Eingestellte und gemessene Parameter (DeviceMetric)
Canonical:
https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/devicemetric-eingestellte-gemessene-parameter-beatmung
Empfehlung: Für gemessenen sowie eingestellten Werte können wir zwei Fälle unterscheiden (siehe hierzu auch die Seite Beschreibung Modul:
- Das Gerät, welches den Messwert erhoben hat/bei dem ein Wert eingestellt wurde, ist bekannt und soll modelliert werden.
- Das Gerät ist nicht bekannt und kann nicht modelliert werden sowie das Gerät ist bekannt und kann/soll nicht modelliert werden.
Die Information, ob der Wert gemessen, oder eingestellt ist, trägt die DeviceMetric, die Information, mit welchem Gerät dies geschehen ist, trägt eine Device-Ressource, welche aus der DeviceMetric heraus referenziert wird. Für obige beiden Punkte möchten wir folgende Vorschläge machen:
- DeviceMetric und Device für einen solchen Messwert gehören zusammen. Für eine Gruppe von Werten, die sich eine gemeinsame Messmethode und ein gemeinsames Messgerät teilen, kann ein gemeinsames solches Paar aus DeviceMetric und Device angelegt werden, welche aus Observation.device heraus referenziert wird.
- Wir schlagen vor, initial zwei "Dummy-Ressourcen" anzulegen. Je eine DeviceMetric für gemessene und eine für eingestellte Werte. Diese DeviceMetrics können dann statisch in allen Observation.device referenziert werden. Dies dient dazu, die minimal nötige Information zu tragen, ob ein Wert gemessen oder eingestellt ist. Dieses Vorgehen kann bei Bedarf weiter verfeinert werden, in dem man bspw. eine eigene DeviceMetric (je einmal gemessen/eingestellt) für jede Geräteart anlegt (für welche man dann jeweils eine entprechendes statisches Device unter DeviceMetric.device referenziert).
Differential
SD_MII_ICU_Devicemetric_Eingestellte_Gemessene_Parameter_Beatmung (DeviceMetric) | I | DeviceMetric | There are no (further) constraints on this element Element idDeviceMetric Measurement, calculation or setting capability of a medical device DefinitionDescribes a measurement, calculation or setting capability of a medical device. For the initial scope, this DeviceMetric resource is only applicable to describe a single metric node in the containment tree that is produced by the context scanner in any medical device that implements or derives from the ISO/IEEE 11073 standard.
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id | Σ | 0..1 | string | There are no (further) constraints on this element Element idDeviceMetric.id Logical id of this artifact DefinitionThe logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. The only time that a resource does not have an id is when it is being submitted to the server using a create operation. |
meta | Σ | 0..1 | Meta | There are no (further) constraints on this element Element idDeviceMetric.meta Metadata about the resource DefinitionThe metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
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implicitRules | Σ ?! | 0..1 | uri | There are no (further) constraints on this element Element idDeviceMetric.implicitRules A set of rules under which this content was created DefinitionA reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
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language | 0..1 | codeBinding | There are no (further) constraints on this element Element idDeviceMetric.language Language of the resource content DefinitionThe base language in which the resource is written. Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute). A human language.
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text | 0..1 | Narrative | There are no (further) constraints on this element Element idDeviceMetric.text Text summary of the resource, for human interpretation Alternate namesnarrative, html, xhtml, display DefinitionA human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety. Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.
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contained | 0..* | Resource | There are no (further) constraints on this element Element idDeviceMetric.contained Contained, inline Resources Alternate namesinline resources, anonymous resources, contained resources DefinitionThese resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope. This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idDeviceMetric.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
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modifierExtension | ?! I | 0..* | Extension | There are no (further) constraints on this element Element idDeviceMetric.modifierExtension Extensions that cannot be ignored Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
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identifier | Σ | 0..* | Identifier | There are no (further) constraints on this element Element idDeviceMetric.identifier Instance identifier DefinitionUnique instance identifiers assigned to a device by the device or gateway software, manufacturers, other organizations or owners. For example: handle ID. For identifiers assigned to a device by the device or gateway software, the
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type | S Σ | 1..1 | CodeableConceptBinding | Element idDeviceMetric.type Identity of metric, for example Heart Rate or PEEP Setting DefinitionDescribes the type of the metric. For example: Heart Rate, PEEP Setting, etc. DeviceMetric.type can be referred to either IEEE 11073-10101 or LOINC. Describes the metric type.
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id | 0..1 | string | There are no (further) constraints on this element Element idDeviceMetric.type.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idDeviceMetric.type.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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coding | S Σ | 0..* | CodingPattern | Element idDeviceMetric.type.coding Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
{ "system": "http://snomed.info/sct" }
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id | 0..1 | string | There are no (further) constraints on this element Element idDeviceMetric.type.coding.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idDeviceMetric.type.coding.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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system | S Σ | 1..1 | uriPattern | There are no (further) constraints on this element Element idDeviceMetric.type.coding.system Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
http://snomed.info/sct
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version | Σ | 0..1 | string | There are no (further) constraints on this element Element idDeviceMetric.type.coding.version Version of the system - if relevant DefinitionThe version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
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code | S Σ | 1..1 | code | There are no (further) constraints on this element Element idDeviceMetric.type.coding.code Symbol in syntax defined by the system DefinitionA symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Need to refer to a particular code in the system.
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display | Σ | 0..1 | string | There are no (further) constraints on this element Element idDeviceMetric.type.coding.display Representation defined by the system DefinitionA representation of the meaning of the code in the system, following the rules of the system. Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
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userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element idDeviceMetric.type.coding.userSelected If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
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text | Σ | 0..1 | string | There are no (further) constraints on this element Element idDeviceMetric.type.text Plain text representation of the concept DefinitionA human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Very often the text is the same as a displayName of one of the codings.
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unit | Σ | 0..1 | CodeableConceptBinding | There are no (further) constraints on this element Element idDeviceMetric.unit Unit of Measure for the Metric DefinitionDescribes the unit that an observed value determined for this metric will have. For example: Percent, Seconds, etc. DeviceMetric.unit can refer to either UCUM or preferable a RTMMS coding system. Describes the unit of the metric.
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source | S Σ | 0..1 | Reference(SD_MII_ICU_Icu_Device) | Element idDeviceMetric.source Describes the link to the source Device DefinitionDescribes the link to the Device that this DeviceMetric belongs to and that contains administrative device information such as manufacturer, serial number, etc. Reference(SD_MII_ICU_Icu_Device) Constraints
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parent | Σ | 0..1 | Reference(Device) | There are no (further) constraints on this element Element idDeviceMetric.parent Describes the link to the parent Device DefinitionDescribes the link to the Device that this DeviceMetric belongs to and that provide information about the location of this DeviceMetric in the containment structure of the parent Device. An example would be a Device that represents a Channel. This reference can be used by a client application to distinguish DeviceMetrics that have the same type, but should be interpreted based on their containment location.
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operationalStatus | Σ | 0..1 | codeBinding | There are no (further) constraints on this element Element idDeviceMetric.operationalStatus on | off | standby | entered-in-error DefinitionIndicates current operational state of the device. For example: On, Off, Standby, etc. Describes the operational status of the DeviceMetric.
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color | Σ | 0..1 | codeBinding | There are no (further) constraints on this element Element idDeviceMetric.color black | red | green | yellow | blue | magenta | cyan | white DefinitionDescribes the color representation for the metric. This is often used to aid clinicians to track and identify parameter types by color. In practice, consider a Patient Monitor that has ECG/HR and Pleth for example; the parameters are displayed in different characteristic colors, such as HR-blue, BP-green, and PR and SpO2- magenta. Describes the typical color of representation.
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category | S Σ | 1..1 | codeBinding | There are no (further) constraints on this element Element idDeviceMetric.category measurement | setting | calculation | unspecified DefinitionIndicates the category of the observation generation process. A DeviceMetric can be for example a setting, measurement, or calculation. Describes the category of the metric.
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measurementPeriod | Σ | 0..1 | Timing | There are no (further) constraints on this element Element idDeviceMetric.measurementPeriod Describes the measurement repetition time DefinitionDescribes the measurement repetition time. This is not necessarily the same as the update period. The measurement repetition time can range from milliseconds up to hours. An example for a measurement repetition time in the range of milliseconds is the sampling rate of an ECG. An example for a measurement repetition time in the range of hours is a NIBP that is triggered automatically every hour. The update period may be different than the measurement repetition time, if the device does not update the published observed value with the same frequency as it was measured.
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calibration | Σ | 0..* | BackboneElement | There are no (further) constraints on this element Element idDeviceMetric.calibration Describes the calibrations that have been performed or that are required to be performed DefinitionDescribes the calibrations that have been performed or that are required to be performed.
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id | 0..1 | string | There are no (further) constraints on this element Element idDeviceMetric.calibration.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idDeviceMetric.calibration.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
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modifierExtension | Σ ?! I | 0..* | Extension | There are no (further) constraints on this element Element idDeviceMetric.calibration.modifierExtension Extensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
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type | Σ | 0..1 | codeBinding | There are no (further) constraints on this element Element idDeviceMetric.calibration.type unspecified | offset | gain | two-point DefinitionDescribes the type of the calibration method. Describes the type of a metric calibration.
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state | Σ | 0..1 | codeBinding | There are no (further) constraints on this element Element idDeviceMetric.calibration.state not-calibrated | calibration-required | calibrated | unspecified DefinitionDescribes the state of the calibration. Describes the state of a metric calibration.
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time | Σ | 0..1 | instant | There are no (further) constraints on this element Element idDeviceMetric.calibration.time Describes the time last calibration has been performed DefinitionDescribes the time last calibration has been performed.
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FHIR Element | Erklärung |
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DeviceMetric.type | Art der Prozedur (siehe Procedure.category) in deren Rahmen ein Wert erhoben wurde. |
DeviceMetric.source | Wenn verfügbar, verknüpfung mit dem Gerät (Device). |
DeviceMetric.category | Ob es sich um einen eingestellten oder gemessenen (oder anderweitig erhobenen) Wert handelt. |
FHIR Element | Logischer Datensatz |
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DeviceMetric.type | Intensivmedizin.Beatmungswerte |
DeviceMetric.source | Intensivmedizin.Messmethode.Geraet |
DeviceMetric.category | Nötig für die Zuordnung eines Wertes (Observation) zu entweder Intensivmedizin.Beatmungswerte.ParameterGemessen oder Intensivmedizin.Beatmungswerte.ParameterEingestellt |
Snapshot
SD_MII_ICU_Devicemetric_Eingestellte_Gemessene_Parameter_Beatmung (DeviceMetric) | I | DeviceMetric | There are no (further) constraints on this element Element idDeviceMetric Measurement, calculation or setting capability of a medical device DefinitionDescribes a measurement, calculation or setting capability of a medical device. For the initial scope, this DeviceMetric resource is only applicable to describe a single metric node in the containment tree that is produced by the context scanner in any medical device that implements or derives from the ISO/IEEE 11073 standard.
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id | Σ | 0..1 | string | There are no (further) constraints on this element Element idDeviceMetric.id Logical id of this artifact DefinitionThe logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. The only time that a resource does not have an id is when it is being submitted to the server using a create operation. |
meta | Σ | 0..1 | Meta | There are no (further) constraints on this element Element idDeviceMetric.meta Metadata about the resource DefinitionThe metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
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implicitRules | Σ ?! | 0..1 | uri | There are no (further) constraints on this element Element idDeviceMetric.implicitRules A set of rules under which this content was created DefinitionA reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
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language | 0..1 | codeBinding | There are no (further) constraints on this element Element idDeviceMetric.language Language of the resource content DefinitionThe base language in which the resource is written. Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute). A human language.
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text | 0..1 | Narrative | There are no (further) constraints on this element Element idDeviceMetric.text Text summary of the resource, for human interpretation Alternate namesnarrative, html, xhtml, display DefinitionA human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety. Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.
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contained | 0..* | Resource | There are no (further) constraints on this element Element idDeviceMetric.contained Contained, inline Resources Alternate namesinline resources, anonymous resources, contained resources DefinitionThese resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope. This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idDeviceMetric.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
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modifierExtension | ?! I | 0..* | Extension | There are no (further) constraints on this element Element idDeviceMetric.modifierExtension Extensions that cannot be ignored Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
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identifier | Σ | 0..* | Identifier | There are no (further) constraints on this element Element idDeviceMetric.identifier Instance identifier DefinitionUnique instance identifiers assigned to a device by the device or gateway software, manufacturers, other organizations or owners. For example: handle ID. For identifiers assigned to a device by the device or gateway software, the
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type | S Σ | 1..1 | CodeableConceptBinding | Element idDeviceMetric.type Identity of metric, for example Heart Rate or PEEP Setting DefinitionDescribes the type of the metric. For example: Heart Rate, PEEP Setting, etc. DeviceMetric.type can be referred to either IEEE 11073-10101 or LOINC. Describes the metric type.
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id | 0..1 | string | There are no (further) constraints on this element Element idDeviceMetric.type.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idDeviceMetric.type.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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coding | S Σ | 0..* | CodingPattern | Element idDeviceMetric.type.coding Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
{ "system": "http://snomed.info/sct" }
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id | 0..1 | string | There are no (further) constraints on this element Element idDeviceMetric.type.coding.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idDeviceMetric.type.coding.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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system | S Σ | 1..1 | uriPattern | There are no (further) constraints on this element Element idDeviceMetric.type.coding.system Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
http://snomed.info/sct
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version | Σ | 0..1 | string | There are no (further) constraints on this element Element idDeviceMetric.type.coding.version Version of the system - if relevant DefinitionThe version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
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code | S Σ | 1..1 | code | There are no (further) constraints on this element Element idDeviceMetric.type.coding.code Symbol in syntax defined by the system DefinitionA symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Need to refer to a particular code in the system.
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display | Σ | 0..1 | string | There are no (further) constraints on this element Element idDeviceMetric.type.coding.display Representation defined by the system DefinitionA representation of the meaning of the code in the system, following the rules of the system. Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
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userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element idDeviceMetric.type.coding.userSelected If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
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text | Σ | 0..1 | string | There are no (further) constraints on this element Element idDeviceMetric.type.text Plain text representation of the concept DefinitionA human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Very often the text is the same as a displayName of one of the codings.
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unit | Σ | 0..1 | CodeableConceptBinding | There are no (further) constraints on this element Element idDeviceMetric.unit Unit of Measure for the Metric DefinitionDescribes the unit that an observed value determined for this metric will have. For example: Percent, Seconds, etc. DeviceMetric.unit can refer to either UCUM or preferable a RTMMS coding system. Describes the unit of the metric.
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source | S Σ | 0..1 | Reference(SD_MII_ICU_Icu_Device) | Element idDeviceMetric.source Describes the link to the source Device DefinitionDescribes the link to the Device that this DeviceMetric belongs to and that contains administrative device information such as manufacturer, serial number, etc. Reference(SD_MII_ICU_Icu_Device) Constraints
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parent | Σ | 0..1 | Reference(Device) | There are no (further) constraints on this element Element idDeviceMetric.parent Describes the link to the parent Device DefinitionDescribes the link to the Device that this DeviceMetric belongs to and that provide information about the location of this DeviceMetric in the containment structure of the parent Device. An example would be a Device that represents a Channel. This reference can be used by a client application to distinguish DeviceMetrics that have the same type, but should be interpreted based on their containment location.
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operationalStatus | Σ | 0..1 | codeBinding | There are no (further) constraints on this element Element idDeviceMetric.operationalStatus on | off | standby | entered-in-error DefinitionIndicates current operational state of the device. For example: On, Off, Standby, etc. Describes the operational status of the DeviceMetric.
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color | Σ | 0..1 | codeBinding | There are no (further) constraints on this element Element idDeviceMetric.color black | red | green | yellow | blue | magenta | cyan | white DefinitionDescribes the color representation for the metric. This is often used to aid clinicians to track and identify parameter types by color. In practice, consider a Patient Monitor that has ECG/HR and Pleth for example; the parameters are displayed in different characteristic colors, such as HR-blue, BP-green, and PR and SpO2- magenta. Describes the typical color of representation.
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category | S Σ | 1..1 | codeBinding | There are no (further) constraints on this element Element idDeviceMetric.category measurement | setting | calculation | unspecified DefinitionIndicates the category of the observation generation process. A DeviceMetric can be for example a setting, measurement, or calculation. Describes the category of the metric.
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measurementPeriod | Σ | 0..1 | Timing | There are no (further) constraints on this element Element idDeviceMetric.measurementPeriod Describes the measurement repetition time DefinitionDescribes the measurement repetition time. This is not necessarily the same as the update period. The measurement repetition time can range from milliseconds up to hours. An example for a measurement repetition time in the range of milliseconds is the sampling rate of an ECG. An example for a measurement repetition time in the range of hours is a NIBP that is triggered automatically every hour. The update period may be different than the measurement repetition time, if the device does not update the published observed value with the same frequency as it was measured.
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calibration | Σ | 0..* | BackboneElement | There are no (further) constraints on this element Element idDeviceMetric.calibration Describes the calibrations that have been performed or that are required to be performed DefinitionDescribes the calibrations that have been performed or that are required to be performed.
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id | 0..1 | string | There are no (further) constraints on this element Element idDeviceMetric.calibration.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idDeviceMetric.calibration.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
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modifierExtension | Σ ?! I | 0..* | Extension | There are no (further) constraints on this element Element idDeviceMetric.calibration.modifierExtension Extensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
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type | Σ | 0..1 | codeBinding | There are no (further) constraints on this element Element idDeviceMetric.calibration.type unspecified | offset | gain | two-point DefinitionDescribes the type of the calibration method. Describes the type of a metric calibration.
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state | Σ | 0..1 | codeBinding | There are no (further) constraints on this element Element idDeviceMetric.calibration.state not-calibrated | calibration-required | calibrated | unspecified DefinitionDescribes the state of the calibration. Describes the state of a metric calibration.
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time | Σ | 0..1 | instant | There are no (further) constraints on this element Element idDeviceMetric.calibration.time Describes the time last calibration has been performed DefinitionDescribes the time last calibration has been performed.
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Beispiel
Eingestellt
{ "resourceType": "DeviceMetric", "id": "exa-mii-icu-vent-eingestellte-parameter-beatmung", "meta": { "profile": [ "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/devicemetric-eingestellte-gemessene-parameter-beatmung" ] }, "type": { "coding": [ { "code": "40617009", "system": "http://snomed.info/sct", "display": "Artificial ventilation (regime/therapy)" } ] }, "category": "setting" }
Gemessen
{ "resourceType": "DeviceMetric", "id": "exa-mii-icu-vent-gemessene-parameter-beatmung", "meta": { "profile": [ "https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/devicemetric-eingestellte-gemessene-parameter-beatmung" ] }, "type": { "coding": [ { "code": "40617009", "system": "http://snomed.info/sct", "display": "Artificial ventilation (regime/therapy)" } ] }, "category": "measurement" }