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

Profiles

Interactive profile map

Module-owned profiles — this package

Extracorporeal procedure parameters15

Generic: Extrakorporales Verfahren · Eingestellte Gemessene Parameter Extrakorporale Verfahren · Parameter von Extrakorporalen Verfahren

Arterieller Druck Blutfluss Cardiovasculaeres Geraet Blutfluss Extrakorporaler Gasaustausch Blutflussindex Extrakorporaler Gasaustausch Dauer Extrakorporaler Gasaustausch Dauer Haemodialysesitzung Gasfluss Haemodialyse Blutfluss Ionisiertes Kalzium Nierenersatzverfahren Substituatfluss Substituatvolumen Venoeser Druck
Ventilation values34

Generic: Beatmung · Eingestellte Gemessene Parameter Beatmung · Parameter von Beatmung

Atemwegsdruck Bei Null Expiratorischem Gasfluss Atemwegsdruck Bei Mittlerem Expiratorischem Gasfluss Atemzugvolumen Einstellung Atemzugvolumen Waehrend Beatmung Beatmungsvolumen Pro Minute Maschineller Beatmung Beatmungszeit Hohem Druck Beatmungszeit Niedrigem Druck Druckdifferenz Beatmung Dynamische Kompliance Eingestellter Inspiratorischer Gasfluss Einstellung Ausatmungszeit Beatmung Einstellung Einatmungszeit Beatmung Endexpiratorischer Kohlendioxidpartialdruck Exspiratorischer Gasfluss Exspiratorischer Sauerstoffpartialdruck Horowitz In Arteriellem Blut Inspiratorische Sauerstofffraktion Inspiratorischer Gasfluss Maximaler Beatmungsdruck Maximaler Inspiratorischer Beatmungsdruck Mechanische Atemfrequenz Beatmet Mittlerer Beatmungsdruck Mittlerer Inspiratorischer Beatmungsdruck Plateau Beatmungsdruck Positiv Endexpiratorischer Druck Spontane Atemfrequenz Beatmet Spontane Mechanische Atemfrequenz Beatmet Spontanes Atemzugvolumen Spontanes Plus Mechanisches Atemzugvolumen Unterstuetzungsdruck Beatmung Zeitverhaeltnis Ein Ausatmung
Balances20

Generic: Bilanz

Ausfuhr Blutverlust Ausfuhr Drainage Generisch Ausfuhr Fluessigkeit Gesamt Ausfuhr Gallenfluessigkeit Ausfuhr Haemofiltration Einzelmesswerte Ausfuhr Magensonde Ausfuhr OP Drainage Ausfuhr Pankreasdrainage Ausfuhr Stuhlgang Ausfuhr Urin Ausfuhr Wunddrainage Einfuhr Abgepumpte Muttermilch Einfuhr Enterale Fluessigkeit Einfuhr Fluessigkeit Gesamt Einfuhr Muttermilch Einfuhr Orale Fluessigkeit Einfuhr Saeuglingsnahrung Einfuhr Spendermilch Tagesbilanz Fluessigkeit
Monitoring and vital signs (module-owned)8
​ Arterieller Blutdruck Atemfrequenz Herzfrequenz Koerpergewicht Koerpergroesse Koerperlaenge Kopfumfang zerebraler Perfusionsdruck
Examinations6

Generic: Untersuchung Pupillenbefund

Pupillenform Pupillengroesse Pupillenlichtreaktion Direkt Pupillenlichtreaktion Indirekt Pupillensymmetrie
Scores11

Generic: Score

CAM-ICU Faces Pain Scale Revised GCS ICDSC Numerische Ratingskala RASS SOFA Visuelle Analogskala Wong-Baker-FACES-Schmerzskala ZOPA
Device information1
Device

ISiK-hosted profiles — de.gematik.isik 6.0.0
Hosted and versioned by gematik; this guide lists them as clinical content of the ICU core data set. Generated from the pinned package version — the list only changes with a deliberate pin bump. Links open Simplifier.

Written during migration - review before release. The Monitoring and Vital Signs profiles of this module are published inside the ISiK package de.gematik.isik (6.0.0) as sd-mii-icu-* and are therefore rendered by that package, not by this guide. The source guide carried one page per profile; those pages contained only the generic-profile reference sentence, which is preserved below once, followed by the complete profile list.

Original wording of the source pages (per profile): ""Body weight (Observation)" is a characteristic of the generic profile for monitoring and vital data (Observation). See there for more detailed information regarding explanations of the items or reference of the entries in the FHIR resource to the Logical Model."

For the pulsatile pressures additionally: "This is a pulsatile pressure. In addition to the properties of the generic profile for Monitoring and vital data, the special features described on the page of the profile for other pulsatile pressures generic (Observation) also apply to this. See there for more detailed information regarding explanations of the items or reference of the entries in the FHIR resource to the Logical Model."

The individual profiles are characteristics of the generic profile Monitoring and vital data (Observation). See there for details on the items and their relation to the Logical Model.

Generic profiles3
Koerpertemperatur Generisch Monitoring und Vitaldaten Sonstige pulsatile Druecke Generisch
Monitoring and vital sign specialisations25
Herzzeitvolumen Ideales Koerpergewicht Intrakranieller Druck ICP Koerpergewicht Percentil Altersabhaengig Koerpergroesse Percentil Linksatrialer Druck Linksventrikulaerer Herzindex durch Indikatorverduennung Linksventrikulaeres Schlagvolumen Durch Indikatorverduennung Linksventrikulaerer Schlagvolumenindex Durch Indikatorverduennung Linksventrikulaerer Druck Linksventrikulaerer Herzindex Linksventrikulaeres Schlagvolumen Linksventrikulaeres Schlagvolumenindex Linksventrikulaeres Herzzeitvolumen Durch Indikatorverduennung Sauerstoffsaettigung Im Arteriellen Blut Durch Pulsoxymetrie Sauerstoffsaettigung Im Blut Postduktal Durch Pulsoxymetrie Sauerstoffsaettigung Im Blut Preduktal Durch Pulsoxymetrie Pulmonalarterieller Blutdruck Pulmonalarterieller Wedge Druck Pulmonalvaskulaerer Widerstandsindex Puls Rechtsatrialer Druck Rechtsventrikulaerer Druck Systemischer Vaskulaerer Widerstandsindex Zentralvenoeser Blutdruck
Body temperature21
Stirn Achsel Atemwege Blut Brust Brustwirbelsaeule Gelenk Halswirbelsaeule Harnblase Kern Leiste Lendenwirbelsaeule Myokard nasal Nasen-Rachen-Raum rektal Speiseroehre Stirn Trommelfell unter der Zunge vaginal

The FHIR profiles in this project follow the following approach:

There is at least one generic profile for each of the "structure elements" of the KDS module defined in the data model. These profiles contain ValueSets and describe the predefined structure for groups of items in a specific intensive care category. The generic profiles are the first in each group of the tree structure of this guide, i.e:

There are also specific profiles, which fix the code and unit affiliations. These specific resources are intended, among other things, as a handout for the implementer and should help to reduce the hurdle of correct semantic annotation and improve interoperability. The specific profiles are all those that are connected to the above-mentioned generic profiles within a group.

Device information

We consider measuring and pre-set devices (see module description). This is the minimum level of differentiation we need to map the data modelled in this module. The DeviceMetric carries the information whether the value is measured or set. A device resource describes which device is set or measures a value. The device is referenced from the DeviceMetric. Depending on the amount of information, available, different modelling levels are available here:

1. No device information

Devices_statisch For a group of values that share a common measurement method and a common measurement device, a common pair of DeviceMetric and Device can be created and referenced from Observation.device. This is particularly necessary if no device information is available.

If there is no device information available, you can limit yourself to two DeviceMetrics per category (vital data, extracorporeal procedures …), each of which states whether an observation (more precisely Observation.value) is a set or measured value.

In summary, we need one resource for each combination of Observation.type and Observation.category.

| Field | Meaning | | — | — | | Observation.type | Corresponds to the Observation.category of the referencing observation. Note the corresponding ValueSets

Observation.category measured/set/…

2. Type of device

You can also create device resources according to the two fields marked "optional*" under 1. This is particularly useful if you can specify additional information for device classes, such as the same manufacturer for all ventilators.

3. Device properties

Devices_dynamisch_gerate_modelliert If further information is known about the measuring and set devices, or even device IDs are communicated, a separate resource can be created for each device that can be identified in this way via a device ID. The diagram above attempts to illustrate the possible relationships. On the one hand, a device (DeviceMetric and Device) can generate values for different patients over time; on the other hand, several devices can provide values for a single patient at the same time.

Note: As a device can only ever be referenced by a higher-level DeviceMetric in the selected modelling, the reverse conclusion is that with this detailed implementation, an associated DeviceMetric (or a pair for measured and set parameters) must be created for each device resource.