MII Implementation Guide Microbiology
2027.0.0-ballot2 - Germany

MII Implementation Guide Microbiology - Local Development build (v2027.0.0-ballot2) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: MII PR Mikrobio Nugent Score

Official URL: https://www.medizininformatik-initiative.de/fhir/modul-mikrobio/StructureDefinition/mii-pr-mikrobio-nugent-score Version: 2027.0.0-ballot2
Active as of 2026-09-14 Computable Name: MII_PR_Mikrobio_Nugent_Score

Nugent-Score beschreibt ein Gramfärbungs-basiertes semiquantitatives Punktesystem zur Beurteilung vaginaler Mikrobiotamuster bei bakterieller Vaginose.

Nugent score describes a Gram-stain-based semi-quantitative scoring system for assessing vaginal microbiota patterns in bacterial vaginosis.

Examples

Example (minimal):

mii-exa-mikrobio-nugent-score

Usages:

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_Labor_Laboruntersuchung Measurements and simple assertions
Constraints: obs-7, obs-6, mii-lab-2
... id SΣ 0..1 id Logical id of this artifact
... meta SΣ 0..1 Meta Metadata about the resource
.... source SΣ 0..1 uri Identifies where the resource comes from
.... profile SΣ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
.... extension:triggeredBy-r5 S 0..* (Complex) R5: Triggering observation(s) (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy
..... Slices for extension 2..* Extension Extension
Slice: Unordered, Open by value:url
..... Slices for extension Content/Rules for all slices
...... extension:observation 1..1 Extension Triggering observation.
....... extension 0..0 Extension
Slice: Unordered, Open by value:url
....... url 1..1 uri "observation"
....... value[x] 1..1 Reference(Observation) Triggering observation
...... extension:type 1..1 Extension Beschreibt die Art der Auslösung einer Untersuchung im diagnostischen Zusammenhang; insbesondere kennzeichnet der Wert „reflex“ eine durch das Ergebnis einer vorangegangenen Untersuchung ausgelöste Folgediagnostik.
....... extension 0..0 Extension
Slice: Unordered, Open by value:url
....... url 1..1 uri "type"
....... value[x] 1..1 code reflex | repeat | re-run
Binding: R5ObservationTriggeredbytypeForR4 (0.1.0) (required): The type of TriggeredBy Observation.
...... extension:reason 0..1 Extension R5: Reason that the observation was triggered (new)
....... extension 0..0 Extension
Slice: Unordered, Open by value:url
....... url 1..1 uri "reason"
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy"
... Slices for modifierExtension ?!S 0..* Extension Extensions that cannot be ignored
Slice: Unordered, Open by value:url
.... modifierExtension:interpretationsbeeinflussendeEigenschaft ?!S 0..* Coding Interpretationsbeeinflussende interpretationsbeeinflussendeEigenschaft
URL: https://www.medizininformatik-initiative.de/fhir/core/modul-labor/StructureDefinition/InterpretationsbeeinflussendeEigenschaft
Binding: MII VS Labor Interpretationsbeeinflussende Eigenschaften SNOMEDCT (extensible)
... Slices for identifier SΣ 1..* Identifier Identifikator
Slice: Unordered, Open by pattern:type
.... identifier:analyseBefundCode SΣ 1..1 Identifier Analyse-Befund-Code
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... type SΣ 1..1 CodeableConcept Description of identifier
Binding: MII VS Labor Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... text 0..1 string Plain text representation of the concept
...... Slices for coding SΣ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value: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/v2-0203
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: OBI
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... Slices for coding Content/Rules for all slices
....... coding:observationInstanceV2 SΣ 1..1 Coding Code defined by a terminology system
........ system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
........ code SΣ 1..1 code Symbol in syntax defined by the system
Fixed Value: OBI
..... system SΣ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 1..1 string The value that is unique
Example General: 123456
..... assigner SΣC 1..1 Reference(Organization) Organization that issued id (may be just text)
Constraints: ref-1
... basedOn SΣC 0..* Reference(ServiceRequest) Basiert auf
Constraints: ref-1
... status ?!SΣ 1..1 code Status
Binding: ObservationStatus (required): Codes providing the status of an observation.
... Slices for category S 2..* CodeableConcept Kategorie
Slice: Unordered, Open by pattern:$this
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
.... category:observation-category S 1..1 CodeableConcept Labor-Kategorie
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: laboratory
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
.... category:mibi-category S 1..1 CodeableConcept Mikrobiologie-Kategorie
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0074
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: MB
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
... code SΣ 1..1 CodeableConcept Code
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... text 0..1 string Plain text representation of the concept
.... Slices for coding SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this

Fixed Value: (Complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... userSelected 0..1 boolean If this coding was chosen directly by the user
..... coding:All Slices Content/Rules for all slices
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... version SΣ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
Fixed Value: 101433-1
...... display SΣ 0..1 string Representation defined by the system
..... coding:loinc SΣ 0..* Coding Code defined by a terminology system
Binding: Results Laboratory/Pathology Observation - IPS (extensible): Intensional Value Set Definition: LOINC { { STATUS in {ACTIVE} CLASSTYPE in {1} CLASS exclude {CHALSKIN, H&P.HX.LAB, H&P.HX, NR STATS, PATH.PROTOCOLS.*} } }

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... version 0..1 string Version of the system - if relevant
...... code 0..1 code Symbol in syntax defined by the system
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
... subject SΣC 1..1 Reference(Patient | Group | Device | Location) Subjekt
Constraints: ref-1
.... reference SΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... identifier SΣ 0..1 Identifier Logical reference, when literal reference is not known
... encounter SΣC 0..1 Reference(Encounter) Fall oder Kontakt
Constraints: ref-1
.... reference SΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... identifier SΣ 0..1 Identifier Logical reference, when literal reference is not known
... effective[x] SΣC 1..1 dateTime Untersuchungszeitpunkt
Constraints: mii-lab-1
.... Slices for extension Content/Rules for all slices
..... extension:QuelleKlinischesBezugsdatum S 0..1 Coding Quelle klinisches Bezugsdatum
URL: https://www.medizininformatik-initiative.de/fhir/core/modul-labor/StructureDefinition/QuelleKlinischesBezugsdatum
Binding: MII VS Labor Quelle klinisches Bezugsdatum (required)
... issued SΣ 0..1 instant Dokumentationsdatum
... Slices for value[x] SΣC 0..1 Quantity Messwert
Slice: Unordered, Closed by type:$this
.... value[x]:valueQuantity SΣC 0..1 Quantity Actual result
Constraints: nugent-score-0-to-10
..... Slices for extension Content/Rules for all slices
...... extension:pqTranslation D 0..* Quantity Same quantity with different units
URL: http://hl7.org/fhir/StructureDefinition/extension-quantity-translation
..... value SΣ 1..1 decimal Numerical value (with implicit precision)
...... Slices for extension Content/Rules for all slices
....... extension:quantityPrecision SD 0..1 integer Explicit precision (number of significant decimal places)
URL: http://hl7.org/fhir/StructureDefinition/quantity-precision
..... comparator ?!SΣ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
..... unit SΣ 1..1 string Unit representation
..... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
..... code SΣ 1..1 code Coded form of the unit
Required Pattern: 1
.... value[x]:valueCodeableConcept SΣC 0..1 CodeableConcept Actual result
Binding: MII VS Labor Laborergebnis Codiert (extensible)
..... coding SΣ 1..* Coding Code defined by a terminology system
...... system SΣ 1..1 uri Identity of the terminology system
...... version SΣ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
.... value[x]:valueRange SΣC 0..1 Range Actual result
.... value[x]:valueRatio SΣC 0..1 Ratio Actual result
... dataAbsentReason SC 0..1 CodeableConcept Grund für fehlende Daten
Binding: MII VS Mikrobio Data Absent Reason (extensible)
... interpretation S 0..* CodeableConcept Interpretation
Binding: MII VS Labor Interpretation (extensible): Eingeschränkte Auswahl aus HL7 v3 ObservationInterpretation. FHIR bindet dieses Element extensible an das vollständige ValueSet Observation Interpretation Codes; das Modul schränkt auf die im Laborkontext sinnvollen Konzepte ein. Lokale Kodierungen wie -- - N + ++ oder L N H lassen sich darauf abbilden. Da die Bindung extensible ist, dürfen darüber hinaus weitere Codes verwendet werden; praktisch relevant sind die abnormal-Codes HH, LL und AA, etwa für Werte jenseits der Telefongrenze.
... note S 0..* Annotation Hinweis
... method S 0..1 CodeableConcept Untersuchungsmethode
Binding: ObservationMethods (example): Methods for simple observations.
Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... text 0..1 string Plain text representation of the concept
.... coding SΣ 0..* 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
..... version 0..1 string Version of the system - if relevant
..... userSelected 0..1 boolean If this coding was chosen directly by the user
..... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
..... code SΣ 1..1 code Symbol in syntax defined by the system
Fixed Value: 702661004
..... display SΣ 0..1 string Representation defined by the system
... specimen SC 1..1 Reference(MII PR Mikrobio Probe) Probenmaterial
Constraints: ref-1
.... reference SΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... identifier SΣ 0..1 Identifier Logical reference, when literal reference is not known
... device SC 0..1 Reference(Device | DeviceMetric) Gerät
Constraints: ref-1
.... reference SΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... identifier SΣ 0..1 Identifier Logical reference, when literal reference is not known
... referenceRange SC 0..* BackboneElement Referenzbereich
Constraints: obs-3
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... low SC 0..1 SimpleQuantity Low Range, if relevant
Constraints: qty-3, sqty-1
.... high SC 0..1 SimpleQuantity High Range, if relevant
Constraints: qty-3, sqty-1

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.extension:triggeredBy-r5.​extension:type.value[x] Base required Cross-version ValueSet R5.TriggeredBytype for use in FHIR R4 📍0.1.0 Extensions for Using Data Elements from FHIR R5 in FHIR R4 v0.1
Observation.identifier:analyseBefundCode.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
Observation.identifier:analyseBefundCode.​type Base extensible MII VS Labor Identifier Type Codes 📦2027.0.0-ballot MII IG Laborbefund v2027.0
Observation.status Base required ObservationStatus 📍4.0.1 FHIR Std.
Observation.category Base preferred Observation Category Codes 📦4.0.1 FHIR Std.
Observation.category:observation-category Base preferred Observation Category Codes 📦4.0.1 FHIR Std.
Observation.category:mibi-category Base preferred Observation Category Codes 📦4.0.1 FHIR Std.
Observation.code Base example LOINC Codes 📦4.0.1 FHIR Std.
Observation.code.coding:loinc Base extensible Results Laboratory/Pathology Observation - IPS 📦2.0.1 This IG
Observation.value[x]:valueQuantity.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.value[x]:valueCodeableConcept Base extensible MII VS Labor Laborergebnis Codiert 📦2027.0.0-ballot MII IG Laborbefund v2027.0
Observation.dataAbsentReason Base extensible MII VS Mikrobio Data Absent Reason 📦2027.0.0-ballot2 This IG
Observation.interpretation Base extensible MII VS Labor Interpretation 📦2027.0.0-ballot MII IG Laborbefund v2027.0
Observation.method Base example Observation Methods 📦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()
mii-lab-1 error Observation.effective[x] Datetime must be at least to day ($this as dateTime).hasValue() implies ($this as dateTime).toString().length() >= 8
mii-lab-2 error Observation Falls kein Laborwert verfügbar ist, muss eine dataAbsentReason angegeben werden hasMember.exists() or value.exists() or dataAbsentReason.exists()
nugent-score-0-to-10 error Observation.value[x]:valueQuantity Nugent score SHALL be between 0 and 10. value >= 0 and value <= 10
obs-3 error Observation.referenceRange Must have at least a low or a high or text low.exists() or high.exists() or text.exists()
obs-6 error Observation dataAbsentReason SHALL only be present if Observation.value[x] is not present dataAbsentReason.empty() or value.empty()
obs-7 error Observation If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
qty-3 error Observation.referenceRange.low, Observation.referenceRange.high If a code for the unit is present, the system SHALL also be present code.empty() or system.exists()
ref-1 error Observation.identifier:analyseBefundCode.assigner, Observation.basedOn, Observation.subject, Observation.encounter, Observation.specimen, Observation.device SHALL have a contained resource if a local reference is provided reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))
sqty-1 error Observation.referenceRange.low, Observation.referenceRange.high The comparator is not used on a SimpleQuantity comparator.empty()

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation 0..* MII_PR_Labor_Laboruntersuchung Measurements and simple assertions
... Slices for extension Content/Rules for all slices
.... extension:triggeredBy-r5 S 0..* (Complex) R5: Triggering observation(s) (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy
..... Slices for extension Content/Rules for all slices
...... extension:observation 1..1 Extension Triggering observation.
...... extension:type 1..1 Extension Beschreibt die Art der Auslösung einer Untersuchung im diagnostischen Zusammenhang; insbesondere kennzeichnet der Wert „reflex“ eine durch das Ergebnis einer vorangegangenen Untersuchung ausgelöste Folgediagnostik.
... category 2..* CodeableConcept Kategorie
... Slices for category Content/Rules for all slices
.... category:mibi-category S 1..1 CodeableConcept Mikrobiologie-Kategorie
Required Pattern: At least the following
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0074
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: MB
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 101433-1
... value[x] 0..1 Quantity Messwert
... Slices for value[x] Content/Rules for all slices
.... value[x]:valueQuantity C 0..1 Quantity Actual result
Constraints: nugent-score-0-to-10
..... code 1..1 code Coded form of the unit
Required Pattern: 1
... dataAbsentReason 0..1 CodeableConcept Grund für fehlende Daten
Binding: MII VS Mikrobio Data Absent Reason (extensible)
... method 0..1 CodeableConcept Untersuchungsmethode
Required Pattern: At least the following
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... 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: 702661004
... specimen 1..1 Reference(MII PR Mikrobio Probe) Probenmaterial

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Observation.dataAbsentReason Base extensible MII VS Mikrobio Data Absent Reason 📦2027.0.0-ballot2 This IG

Constraints

Id Grade Path(s) Description Expression
nugent-score-0-to-10 error Observation.value[x]:valueQuantity Nugent score SHALL be between 0 and 10. value >= 0 and value <= 10
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* MII_PR_Labor_Laboruntersuchung Measurements and simple assertions
Constraints: obs-7, obs-6, mii-lab-2
... id SΣ 0..1 id Logical id of this artifact
... meta SΣ 0..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source SΣ 0..1 uri Identifies where the resource comes from
.... profile SΣ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... 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
... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... extension:triggeredBy-r5 S 0..* (Complex) R5: Triggering observation(s) (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 2..* Extension Extension
Slice: Unordered, Open by value:url
..... Slices for extension Content/Rules for all slices
...... extension:observation 1..1 Extension Triggering observation.
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0 Extension
Slice: Unordered, Open by value:url
....... url 1..1 uri "observation"
....... value[x] 1..1 Reference(Observation) Triggering observation
...... extension:type 1..1 Extension Beschreibt die Art der Auslösung einer Untersuchung im diagnostischen Zusammenhang; insbesondere kennzeichnet der Wert „reflex“ eine durch das Ergebnis einer vorangegangenen Untersuchung ausgelöste Folgediagnostik.
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0 Extension
Slice: Unordered, Open by value:url
....... url 1..1 uri "type"
....... value[x] 1..1 code reflex | repeat | re-run
Binding: R5ObservationTriggeredbytypeForR4 (0.1.0) (required): The type of TriggeredBy Observation.
...... extension:reason 0..1 Extension R5: Reason that the observation was triggered (new)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0 Extension
Slice: Unordered, Open by value:url
....... url 1..1 uri "reason"
....... value[x] 0..1 string Reason that the observation was triggered
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy"
... Slices for modifierExtension ?!S 0..* Extension Extensions that cannot be ignored
Slice: Unordered, Open by value:url
.... modifierExtension:interpretationsbeeinflussendeEigenschaft ?!S 0..* Coding Interpretationsbeeinflussende interpretationsbeeinflussendeEigenschaft
URL: https://www.medizininformatik-initiative.de/fhir/core/modul-labor/StructureDefinition/InterpretationsbeeinflussendeEigenschaft
Binding: MII VS Labor Interpretationsbeeinflussende Eigenschaften SNOMEDCT (extensible)
... Slices for identifier SΣ 1..* Identifier Identifikator
Slice: Unordered, Open by pattern:type
.... identifier:analyseBefundCode SΣ 1..1 Identifier Analyse-Befund-Code
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... type SΣ 1..1 CodeableConcept Description of identifier
Binding: MII VS Labor Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... Slices for coding SΣ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value: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/v2-0203
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: OBI
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... Slices for coding Content/Rules for all slices
....... coding:observationInstanceV2 SΣ 1..1 Coding Code defined by a terminology system
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
........ version Σ 0..1 string Version of the system - if relevant
........ code SΣ 1..1 code Symbol in syntax defined by the system
Fixed Value: OBI
........ 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
..... system SΣ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 1..1 string The value that is unique
Example General: 123456
..... period ΣC 0..1 Period Time period when id is/was valid for use
Constraints: per-1
..... assigner SΣC 1..1 Reference(Organization) Organization that issued id (may be just text)
Constraints: ref-1
... basedOn SΣC 0..* Reference(ServiceRequest) Basiert auf
Constraints: ref-1
... partOf ΣC 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) Part of referenced event
Constraints: ref-1
... status ?!SΣ 1..1 code Status
Binding: ObservationStatus (required): Codes providing the status of an observation.
... Slices for category S 2..* CodeableConcept Kategorie
Slice: Unordered, Open by pattern:$this
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
.... category:observation-category S 1..1 CodeableConcept Labor-Kategorie
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: laboratory
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
.... category:mibi-category S 1..1 CodeableConcept Mikrobiologie-Kategorie
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0074
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: MB
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
... code SΣ 1..1 CodeableConcept Code
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this

Fixed Value: (Complex)
..... coding:All Slices Content/Rules for all slices
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... version SΣ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
Fixed Value: 101433-1
...... display SΣ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:loinc SΣ 0..* Coding Code defined by a terminology system
Binding: Results Laboratory/Pathology Observation - IPS (extensible): Intensional Value Set Definition: LOINC { { STATUS in {ACTIVE} CLASSTYPE in {1} CLASS exclude {CHALSKIN, H&P.HX.LAB, H&P.HX, NR STATS, PATH.PROTOCOLS.*} } }

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... version 0..1 string Version of the system - if relevant
...... code 0..1 code Symbol in syntax defined by the system
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... subject SΣC 1..1 Reference(Patient | Group | Device | Location) Subjekt
Constraints: ref-1
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier SΣ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... focus ΣC 0..* Reference(Resource) What the observation is about, when it is not about the subject of record
Constraints: ref-1
... encounter SΣC 0..1 Reference(Encounter) Fall oder Kontakt
Constraints: ref-1
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier SΣ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... effective[x] SΣC 1..1 dateTime Untersuchungszeitpunkt
Constraints: mii-lab-1
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... extension:QuelleKlinischesBezugsdatum S 0..1 Coding Quelle klinisches Bezugsdatum
URL: https://www.medizininformatik-initiative.de/fhir/core/modul-labor/StructureDefinition/QuelleKlinischesBezugsdatum
Binding: MII VS Labor Quelle klinisches Bezugsdatum (required)
.... value 0..1 dateTime Primitive value for dateTime
... issued SΣ 0..1 instant Dokumentationsdatum
... performer ΣC 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) Who is responsible for the observation
Constraints: ref-1
... Slices for value[x] SΣC 0..1 Quantity Messwert
Slice: Unordered, Closed by type:$this
.... value[x]:valueQuantity SΣC 0..1 Quantity Actual result
Constraints: nugent-score-0-to-10
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... Slices for extension Content/Rules for all slices
...... extension:pqTranslation D 0..* Quantity Same quantity with different units
URL: http://hl7.org/fhir/StructureDefinition/extension-quantity-translation
..... value SΣ 1..1 decimal Numerical value (with implicit precision)
...... id 0..1 string Unique id for inter-element referencing
...... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... Slices for extension Content/Rules for all slices
....... extension:quantityPrecision SD 0..1 integer Explicit precision (number of significant decimal places)
URL: http://hl7.org/fhir/StructureDefinition/quantity-precision
...... value 0..1 decimal Primitive value for decimal
..... comparator ?!SΣ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
..... unit SΣ 1..1 string Unit representation
..... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
..... code SΣ 1..1 code Coded form of the unit
Required Pattern: 1
.... value[x]:valueCodeableConcept SΣC 0..1 CodeableConcept Actual result
Binding: MII VS Labor Laborergebnis Codiert (extensible)
..... 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..* Coding Code defined by a terminology system
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
...... version SΣ 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
.... value[x]:valueRange SΣC 0..1 Range Actual result
.... value[x]:valueRatio SΣC 0..1 Ratio Actual result
... dataAbsentReason SC 0..1 CodeableConcept Grund für fehlende Daten
Binding: MII VS Mikrobio Data Absent Reason (extensible)
... interpretation S 0..* CodeableConcept Interpretation
Binding: MII VS Labor Interpretation (extensible): Eingeschränkte Auswahl aus HL7 v3 ObservationInterpretation. FHIR bindet dieses Element extensible an das vollständige ValueSet Observation Interpretation Codes; das Modul schränkt auf die im Laborkontext sinnvollen Konzepte ein. Lokale Kodierungen wie -- - N + ++ oder L N H lassen sich darauf abbilden. Da die Bindung extensible ist, dürfen darüber hinaus weitere Codes verwendet werden; praktisch relevant sind die abnormal-Codes HH, LL und AA, etwa für Werte jenseits der Telefongrenze.
... note S 0..* Annotation Hinweis
... method S 0..1 CodeableConcept Untersuchungsmethode
Binding: ObservationMethods (example): Methods for simple observations.
Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding SΣ 0..* 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
Slice: Unordered, Open by value:url
..... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
..... version Σ 0..1 string Version of the system - if relevant
..... code SΣ 1..1 code Symbol in syntax defined by the system
Fixed Value: 702661004
..... display SΣ 0..1 string Representation defined by the system
..... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... specimen SC 1..1 Reference(MII PR Mikrobio Probe) Probenmaterial
Constraints: ref-1
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier SΣ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... device SC 0..1 Reference(Device | DeviceMetric) Gerät
Constraints: ref-1
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier SΣ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... referenceRange SC 0..* BackboneElement Referenzbereich
Constraints: obs-3
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... low SC 0..1 SimpleQuantity Low Range, if relevant
Constraints: qty-3, sqty-1
.... high SC 0..1 SimpleQuantity High Range, if relevant
Constraints: qty-3, sqty-1
.... type 0..1 CodeableConcept Reference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
.... appliesTo 0..* CodeableConcept Reference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
.... age C 0..1 Range Applicable age range, if relevant
Constraints: rng-2
.... text 0..1 string Text based reference range in an observation
... hasMember ΣC 0..* Reference(Observation | QuestionnaireResponse | MolecularSequence) Related resource that belongs to the Observation group
Constraints: ref-1
... derivedFrom ΣC 0..* Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) Related measurements the observation is made from
Constraints: ref-1
... component Σ 0..* BackboneElement Component results
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
.... value[x] Σ 0..1 Actual component result
..... valueQuantity Quantity
..... valueCodeableConcept CodeableConcept
..... valueString string
..... valueBoolean boolean
..... valueInteger integer
..... valueRange Range
..... valueRatio Ratio
..... valueSampledData SampledData
..... valueTime time
..... valueDateTime dateTime
..... valuePeriod Period
.... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
.... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
.... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.meta.security Base extensible SecurityLabels 📦4.0.1 FHIR Std.
Observation.meta.tag Base example Common Tags 📦4.0.1 FHIR Std.
Observation.language Base preferred Common Languages 📦4.0.1 FHIR Std.
Observation.extension:triggeredBy-r5.​extension:type.value[x] Base required Cross-version ValueSet R5.TriggeredBytype for use in FHIR R4 📍0.1.0 Extensions for Using Data Elements from FHIR R5 in FHIR R4 v0.1
Observation.identifier:analyseBefundCode.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
Observation.identifier:analyseBefundCode.​type Base extensible MII VS Labor Identifier Type Codes 📦2027.0.0-ballot MII IG Laborbefund v2027.0
Observation.status Base required ObservationStatus 📍4.0.1 FHIR Std.
Observation.category Base preferred Observation Category Codes 📦4.0.1 FHIR Std.
Observation.category:observation-category Base preferred Observation Category Codes 📦4.0.1 FHIR Std.
Observation.category:mibi-category Base preferred Observation Category Codes 📦4.0.1 FHIR Std.
Observation.code Base example LOINC Codes 📦4.0.1 FHIR Std.
Observation.code.coding:loinc Base extensible Results Laboratory/Pathology Observation - IPS 📦2.0.1 This IG
Observation.subject.​type Base extensible ResourceType 📦4.0.1 FHIR Std.
Observation.encounter.​type Base extensible ResourceType 📦4.0.1 FHIR Std.
Observation.value[x]:valueQuantity.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.value[x]:valueCodeableConcept Base extensible MII VS Labor Laborergebnis Codiert 📦2027.0.0-ballot MII IG Laborbefund v2027.0
Observation.dataAbsentReason Base extensible MII VS Mikrobio Data Absent Reason 📦2027.0.0-ballot2 This IG
Observation.interpretation Base extensible MII VS Labor Interpretation 📦2027.0.0-ballot MII IG Laborbefund v2027.0
Observation.method Base example Observation Methods 📦4.0.1 FHIR Std.
Observation.specimen.​type Base extensible ResourceType 📦4.0.1 FHIR Std.
Observation.device.type Base extensible ResourceType 📦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.

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()
mii-lab-1 error Observation.effective[x] Datetime must be at least to day ($this as dateTime).hasValue() implies ($this as dateTime).toString().length() >= 8
mii-lab-2 error Observation Falls kein Laborwert verfügbar ist, muss eine dataAbsentReason angegeben werden hasMember.exists() or value.exists() or dataAbsentReason.exists()
nugent-score-0-to-10 error Observation.value[x]:valueQuantity Nugent score SHALL be between 0 and 10. value >= 0 and value <= 10
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()
per-1 error Observation.identifier:analyseBefundCode.period If present, start SHALL have a lower value than end start.hasValue().not() or end.hasValue().not() or (start <= end)
qty-3 error Observation.referenceRange.low, Observation.referenceRange.high If a code for the unit is present, the system SHALL also be present code.empty() or system.exists()
ref-1 error Observation.identifier:analyseBefundCode.assigner, Observation.basedOn, Observation.partOf, Observation.subject, Observation.focus, Observation.encounter, Observation.performer, Observation.specimen, Observation.device, Observation.hasMember, Observation.derivedFrom SHALL have a contained resource if a local reference is provided reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))
rng-2 error Observation.referenceRange.age If present, low SHALL have a lower value than high low.empty() or high.empty() or (low <= high)
sqty-1 error Observation.referenceRange.low, Observation.referenceRange.high The comparator is not used on a SimpleQuantity comparator.empty()

Summary

Mandatory: 2 elements
Must-Support: 2 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* MII_PR_Labor_Laboruntersuchung Measurements and simple assertions
Constraints: obs-7, obs-6, mii-lab-2
... id SΣ 0..1 id Logical id of this artifact
... meta SΣ 0..1 Meta Metadata about the resource
.... source SΣ 0..1 uri Identifies where the resource comes from
.... profile SΣ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
.... extension:triggeredBy-r5 S 0..* (Complex) R5: Triggering observation(s) (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy
..... Slices for extension 2..* Extension Extension
Slice: Unordered, Open by value:url
..... Slices for extension Content/Rules for all slices
...... extension:observation 1..1 Extension Triggering observation.
....... extension 0..0 Extension
Slice: Unordered, Open by value:url
....... url 1..1 uri "observation"
....... value[x] 1..1 Reference(Observation) Triggering observation
...... extension:type 1..1 Extension Beschreibt die Art der Auslösung einer Untersuchung im diagnostischen Zusammenhang; insbesondere kennzeichnet der Wert „reflex“ eine durch das Ergebnis einer vorangegangenen Untersuchung ausgelöste Folgediagnostik.
....... extension 0..0 Extension
Slice: Unordered, Open by value:url
....... url 1..1 uri "type"
....... value[x] 1..1 code reflex | repeat | re-run
Binding: R5ObservationTriggeredbytypeForR4 (0.1.0) (required): The type of TriggeredBy Observation.
...... extension:reason 0..1 Extension R5: Reason that the observation was triggered (new)
....... extension 0..0 Extension
Slice: Unordered, Open by value:url
....... url 1..1 uri "reason"
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy"
... Slices for modifierExtension ?!S 0..* Extension Extensions that cannot be ignored
Slice: Unordered, Open by value:url
.... modifierExtension:interpretationsbeeinflussendeEigenschaft ?!S 0..* Coding Interpretationsbeeinflussende interpretationsbeeinflussendeEigenschaft
URL: https://www.medizininformatik-initiative.de/fhir/core/modul-labor/StructureDefinition/InterpretationsbeeinflussendeEigenschaft
Binding: MII VS Labor Interpretationsbeeinflussende Eigenschaften SNOMEDCT (extensible)
... Slices for identifier SΣ 1..* Identifier Identifikator
Slice: Unordered, Open by pattern:type
.... identifier:analyseBefundCode SΣ 1..1 Identifier Analyse-Befund-Code
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... type SΣ 1..1 CodeableConcept Description of identifier
Binding: MII VS Labor Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... text 0..1 string Plain text representation of the concept
...... Slices for coding SΣ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value: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/v2-0203
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: OBI
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... Slices for coding Content/Rules for all slices
....... coding:observationInstanceV2 SΣ 1..1 Coding Code defined by a terminology system
........ system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
........ code SΣ 1..1 code Symbol in syntax defined by the system
Fixed Value: OBI
..... system SΣ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 1..1 string The value that is unique
Example General: 123456
..... assigner SΣC 1..1 Reference(Organization) Organization that issued id (may be just text)
Constraints: ref-1
... basedOn SΣC 0..* Reference(ServiceRequest) Basiert auf
Constraints: ref-1
... status ?!SΣ 1..1 code Status
Binding: ObservationStatus (required): Codes providing the status of an observation.
... Slices for category S 2..* CodeableConcept Kategorie
Slice: Unordered, Open by pattern:$this
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
.... category:observation-category S 1..1 CodeableConcept Labor-Kategorie
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: laboratory
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
.... category:mibi-category S 1..1 CodeableConcept Mikrobiologie-Kategorie
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0074
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: MB
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
... code SΣ 1..1 CodeableConcept Code
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... text 0..1 string Plain text representation of the concept
.... Slices for coding SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this

Fixed Value: (Complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... userSelected 0..1 boolean If this coding was chosen directly by the user
..... coding:All Slices Content/Rules for all slices
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... version SΣ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
Fixed Value: 101433-1
...... display SΣ 0..1 string Representation defined by the system
..... coding:loinc SΣ 0..* Coding Code defined by a terminology system
Binding: Results Laboratory/Pathology Observation - IPS (extensible): Intensional Value Set Definition: LOINC { { STATUS in {ACTIVE} CLASSTYPE in {1} CLASS exclude {CHALSKIN, H&P.HX.LAB, H&P.HX, NR STATS, PATH.PROTOCOLS.*} } }

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... version 0..1 string Version of the system - if relevant
...... code 0..1 code Symbol in syntax defined by the system
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
... subject SΣC 1..1 Reference(Patient | Group | Device | Location) Subjekt
Constraints: ref-1
.... reference SΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... identifier SΣ 0..1 Identifier Logical reference, when literal reference is not known
... encounter SΣC 0..1 Reference(Encounter) Fall oder Kontakt
Constraints: ref-1
.... reference SΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... identifier SΣ 0..1 Identifier Logical reference, when literal reference is not known
... effective[x] SΣC 1..1 dateTime Untersuchungszeitpunkt
Constraints: mii-lab-1
.... Slices for extension Content/Rules for all slices
..... extension:QuelleKlinischesBezugsdatum S 0..1 Coding Quelle klinisches Bezugsdatum
URL: https://www.medizininformatik-initiative.de/fhir/core/modul-labor/StructureDefinition/QuelleKlinischesBezugsdatum
Binding: MII VS Labor Quelle klinisches Bezugsdatum (required)
... issued SΣ 0..1 instant Dokumentationsdatum
... Slices for value[x] SΣC 0..1 Quantity Messwert
Slice: Unordered, Closed by type:$this
.... value[x]:valueQuantity SΣC 0..1 Quantity Actual result
Constraints: nugent-score-0-to-10
..... Slices for extension Content/Rules for all slices
...... extension:pqTranslation D 0..* Quantity Same quantity with different units
URL: http://hl7.org/fhir/StructureDefinition/extension-quantity-translation
..... value SΣ 1..1 decimal Numerical value (with implicit precision)
...... Slices for extension Content/Rules for all slices
....... extension:quantityPrecision SD 0..1 integer Explicit precision (number of significant decimal places)
URL: http://hl7.org/fhir/StructureDefinition/quantity-precision
..... comparator ?!SΣ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
..... unit SΣ 1..1 string Unit representation
..... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
..... code SΣ 1..1 code Coded form of the unit
Required Pattern: 1
.... value[x]:valueCodeableConcept SΣC 0..1 CodeableConcept Actual result
Binding: MII VS Labor Laborergebnis Codiert (extensible)
..... coding SΣ 1..* Coding Code defined by a terminology system
...... system SΣ 1..1 uri Identity of the terminology system
...... version SΣ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
.... value[x]:valueRange SΣC 0..1 Range Actual result
.... value[x]:valueRatio SΣC 0..1 Ratio Actual result
... dataAbsentReason SC 0..1 CodeableConcept Grund für fehlende Daten
Binding: MII VS Mikrobio Data Absent Reason (extensible)
... interpretation S 0..* CodeableConcept Interpretation
Binding: MII VS Labor Interpretation (extensible): Eingeschränkte Auswahl aus HL7 v3 ObservationInterpretation. FHIR bindet dieses Element extensible an das vollständige ValueSet Observation Interpretation Codes; das Modul schränkt auf die im Laborkontext sinnvollen Konzepte ein. Lokale Kodierungen wie -- - N + ++ oder L N H lassen sich darauf abbilden. Da die Bindung extensible ist, dürfen darüber hinaus weitere Codes verwendet werden; praktisch relevant sind die abnormal-Codes HH, LL und AA, etwa für Werte jenseits der Telefongrenze.
... note S 0..* Annotation Hinweis
... method S 0..1 CodeableConcept Untersuchungsmethode
Binding: ObservationMethods (example): Methods for simple observations.
Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... text 0..1 string Plain text representation of the concept
.... coding SΣ 0..* 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
..... version 0..1 string Version of the system - if relevant
..... userSelected 0..1 boolean If this coding was chosen directly by the user
..... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
..... code SΣ 1..1 code Symbol in syntax defined by the system
Fixed Value: 702661004
..... display SΣ 0..1 string Representation defined by the system
... specimen SC 1..1 Reference(MII PR Mikrobio Probe) Probenmaterial
Constraints: ref-1
.... reference SΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... identifier SΣ 0..1 Identifier Logical reference, when literal reference is not known
... device SC 0..1 Reference(Device | DeviceMetric) Gerät
Constraints: ref-1
.... reference SΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... identifier SΣ 0..1 Identifier Logical reference, when literal reference is not known
... referenceRange SC 0..* BackboneElement Referenzbereich
Constraints: obs-3
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... low SC 0..1 SimpleQuantity Low Range, if relevant
Constraints: qty-3, sqty-1
.... high SC 0..1 SimpleQuantity High Range, if relevant
Constraints: qty-3, sqty-1

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.extension:triggeredBy-r5.​extension:type.value[x] Base required Cross-version ValueSet R5.TriggeredBytype for use in FHIR R4 📍0.1.0 Extensions for Using Data Elements from FHIR R5 in FHIR R4 v0.1
Observation.identifier:analyseBefundCode.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
Observation.identifier:analyseBefundCode.​type Base extensible MII VS Labor Identifier Type Codes 📦2027.0.0-ballot MII IG Laborbefund v2027.0
Observation.status Base required ObservationStatus 📍4.0.1 FHIR Std.
Observation.category Base preferred Observation Category Codes 📦4.0.1 FHIR Std.
Observation.category:observation-category Base preferred Observation Category Codes 📦4.0.1 FHIR Std.
Observation.category:mibi-category Base preferred Observation Category Codes 📦4.0.1 FHIR Std.
Observation.code Base example LOINC Codes 📦4.0.1 FHIR Std.
Observation.code.coding:loinc Base extensible Results Laboratory/Pathology Observation - IPS 📦2.0.1 This IG
Observation.value[x]:valueQuantity.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.value[x]:valueCodeableConcept Base extensible MII VS Labor Laborergebnis Codiert 📦2027.0.0-ballot MII IG Laborbefund v2027.0
Observation.dataAbsentReason Base extensible MII VS Mikrobio Data Absent Reason 📦2027.0.0-ballot2 This IG
Observation.interpretation Base extensible MII VS Labor Interpretation 📦2027.0.0-ballot MII IG Laborbefund v2027.0
Observation.method Base example Observation Methods 📦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()
mii-lab-1 error Observation.effective[x] Datetime must be at least to day ($this as dateTime).hasValue() implies ($this as dateTime).toString().length() >= 8
mii-lab-2 error Observation Falls kein Laborwert verfügbar ist, muss eine dataAbsentReason angegeben werden hasMember.exists() or value.exists() or dataAbsentReason.exists()
nugent-score-0-to-10 error Observation.value[x]:valueQuantity Nugent score SHALL be between 0 and 10. value >= 0 and value <= 10
obs-3 error Observation.referenceRange Must have at least a low or a high or text low.exists() or high.exists() or text.exists()
obs-6 error Observation dataAbsentReason SHALL only be present if Observation.value[x] is not present dataAbsentReason.empty() or value.empty()
obs-7 error Observation If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
qty-3 error Observation.referenceRange.low, Observation.referenceRange.high If a code for the unit is present, the system SHALL also be present code.empty() or system.exists()
ref-1 error Observation.identifier:analyseBefundCode.assigner, Observation.basedOn, Observation.subject, Observation.encounter, Observation.specimen, Observation.device SHALL have a contained resource if a local reference is provided reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))
sqty-1 error Observation.referenceRange.low, Observation.referenceRange.high The comparator is not used on a SimpleQuantity comparator.empty()

Differential View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation 0..* MII_PR_Labor_Laboruntersuchung Measurements and simple assertions
... Slices for extension Content/Rules for all slices
.... extension:triggeredBy-r5 S 0..* (Complex) R5: Triggering observation(s) (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy
..... Slices for extension Content/Rules for all slices
...... extension:observation 1..1 Extension Triggering observation.
...... extension:type 1..1 Extension Beschreibt die Art der Auslösung einer Untersuchung im diagnostischen Zusammenhang; insbesondere kennzeichnet der Wert „reflex“ eine durch das Ergebnis einer vorangegangenen Untersuchung ausgelöste Folgediagnostik.
... category 2..* CodeableConcept Kategorie
... Slices for category Content/Rules for all slices
.... category:mibi-category S 1..1 CodeableConcept Mikrobiologie-Kategorie
Required Pattern: At least the following
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0074
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: MB
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 101433-1
... value[x] 0..1 Quantity Messwert
... Slices for value[x] Content/Rules for all slices
.... value[x]:valueQuantity C 0..1 Quantity Actual result
Constraints: nugent-score-0-to-10
..... code 1..1 code Coded form of the unit
Required Pattern: 1
... dataAbsentReason 0..1 CodeableConcept Grund für fehlende Daten
Binding: MII VS Mikrobio Data Absent Reason (extensible)
... method 0..1 CodeableConcept Untersuchungsmethode
Required Pattern: At least the following
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... 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: 702661004
... specimen 1..1 Reference(MII PR Mikrobio Probe) Probenmaterial

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Observation.dataAbsentReason Base extensible MII VS Mikrobio Data Absent Reason 📦2027.0.0-ballot2 This IG

Constraints

Id Grade Path(s) Description Expression
nugent-score-0-to-10 error Observation.value[x]:valueQuantity Nugent score SHALL be between 0 and 10. value >= 0 and value <= 10

Snapshot ViewView

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* MII_PR_Labor_Laboruntersuchung Measurements and simple assertions
Constraints: obs-7, obs-6, mii-lab-2
... id SΣ 0..1 id Logical id of this artifact
... meta SΣ 0..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source SΣ 0..1 uri Identifies where the resource comes from
.... profile SΣ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... 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
... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... extension:triggeredBy-r5 S 0..* (Complex) R5: Triggering observation(s) (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 2..* Extension Extension
Slice: Unordered, Open by value:url
..... Slices for extension Content/Rules for all slices
...... extension:observation 1..1 Extension Triggering observation.
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0 Extension
Slice: Unordered, Open by value:url
....... url 1..1 uri "observation"
....... value[x] 1..1 Reference(Observation) Triggering observation
...... extension:type 1..1 Extension Beschreibt die Art der Auslösung einer Untersuchung im diagnostischen Zusammenhang; insbesondere kennzeichnet der Wert „reflex“ eine durch das Ergebnis einer vorangegangenen Untersuchung ausgelöste Folgediagnostik.
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0 Extension
Slice: Unordered, Open by value:url
....... url 1..1 uri "type"
....... value[x] 1..1 code reflex | repeat | re-run
Binding: R5ObservationTriggeredbytypeForR4 (0.1.0) (required): The type of TriggeredBy Observation.
...... extension:reason 0..1 Extension R5: Reason that the observation was triggered (new)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0 Extension
Slice: Unordered, Open by value:url
....... url 1..1 uri "reason"
....... value[x] 0..1 string Reason that the observation was triggered
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy"
... Slices for modifierExtension ?!S 0..* Extension Extensions that cannot be ignored
Slice: Unordered, Open by value:url
.... modifierExtension:interpretationsbeeinflussendeEigenschaft ?!S 0..* Coding Interpretationsbeeinflussende interpretationsbeeinflussendeEigenschaft
URL: https://www.medizininformatik-initiative.de/fhir/core/modul-labor/StructureDefinition/InterpretationsbeeinflussendeEigenschaft
Binding: MII VS Labor Interpretationsbeeinflussende Eigenschaften SNOMEDCT (extensible)
... Slices for identifier SΣ 1..* Identifier Identifikator
Slice: Unordered, Open by pattern:type
.... identifier:analyseBefundCode SΣ 1..1 Identifier Analyse-Befund-Code
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... type SΣ 1..1 CodeableConcept Description of identifier
Binding: MII VS Labor Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... Slices for coding SΣ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value: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/v2-0203
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: OBI
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... Slices for coding Content/Rules for all slices
....... coding:observationInstanceV2 SΣ 1..1 Coding Code defined by a terminology system
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
........ version Σ 0..1 string Version of the system - if relevant
........ code SΣ 1..1 code Symbol in syntax defined by the system
Fixed Value: OBI
........ 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
..... system SΣ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 1..1 string The value that is unique
Example General: 123456
..... period ΣC 0..1 Period Time period when id is/was valid for use
Constraints: per-1
..... assigner SΣC 1..1 Reference(Organization) Organization that issued id (may be just text)
Constraints: ref-1
... basedOn SΣC 0..* Reference(ServiceRequest) Basiert auf
Constraints: ref-1
... partOf ΣC 0..* Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) Part of referenced event
Constraints: ref-1
... status ?!SΣ 1..1 code Status
Binding: ObservationStatus (required): Codes providing the status of an observation.
... Slices for category S 2..* CodeableConcept Kategorie
Slice: Unordered, Open by pattern:$this
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
.... category:observation-category S 1..1 CodeableConcept Labor-Kategorie
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: laboratory
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
.... category:mibi-category S 1..1 CodeableConcept Mikrobiologie-Kategorie
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0074
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: MB
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
... code SΣ 1..1 CodeableConcept Code
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this

Fixed Value: (Complex)
..... coding:All Slices Content/Rules for all slices
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... version SΣ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
Fixed Value: 101433-1
...... display SΣ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:loinc SΣ 0..* Coding Code defined by a terminology system
Binding: Results Laboratory/Pathology Observation - IPS (extensible): Intensional Value Set Definition: LOINC { { STATUS in {ACTIVE} CLASSTYPE in {1} CLASS exclude {CHALSKIN, H&P.HX.LAB, H&P.HX, NR STATS, PATH.PROTOCOLS.*} } }

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... version 0..1 string Version of the system - if relevant
...... code 0..1 code Symbol in syntax defined by the system
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... subject SΣC 1..1 Reference(Patient | Group | Device | Location) Subjekt
Constraints: ref-1
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier SΣ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... focus ΣC 0..* Reference(Resource) What the observation is about, when it is not about the subject of record
Constraints: ref-1
... encounter SΣC 0..1 Reference(Encounter) Fall oder Kontakt
Constraints: ref-1
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier SΣ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... effective[x] SΣC 1..1 dateTime Untersuchungszeitpunkt
Constraints: mii-lab-1
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... extension:QuelleKlinischesBezugsdatum S 0..1 Coding Quelle klinisches Bezugsdatum
URL: https://www.medizininformatik-initiative.de/fhir/core/modul-labor/StructureDefinition/QuelleKlinischesBezugsdatum
Binding: MII VS Labor Quelle klinisches Bezugsdatum (required)
.... value 0..1 dateTime Primitive value for dateTime
... issued SΣ 0..1 instant Dokumentationsdatum
... performer ΣC 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) Who is responsible for the observation
Constraints: ref-1
... Slices for value[x] SΣC 0..1 Quantity Messwert
Slice: Unordered, Closed by type:$this
.... value[x]:valueQuantity SΣC 0..1 Quantity Actual result
Constraints: nugent-score-0-to-10
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... Slices for extension Content/Rules for all slices
...... extension:pqTranslation D 0..* Quantity Same quantity with different units
URL: http://hl7.org/fhir/StructureDefinition/extension-quantity-translation
..... value SΣ 1..1 decimal Numerical value (with implicit precision)
...... id 0..1 string Unique id for inter-element referencing
...... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... Slices for extension Content/Rules for all slices
....... extension:quantityPrecision SD 0..1 integer Explicit precision (number of significant decimal places)
URL: http://hl7.org/fhir/StructureDefinition/quantity-precision
...... value 0..1 decimal Primitive value for decimal
..... comparator ?!SΣ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
..... unit SΣ 1..1 string Unit representation
..... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
..... code SΣ 1..1 code Coded form of the unit
Required Pattern: 1
.... value[x]:valueCodeableConcept SΣC 0..1 CodeableConcept Actual result
Binding: MII VS Labor Laborergebnis Codiert (extensible)
..... 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..* Coding Code defined by a terminology system
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
...... version SΣ 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
.... value[x]:valueRange SΣC 0..1 Range Actual result
.... value[x]:valueRatio SΣC 0..1 Ratio Actual result
... dataAbsentReason SC 0..1 CodeableConcept Grund für fehlende Daten
Binding: MII VS Mikrobio Data Absent Reason (extensible)
... interpretation S 0..* CodeableConcept Interpretation
Binding: MII VS Labor Interpretation (extensible): Eingeschränkte Auswahl aus HL7 v3 ObservationInterpretation. FHIR bindet dieses Element extensible an das vollständige ValueSet Observation Interpretation Codes; das Modul schränkt auf die im Laborkontext sinnvollen Konzepte ein. Lokale Kodierungen wie -- - N + ++ oder L N H lassen sich darauf abbilden. Da die Bindung extensible ist, dürfen darüber hinaus weitere Codes verwendet werden; praktisch relevant sind die abnormal-Codes HH, LL und AA, etwa für Werte jenseits der Telefongrenze.
... note S 0..* Annotation Hinweis
... method S 0..1 CodeableConcept Untersuchungsmethode
Binding: ObservationMethods (example): Methods for simple observations.
Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding SΣ 0..* 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
Slice: Unordered, Open by value:url
..... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
..... version Σ 0..1 string Version of the system - if relevant
..... code SΣ 1..1 code Symbol in syntax defined by the system
Fixed Value: 702661004
..... display SΣ 0..1 string Representation defined by the system
..... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... specimen SC 1..1 Reference(MII PR Mikrobio Probe) Probenmaterial
Constraints: ref-1
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier SΣ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... device SC 0..1 Reference(Device | DeviceMetric) Gerät
Constraints: ref-1
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier SΣ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... referenceRange SC 0..* BackboneElement Referenzbereich
Constraints: obs-3
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... low SC 0..1 SimpleQuantity Low Range, if relevant
Constraints: qty-3, sqty-1
.... high SC 0..1 SimpleQuantity High Range, if relevant
Constraints: qty-3, sqty-1
.... type 0..1 CodeableConcept Reference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
.... appliesTo 0..* CodeableConcept Reference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
.... age C 0..1 Range Applicable age range, if relevant
Constraints: rng-2
.... text 0..1 string Text based reference range in an observation
... hasMember ΣC 0..* Reference(Observation | QuestionnaireResponse | MolecularSequence) Related resource that belongs to the Observation group
Constraints: ref-1
... derivedFrom ΣC 0..* Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) Related measurements the observation is made from
Constraints: ref-1
... component Σ 0..* BackboneElement Component results
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
.... value[x] Σ 0..1 Actual component result
..... valueQuantity Quantity
..... valueCodeableConcept CodeableConcept
..... valueString string
..... valueBoolean boolean
..... valueInteger integer
..... valueRange Range
..... valueRatio Ratio
..... valueSampledData SampledData
..... valueTime time
..... valueDateTime dateTime
..... valuePeriod Period
.... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
.... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
.... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.meta.security Base extensible SecurityLabels 📦4.0.1 FHIR Std.
Observation.meta.tag Base example Common Tags 📦4.0.1 FHIR Std.
Observation.language Base preferred Common Languages 📦4.0.1 FHIR Std.
Observation.extension:triggeredBy-r5.​extension:type.value[x] Base required Cross-version ValueSet R5.TriggeredBytype for use in FHIR R4 📍0.1.0 Extensions for Using Data Elements from FHIR R5 in FHIR R4 v0.1
Observation.identifier:analyseBefundCode.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
Observation.identifier:analyseBefundCode.​type Base extensible MII VS Labor Identifier Type Codes 📦2027.0.0-ballot MII IG Laborbefund v2027.0
Observation.status Base required ObservationStatus 📍4.0.1 FHIR Std.
Observation.category Base preferred Observation Category Codes 📦4.0.1 FHIR Std.
Observation.category:observation-category Base preferred Observation Category Codes 📦4.0.1 FHIR Std.
Observation.category:mibi-category Base preferred Observation Category Codes 📦4.0.1 FHIR Std.
Observation.code Base example LOINC Codes 📦4.0.1 FHIR Std.
Observation.code.coding:loinc Base extensible Results Laboratory/Pathology Observation - IPS 📦2.0.1 This IG
Observation.subject.​type Base extensible ResourceType 📦4.0.1 FHIR Std.
Observation.encounter.​type Base extensible ResourceType 📦4.0.1 FHIR Std.
Observation.value[x]:valueQuantity.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.value[x]:valueCodeableConcept Base extensible MII VS Labor Laborergebnis Codiert 📦2027.0.0-ballot MII IG Laborbefund v2027.0
Observation.dataAbsentReason Base extensible MII VS Mikrobio Data Absent Reason 📦2027.0.0-ballot2 This IG
Observation.interpretation Base extensible MII VS Labor Interpretation 📦2027.0.0-ballot MII IG Laborbefund v2027.0
Observation.method Base example Observation Methods 📦4.0.1 FHIR Std.
Observation.specimen.​type Base extensible ResourceType 📦4.0.1 FHIR Std.
Observation.device.type Base extensible ResourceType 📦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.

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()
mii-lab-1 error Observation.effective[x] Datetime must be at least to day ($this as dateTime).hasValue() implies ($this as dateTime).toString().length() >= 8
mii-lab-2 error Observation Falls kein Laborwert verfügbar ist, muss eine dataAbsentReason angegeben werden hasMember.exists() or value.exists() or dataAbsentReason.exists()
nugent-score-0-to-10 error Observation.value[x]:valueQuantity Nugent score SHALL be between 0 and 10. value >= 0 and value <= 10
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()
per-1 error Observation.identifier:analyseBefundCode.period If present, start SHALL have a lower value than end start.hasValue().not() or end.hasValue().not() or (start <= end)
qty-3 error Observation.referenceRange.low, Observation.referenceRange.high If a code for the unit is present, the system SHALL also be present code.empty() or system.exists()
ref-1 error Observation.identifier:analyseBefundCode.assigner, Observation.basedOn, Observation.partOf, Observation.subject, Observation.focus, Observation.encounter, Observation.performer, Observation.specimen, Observation.device, Observation.hasMember, Observation.derivedFrom SHALL have a contained resource if a local reference is provided reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))
rng-2 error Observation.referenceRange.age If present, low SHALL have a lower value than high low.empty() or high.empty() or (low <= high)
sqty-1 error Observation.referenceRange.low, Observation.referenceRange.high The comparator is not used on a SimpleQuantity comparator.empty()

Summary

Mandatory: 2 elements
Must-Support: 2 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

 

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