description: null
package_name: de.medizininformatikinitiative.kerndatensatz.icu
derivation: constraint
name: MII_PR_ICU_Score_RASS
type: Observation
elements:
  category:
    index: 0
    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: 1
          min: 1
          max: 1
  value[x]:
    elements:
      coding:
        index: 17
        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: 18
                elements:
                  system: {mustSupport: true, index: 19}
                  code: {mustSupport: true, index: 20}
                required: [system, code]
    required: [coding]
  interpretation: {mustSupport: true, index: 22}
  encounter: {short: Encounter during which score was assessed, mustSupport: true, index: 8}
  specimen: {index: 25}
  value:
    short: RASS Value
    mustSupport: true
    choices: [valueCodeableConcept]
    index: 15
  note: {mustSupport: true, index: 23}
  effectiveDateTime: {type: dateTime, short: Time of score assessment, mustSupport: true, choiceOf: effective, index: 11}
  effective:
    short: Time of score assessment
    mustSupport: true
    choices: [effectiveDateTime]
    index: 10
  code:
    mustSupport: true
    index: 2
    elements:
      coding:
        mustSupport: true
        index: 3
        elements:
          system:
            pattern: {type: Uri, value: 'http://snomed.info/sct'}
            index: 4
          code:
            pattern: {type: Code, value: '1345050000'}
            index: 5
          display:
            pattern: {type: String, value: Richmond Agitation Sedation Scale score (observable entity)}
            index: 6
    required: [coding]
  valueCodeableConcept: {type: CodeableConcept, short: RASS Value, mustSupport: true, choiceOf: value, index: 16}
  bodySite: {index: 24}
  issued: {short: Date/Time this observation was made available, mustSupport: true, index: 12}
  subject:
    type: Reference
    short: Patient being assessed
    mustSupport: true
    refers: ['http://hl7.org/fhir/StructureDefinition/Patient']
    index: 7
  performer: {short: Who performed the score assessment, mustSupport: true, index: 13}
  dataAbsentReason: {mustSupport: true, index: 21}
package_version: 2027.0.0-ballot.rc1
class: profile
kind: resource
url: https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/mii-pr-icu-score-rass
base: http://hl7.org/fhir/StructureDefinition/Observation
version: 2026.0.0
required: [effectiveDateTime, subject, category, effective]