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

Resource Profile: MII PR ICU Score ICDSC

Official URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/mii-pr-icu-score-icdsc Version: 2027.0.0-ballot.3
Draft as of 2026-09-17 Computable Name: MII_PR_ICU_Score_ICDSC

Intensive Care Delirium Screening Checklist (ICDSC) for delirium assessment. Evaluates 8 items over a shift (usually 8-12 hours). Each item scores 0 (absent) or 1 (present). Total score ranges from 0-8. A score of 0: no delirium, 1-3: subsyndromal delirium, ≥4: delirium.

Usages:

  • This Profile is not used by any profiles in this Specification

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots, and their representations.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
... 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.
.... 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 ΣC 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 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... coding:loinc SΣ 0..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
..... coding:sct SΣ 0..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
...... display 1..1 string Representation defined by the system
Fixed Value: Intensive Care Delirium Screening Checklist score (observable entity)
...... userSelected 0..1 boolean If this coding was chosen directly by the user
...... 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
Fixed Value: 1351995008
..... coding:ieee11073 SΣ 0..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
... 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
... Slices for value[x] SΣC 1..1 integer Actual result
Slice: Unordered, Closed by type:$this
.... value[x]:valueInteger SΣC 1..1 integer Actual result
Constraints: icdsc-score-range
... 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 Delirium status
Binding: MII VS ICU Delirium Interpretation (extensible)
... 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 8..8 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:altered-consciousness SΣC 1..1 BackboneElement Altered consciousness
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.
...... text Σ 0..1 string Plain text representation of the concept
Required Pattern: Altered level of consciousness
..... Slices for value[x] SΣ 1..1 integer Actual component result
Slice: Unordered, Closed by type:$this
..... Slices for value[x] Content/Rules for all slices
...... value[x]:valueInteger SΣC 1..1 integer Actual component result
Constraints: icdsc-item-range
..... 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:inattention SΣC 1..1 BackboneElement Inattention
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.
...... text Σ 0..1 string Plain text representation of the concept
Required Pattern: Inattention
..... Slices for value[x] SΣ 1..1 integer Actual component result
Slice: Unordered, Closed by type:$this
..... Slices for value[x] Content/Rules for all slices
...... value[x]:valueInteger SΣC 1..1 integer Actual component result
Constraints: icdsc-item-range
..... dataAbsentReason SC 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
.... component:disorientation SΣC 1..1 BackboneElement Disorientation
Constraints: mii-icu-val-xor-dar
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code SΣ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
...... text Σ 0..1 string Plain text representation of the concept
Required Pattern: Disorientation
..... Slices for value[x] SΣ 1..1 integer Actual component result
Slice: Unordered, Closed by type:$this
..... Slices for value[x] Content/Rules for all slices
...... value[x]:valueInteger SΣC 1..1 integer Actual component result
Constraints: icdsc-item-range
..... 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:hallucination-delusion SΣC 1..1 BackboneElement Hallucination, delusion, or psychosis
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.
...... text Σ 0..1 string Plain text representation of the concept
Required Pattern: Hallucination, delusion, or psychosis
..... Slices for value[x] SΣ 1..1 integer Actual component result
Slice: Unordered, Closed by type:$this
..... Slices for value[x] Content/Rules for all slices
...... value[x]:valueInteger SΣC 1..1 integer Actual component result
Constraints: icdsc-item-range
..... dataAbsentReason SC 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
.... component:psychomotor-agitation-retardation SΣC 1..1 BackboneElement Psychomotor agitation or retardation
Constraints: mii-icu-val-xor-dar
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code SΣ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
...... text Σ 0..1 string Plain text representation of the concept
Required Pattern: Psychomotor agitation or retardation
..... Slices for value[x] SΣ 1..1 integer Actual component result
Slice: Unordered, Closed by type:$this
..... Slices for value[x] Content/Rules for all slices
...... value[x]:valueInteger SΣC 1..1 integer Actual component result
Constraints: icdsc-item-range
..... 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:inappropriate-speech-mood SΣC 1..1 BackboneElement Inappropriate speech or mood
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.
...... text Σ 0..1 string Plain text representation of the concept
Required Pattern: Inappropriate speech or mood
..... Slices for value[x] SΣ 1..1 integer Actual component result
Slice: Unordered, Closed by type:$this
..... Slices for value[x] Content/Rules for all slices
...... value[x]:valueInteger SΣC 1..1 integer Actual component result
Constraints: icdsc-item-range
..... dataAbsentReason SC 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
.... component:sleep-wake-disturbance SΣC 1..1 BackboneElement Sleep/wake cycle disturbance
Constraints: mii-icu-val-xor-dar
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code SΣ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
...... text Σ 0..1 string Plain text representation of the concept
Required Pattern: Sleep/wake cycle disturbance
..... Slices for value[x] SΣ 1..1 integer Actual component result
Slice: Unordered, Closed by type:$this
..... Slices for value[x] Content/Rules for all slices
...... value[x]:valueInteger SΣC 1..1 integer Actual component result
Constraints: icdsc-item-range
..... 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:symptom-fluctuation SΣC 1..1 BackboneElement Symptom fluctuation
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.
...... text Σ 0..1 string Plain text representation of the concept
Required Pattern: Symptom fluctuation
..... Slices for value[x] SΣ 1..1 integer Actual component result
Slice: Unordered, Closed by type:$this
..... Slices for value[x] Content/Rules for all slices
...... value[x]:valueInteger SΣC 1..1 integer Actual component result
Constraints: icdsc-item-range
..... 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: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.dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.interpretation Base extensible MII VS ICU Delirium Interpretation 📦2027.0.0-ballot.3 This IG
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:altered-consciousness.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:altered-consciousness.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:inattention.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:inattention.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:disorientation.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:disorientation.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:hallucination-delusion.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:hallucination-delusion.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:psychomotor-agitation-retardation.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:psychomotor-agitation-retardation.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:inappropriate-speech-mood.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:inappropriate-speech-mood.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:sleep-wake-disturbance.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:sleep-wake-disturbance.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:symptom-fluctuation.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:symptom-fluctuation.​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()
icdsc-item-range error Observation.component:altered-consciousness.value[x]:valueInteger, Observation.component:inattention.value[x]:valueInteger, Observation.component:disorientation.value[x]:valueInteger, Observation.component:hallucination-delusion.value[x]:valueInteger, Observation.component:psychomotor-agitation-retardation.value[x]:valueInteger, Observation.component:inappropriate-speech-mood.value[x]:valueInteger, Observation.component:sleep-wake-disturbance.value[x]:valueInteger, Observation.component:symptom-fluctuation.value[x]:valueInteger ICDSC item score must be 0 or 1 value = 0 or value = 1
icdsc-score-range error Observation.value[x]:valueInteger ICDSC total score must be between 0 and 8 value >= 0 and value <= 8
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:altered-consciousness, Observation.component:inattention, Observation.component:disorientation, Observation.component:hallucination-delusion, Observation.component:psychomotor-agitation-retardation, Observation.component:inappropriate-speech-mood, Observation.component:sleep-wake-disturbance, Observation.component:symptom-fluctuation 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()

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation 0..* MII_PR_ICU_Score Measurements and simple assertions
... code
.... Slices for coding Content/Rules for all slices
..... coding:sct 0..1 Coding Code defined by a terminology system
Required Pattern: At least the following
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 1351995008
...... display 1..1 string Representation defined by the system
Fixed Value: Intensive Care Delirium Screening Checklist score (observable entity)
... Slices for value[x] 1..1 integer Actual result
Slice: Unordered, Open by type:$this
.... value[x]:valueInteger C 1..1 integer Actual result
Constraints: icdsc-score-range
... interpretation 0..1 CodeableConcept Delirium status
Binding: MII VS ICU Delirium Interpretation (extensible)
.... component:altered-consciousness S 1..1 BackboneElement Altered consciousness
..... code
...... text 0..1 string Plain text representation of the concept
Required Pattern: Altered level of consciousness
..... Slices for value[x] 1..1 integer Actual component result
Slice: Unordered, Open by type:$this
..... Slices for value[x] Content/Rules for all slices
...... value[x]:valueInteger C 1..1 integer Actual component result
Constraints: icdsc-item-range
.... component:inattention S 1..1 BackboneElement Inattention
..... code
...... text 0..1 string Plain text representation of the concept
Required Pattern: Inattention
..... Slices for value[x] 1..1 integer Actual component result
Slice: Unordered, Open by type:$this
..... Slices for value[x] Content/Rules for all slices
...... value[x]:valueInteger C 1..1 integer Actual component result
Constraints: icdsc-item-range
.... component:disorientation S 1..1 BackboneElement Disorientation
..... code
...... text 0..1 string Plain text representation of the concept
Required Pattern: Disorientation
..... Slices for value[x] 1..1 integer Actual component result
Slice: Unordered, Open by type:$this
..... Slices for value[x] Content/Rules for all slices
...... value[x]:valueInteger C 1..1 integer Actual component result
Constraints: icdsc-item-range
.... component:hallucination-delusion S 1..1 BackboneElement Hallucination, delusion, or psychosis
..... code
...... text 0..1 string Plain text representation of the concept
Required Pattern: Hallucination, delusion, or psychosis
..... Slices for value[x] 1..1 integer Actual component result
Slice: Unordered, Open by type:$this
..... Slices for value[x] Content/Rules for all slices
...... value[x]:valueInteger C 1..1 integer Actual component result
Constraints: icdsc-item-range
.... component:psychomotor-agitation-retardation S 1..1 BackboneElement Psychomotor agitation or retardation
..... code
...... text 0..1 string Plain text representation of the concept
Required Pattern: Psychomotor agitation or retardation
..... Slices for value[x] 1..1 integer Actual component result
Slice: Unordered, Open by type:$this
..... Slices for value[x] Content/Rules for all slices
...... value[x]:valueInteger C 1..1 integer Actual component result
Constraints: icdsc-item-range
.... component:inappropriate-speech-mood S 1..1 BackboneElement Inappropriate speech or mood
..... code
...... text 0..1 string Plain text representation of the concept
Required Pattern: Inappropriate speech or mood
..... Slices for value[x] 1..1 integer Actual component result
Slice: Unordered, Open by type:$this
..... Slices for value[x] Content/Rules for all slices
...... value[x]:valueInteger C 1..1 integer Actual component result
Constraints: icdsc-item-range
.... component:sleep-wake-disturbance S 1..1 BackboneElement Sleep/wake cycle disturbance
..... code
...... text 0..1 string Plain text representation of the concept
Required Pattern: Sleep/wake cycle disturbance
..... Slices for value[x] 1..1 integer Actual component result
Slice: Unordered, Open by type:$this
..... Slices for value[x] Content/Rules for all slices
...... value[x]:valueInteger C 1..1 integer Actual component result
Constraints: icdsc-item-range
.... component:symptom-fluctuation S 1..1 BackboneElement Symptom fluctuation
..... code
...... text 0..1 string Plain text representation of the concept
Required Pattern: Symptom fluctuation
..... Slices for value[x] 1..1 integer Actual component result
Slice: Unordered, Open by type:$this
..... Slices for value[x] Content/Rules for all slices
...... value[x]:valueInteger C 1..1 integer Actual component result
Constraints: icdsc-item-range

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Observation.interpretation Base extensible MII VS ICU Delirium Interpretation 📦2027.0.0-ballot.3 This IG

Constraints

Id Grade Path(s) Description Expression
icdsc-item-range error Observation.component:altered-consciousness.value[x]:valueInteger, Observation.component:inattention.value[x]:valueInteger, Observation.component:disorientation.value[x]:valueInteger, Observation.component:hallucination-delusion.value[x]:valueInteger, Observation.component:psychomotor-agitation-retardation.value[x]:valueInteger, Observation.component:inappropriate-speech-mood.value[x]:valueInteger, Observation.component:sleep-wake-disturbance.value[x]:valueInteger, Observation.component:symptom-fluctuation.value[x]:valueInteger ICDSC item score must be 0 or 1 value = 0 or value = 1
icdsc-score-range error Observation.value[x]:valueInteger ICDSC total score must be between 0 and 8 value >= 0 and value <= 8
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
... 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
... 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 ΣC 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 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... coding:loinc SΣ 0..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
...... 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 0..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 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
Fixed Value: 1351995008
...... display Σ 0..1 string Representation defined by the system
Fixed Value: Intensive Care Delirium Screening Checklist score (observable entity)
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:ieee11073 SΣ 0..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
...... 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
... Slices for value[x] SΣC 1..1 integer Actual result
Slice: Unordered, Closed by type:$this
.... value[x]:valueInteger SΣC 1..1 integer Actual result
Constraints: icdsc-score-range
... 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 Delirium status
Binding: MII VS ICU Delirium Interpretation (extensible)
... note 0..* Annotation Comments about the observation
... bodySite 0..1 CodeableConcept Observed body part
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
... method 0..1 CodeableConcept How it was done
Binding: ObservationMethods (example): Methods for simple observations.
... 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 8..8 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:altered-consciousness SΣC 1..1 BackboneElement Altered consciousness
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
...... text Σ 0..1 string Plain text representation of the concept
Required Pattern: Altered level of consciousness
..... Slices for value[x] SΣ 1..1 integer Actual component result
Slice: Unordered, Closed by type:$this
..... Slices for value[x] Content/Rules for all slices
...... value[x]:valueInteger SΣC 1..1 integer Actual component result
Constraints: icdsc-item-range
..... 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:inattention SΣC 1..1 BackboneElement Inattention
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
...... text Σ 0..1 string Plain text representation of the concept
Required Pattern: Inattention
..... Slices for value[x] SΣ 1..1 integer Actual component result
Slice: Unordered, Closed by type:$this
..... Slices for value[x] Content/Rules for all slices
...... value[x]:valueInteger SΣC 1..1 integer Actual component result
Constraints: icdsc-item-range
..... dataAbsentReason SC 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
..... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
..... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
.... component:disorientation SΣC 1..1 BackboneElement Disorientation
Constraints: mii-icu-val-xor-dar
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code SΣ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 0..* Coding Code defined by a terminology system
...... text Σ 0..1 string Plain text representation of the concept
Required Pattern: Disorientation
..... Slices for value[x] SΣ 1..1 integer Actual component result
Slice: Unordered, Closed by type:$this
..... Slices for value[x] Content/Rules for all slices
...... value[x]:valueInteger SΣC 1..1 integer Actual component result
Constraints: icdsc-item-range
..... 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:hallucination-delusion SΣC 1..1 BackboneElement Hallucination, delusion, or psychosis
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
...... text Σ 0..1 string Plain text representation of the concept
Required Pattern: Hallucination, delusion, or psychosis
..... Slices for value[x] SΣ 1..1 integer Actual component result
Slice: Unordered, Closed by type:$this
..... Slices for value[x] Content/Rules for all slices
...... value[x]:valueInteger SΣC 1..1 integer Actual component result
Constraints: icdsc-item-range
..... dataAbsentReason SC 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
..... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
..... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
.... component:psychomotor-agitation-retardation SΣC 1..1 BackboneElement Psychomotor agitation or retardation
Constraints: mii-icu-val-xor-dar
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code SΣ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 0..* Coding Code defined by a terminology system
...... text Σ 0..1 string Plain text representation of the concept
Required Pattern: Psychomotor agitation or retardation
..... Slices for value[x] SΣ 1..1 integer Actual component result
Slice: Unordered, Closed by type:$this
..... Slices for value[x] Content/Rules for all slices
...... value[x]:valueInteger SΣC 1..1 integer Actual component result
Constraints: icdsc-item-range
..... 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:inappropriate-speech-mood SΣC 1..1 BackboneElement Inappropriate speech or mood
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
...... text Σ 0..1 string Plain text representation of the concept
Required Pattern: Inappropriate speech or mood
..... Slices for value[x] SΣ 1..1 integer Actual component result
Slice: Unordered, Closed by type:$this
..... Slices for value[x] Content/Rules for all slices
...... value[x]:valueInteger SΣC 1..1 integer Actual component result
Constraints: icdsc-item-range
..... dataAbsentReason SC 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
..... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
..... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
.... component:sleep-wake-disturbance SΣC 1..1 BackboneElement Sleep/wake cycle disturbance
Constraints: mii-icu-val-xor-dar
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code SΣ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 0..* Coding Code defined by a terminology system
...... text Σ 0..1 string Plain text representation of the concept
Required Pattern: Sleep/wake cycle disturbance
..... Slices for value[x] SΣ 1..1 integer Actual component result
Slice: Unordered, Closed by type:$this
..... Slices for value[x] Content/Rules for all slices
...... value[x]:valueInteger SΣC 1..1 integer Actual component result
Constraints: icdsc-item-range
..... 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:symptom-fluctuation SΣC 1..1 BackboneElement Symptom fluctuation
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
...... text Σ 0..1 string Plain text representation of the concept
Required Pattern: Symptom fluctuation
..... Slices for value[x] SΣ 1..1 integer Actual component result
Slice: Unordered, Closed by type:$this
..... Slices for value[x] Content/Rules for all slices
...... value[x]:valueInteger SΣC 1..1 integer Actual component result
Constraints: icdsc-item-range
..... 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: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.dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.interpretation Base extensible MII VS ICU Delirium Interpretation 📦2027.0.0-ballot.3 This IG
Observation.bodySite Base example SNOMED CT Body Structures 📍4.0.1 FHIR Std.
Observation.method Base example Observation Methods 📍4.0.1 FHIR Std.
Observation.referenceRange.​type Base preferred Observation Reference Range Meaning Codes 📍4.0.1 FHIR Std.
Observation.referenceRange.​appliesTo Base example Observation Reference Range Applies To Codes 📍4.0.1 FHIR Std.
Observation.component.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:altered-consciousness.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:altered-consciousness.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:altered-consciousness.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:inattention.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:inattention.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:inattention.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:disorientation.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:disorientation.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:disorientation.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:hallucination-delusion.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:hallucination-delusion.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:hallucination-delusion.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:psychomotor-agitation-retardation.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:psychomotor-agitation-retardation.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:psychomotor-agitation-retardation.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:inappropriate-speech-mood.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:inappropriate-speech-mood.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:inappropriate-speech-mood.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:sleep-wake-disturbance.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:sleep-wake-disturbance.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:sleep-wake-disturbance.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:symptom-fluctuation.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:symptom-fluctuation.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:symptom-fluctuation.​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()
icdsc-item-range error Observation.component:altered-consciousness.value[x]:valueInteger, Observation.component:inattention.value[x]:valueInteger, Observation.component:disorientation.value[x]:valueInteger, Observation.component:hallucination-delusion.value[x]:valueInteger, Observation.component:psychomotor-agitation-retardation.value[x]:valueInteger, Observation.component:inappropriate-speech-mood.value[x]:valueInteger, Observation.component:sleep-wake-disturbance.value[x]:valueInteger, Observation.component:symptom-fluctuation.value[x]:valueInteger ICDSC item score must be 0 or 1 value = 0 or value = 1
icdsc-score-range error Observation.value[x]:valueInteger ICDSC total score must be between 0 and 8 value >= 0 and value <= 8
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:altered-consciousness, Observation.component:inattention, Observation.component:disorientation, Observation.component:hallucination-delusion, Observation.component:psychomotor-agitation-retardation, Observation.component:inappropriate-speech-mood, Observation.component:sleep-wake-disturbance, Observation.component:symptom-fluctuation 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()

Summary

Mandatory: 26 elements
Must-Support: 8 elements

Slices

This structure defines the following Slices:

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

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
... 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.
.... 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 ΣC 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 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... coding:loinc SΣ 0..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
..... coding:sct SΣ 0..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
...... display 1..1 string Representation defined by the system
Fixed Value: Intensive Care Delirium Screening Checklist score (observable entity)
...... userSelected 0..1 boolean If this coding was chosen directly by the user
...... 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
Fixed Value: 1351995008
..... coding:ieee11073 SΣ 0..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
... 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
... Slices for value[x] SΣC 1..1 integer Actual result
Slice: Unordered, Closed by type:$this
.... value[x]:valueInteger SΣC 1..1 integer Actual result
Constraints: icdsc-score-range
... 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 Delirium status
Binding: MII VS ICU Delirium Interpretation (extensible)
... 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 8..8 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:altered-consciousness SΣC 1..1 BackboneElement Altered consciousness
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.
...... text Σ 0..1 string Plain text representation of the concept
Required Pattern: Altered level of consciousness
..... Slices for value[x] SΣ 1..1 integer Actual component result
Slice: Unordered, Closed by type:$this
..... Slices for value[x] Content/Rules for all slices
...... value[x]:valueInteger SΣC 1..1 integer Actual component result
Constraints: icdsc-item-range
..... 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:inattention SΣC 1..1 BackboneElement Inattention
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.
...... text Σ 0..1 string Plain text representation of the concept
Required Pattern: Inattention
..... Slices for value[x] SΣ 1..1 integer Actual component result
Slice: Unordered, Closed by type:$this
..... Slices for value[x] Content/Rules for all slices
...... value[x]:valueInteger SΣC 1..1 integer Actual component result
Constraints: icdsc-item-range
..... dataAbsentReason SC 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
.... component:disorientation SΣC 1..1 BackboneElement Disorientation
Constraints: mii-icu-val-xor-dar
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code SΣ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
...... text Σ 0..1 string Plain text representation of the concept
Required Pattern: Disorientation
..... Slices for value[x] SΣ 1..1 integer Actual component result
Slice: Unordered, Closed by type:$this
..... Slices for value[x] Content/Rules for all slices
...... value[x]:valueInteger SΣC 1..1 integer Actual component result
Constraints: icdsc-item-range
..... 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:hallucination-delusion SΣC 1..1 BackboneElement Hallucination, delusion, or psychosis
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.
...... text Σ 0..1 string Plain text representation of the concept
Required Pattern: Hallucination, delusion, or psychosis
..... Slices for value[x] SΣ 1..1 integer Actual component result
Slice: Unordered, Closed by type:$this
..... Slices for value[x] Content/Rules for all slices
...... value[x]:valueInteger SΣC 1..1 integer Actual component result
Constraints: icdsc-item-range
..... dataAbsentReason SC 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
.... component:psychomotor-agitation-retardation SΣC 1..1 BackboneElement Psychomotor agitation or retardation
Constraints: mii-icu-val-xor-dar
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code SΣ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
...... text Σ 0..1 string Plain text representation of the concept
Required Pattern: Psychomotor agitation or retardation
..... Slices for value[x] SΣ 1..1 integer Actual component result
Slice: Unordered, Closed by type:$this
..... Slices for value[x] Content/Rules for all slices
...... value[x]:valueInteger SΣC 1..1 integer Actual component result
Constraints: icdsc-item-range
..... 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:inappropriate-speech-mood SΣC 1..1 BackboneElement Inappropriate speech or mood
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.
...... text Σ 0..1 string Plain text representation of the concept
Required Pattern: Inappropriate speech or mood
..... Slices for value[x] SΣ 1..1 integer Actual component result
Slice: Unordered, Closed by type:$this
..... Slices for value[x] Content/Rules for all slices
...... value[x]:valueInteger SΣC 1..1 integer Actual component result
Constraints: icdsc-item-range
..... dataAbsentReason SC 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
.... component:sleep-wake-disturbance SΣC 1..1 BackboneElement Sleep/wake cycle disturbance
Constraints: mii-icu-val-xor-dar
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code SΣ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
...... text Σ 0..1 string Plain text representation of the concept
Required Pattern: Sleep/wake cycle disturbance
..... Slices for value[x] SΣ 1..1 integer Actual component result
Slice: Unordered, Closed by type:$this
..... Slices for value[x] Content/Rules for all slices
...... value[x]:valueInteger SΣC 1..1 integer Actual component result
Constraints: icdsc-item-range
..... 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:symptom-fluctuation SΣC 1..1 BackboneElement Symptom fluctuation
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.
...... text Σ 0..1 string Plain text representation of the concept
Required Pattern: Symptom fluctuation
..... Slices for value[x] SΣ 1..1 integer Actual component result
Slice: Unordered, Closed by type:$this
..... Slices for value[x] Content/Rules for all slices
...... value[x]:valueInteger SΣC 1..1 integer Actual component result
Constraints: icdsc-item-range
..... 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: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.dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.interpretation Base extensible MII VS ICU Delirium Interpretation 📦2027.0.0-ballot.3 This IG
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:altered-consciousness.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:altered-consciousness.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:inattention.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:inattention.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:disorientation.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:disorientation.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:hallucination-delusion.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:hallucination-delusion.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:psychomotor-agitation-retardation.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:psychomotor-agitation-retardation.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:inappropriate-speech-mood.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:inappropriate-speech-mood.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:sleep-wake-disturbance.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:sleep-wake-disturbance.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:symptom-fluctuation.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:symptom-fluctuation.​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()
icdsc-item-range error Observation.component:altered-consciousness.value[x]:valueInteger, Observation.component:inattention.value[x]:valueInteger, Observation.component:disorientation.value[x]:valueInteger, Observation.component:hallucination-delusion.value[x]:valueInteger, Observation.component:psychomotor-agitation-retardation.value[x]:valueInteger, Observation.component:inappropriate-speech-mood.value[x]:valueInteger, Observation.component:sleep-wake-disturbance.value[x]:valueInteger, Observation.component:symptom-fluctuation.value[x]:valueInteger ICDSC item score must be 0 or 1 value = 0 or value = 1
icdsc-score-range error Observation.value[x]:valueInteger ICDSC total score must be between 0 and 8 value >= 0 and value <= 8
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:altered-consciousness, Observation.component:inattention, Observation.component:disorientation, Observation.component:hallucination-delusion, Observation.component:psychomotor-agitation-retardation, Observation.component:inappropriate-speech-mood, Observation.component:sleep-wake-disturbance, Observation.component:symptom-fluctuation 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 View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation 0..* MII_PR_ICU_Score Measurements and simple assertions
... code
.... Slices for coding Content/Rules for all slices
..... coding:sct 0..1 Coding Code defined by a terminology system
Required Pattern: At least the following
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 1351995008
...... display 1..1 string Representation defined by the system
Fixed Value: Intensive Care Delirium Screening Checklist score (observable entity)
... Slices for value[x] 1..1 integer Actual result
Slice: Unordered, Open by type:$this
.... value[x]:valueInteger C 1..1 integer Actual result
Constraints: icdsc-score-range
... interpretation 0..1 CodeableConcept Delirium status
Binding: MII VS ICU Delirium Interpretation (extensible)
.... component:altered-consciousness S 1..1 BackboneElement Altered consciousness
..... code
...... text 0..1 string Plain text representation of the concept
Required Pattern: Altered level of consciousness
..... Slices for value[x] 1..1 integer Actual component result
Slice: Unordered, Open by type:$this
..... Slices for value[x] Content/Rules for all slices
...... value[x]:valueInteger C 1..1 integer Actual component result
Constraints: icdsc-item-range
.... component:inattention S 1..1 BackboneElement Inattention
..... code
...... text 0..1 string Plain text representation of the concept
Required Pattern: Inattention
..... Slices for value[x] 1..1 integer Actual component result
Slice: Unordered, Open by type:$this
..... Slices for value[x] Content/Rules for all slices
...... value[x]:valueInteger C 1..1 integer Actual component result
Constraints: icdsc-item-range
.... component:disorientation S 1..1 BackboneElement Disorientation
..... code
...... text 0..1 string Plain text representation of the concept
Required Pattern: Disorientation
..... Slices for value[x] 1..1 integer Actual component result
Slice: Unordered, Open by type:$this
..... Slices for value[x] Content/Rules for all slices
...... value[x]:valueInteger C 1..1 integer Actual component result
Constraints: icdsc-item-range
.... component:hallucination-delusion S 1..1 BackboneElement Hallucination, delusion, or psychosis
..... code
...... text 0..1 string Plain text representation of the concept
Required Pattern: Hallucination, delusion, or psychosis
..... Slices for value[x] 1..1 integer Actual component result
Slice: Unordered, Open by type:$this
..... Slices for value[x] Content/Rules for all slices
...... value[x]:valueInteger C 1..1 integer Actual component result
Constraints: icdsc-item-range
.... component:psychomotor-agitation-retardation S 1..1 BackboneElement Psychomotor agitation or retardation
..... code
...... text 0..1 string Plain text representation of the concept
Required Pattern: Psychomotor agitation or retardation
..... Slices for value[x] 1..1 integer Actual component result
Slice: Unordered, Open by type:$this
..... Slices for value[x] Content/Rules for all slices
...... value[x]:valueInteger C 1..1 integer Actual component result
Constraints: icdsc-item-range
.... component:inappropriate-speech-mood S 1..1 BackboneElement Inappropriate speech or mood
..... code
...... text 0..1 string Plain text representation of the concept
Required Pattern: Inappropriate speech or mood
..... Slices for value[x] 1..1 integer Actual component result
Slice: Unordered, Open by type:$this
..... Slices for value[x] Content/Rules for all slices
...... value[x]:valueInteger C 1..1 integer Actual component result
Constraints: icdsc-item-range
.... component:sleep-wake-disturbance S 1..1 BackboneElement Sleep/wake cycle disturbance
..... code
...... text 0..1 string Plain text representation of the concept
Required Pattern: Sleep/wake cycle disturbance
..... Slices for value[x] 1..1 integer Actual component result
Slice: Unordered, Open by type:$this
..... Slices for value[x] Content/Rules for all slices
...... value[x]:valueInteger C 1..1 integer Actual component result
Constraints: icdsc-item-range
.... component:symptom-fluctuation S 1..1 BackboneElement Symptom fluctuation
..... code
...... text 0..1 string Plain text representation of the concept
Required Pattern: Symptom fluctuation
..... Slices for value[x] 1..1 integer Actual component result
Slice: Unordered, Open by type:$this
..... Slices for value[x] Content/Rules for all slices
...... value[x]:valueInteger C 1..1 integer Actual component result
Constraints: icdsc-item-range

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Observation.interpretation Base extensible MII VS ICU Delirium Interpretation 📦2027.0.0-ballot.3 This IG

Constraints

Id Grade Path(s) Description Expression
icdsc-item-range error Observation.component:altered-consciousness.value[x]:valueInteger, Observation.component:inattention.value[x]:valueInteger, Observation.component:disorientation.value[x]:valueInteger, Observation.component:hallucination-delusion.value[x]:valueInteger, Observation.component:psychomotor-agitation-retardation.value[x]:valueInteger, Observation.component:inappropriate-speech-mood.value[x]:valueInteger, Observation.component:sleep-wake-disturbance.value[x]:valueInteger, Observation.component:symptom-fluctuation.value[x]:valueInteger ICDSC item score must be 0 or 1 value = 0 or value = 1
icdsc-score-range error Observation.value[x]:valueInteger ICDSC total score must be between 0 and 8 value >= 0 and value <= 8

Snapshot ViewView

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
... 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
... 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 ΣC 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 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... coding:loinc SΣ 0..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
...... 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 0..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 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
Fixed Value: 1351995008
...... display Σ 0..1 string Representation defined by the system
Fixed Value: Intensive Care Delirium Screening Checklist score (observable entity)
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:ieee11073 SΣ 0..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
...... 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
... Slices for value[x] SΣC 1..1 integer Actual result
Slice: Unordered, Closed by type:$this
.... value[x]:valueInteger SΣC 1..1 integer Actual result
Constraints: icdsc-score-range
... 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 Delirium status
Binding: MII VS ICU Delirium Interpretation (extensible)
... note 0..* Annotation Comments about the observation
... bodySite 0..1 CodeableConcept Observed body part
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
... method 0..1 CodeableConcept How it was done
Binding: ObservationMethods (example): Methods for simple observations.
... 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 8..8 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:altered-consciousness SΣC 1..1 BackboneElement Altered consciousness
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
...... text Σ 0..1 string Plain text representation of the concept
Required Pattern: Altered level of consciousness
..... Slices for value[x] SΣ 1..1 integer Actual component result
Slice: Unordered, Closed by type:$this
..... Slices for value[x] Content/Rules for all slices
...... value[x]:valueInteger SΣC 1..1 integer Actual component result
Constraints: icdsc-item-range
..... 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:inattention SΣC 1..1 BackboneElement Inattention
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
...... text Σ 0..1 string Plain text representation of the concept
Required Pattern: Inattention
..... Slices for value[x] SΣ 1..1 integer Actual component result
Slice: Unordered, Closed by type:$this
..... Slices for value[x] Content/Rules for all slices
...... value[x]:valueInteger SΣC 1..1 integer Actual component result
Constraints: icdsc-item-range
..... dataAbsentReason SC 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
..... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
..... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
.... component:disorientation SΣC 1..1 BackboneElement Disorientation
Constraints: mii-icu-val-xor-dar
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code SΣ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 0..* Coding Code defined by a terminology system
...... text Σ 0..1 string Plain text representation of the concept
Required Pattern: Disorientation
..... Slices for value[x] SΣ 1..1 integer Actual component result
Slice: Unordered, Closed by type:$this
..... Slices for value[x] Content/Rules for all slices
...... value[x]:valueInteger SΣC 1..1 integer Actual component result
Constraints: icdsc-item-range
..... 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:hallucination-delusion SΣC 1..1 BackboneElement Hallucination, delusion, or psychosis
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
...... text Σ 0..1 string Plain text representation of the concept
Required Pattern: Hallucination, delusion, or psychosis
..... Slices for value[x] SΣ 1..1 integer Actual component result
Slice: Unordered, Closed by type:$this
..... Slices for value[x] Content/Rules for all slices
...... value[x]:valueInteger SΣC 1..1 integer Actual component result
Constraints: icdsc-item-range
..... dataAbsentReason SC 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
..... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
..... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
.... component:psychomotor-agitation-retardation SΣC 1..1 BackboneElement Psychomotor agitation or retardation
Constraints: mii-icu-val-xor-dar
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code SΣ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 0..* Coding Code defined by a terminology system
...... text Σ 0..1 string Plain text representation of the concept
Required Pattern: Psychomotor agitation or retardation
..... Slices for value[x] SΣ 1..1 integer Actual component result
Slice: Unordered, Closed by type:$this
..... Slices for value[x] Content/Rules for all slices
...... value[x]:valueInteger SΣC 1..1 integer Actual component result
Constraints: icdsc-item-range
..... 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:inappropriate-speech-mood SΣC 1..1 BackboneElement Inappropriate speech or mood
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
...... text Σ 0..1 string Plain text representation of the concept
Required Pattern: Inappropriate speech or mood
..... Slices for value[x] SΣ 1..1 integer Actual component result
Slice: Unordered, Closed by type:$this
..... Slices for value[x] Content/Rules for all slices
...... value[x]:valueInteger SΣC 1..1 integer Actual component result
Constraints: icdsc-item-range
..... dataAbsentReason SC 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
..... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
..... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result
.... component:sleep-wake-disturbance SΣC 1..1 BackboneElement Sleep/wake cycle disturbance
Constraints: mii-icu-val-xor-dar
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code SΣ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 0..* Coding Code defined by a terminology system
...... text Σ 0..1 string Plain text representation of the concept
Required Pattern: Sleep/wake cycle disturbance
..... Slices for value[x] SΣ 1..1 integer Actual component result
Slice: Unordered, Closed by type:$this
..... Slices for value[x] Content/Rules for all slices
...... value[x]:valueInteger SΣC 1..1 integer Actual component result
Constraints: icdsc-item-range
..... 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:symptom-fluctuation SΣC 1..1 BackboneElement Symptom fluctuation
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
...... text Σ 0..1 string Plain text representation of the concept
Required Pattern: Symptom fluctuation
..... Slices for value[x] SΣ 1..1 integer Actual component result
Slice: Unordered, Closed by type:$this
..... Slices for value[x] Content/Rules for all slices
...... value[x]:valueInteger SΣC 1..1 integer Actual component result
Constraints: icdsc-item-range
..... 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: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.dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.interpretation Base extensible MII VS ICU Delirium Interpretation 📦2027.0.0-ballot.3 This IG
Observation.bodySite Base example SNOMED CT Body Structures 📍4.0.1 FHIR Std.
Observation.method Base example Observation Methods 📍4.0.1 FHIR Std.
Observation.referenceRange.​type Base preferred Observation Reference Range Meaning Codes 📍4.0.1 FHIR Std.
Observation.referenceRange.​appliesTo Base example Observation Reference Range Applies To Codes 📍4.0.1 FHIR Std.
Observation.component.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:altered-consciousness.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:altered-consciousness.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:altered-consciousness.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:inattention.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:inattention.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:inattention.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:disorientation.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:disorientation.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:disorientation.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:hallucination-delusion.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:hallucination-delusion.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:hallucination-delusion.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:psychomotor-agitation-retardation.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:psychomotor-agitation-retardation.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:psychomotor-agitation-retardation.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:inappropriate-speech-mood.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:inappropriate-speech-mood.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:inappropriate-speech-mood.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:sleep-wake-disturbance.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:sleep-wake-disturbance.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:sleep-wake-disturbance.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.component:symptom-fluctuation.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component:symptom-fluctuation.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component:symptom-fluctuation.​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()
icdsc-item-range error Observation.component:altered-consciousness.value[x]:valueInteger, Observation.component:inattention.value[x]:valueInteger, Observation.component:disorientation.value[x]:valueInteger, Observation.component:hallucination-delusion.value[x]:valueInteger, Observation.component:psychomotor-agitation-retardation.value[x]:valueInteger, Observation.component:inappropriate-speech-mood.value[x]:valueInteger, Observation.component:sleep-wake-disturbance.value[x]:valueInteger, Observation.component:symptom-fluctuation.value[x]:valueInteger ICDSC item score must be 0 or 1 value = 0 or value = 1
icdsc-score-range error Observation.value[x]:valueInteger ICDSC total score must be between 0 and 8 value >= 0 and value <= 8
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:altered-consciousness, Observation.component:inattention, Observation.component:disorientation, Observation.component:hallucination-delusion, Observation.component:psychomotor-agitation-retardation, Observation.component:inappropriate-speech-mood, Observation.component:sleep-wake-disturbance, Observation.component:symptom-fluctuation 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()

Summary

Mandatory: 26 elements
Must-Support: 8 elements

Slices

This structure defines the following Slices:

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

 

Other representations of profile: CSV, Excel, Schematron