<status value="active" /> <experimental value="false" /> <date value="2025-12-23" /> <publisher value="HL7 Deutschland e.V. (Technisches Komitee FHIR)" /> <contact> <telecom> <system value="url" /> <value value="http://hl7.de/technische-komitees/fhir/" /> </telecom> </contact> <description value="EKG Observation Profil" /> <fhirVersion value="4.0.1" /> <kind value="resource" /> <abstract value="false" /> <type value="Observation" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Observation" /> <derivation value="constraint" /> <differential> <element id="Observation.category"> <path value="Observation.category" /> <min value="1" /> </element> <element id="Observation.category.coding"> <path value="Observation.category.coding" /> <patternCoding> <system value="http://terminology.hl7.org/CodeSystem/observation-category" /> <code value="procedure" /> </patternCoding> </element> <element id="Observation.code.coding"> <path value="Observation.code.coding" /> <slicing> <discriminator> <type value="pattern" /> <path value="$this" /> </discriminator> <rules value="open" /> </slicing> <min value="1" /> </element> <element id="Observation.code.coding.system"> <path value="Observation.code.coding.system" /> <min value="1" /> </element> <element id="Observation.code.coding.code"> <path value="Observation.code.coding.code" /> <min value="1" /> </element> <element id="Observation.code.coding:loinc"> <path value="Observation.code.coding" /> <sliceName value="loinc" /> <min value="1" /> <max value="1" /> <patternCoding> <system value="http://loinc.org" /> <code value="11524-6" /> </patternCoding> </element> <element id="Observation.code.coding:snomed"> <path value="Observation.code.coding" /> <sliceName value="snomed" /> <min value="0" /> <max value="*" /> <patternCoding> <system value="http://snomed.info/sct" /> <code value="106073009" /> </patternCoding> </element> <element id="Observation.subject"> <path value="Observation.subject" /> <min value="1" /> </element> <element id="Observation.effective[x]"> <path value="Observation.effective[x]" /> <min value="1" /> <type> <code value="dateTime" /> </type> <constraint> <key value="vs-de-1" /> <severity value="error" /> <human value="If Observation.effective[x] has a value then that value shall be precise to the day" /> <expression value="(($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)" /> <source value="http://fhir.de/StructureDefinition/observation-de-ekg" /> </constraint> </element> <element id="Observation.value[x]"> <path value="Observation.value[x]" /> <max value="0" /> </element> <element id="Observation.component"> <path value="Observation.component" /> <slicing> <discriminator> <type value="pattern" /> <path value="code" /> </discriminator> <rules value="open" /> </slicing> <min value="1" /> </element> <element id="Observation.component:ekgLeads"> <path value="Observation.component" /> <sliceName value="ekgLeads" /> <short value="12 Kanal EKG Ableitungen" /> <min value="0" /> <max value="*" /> </element> <element id="Observation.component:ekgLeads.code"> <path value="Observation.component.code" /> <binding> <strength value="required" /> <description value="Loinc Part Codes identifying the EKG lead" /> <valueSet value="http://fhir.de/ValueSet/EkgAbleitungenVS" /> </binding> </element> <element id="Observation.component:ekgLeads.code.coding"> <path value="Observation.component.code.coding" /> <min value="1" /> </element> <element id="Observation.component:ekgLeads.value[x]"> <path value="Observation.component.value[x]" /> <min value="1" /> <type> <code value="SampledData" /> </type> </element> <element id="Observation.component:ekgLeads.value[x].data"> <path value="Observation.component.value[x].data" /> <min value="1" /> </element> <element id="Observation.component:deprecatedLeadCodes"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="deprecated" /> </extension> <path value="Observation.component" /> <sliceName value="deprecatedLeadCodes" /> <comment value="Diese deprecated Slice verwendet Loinc Part Codes die nicht für die Nutzung in Instanzdaten vorgesehen sind" /> <min value="0" /> <max value="*" /> </element> <element id="Observation.component:deprecatedLeadCodes.code"> <path value="Observation.component.code" /> <binding> <strength value="required" /> <description value="Loinc Part Codes identifying the EKG lead" /> <valueSet value="http://fhir.de/ValueSet/EkgLeads" /> </binding> </element> <element id="Observation.component:deprecatedLeadCodes.code.coding"> <path value="Observation.component.code.coding" /> <min value="1" /> </element> <element id="Observation.component:deprecatedLeadCodes.value[x]"> <path value="Observation.component.value[x]" /> <min value="1" /> <type> <code value="SampledData" /> </type> </element> <element id="Observation.component:deprecatedLeadCodes.value[x].data"> <path value="Observation.component.value[x].data" /> <min value="1" /> </element> </differential> </StructureDefinition>