| Official URL: https://gematik.de/fhir/isik/StructureDefinition/ISiKAtemfrequenz-obl | Version: 6.0.0-rc | |||
| Active as of 2026-04-02 | Computable Name: ISiKAtemfrequenz_obl | |||
Obligation-Profil für ISiKAtemfrequenz. Leitet vom strukturellen Basis-Profil ab und setzt akteurspezifische FHIR-Obligations für Producer (Server) und Consumer (Client).
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..* | ISiKAtemfrequenz | Measurements and simple assertions This is an obligation profile that only contains obligations and additional bindings Constraints: obs-7, obs-6, vs-de-2 | ||||||
  id |
OΣ | 0..1 | id | serverseitige, interne ID des Datensatzes
| ||||||
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored Slice: Unordered, Open by value:url | ||||||
| status |
?!OΣ | 1..1 | code | Untersuchungsstatus Binding: ObservationStatus (required): Codes providing the status of an observation.
| ||||||
  Slices for category |
O | 1..* | CodeableConcept | Untersuchungskategorie Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
| ||||||
   category:VSCat |
O | 1..1 | CodeableConcept | Vitalparameterkategorie Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: At least the following
| ||||||
  id |
0..1 | string | Unique id for inter-element referencing | |||||||
 extension |
0..* | Extension | Additional content defined by implementations | |||||||
  coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||
 id |
0..1 | string | Unique id for inter-element referencing | |||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category | |||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: vital-signs | |||||||
| display |
0..1 | string | Representation defined by the system | |||||||
 userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||
 text |
0..1 | string | Plain text representation of the concept | |||||||
| code |
OΣ | 1..1 | CodeableConcept | Code Binding: LOINCCodes (example): Codes identifying names of simple observations.
| ||||||
 Slices for coding |
OΣ | 1..* | Coding | Coding Slice: Unordered, Open by pattern:$this
| ||||||
 coding:loinc |
OΣ | 1..1 | ISiKLoincCoding | 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 | |||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||
| 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 Fixed Value: http://loinc.org | ||||||
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 9279-1 | ||||||
| coding:snomed |
OΣ | 0..* | ISiKSnomedCTCoding | SNOMED CT Kodierung Binding: VitalSignDE_Atemfrequenz_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 | |||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||
| 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 Fixed Value: http://snomed.info/sct | ||||||
| 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: 151562 | |||||||
| display |
0..1 | string | Representation defined by the system | |||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||
 subject |
OΣC | 1..1 | Reference(Patient) | Patient Constraints: ref-1
| ||||||
| encounter |
OΣC | 0..1 | Reference(Encounter) | Aufenthaltsbezug Constraints: ref-1
| ||||||
| reference |
OΣC | 0..1 | string | Encounter-Link
| ||||||
 effective[x] |
OΣC | 1..1 | Datum und Uhrzeit der Untersuchung Constraints: vs-de-1
| |||||||
| effectiveDateTime |
dateTime | |||||||||
| effectivePeriod |
Period | |||||||||
| performer |
OΣC | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Untersuchender Constraints: ref-1
| ||||||
| Slices for value[x] |
OΣC | 0..1 | Untersuchungsergebnis Slice: Unordered, Closed 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 |
OΣC | 0..1 | Quantity | quantitatives Untersuchungsergebnis Required Pattern: At least the following
| ||||||
| value |
OΣ | 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 |
OΣ | 1..1 | string | Einheit
| ||||||
| system |
OΣC | 1..1 | uri | CodeSystem aus dem die Einheit stammt Required Pattern: http://unitsofmeasure.org
| ||||||
| code |
OΣ | 1..1 | code | Code der Einheit Binding: UCUM Vitals Common DE (required) Fixed Value: /min
| ||||||
| dataAbsentReason |
OC | 0..1 | CodeableConcept | Grund für fehlende Untersuchungsergebnisse Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
| ||||||
| method |
O | 0..1 | CodeableConcept | Untersuchungsmethode Binding: ObservationMethods (example): Methods for simple observations.
| ||||||
| device |
OC | 0..1 | Reference(Device | DeviceMetric) | Gerät Constraints: ref-1
| ||||||
| Documentation for this format | ||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Observation.status | Base | required | ObservationStatus | 📍4.0.1 | FHIR Std. |
| Observation.category | Base | preferred | Observation Category Codes | 📦4.0.1 | FHIR Std. |
| Observation.category:VSCat | Base | preferred | Observation Category Codes | 📦4.0.1 | FHIR Std. |
| Observation.code | Base | example | LOINC Codes | 📦4.0.1 | FHIR Std. |
| Observation.code.coding:snomed | Base | required | VitalSignDE_Atemfrequenz_SNOMED_CT | 📦1.6.0-ballot | de.basisprofil.r4 v1.6 |
| Observation.value[x]:valueQuantity.comparator | Base | required | QuantityComparator | 📍4.0.1 | FHIR Std. |
| Observation.value[x]:valueQuantity.code | Base | required | UCUM Vitals Common DE | 📦1.6.0-ballot | de.basisprofil.r4 v1.6 |
| Observation.dataAbsentReason | Base | extensible | DataAbsentReason | 📦4.0.1 | FHIR Std. |
| Observation.method | Base | example | Observation Methods | 📦4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| 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 ISiKAtemfrequenz
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Observation |
C | 0..* | ISiKAtemfrequenz | Measurements and simple assertions This is an obligation profile that only contains obligations and additional bindings Constraints: obs-7, obs-6, vs-de-2 | ||||||
| id |
OΣ | 0..1 | id | serverseitige, interne ID des Datensatzes
| ||||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||
 extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||
| versionId |
Σ | 0..1 | id | Eindeutiger Name der serverseitigen Version des Datensatzes | ||||||
| lastUpdated |
Σ | 0..1 | instant | Zeitpunkt der letzten Änderung | ||||||
| source |
Σ | 0..1 | uri | Identifies where the resource comes from | ||||||
| profile |
Σ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to | ||||||
| security |
Σ | 0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. | ||||||
| tag |
Σ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". | ||||||
| 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 |
?!OΣ | 1..1 | code | Untersuchungsstatus Binding: ObservationStatus (required): Codes providing the status of an observation.
| ||||||
| Slices for category |
O | 1..* | CodeableConcept | Untersuchungskategorie Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
| ||||||
| category:VSCat |
O | 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 |
OΣ | 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 |
OΣ | 1..* | Coding | Coding Slice: Unordered, Open by pattern:$this
| ||||||
| coding:loinc |
OΣ | 1..1 | ISiKLoincCoding | 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 Slice: Unordered, Open by value:url | |||||||
| system |
Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | ||||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||||
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 9279-1 | ||||||
| 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:snomed |
OΣ | 0..* | ISiKSnomedCTCoding | SNOMED CT Kodierung Binding: VitalSignDE_Atemfrequenz_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 Slice: Unordered, Open by value:url | |||||||
| system |
Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | ||||||
| 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: 151562 | |||||||
| display |
0..1 | string | Representation defined by the system | |||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||||
| subject |
OΣC | 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 |
OΣC | 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 |
OΣC | 0..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] |
OΣC | 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 |
OΣC | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Untersuchender Constraints: ref-1
| ||||||
| Slices for value[x] |
OΣC | 0..1 | Untersuchungsergebnis Slice: Unordered, Closed 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 |
OΣC | 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 Slice: Unordered, Open by value:url | |||||||
| value |
OΣ | 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 |
OΣ | 1..1 | string | Einheit
| ||||||
| system |
OΣC | 1..1 | uri | CodeSystem aus dem die Einheit stammt Required Pattern: http://unitsofmeasure.org
| ||||||
| code |
OΣ | 1..1 | code | Code der Einheit Binding: UCUM Vitals Common DE (required) Fixed Value: /min
| ||||||
| dataAbsentReason |
OC | 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 |
O | 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 |
OC | 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 | Status | Usage | ValueSet | Version | Source |
| Observation.meta.security | Base | extensible | SecurityLabels | 📍4.0.1 | FHIR Std. |
| Observation.meta.tag | Base | example | Common Tags | 📍4.0.1 | FHIR Std. |
| Observation.language | Base | preferred | Common Languages | 📦4.0.1 | FHIR Std. |
| Observation.status | Base | required | ObservationStatus | 📍4.0.1 | FHIR Std. |
| Observation.category | Base | preferred | Observation Category Codes | 📦4.0.1 | FHIR Std. |
| Observation.category:VSCat | Base | preferred | Observation Category Codes | 📦4.0.1 | FHIR Std. |
| Observation.code | Base | example | LOINC Codes | 📦4.0.1 | FHIR Std. |
| Observation.code.coding:snomed | Base | required | VitalSignDE_Atemfrequenz_SNOMED_CT | 📦1.6.0-ballot | de.basisprofil.r4 v1.6 |
| Observation.encounter.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Observation.value[x]:valueQuantity.comparator | Base | required | QuantityComparator | 📍4.0.1 | FHIR Std. |
| Observation.value[x]:valueQuantity.code | Base | required | UCUM Vitals Common DE | 📦1.6.0-ballot | de.basisprofil.r4 v1.6 |
| Observation.dataAbsentReason | Base | extensible | DataAbsentReason | 📦4.0.1 | FHIR Std. |
| Observation.interpretation | Base | extensible | Observation Interpretation Codes | 📦4.0.1 | FHIR Std. |
| Observation.bodySite | Base | example | SNOMED CT Body Structures | 📦4.0.1 | FHIR Std. |
| Observation.method | Base | example | Observation Methods | 📦4.0.1 | FHIR Std. |
| Observation.referenceRange.type | Base | preferred | Observation Reference Range Meaning Codes | 📦4.0.1 | FHIR Std. |
| Observation.referenceRange.appliesTo | Base | example | Observation Reference Range Applies To Codes | 📦4.0.1 | FHIR Std. |
| Observation.component.code | Base | example | LOINC Codes | 📦4.0.1 | FHIR Std. |
| Observation.component.value[x]:valueQuantity.comparator | Base | required | QuantityComparator | 📍4.0.1 | FHIR Std. |
| Observation.component.dataAbsentReason | Base | extensible | DataAbsentReason | 📦4.0.1 | FHIR Std. |
| Observation.component.interpretation | Base | extensible | Observation Interpretation Codes | 📦4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| 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 ($this.end as dateTime).toString().length() >= 10)
|
| vs-de-2 | error | Observation | If there is no component or hasMember element then either a value[x] or a data absent reason must be present |
(component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists())
|
| vs-de-3 | error | Observation.component | If there is no a value a data absent reason must be present |
value.exists() xor dataAbsentReason.exists()
|
This structure is derived from ISiKAtemfrequenz
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Observation |
C | 0..* | ISiKAtemfrequenz | Measurements and simple assertions This is an obligation profile that only contains obligations and additional bindings Constraints: obs-7, obs-6, vs-de-2 | ||||||
| id |
OΣ | 0..1 | id | serverseitige, interne ID des Datensatzes
| ||||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored Slice: Unordered, Open by value:url | ||||||
| status |
?!OΣ | 1..1 | code | Untersuchungsstatus Binding: ObservationStatus (required): Codes providing the status of an observation.
| ||||||
| Slices for category |
O | 1..* | CodeableConcept | Untersuchungskategorie Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
| ||||||
| category:VSCat |
O | 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 |
OΣ | 1..1 | CodeableConcept | Code Binding: LOINCCodes (example): Codes identifying names of simple observations.
| ||||||
| Slices for coding |
OΣ | 1..* | Coding | Coding Slice: Unordered, Open by pattern:$this
| ||||||
| coding:loinc |
OΣ | 1..1 | ISiKLoincCoding | 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 | |||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||
| 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 Fixed Value: http://loinc.org | ||||||
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 9279-1 | ||||||
| coding:snomed |
OΣ | 0..* | ISiKSnomedCTCoding | SNOMED CT Kodierung Binding: VitalSignDE_Atemfrequenz_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 | |||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||
| 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 Fixed Value: http://snomed.info/sct | ||||||
| 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: 151562 | |||||||
| display |
0..1 | string | Representation defined by the system | |||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||
| subject |
OΣC | 1..1 | Reference(Patient) | Patient Constraints: ref-1
| ||||||
| encounter |
OΣC | 0..1 | Reference(Encounter) | Aufenthaltsbezug Constraints: ref-1
| ||||||
| reference |
OΣC | 0..1 | string | Encounter-Link
| ||||||
| effective[x] |
OΣC | 1..1 | Datum und Uhrzeit der Untersuchung Constraints: vs-de-1
| |||||||
| effectiveDateTime |
dateTime | |||||||||
| effectivePeriod |
Period | |||||||||
| performer |
OΣC | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Untersuchender Constraints: ref-1
| ||||||
| Slices for value[x] |
OΣC | 0..1 | Untersuchungsergebnis Slice: Unordered, Closed 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 |
OΣC | 0..1 | Quantity | quantitatives Untersuchungsergebnis Required Pattern: At least the following
| ||||||
| value |
OΣ | 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 |
OΣ | 1..1 | string | Einheit
| ||||||
| system |
OΣC | 1..1 | uri | CodeSystem aus dem die Einheit stammt Required Pattern: http://unitsofmeasure.org
| ||||||
| code |
OΣ | 1..1 | code | Code der Einheit Binding: UCUM Vitals Common DE (required) Fixed Value: /min
| ||||||
| dataAbsentReason |
OC | 0..1 | CodeableConcept | Grund für fehlende Untersuchungsergebnisse Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
| ||||||
| method |
O | 0..1 | CodeableConcept | Untersuchungsmethode Binding: ObservationMethods (example): Methods for simple observations.
| ||||||
| device |
OC | 0..1 | Reference(Device | DeviceMetric) | Gerät Constraints: ref-1
| ||||||
| Documentation for this format | ||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Observation.status | Base | required | ObservationStatus | 📍4.0.1 | FHIR Std. |
| Observation.category | Base | preferred | Observation Category Codes | 📦4.0.1 | FHIR Std. |
| Observation.category:VSCat | Base | preferred | Observation Category Codes | 📦4.0.1 | FHIR Std. |
| Observation.code | Base | example | LOINC Codes | 📦4.0.1 | FHIR Std. |
| Observation.code.coding:snomed | Base | required | VitalSignDE_Atemfrequenz_SNOMED_CT | 📦1.6.0-ballot | de.basisprofil.r4 v1.6 |
| Observation.value[x]:valueQuantity.comparator | Base | required | QuantityComparator | 📍4.0.1 | FHIR Std. |
| Observation.value[x]:valueQuantity.code | Base | required | UCUM Vitals Common DE | 📦1.6.0-ballot | de.basisprofil.r4 v1.6 |
| Observation.dataAbsentReason | Base | extensible | DataAbsentReason | 📦4.0.1 | FHIR Std. |
| Observation.method | Base | example | Observation Methods | 📦4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| 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 ISiKAtemfrequenz
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Observation |
0..* | ISiKAtemfrequenz | Measurements and simple assertions This is an obligation profile that only contains obligations and additional bindings | |||||||
| id |
O | 0..1 | id | serverseitige, interne ID des Datensatzes
| ||||||
| status |
O | 1..1 | code | Untersuchungsstatus
| ||||||
| category |
O | 1..* | CodeableConcept | Untersuchungskategorie
| ||||||
| Slices for category |
Content/Rules for all slices | |||||||||
 category:VSCat |
O | 1..1 | CodeableConcept | Vitalparameterkategorie
| ||||||
| code |
O | 1..1 | CodeableConcept | Code
| ||||||
| coding |
O | 1..* | Coding | Coding
| ||||||
| Slices for coding |
Content/Rules for all slices | |||||||||
| coding:loinc |
O | 1..1 | ISiKLoincCoding | LOINC Kodierung
| ||||||
| coding:snomed |
O | 0..* | ISiKSnomedCTCoding | SNOMED CT Kodierung
| ||||||
| subject |
O | 1..1 | Reference(Patient) | Patient
| ||||||
| encounter |
O | 0..1 | Reference(Encounter) | Aufenthaltsbezug
| ||||||
| reference |
O | 0..1 | string | Encounter-Link
| ||||||
| effective[x] |
O | 1..1 | dateTime, Period | Datum und Uhrzeit der Untersuchung
| ||||||
| performer |
O | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Untersuchender
| ||||||
| value[x] |
O | 0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Untersuchungsergebnis
| ||||||
| Slices for value[x] |
Content/Rules for all slices | |||||||||
| value[x]:valueQuantity |
O | 0..1 | Quantity | quantitatives Untersuchungsergebnis
| ||||||
| value |
O | 1..1 | decimal | Wert
| ||||||
| unit |
O | 1..1 | string | Einheit
| ||||||
| system |
O | 1..1 | uri | CodeSystem aus dem die Einheit stammt
| ||||||
| code |
O | 1..1 | code | Code der Einheit
| ||||||
| dataAbsentReason |
O | 0..1 | CodeableConcept | Grund für fehlende Untersuchungsergebnisse
| ||||||
| method |
O | 0..1 | CodeableConcept | Untersuchungsmethode
| ||||||
| device |
O | 0..1 | Reference(Device | DeviceMetric) | Gerät
| ||||||
| Documentation for this format | ||||||||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Observation |
C | 0..* | ISiKAtemfrequenz | Measurements and simple assertions This is an obligation profile that only contains obligations and additional bindings Constraints: obs-7, obs-6, vs-de-2 | ||||||
| id |
OΣ | 0..1 | id | serverseitige, interne ID des Datensatzes
| ||||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||
| versionId |
Σ | 0..1 | id | Eindeutiger Name der serverseitigen Version des Datensatzes | ||||||
| lastUpdated |
Σ | 0..1 | instant | Zeitpunkt der letzten Änderung | ||||||
| source |
Σ | 0..1 | uri | Identifies where the resource comes from | ||||||
| profile |
Σ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to | ||||||
| security |
Σ | 0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. | ||||||
| tag |
Σ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". | ||||||
| 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 |
?!OΣ | 1..1 | code | Untersuchungsstatus Binding: ObservationStatus (required): Codes providing the status of an observation.
| ||||||
| Slices for category |
O | 1..* | CodeableConcept | Untersuchungskategorie Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
| ||||||
| category:VSCat |
O | 1..1 | CodeableConcept | Vitalparameterkategorie Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: At least the following
| ||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category | |||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: vital-signs | |||||||
| display |
0..1 | string | Representation defined by the system | |||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||
| code |
OΣ | 1..1 | CodeableConcept | Code Binding: LOINCCodes (example): Codes identifying names of simple observations.
| ||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||
| Slices for coding |
OΣ | 1..* | Coding | Coding Slice: Unordered, Open by pattern:$this
| ||||||
| coding:loinc |
OΣ | 1..1 | ISiKLoincCoding | 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 Slice: Unordered, Open by value:url | |||||||
| system |
Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | ||||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||||
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 9279-1 | ||||||
| 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:snomed |
OΣ | 0..* | ISiKSnomedCTCoding | SNOMED CT Kodierung Binding: VitalSignDE_Atemfrequenz_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 Slice: Unordered, Open by value:url | |||||||
| system |
Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | ||||||
| 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: 151562 | |||||||
| display |
0..1 | string | Representation defined by the system | |||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||||
| subject |
OΣC | 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 |
OΣC | 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 |
OΣC | 0..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] |
OΣC | 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 |
OΣC | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Untersuchender Constraints: ref-1
| ||||||
| Slices for value[x] |
OΣC | 0..1 | Untersuchungsergebnis Slice: Unordered, Closed 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 |
OΣC | 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 Slice: Unordered, Open by value:url | |||||||
| value |
OΣ | 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 |
OΣ | 1..1 | string | Einheit
| ||||||
| system |
OΣC | 1..1 | uri | CodeSystem aus dem die Einheit stammt Required Pattern: http://unitsofmeasure.org
| ||||||
| code |
OΣ | 1..1 | code | Code der Einheit Binding: UCUM Vitals Common DE (required) Fixed Value: /min
| ||||||
| dataAbsentReason |
OC | 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 |
O | 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 |
OC | 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 | Status | Usage | ValueSet | Version | Source |
| Observation.meta.security | Base | extensible | SecurityLabels | 📍4.0.1 | FHIR Std. |
| Observation.meta.tag | Base | example | Common Tags | 📍4.0.1 | FHIR Std. |
| Observation.language | Base | preferred | Common Languages | 📦4.0.1 | FHIR Std. |
| Observation.status | Base | required | ObservationStatus | 📍4.0.1 | FHIR Std. |
| Observation.category | Base | preferred | Observation Category Codes | 📦4.0.1 | FHIR Std. |
| Observation.category:VSCat | Base | preferred | Observation Category Codes | 📦4.0.1 | FHIR Std. |
| Observation.code | Base | example | LOINC Codes | 📦4.0.1 | FHIR Std. |
| Observation.code.coding:snomed | Base | required | VitalSignDE_Atemfrequenz_SNOMED_CT | 📦1.6.0-ballot | de.basisprofil.r4 v1.6 |
| Observation.encounter.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Observation.value[x]:valueQuantity.comparator | Base | required | QuantityComparator | 📍4.0.1 | FHIR Std. |
| Observation.value[x]:valueQuantity.code | Base | required | UCUM Vitals Common DE | 📦1.6.0-ballot | de.basisprofil.r4 v1.6 |
| Observation.dataAbsentReason | Base | extensible | DataAbsentReason | 📦4.0.1 | FHIR Std. |
| Observation.interpretation | Base | extensible | Observation Interpretation Codes | 📦4.0.1 | FHIR Std. |
| Observation.bodySite | Base | example | SNOMED CT Body Structures | 📦4.0.1 | FHIR Std. |
| Observation.method | Base | example | Observation Methods | 📦4.0.1 | FHIR Std. |
| Observation.referenceRange.type | Base | preferred | Observation Reference Range Meaning Codes | 📦4.0.1 | FHIR Std. |
| Observation.referenceRange.appliesTo | Base | example | Observation Reference Range Applies To Codes | 📦4.0.1 | FHIR Std. |
| Observation.component.code | Base | example | LOINC Codes | 📦4.0.1 | FHIR Std. |
| Observation.component.value[x]:valueQuantity.comparator | Base | required | QuantityComparator | 📍4.0.1 | FHIR Std. |
| Observation.component.dataAbsentReason | Base | extensible | DataAbsentReason | 📦4.0.1 | FHIR Std. |
| Observation.component.interpretation | Base | extensible | Observation Interpretation Codes | 📦4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| 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 ISiKAtemfrequenz
Other representations of profile: CSV, Excel, Schematron