{
  "description": "EKG Observation Profil",
  "_filename": "StructureDefinition-observation-de-ekg.json",
  "package_name": "de.basisprofil.r4",
  "date": "2023-11-30",
  "derivation": "constraint",
  "publisher": "HL7 Deutschland e.V. (Technisches Komitee FHIR)",
  "fhirVersion": "4.0.1",
  "name": "EkgDE",
  "abstract": false,
  "type": "Observation",
  "experimental": "false",
  "resourceType": "StructureDefinition",
  "title": "EKG Observation Profil",
  "package_version": "1.5.1",
  "status": "active",
  "id": "bd463701-f37f-4933-93b0-4b935fc2719a",
  "kind": "resource",
  "url": "http://fhir.de/StructureDefinition/observation-de-ekg",
  "version": "1.5.1",
  "differential": {
    "element": [ {
      "id": "Observation.category",
      "min": 1,
      "path": "Observation.category"
    }, {
      "id": "Observation.category.coding",
      "path": "Observation.category.coding",
      "patternCoding": {
        "code": "procedure",
        "system": "http://terminology.hl7.org/CodeSystem/observation-category"
      }
    }, {
      "id": "Observation.code.coding",
      "min": 1,
      "path": "Observation.code.coding",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "$this",
          "type": "pattern"
        } ]
      }
    }, {
      "id": "Observation.code.coding.system",
      "min": 1,
      "path": "Observation.code.coding.system"
    }, {
      "id": "Observation.code.coding.code",
      "min": 1,
      "path": "Observation.code.coding.code"
    }, {
      "id": "Observation.code.coding:loinc",
      "max": "1",
      "min": 1,
      "path": "Observation.code.coding",
      "sliceName": "loinc",
      "patternCoding": {
        "code": "11524-6",
        "system": "http://loinc.org"
      }
    }, {
      "id": "Observation.code.coding:snomed",
      "max": "*",
      "min": 0,
      "path": "Observation.code.coding",
      "sliceName": "snomed",
      "patternCoding": {
        "code": "106073009",
        "system": "http://snomed.info/sct"
      }
    }, {
      "id": "Observation.subject",
      "min": 1,
      "path": "Observation.subject"
    }, {
      "id": "Observation.effective[x]",
      "min": 1,
      "path": "Observation.effective[x]",
      "type": [ {
        "code": "dateTime"
      } ],
      "constraint": [ {
        "key": "vs-de-1",
        "human": "If Observation.effective[x] has a value then that value shall be precise to the day",
        "source": "http://fhir.de/StructureDefinition/observation-de-ekg",
        "severity": "error",
        "expression": "(($this is dateTime) implies ($this as dateTime).toString().length() >= 10) and ($this.start.exists() implies ($this.start as dateTime).toString().length() >= 10) and ($this.end.exists() implies ($this.end as dateTime).toString().length() >= 10)"
      } ]
    }, {
      "id": "Observation.value[x]",
      "max": "0",
      "path": "Observation.value[x]"
    }, {
      "id": "Observation.component",
      "min": 1,
      "path": "Observation.component",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "code",
          "type": "pattern"
        } ]
      }
    }, {
      "id": "Observation.component:ekgLeads",
      "max": "*",
      "min": 0,
      "path": "Observation.component",
      "short": "12 Kanal EKG Ableitungen",
      "sliceName": "ekgLeads"
    }, {
      "id": "Observation.component:ekgLeads.code",
      "path": "Observation.component.code",
      "binding": {
        "strength": "required",
        "valueSet": "http://fhir.de/ValueSet/EkgAbleitungenVS",
        "description": "Loinc Part Codes identifying the EKG lead"
      }
    }, {
      "id": "Observation.component:ekgLeads.code.coding",
      "min": 1,
      "path": "Observation.component.code.coding"
    }, {
      "id": "Observation.component:ekgLeads.value[x]",
      "min": 1,
      "path": "Observation.component.value[x]",
      "type": [ {
        "code": "SampledData"
      } ]
    }, {
      "id": "Observation.component:ekgLeads.value[x].data",
      "min": 1,
      "path": "Observation.component.value[x].data"
    }, {
      "id": "Observation.component:deprecatedLeadCodes",
      "max": "*",
      "min": 0,
      "path": "Observation.component",
      "comment": "Diese deprecated Slice verwendet Loinc Part Codes die nicht für die Nutzung in Instanzdaten vorgesehen sind",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode": "deprecated"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
        "valueCode": "4.0.0"
      } ],
      "sliceName": "deprecatedLeadCodes"
    }, {
      "id": "Observation.component:deprecatedLeadCodes.code",
      "path": "Observation.component.code",
      "binding": {
        "strength": "required",
        "valueSet": "http://fhir.de/ValueSet/EkgLeads",
        "description": "Loinc Part Codes identifying the EKG lead"
      }
    }, {
      "id": "Observation.component:deprecatedLeadCodes.code.coding",
      "min": 1,
      "path": "Observation.component.code.coding"
    }, {
      "id": "Observation.component:deprecatedLeadCodes.value[x]",
      "min": 1,
      "path": "Observation.component.value[x]",
      "type": [ {
        "code": "SampledData"
      } ]
    }, {
      "id": "Observation.component:deprecatedLeadCodes.value[x].data",
      "min": 1,
      "path": "Observation.component.value[x].data"
    } ]
  },
  "contact": [ {
    "telecom": [ {
      "value": "http://hl7.de/technische-komitees/fhir/",
      "system": "url"
    } ]
  } ],
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Observation"
}