding: MII VS ICU Component GCS Verbal (required)
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
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:survey	Base	preferred	Observation Category Codes	📍4.0.1	FHIR Std.
Observation.category:assessment-scale	Base	preferred	Observation Category Codes	📍4.0.1	FHIR Std.
Observation.code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.value[x].​comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.interpretation	Base	extensible	Observation Interpretation Codes	📍4.0.1	FHIR Std.
Observation.method	Base	example	Observation Methods	📍4.0.1	FHIR Std.
Observation.referenceRange.​type	Base	preferred	Observation Reference Range Meaning Codes	📍4.0.1	FHIR Std.
Observation.referenceRange.​appliesTo	Base	example	Observation Reference Range Applies To Codes	📍4.0.1	FHIR Std.
Observation.component.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component.​dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.component.​interpretation	Base	extensible	Observation Interpretation Codes	📍4.0.1	FHIR Std.
Observation.component:GCSeyes.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:GCSeyes.​value[x]	Base	required	MII VS ICU Component GCS Eyes	📦2027.0.0-ballot.3	This IG
Observation.component:GCSeyes.​dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.component:GCSeyes.​interpretation	Base	extensible	Observation Interpretation Codes	📍4.0.1	FHIR Std.
Observation.component:GCSmotor.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:GCSmotor.​value[x]	Base	required	MII VS ICU Component GCS Motor	📦2027.0.0-ballot.3	This IG
Observation.component:GCSmotor.​dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.component:GCSmotor.​interpretation	Base	extensible	Observation Interpretation Codes	📍4.0.1	FHIR Std.
Observation.component:GCSverbal.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:GCSverbal.​value[x]	Base	required	MII VS ICU Component GCS Verbal	📦2027.0.0-ballot.3	This IG
Observation.component:GCSverbal.​dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.component:GCSverbal.​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()
gcs-total-range	error	Observation	Glasgow Coma Scale Gesamtscore muss zwischen 3 und 15 liegen.	value.exists() implies (value.ofType(Quantity) >= 3 and value.ofType(Quantity) <= 15)
mii-icu-comp-xor-val	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() xor value.exists())
mii-icu-enc-or-sub	error	Observation	Either subject OR encounter exists	$this.encounter.exists() or $this.subject.exists()
mii-icu-loinc-sct-dgai-ieee11073	error	Observation.code	Es muss mindestens ein LOINC, SnomedCT, IEEE-11073 oder DGAI Code vorhanden sein	coding.where(system='http://loinc.org').exists() or coding.where(system='http://snomed.info/sct').exists() or coding.where(system='urn:iso:std:iso:11073:10101').exists() or coding.where(system='http://dgai.de').exists()
mii-icu-val-xor-dar	error	Observation, Observation.component, Observation.component:GCSeyes, Observation.component:GCSmotor, Observation.component:GCSverbal	Resource must have either value or dataAbsentReason.	value.exists() xor dataAbsentReason.exists()
obs-3	error	Observation.referenceRange	Must have at least a low or a high or text	low.exists() or high.exists() or text.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present	dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present	value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

Diese Struktur ist abgeleitet von MII_PR_ICU_Score

Summary

Mandatory: 8 elements(9 nested mandatory elements)
Must-Support: 13 elements
Prohibited: 1 element

Slices

This structure defines the following Slices:

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

Schlüsselelemente-Ansicht

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	MII_PR_ICU_Score	Measurements and simple assertions Constraints: obs-6, obs-7, mii-icu-val-xor-dar, mii-icu-enc-or-sub, mii-icu-comp-xor-val, gcs-total-range
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
Slices for category	S	2..*	CodeableConcept	Classification of type of observation Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
category:survey	S	1..1	CodeableConcept	Survey category 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
text		0..1	string	Plain text representation of the concept
coding	SΣ	1..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: survey
display		1..1	string	Representation defined by the system Fixed Value: Survey
userSelected		0..1	boolean	If this coding was chosen directly by the user
category:assessment-scale	S	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
text		0..1	string	Plain text representation of the concept
coding	SΣ	1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 273249006
display		1..1	string	Representation defined by the system Fixed Value: Assessment scales (assessment scale)
userSelected		0..1	boolean	If this coding was chosen directly by the user
code	SΣC	1..1	CodeableConcept	Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Constraints: mii-icu-loinc-sct-dgai-ieee11073
Slices for coding	SΣ	3..3	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
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: http://loinc.org
code	SΣ	1..1	code	Symbol in syntax defined by the system Required Pattern: 9269-2
display	Σ	0..1	string	Representation defined by the system Required Pattern: Glasgow coma score total
coding:sct	SΣ	1..1	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: http://snomed.info/sct
version	SΣ	0..1	string	Version of the system - if relevant Required Pattern: http://snomed.info/sct/900000000000207008/version/20260701
code	SΣ	1..1	code	Symbol in syntax defined by the system Required Pattern: 248241002
display	Σ	0..1	string	Representation defined by the system Required Pattern: Glasgow coma score (observable entity)
coding:ieee11073	SΣ	1..1	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: urn:iso:std:iso:11073:10101
code	SΣ	1..1	code	Symbol in syntax defined by the system Required Pattern: 153728
subject	SΣ	1..1	Reference(Patient)	Patient being assessed
encounter	SΣ	0..1	Reference(Encounter)	Healthcare event during which this observation is made
effective[x]	SΣ	1..1		Clinically relevant time/time-period for observation
effectiveDateTime			dateTime
effectivePeriod			Period
issued	SΣ	0..1	instant	Date/Time this version was made available
performer	SΣ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)	Who is responsible for the observation
value[x]	SΣC	1..1	Quantity	GCS Gesamtwert
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 Required Pattern: {score}
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 Required Pattern: {score}
dataAbsentReason	SC	0..1	CodeableConcept	Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation	S	0..1	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
device	S	0..1	Reference(Device | DeviceMetric)	(Measurement) Device
hasMember	SΣ	0..*	Reference(Observation | QuestionnaireResponse | MolecularSequence)	Related resource that belongs to the Observation group
derivedFrom	SΣ	0..*	Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)	Related measurements the observation is made from
Slices for component	SΣC	0..3	BackboneElement	Component results Slice: Unordered, Open by pattern:code Constraints: mii-icu-val-xor-dar
component:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
value[x]	SΣ	0..1		Actual component result
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueInteger			integer
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:GCSeyes	SΣC	0..1	BackboneElement	Component results Constraints: mii-icu-val-xor-dar
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
coding	Σ	0..*	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system Required Pattern: http://loinc.org
code	SΣ	1..1	code	Symbol in syntax defined by the system Required Pattern: 9267-6
display	SΣ	1..1	string	Representation defined by the system
value[x]	SΣ	0..1	CodeableConcept	Actual component result Binding: MII VS ICU Component GCS Eyes (required)
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:GCSmotor	SΣC	0..1	BackboneElement	Component results Constraints: mii-icu-val-xor-dar
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
coding	Σ	0..*	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system Required Pattern: http://loinc.org
code	SΣ	1..1	code	Symbol in syntax defined by the system Required Pattern: 9268-4
display	SΣ	1..1	string	Representation defined by the system
value[x]	SΣ	0..1	CodeableConcept	Actual component result Binding: MII VS ICU Component GCS Motor (required)
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:GCSverbal	SΣC	0..1	BackboneElement	Component results Constraints: mii-icu-val-xor-dar
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
coding	Σ	0..*	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system Required Pattern: http://loinc.org
code	SΣ	1..1	code	Symbol in syntax defined by the system Required Pattern: 9270-0
display	SΣ	1..1	string	Representation defined by the system
value[x]	SΣ	0..1	CodeableConcept	Actual component result Binding: MII VS ICU Component GCS Verbal (required)
dataAbsentReason	SC	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
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:survey	Base	preferred	Observation Category Codes	📍4.0.1	FHIR Std.
Observation.category:assessment-scale	Base	preferred	Observation Category Codes	📍4.0.1	FHIR Std.
Observation.code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.value[x].​comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.interpretation	Base	extensible	Observation Interpretation Codes	📍4.0.1	FHIR Std.
Observation.component.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component.​dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.component:GCSeyes.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:GCSeyes.​value[x]	Base	required	MII VS ICU Component GCS Eyes	📦2027.0.0-ballot.3	This IG
Observation.component:GCSeyes.​dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.component:GCSmotor.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:GCSmotor.​value[x]	Base	required	MII VS ICU Component GCS Motor	📦2027.0.0-ballot.3	This IG
Observation.component:GCSmotor.​dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.component:GCSverbal.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:GCSverbal.​value[x]	Base	required	MII VS ICU Component GCS Verbal	📦2027.0.0-ballot.3	This IG
Observation.component:GCSverbal.​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()
gcs-total-range	error	Observation	Glasgow Coma Scale Gesamtscore muss zwischen 3 und 15 liegen.	value.exists() implies (value.ofType(Quantity) >= 3 and value.ofType(Quantity) <= 15)
mii-icu-comp-xor-val	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() xor value.exists())
mii-icu-enc-or-sub	error	Observation	Either subject OR encounter exists	$this.encounter.exists() or $this.subject.exists()
mii-icu-loinc-sct-dgai-ieee11073	error	Observation.code	Es muss mindestens ein LOINC, SnomedCT, IEEE-11073 oder DGAI Code vorhanden sein	coding.where(system='http://loinc.org').exists() or coding.where(system='http://snomed.info/sct').exists() or coding.where(system='urn:iso:std:iso:11073:10101').exists() or coding.where(system='http://dgai.de').exists()
mii-icu-val-xor-dar	error	Observation, Observation.component, Observation.component:GCSeyes, Observation.component:GCSmotor, Observation.component:GCSverbal	Resource must have either value or dataAbsentReason.	value.exists() xor dataAbsentReason.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present	dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present	value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

Differential-Ansicht

Diese Struktur ist abgeleitet von MII_PR_ICU_Score

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	MII_PR_ICU_Score	Measurements and simple assertions Constraints: gcs-total-range
code	S	1..1	CodeableConcept	Type of observation (code / type)
coding		3..3	Coding	Code defined by a terminology system
Slices for coding				Content/Rules for all slices
coding:loinc		1..1	Coding	Code defined by a terminology system
code		1..1	code	Symbol in syntax defined by the system Required Pattern: 9269-2
display		0..1	string	Representation defined by the system Required Pattern: Glasgow coma score total
coding:sct		1..1	Coding	Code defined by a terminology system
code		1..1	code	Symbol in syntax defined by the system Required Pattern: 248241002
display		0..1	string	Representation defined by the system Required Pattern: Glasgow coma score (observable entity)
coding:ieee11073		1..1	Coding	Code defined by a terminology system
code		1..1	code	Symbol in syntax defined by the system Required Pattern: 153728
value[x]		1..1	Quantity	GCS Gesamtwert
value		1..1	decimal	Numerical value (with implicit precision)
unit		1..1	string	Unit representation Required Pattern: {score}
system		1..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code		1..1	code	Coded form of the unit Required Pattern: {score}
bodySite		0..0		Observed body part
Slices for component		0..3	BackboneElement	Component results Slice: Unordered, Open by pattern:code
component:GCSeyes	S	0..1	BackboneElement	Component results
code
coding
system	S	1..1	uri	Identity of the terminology system Required Pattern: http://loinc.org
code	S	1..1	code	Symbol in syntax defined by the system Required Pattern: 9267-6
display	S	1..1	string	Representation defined by the system
value[x]		0..1	CodeableConcept	Actual component result Binding: MII VS ICU Component GCS Eyes (required)
component:GCSmotor	S	0..1	BackboneElement	Component results
code
coding
system	S	1..1	uri	Identity of the terminology system Required Pattern: http://loinc.org
code	S	1..1	code	Symbol in syntax defined by the system Required Pattern: 9268-4
display	S	1..1	string	Representation defined by the system
value[x]		0..1	CodeableConcept	Actual component result Binding: MII VS ICU Component GCS Motor (required)
component:GCSverbal	S	0..1	BackboneElement	Component results
code
coding
system	S	1..1	uri	Identity of the terminology system Required Pattern: http://loinc.org
code	S	1..1	code	Symbol in syntax defined by the system Required Pattern: 9270-0
display	S	1..1	string	Representation defined by the system
value[x]		0..1	CodeableConcept	Actual component result Binding: MII VS ICU Component GCS Verbal (required)
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Observation.component:GCSeyes.​value[x]	Base	required	MII VS ICU Component GCS Eyes	📦2027.0.0-ballot.3	This IG
Observation.component:GCSmotor.​value[x]	Base	required	MII VS ICU Component GCS Motor	📦2027.0.0-ballot.3	This IG
Observation.component:GCSverbal.​value[x]	Base	required	MII VS ICU Component GCS Verbal	📦2027.0.0-ballot.3	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
gcs-total-range	error	Observation	Glasgow Coma Scale Gesamtscore muss zwischen 3 und 15 liegen.	value.exists() implies (value.ofType(Quantity) >= 3 and value.ofType(Quantity) <= 15)

Snapshot-AnsichtView

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	MII_PR_ICU_Score	Measurements and simple assertions Constraints: obs-6, obs-7, mii-icu-val-xor-dar, mii-icu-enc-or-sub, mii-icu-comp-xor-val, gcs-total-range
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business Identifier for observation
basedOn	Σ	0..*	Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	Fulfills plan, proposal or order
partOf	Σ	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)	Part of referenced event
status	?!Σ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
Slices for category	S	2..*	CodeableConcept	Classification of type of observation Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
category:survey	S	1..1	CodeableConcept	Survey category 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 Slice: Unordered, Open by value:url
coding	SΣ	1..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: survey
display		1..1	string	Representation defined by the system Fixed Value: Survey
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
category:assessment-scale	S	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 Slice: Unordered, Open by value:url
coding	SΣ	1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 273249006
display		1..1	string	Representation defined by the system Fixed Value: Assessment scales (assessment scale)
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
code	SΣC	1..1	CodeableConcept	Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Constraints: mii-icu-loinc-sct-dgai-ieee11073
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	3..3	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
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 Required Pattern: 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 Required Pattern: 9269-2
display	Σ	0..1	string	Representation defined by the system Required Pattern: Glasgow coma score total
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
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 Required Pattern: http://snomed.info/sct
version	SΣ	0..1	string	Version of the system - if relevant Required Pattern: http://snomed.info/sct/900000000000207008/version/20260701
code	SΣ	1..1	code	Symbol in syntax defined by the system Required Pattern: 248241002
display	Σ	0..1	string	Representation defined by the system Required Pattern: Glasgow coma score (observable entity)
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:ieee11073	SΣ	1..1	Coding	Code defined by a terminology system
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 Required Pattern: 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 Required Pattern: 153728
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
subject	SΣ	1..1	Reference(Patient)	Patient being assessed
focus	Σ	0..*	Reference(Resource)	What the observation is about, when it is not about the subject of record
encounter	SΣ	0..1	Reference(Encounter)	Healthcare event during which this observation is made
effective[x]	SΣ	1..1		Clinically relevant time/time-period for observation
effectiveDateTime			dateTime
effectivePeriod			Period
issued	SΣ	0..1	instant	Date/Time this version was made available
performer	SΣ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)	Who is responsible for the observation
value[x]	SΣC	1..1	Quantity	GCS Gesamtwert
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 Required Pattern: {score}
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 Required Pattern: {score}
dataAbsentReason	SC	0..1	CodeableConcept	Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation	S	0..1	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
note		0..*	Annotation	Comments about the observation
method		0..1	CodeableConcept	How it was done Binding: ObservationMethods (example): Methods for simple observations.
device	S	0..1	Reference(Device | DeviceMetric)	(Measurement) Device
referenceRange	C	0..*	BackboneElement	Provides guide for interpretation Constraints: obs-3
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
low	C	0..1	SimpleQuantity(4.0.1)	Low Range, if relevant
high	C	0..1	SimpleQuantity(4.0.1)	High Range, if relevant
type		0..1	CodeableConcept	Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
appliesTo		0..*	CodeableConcept	Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
age		0..1	Range	Applicable age range, if relevant
text		0..1	string	Text based reference range in an observation
hasMember	SΣ	0..*	Reference(Observation | QuestionnaireResponse | MolecularSequence)	Related resource that belongs to the Observation group
derivedFrom	SΣ	0..*	Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)	Related measurements the observation is made from
Slices for component	SΣC	0..3	BackboneElement	Component results Slice: Unordered, Open by pattern:code Constraints: mii-icu-val-xor-dar
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
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
value[x]	SΣ	0..1		Actual component result
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueInteger			integer
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:GCSeyes	SΣC	0..1	BackboneElement	Component results Constraints: mii-icu-val-xor-dar
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣ	1..1	CodeableConcept	Type of component 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
coding	Σ	0..*	Coding	Code defined by a terminology system
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 Required Pattern: 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 Required Pattern: 9267-6
display	SΣ	1..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
value[x]	SΣ	0..1	CodeableConcept	Actual component result Binding: MII VS ICU Component GCS Eyes (required)
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:GCSmotor	SΣC	0..1	BackboneElement	Component results Constraints: mii-icu-val-xor-dar
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣ	1..1	CodeableConcept	Type of component 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
coding	Σ	0..*	Coding	Code defined by a terminology system
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 Required Pattern: 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 Required Pattern: 9268-4
display	SΣ	1..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
value[x]	SΣ	0..1	CodeableConcept	Actual component result Binding: MII VS ICU Component GCS Motor (required)
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:GCSverbal	SΣC	0..1	BackboneElement	Component results Constraints: mii-icu-val-xor-dar
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣ	1..1	CodeableConcept	Type of component 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
coding	Σ	0..*	Coding	Code defined by a terminology system
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 Required Pattern: 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 Required Pattern: 9270-0
display	SΣ	1..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
value[x]	SΣ	0..1	CodeableConcept	Actual component result Binding: MII VS ICU Component GCS Verbal (required)
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
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:survey	Base	preferred	Observation Category Codes	📍4.0.1	FHIR Std.
Observation.category:assessment-scale	Base	preferred	Observation Category Codes	📍4.0.1	FHIR Std.
Observation.code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.value[x].​comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.interpretation	Base	extensible	Observation Interpretation Codes	📍4.0.1	FHIR Std.
Observation.method	Base	example	Observation Methods	📍4.0.1	FHIR Std.
Observation.referenceRange.​type	Base	preferred	Observation Reference Range Meaning Codes	📍4.0.1	FHIR Std.
Observation.referenceRange.​appliesTo	Base	example	Observation Reference Range Applies To Codes	📍4.0.1	FHIR Std.
Observation.component.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component.​dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.component.​interpretation	Base	extensible	Observation Interpretation Codes	📍4.0.1	FHIR Std.
Observation.component:GCSeyes.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:GCSeyes.​value[x]	Base	required	MII VS ICU Component GCS Eyes	📦2027.0.0-ballot.3	This IG
Observation.component:GCSeyes.​dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.component:GCSeyes.​interpretation	Base	extensible	Observation Interpretation Codes	📍4.0.1	FHIR Std.
Observation.component:GCSmotor.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:GCSmotor.​value[x]	Base	required	MII VS ICU Component GCS Motor	📦2027.0.0-ballot.3	This IG
Observation.component:GCSmotor.​dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.component:GCSmotor.​interpretation	Base	extensible	Observation Interpretation Codes	📍4.0.1	FHIR Std.
Observation.component:GCSverbal.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component:GCSverbal.​value[x]	Base	required	MII VS ICU Component GCS Verbal	📦2027.0.0-ballot.3	This IG
Observation.component:GCSverbal.​dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.component:GCSverbal.​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()
gcs-total-range	error	Observation	Glasgow Coma Scale Gesamtscore muss zwischen 3 und 15 liegen.	value.exists() implies (value.ofType(Quantity) >= 3 and value.ofType(Quantity) <= 15)
mii-icu-comp-xor-val	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() xor value.exists())
mii-icu-enc-or-sub	error	Observation	Either subject OR encounter exists	$this.encounter.exists() or $this.subject.exists()
mii-icu-loinc-sct-dgai-ieee11073	error	Observation.code	Es muss mindestens ein LOINC, SnomedCT, IEEE-11073 oder DGAI Code vorhanden sein	coding.where(system='http://loinc.org').exists() or coding.where(system='http://snomed.info/sct').exists() or coding.where(system='urn:iso:std:iso:11073:10101').exists() or coding.where(system='http://dgai.de').exists()
mii-icu-val-xor-dar	error	Observation, Observation.component, Observation.component:GCSeyes, Observation.component:GCSmotor, Observation.component:GCSverbal	Resource must have either value or dataAbsentReason.	value.exists() xor dataAbsentReason.exists()
obs-3	error	Observation.referenceRange	Must have at least a low or a high or text	low.exists() or high.exists() or text.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present	dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present	value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

Diese Struktur ist abgeleitet von MII_PR_ICU_Score

Summary

Mandatory: 8 elements(9 nested mandatory elements)
Must-Support: 13 elements
Prohibited: 1 element

Slices

This structure defines the following Slices:

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