description: Observation profile grading a single ICF category for a patient, as required by the JARDIN MDS draft and the ERDRI-CDS. Observation.code carries the ICF category; the WHO qualifiers are carried as components, because body structures take three of them and activities/participation take two (capacity and performance).
package_name: de.medizininformatikinitiative.kerndatensatz.seltene
derivation: constraint
name: MII_PR_Seltene_ICFAssessment
type: Observation
elements:
  category:
    mustSupport: true
    index: 4
    slicing:
      rules: open
      discriminator:
      - {path: $this, type: pattern}
      min: 1
      slices:
        survey:
          match:
            coding:
            - {code: survey, system: 'http://terminology.hl7.org/CodeSystem/observation-category'}
          schema:
            short: 'Category: survey/assessment'
            mustSupport: true
            pattern:
              type: CodeableConcept
              value:
                coding:
                - {code: survey, system: 'http://terminology.hl7.org/CodeSystem/observation-category'}
            _required: true
            index: 5
          min: 1
          max: 1
  meta:
    mustSupport: true
    index: 1
    elements:
      profile: {mustSupport: true, index: 2}
  value:
    choices: []
    index: 16
  component:
    mustSupport: true
    index: 18
    elements:
      value:
        choices: []
        index: 20
    slicing:
      rules: open
      description: One slice per ICF qualifier. Which ones apply depends on the chapter of the category in Observation.code.
      discriminator:
      - {path: code, type: pattern}
      min: null
      slices:
        extentOfImpairment:
          match:
            code:
              coding:
              - {code: extent-of-impairment, system: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-seltene/CodeSystem/mii-cs-seltene-icf-beurteilungsmerkmal'}
          schema:
            short: 'Body functions (b): extent of impairment'
            mustSupport: true
            index: 21
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: extent-of-impairment, system: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-seltene/CodeSystem/mii-cs-seltene-icf-beurteilungsmerkmal'}
                index: 22
              value:
                choices: [valueCodeableConcept]
                index: 24
              valueCodeableConcept: {type: CodeableConcept, choiceOf: value, index: 25}
        extentOfImpairmentBodyStructure:
          match:
            code:
              coding:
              - {code: extent-of-impairment-structure, system: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-seltene/CodeSystem/mii-cs-seltene-icf-beurteilungsmerkmal'}
          schema:
            short: 'Body structures (s), first qualifier: extent of impairment'
            mustSupport: true
            index: 26
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: extent-of-impairment-structure, system: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-seltene/CodeSystem/mii-cs-seltene-icf-beurteilungsmerkmal'}
                index: 27
              value:
                choices: [valueCodeableConcept]
                index: 29
              valueCodeableConcept: {type: CodeableConcept, choiceOf: value, index: 30}
        natureOfChange:
          match:
            code:
              coding:
              - {code: nature-of-change, system: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-seltene/CodeSystem/mii-cs-seltene-icf-beurteilungsmerkmal'}
          schema:
            short: 'Body structures (s), second qualifier: nature of the change'
            mustSupport: true
            index: 31
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: nature-of-change, system: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-seltene/CodeSystem/mii-cs-seltene-icf-beurteilungsmerkmal'}
                index: 32
              value:
                choices: [valueCodeableConcept]
                index: 34
              valueCodeableConcept: {type: CodeableConcept, choiceOf: value, index: 35}
        anatomicalLocation:
          match:
            code:
              coding:
              - {code: anatomical-location, system: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-seltene/CodeSystem/mii-cs-seltene-icf-beurteilungsmerkmal'}
          schema:
            short: 'Body structures (s), third qualifier: anatomical location'
            mustSupport: true
            index: 36
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: anatomical-location, system: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-seltene/CodeSystem/mii-cs-seltene-icf-beurteilungsmerkmal'}
                index: 37
              value:
                choices: [valueCodeableConcept]
                index: 39
              valueCodeableConcept: {type: CodeableConcept, choiceOf: value, index: 40}
        capacity:
          match:
            code:
              coding:
              - {code: capacity, system: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-seltene/CodeSystem/mii-cs-seltene-icf-beurteilungsmerkmal'}
          schema:
            short: 'Activities and participation (d): CAPACITY — what the person can do in a standardised environment'
            mustSupport: true
            index: 41
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: capacity, system: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-seltene/CodeSystem/mii-cs-seltene-icf-beurteilungsmerkmal'}
                index: 42
              value:
                choices: [valueCodeableConcept]
                index: 44
              valueCodeableConcept: {type: CodeableConcept, choiceOf: value, index: 45}
        performance:
          match:
            code:
              coding:
              - {code: performance, system: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-seltene/CodeSystem/mii-cs-seltene-icf-beurteilungsmerkmal'}
          schema:
            short: 'Activities and participation (d): PERFORMANCE — what the person actually does in their current environment'
            mustSupport: true
            index: 46
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: performance, system: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-seltene/CodeSystem/mii-cs-seltene-icf-beurteilungsmerkmal'}
                index: 47
              value:
                choices: [valueCodeableConcept]
                index: 49
              valueCodeableConcept: {type: CodeableConcept, choiceOf: value, index: 50}
        barrier:
          match:
            code:
              coding:
              - {code: barrier, system: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-seltene/CodeSystem/mii-cs-seltene-icf-beurteilungsmerkmal'}
          schema:
            short: 'Environmental factors (e): extent to which the factor acts as a barrier'
            mustSupport: true
            index: 51
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: barrier, system: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-seltene/CodeSystem/mii-cs-seltene-icf-beurteilungsmerkmal'}
                index: 52
              value:
                choices: [valueCodeableConcept]
                index: 54
              valueCodeableConcept: {type: CodeableConcept, choiceOf: value, index: 55}
        facilitator:
          match:
            code:
              coding:
              - {code: facilitator, system: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-seltene/CodeSystem/mii-cs-seltene-icf-beurteilungsmerkmal'}
          schema:
            short: 'Environmental factors (e): extent to which the factor acts as a facilitator'
            mustSupport: true
            index: 56
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: facilitator, system: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-seltene/CodeSystem/mii-cs-seltene-icf-beurteilungsmerkmal'}
                index: 57
              value:
                choices: [valueCodeableConcept]
                index: 59
              valueCodeableConcept: {type: CodeableConcept, choiceOf: value, index: 60}
  note: {mustSupport: true, index: 17}
  effectiveDateTime: {type: dateTime, short: When the assessment was made — ICF gradings are point-in-time and change over the course of a disease, mustSupport: true, choiceOf: effective, index: 12}
  status: {mustSupport: true, index: 3}
  effective:
    short: When the assessment was made — ICF gradings are point-in-time and change over the course of a disease
    mustSupport: true
    choices: [effectiveDateTime, effectivePeriod]
    index: 11
  id: {mustSupport: true, index: 0}
  code:
    short: ICF category being graded
    mustSupport: true
    index: 6
    elements:
      coding:
        binding: {strength: required, valueSet: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-seltene/ValueSet/mii-vs-seltene-icf'}
        mustSupport: true
        index: 7
        elements:
          system:
            pattern: {type: Uri, value: 'http://hl7.org/fhir/sid/icf'}
            index: 8
  subject:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/StructureDefinition/Patient']
    index: 9
  performer: {mustSupport: true, index: 14}
  effectivePeriod: {type: Period, short: When the assessment was made — ICF gradings are point-in-time and change over the course of a disease, mustSupport: true, choiceOf: effective, index: 13}
package_version: 2027.0.0-ballot
class: profile
kind: resource
url: https://www.medizininformatik-initiative.de/fhir/ext/modul-seltene/StructureDefinition/mii-pr-seltene-icf-assessment
base: http://hl7.org/fhir/StructureDefinition/Observation
version: 2027.0.0-ballot
required: [effectiveDateTime, effectivePeriod, subject, category, effective]