{
  "description": null,
  "_filename": "sd-mii-icu-score.json",
  "package_name": "de.medizininformatikinitiative.kerndatensatz.icu",
  "date": null,
  "derivation": "constraint",
  "publisher": null,
  "fhirVersion": "4.0.1",
  "name": "SD_MII_ICU_Score",
  "abstract": false,
  "type": "Observation",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": "SD MII ICU Score",
  "package_version": "2025.0.0-ballot.1",
  "status": "draft",
  "id": "19333bcb-2427-42a3-b1dc-997ae25fafbd",
  "kind": "resource",
  "url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/score",
  "version": null,
  "differential": {
    "element": [ {
      "id": "Observation.category",
      "min": 1,
      "path": "Observation.category",
      "mustSupport": true
    }, {
      "id": "Observation.category.coding",
      "min": 1,
      "path": "Observation.category.coding",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "$this",
          "type": "pattern"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "Observation.category.coding:hl7-survey",
      "max": "1",
      "min": 1,
      "path": "Observation.category.coding",
      "sliceName": "hl7-survey",
      "mustSupport": true,
      "patternCoding": {
        "code": "survey",
        "system": "http://terminology.hl7.org/CodeSystem/observation-category"
      }
    }, {
      "id": "Observation.category.coding:hl7-survey.system",
      "min": 1,
      "path": "Observation.category.coding.system",
      "mustSupport": true
    }, {
      "id": "Observation.category.coding:hl7-survey.code",
      "min": 1,
      "path": "Observation.category.coding.code",
      "mustSupport": true
    }, {
      "id": "Observation.category.coding:fixedCategoryScore",
      "max": "1",
      "min": 1,
      "path": "Observation.category.coding",
      "sliceName": "fixedCategoryScore",
      "mustSupport": true,
      "patternCoding": {
        "code": "score",
        "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/ValueSet/category-fixed",
        "display": "Score"
      }
    }, {
      "id": "Observation.category.coding:fixedCategoryScore.system",
      "min": 1,
      "path": "Observation.category.coding.system",
      "mustSupport": true
    }, {
      "id": "Observation.category.coding:fixedCategoryScore.code",
      "min": 1,
      "path": "Observation.category.coding.code",
      "mustSupport": true
    }, {
      "id": "Observation.category.coding:fixedCategoryScore.display",
      "path": "Observation.category.coding.display",
      "mustSupport": true
    }, {
      "id": "Observation.category.coding:sct",
      "max": "1",
      "min": 1,
      "path": "Observation.category.coding",
      "sliceName": "sct",
      "mustSupport": true,
      "patternCoding": {
        "code": "273249006",
        "system": "http://snomed.info/sct"
      }
    }, {
      "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",
      "min": 1,
      "path": "Observation.code.coding",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "$this",
          "type": "pattern"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "Observation.code.coding:sct",
      "path": "Observation.code.coding",
      "sliceName": "sct",
      "mustSupport": true,
      "patternCoding": {
        "system": "http://snomed.info/sct"
      }
    }, {
      "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",
      "path": "Observation.code.coding",
      "sliceName": "loinc",
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      "patternCoding": {
        "system": "http://loinc.org"
      }
    }, {
      "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.subject",
      "min": 1,
      "path": "Observation.subject",
      "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.issued",
      "min": 1,
      "path": "Observation.issued",
      "mustSupport": true
    }, {
      "id": "Observation.value[x]",
      "min": 1,
      "path": "Observation.value[x]",
      "type": [ {
        "code": "Quantity"
      } ],
      "definition": "Observation.value beschreibt hier den total-Wert. Bei Scores mit Subscores also die Summe aller Subscores.",
      "mustSupport": true,
      "patternQuantity": {
        "code": "{score}",
        "system": "http://unitsofmeasure.org"
      }
    }, {
      "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,
      "patternString": "Score"
    }, {
      "id": "Observation.value[x].system",
      "min": 1,
      "path": "Observation.value[x].system",
      "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.",
        "severity": "error",
        "expression": "value.exists().not() implies dataAbsentReason.exists()"
      } ],
      "mustSupport": true
    }, {
      "id": "Observation.interpretation",
      "path": "Observation.interpretation",
      "mustSupport": true
    }, {
      "id": "Observation.referenceRange",
      "path": "Observation.referenceRange",
      "mustSupport": true
    }, {
      "id": "Observation.derivedFrom",
      "path": "Observation.derivedFrom",
      "mustSupport": true
    }, {
      "id": "Observation.component",
      "path": "Observation.component",
      "mustSupport": true
    } ]
  },
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Observation"
}