AKTIN Notfalldokumentation
1.0.0 - ballot
AKTIN Notfalldokumentation
1.0.0 - ballot
AKTIN Notfalldokumentation - Local Development build (v1.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| Official URL: http://aktin.org/fhir/StructureDefinition/aktin-pr-vitalsigns-herzfrequenz | Version: 1.0.0 | |||
| Active as of 2025-06-12 | Computable Name: AKTIN_PR_vitalsigns_herzfrequenz | |||
Herzfrequenz des Patienten [Schläge/min] per EKG abgeleitet
Hinweise, bitte beachten
Dieses AKTIN-Profil zu 'Observation' ist direkt abgeleitet vom Profil des bekannten Bausteins 'ISiKHerzfrequenz'. Es gibt die formalen Erfordernisse an, welche die AKTIN-spezifischen Eigenschaften zum existierendes Profil zusätzlich vorhanden sein müssen und welche Constraints gelten. Diese sind im 'Differential View' direkt ersichtlich.
Es dient dem Aufzeigen der semantischen Annotationen des zugrundeliegenden Konzepts und optional der Bindung der Valusets an Antwort-Auswahllisten, kodierten Zusatzinformationen und Maßeinheiten.
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter:   |
|---|---|---|---|---|
  Observation |
C | 0..* | ISiKHerzfrequenz | Measurements and simple assertions Constraints: dom-2, dom-3, dom-4, dom-5, dom-6, obs-7, obs-6, vs-de-2 |
  implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored Slice: Unordered, Open by value:url |
| status |
?!SΣ | 1..1 | code | Untersuchungsstatus Binding: ObservationStatus (required): Codes providing the status of an observation. |
  Slices for category |
S | 1..* | CodeableConcept | Untersuchungskategorie Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. |
   category:VSCat |
S | 1..1 | CodeableConcept | Vitalparameterkategorie Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: At least the following |
  id |
0..1 | string | Unique id for inter-element referencing | |
 extension |
0..* | Extension | Additional content defined by implementations | |
  coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
 id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: vital-signs | |
| display |
0..1 | string | Representation defined by the system | |
 userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
 text |
0..1 | string | Plain text representation of the concept | |
| code |
SΣ | 1..1 | CodeableConcept | Code Binding: LOINCCodes (example): Codes identifying names of simple observations. |
| Slices for coding |
SΣ | 1..* | ISiKCoding(4.0.2) | Coding Slice: Unordered, Open by pattern:$this |
 coding:loinc |
SΣ | 1..1 | ISiKLoincCoding(4.0.2) | LOINC Kodierung 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://loinc.org | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 8867-4 | |
| display |
0..1 | string | Representation defined by the system | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| coding:snomed |
SΣ | 0..* | ISiKSnomedCTCoding(4.0.2) | SNOMED CT Kodierung Binding: VitalSignDE_Herzfrequenz_SNOMED_CT (required) 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: 364075005 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Heart rate (observable entity) | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| system |
Σ | 1..1 | uri | Identity of the terminology system |
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system |
| coding:IEEE11073 |
Σ | 0..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: urn:iso:std:iso:11073:10101 | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 147842 | |
| display |
0..1 | string | Representation defined by the system | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| system |
Σ | 1..1 | uri | Identity of the terminology system |
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system |
| text |
Σ | 0..1 | string | Plain text representation of the concept Required Pattern: Herzfrequenz |
 subject |
SΣC | 1..1 | Reference(Patient) | Patient Constraints: ref-1 |
| encounter |
SΣC | 0..1 | Reference(Encounter) | Aufenthaltsbezug Constraints: ref-1 |
| reference |
SΣC | 1..1 | string | Encounter-Link |
 effective[x] |
SΣC | 1..1 | Datum und Uhrzeit der Untersuchung Constraints: vs-de-1 | |
| effectiveDateTime |
dateTime | |||
| effectivePeriod |
Period | |||
| performer |
SΣC | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Untersuchender Constraints: ref-1 |
| Slices for value[x] |
SΣC | 0..1 | Untersuchungsergebnis 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]:valueQuantity |
SΣC | 0..1 | Quantity | quantitatives Untersuchungsergebnis Required Pattern: At least the following |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| value |
0..1 | decimal | Numerical value (with implicit precision) | |
| comparator |
0..1 | code | < | <= | >= | > - how to understand the value | |
| unit |
0..1 | string | Unit representation | |
| system |
1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org | |
| code |
1..1 | code | Coded form of the unit Fixed Value: /min | |
| value |
SΣ | 1..1 | decimal | Wert |
| comparator |
?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. |
| unit |
SΣ | 1..1 | string | Einheit |
| system |
SΣC | 1..1 | uri | CodeSystem aus dem die Einheit stammt Required Pattern: http://unitsofmeasure.org |
| code |
SΣ | 1..1 | code | Code der Einheit Binding: UCUM Vitals Common DE (required) |
| dataAbsentReason |
SC | 0..1 | CodeableConcept | Grund für fehlende Untersuchungsergebnisse Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
| method |
S | 0..1 | CodeableConcept | Untersuchungsmethode Binding: ObservationMethods (example): Methods for simple observations. |
| device |
SC | 0..1 | Reference(Device | DeviceMetric) | Gerät Constraints: ref-1 |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI |
| Observation.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|4.0.1From the FHIR Standard | |
| Observation.category | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-categoryFrom the FHIR Standard | |
| Observation.category:VSCat | preferred | Pattern Value: vital-signshttp://hl7.org/fhir/ValueSet/observation-categoryFrom the FHIR Standard | |
| Observation.code | example | LOINCCodes(a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codesFrom the FHIR Standard | |
| Observation.code.coding:snomed | required | Pattern Value: SNOMED-CT Code 364075005("Heart rate (observable entity)")http://fhir.de/ValueSet/VitalSignDE-Herzfrequenz-SNOMED-CT | |
| Observation.value[x]:valueQuantity.comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1From the FHIR Standard | |
| Observation.value[x]:valueQuantity.code | required | UCUM_Vitals_Common_DEhttp://fhir.de/ValueSet/UcumVitalsCommonDE | |
| Observation.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonFrom the FHIR Standard | |
| Observation.method | example | ObservationMethodshttp://hl7.org/fhir/ValueSet/observation-methodsFrom the FHIR Standard |
| 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() | |
| ref-1 | error | Observation.subject, Observation.encounter, Observation.performer, Observation.device | SHALL have a contained resource if a local reference is provided : reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) | |
| vs-de-1 | error | Observation.effective[x] | If Observation.effective[x] has a value then that value shall be precise to the day : (($this is dateTime) implies ($this as dateTime).toString().length() >= 10) and ($this.start.exists() implies ($this.start as dateTime).toString().length() >= 10) and ($this.end.exists() implies ($this.end as dateTime).toString().length() >= 10) | |
| vs-de-2 | error | Observation | If there is no component or hasMember element then either a value[x] or a data absent reason must be present : (component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists()) |
This structure is derived from ISiKHerzfrequenz
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Observation |
0..* | ISiKHerzfrequenz | Measurements and simple assertions | |
  code |
||||
| Slices for coding |
Content/Rules for all slices | |||
| coding:snomed |
0..* | ISiKSnomedCTCoding(4.0.2) | SNOMED CT Kodierung 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: 364075005 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Heart rate (observable entity) | |
| text |
0..1 | string | Plain text representation of the concept Required Pattern: Herzfrequenz | |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Observation |
C | 0..* | ISiKHerzfrequenz | Measurements and simple assertions Constraints: dom-2, dom-3, dom-4, dom-5, dom-6, obs-7, obs-6, vs-de-2 | ||||
| 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.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
 extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored Slice: Unordered, Open by value:url | ||||
| identifier |
Σ | 0..* | Identifier | Business Identifier for observation | ||||
| basedOn |
ΣC | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order Constraints: ref-1 | ||||
| partOf |
ΣC | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event Constraints: ref-1 | ||||
| status |
?!SΣ | 1..1 | code | Untersuchungsstatus Binding: ObservationStatus (required): Codes providing the status of an observation. | ||||
| Slices for category |
S | 1..* | CodeableConcept | Untersuchungskategorie Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | ||||
| category:VSCat |
S | 1..1 | CodeableConcept | Vitalparameterkategorie Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. 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: http://terminology.hl7.org/CodeSystem/observation-category | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: vital-signs | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| code |
SΣ | 1..1 | CodeableConcept | Code 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..* | ISiKCoding(4.0.2) | Coding Slice: Unordered, Open by pattern:$this | ||||
| coding:loinc |
SΣ | 1..1 | ISiKLoincCoding(4.0.2) | LOINC Kodierung 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://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 8867-4 | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| coding:snomed |
SΣ | 0..* | ISiKSnomedCTCoding(4.0.2) | SNOMED CT Kodierung Binding: VitalSignDE_Herzfrequenz_SNOMED_CT (required) 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: 364075005 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Heart rate (observable entity) | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
Σ | 1..1 | uri | Identity of the terminology system | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
| display |
Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| coding:IEEE11073 |
Σ | 0..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: urn:iso:std:iso:11073:10101 | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 147842 | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
Σ | 1..1 | uri | Identity of the terminology system | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
| display |
Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 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: Herzfrequenz | ||||
| subject |
SΣC | 1..1 | Reference(Patient) | Patient Constraints: ref-1 | ||||
| focus |
ΣC | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record Constraints: ref-1 | ||||
| encounter |
SΣC | 0..1 | Reference(Encounter) | Aufenthaltsbezug Constraints: ref-1 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
SΣC | 1..1 | string | Encounter-Link | ||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| identifier |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||
| effective[x] |
SΣC | 1..1 | Datum und Uhrzeit der Untersuchung Constraints: vs-de-1 | |||||
| effectiveDateTime |
dateTime | |||||||
| effectivePeriod |
Period | |||||||
| issued |
Σ | 0..1 | instant | Date/Time this version was made available | ||||
| performer |
SΣC | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Untersuchender Constraints: ref-1 | ||||
| Slices for value[x] |
SΣC | 0..1 | Untersuchungsergebnis 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]:valueQuantity |
SΣC | 0..1 | Quantity | quantitatives Untersuchungsergebnis Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| value |
0..1 | decimal | Numerical value (with implicit precision) | |||||
| comparator |
0..1 | code | < | <= | >= | > - how to understand the value | |||||
| unit |
0..1 | string | Unit representation | |||||
| system |
1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org | |||||
| code |
1..1 | code | Coded form of the unit Fixed Value: /min | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| value |
SΣ | 1..1 | decimal | Wert | ||||
| comparator |
?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | ||||
| unit |
SΣ | 1..1 | string | Einheit | ||||
| system |
SΣC | 1..1 | uri | CodeSystem aus dem die Einheit stammt Required Pattern: http://unitsofmeasure.org | ||||
| code |
SΣ | 1..1 | code | Code der Einheit Binding: UCUM Vitals Common DE (required) | ||||
| dataAbsentReason |
SC | 0..1 | CodeableConcept | Grund für fehlende Untersuchungsergebnisse 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 |
S | 0..1 | CodeableConcept | Untersuchungsmethode Binding: ObservationMethods (example): Methods for simple observations. | ||||
| specimen |
C | 0..1 | Reference(Specimen) | Specimen used for this observation Constraints: ref-1 | ||||
| device |
SC | 0..1 | Reference(Device | DeviceMetric) | Gerät Constraints: ref-1 | ||||
| referenceRange |
C | 0..* | BackboneElement | Provides guide for interpretation Constraints: obs-3 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| low |
C | 0..1 | SimpleQuantity | Low Range, if relevant Constraints: qty-3, sqty-1 | ||||
| high |
C | 0..1 | SimpleQuantity | High Range, if relevant Constraints: qty-3, sqty-1 | ||||
| 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 |
C | 0..1 | Range | Applicable age range, if relevant Constraints: rng-2 | ||||
| text |
0..1 | string | Text based reference range in an observation | |||||
| hasMember |
ΣC | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group Constraints: ref-1 | ||||
| derivedFrom |
ΣC | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | Related measurements the observation is made from Constraints: ref-1 | ||||
| component |
ΣC | 0..* | BackboneElement | Component results Constraints: vs-de-3 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| 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. | ||||
| 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]:valueQuantity |
Σ | 0..1 | Quantity | Actual component result | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| value |
Σ | 1..1 | decimal | Numerical value (with implicit precision) | ||||
| comparator |
?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | ||||
| unit |
Σ | 1..1 | string | Unit representation | ||||
| system |
ΣC | 1..1 | uri | System that defines coded unit form Required Pattern: http://unitsofmeasure.org | ||||
| code |
Σ | 1..1 | code | Coded form of the unit | ||||
| 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 | ||||||||
| Path | Conformance | ValueSet / Code | URI | |||
| Observation.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languagesFrom the FHIR Standard
| ||||
| Observation.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|4.0.1From the FHIR Standard | ||||
| Observation.category | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-categoryFrom the FHIR Standard | ||||
| Observation.category:VSCat | preferred | Pattern Value: vital-signshttp://hl7.org/fhir/ValueSet/observation-categoryFrom the FHIR Standard | ||||
| Observation.code | example | LOINCCodes(a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codesFrom the FHIR Standard | ||||
| Observation.code.coding:snomed | required | Pattern Value: SNOMED-CT Code 364075005("Heart rate (observable entity)")http://fhir.de/ValueSet/VitalSignDE-Herzfrequenz-SNOMED-CT | ||||
| Observation.encounter.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-typesFrom the FHIR Standard | ||||
| Observation.value[x]:valueQuantity.comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1From the FHIR Standard | ||||
| Observation.value[x]:valueQuantity.code | required | UCUM_Vitals_Common_DEhttp://fhir.de/ValueSet/UcumVitalsCommonDE | ||||
| Observation.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonFrom the FHIR Standard | ||||
| Observation.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretationFrom the FHIR Standard | ||||
| Observation.bodySite | example | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-siteFrom the FHIR Standard | ||||
| Observation.method | example | ObservationMethodshttp://hl7.org/fhir/ValueSet/observation-methodsFrom the FHIR Standard | ||||
| Observation.referenceRange.type | preferred | ObservationReferenceRangeMeaningCodeshttp://hl7.org/fhir/ValueSet/referencerange-meaningFrom the FHIR Standard | ||||
| Observation.referenceRange.appliesTo | example | ObservationReferenceRangeAppliesToCodeshttp://hl7.org/fhir/ValueSet/referencerange-appliestoFrom the FHIR Standard | ||||
| Observation.component.code | example | LOINCCodes(a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codesFrom the FHIR Standard | ||||
| Observation.component.value[x]:valueQuantity.comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1From the FHIR Standard | ||||
| Observation.component.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonFrom the FHIR Standard | ||||
| Observation.component.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretationFrom the FHIR Standard |
| 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() | |
| qty-3 | error | Observation.referenceRange.low, Observation.referenceRange.high | If a code for the unit is present, the system SHALL also be present : code.empty() or system.exists() | |
| ref-1 | error | Observation.basedOn, Observation.partOf, Observation.subject, Observation.focus, Observation.encounter, Observation.performer, Observation.specimen, Observation.device, Observation.hasMember, Observation.derivedFrom | SHALL have a contained resource if a local reference is provided : reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) | |
| rng-2 | error | Observation.referenceRange.age | If present, low SHALL have a lower value than high : low.empty() or high.empty() or (low <= high) | |
| sqty-1 | error | Observation.referenceRange.low, Observation.referenceRange.high | The comparator is not used on a SimpleQuantity : comparator.empty() | |
| vs-de-1 | error | Observation.effective[x] | If Observation.effective[x] has a value then that value shall be precise to the day : (($this is dateTime) implies ($this as dateTime).toString().length() >= 10) and ($this.start.exists() implies ($this.start as dateTime).toString().length() >= 10) and ($this.end.exists() implies ($this.end as dateTime).toString().length() >= 10) | |
| vs-de-2 | error | Observation | If there is no component or hasMember element then either a value[x] or a data absent reason must be present : (component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists()) | |
| vs-de-3 | error | Observation.component | If there is no a value a data absent reason must be present : value.exists() xor dataAbsentReason.exists() |
This structure is derived from ISiKHerzfrequenz
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Observation |
C | 0..* | ISiKHerzfrequenz | Measurements and simple assertions Constraints: dom-2, dom-3, dom-4, dom-5, dom-6, obs-7, obs-6, vs-de-2 |
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored Slice: Unordered, Open by value:url |
| status |
?!SΣ | 1..1 | code | Untersuchungsstatus Binding: ObservationStatus (required): Codes providing the status of an observation. |
| Slices for category |
S | 1..* | CodeableConcept | Untersuchungskategorie Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. |
| category:VSCat |
S | 1..1 | CodeableConcept | Vitalparameterkategorie Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. 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: http://terminology.hl7.org/CodeSystem/observation-category | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: vital-signs | |
| display |
0..1 | string | Representation defined by the system | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| code |
SΣ | 1..1 | CodeableConcept | Code Binding: LOINCCodes (example): Codes identifying names of simple observations. |
| Slices for coding |
SΣ | 1..* | ISiKCoding(4.0.2) | Coding Slice: Unordered, Open by pattern:$this |
| coding:loinc |
SΣ | 1..1 | ISiKLoincCoding(4.0.2) | LOINC Kodierung 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://loinc.org | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 8867-4 | |
| display |
0..1 | string | Representation defined by the system | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| coding:snomed |
SΣ | 0..* | ISiKSnomedCTCoding(4.0.2) | SNOMED CT Kodierung Binding: VitalSignDE_Herzfrequenz_SNOMED_CT (required) 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: 364075005 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Heart rate (observable entity) | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| system |
Σ | 1..1 | uri | Identity of the terminology system |
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system |
| coding:IEEE11073 |
Σ | 0..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: urn:iso:std:iso:11073:10101 | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 147842 | |
| display |
0..1 | string | Representation defined by the system | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| system |
Σ | 1..1 | uri | Identity of the terminology system |
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system |
| text |
Σ | 0..1 | string | Plain text representation of the concept Required Pattern: Herzfrequenz |
| subject |
SΣC | 1..1 | Reference(Patient) | Patient Constraints: ref-1 |
| encounter |
SΣC | 0..1 | Reference(Encounter) | Aufenthaltsbezug Constraints: ref-1 |
| reference |
SΣC | 1..1 | string | Encounter-Link |
| effective[x] |
SΣC | 1..1 | Datum und Uhrzeit der Untersuchung Constraints: vs-de-1 | |
| effectiveDateTime |
dateTime | |||
| effectivePeriod |
Period | |||
| performer |
SΣC | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Untersuchender Constraints: ref-1 |
| Slices for value[x] |
SΣC | 0..1 | Untersuchungsergebnis 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]:valueQuantity |
SΣC | 0..1 | Quantity | quantitatives Untersuchungsergebnis Required Pattern: At least the following |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| value |
0..1 | decimal | Numerical value (with implicit precision) | |
| comparator |
0..1 | code | < | <= | >= | > - how to understand the value | |
| unit |
0..1 | string | Unit representation | |
| system |
1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org | |
| code |
1..1 | code | Coded form of the unit Fixed Value: /min | |
| value |
SΣ | 1..1 | decimal | Wert |
| comparator |
?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. |
| unit |
SΣ | 1..1 | string | Einheit |
| system |
SΣC | 1..1 | uri | CodeSystem aus dem die Einheit stammt Required Pattern: http://unitsofmeasure.org |
| code |
SΣ | 1..1 | code | Code der Einheit Binding: UCUM Vitals Common DE (required) |
| dataAbsentReason |
SC | 0..1 | CodeableConcept | Grund für fehlende Untersuchungsergebnisse Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
| method |
S | 0..1 | CodeableConcept | Untersuchungsmethode Binding: ObservationMethods (example): Methods for simple observations. |
| device |
SC | 0..1 | Reference(Device | DeviceMetric) | Gerät Constraints: ref-1 |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI |
| Observation.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|4.0.1From the FHIR Standard | |
| Observation.category | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-categoryFrom the FHIR Standard | |
| Observation.category:VSCat | preferred | Pattern Value: vital-signshttp://hl7.org/fhir/ValueSet/observation-categoryFrom the FHIR Standard | |
| Observation.code | example | LOINCCodes(a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codesFrom the FHIR Standard | |
| Observation.code.coding:snomed | required | Pattern Value: SNOMED-CT Code 364075005("Heart rate (observable entity)")http://fhir.de/ValueSet/VitalSignDE-Herzfrequenz-SNOMED-CT | |
| Observation.value[x]:valueQuantity.comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1From the FHIR Standard | |
| Observation.value[x]:valueQuantity.code | required | UCUM_Vitals_Common_DEhttp://fhir.de/ValueSet/UcumVitalsCommonDE | |
| Observation.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonFrom the FHIR Standard | |
| Observation.method | example | ObservationMethodshttp://hl7.org/fhir/ValueSet/observation-methodsFrom the FHIR Standard |
| 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() | |
| ref-1 | error | Observation.subject, Observation.encounter, Observation.performer, Observation.device | SHALL have a contained resource if a local reference is provided : reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) | |
| vs-de-1 | error | Observation.effective[x] | If Observation.effective[x] has a value then that value shall be precise to the day : (($this is dateTime) implies ($this as dateTime).toString().length() >= 10) and ($this.start.exists() implies ($this.start as dateTime).toString().length() >= 10) and ($this.end.exists() implies ($this.end as dateTime).toString().length() >= 10) | |
| vs-de-2 | error | Observation | If there is no component or hasMember element then either a value[x] or a data absent reason must be present : (component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists()) |
Differential View
This structure is derived from ISiKHerzfrequenz
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Observation |
0..* | ISiKHerzfrequenz | Measurements and simple assertions | |
| code |
||||
| Slices for coding |
Content/Rules for all slices | |||
| coding:snomed |
0..* | ISiKSnomedCTCoding(4.0.2) | SNOMED CT Kodierung 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: 364075005 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Heart rate (observable entity) | |
| text |
0..1 | string | Plain text representation of the concept Required Pattern: Herzfrequenz | |
| Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Observation |
C | 0..* | ISiKHerzfrequenz | Measurements and simple assertions Constraints: dom-2, dom-3, dom-4, dom-5, dom-6, obs-7, obs-6, vs-de-2 | ||||
| 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.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored Slice: Unordered, Open by value:url | ||||
| identifier |
Σ | 0..* | Identifier | Business Identifier for observation | ||||
| basedOn |
ΣC | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order Constraints: ref-1 | ||||
| partOf |
ΣC | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event Constraints: ref-1 | ||||
| status |
?!SΣ | 1..1 | code | Untersuchungsstatus Binding: ObservationStatus (required): Codes providing the status of an observation. | ||||
| Slices for category |
S | 1..* | CodeableConcept | Untersuchungskategorie Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. | ||||
| category:VSCat |
S | 1..1 | CodeableConcept | Vitalparameterkategorie Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: vital-signs | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| code |
SΣ | 1..1 | CodeableConcept | Code Binding: LOINCCodes (example): Codes identifying names of simple observations. | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| Slices for coding |
SΣ | 1..* | ISiKCoding(4.0.2) | Coding Slice: Unordered, Open by pattern:$this | ||||
| coding:loinc |
SΣ | 1..1 | ISiKLoincCoding(4.0.2) | LOINC Kodierung 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://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 8867-4 | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| coding:snomed |
SΣ | 0..* | ISiKSnomedCTCoding(4.0.2) | SNOMED CT Kodierung Binding: VitalSignDE_Herzfrequenz_SNOMED_CT (required) 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: 364075005 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Heart rate (observable entity) | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
Σ | 1..1 | uri | Identity of the terminology system | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
| display |
Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| coding:IEEE11073 |
Σ | 0..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: urn:iso:std:iso:11073:10101 | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 147842 | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
Σ | 1..1 | uri | Identity of the terminology system | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
| display |
Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 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: Herzfrequenz | ||||
| subject |
SΣC | 1..1 | Reference(Patient) | Patient Constraints: ref-1 | ||||
| focus |
ΣC | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record Constraints: ref-1 | ||||
| encounter |
SΣC | 0..1 | Reference(Encounter) | Aufenthaltsbezug Constraints: ref-1 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
SΣC | 1..1 | string | Encounter-Link | ||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| identifier |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||
| effective[x] |
SΣC | 1..1 | Datum und Uhrzeit der Untersuchung Constraints: vs-de-1 | |||||
| effectiveDateTime |
dateTime | |||||||
| effectivePeriod |
Period | |||||||
| issued |
Σ | 0..1 | instant | Date/Time this version was made available | ||||
| performer |
SΣC | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Untersuchender Constraints: ref-1 | ||||
| Slices for value[x] |
SΣC | 0..1 | Untersuchungsergebnis 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]:valueQuantity |
SΣC | 0..1 | Quantity | quantitatives Untersuchungsergebnis Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| value |
0..1 | decimal | Numerical value (with implicit precision) | |||||
| comparator |
0..1 | code | < | <= | >= | > - how to understand the value | |||||
| unit |
0..1 | string | Unit representation | |||||
| system |
1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org | |||||
| code |
1..1 | code | Coded form of the unit Fixed Value: /min | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| value |
SΣ | 1..1 | decimal | Wert | ||||
| comparator |
?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | ||||
| unit |
SΣ | 1..1 | string | Einheit | ||||
| system |
SΣC | 1..1 | uri | CodeSystem aus dem die Einheit stammt Required Pattern: http://unitsofmeasure.org | ||||
| code |
SΣ | 1..1 | code | Code der Einheit Binding: UCUM Vitals Common DE (required) | ||||
| dataAbsentReason |
SC | 0..1 | CodeableConcept | Grund für fehlende Untersuchungsergebnisse 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 |
S | 0..1 | CodeableConcept | Untersuchungsmethode Binding: ObservationMethods (example): Methods for simple observations. | ||||
| specimen |
C | 0..1 | Reference(Specimen) | Specimen used for this observation Constraints: ref-1 | ||||
| device |
SC | 0..1 | Reference(Device | DeviceMetric) | Gerät Constraints: ref-1 | ||||
| referenceRange |
C | 0..* | BackboneElement | Provides guide for interpretation Constraints: obs-3 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| low |
C | 0..1 | SimpleQuantity | Low Range, if relevant Constraints: qty-3, sqty-1 | ||||
| high |
C | 0..1 | SimpleQuantity | High Range, if relevant Constraints: qty-3, sqty-1 | ||||
| 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 |
C | 0..1 | Range | Applicable age range, if relevant Constraints: rng-2 | ||||
| text |
0..1 | string | Text based reference range in an observation | |||||
| hasMember |
ΣC | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Related resource that belongs to the Observation group Constraints: ref-1 | ||||
| derivedFrom |
ΣC | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | Related measurements the observation is made from Constraints: ref-1 | ||||
| component |
ΣC | 0..* | BackboneElement | Component results Constraints: vs-de-3 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| 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. | ||||
| 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]:valueQuantity |
Σ | 0..1 | Quantity | Actual component result | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| value |
Σ | 1..1 | decimal | Numerical value (with implicit precision) | ||||
| comparator |
?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | ||||
| unit |
Σ | 1..1 | string | Unit representation | ||||
| system |
ΣC | 1..1 | uri | System that defines coded unit form Required Pattern: http://unitsofmeasure.org | ||||
| code |
Σ | 1..1 | code | Coded form of the unit | ||||
| 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 | ||||||||
| Path | Conformance | ValueSet / Code | URI | |||
| Observation.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languagesFrom the FHIR Standard
| ||||
| Observation.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|4.0.1From the FHIR Standard | ||||
| Observation.category | preferred | ObservationCategoryCodeshttp://hl7.org/fhir/ValueSet/observation-categoryFrom the FHIR Standard | ||||
| Observation.category:VSCat | preferred | Pattern Value: vital-signshttp://hl7.org/fhir/ValueSet/observation-categoryFrom the FHIR Standard | ||||
| Observation.code | example | LOINCCodes(a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codesFrom the FHIR Standard | ||||
| Observation.code.coding:snomed | required | Pattern Value: SNOMED-CT Code 364075005("Heart rate (observable entity)")http://fhir.de/ValueSet/VitalSignDE-Herzfrequenz-SNOMED-CT | ||||
| Observation.encounter.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-typesFrom the FHIR Standard | ||||
| Observation.value[x]:valueQuantity.comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1From the FHIR Standard | ||||
| Observation.value[x]:valueQuantity.code | required | UCUM_Vitals_Common_DEhttp://fhir.de/ValueSet/UcumVitalsCommonDE | ||||
| Observation.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonFrom the FHIR Standard | ||||
| Observation.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretationFrom the FHIR Standard | ||||
| Observation.bodySite | example | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-siteFrom the FHIR Standard | ||||
| Observation.method | example | ObservationMethodshttp://hl7.org/fhir/ValueSet/observation-methodsFrom the FHIR Standard | ||||
| Observation.referenceRange.type | preferred | ObservationReferenceRangeMeaningCodeshttp://hl7.org/fhir/ValueSet/referencerange-meaningFrom the FHIR Standard | ||||
| Observation.referenceRange.appliesTo | example | ObservationReferenceRangeAppliesToCodeshttp://hl7.org/fhir/ValueSet/referencerange-appliestoFrom the FHIR Standard | ||||
| Observation.component.code | example | LOINCCodes(a valid code from LOINC)http://hl7.org/fhir/ValueSet/observation-codesFrom the FHIR Standard | ||||
| Observation.component.value[x]:valueQuantity.comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1From the FHIR Standard | ||||
| Observation.component.dataAbsentReason | extensible | DataAbsentReasonhttp://hl7.org/fhir/ValueSet/data-absent-reasonFrom the FHIR Standard | ||||
| Observation.component.interpretation | extensible | ObservationInterpretationCodeshttp://hl7.org/fhir/ValueSet/observation-interpretationFrom the FHIR Standard |
| 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() | |
| qty-3 | error | Observation.referenceRange.low, Observation.referenceRange.high | If a code for the unit is present, the system SHALL also be present : code.empty() or system.exists() | |
| ref-1 | error | Observation.basedOn, Observation.partOf, Observation.subject, Observation.focus, Observation.encounter, Observation.performer, Observation.specimen, Observation.device, Observation.hasMember, Observation.derivedFrom | SHALL have a contained resource if a local reference is provided : reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) | |
| rng-2 | error | Observation.referenceRange.age | If present, low SHALL have a lower value than high : low.empty() or high.empty() or (low <= high) | |
| sqty-1 | error | Observation.referenceRange.low, Observation.referenceRange.high | The comparator is not used on a SimpleQuantity : comparator.empty() | |
| vs-de-1 | error | Observation.effective[x] | If Observation.effective[x] has a value then that value shall be precise to the day : (($this is dateTime) implies ($this as dateTime).toString().length() >= 10) and ($this.start.exists() implies ($this.start as dateTime).toString().length() >= 10) and ($this.end.exists() implies ($this.end as dateTime).toString().length() >= 10) | |
| vs-de-2 | error | Observation | If there is no component or hasMember element then either a value[x] or a data absent reason must be present : (component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists()) | |
| vs-de-3 | error | Observation.component | If there is no a value a data absent reason must be present : value.exists() xor dataAbsentReason.exists() |
This structure is derived from ISiKHerzfrequenz
Other representations of profile: CSV, Excel, Schematron
IG © 2024+ AKTIN e.V.. Package org.aktin.notfalldokumentation#1.0.0 based on FHIR 4.0.1. Generated 2025-07-31
