{
  "description": null,
  "_filename": "StructureDefinition-sd-mii-icu-sonstige-pulsatile-druecke-generisch.json",
  "package_name": "de.gematik.isik-vitalparameter",
  "date": "2025-03-18",
  "derivation": "constraint",
  "publisher": "gematik GmbH",
  "fhirVersion": "4.0.1",
  "name": "SD_MII_ICU_Sonstige_Pulsatile_Druecke_Generisch",
  "abstract": false,
  "type": "Observation",
  "experimental": "false",
  "resourceType": "StructureDefinition",
  "title": "SD MII ICU Sonstige pulsatile Druecke Generisch",
  "package_version": "4.0.2",
  "status": "active",
  "id": "850e9159-7f86-4feb-a72a-fb94fb12acfe",
  "kind": "resource",
  "url": "https://gematik.de/fhir/isik/StructureDefinition/sd-mii-icu-sonstige-pulsatile-druecke-generisch",
  "version": "4.0.2",
  "differential": {
    "element": [ {
      "id": "Observation.identifier",
      "path": "Observation.identifier",
      "mustSupport": true
    }, {
      "id": "Observation.basedOn",
      "max": "1",
      "path": "Observation.basedOn"
    }, {
      "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",
      "path": "Observation.category",
      "mustSupport": true
    }, {
      "id": "Observation.code",
      "path": "Observation.code",
      "mustSupport": true
    }, {
      "id": "Observation.code.coding",
      "min": 2,
      "path": "Observation.code.coding",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "$this",
          "type": "pattern"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "Observation.code.coding.system",
      "min": 1,
      "path": "Observation.code.coding.system",
      "mustSupport": true
    }, {
      "id": "Observation.code.coding.code",
      "min": 1,
      "path": "Observation.code.coding.code",
      "mustSupport": true
    }, {
      "id": "Observation.code.coding.display",
      "path": "Observation.code.coding.display",
      "mustSupport": true
    }, {
      "id": "Observation.code.coding:sct-generic",
      "max": "1",
      "min": 1,
      "path": "Observation.code.coding",
      "sliceName": "sct-generic",
      "mustSupport": true,
      "patternCoding": {
        "code": "75367002",
        "system": "http://snomed.info/sct"
      }
    }, {
      "id": "Observation.code.coding:sct",
      "max": "1",
      "min": 1,
      "path": "Observation.code.coding",
      "sliceName": "sct",
      "mustSupport": true
    }, {
      "id": "Observation.subject",
      "path": "Observation.subject",
      "mustSupport": true
    }, {
      "id": "Observation.encounter",
      "path": "Observation.encounter",
      "mustSupport": true
    }, {
      "id": "Observation.effective[x]",
      "path": "Observation.effective[x]",
      "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]",
      "max": "0",
      "path": "Observation.value[x]",
      "mustSupport": true
    }, {
      "id": "Observation.dataAbsentReason",
      "max": "0",
      "path": "Observation.dataAbsentReason",
      "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-blutdruck",
        "description": "Codes describing anatomical locations. May include laterality. Subset of ValueSet for Monitoring und Vitaldaten."
      },
      "mustSupport": true
    }, {
      "id": "Observation.method",
      "path": "Observation.method",
      "binding": {
        "strength": "extensible",
        "valueSet": "https://gematik.de/fhir/isik/ValueSet/vs-mii-icu-method-observation-blutdruck"
      },
      "mustSupport": true
    }, {
      "id": "Observation.method.coding",
      "path": "Observation.method.coding",
      "mustSupport": true
    }, {
      "id": "Observation.method.coding.system",
      "path": "Observation.method.coding.system",
      "mustSupport": true
    }, {
      "id": "Observation.method.coding.code",
      "path": "Observation.method.coding.code",
      "mustSupport": true
    }, {
      "id": "Observation.device",
      "path": "Observation.device",
      "mustSupport": true
    }, {
      "id": "Observation.referenceRange",
      "max": "0",
      "path": "Observation.referenceRange",
      "mustSupport": true
    }, {
      "id": "Observation.component",
      "path": "Observation.component",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "code",
          "type": "pattern"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "Observation.component.code",
      "path": "Observation.component.code",
      "mustSupport": true
    }, {
      "id": "Observation.component:SystolicBP",
      "max": "1",
      "min": 0,
      "path": "Observation.component",
      "sliceName": "SystolicBP",
      "constraint": [ {
        "key": "vs-de-3",
        "human": "If there is no value a data absent reason must be present",
        "source": "https://gematik.de/fhir/isik/StructureDefinition/sd-mii-icu-sonstige-pulsatile-druecke-generisch",
        "severity": "error",
        "expression": "value.exists() xor dataAbsentReason.exists()"
      } ],
      "mustSupport": true
    }, {
      "id": "Observation.component:SystolicBP.code",
      "path": "Observation.component.code",
      "patternCodeableConcept": {
        "coding": [ {
          "code": "8480-6",
          "system": "http://loinc.org"
        } ]
      }
    }, {
      "id": "Observation.component:SystolicBP.code.coding",
      "min": 1,
      "path": "Observation.component.code.coding",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "$this",
          "type": "pattern"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "Observation.component:SystolicBP.code.coding:loinc",
      "max": "1",
      "min": 1,
      "path": "Observation.component.code.coding",
      "sliceName": "loinc",
      "mustSupport": true,
      "patternCoding": {
        "code": "8480-6",
        "system": "http://loinc.org"
      }
    }, {
      "id": "Observation.component:SystolicBP.code.coding:loinc.system",
      "min": 1,
      "path": "Observation.component.code.coding.system",
      "mustSupport": true
    }, {
      "id": "Observation.component:SystolicBP.code.coding:loinc.code",
      "min": 1,
      "path": "Observation.component.code.coding.code",
      "mustSupport": true
    }, {
      "id": "Observation.component:SystolicBP.code.coding:loinc.display",
      "path": "Observation.component.code.coding.display",
      "mustSupport": true
    }, {
      "id": "Observation.component:SystolicBP.code.coding:sct",
      "max": "1",
      "min": 0,
      "path": "Observation.component.code.coding",
      "sliceName": "sct",
      "mustSupport": true,
      "patternCoding": {
        "code": "271649006",
        "system": "http://snomed.info/sct"
      }
    }, {
      "id": "Observation.component:SystolicBP.code.coding:sct.system",
      "min": 1,
      "path": "Observation.component.code.coding.system",
      "mustSupport": true
    }, {
      "id": "Observation.component:SystolicBP.code.coding:sct.code",
      "min": 1,
      "path": "Observation.component.code.coding.code",
      "mustSupport": true
    }, {
      "id": "Observation.component:SystolicBP.code.coding:sct.display",
      "path": "Observation.component.code.coding.display",
      "mustSupport": true
    }, {
      "id": "Observation.component:SystolicBP.code.coding:IEEE-11073",
      "max": "*",
      "min": 0,
      "path": "Observation.component.code.coding",
      "sliceName": "IEEE-11073",
      "mustSupport": true,
      "patternCoding": {
        "system": "urn:iso:std:iso:11073:10101"
      }
    }, {
      "id": "Observation.component:SystolicBP.code.coding:IEEE-11073.system",
      "min": 1,
      "path": "Observation.component.code.coding.system",
      "mustSupport": true
    }, {
      "id": "Observation.component:SystolicBP.code.coding:IEEE-11073.code",
      "min": 1,
      "path": "Observation.component.code.coding.code",
      "mustSupport": true
    }, {
      "id": "Observation.component:SystolicBP.code.coding:IEEE-11073.display",
      "path": "Observation.component.code.coding.display",
      "mustSupport": true
    }, {
      "id": "Observation.component:SystolicBP.value[x]",
      "path": "Observation.component.value[x]",
      "type": [ {
        "code": "Quantity"
      } ],
      "mustSupport": true,
      "patternQuantity": {
        "code": "mm[Hg]",
        "unit": "millimeter Mercury column",
        "system": "http://unitsofmeasure.org"
      }
    }, {
      "id": "Observation.component:SystolicBP.value[x].value",
      "min": 1,
      "path": "Observation.component.value[x].value",
      "mustSupport": true
    }, {
      "id": "Observation.component:SystolicBP.value[x].unit",
      "min": 1,
      "path": "Observation.component.value[x].unit",
      "mustSupport": true
    }, {
      "id": "Observation.component:SystolicBP.value[x].system",
      "min": 1,
      "path": "Observation.component.value[x].system",
      "mustSupport": true
    }, {
      "id": "Observation.component:SystolicBP.value[x].code",
      "min": 1,
      "path": "Observation.component.value[x].code",
      "mustSupport": true
    }, {
      "id": "Observation.component:SystolicBP.dataAbsentReason",
      "path": "Observation.component.dataAbsentReason",
      "mustSupport": true
    }, {
      "id": "Observation.component:DiastolicBP",
      "max": "1",
      "min": 0,
      "path": "Observation.component",
      "sliceName": "DiastolicBP",
      "constraint": [ {
        "key": "vs-de-3",
        "human": "If there is no value a data absent reason must be present",
        "source": "https://gematik.de/fhir/isik/StructureDefinition/sd-mii-icu-sonstige-pulsatile-druecke-generisch",
        "severity": "error",
        "expression": "value.exists() xor dataAbsentReason.exists()"
      } ],
      "mustSupport": true
    }, {
      "id": "Observation.component:DiastolicBP.code",
      "path": "Observation.component.code",
      "patternCodeableConcept": {
        "coding": [ {
          "code": "8462-4",
          "system": "http://loinc.org"
        } ]
      }
    }, {
      "id": "Observation.component:DiastolicBP.code.coding",
      "min": 1,
      "path": "Observation.component.code.coding",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "$this",
          "type": "pattern"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "Observation.component:DiastolicBP.code.coding:loinc",
      "max": "1",
      "min": 1,
      "path": "Observation.component.code.coding",
      "sliceName": "loinc",
      "mustSupport": true,
      "patternCoding": {
        "code": "8462-4",
        "system": "http://loinc.org"
      }
    }, {
      "id": "Observation.component:DiastolicBP.code.coding:loinc.system",
      "min": 1,
      "path": "Observation.component.code.coding.system",
      "mustSupport": true
    }, {
      "id": "Observation.component:DiastolicBP.code.coding:loinc.code",
      "min": 1,
      "path": "Observation.component.code.coding.code",
      "mustSupport": true
    }, {
      "id": "Observation.component:DiastolicBP.code.coding:loinc.display",
      "path": "Observation.component.code.coding.display",
      "mustSupport": true
    }, {
      "id": "Observation.component:DiastolicBP.code.coding:sct",
      "max": "1",
      "min": 0,
      "path": "Observation.component.code.coding",
      "sliceName": "sct",
      "mustSupport": true,
      "patternCoding": {
        "code": "271650006",
        "system": "http://snomed.info/sct"
      }
    }, {
      "id": "Observation.component:DiastolicBP.code.coding:sct.system",
      "min": 1,
      "path": "Observation.component.code.coding.system",
      "mustSupport": true
    }, {
      "id": "Observation.component:DiastolicBP.code.coding:sct.code",
      "min": 1,
      "path": "Observation.component.code.coding.code",
      "mustSupport": true
    }, {
      "id": "Observation.component:DiastolicBP.code.coding:sct.display",
      "path": "Observation.component.code.coding.display",
      "mustSupport": true
    }, {
      "id": "Observation.component:DiastolicBP.code.coding:IEEE-11073",
      "max": "*",
      "min": 0,
      "path": "Observation.component.code.coding",
      "sliceName": "IEEE-11073",
      "mustSupport": true,
      "patternCoding": {
        "system": "urn:iso:std:iso:11073:10101"
      }
    }, {
      "id": "Observation.component:DiastolicBP.code.coding:IEEE-11073.system",
      "min": 1,
      "path": "Observation.component.code.coding.system",
      "mustSupport": true
    }, {
      "id": "Observation.component:DiastolicBP.code.coding:IEEE-11073.code",
      "min": 1,
      "path": "Observation.component.code.coding.code",
      "mustSupport": true
    }, {
      "id": "Observation.component:DiastolicBP.code.coding:IEEE-11073.display",
      "path": "Observation.component.code.coding.display",
      "mustSupport": true
    }, {
      "id": "Observation.component:DiastolicBP.value[x]",
      "path": "Observation.component.value[x]",
      "type": [ {
        "code": "Quantity"
      } ],
      "mustSupport": true,
      "patternQuantity": {
        "code": "mm[Hg]",
        "unit": "millimeter Mercury column",
        "system": "http://unitsofmeasure.org"
      }
    }, {
      "id": "Observation.component:DiastolicBP.value[x].value",
      "min": 1,
      "path": "Observation.component.value[x].value",
      "mustSupport": true
    }, {
      "id": "Observation.component:DiastolicBP.value[x].unit",
      "min": 1,
      "path": "Observation.component.value[x].unit",
      "mustSupport": true
    }, {
      "id": "Observation.component:DiastolicBP.value[x].system",
      "min": 1,
      "path": "Observation.component.value[x].system",
      "mustSupport": true
    }, {
      "id": "Observation.component:DiastolicBP.value[x].code",
      "min": 1,
      "path": "Observation.component.value[x].code",
      "mustSupport": true
    }, {
      "id": "Observation.component:DiastolicBP.dataAbsentReason",
      "path": "Observation.component.dataAbsentReason",
      "mustSupport": true
    }, {
      "id": "Observation.component:meanBP",
      "max": "1",
      "min": 0,
      "path": "Observation.component",
      "sliceName": "meanBP",
      "constraint": [ {
        "key": "vs-de-3",
        "human": "If there is no value a data absent reason must be present",
        "source": "https://gematik.de/fhir/isik/StructureDefinition/sd-mii-icu-sonstige-pulsatile-druecke-generisch",
        "severity": "error",
        "expression": "value.exists() xor dataAbsentReason.exists()"
      } ],
      "mustSupport": true
    }, {
      "id": "Observation.component:meanBP.code",
      "path": "Observation.component.code",
      "patternCodeableConcept": {
        "coding": [ {
          "code": "8478-0",
          "system": "http://loinc.org"
        } ]
      }
    }, {
      "id": "Observation.component:meanBP.code.coding",
      "min": 1,
      "path": "Observation.component.code.coding",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "$this",
          "type": "pattern"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "Observation.component:meanBP.code.coding:loinc",
      "max": "1",
      "min": 1,
      "path": "Observation.component.code.coding",
      "sliceName": "loinc",
      "mustSupport": true,
      "patternCoding": {
        "code": "8478-0",
        "system": "http://loinc.org"
      }
    }, {
      "id": "Observation.component:meanBP.code.coding:loinc.system",
      "min": 1,
      "path": "Observation.component.code.coding.system",
      "mustSupport": true
    }, {
      "id": "Observation.component:meanBP.code.coding:loinc.code",
      "min": 1,
      "path": "Observation.component.code.coding.code",
      "mustSupport": true
    }, {
      "id": "Observation.component:meanBP.code.coding:loinc.display",
      "path": "Observation.component.code.coding.display",
      "mustSupport": true
    }, {
      "id": "Observation.component:meanBP.code.coding:sct",
      "max": "1",
      "min": 0,
      "path": "Observation.component.code.coding",
      "sliceName": "sct",
      "mustSupport": true,
      "patternCoding": {
        "code": "6797001",
        "system": "http://snomed.info/sct"
      }
    }, {
      "id": "Observation.component:meanBP.code.coding:sct.system",
      "min": 1,
      "path": "Observation.component.code.coding.system",
      "mustSupport": true
    }, {
      "id": "Observation.component:meanBP.code.coding:sct.code",
      "min": 1,
      "path": "Observation.component.code.coding.code",
      "mustSupport": true
    }, {
      "id": "Observation.component:meanBP.code.coding:sct.display",
      "path": "Observation.component.code.coding.display",
      "mustSupport": true
    }, {
      "id": "Observation.component:meanBP.code.coding:IEEE-11073",
      "max": "*",
      "min": 0,
      "path": "Observation.component.code.coding",
      "sliceName": "IEEE-11073",
      "mustSupport": true,
      "patternCoding": {
        "system": "urn:iso:std:iso:11073:10101"
      }
    }, {
      "id": "Observation.component:meanBP.code.coding:IEEE-11073.system",
      "min": 1,
      "path": "Observation.component.code.coding.system",
      "mustSupport": true
    }, {
      "id": "Observation.component:meanBP.code.coding:IEEE-11073.code",
      "min": 1,
      "path": "Observation.component.code.coding.code",
      "mustSupport": true
    }, {
      "id": "Observation.component:meanBP.code.coding:IEEE-11073.display",
      "path": "Observation.component.code.coding.display",
      "mustSupport": true
    }, {
      "id": "Observation.component:meanBP.value[x]",
      "path": "Observation.component.value[x]",
      "type": [ {
        "code": "Quantity"
      } ],
      "mustSupport": true,
      "patternQuantity": {
        "code": "mm[Hg]",
        "unit": "millimeter Mercury column",
        "system": "http://unitsofmeasure.org"
      }
    }, {
      "id": "Observation.component:meanBP.value[x].value",
      "min": 1,
      "path": "Observation.component.value[x].value",
      "mustSupport": true
    }, {
      "id": "Observation.component:meanBP.value[x].unit",
      "min": 1,
      "path": "Observation.component.value[x].unit",
      "mustSupport": true
    }, {
      "id": "Observation.component:meanBP.value[x].system",
      "min": 1,
      "path": "Observation.component.value[x].system",
      "mustSupport": true
    }, {
      "id": "Observation.component:meanBP.value[x].code",
      "min": 1,
      "path": "Observation.component.value[x].code",
      "mustSupport": true
    } ]
  },
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Observation"
}