{
  "description": null,
  "_filename": "StructureDefinition-sd-mii-icu-monitoring-und-vitaldaten.json",
  "package_name": "de.gematik.isik-vitalparameter",
  "date": "2025-02-24",
  "derivation": "constraint",
  "publisher": "gematik GmbH",
  "fhirVersion": "4.0.1",
  "name": "SD_MII_ICU_Monitoring_Und_Vitaldaten",
  "abstract": false,
  "type": "Observation",
  "experimental": "false",
  "resourceType": "StructureDefinition",
  "title": "SD MII ICU Monitoring und Vitaldaten",
  "package_version": "4.0.1",
  "status": "active",
  "id": "00ba5084-713b-46a2-ba46-736c49b330f6",
  "kind": "resource",
  "url": "https://gematik.de/fhir/isik/StructureDefinition/sd-mii-icu-monitoring-und-vitaldaten",
  "version": "4.0.1",
  "differential": {
    "element": [ {
      "id": "Observation",
      "path": "Observation",
      "constraint": [ {
        "key": "vs-de-2",
        "human": "If there is no component or hasMember element then either a value[x] or a data absent reason must be present",
        "source": "https://gematik.de/fhir/isik/StructureDefinition/sd-mii-icu-monitoring-und-vitaldaten",
        "severity": "error",
        "expression": "(component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists())"
      } ]
    }, {
      "id": "Observation.identifier",
      "path": "Observation.identifier",
      "mustSupport": true
    }, {
      "id": "Observation.basedOn",
      "path": "Observation.basedOn",
      "short": "maximal Kardinalität bei Übernahme aus MII-Kerndatensatz-ICU entfernt",
      "mustSupport": true
    }, {
      "id": "Observation.partOf",
      "path": "Observation.partOf",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Procedure" ]
      } ]
    }, {
      "id": "Observation.status",
      "path": "Observation.status",
      "comment": "Motivation MS: Observation.status ist bereits durch die Kardinalität der Basisklasse Observation erzwungen. Dieses Feld dient der Präzisierung des Status der Untersuchung",
      "mustSupport": true
    }, {
      "id": "Observation.category",
      "min": 1,
      "path": "Observation.category",
      "slicing": {
        "rules": "open",
        "ordered": false,
        "discriminator": [ {
          "path": "$this",
          "type": "pattern"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "Observation.category:vs-cat",
      "max": "1",
      "min": 1,
      "path": "Observation.category",
      "sliceName": "vs-cat",
      "mustSupport": true,
      "patternCodeableConcept": {
        "coding": [ {
          "code": "vital-signs",
          "system": "http://terminology.hl7.org/CodeSystem/observation-category"
        } ]
      }
    }, {
      "id": "Observation.category:vs-cat.coding",
      "path": "Observation.category.coding",
      "mustSupport": true
    }, {
      "id": "Observation.category:vs-cat.coding.system",
      "min": 1,
      "path": "Observation.category.coding.system",
      "mustSupport": true
    }, {
      "id": "Observation.category:vs-cat.coding.code",
      "min": 1,
      "path": "Observation.category.coding.code",
      "mustSupport": true
    }, {
      "id": "Observation.category:loinc-fhir-core",
      "max": "1",
      "min": 0,
      "path": "Observation.category",
      "sliceName": "loinc-fhir-core",
      "mustSupport": true,
      "patternCodeableConcept": {
        "coding": [ {
          "code": "85353-1",
          "system": "http://loinc.org"
        } ]
      }
    }, {
      "id": "Observation.category:loinc-fhir-core.coding",
      "path": "Observation.category.coding",
      "mustSupport": true
    }, {
      "id": "Observation.category:loinc-fhir-core.coding.system",
      "min": 1,
      "path": "Observation.category.coding.system",
      "mustSupport": true
    }, {
      "id": "Observation.category:loinc-fhir-core.coding.code",
      "min": 1,
      "path": "Observation.category.coding.code",
      "mustSupport": true
    }, {
      "id": "Observation.code",
      "path": "Observation.code",
      "constraint": [ {
        "key": "code-coding-icu",
        "human": "Es muss mindestens ein snomed oder loinc code vorhanden sein",
        "source": "https://gematik.de/fhir/isik/StructureDefinition/sd-mii-icu-monitoring-und-vitaldaten",
        "severity": "error",
        "expression": "coding.exists() implies coding.where(system = 'http://snomed.info/sct').exists() or coding.where(system = 'http://loinc.org').exists()"
      } ],
      "mustSupport": true
    }, {
      "id": "Observation.code.coding",
      "min": 1,
      "path": "Observation.code.coding",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "$this",
          "type": "pattern"
        } ]
      }
    }, {
      "id": "Observation.code.coding:sct",
      "max": "*",
      "min": 0,
      "path": "Observation.code.coding",
      "binding": {
        "strength": "required",
        "valueSet": "https://gematik.de/fhir/isik/ValueSet/vs-mii-icu-code-monitoring-und-vitaldaten-snomed"
      },
      "sliceName": "sct",
      "mustSupport": true
    }, {
      "id": "Observation.code.coding:sct.system",
      "min": 1,
      "path": "Observation.code.coding.system",
      "mustSupport": true
    }, {
      "id": "Observation.code.coding:sct.code",
      "min": 1,
      "path": "Observation.code.coding.code",
      "mustSupport": true
    }, {
      "id": "Observation.code.coding:loinc",
      "max": "*",
      "min": 0,
      "path": "Observation.code.coding",
      "binding": {
        "strength": "required",
        "valueSet": "https://gematik.de/fhir/isik/ValueSet/vs-mii-icu-code-monitoring-und-vitaldaten-loinc"
      },
      "sliceName": "loinc",
      "mustSupport": true
    }, {
      "id": "Observation.code.coding:loinc.system",
      "min": 1,
      "path": "Observation.code.coding.system",
      "mustSupport": true
    }, {
      "id": "Observation.code.coding:loinc.code",
      "min": 1,
      "path": "Observation.code.coding.code",
      "mustSupport": true
    }, {
      "id": "Observation.code.coding:IEEE-11073",
      "max": "*",
      "min": 0,
      "path": "Observation.code.coding",
      "binding": {
        "strength": "required",
        "valueSet": "https://gematik.de/fhir/isik/ValueSet/vs-mii-icu-code-monitoring-und-vitaldaten-iso11073"
      },
      "sliceName": "IEEE-11073",
      "mustSupport": true
    }, {
      "id": "Observation.code.coding:IEEE-11073.system",
      "min": 1,
      "path": "Observation.code.coding.system",
      "mustSupport": true
    }, {
      "id": "Observation.code.coding:IEEE-11073.code",
      "min": 1,
      "path": "Observation.code.coding.code",
      "mustSupport": true
    }, {
      "id": "Observation.subject",
      "min": 1,
      "path": "Observation.subject",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Patient" ]
      } ],
      "mustSupport": true
    }, {
      "id": "Observation.encounter",
      "path": "Observation.encounter",
      "mustSupport": true
    }, {
      "id": "Observation.effective[x]",
      "min": 1,
      "path": "Observation.effective[x]",
      "type": [ {
        "code": "dateTime"
      }, {
        "code": "Period"
      } ],
      "mustSupport": true
    }, {
      "id": "Observation.performer",
      "path": "Observation.performer",
      "comment": "Motivation MS: Dieses Feld stellt eine präzisierende Angaben zum Zweck der Qualitätsbewertung bereit",
      "mustSupport": true
    }, {
      "id": "Observation.value[x]",
      "path": "Observation.value[x]",
      "type": [ {
        "code": "Quantity"
      } ],
      "mustSupport": true
    }, {
      "id": "Observation.value[x].value",
      "min": 1,
      "path": "Observation.value[x].value",
      "mustSupport": true
    }, {
      "id": "Observation.value[x].unit",
      "path": "Observation.value[x].unit",
      "mustSupport": true
    }, {
      "id": "Observation.value[x].system",
      "min": 1,
      "path": "Observation.value[x].system",
      "patternUri": "http://unitsofmeasure.org",
      "mustSupport": true
    }, {
      "id": "Observation.value[x].code",
      "min": 1,
      "path": "Observation.value[x].code",
      "mustSupport": true
    }, {
      "id": "Observation.dataAbsentReason",
      "path": "Observation.dataAbsentReason",
      "constraint": [ {
        "key": "mii-icu-1",
        "human": "If there is no Observation.value, a dataAbsentReason must be given.",
        "source": "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/score",
        "severity": "error",
        "expression": "value.exists().not() implies dataAbsentReason.exists()"
      } ],
      "mustSupport": true
    }, {
      "id": "Observation.interpretation",
      "path": "Observation.interpretation",
      "mustSupport": true
    }, {
      "id": "Observation.bodySite",
      "path": "Observation.bodySite",
      "binding": {
        "strength": "extensible",
        "valueSet": "https://gematik.de/fhir/isik/ValueSet/vs-mii-icu-bodysite-observation-monitoring-und-vitaldaten"
      },
      "mustSupport": true
    }, {
      "id": "Observation.method",
      "path": "Observation.method",
      "comment": "Motivation MS: Dieses Feld stellt eine präzisierende Angaben zum Zweck der Qualitätsbewertung bereit",
      "mustSupport": true
    }, {
      "id": "Observation.device",
      "path": "Observation.device",
      "mustSupport": true
    }, {
      "id": "Observation.referenceRange",
      "path": "Observation.referenceRange",
      "mustSupport": true
    }, {
      "id": "Observation.component",
      "path": "Observation.component",
      "mustSupport": true
    }, {
      "id": "Observation.component.code",
      "path": "Observation.component.code",
      "mustSupport": true
    }, {
      "id": "Observation.component.value[x]",
      "path": "Observation.component.value[x]",
      "type": [ {
        "code": "Quantity"
      } ],
      "mustSupport": true
    }, {
      "id": "Observation.component.dataAbsentReason",
      "path": "Observation.component.dataAbsentReason",
      "mustSupport": true
    }, {
      "id": "Observation.component.interpretation",
      "path": "Observation.component.interpretation",
      "mustSupport": true
    }, {
      "id": "Observation.component.referenceRange",
      "path": "Observation.component.referenceRange",
      "mustSupport": true
    } ]
  },
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Observation"
}