description: Dieses Profil dient der spezialisierten Abbildung des Richmond Agitation Sedation Scale (RASS) Scores in der Akutmedizin.\n\nIn ISiK wird das Profil verwendet im Kontext des Implementierungsleitfadens zur Organspendeerkennung.\n\nDie Datenstruktur wurde dem laufenden Stand der Entwicklung des MII ICU Module entnommen - https://github.com/medizininformatik-initiative/kerndatensatzmodul-intensivmedizin/blob/master/input/fsh/profiles/Scores/MII_PR_ICU_Score_RASS.fsh - Details zur Kompatibilität mit dem ISiK Package der Stufe 6 wurden angepasst und Metadaten des Ursprungsschemas zum Teil entfernt. Stand 13.3.2026.
package_name: de.gematik.isik
derivation: constraint
name: MII_PR_ICU_Score_RASS
type: Observation
elements:
  category:
    index: 4
    slicing:
      rules: open
      discriminator:
      - {path: $this, type: pattern}
      min: 1
      slices:
        exam:
          match:
            coding:
            - {code: exam, system: 'http://terminology.hl7.org/CodeSystem/observation-category', display: Exam}
          schema:
            mustSupport: true
            pattern:
              type: CodeableConcept
              value:
                coding:
                - {code: exam, system: 'http://terminology.hl7.org/CodeSystem/observation-category', display: Exam}
            _required: true
            index: 5
          min: 1
          max: 1
  value[x]:
    elements:
      coding:
        index: 21
        slicing:
          rules: closed
          discriminator:
          - {path: $this, type: pattern}
          min: 1
          slices:
            Loinc:
              match: {system: 'http://loinc.org'}
              schema:
                mustSupport: true
                pattern:
                  type: Coding
                  value: {system: 'http://loinc.org'}
                _required: true
                index: 22
                elements:
                  system: {mustSupport: true, index: 23}
                  code: {mustSupport: true, index: 24}
                required: [system, code]
    required: [coding]
  meta:
    elements:
      versionId: {short: Eindeutiger Name der serverseitigen Version des Datensatzes, index: 1}
      lastUpdated: {short: Zeitpunkt der letzten Änderung, index: 2}
  interpretation: {mustSupport: true, index: 26}
  encounter: {short: Encounter during which score was assessed, mustSupport: true, index: 12}
  specimen: {index: 29}
  value:
    short: RASS Value
    mustSupport: true
    choices: [valueCodeableConcept]
    index: 19
  implicitRules: {short: 'Verweis auf die Regeln, nach denen die Ressource erstellt wurde', index: 3}
  note: {mustSupport: true, index: 27}
  effectiveDateTime: {type: dateTime, short: Time of score assessment, mustSupport: true, choiceOf: effective, index: 15}
  effective:
    short: Time of score assessment
    mustSupport: true
    choices: [effectiveDateTime]
    index: 14
  id: {short: 'serverseitige, interne ID des Datensatzes', mustSupport: true, index: 0}
  code:
    mustSupport: true
    index: 6
    elements:
      coding:
        mustSupport: true
        index: 7
        elements:
          system:
            pattern: {type: Uri, value: 'http://snomed.info/sct'}
            index: 8
          code:
            pattern: {type: Code, value: '1345050000'}
            index: 9
          display:
            pattern: {type: String, value: Richmond Agitation Sedation Scale score}
            index: 10
    required: [coding]
  valueCodeableConcept: {type: CodeableConcept, short: RASS Value, mustSupport: true, choiceOf: value, index: 20}
  bodySite: {index: 28}
  issued: {short: Date/Time this observation was made available, mustSupport: true, index: 16}
  subject:
    type: Reference
    short: Patient being assessed
    mustSupport: true
    refers: ['http://hl7.org/fhir/StructureDefinition/Patient']
    index: 11
  performer: {short: Who performed the score assessment, mustSupport: true, index: 17}
  dataAbsentReason: {mustSupport: true, index: 25}
package_version: 6.0.0
class: profile
kind: resource
url: https://gematik.de/fhir/isik/StructureDefinition/mii-pr-icu-score-rass
base: http://hl7.org/fhir/StructureDefinition/Observation
version: 6.0.0
required: [effectiveDateTime, subject, category, effective]