The abstract Score Blueprint profile defines the structure of ObservationDefinitions that serve as templates for PRO scores. It describes which scores an instrument produces, including value ranges, units and reference intervals. Concrete score definitions (the PHQ-9 total score, the EQ-5D-5L index and so on) must extend this abstract profile.

Core elements:

• A code for unambiguous score identification (typically LOINC)
• quantitativeDetails with units and value ranges
• qualifiedInterval for reference ranges (clinical cut-offs, for instance)
• Population-specific norms
• The health-correlation extension giving the direction of score interpretation

Example — a concrete score definition extending this abstract profile: BDI-II score definition.

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ObservationDefinition		0..*	ObservationDefinition	Definition of an observation
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
code	SΣ	1..1	CodeableConcept	Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
Slices for coding	SΣ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:snomed	Σ	0..1	Coding	Code defined by a terminology system
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
coding:loinc	Σ	0..1	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code	SΣ	1..1	code	Symbol in syntax defined by the system
coding:mii	Σ	0..1	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-score-catalogue
code	SΣ	1..1	code	Symbol in syntax defined by the system
permittedDataType	S	0..*	code	Quantity | CodeableConcept | string | boolean | integer | Range | Ratio | SampledData | time | dateTime | Period Binding: ObservationDataType (required): Permitted data type for observation value. Example General: CodeableConcept
preferredReportName	S	0..1	string	Preferred report name
quantitativeDetails		0..1	BackboneElement	Characteristics of quantitative results
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
customaryUnit	S	0..1	CodeableConcept	Customary unit for quantitative results Binding: UCUMCodes (extensible): Codes identifying units of measure.
unit	S	0..1	CodeableConcept	SI unit for quantitative results Binding: UCUMCodes (extensible): Codes identifying units of measure.
decimalPrecision	S	0..1	integer	Decimal precision of observation quantitative results
qualifiedInterval	S	0..*	BackboneElement	Qualified range for continuous and ordinal observation results
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
category	S	0..1	code	reference | critical | absolute Binding: ObservationRangeCategory (required): Codes identifying the category of observation range. Example General: critical
range		0..1	Range	The interval itself, for continuous or ordinal observations
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:ScoreHealthCorrelation	S	0..1	(Complex)	MII Ex PRO Score Score Health Correlation URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-ex-pro-score-score-health-correlation
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-ex-pro-score-score-health-correlation"
value[x]	S	1..1	CodeableConcept	Value of extension
coding	Σ	0..*	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-improvement-notation
code	SΣ	1..1	code	Symbol in syntax defined by the system
text	SΣ	0..1	string	Plain text representation of the concept
low	SΣ	0..1	SimpleQuantity(4.0.1)	Low limit
high	SΣ	0..1	SimpleQuantity(4.0.1)	High limit
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
ObservationDefinition.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
ObservationDefinition.​permittedDataType	Base	required	ObservationDataType	📍4.0.1	FHIR Std.
ObservationDefinition.​quantitativeDetails.​customaryUnit	Base	extensible	UCUM Codes	📍4.0.1	FHIR Std.
ObservationDefinition.​quantitativeDetails.​unit	Base	extensible	UCUM Codes	📍4.0.1	FHIR Std.
ObservationDefinition.​qualifiedInterval.category	Base	required	ObservationRangeCategory	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	ObservationDefinition	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	ObservationDefinition	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	ObservationDefinition	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	ObservationDefinition	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	ObservationDefinition	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()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ObservationDefinition		0..*	ObservationDefinition	Definition of an observation
code	S	1..1	CodeableConcept	Type of observation (code / type)
Slices for coding	S	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:snomed		0..1	Coding	Code defined by a terminology system
system	S	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code	S	1..1	code	Symbol in syntax defined by the system
coding:loinc		0..1	Coding	Code defined by a terminology system
system	S	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code	S	1..1	code	Symbol in syntax defined by the system
coding:mii		0..1	Coding	Code defined by a terminology system
system	S	1..1	uri	Identity of the terminology system Fixed Value: https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-score-catalogue
code	S	1..1	code	Symbol in syntax defined by the system
permittedDataType	S	0..*	code	Quantity | CodeableConcept | string | boolean | integer | Range | Ratio | SampledData | time | dateTime | Period
preferredReportName	S	0..1	string	Preferred report name
quantitativeDetails
customaryUnit	S	0..1	CodeableConcept	Customary unit for quantitative results
unit	S	0..1	CodeableConcept	SI unit for quantitative results
decimalPrecision	S	0..1	integer	Decimal precision of observation quantitative results
qualifiedInterval	S	0..*	BackboneElement	Qualified range for continuous and ordinal observation results
category	S	0..1	code	reference | critical | absolute
range
extension	S	0..*	Extension	Extension
Slices for extension				Content/Rules for all slices
extension:ScoreHealthCorrelation	S	0..1	(Complex)	MII Ex PRO Score Score Health Correlation URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-ex-pro-score-score-health-correlation
value[x]	S	1..1	CodeableConcept	Value of extension
low	S	0..1	SimpleQuantity(4.0.1)	Low limit
high	S	0..1	SimpleQuantity(4.0.1)	High limit
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ObservationDefinition		0..*	ObservationDefinition	Definition of an observation
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
category	Σ	0..*	CodeableConcept	Category of observation Binding: ObservationCategoryCodes (example): Codes for high level observation categories.
code	SΣ	1..1	CodeableConcept	Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	SΣ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:snomed	Σ	0..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	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
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:loinc	Σ	0..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:mii	Σ	0..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-score-catalogue
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
identifier	Σ	0..*	Identifier	Business identifier for this ObservationDefinition instance
permittedDataType	S	0..*	code	Quantity | CodeableConcept | string | boolean | integer | Range | Ratio | SampledData | time | dateTime | Period Binding: ObservationDataType (required): Permitted data type for observation value. Example General: CodeableConcept
multipleResultsAllowed		0..1	boolean	Multiple results allowed Example General: true
method		0..1	CodeableConcept	Method used to produce the observation Binding: ObservationMethods (example): Methods for simple observations.
preferredReportName	S	0..1	string	Preferred report name
quantitativeDetails		0..1	BackboneElement	Characteristics of quantitative results
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
customaryUnit	S	0..1	CodeableConcept	Customary unit for quantitative results Binding: UCUMCodes (extensible): Codes identifying units of measure.
unit	S	0..1	CodeableConcept	SI unit for quantitative results Binding: UCUMCodes (extensible): Codes identifying units of measure.
conversionFactor		0..1	decimal	SI to Customary unit conversion factor
decimalPrecision	S	0..1	integer	Decimal precision of observation quantitative results
qualifiedInterval	S	0..*	BackboneElement	Qualified range for continuous and ordinal observation results
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
category	S	0..1	code	reference | critical | absolute Binding: ObservationRangeCategory (required): Codes identifying the category of observation range. Example General: critical
range		0..1	Range	The interval itself, for continuous or ordinal observations
id		0..1	string	Unique id for inter-element referencing
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:ScoreHealthCorrelation	S	0..1	(Complex)	MII Ex PRO Score Score Health Correlation URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-ex-pro-score-score-health-correlation
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-ex-pro-score-score-health-correlation"
value[x]	S	1..1	CodeableConcept	Value of extension
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-improvement-notation
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	SΣ	0..1	string	Plain text representation of the concept
low	SΣ	0..1	SimpleQuantity(4.0.1)	Low limit
high	SΣ	0..1	SimpleQuantity(4.0.1)	High limit
context		0..1	CodeableConcept	Range context qualifier Binding: ObservationReferenceRangeMeaningCodes (extensible): Code identifying the health context of a range.
appliesTo		0..*	CodeableConcept	Targetted population of the range Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
gender		0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes. Example General: female
age		0..1	Range	Applicable age range, if relevant
gestationalAge		0..1	Range	Applicable gestational age range, if relevant
condition		0..1	string	Condition associated with the reference range
validCodedValueSet		0..1	Reference(ValueSet)	Value set of valid coded values for the observations conforming to this ObservationDefinition
normalCodedValueSet		0..1	Reference(ValueSet)	Value set of normal coded values for the observations conforming to this ObservationDefinition
abnormalCodedValueSet		0..1	Reference(ValueSet)	Value set of abnormal coded values for the observations conforming to this ObservationDefinition
criticalCodedValueSet		0..1	Reference(ValueSet)	Value set of critical coded values for the observations conforming to this ObservationDefinition
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
ObservationDefinition.​language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
ObservationDefinition.​category	Base	example	Observation Category Codes	📍4.0.1	FHIR Std.
ObservationDefinition.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
ObservationDefinition.​permittedDataType	Base	required	ObservationDataType	📍4.0.1	FHIR Std.
ObservationDefinition.​method	Base	example	Observation Methods	📍4.0.1	FHIR Std.
ObservationDefinition.​quantitativeDetails.​customaryUnit	Base	extensible	UCUM Codes	📍4.0.1	FHIR Std.
ObservationDefinition.​quantitativeDetails.​unit	Base	extensible	UCUM Codes	📍4.0.1	FHIR Std.
ObservationDefinition.​qualifiedInterval.category	Base	required	ObservationRangeCategory	📍4.0.1	FHIR Std.
ObservationDefinition.​qualifiedInterval.context	Base	extensible	Observation Reference Range Meaning Codes	📍4.0.1	FHIR Std.
ObservationDefinition.​qualifiedInterval.appliesTo	Base	example	Observation Reference Range Applies To Codes	📍4.0.1	FHIR Std.
ObservationDefinition.​qualifiedInterval.gender	Base	required	AdministrativeGender	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	ObservationDefinition	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	ObservationDefinition	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	ObservationDefinition	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	ObservationDefinition	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	ObservationDefinition	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()

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ObservationDefinition		0..*	ObservationDefinition	Definition of an observation
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
code	SΣ	1..1	CodeableConcept	Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
Slices for coding	SΣ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:snomed	Σ	0..1	Coding	Code defined by a terminology system
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
coding:loinc	Σ	0..1	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code	SΣ	1..1	code	Symbol in syntax defined by the system
coding:mii	Σ	0..1	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-score-catalogue
code	SΣ	1..1	code	Symbol in syntax defined by the system
permittedDataType	S	0..*	code	Quantity | CodeableConcept | string | boolean | integer | Range | Ratio | SampledData | time | dateTime | Period Binding: ObservationDataType (required): Permitted data type for observation value. Example General: CodeableConcept
preferredReportName	S	0..1	string	Preferred report name
quantitativeDetails		0..1	BackboneElement	Characteristics of quantitative results
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
customaryUnit	S	0..1	CodeableConcept	Customary unit for quantitative results Binding: UCUMCodes (extensible): Codes identifying units of measure.
unit	S	0..1	CodeableConcept	SI unit for quantitative results Binding: UCUMCodes (extensible): Codes identifying units of measure.
decimalPrecision	S	0..1	integer	Decimal precision of observation quantitative results
qualifiedInterval	S	0..*	BackboneElement	Qualified range for continuous and ordinal observation results
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
category	S	0..1	code	reference | critical | absolute Binding: ObservationRangeCategory (required): Codes identifying the category of observation range. Example General: critical
range		0..1	Range	The interval itself, for continuous or ordinal observations
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:ScoreHealthCorrelation	S	0..1	(Complex)	MII Ex PRO Score Score Health Correlation URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-ex-pro-score-score-health-correlation
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-ex-pro-score-score-health-correlation"
value[x]	S	1..1	CodeableConcept	Value of extension
coding	Σ	0..*	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-improvement-notation
code	SΣ	1..1	code	Symbol in syntax defined by the system
text	SΣ	0..1	string	Plain text representation of the concept
low	SΣ	0..1	SimpleQuantity(4.0.1)	Low limit
high	SΣ	0..1	SimpleQuantity(4.0.1)	High limit
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
ObservationDefinition.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
ObservationDefinition.​permittedDataType	Base	required	ObservationDataType	📍4.0.1	FHIR Std.
ObservationDefinition.​quantitativeDetails.​customaryUnit	Base	extensible	UCUM Codes	📍4.0.1	FHIR Std.
ObservationDefinition.​quantitativeDetails.​unit	Base	extensible	UCUM Codes	📍4.0.1	FHIR Std.
ObservationDefinition.​qualifiedInterval.category	Base	required	ObservationRangeCategory	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	ObservationDefinition	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	ObservationDefinition	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	ObservationDefinition	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	ObservationDefinition	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	ObservationDefinition	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()

Differential View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ObservationDefinition		0..*	ObservationDefinition	Definition of an observation
code	S	1..1	CodeableConcept	Type of observation (code / type)
Slices for coding	S	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:snomed		0..1	Coding	Code defined by a terminology system
system	S	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code	S	1..1	code	Symbol in syntax defined by the system
coding:loinc		0..1	Coding	Code defined by a terminology system
system	S	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code	S	1..1	code	Symbol in syntax defined by the system
coding:mii		0..1	Coding	Code defined by a terminology system
system	S	1..1	uri	Identity of the terminology system Fixed Value: https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-score-catalogue
code	S	1..1	code	Symbol in syntax defined by the system
permittedDataType	S	0..*	code	Quantity | CodeableConcept | string | boolean | integer | Range | Ratio | SampledData | time | dateTime | Period
preferredReportName	S	0..1	string	Preferred report name
quantitativeDetails
customaryUnit	S	0..1	CodeableConcept	Customary unit for quantitative results
unit	S	0..1	CodeableConcept	SI unit for quantitative results
decimalPrecision	S	0..1	integer	Decimal precision of observation quantitative results
qualifiedInterval	S	0..*	BackboneElement	Qualified range for continuous and ordinal observation results
category	S	0..1	code	reference | critical | absolute
range
extension	S	0..*	Extension	Extension
Slices for extension				Content/Rules for all slices
extension:ScoreHealthCorrelation	S	0..1	(Complex)	MII Ex PRO Score Score Health Correlation URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-ex-pro-score-score-health-correlation
value[x]	S	1..1	CodeableConcept	Value of extension
low	S	0..1	SimpleQuantity(4.0.1)	Low limit
high	S	0..1	SimpleQuantity(4.0.1)	High limit
Documentation for this format

Snapshot ViewView

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
ObservationDefinition		0..*	ObservationDefinition	Definition of an observation
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
category	Σ	0..*	CodeableConcept	Category of observation Binding: ObservationCategoryCodes (example): Codes for high level observation categories.
code	SΣ	1..1	CodeableConcept	Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	SΣ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:snomed	Σ	0..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	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
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:loinc	Σ	0..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:mii	Σ	0..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-score-catalogue
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
identifier	Σ	0..*	Identifier	Business identifier for this ObservationDefinition instance
permittedDataType	S	0..*	code	Quantity | CodeableConcept | string | boolean | integer | Range | Ratio | SampledData | time | dateTime | Period Binding: ObservationDataType (required): Permitted data type for observation value. Example General: CodeableConcept
multipleResultsAllowed		0..1	boolean	Multiple results allowed Example General: true
method		0..1	CodeableConcept	Method used to produce the observation Binding: ObservationMethods (example): Methods for simple observations.
preferredReportName	S	0..1	string	Preferred report name
quantitativeDetails		0..1	BackboneElement	Characteristics of quantitative results
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
customaryUnit	S	0..1	CodeableConcept	Customary unit for quantitative results Binding: UCUMCodes (extensible): Codes identifying units of measure.
unit	S	0..1	CodeableConcept	SI unit for quantitative results Binding: UCUMCodes (extensible): Codes identifying units of measure.
conversionFactor		0..1	decimal	SI to Customary unit conversion factor
decimalPrecision	S	0..1	integer	Decimal precision of observation quantitative results
qualifiedInterval	S	0..*	BackboneElement	Qualified range for continuous and ordinal observation results
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
category	S	0..1	code	reference | critical | absolute Binding: ObservationRangeCategory (required): Codes identifying the category of observation range. Example General: critical
range		0..1	Range	The interval itself, for continuous or ordinal observations
id		0..1	string	Unique id for inter-element referencing
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:ScoreHealthCorrelation	S	0..1	(Complex)	MII Ex PRO Score Score Health Correlation URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-ex-pro-score-score-health-correlation
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-ex-pro-score-score-health-correlation"
value[x]	S	1..1	CodeableConcept	Value of extension
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-improvement-notation
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	SΣ	0..1	string	Plain text representation of the concept
low	SΣ	0..1	SimpleQuantity(4.0.1)	Low limit
high	SΣ	0..1	SimpleQuantity(4.0.1)	High limit
context		0..1	CodeableConcept	Range context qualifier Binding: ObservationReferenceRangeMeaningCodes (extensible): Code identifying the health context of a range.
appliesTo		0..*	CodeableConcept	Targetted population of the range Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
gender		0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes. Example General: female
age		0..1	Range	Applicable age range, if relevant
gestationalAge		0..1	Range	Applicable gestational age range, if relevant
condition		0..1	string	Condition associated with the reference range
validCodedValueSet		0..1	Reference(ValueSet)	Value set of valid coded values for the observations conforming to this ObservationDefinition
normalCodedValueSet		0..1	Reference(ValueSet)	Value set of normal coded values for the observations conforming to this ObservationDefinition
abnormalCodedValueSet		0..1	Reference(ValueSet)	Value set of abnormal coded values for the observations conforming to this ObservationDefinition
criticalCodedValueSet		0..1	Reference(ValueSet)	Value set of critical coded values for the observations conforming to this ObservationDefinition
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
ObservationDefinition.​language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
ObservationDefinition.​category	Base	example	Observation Category Codes	📍4.0.1	FHIR Std.
ObservationDefinition.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
ObservationDefinition.​permittedDataType	Base	required	ObservationDataType	📍4.0.1	FHIR Std.
ObservationDefinition.​method	Base	example	Observation Methods	📍4.0.1	FHIR Std.
ObservationDefinition.​quantitativeDetails.​customaryUnit	Base	extensible	UCUM Codes	📍4.0.1	FHIR Std.
ObservationDefinition.​quantitativeDetails.​unit	Base	extensible	UCUM Codes	📍4.0.1	FHIR Std.
ObservationDefinition.​qualifiedInterval.category	Base	required	ObservationRangeCategory	📍4.0.1	FHIR Std.
ObservationDefinition.​qualifiedInterval.context	Base	extensible	Observation Reference Range Meaning Codes	📍4.0.1	FHIR Std.
ObservationDefinition.​qualifiedInterval.appliesTo	Base	example	Observation Reference Range Applies To Codes	📍4.0.1	FHIR Std.
ObservationDefinition.​qualifiedInterval.gender	Base	required	AdministrativeGender	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	ObservationDefinition	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	ObservationDefinition	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	ObservationDefinition	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	ObservationDefinition	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	ObservationDefinition	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()

Summary

Mandatory: 1 element(6 nested mandatory elements)
Must-Support: 20 elements
Fixed: 3 elements

Extensions

This structure refers to these extensions:

• https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-ex-pro-score-score-health-correlation

Slices

This structure defines the following Slices:

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