MII-Initiative

MII IG Person EN v2024

Vital Status (Observation)

Description

Vital status of the patient. It should be noted that a new observation must be created for each observation. All observations are to be classified as final.

A vital status ("Last known time of life") must be created as an observation at least for each admission/discharge of the patient. It should be noted that the administrative discharge of the patient was also documented due to death.

NameStatusVersionCanonicalBase
MII_PR_Person_Vitalstatusactive2025.0.1https://www.medizininformatik-initiative.de/fhir/core/modul-person/StructureDefinition/Vitalstatushttp://hl7.org/fhir/StructureDefinition/Observation

Inhalt

idS Σ0..1string
id0..1string
extensionC0..*Extension
versionIdΣ0..1id
lastUpdatedΣ0..1instant
sourceΣ0..1uri
profileS Σ0..*canonical(StructureDefinition)
securityΣ0..*CodingBinding
tagΣ0..*Coding
implicitRulesΣ ?!0..1uri
language0..1codeBinding
text0..1Narrative
contained0..*Resource
extensionC0..*Extension
modifierExtension?! C0..*Extension
identifierΣ0..*Identifier
basedOnΣ C0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)
partOfΣ C0..*Reference(ImagingStudy | Immunization | MedicationAdministration | MedicationDispense | MedicationStatement | Procedure)
statusS Σ ?!1..1codeBindingFixed Value
surveyS1..1CodeableConceptBindingPattern
id0..1string
extensionC0..*Extension
id0..1string
extensionC0..*Extension
systemS Σ1..1uriPattern
versionΣ0..1string
codeS Σ1..1codePattern
displayΣ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
subjectS Σ C1..1Reference(Group | Patient)
focusΣ C0..*Reference(Resource)
encounterS Σ C0..1Reference(Encounter)
effectiveDateTimedateTime
issuedΣ0..1instant
performerΣ C0..*Reference(CareTeam | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson)
id0..1string
extensionC0..*Extension
id0..1string
extensionC0..*Extension
systemS Σ1..1uri
versionΣ0..1string
codeS Σ1..1code
displayΣ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
dataAbsentReasonC0..1CodeableConceptBinding
interpretation0..*CodeableConceptBinding
noteS0..*Annotation
bodySite0..0CodeableConcept
method0..1CodeableConcept
specimenC0..0Reference(Specimen)
deviceC0..1Reference(Device | DeviceMetric)
hasMemberΣ C0..*Reference(MolecularSequence | Observation | QuestionnaireResponse)
derivedFromΣ C0..*Reference(DocumentReference | ImagingStudy | Media | MolecularSequence | Observation | QuestionnaireResponse)

Dieses Profil beschreibt den Vitalstatus der Patient*in in der Medizininformatik-Initiative.

FeldnameShortdescription
Observation.id
Observation.meta
Observation.meta.profile
Observation.statusStatus
Observation.categoryKategorie
Observation.category:survey
Observation.codeCode
Observation.code.coding
Observation.code.coding:loincLOINC Code
Observation.code.coding:loinc.system
Observation.code.coding:loinc.code
Observation.subject
Observation.encounterFall oder Kontakt
Observation.effective[x]Zeitpunkt
Observation.value[x]Codierter Wert
Observation.value[x].coding
Observation.value[x].coding:VitalstatusVitalstatus
Observation.value[x].coding:Vitalstatus.system
Observation.value[x].coding:Vitalstatus.code
Observation.noteHinweis
<StructureDefinition xmlns="http://hl7.org/fhir">
<id value="mii-pr-person-vitalstatus" />
<extension url="https://www.medizininformatik-initiative.de/fhir/modul-meta/StructureDefinition/mii-ex-meta-license-codeable">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/spdx-license" />
<code value="CC-BY-4.0" />
<display value="Creative Commons Attribution 4.0 International" />
</coding>
</valueCodeableConcept>
</extension>
<url value="https://www.medizininformatik-initiative.de/fhir/core/modul-person/StructureDefinition/Vitalstatus" />
<version value="2025.0.1" />
<name value="MII_PR_Person_Vitalstatus" />
<title value="MII PR Person Vitalstatus">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de-DE" />
</extension>
<extension url="content">
<valueString value="Vitalstatus" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en-US" />
</extension>
<extension url="content">
<valueString value="Vital status" />
</extension>
</extension>
</title>
<status value="active" />
<date value="2024-12-04" />
<publisher value="Medizininformatik Initiative" />
<contact>
<telecom>
<system value="url" />
<value value="https://www.medizininformatik-initiative.de" />
</telecom>
</contact>
<description value="Dieses Profil beschreibt den Vitalstatus der Patient*in in der Medizininformatik-Initiative.">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de-DE" />
</extension>
<extension url="content">
<valueString value="Vitalstatus einer Patientin oder eines Patienten." />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en-US" />
</extension>
<extension url="content">
<valueString value="Vital status of a patient." />
</extension>
</extension>
</description>
<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.id">
<path value="Observation.id" />
<mustSupport value="true" />
</element>
<element id="Observation.meta">
<path value="Observation.meta" />
<mustSupport value="true" />
</element>
<element id="Observation.meta.profile">
<path value="Observation.meta.profile" />
<mustSupport value="true" />
</element>
<element id="Observation.status">
<path value="Observation.status" />
<short value="Status">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de-DE" />
</extension>
<extension url="content">
<valueString value="Status" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en-US" />
</extension>
<extension url="content">
<valueString value="Status" />
</extension>
</extension>
</short>
<definition value="abgeschlossen">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de-DE" />
</extension>
<extension url="content">
<valueString value="abgeschlossen" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en-US" />
</extension>
<extension url="content">
<valueString value="completed" />
</extension>
</extension>
</definition>
<fixedCode value="final" />
<mustSupport value="true" />
</element>
<element id="Observation.category">
<path value="Observation.category" />
<slicing>
<discriminator>
<type value="pattern" />
<path value="$this" />
</discriminator>
<rules value="open" />
</slicing>
<short value="Kategorie">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de-DE" />
</extension>
<extension url="content">
<valueString value="Kategorie" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en-US" />
</extension>
<extension url="content">
<valueString value="Category" />
</extension>
</extension>
</short>
<definition value="Klassifikation des Typs der Beobachtung für den Vitalstatus.">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de-DE" />
</extension>
<extension url="content">
<valueString value="Klassifikation des Typs der Beobachtung für den Vitalstatus." />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en-US" />
</extension>
<extension url="content">
<valueString value="Classification of type of observation for vital status." />
</extension>
</extension>
</definition>
<min value="1" />
<mustSupport value="true" />
</element>
<element id="Observation.category:survey">
<path value="Observation.category" />
<sliceName value="survey" />
<min value="1" />
<max value="1" />
<patternCodeableConcept>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/observation-category" />
<code value="survey" />
</coding>
</patternCodeableConcept>
<mustSupport value="true" />
</element>
<element id="Observation.code">
<path value="Observation.code" />
<short value="Code">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de-DE" />
</extension>
<extension url="content">
<valueString value="Code" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en-US" />
</extension>
<extension url="content">
<valueString value="Code" />
</extension>
</extension>
</short>
<definition value="Ein LOINC Code, der die Vitalstatus Beobachtung identifiziert.">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de-DE" />
</extension>
<extension url="content">
<valueString value="Ein LOINC Code, der die Vitalstatus Beobachtung identifiziert." />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en-US" />
</extension>
<extension url="content">
<valueString value="A LOINC code identifying the vital status observation." />
</extension>
</extension>
</definition>
<mustSupport value="true" />
</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" />
<mustSupport value="true" />
</element>
<element id="Observation.code.coding:loinc">
<path value="Observation.code.coding" />
<sliceName value="loinc" />
<short value="LOINC Code" />
<definition value="LOINC Code für Vitalstatus" />
<min value="1" />
<max value="1" />
<patternCoding>
<system value="http://loinc.org" />
<code value="67162-8" />
</patternCoding>
<mustSupport value="true" />
</element>
<element id="Observation.code.coding:loinc.system">
<path value="Observation.code.coding.system" />
<min value="1" />
<mustSupport value="true" />
</element>
<element id="Observation.code.coding:loinc.code">
<path value="Observation.code.coding.code" />
<min value="1" />
<mustSupport value="true" />
</element>
<element id="Observation.subject">
<path value="Observation.subject" />
<min value="1" />
<type>
<code value="Reference" />
<targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient" />
<targetProfile value="http://hl7.org/fhir/StructureDefinition/Group" />
</type>
<mustSupport value="true" />
</element>
<element id="Observation.encounter">
<path value="Observation.encounter" />
<short value="Fall oder Kontakt">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de-DE" />
</extension>
<extension url="content">
<valueString value="Fall oder Kontakt" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en-US" />
</extension>
<extension url="content">
<valueString value="Encounter" />
</extension>
</extension>
</short>
<definition value="Fall oder Kontakt, bei dem der Vitalstatus festgestellt wurde.">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de-DE" />
</extension>
<extension url="content">
<valueString value="Fall oder Kontakt, bei dem der Vitalstatus festgestellt wurde." />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en-US" />
</extension>
<extension url="content">
<valueString value="Encounter during which the vital status was determined." />
</extension>
</extension>
</definition>
<mustSupport value="true" />
</element>
<element id="Observation.effective[x]">
<path value="Observation.effective[x]" />
<short value="Zeitpunkt">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de-DE" />
</extension>
<extension url="content">
<valueString value="Zeitpunkt" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en-US" />
</extension>
<extension url="content">
<valueString value="Point in time" />
</extension>
</extension>
</short>
<definition value="Der Zeitpunkt, zu dem der beobachtete Vitalstatus als wahr festgestellt wird.">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de-DE" />
</extension>
<extension url="content">
<valueString value="Der Zeitpunkt, zu dem der beobachtete Vitalstatus als wahr festgestellt wird." />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en-US" />
</extension>
<extension url="content">
<valueString value="The time the observed vital status is asserted as being true." />
</extension>
</extension>
</definition>
<min value="1" />
<type>
<code value="dateTime" />
</type>
<mustSupport value="true" />
</element>
<element id="Observation.value[x]">
<path value="Observation.value[x]" />
<short value="Codierter Wert">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de-DE" />
</extension>
<extension url="content">
<valueString value="Wert" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en-US" />
</extension>
<extension url="content">
<valueString value="Value" />
</extension>
</extension>
</short>
<definition value="Der codierte Wert für den Vitalstatus.">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de-DE" />
</extension>
<extension url="content">
<valueString value="lebendig | verstorben | unbekannt" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en-US" />
</extension>
<extension url="content">
<valueString value="alive | deceased | unknown" />
</extension>
</extension>
</definition>
<min value="1" />
<type>
<code value="CodeableConcept" />
</type>
<mustSupport value="true" />
</element>
<element id="Observation.value[x].coding">
<path value="Observation.value[x].coding" />
<slicing>
<discriminator>
<type value="pattern" />
<path value="$this" />
</discriminator>
<rules value="open" />
</slicing>
<min value="1" />
<mustSupport value="true" />
</element>
<element id="Observation.value[x].coding:Vitalstatus">
<path value="Observation.value[x].coding" />
<sliceName value="Vitalstatus" />
<short value="Vitalstatus" />
<definition value="Der Vitalstatus der Person." />
<min value="1" />
<max value="1" />
<mustSupport value="true" />
<binding>
<strength value="required" />
<valueSet value="https://www.medizininformatik-initiative.de/fhir/core/modul-person/ValueSet/Vitalstatus" />
</binding>
</element>
<element id="Observation.value[x].coding:Vitalstatus.system">
<path value="Observation.value[x].coding.system" />
<min value="1" />
<mustSupport value="true" />
</element>
<element id="Observation.value[x].coding:Vitalstatus.code">
<path value="Observation.value[x].coding.code" />
<min value="1" />
<mustSupport value="true" />
</element>
<element id="Observation.note">
<path value="Observation.note" />
<short value="Hinweis">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de-DE" />
</extension>
<extension url="content">
<valueString value="Hinweis" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en-US" />
</extension>
<extension url="content">
<valueString value="Note" />
</extension>
</extension>
</short>
<definition value="Zusätzliche Informationen zum Vitalstatus als Freitext.">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de-DE" />
</extension>
<extension url="content">
<valueString value="Zusätzliche Informationen zum Vitalstatus als Freitext." />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en-US" />
</extension>
<extension url="content">
<valueString value="Additional information about the vital status as free text." />
</extension>
</extension>
</definition>
<mustSupport value="true" />
</element>
<element id="Observation.bodySite">
<path value="Observation.bodySite" />
<max value="0" />
</element>
<element id="Observation.specimen">
<path value="Observation.specimen" />
<max value="0" />
</element>
<element id="Observation.referenceRange">
<path value="Observation.referenceRange" />
<max value="0" />
</element>
<element id="Observation.component">
<path value="Observation.component" />
<max value="0" />
</element>
</differential>
</StructureDefinition>
{
"resourceType": "StructureDefinition",
"id": "mii-pr-person-vitalstatus",
"extension": [
{
"url": "https://www.medizininformatik-initiative.de/fhir/modul-meta/StructureDefinition/mii-ex-meta-license-codeable",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/spdx-license",
"code": "CC-BY-4.0",
"display": "Creative Commons Attribution 4.0 International"
}
]
}
}
],
"url": "https://www.medizininformatik-initiative.de/fhir/core/modul-person/StructureDefinition/Vitalstatus",
"version": "2025.0.1",
"name": "MII_PR_Person_Vitalstatus",
"title": "MII PR Person Vitalstatus",
"_title": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "de-DE"
},
{
"url": "content",
"valueString": "Vitalstatus"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension": [
{
"url": "lang",
"valueCode": "en-US"
},
{
"url": "content",
"valueString": "Vital status"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"status": "active",
"date": "2024-12-04",
"publisher": "Medizininformatik Initiative",
"contact": [
{
"telecom": [
{
"system": "url",
"value": "https://www.medizininformatik-initiative.de"
}
]
}
],
"description": "Dieses Profil beschreibt den Vitalstatus der Patient*in in der Medizininformatik-Initiative.",
"_description": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "de-DE"
},
{
"url": "content",
"valueString": "Vitalstatus einer Patientin oder eines Patienten."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension": [
{
"url": "lang",
"valueCode": "en-US"
},
{
"url": "content",
"valueString": "Vital status of a patient."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"fhirVersion": "4.0.1",
"kind": "resource",
"abstract": false,
"type": "Observation",
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Observation",
"derivation": "constraint",
"differential": {
"element": [
{
"id": "Observation.id",
"path": "Observation.id",
"mustSupport": true
},
{
"id": "Observation.meta",
"path": "Observation.meta",
"mustSupport": true
},
{
"id": "Observation.meta.profile",
"path": "Observation.meta.profile",
"mustSupport": true
},
{
"id": "Observation.status",
"path": "Observation.status",
"short": "Status",
"_short": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "de-DE"
},
{
"url": "content",
"valueString": "Status"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension": [
{
"url": "lang",
"valueCode": "en-US"
},
{
"url": "content",
"valueString": "Status"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"definition": "abgeschlossen",
"_definition": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "de-DE"
},
{
"url": "content",
"valueString": "abgeschlossen"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension": [
{
"url": "lang",
"valueCode": "en-US"
},
{
"url": "content",
"valueString": "completed"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"fixedCode": "final",
"mustSupport": true
},
{
"id": "Observation.category",
"path": "Observation.category",
"slicing": {
"discriminator": [
{
"type": "pattern",
"path": "$this"
}
],
"rules": "open"
},
"short": "Kategorie",
"_short": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "de-DE"
},
{
"url": "content",
"valueString": "Kategorie"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension": [
{
"url": "lang",
"valueCode": "en-US"
},
{
"url": "content",
"valueString": "Category"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"definition": "Klassifikation des Typs der Beobachtung für den Vitalstatus.",
"_definition": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "de-DE"
},
{
"url": "content",
"valueString": "Klassifikation des Typs der Beobachtung für den Vitalstatus."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension": [
{
"url": "lang",
"valueCode": "en-US"
},
{
"url": "content",
"valueString": "Classification of type of observation for vital status."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"min": 1,
"mustSupport": true
},
{
"id": "Observation.category:survey",
"path": "Observation.category",
"sliceName": "survey",
"min": 1,
"max": "1",
"patternCodeableConcept": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "survey"
}
]
},
"mustSupport": true
},
{
"id": "Observation.code",
"path": "Observation.code",
"short": "Code",
"_short": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "de-DE"
},
{
"url": "content",
"valueString": "Code"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension": [
{
"url": "lang",
"valueCode": "en-US"
},
{
"url": "content",
"valueString": "Code"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"definition": "Ein LOINC Code, der die Vitalstatus Beobachtung identifiziert.",
"_definition": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "de-DE"
},
{
"url": "content",
"valueString": "Ein LOINC Code, der die Vitalstatus Beobachtung identifiziert."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension": [
{
"url": "lang",
"valueCode": "en-US"
},
{
"url": "content",
"valueString": "A LOINC code identifying the vital status observation."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"mustSupport": true
},
{
"id": "Observation.code.coding",
"path": "Observation.code.coding",
"slicing": {
"discriminator": [
{
"type": "pattern",
"path": "$this"
}
],
"rules": "open"
},
"min": 1,
"mustSupport": true
},
{
"id": "Observation.code.coding:loinc",
"path": "Observation.code.coding",
"sliceName": "loinc",
"short": "LOINC Code",
"definition": "LOINC Code für Vitalstatus",
"min": 1,
"max": "1",
"patternCoding": {
"system": "http://loinc.org",
"code": "67162-8"
},
"mustSupport": true
},
{
"id": "Observation.code.coding:loinc.system",
"path": "Observation.code.coding.system",
"min": 1,
"mustSupport": true
},
{
"id": "Observation.code.coding:loinc.code",
"path": "Observation.code.coding.code",
"min": 1,
"mustSupport": true
},
{
"id": "Observation.subject",
"path": "Observation.subject",
"min": 1,
"type": [
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/Patient",
"http://hl7.org/fhir/StructureDefinition/Group"
]
}
],
"mustSupport": true
},
{
"id": "Observation.encounter",
"path": "Observation.encounter",
"short": "Fall oder Kontakt",
"_short": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "de-DE"
},
{
"url": "content",
"valueString": "Fall oder Kontakt"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension": [
{
"url": "lang",
"valueCode": "en-US"
},
{
"url": "content",
"valueString": "Encounter"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"definition": "Fall oder Kontakt, bei dem der Vitalstatus festgestellt wurde.",
"_definition": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "de-DE"
},
{
"url": "content",
"valueString": "Fall oder Kontakt, bei dem der Vitalstatus festgestellt wurde."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension": [
{
"url": "lang",
"valueCode": "en-US"
},
{
"url": "content",
"valueString": "Encounter during which the vital status was determined."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"mustSupport": true
},
{
"id": "Observation.effective[x]",
"path": "Observation.effective[x]",
"short": "Zeitpunkt",
"_short": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "de-DE"
},
{
"url": "content",
"valueString": "Zeitpunkt"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension": [
{
"url": "lang",
"valueCode": "en-US"
},
{
"url": "content",
"valueString": "Point in time"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"definition": "Der Zeitpunkt, zu dem der beobachtete Vitalstatus als wahr festgestellt wird.",
"_definition": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "de-DE"
},
{
"url": "content",
"valueString": "Der Zeitpunkt, zu dem der beobachtete Vitalstatus als wahr festgestellt wird."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension": [
{
"url": "lang",
"valueCode": "en-US"
},
{
"url": "content",
"valueString": "The time the observed vital status is asserted as being true."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"min": 1,
"type": [
{
"code": "dateTime"
}
],
"mustSupport": true
},
{
"id": "Observation.value[x]",
"path": "Observation.value[x]",
"short": "Codierter Wert",
"_short": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "de-DE"
},
{
"url": "content",
"valueString": "Wert"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension": [
{
"url": "lang",
"valueCode": "en-US"
},
{
"url": "content",
"valueString": "Value"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"definition": "Der codierte Wert für den Vitalstatus.",
"_definition": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "de-DE"
},
{
"url": "content",
"valueString": "lebendig | verstorben | unbekannt"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension": [
{
"url": "lang",
"valueCode": "en-US"
},
{
"url": "content",
"valueString": "alive | deceased | unknown"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"min": 1,
"type": [
{
"code": "CodeableConcept"
}
],
"mustSupport": true
},
{
"id": "Observation.value[x].coding",
"path": "Observation.value[x].coding",
"slicing": {
"discriminator": [
{
"type": "pattern",
"path": "$this"
}
],
"rules": "open"
},
"min": 1,
"mustSupport": true
},
{
"id": "Observation.value[x].coding:Vitalstatus",
"path": "Observation.value[x].coding",
"sliceName": "Vitalstatus",
"short": "Vitalstatus",
"definition": "Der Vitalstatus der Person.",
"min": 1,
"max": "1",
"mustSupport": true,
"binding": {
"strength": "required",
"valueSet": "https://www.medizininformatik-initiative.de/fhir/core/modul-person/ValueSet/Vitalstatus"
}
},
{
"id": "Observation.value[x].coding:Vitalstatus.system",
"path": "Observation.value[x].coding.system",
"min": 1,
"mustSupport": true
},
{
"id": "Observation.value[x].coding:Vitalstatus.code",
"path": "Observation.value[x].coding.code",
"min": 1,
"mustSupport": true
},
{
"id": "Observation.note",
"path": "Observation.note",
"short": "Hinweis",
"_short": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "de-DE"
},
{
"url": "content",
"valueString": "Hinweis"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension": [
{
"url": "lang",
"valueCode": "en-US"
},
{
"url": "content",
"valueString": "Note"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"definition": "Zusätzliche Informationen zum Vitalstatus als Freitext.",
"_definition": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "de-DE"
},
{
"url": "content",
"valueString": "Zusätzliche Informationen zum Vitalstatus als Freitext."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension": [
{
"url": "lang",
"valueCode": "en-US"
},
{
"url": "content",
"valueString": "Additional information about the vital status as free text."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"mustSupport": true
},
{
"id": "Observation.bodySite",
"path": "Observation.bodySite",
"max": "0"
},
{
"id": "Observation.specimen",
"path": "Observation.specimen",
"max": "0"
},
{
"id": "Observation.referenceRange",
"path": "Observation.referenceRange",
"max": "0"
},
{
"id": "Observation.component",
"path": "Observation.component",
"max": "0"
}
]
}
}
MII PR Person Vitalstatus

Notes

FHIR-Element Erklärung
Observation.id Must-support, but optional
Observation.meta Must-support, but optional
Observation.category Fixed value, additional codings allowed.
Observation.code Fixed LOINC Code, additional codings allowed.
Observation.subject Patient reference must always be given.
Observation.effectiveDateTime effectiveDateTime allows exact coding of the last time alive, but partial dates are also allowed. Does not contain the time of death (see Patient.deceased[x])!

Mappings

FHIR-Element Logical Data Set
Observation.effectiveDateTime Person.Demographie.Vitalstatus.Zeitpunkt/-raum der Feststellung des Vitalstatus
MII-Metadaten-Konzept (Provenance) ist zum Stand der Veröffentlichung ungeklärt Person.Demographie.Vitalstatus.Informationsquelle

Terminology Bindings

PathNameStrengthURL
Observation.value[x].codingVitalstatusrequiredhttps://www.medizininformatik-initiative.de/fhir/core/modul-person/ValueSet/Vitalstatus

SearchParameters

The following SearchParameters are relevant for the module Person, also in combination:

  1. The SearchParameter "_id" MUST be supported:

    Example:

    GET [base]/Observation?_id=103270

    Note: Additional information regarding the search using "_id" can be found in FHIR Core Specification - Section "Parameters for all resources".

  2. The SearchParameter "_profile" MUST be supported:

    Example:

    GET [base]/Observation?_profile=https://www.medizininformatik-initiative.de/fhir/core/modul-person/StructureDefinition/Vitalstatus

    Note: Additional information regarding the search using "_profile" can be found in FHIR Core Specification - Section "Parameters for all resources".

  3. The SearchParameter "status" MUST be supported:

    Example:

    GET [base]/Observation?status=final

    Note: Additional information regarding the search using "Observation.status" can be found in FHIR Core Specification - Section "Token Search".

  4. The SearchParameter "category" MUST be supported:

    Example:

    GET [base]/Observation?category=http://terminology.hl7.org/CodeSystem/observation-category|survey

    Note: Additional information regarding the search using "Observation.category" can be found in FHIR Core Specification - Section "Token Search".

  5. The SearchParameter "code" MUST be supported:

    Example:

    GET [base]/Observation?code=http://loinc.org|67162-8

    Note: Additional information regarding the search using "Observation.code" can be found in FHIR Core Specification - Section "Token Search".

  6. The SearchParameter "subject" MUST be supported:

    Example:

    GET [base]/Observation?subject=Patient/test

    Note: Additional information regarding the search using "Observation.subject" can be found in FHIR Core Specification - Section "reference".

  7. The SearchParameter "patient" MUST be supported:

    Example:

    GET [base]/Observation?patient=Patient/test

    Note: Additional information regarding the search using "Observation.subject" can be found in FHIR Core Specification - Section "reference".

  8. The SearchParameter "date" MUST be supported:

    Example:

    GET [base]/Observation?date=2022-01-01

    Note: Additional information regarding the search using "Observation.effective" can be found in FHIR Core Specification - Section "Date Search".

  9. The SearchParameter "value-concept" MUST be supported:

    Example:

    GET [base]/Observation?value-concept=https://www.medizininformatik-initiative.de/fhir/core/modul-person/CodeSystem/Vitalstatus|T

    Note: Additional information regarding the search using "Observation.value" can be found in FHIR Core Specification - Section "Token Search".

Examples

Example (complete):

{
"resourceType": "Observation",
"id": "mii-exa-person-observation-vitalstatus",
"meta": {
"profile": [
"https://www.medizininformatik-initiative.de/fhir/core/modul-person/StructureDefinition/Vitalstatus|2025.0.1"
],
"security": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
"code": "HTEST",
"display": "test health data"
}
]
},
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "survey"
}
]
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "67162-8"
}
]
},
"subject": {
"reference": "Patient/example"
},
"effectiveDateTime": "2019-12-23T09:30:10+01:00",
"valueCodeableConcept": {
"coding": [
{
"system": "https://www.medizininformatik-initiative.de/fhir/core/modul-person/CodeSystem/Vitalstatus",
"code": "X"
}
]
}
}

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