{
  "description": null,
  "_filename": "StructureDefinition-sd-mii-icu-monitoring-und-vitaldaten.json",
  "package_name": "de.gematik.isik-vitalparameter",
  "date": "2024-02-01",
  "derivation": "constraint",
  "publisher": "gematik GmbH",
  "fhirVersion": "4.0.1",
  "name": "SD_MII_ICU_Monitoring_Und_Vitaldaten",
  "mapping": [ {
    "uri": "http://hl7.org/fhir/workflow",
    "name": "Workflow Pattern",
    "identity": "workflow"
  }, {
    "uri": "http://snomed.info/conceptdomain",
    "name": "SNOMED CT Concept Domain Binding",
    "identity": "sct-concept"
  }, {
    "uri": "http://hl7.org/v2",
    "name": "HL7 v2 Mapping",
    "identity": "v2"
  }, {
    "uri": "http://hl7.org/v3",
    "name": "RIM Mapping",
    "identity": "rim"
  }, {
    "uri": "http://hl7.org/fhir/fivews",
    "name": "FiveWs Pattern Mapping",
    "identity": "w5"
  }, {
    "uri": "http://snomed.org/attributebinding",
    "name": "SNOMED CT Attribute Binding",
    "identity": "sct-attr"
  } ],
  "abstract": false,
  "type": "Observation",
  "experimental": "false",
  "resourceType": "StructureDefinition",
  "title": "SD MII ICU Monitoring und Vitaldaten",
  "package_version": "4.0.0-alpha-validation-MII-2",
  "status": "draft",
  "id": "06fd830c-535d-483e-bcf4-ecfe05acc08c",
  "kind": "resource",
  "url": "https://gematik.de/fhir/isik/StructureDefinition/sd-mii-icu-monitoring-und-vitaldaten",
  "version": "4.0.0-rc",
  "differential": {
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      "id": "Observation.identifier",
      "path": "Observation.identifier",
      "mustSupport": true
    }, {
      "id": "Observation.partOf",
      "path": "Observation.partOf",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Procedure" ]
      } ]
    }, {
      "id": "Observation.status",
      "path": "Observation.status",
      "mustSupport": true
    }, {
      "id": "Observation.category",
      "path": "Observation.category",
      "slicing": {
        "rules": "open",
        "ordered": false,
        "discriminator": [ {
          "path": "$this",
          "type": "pattern"
        } ]
      },
      "mustSupport": true
    }, {
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      "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",
        "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:loinc",
      "path": "Observation.code.coding",
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        "valueSet": "https://gematik.de/fhir/isik/ValueSet/vs-mii-icu-code-monitoring-und-vitaldaten-loinc"
      },
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    }, {
      "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:snomed",
      "path": "Observation.code.coding",
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        "strength": "required",
        "valueSet": "https://gematik.de/fhir/isik/ValueSet/vs-mii-icu-code-monitoring-und-vitaldaten-snomed"
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      "id": "Observation.code.coding:snomed.code",
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        "strength": "required",
        "valueSet": "https://gematik.de/fhir/isik/ValueSet/vs-mii-icu-code-monitoring-und-vitaldaten-iso11073"
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      "id": "Observation.code.coding:IEEE-11073.code",
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      "id": "Observation.encounter",
      "path": "Observation.encounter",
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      "id": "Observation.effective[x]",
      "path": "Observation.effective[x]",
      "mustSupport": true
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      "id": "Observation.performer",
      "path": "Observation.performer",
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      "id": "Observation.value[x]",
      "path": "Observation.value[x]",
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        "code": "Quantity"
      } ],
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      "patternQuantity": {
        "system": "http://unitsofmeasure.org"
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      "path": "Observation.value[x].value",
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      "id": "Observation.value[x]:valueQuantity.unit",
      "path": "Observation.value[x].unit",
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      "path": "Observation.value[x].code",
      "mustSupport": true
    }, {
      "id": "Observation.dataAbsentReason",
      "path": "Observation.dataAbsentReason",
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        "key": "mii-icu-1",
        "human": "If there is no Observation.value, a dataAbsentReason must be given.",
        "severity": "error",
        "expression": "value.exists().not() implies dataAbsentReason.exists()"
      } ],
      "mustSupport": true
    }, {
      "id": "Observation.interpretation",
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        "strength": "extensible",
        "valueSet": "https://gematik.de/fhir/isik/ValueSet/vs-mii-icu-bodysite-observation-monitoring-und-vitaldaten"
      },
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    }, {
      "id": "Observation.method",
      "path": "Observation.method",
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    }, {
      "id": "Observation.device",
      "path": "Observation.device",
      "mustSupport": true
    }, {
      "id": "Observation.referenceRange",
      "path": "Observation.referenceRange",
      "mustSupport": true
    }, {
      "id": "Observation.component",
      "path": "Observation.component",
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      "id": "Observation.component.dataAbsentReason",
      "path": "Observation.component.dataAbsentReason",
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      "id": "Observation.component.interpretation",
      "path": "Observation.component.interpretation",
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    }, {
      "id": "Observation.component.referenceRange",
      "path": "Observation.component.referenceRange",
      "mustSupport": true
    } ]
  },
  "baseDefinition": "http://fhir.de/StructureDefinition/observation-de-vitalsign"
}