AKTIN Notfalldokumentation - Local Development build (v0.2.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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Resource Profile: Manchester Triage System

Usage:

• This Resource Profile is not used by any profiles in this Implementation Guide

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
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This structure is derived from Observation

Name	Flags	Card.	Type	Description & Constraints
Observation		0..*	Observation	Measurements and simple assertions
identifier	S	0..*	Identifier	Business Identifier for observation
category	S	0..*	CodeableConcept	Classification of type of observation
code	S	1..1	CodeableConcept	Type of observation (code / type)
Slices for coding	S	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:SNOMED-CT	S	1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 713009001
display		1..1	string	Representation defined by the system Fixed Value: Manchester Triage System (assessment scale)
text		0..1	string	Plain text representation of the concept Required Pattern: Manchester Triage System
subject	S	1..1	Reference(Patient)	Nutzung von AKTIN_PR_Patient
effective[x]	S	1..1	dateTime	Clinically relevant time/time-period for observation
value[x]	S	1..1	CodeableConcept	Actual result Binding: Manchester-Triage-System (required)
Slices for component		5..*	BackboneElement	Component results Slice: Unordered, Open by pattern:code
component:aktin-pr-mtsprasentationsdiagramm		1..*	BackboneElement	Component results
code		1..1	CodeableConcept	Type of component observation (code / type) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://aktin.org/fhir/CodeSystem/aktin-cs-snomed-postcoordinations
code		1..1	code	Symbol in syntax defined by the system Fixed Value: SCTPOCC-1269489004
display		1..1	string	Representation defined by the system Fixed Value: MTS-Präsentationsdiagramm
Slices for value[x]		0..1	Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period	Actual component result Slice: Unordered, Open by type:$this
value[x]:valueCodeableConcept		0..1	CodeableConcept	Actual component result Binding: MTS-Präsentationsdiagramm (required)
component:aktin-pr-mtsindikatoren_rot		1..*	BackboneElement	Component results
code		1..1	CodeableConcept	Type of component observation (code / type) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://aktin.org/fhir/CodeSystem/aktin-cs-snomed-postcoordinations
code		1..1	code	Symbol in syntax defined by the system Fixed Value: SCTPOCC-49499008
display		1..1	string	Representation defined by the system Fixed Value: MTS-Indikatoren ROT
Slices for value[x]		0..1	Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period	Actual component result Slice: Unordered, Open by type:$this
Slices for value[x]				Content/Rules for all slices
value[x]:valueCodeableConcept		0..1	CodeableConcept	Actual component result Binding: MTS-Indikatoren ROT (required)
component:aktin-pr-mtsindikatoren_orange		1..*	BackboneElement	Component results
code		1..1	CodeableConcept	Type of component observation (code / type) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://aktin.org/fhir/CodeSystem/aktin-cs-snomed-postcoordinations
code		1..1	code	Symbol in syntax defined by the system Fixed Value: SCTPOCC-25876001
display		1..1	string	Representation defined by the system Fixed Value: MTS-Indikatoren ORANGE
Slices for value[x]		0..1	Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period	Actual component result Slice: Unordered, Open by type:$this
Slices for value[x]				Content/Rules for all slices
value[x]:valueCodeableConcept		0..1	CodeableConcept	Actual component result Binding: MTS-Indikatoren ORANGE (required)
component:aktin-pr-mtsindikatoren_gelb		1..*	BackboneElement	Component results
code		1..1	CodeableConcept	Type of component observation (code / type) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://aktin.org/fhir/CodeSystem/aktin-cs-snomed-postcoordinations
code		1..1	code	Symbol in syntax defined by the system Fixed Value: SCTPOCC-103391001
display		1..1	string	Representation defined by the system Fixed Value: MTS-Indikatoren GELB
Slices for value[x]		0..1	Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period	Actual component result Slice: Unordered, Open by type:$this
Slices for value[x]				Content/Rules for all slices
value[x]:valueCodeableConcept		0..1	CodeableConcept	Actual component result Binding: MTS-Indikatoren GELB (required)
component:aktin-pr-mtsindikatoren_grun		1..*	BackboneElement	Component results
code		1..1	CodeableConcept	Type of component observation (code / type) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://aktin.org/fhir/CodeSystem/aktin-cs-snomed-postcoordinations
code		1..1	code	Symbol in syntax defined by the system Fixed Value: SCTPOCC-394848005
display		1..1	string	Representation defined by the system Fixed Value: MTS-Indikatoren GRÜN
Slices for value[x]		0..1	Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period	Actual component result Slice: Unordered, Open by type:$this
Slices for value[x]				Content/Rules for all slices
value[x]:valueCodeableConcept		0..1	CodeableConcept	Actual component result Binding: MTS-Indikatoren GRÜN (required)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Observation.value[x]	required	Manchestertriagesystem (a valid code from Manchester-Triage-System) http://aktin.org/fhir/ValueSet/aktin-vs-manchestertriagesystem from this IG
Observation.component:aktin-pr-mtsprasentationsdiagramm.value[x]:valueCodeableConcept	required	Mts_presenting_diagram (a valid code from MTS-Präsentationsdiagramm) http://aktin.org/fhir/ValueSet/aktin-vs-mts-presenting-diagram from this IG
Observation.component:aktin-pr-mtsindikatoren_rot.value[x]:valueCodeableConcept	required	Mts_indicators_red http://aktin.org/fhir/ValueSet/aktin-vs-mts-indicators-red from this IG
Observation.component:aktin-pr-mtsindikatoren_orange.value[x]:valueCodeableConcept	required	Mts_indicators_orange http://aktin.org/fhir/ValueSet/aktin-vs-mts-indicators-orange from this IG
Observation.component:aktin-pr-mtsindikatoren_gelb.value[x]:valueCodeableConcept	required	Mts_indicators_yellow http://aktin.org/fhir/ValueSet/aktin-vs-mts-indicators-yellow from this IG
Observation.component:aktin-pr-mtsindikatoren_grun.value[x]:valueCodeableConcept	required	Mts_indicators_green http://aktin.org/fhir/ValueSet/aktin-vs-mts-indicators-green from this IG

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	Observation	Measurements and simple assertions obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..*	Identifier	Business Identifier for observation
status	?!Σ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
category	S	0..*	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
code	SΣ	1..1	CodeableConcept	Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
Slices for coding	SΣ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:SNOMED-CT	SΣ	1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 713009001
display		1..1	string	Representation defined by the system Fixed Value: Manchester Triage System (assessment scale)
text	Σ	0..1	string	Plain text representation of the concept Required Pattern: Manchester Triage System
subject	SΣ	1..1	Reference(Patient)	Nutzung von AKTIN_PR_Patient
effective[x]	SΣ	1..1	dateTime	Clinically relevant time/time-period for observation
value[x]	SΣC	1..1	CodeableConcept	Actual result Binding: Manchester-Triage-System (required)
Slices for component	Σ	5..*	BackboneElement	Component results Slice: Unordered, Open by pattern:code
component:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
component:aktin-pr-mtsprasentationsdiagramm	Σ	1..*	BackboneElement	Component results
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://aktin.org/fhir/CodeSystem/aktin-cs-snomed-postcoordinations
code		1..1	code	Symbol in syntax defined by the system Fixed Value: SCTPOCC-1269489004
display		1..1	string	Representation defined by the system Fixed Value: MTS-Präsentationsdiagramm
Slices for value[x]	Σ	0..1		Actual component result Slice: Unordered, Open by type:$this
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
value[x]:valueCodeableConcept	Σ	0..1	CodeableConcept	Actual component result Binding: MTS-Präsentationsdiagramm (required)
component:aktin-pr-mtsindikatoren_rot	Σ	1..*	BackboneElement	Component results
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://aktin.org/fhir/CodeSystem/aktin-cs-snomed-postcoordinations
code		1..1	code	Symbol in syntax defined by the system Fixed Value: SCTPOCC-49499008
display		1..1	string	Representation defined by the system Fixed Value: MTS-Indikatoren ROT
Slices for value[x]	Σ	0..1		Actual component result Slice: Unordered, Open by type:$this
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
Slices for value[x]				Content/Rules for all slices
value[x]:valueCodeableConcept	Σ	0..1	CodeableConcept	Actual component result Binding: MTS-Indikatoren ROT (required)
component:aktin-pr-mtsindikatoren_orange	Σ	1..*	BackboneElement	Component results
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://aktin.org/fhir/CodeSystem/aktin-cs-snomed-postcoordinations
code		1..1	code	Symbol in syntax defined by the system Fixed Value: SCTPOCC-25876001
display		1..1	string	Representation defined by the system Fixed Value: MTS-Indikatoren ORANGE
Slices for value[x]	Σ	0..1		Actual component result Slice: Unordered, Open by type:$this
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
Slices for value[x]				Content/Rules for all slices
value[x]:valueCodeableConcept	Σ	0..1	CodeableConcept	Actual component result Binding: MTS-Indikatoren ORANGE (required)
component:aktin-pr-mtsindikatoren_gelb	Σ	1..*	BackboneElement	Component results
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://aktin.org/fhir/CodeSystem/aktin-cs-snomed-postcoordinations
code		1..1	code	Symbol in syntax defined by the system Fixed Value: SCTPOCC-103391001
display		1..1	string	Representation defined by the system Fixed Value: MTS-Indikatoren GELB
Slices for value[x]	Σ	0..1		Actual component result Slice: Unordered, Open by type:$this
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
Slices for value[x]				Content/Rules for all slices
value[x]:valueCodeableConcept	Σ	0..1	CodeableConcept	Actual component result Binding: MTS-Indikatoren GELB (required)
component:aktin-pr-mtsindikatoren_grun	Σ	1..*	BackboneElement	Component results
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://aktin.org/fhir/CodeSystem/aktin-cs-snomed-postcoordinations
code		1..1	code	Symbol in syntax defined by the system Fixed Value: SCTPOCC-394848005
display		1..1	string	Representation defined by the system Fixed Value: MTS-Indikatoren GRÜN
Slices for value[x]	Σ	0..1		Actual component result Slice: Unordered, Open by type:$this
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
Slices for value[x]				Content/Rules for all slices
value[x]:valueCodeableConcept	Σ	0..1	CodeableConcept	Actual component result Binding: MTS-Indikatoren GRÜN (required)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard
Observation.category	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.code	example	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.value[x]	required	Manchestertriagesystem (a valid code from Manchester-Triage-System) http://aktin.org/fhir/ValueSet/aktin-vs-manchestertriagesystem from this IG
Observation.component.code	example	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component:aktin-pr-mtsprasentationsdiagramm.code	example	Pattern: SCTPOCC-1269489004("MTS-Präsentationsdiagramm") http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component:aktin-pr-mtsprasentationsdiagramm.value[x]:valueCodeableConcept	required	Mts_presenting_diagram (a valid code from MTS-Präsentationsdiagramm) http://aktin.org/fhir/ValueSet/aktin-vs-mts-presenting-diagram from this IG
Observation.component:aktin-pr-mtsindikatoren_rot.code	example	Pattern: SCTPOCC-49499008("MTS-Indikatoren ROT") http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component:aktin-pr-mtsindikatoren_rot.value[x]:valueCodeableConcept	required	Mts_indicators_red http://aktin.org/fhir/ValueSet/aktin-vs-mts-indicators-red from this IG
Observation.component:aktin-pr-mtsindikatoren_orange.code	example	Pattern: SCTPOCC-25876001("MTS-Indikatoren ORANGE") http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component:aktin-pr-mtsindikatoren_orange.value[x]:valueCodeableConcept	required	Mts_indicators_orange http://aktin.org/fhir/ValueSet/aktin-vs-mts-indicators-orange from this IG
Observation.component:aktin-pr-mtsindikatoren_gelb.code	example	Pattern: SCTPOCC-103391001("MTS-Indikatoren GELB") http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component:aktin-pr-mtsindikatoren_gelb.value[x]:valueCodeableConcept	required	Mts_indicators_yellow http://aktin.org/fhir/ValueSet/aktin-vs-mts-indicators-yellow from this IG
Observation.component:aktin-pr-mtsindikatoren_grun.code	example	Pattern: SCTPOCC-394848005("MTS-Indikatoren GRÜN") http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component:aktin-pr-mtsindikatoren_grun.value[x]:valueCodeableConcept	required	Mts_indicators_green http://aktin.org/fhir/ValueSet/aktin-vs-mts-indicators-green from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	Observation	Measurements and simple assertions obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..*	Identifier	Business Identifier for observation
basedOn	Σ	0..*	Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	Fulfills plan, proposal or order
partOf	Σ	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)	Part of referenced event
status	?!Σ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
category	S	0..*	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
code	SΣ	1..1	CodeableConcept	Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	SΣ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:SNOMED-CT	SΣ	1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 713009001
display		1..1	string	Representation defined by the system Fixed Value: Manchester Triage System (assessment scale)
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept Required Pattern: Manchester Triage System
subject	SΣ	1..1	Reference(Patient)	Nutzung von AKTIN_PR_Patient
focus	Σ	0..*	Reference(Resource)	What the observation is about, when it is not about the subject of record
encounter	Σ	0..1	Reference(Encounter)	Healthcare event during which this observation is made
effective[x]	SΣ	1..1	dateTime	Clinically relevant time/time-period for observation
issued	Σ	0..1	instant	Date/Time this version was made available
performer	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)	Who is responsible for the observation
value[x]	SΣC	1..1	CodeableConcept	Actual result Binding: Manchester-Triage-System (required)
dataAbsentReason	C	0..1	CodeableConcept	Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
note		0..*	Annotation	Comments about the observation
bodySite		0..1	CodeableConcept	Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
method		0..1	CodeableConcept	How it was done Binding: ObservationMethods (example): Methods for simple observations.
specimen		0..1	Reference(Specimen)	Specimen used for this observation
device		0..1	Reference(Device | DeviceMetric)	(Measurement) Device
referenceRange	C	0..*	BackboneElement	Provides guide for interpretation obs-3: Must have at least a low or a high or text
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
low	C	0..1	SimpleQuantity	Low Range, if relevant
high	C	0..1	SimpleQuantity	High Range, if relevant
type		0..1	CodeableConcept	Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
appliesTo		0..*	CodeableConcept	Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
age		0..1	Range	Applicable age range, if relevant
text		0..1	string	Text based reference range in an observation
hasMember	Σ	0..*	Reference(Observation | QuestionnaireResponse | MolecularSequence)	Related resource that belongs to the Observation group
derivedFrom	Σ	0..*	Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)	Related measurements the observation is made from
Slices for component	Σ	5..*	BackboneElement	Component results Slice: Unordered, Open by pattern:code
component:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
value[x]	Σ	0..1		Actual component result
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:aktin-pr-mtsprasentationsdiagramm	Σ	1..*	BackboneElement	Component results
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://aktin.org/fhir/CodeSystem/aktin-cs-snomed-postcoordinations
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: SCTPOCC-1269489004
display		1..1	string	Representation defined by the system Fixed Value: MTS-Präsentationsdiagramm
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
Slices for value[x]	Σ	0..1		Actual component result Slice: Unordered, Open by type:$this
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
Slices for value[x]				Content/Rules for all slices
value[x]:valueCodeableConcept	Σ	0..1	CodeableConcept	Actual component result Binding: MTS-Präsentationsdiagramm (required)
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:aktin-pr-mtsindikatoren_rot	Σ	1..*	BackboneElement	Component results
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://aktin.org/fhir/CodeSystem/aktin-cs-snomed-postcoordinations
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: SCTPOCC-49499008
display		1..1	string	Representation defined by the system Fixed Value: MTS-Indikatoren ROT
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
Slices for value[x]	Σ	0..1		Actual component result Slice: Unordered, Open by type:$this
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
Slices for value[x]				Content/Rules for all slices
value[x]:valueCodeableConcept	Σ	0..1	CodeableConcept	Actual component result Binding: MTS-Indikatoren ROT (required)
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:aktin-pr-mtsindikatoren_orange	Σ	1..*	BackboneElement	Component results
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://aktin.org/fhir/CodeSystem/aktin-cs-snomed-postcoordinations
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: SCTPOCC-25876001
display		1..1	string	Representation defined by the system Fixed Value: MTS-Indikatoren ORANGE
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
Slices for value[x]	Σ	0..1		Actual component result Slice: Unordered, Open by type:$this
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
Slices for value[x]				Content/Rules for all slices
value[x]:valueCodeableConcept	Σ	0..1	CodeableConcept	Actual component result Binding: MTS-Indikatoren ORANGE (required)
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:aktin-pr-mtsindikatoren_gelb	Σ	1..*	BackboneElement	Component results
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://aktin.org/fhir/CodeSystem/aktin-cs-snomed-postcoordinations
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: SCTPOCC-103391001
display		1..1	string	Representation defined by the system Fixed Value: MTS-Indikatoren GELB
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
Slices for value[x]	Σ	0..1		Actual component result Slice: Unordered, Open by type:$this
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
Slices for value[x]				Content/Rules for all slices
value[x]:valueCodeableConcept	Σ	0..1	CodeableConcept	Actual component result Binding: MTS-Indikatoren GELB (required)
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:aktin-pr-mtsindikatoren_grun	Σ	1..*	BackboneElement	Component results
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://aktin.org/fhir/CodeSystem/aktin-cs-snomed-postcoordinations
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: SCTPOCC-394848005
display		1..1	string	Representation defined by the system Fixed Value: MTS-Indikatoren GRÜN
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
Slices for value[x]	Σ	0..1		Actual component result Slice: Unordered, Open by type:$this
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
Slices for value[x]				Content/Rules for all slices
value[x]:valueCodeableConcept	Σ	0..1	CodeableConcept	Actual component result Binding: MTS-Indikatoren GRÜN (required)
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Observation.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard
Observation.category	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.code	example	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.value[x]	required	Manchestertriagesystem (a valid code from Manchester-Triage-System) http://aktin.org/fhir/ValueSet/aktin-vs-manchestertriagesystem from this IG
Observation.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
Observation.method	example	ObservationMethods http://hl7.org/fhir/ValueSet/observation-methods from the FHIR Standard
Observation.referenceRange.type	preferred	ObservationReferenceRangeMeaningCodes http://hl7.org/fhir/ValueSet/referencerange-meaning from the FHIR Standard
Observation.referenceRange.appliesTo	example	ObservationReferenceRangeAppliesToCodes http://hl7.org/fhir/ValueSet/referencerange-appliesto from the FHIR Standard
Observation.component.code	example	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.component:aktin-pr-mtsprasentationsdiagramm.code	example	Pattern: SCTPOCC-1269489004("MTS-Präsentationsdiagramm") http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component:aktin-pr-mtsprasentationsdiagramm.value[x]:valueCodeableConcept	required	Mts_presenting_diagram (a valid code from MTS-Präsentationsdiagramm) http://aktin.org/fhir/ValueSet/aktin-vs-mts-presenting-diagram from this IG
Observation.component:aktin-pr-mtsprasentationsdiagramm.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component:aktin-pr-mtsprasentationsdiagramm.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.component:aktin-pr-mtsindikatoren_rot.code	example	Pattern: SCTPOCC-49499008("MTS-Indikatoren ROT") http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component:aktin-pr-mtsindikatoren_rot.value[x]:valueCodeableConcept	required	Mts_indicators_red http://aktin.org/fhir/ValueSet/aktin-vs-mts-indicators-red from this IG
Observation.component:aktin-pr-mtsindikatoren_rot.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component:aktin-pr-mtsindikatoren_rot.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.component:aktin-pr-mtsindikatoren_orange.code	example	Pattern: SCTPOCC-25876001("MTS-Indikatoren ORANGE") http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component:aktin-pr-mtsindikatoren_orange.value[x]:valueCodeableConcept	required	Mts_indicators_orange http://aktin.org/fhir/ValueSet/aktin-vs-mts-indicators-orange from this IG
Observation.component:aktin-pr-mtsindikatoren_orange.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component:aktin-pr-mtsindikatoren_orange.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.component:aktin-pr-mtsindikatoren_gelb.code	example	Pattern: SCTPOCC-103391001("MTS-Indikatoren GELB") http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component:aktin-pr-mtsindikatoren_gelb.value[x]:valueCodeableConcept	required	Mts_indicators_yellow http://aktin.org/fhir/ValueSet/aktin-vs-mts-indicators-yellow from this IG
Observation.component:aktin-pr-mtsindikatoren_gelb.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component:aktin-pr-mtsindikatoren_gelb.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.component:aktin-pr-mtsindikatoren_grun.code	example	Pattern: SCTPOCC-394848005("MTS-Indikatoren GRÜN") http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component:aktin-pr-mtsindikatoren_grun.value[x]:valueCodeableConcept	required	Mts_indicators_green http://aktin.org/fhir/ValueSet/aktin-vs-mts-indicators-green from this IG
Observation.component:aktin-pr-mtsindikatoren_grun.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component:aktin-pr-mtsindikatoren_grun.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
obs-3	error	Observation.referenceRange	Must have at least a low or a high or text : low.exists() or high.exists() or text.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

This structure is derived from Observation

Summary

Mandatory: 10 elements
Must-Support: 8 elements

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Observation.code.coding
• The element 1 is sliced based on the value of Observation.component
• The element 1 is sliced based on the value of Observation.component.value[x]

Differential View

This structure is derived from Observation

Name	Flags	Card.	Type	Description & Constraints
Observation		0..*	Observation	Measurements and simple assertions
identifier	S	0..*	Identifier	Business Identifier for observation
category	S	0..*	CodeableConcept	Classification of type of observation
code	S	1..1	CodeableConcept	Type of observation (code / type)
Slices for coding	S	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:SNOMED-CT	S	1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 713009001
display		1..1	string	Representation defined by the system Fixed Value: Manchester Triage System (assessment scale)
text		0..1	string	Plain text representation of the concept Required Pattern: Manchester Triage System
subject	S	1..1	Reference(Patient)	Nutzung von AKTIN_PR_Patient
effective[x]	S	1..1	dateTime	Clinically relevant time/time-period for observation
value[x]	S	1..1	CodeableConcept	Actual result Binding: Manchester-Triage-System (required)
Slices for component		5..*	BackboneElement	Component results Slice: Unordered, Open by pattern:code
component:aktin-pr-mtsprasentationsdiagramm		1..*	BackboneElement	Component results
code		1..1	CodeableConcept	Type of component observation (code / type) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://aktin.org/fhir/CodeSystem/aktin-cs-snomed-postcoordinations
code		1..1	code	Symbol in syntax defined by the system Fixed Value: SCTPOCC-1269489004
display		1..1	string	Representation defined by the system Fixed Value: MTS-Präsentationsdiagramm
Slices for value[x]		0..1	Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period	Actual component result Slice: Unordered, Open by type:$this
value[x]:valueCodeableConcept		0..1	CodeableConcept	Actual component result Binding: MTS-Präsentationsdiagramm (required)
component:aktin-pr-mtsindikatoren_rot		1..*	BackboneElement	Component results
code		1..1	CodeableConcept	Type of component observation (code / type) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://aktin.org/fhir/CodeSystem/aktin-cs-snomed-postcoordinations
code		1..1	code	Symbol in syntax defined by the system Fixed Value: SCTPOCC-49499008
display		1..1	string	Representation defined by the system Fixed Value: MTS-Indikatoren ROT
Slices for value[x]		0..1	Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period	Actual component result Slice: Unordered, Open by type:$this
Slices for value[x]				Content/Rules for all slices
value[x]:valueCodeableConcept		0..1	CodeableConcept	Actual component result Binding: MTS-Indikatoren ROT (required)
component:aktin-pr-mtsindikatoren_orange		1..*	BackboneElement	Component results
code		1..1	CodeableConcept	Type of component observation (code / type) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://aktin.org/fhir/CodeSystem/aktin-cs-snomed-postcoordinations
code		1..1	code	Symbol in syntax defined by the system Fixed Value: SCTPOCC-25876001
display		1..1	string	Representation defined by the system Fixed Value: MTS-Indikatoren ORANGE
Slices for value[x]		0..1	Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period	Actual component result Slice: Unordered, Open by type:$this
Slices for value[x]				Content/Rules for all slices
value[x]:valueCodeableConcept		0..1	CodeableConcept	Actual component result Binding: MTS-Indikatoren ORANGE (required)
component:aktin-pr-mtsindikatoren_gelb		1..*	BackboneElement	Component results
code		1..1	CodeableConcept	Type of component observation (code / type) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://aktin.org/fhir/CodeSystem/aktin-cs-snomed-postcoordinations
code		1..1	code	Symbol in syntax defined by the system Fixed Value: SCTPOCC-103391001
display		1..1	string	Representation defined by the system Fixed Value: MTS-Indikatoren GELB
Slices for value[x]		0..1	Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period	Actual component result Slice: Unordered, Open by type:$this
Slices for value[x]				Content/Rules for all slices
value[x]:valueCodeableConcept		0..1	CodeableConcept	Actual component result Binding: MTS-Indikatoren GELB (required)
component:aktin-pr-mtsindikatoren_grun		1..*	BackboneElement	Component results
code		1..1	CodeableConcept	Type of component observation (code / type) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://aktin.org/fhir/CodeSystem/aktin-cs-snomed-postcoordinations
code		1..1	code	Symbol in syntax defined by the system Fixed Value: SCTPOCC-394848005
display		1..1	string	Representation defined by the system Fixed Value: MTS-Indikatoren GRÜN
Slices for value[x]		0..1	Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period	Actual component result Slice: Unordered, Open by type:$this
Slices for value[x]				Content/Rules for all slices
value[x]:valueCodeableConcept		0..1	CodeableConcept	Actual component result Binding: MTS-Indikatoren GRÜN (required)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Observation.value[x]	required	Manchestertriagesystem (a valid code from Manchester-Triage-System) http://aktin.org/fhir/ValueSet/aktin-vs-manchestertriagesystem from this IG
Observation.component:aktin-pr-mtsprasentationsdiagramm.value[x]:valueCodeableConcept	required	Mts_presenting_diagram (a valid code from MTS-Präsentationsdiagramm) http://aktin.org/fhir/ValueSet/aktin-vs-mts-presenting-diagram from this IG
Observation.component:aktin-pr-mtsindikatoren_rot.value[x]:valueCodeableConcept	required	Mts_indicators_red http://aktin.org/fhir/ValueSet/aktin-vs-mts-indicators-red from this IG
Observation.component:aktin-pr-mtsindikatoren_orange.value[x]:valueCodeableConcept	required	Mts_indicators_orange http://aktin.org/fhir/ValueSet/aktin-vs-mts-indicators-orange from this IG
Observation.component:aktin-pr-mtsindikatoren_gelb.value[x]:valueCodeableConcept	required	Mts_indicators_yellow http://aktin.org/fhir/ValueSet/aktin-vs-mts-indicators-yellow from this IG
Observation.component:aktin-pr-mtsindikatoren_grun.value[x]:valueCodeableConcept	required	Mts_indicators_green http://aktin.org/fhir/ValueSet/aktin-vs-mts-indicators-green from this IG

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	Observation	Measurements and simple assertions obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..*	Identifier	Business Identifier for observation
status	?!Σ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
category	S	0..*	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
code	SΣ	1..1	CodeableConcept	Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
Slices for coding	SΣ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:SNOMED-CT	SΣ	1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 713009001
display		1..1	string	Representation defined by the system Fixed Value: Manchester Triage System (assessment scale)
text	Σ	0..1	string	Plain text representation of the concept Required Pattern: Manchester Triage System
subject	SΣ	1..1	Reference(Patient)	Nutzung von AKTIN_PR_Patient
effective[x]	SΣ	1..1	dateTime	Clinically relevant time/time-period for observation
value[x]	SΣC	1..1	CodeableConcept	Actual result Binding: Manchester-Triage-System (required)
Slices for component	Σ	5..*	BackboneElement	Component results Slice: Unordered, Open by pattern:code
component:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
component:aktin-pr-mtsprasentationsdiagramm	Σ	1..*	BackboneElement	Component results
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://aktin.org/fhir/CodeSystem/aktin-cs-snomed-postcoordinations
code		1..1	code	Symbol in syntax defined by the system Fixed Value: SCTPOCC-1269489004
display		1..1	string	Representation defined by the system Fixed Value: MTS-Präsentationsdiagramm
Slices for value[x]	Σ	0..1		Actual component result Slice: Unordered, Open by type:$this
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
value[x]:valueCodeableConcept	Σ	0..1	CodeableConcept	Actual component result Binding: MTS-Präsentationsdiagramm (required)
component:aktin-pr-mtsindikatoren_rot	Σ	1..*	BackboneElement	Component results
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://aktin.org/fhir/CodeSystem/aktin-cs-snomed-postcoordinations
code		1..1	code	Symbol in syntax defined by the system Fixed Value: SCTPOCC-49499008
display		1..1	string	Representation defined by the system Fixed Value: MTS-Indikatoren ROT
Slices for value[x]	Σ	0..1		Actual component result Slice: Unordered, Open by type:$this
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
Slices for value[x]				Content/Rules for all slices
value[x]:valueCodeableConcept	Σ	0..1	CodeableConcept	Actual component result Binding: MTS-Indikatoren ROT (required)
component:aktin-pr-mtsindikatoren_orange	Σ	1..*	BackboneElement	Component results
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://aktin.org/fhir/CodeSystem/aktin-cs-snomed-postcoordinations
code		1..1	code	Symbol in syntax defined by the system Fixed Value: SCTPOCC-25876001
display		1..1	string	Representation defined by the system Fixed Value: MTS-Indikatoren ORANGE
Slices for value[x]	Σ	0..1		Actual component result Slice: Unordered, Open by type:$this
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
Slices for value[x]				Content/Rules for all slices
value[x]:valueCodeableConcept	Σ	0..1	CodeableConcept	Actual component result Binding: MTS-Indikatoren ORANGE (required)
component:aktin-pr-mtsindikatoren_gelb	Σ	1..*	BackboneElement	Component results
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://aktin.org/fhir/CodeSystem/aktin-cs-snomed-postcoordinations
code		1..1	code	Symbol in syntax defined by the system Fixed Value: SCTPOCC-103391001
display		1..1	string	Representation defined by the system Fixed Value: MTS-Indikatoren GELB
Slices for value[x]	Σ	0..1		Actual component result Slice: Unordered, Open by type:$this
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
Slices for value[x]				Content/Rules for all slices
value[x]:valueCodeableConcept	Σ	0..1	CodeableConcept	Actual component result Binding: MTS-Indikatoren GELB (required)
component:aktin-pr-mtsindikatoren_grun	Σ	1..*	BackboneElement	Component results
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://aktin.org/fhir/CodeSystem/aktin-cs-snomed-postcoordinations
code		1..1	code	Symbol in syntax defined by the system Fixed Value: SCTPOCC-394848005
display		1..1	string	Representation defined by the system Fixed Value: MTS-Indikatoren GRÜN
Slices for value[x]	Σ	0..1		Actual component result Slice: Unordered, Open by type:$this
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
Slices for value[x]				Content/Rules for all slices
value[x]:valueCodeableConcept	Σ	0..1	CodeableConcept	Actual component result Binding: MTS-Indikatoren GRÜN (required)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard
Observation.category	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.code	example	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.value[x]	required	Manchestertriagesystem (a valid code from Manchester-Triage-System) http://aktin.org/fhir/ValueSet/aktin-vs-manchestertriagesystem from this IG
Observation.component.code	example	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component:aktin-pr-mtsprasentationsdiagramm.code	example	Pattern: SCTPOCC-1269489004("MTS-Präsentationsdiagramm") http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component:aktin-pr-mtsprasentationsdiagramm.value[x]:valueCodeableConcept	required	Mts_presenting_diagram (a valid code from MTS-Präsentationsdiagramm) http://aktin.org/fhir/ValueSet/aktin-vs-mts-presenting-diagram from this IG
Observation.component:aktin-pr-mtsindikatoren_rot.code	example	Pattern: SCTPOCC-49499008("MTS-Indikatoren ROT") http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component:aktin-pr-mtsindikatoren_rot.value[x]:valueCodeableConcept	required	Mts_indicators_red http://aktin.org/fhir/ValueSet/aktin-vs-mts-indicators-red from this IG
Observation.component:aktin-pr-mtsindikatoren_orange.code	example	Pattern: SCTPOCC-25876001("MTS-Indikatoren ORANGE") http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component:aktin-pr-mtsindikatoren_orange.value[x]:valueCodeableConcept	required	Mts_indicators_orange http://aktin.org/fhir/ValueSet/aktin-vs-mts-indicators-orange from this IG
Observation.component:aktin-pr-mtsindikatoren_gelb.code	example	Pattern: SCTPOCC-103391001("MTS-Indikatoren GELB") http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component:aktin-pr-mtsindikatoren_gelb.value[x]:valueCodeableConcept	required	Mts_indicators_yellow http://aktin.org/fhir/ValueSet/aktin-vs-mts-indicators-yellow from this IG
Observation.component:aktin-pr-mtsindikatoren_grun.code	example	Pattern: SCTPOCC-394848005("MTS-Indikatoren GRÜN") http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component:aktin-pr-mtsindikatoren_grun.value[x]:valueCodeableConcept	required	Mts_indicators_green http://aktin.org/fhir/ValueSet/aktin-vs-mts-indicators-green from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	Observation	Measurements and simple assertions obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..*	Identifier	Business Identifier for observation
basedOn	Σ	0..*	Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	Fulfills plan, proposal or order
partOf	Σ	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)	Part of referenced event
status	?!Σ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
category	S	0..*	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
code	SΣ	1..1	CodeableConcept	Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	SΣ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:SNOMED-CT	SΣ	1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 713009001
display		1..1	string	Representation defined by the system Fixed Value: Manchester Triage System (assessment scale)
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept Required Pattern: Manchester Triage System
subject	SΣ	1..1	Reference(Patient)	Nutzung von AKTIN_PR_Patient
focus	Σ	0..*	Reference(Resource)	What the observation is about, when it is not about the subject of record
encounter	Σ	0..1	Reference(Encounter)	Healthcare event during which this observation is made
effective[x]	SΣ	1..1	dateTime	Clinically relevant time/time-period for observation
issued	Σ	0..1	instant	Date/Time this version was made available
performer	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)	Who is responsible for the observation
value[x]	SΣC	1..1	CodeableConcept	Actual result Binding: Manchester-Triage-System (required)
dataAbsentReason	C	0..1	CodeableConcept	Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
note		0..*	Annotation	Comments about the observation
bodySite		0..1	CodeableConcept	Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
method		0..1	CodeableConcept	How it was done Binding: ObservationMethods (example): Methods for simple observations.
specimen		0..1	Reference(Specimen)	Specimen used for this observation
device		0..1	Reference(Device | DeviceMetric)	(Measurement) Device
referenceRange	C	0..*	BackboneElement	Provides guide for interpretation obs-3: Must have at least a low or a high or text
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
low	C	0..1	SimpleQuantity	Low Range, if relevant
high	C	0..1	SimpleQuantity	High Range, if relevant
type		0..1	CodeableConcept	Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
appliesTo		0..*	CodeableConcept	Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
age		0..1	Range	Applicable age range, if relevant
text		0..1	string	Text based reference range in an observation
hasMember	Σ	0..*	Reference(Observation | QuestionnaireResponse | MolecularSequence)	Related resource that belongs to the Observation group
derivedFrom	Σ	0..*	Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)	Related measurements the observation is made from
Slices for component	Σ	5..*	BackboneElement	Component results Slice: Unordered, Open by pattern:code
component:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
value[x]	Σ	0..1		Actual component result
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:aktin-pr-mtsprasentationsdiagramm	Σ	1..*	BackboneElement	Component results
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://aktin.org/fhir/CodeSystem/aktin-cs-snomed-postcoordinations
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: SCTPOCC-1269489004
display		1..1	string	Representation defined by the system Fixed Value: MTS-Präsentationsdiagramm
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
Slices for value[x]	Σ	0..1		Actual component result Slice: Unordered, Open by type:$this
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
Slices for value[x]				Content/Rules for all slices
value[x]:valueCodeableConcept	Σ	0..1	CodeableConcept	Actual component result Binding: MTS-Präsentationsdiagramm (required)
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:aktin-pr-mtsindikatoren_rot	Σ	1..*	BackboneElement	Component results
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://aktin.org/fhir/CodeSystem/aktin-cs-snomed-postcoordinations
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: SCTPOCC-49499008
display		1..1	string	Representation defined by the system Fixed Value: MTS-Indikatoren ROT
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
Slices for value[x]	Σ	0..1		Actual component result Slice: Unordered, Open by type:$this
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
Slices for value[x]				Content/Rules for all slices
value[x]:valueCodeableConcept	Σ	0..1	CodeableConcept	Actual component result Binding: MTS-Indikatoren ROT (required)
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:aktin-pr-mtsindikatoren_orange	Σ	1..*	BackboneElement	Component results
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://aktin.org/fhir/CodeSystem/aktin-cs-snomed-postcoordinations
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: SCTPOCC-25876001
display		1..1	string	Representation defined by the system Fixed Value: MTS-Indikatoren ORANGE
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
Slices for value[x]	Σ	0..1		Actual component result Slice: Unordered, Open by type:$this
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
Slices for value[x]				Content/Rules for all slices
value[x]:valueCodeableConcept	Σ	0..1	CodeableConcept	Actual component result Binding: MTS-Indikatoren ORANGE (required)
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:aktin-pr-mtsindikatoren_gelb	Σ	1..*	BackboneElement	Component results
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://aktin.org/fhir/CodeSystem/aktin-cs-snomed-postcoordinations
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: SCTPOCC-103391001
display		1..1	string	Representation defined by the system Fixed Value: MTS-Indikatoren GELB
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
Slices for value[x]	Σ	0..1		Actual component result Slice: Unordered, Open by type:$this
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
Slices for value[x]				Content/Rules for all slices
value[x]:valueCodeableConcept	Σ	0..1	CodeableConcept	Actual component result Binding: MTS-Indikatoren GELB (required)
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:aktin-pr-mtsindikatoren_grun	Σ	1..*	BackboneElement	Component results
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://aktin.org/fhir/CodeSystem/aktin-cs-snomed-postcoordinations
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: SCTPOCC-394848005
display		1..1	string	Representation defined by the system Fixed Value: MTS-Indikatoren GRÜN
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
Slices for value[x]	Σ	0..1		Actual component result Slice: Unordered, Open by type:$this
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
Slices for value[x]				Content/Rules for all slices
value[x]:valueCodeableConcept	Σ	0..1	CodeableConcept	Actual component result Binding: MTS-Indikatoren GRÜN (required)
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Observation.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard
Observation.category	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.code	example	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.value[x]	required	Manchestertriagesystem (a valid code from Manchester-Triage-System) http://aktin.org/fhir/ValueSet/aktin-vs-manchestertriagesystem from this IG
Observation.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
Observation.method	example	ObservationMethods http://hl7.org/fhir/ValueSet/observation-methods from the FHIR Standard
Observation.referenceRange.type	preferred	ObservationReferenceRangeMeaningCodes http://hl7.org/fhir/ValueSet/referencerange-meaning from the FHIR Standard
Observation.referenceRange.appliesTo	example	ObservationReferenceRangeAppliesToCodes http://hl7.org/fhir/ValueSet/referencerange-appliesto from the FHIR Standard
Observation.component.code	example	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.component:aktin-pr-mtsprasentationsdiagramm.code	example	Pattern: SCTPOCC-1269489004("MTS-Präsentationsdiagramm") http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component:aktin-pr-mtsprasentationsdiagramm.value[x]:valueCodeableConcept	required	Mts_presenting_diagram (a valid code from MTS-Präsentationsdiagramm) http://aktin.org/fhir/ValueSet/aktin-vs-mts-presenting-diagram from this IG
Observation.component:aktin-pr-mtsprasentationsdiagramm.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component:aktin-pr-mtsprasentationsdiagramm.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.component:aktin-pr-mtsindikatoren_rot.code	example	Pattern: SCTPOCC-49499008("MTS-Indikatoren ROT") http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component:aktin-pr-mtsindikatoren_rot.value[x]:valueCodeableConcept	required	Mts_indicators_red http://aktin.org/fhir/ValueSet/aktin-vs-mts-indicators-red from this IG
Observation.component:aktin-pr-mtsindikatoren_rot.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component:aktin-pr-mtsindikatoren_rot.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.component:aktin-pr-mtsindikatoren_orange.code	example	Pattern: SCTPOCC-25876001("MTS-Indikatoren ORANGE") http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component:aktin-pr-mtsindikatoren_orange.value[x]:valueCodeableConcept	required	Mts_indicators_orange http://aktin.org/fhir/ValueSet/aktin-vs-mts-indicators-orange from this IG
Observation.component:aktin-pr-mtsindikatoren_orange.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component:aktin-pr-mtsindikatoren_orange.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.component:aktin-pr-mtsindikatoren_gelb.code	example	Pattern: SCTPOCC-103391001("MTS-Indikatoren GELB") http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component:aktin-pr-mtsindikatoren_gelb.value[x]:valueCodeableConcept	required	Mts_indicators_yellow http://aktin.org/fhir/ValueSet/aktin-vs-mts-indicators-yellow from this IG
Observation.component:aktin-pr-mtsindikatoren_gelb.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component:aktin-pr-mtsindikatoren_gelb.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.component:aktin-pr-mtsindikatoren_grun.code	example	Pattern: SCTPOCC-394848005("MTS-Indikatoren GRÜN") http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component:aktin-pr-mtsindikatoren_grun.value[x]:valueCodeableConcept	required	Mts_indicators_green http://aktin.org/fhir/ValueSet/aktin-vs-mts-indicators-green from this IG
Observation.component:aktin-pr-mtsindikatoren_grun.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component:aktin-pr-mtsindikatoren_grun.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
obs-3	error	Observation.referenceRange	Must have at least a low or a high or text : low.exists() or high.exists() or text.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

This structure is derived from Observation

Summary

Mandatory: 10 elements
Must-Support: 8 elements

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Observation.code.coding
• The element 1 is sliced based on the value of Observation.component
• The element 1 is sliced based on the value of Observation.component.value[x]