Sterbefall - Krebsregistermeldung

There are no (further) constraints on this element

Element id

Observation.id

Short description

Logical id of this artifact

Definition

The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

Comments

The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

Data type

There are no (further) constraints on this element

Element id

Observation.meta

Short description

Metadata about the resource

Definition

The 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.

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
rim: N/A

implicitRules

Σ ?!

0..1

There are no (further) constraints on this element

Element id

Observation.implicitRules

Short description

A set of rules under which this content was created

Definition

A 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.

Comments

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.

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a

language

0..1

codeBinding

There are no (further) constraints on this element

Element id

Observation.language

Short description

Language of the resource content

Definition

The base language in which the resource is written.

Comments

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).

Data type

Binding

A human language.

CommonLanguages (preferred)

Binding extensions

maxValueSet	AllLanguages

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a

text

0..1

There are no (further) constraints on this element

Element id

Observation.text

Short description

Text summary of the resource, for human interpretation

Alternate names

narrative, html, xhtml, display

Definition

A 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.

Comments

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.

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
rim: N/A
rim: Act.text?

contained

0..*

There are no (further) constraints on this element

Element id

Observation.contained

Short description

Contained, inline Resources

Alternate names

inline resources, anonymous resources, contained resources

Definition

These 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.

Comments

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.

Data type

Mappings

rim: Entity. Role, or Act
rim: N/A

extension

0..*

There are no (further) constraints on this element

Element id

Observation.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

May 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.

Comments

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.

Data type

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

modifierExtension

?! C

0..*

There are no (further) constraints on this element

Element id

Observation.modifierExtension

Short description

Extensions that cannot be ignored

Alternate names

extensions, user content

Definition

May 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).

Requirements

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.

Comments

Data type

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

identifier

0..*

There are no (further) constraints on this element

Element id

Observation.identifier

Short description

Business Identifier for observation

Definition

A unique identifier assigned to this observation.

Requirements

Allows observations to be distinguished and referenced.

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CX / EI (occasionally, more often EI maps to a resource id or a URL)
rim: II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]
servd: Identifier
workflow: Event.identifier
w5: FiveWs.identifier
v2: OBX.21 For OBX segments from systems without OBX-21 support a combination of ORC/OBR and OBX must be negotiated between trading partners to uniquely identify the OBX segment. Depending on how V2 has been implemented each of these may be an option: 1) OBR-3 + OBX-3 + OBX-4 or 2) OBR-3 + OBR-4 + OBX-3 + OBX-4 or 2) some other way to uniquely ID the OBR/ORC + OBX-3 + OBX-4.
rim: id

basedOn

Σ C

0..*

There are no (further) constraints on this element

Element id

Observation.basedOn

Short description

Fulfills plan, proposal or order

Alternate names

Fulfills

Definition

A plan, proposal or order that is fulfilled in whole or in part by this event. For example, a MedicationRequest may require a patient to have laboratory test performed before it is dispensed.

Requirements

Allows tracing of authorization for the event and tracking whether proposals/recommendations were acted upon.

Comments

References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ref-1: 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'))

Mappings

rim: n/a
rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
workflow: Event.basedOn
v2: ORC
rim: .inboundRelationship[typeCode=COMP].source[moodCode=EVN]

partOf

S Σ C

1..1

Reference(StfLeichenschau | StfObduktion | Procedure)

Element id

Observation.partOf

Short description

Zuordnung 'Todesursache aus Leichenschau' vs. 'Todesursache aus Obduktion'

Alternate names

Container

Definition

A larger event of which this particular Observation is a component or step. For example, an observation as part of a procedure.

Comments

Gibt an, ob die Todesursache aus der Leichenschau oder aus der Obduktion stammt.

Data type

Reference(StfLeichenschau | StfObduktion | Procedure)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ref-1: 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'))

Mappings

rim: n/a
rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
workflow: Event.partOf
v2: Varies by domain
rim: .outboundRelationship[typeCode=FLFS].target

status

S Σ ?!

1..1

codeBinding

There are no (further) constraints on this element

Element id

Observation.status

Short description

registered | preliminary | final | amended +

Definition

The status of the result value.

Requirements

Need to track the status of individual results. Some results are finalized before the whole report is finalized.

Comments

This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.

Data type

Binding

Codes providing the status of an observation.

ObservationStatus (required)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
workflow: Event.status
w5: FiveWs.status
sct-concept: < 445584004 |Report by finality status|
v2: OBX-11
rim: status Amended & Final are differentiated by whether it is the subject of a ControlAct event with a type of "revise"

Terminology-Bindings

Staerke	ValueSet
required	http://hl7.org/fhir/ValueSet/observation-status\|4.0.1
required	http://gematik.de/fhir/oegd/stf/ValueSet/StfObservationCodes

Constraints/Invarianten

STF Todesursache

Metadaten

Canonical	Status	Version	Basis
http://gematik.de/fhir/oegd/stf/StructureDefinition/StfTodesursache	active	1.0.0-ballot	http://gematik.de/fhir/oegd/stf/StructureDefinition/StfBasisObservation

Inhalt

ID	Kurzbeschreibung	Type	Min	Max	VS_Url	Strength
Observation.partOf	Zuordnung 'Todesursache aus Leichenschau' vs. 'Todesursache aus Obduktion'	Reference	1	1
Observation.status	registered \| preliminary \| final \| amended +	code	1	1	http://hl7.org/fhir/ValueSet/observation-status\|4.0.1	required
Observation.code	Type of observation (code / type)	CodeableConcept	1	1	http://gematik.de/fhir/oegd/stf/ValueSet/StfObservationCodes	required
Observation.code.coding:SCT	Code defined by a terminology system	Coding	1	1
Observation.subject	Who and/or what the observation is about	Reference	1	1
Observation.effective[x]	Clinically relevant time/time-period for observation	dateTime	0	1
Observation.effective[x]:effectiveDateTime	Clinically relevant time/time-period for observation	dateTime	0	1
Observation.performer	Who is responsible for the observation	Reference	0	*
Observation.value[x]	Actual result	CodeableConcept	0	1
Observation.value[x].coding.system	Identity of the terminology system	uri	1	1
Observation.value[x].coding.version	Version of the system - if relevant	string	1	1
Observation.value[x].coding.code	Symbol in syntax defined by the system	code	1	1
Observation.value[x].coding.display	Representation defined by the system	string	0	1
Observation.value[x].text	Plain text representation of the concept	string	0	1
Observation.dataAbsentReason	Why the result is missing	CodeableConcept	0	1	http://hl7.org/fhir/ValueSet/data-absent-reason	extensible
Observation.note	Comments about the observation	Annotation	0	*
Observation.hasMember	Related resource that belongs to the Observation group	Reference	0	*
Observation.hasMember.reference	Literal reference, Relative, internal or absolute URL	string	0	1
Observation.component	Component results	BackboneElement	1	*
Observation.component.code	Type of component observation (code / type)	CodeableConcept	1	1	http://gematik.de/fhir/oegd/stf/ValueSet/StfObservationCodes	extensible
Observation.component.value[x]	Actual component result	Quantity	0	1
Observation.component.value[x]:valueCodeableConcept	Actual component result	CodeableConcept	0	1
Observation.component:Todesursachensequenz	Component results	BackboneElement	1	1
Observation.component:Todesursachensequenz.value[x]:valueCodeableConcept.coding	Code defined by a terminology system	Coding	1	*	http://gematik.de/fhir/oegd/stf/ValueSet/StfTodesursachensequenzVS	required
Observation.component:NichtNatuerlicherTod	Component results	BackboneElement	0	1
Observation.component:NichtNatuerlicherTod.value[x]:valueCodeableConcept.text	Plain text representation of the concept	string	0	1
Observation.component:WeitereAngaben	Component results	BackboneElement	0	*
Observation.component:WeitereAngaben.value[x]:valueCodeableConcept.coding	Code defined by a terminology system	Coding	0	*
Observation.component:WeitereAngaben.value[x]:valueCodeableConcept.coding.system	Identity of the terminology system	uri	1	1
Observation.component:WeitereAngaben.value[x]:valueCodeableConcept.coding.version	Version of the system - if relevant	string	1	1
Observation.component:WeitereAngaben.value[x]:valueCodeableConcept.coding.code	Symbol in syntax defined by the system	code	1	1
Observation.component:WeitereAngaben.value[x]:valueCodeableConcept.coding.display	Representation defined by the system	string	0	1
Observation.component:WeitereAngaben.value[x]:valueCodeableConcept.text	Plain text representation of the concept	string	0	1
Observation.component:WeitereAngaben.value[x]:valueString	Actual component result	string	0	1
Observation.component:ZeitdauerBeginnBisTod	Component results	BackboneElement	0	1
Observation.component:ZeitdauerBeginnBisTod.value[x]:valueString	Actual component result	string	0	1

StfTodesursache (Observation)

There are no (further) constraints on this element

Element id

Observation

Short description

Measurements and simple assertions

Alternate names

Vital Signs, Measurement, Results, Tests

Definition

Measurements and simple assertions made about a patient, device or other subject.

Comments

Data type

Constraints

dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
contained.contained.empty()
dom-4: 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-3: 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-6: A resource should have narrative for robust management
text.`div`.exists()
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
contained.meta.security.empty()
obs-7: 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()
obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
dataAbsentReason.empty() or value.empty()

Mappings

rim: Entity. Role, or Act
workflow: Event
sct-concept: < 363787002 |Observable entity|
v2: OBX
rim: Observation[classCode=OBS, moodCode=EVN]

0..1

There are no (further) constraints on this element

Element id

Observation.id

Short description

Logical id of this artifact

Definition

The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

Comments

The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

Data type

There are no (further) constraints on this element

Element id

Observation.meta

Short description

Metadata about the resource

Definition

The 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.

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
rim: N/A

implicitRules

Σ ?!

0..1

There are no (further) constraints on this element

Element id

Observation.implicitRules

Short description

A set of rules under which this content was created

Definition

Comments

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a

language

0..1

codeBinding

There are no (further) constraints on this element

Element id

Observation.language

Short description

Language of the resource content

Definition

The base language in which the resource is written.

Comments

Data type

Binding

A human language.

CommonLanguages (preferred)

Binding extensions

maxValueSet	AllLanguages

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a

text

0..1

There are no (further) constraints on this element

Element id

Observation.text

Short description

Text summary of the resource, for human interpretation

Alternate names

narrative, html, xhtml, display

Definition

Comments

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
rim: N/A
rim: Act.text?

contained

0..*

There are no (further) constraints on this element

Element id

Observation.contained

Short description

Contained, inline Resources

Alternate names

inline resources, anonymous resources, contained resources

Definition

Comments

Data type

Mappings

rim: Entity. Role, or Act
rim: N/A

extension

0..*

There are no (further) constraints on this element

Element id

Observation.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

modifierExtension

?! C

0..*

There are no (further) constraints on this element

Element id

Observation.modifierExtension

Short description

Extensions that cannot be ignored

Alternate names

extensions, user content

Definition

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Requirements

Comments

Data type

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

identifier

0..*

There are no (further) constraints on this element

Element id

Observation.identifier

Short description

Business Identifier for observation

Definition

A unique identifier assigned to this observation.

Requirements

Allows observations to be distinguished and referenced.

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CX / EI (occasionally, more often EI maps to a resource id or a URL)
rim: II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]
servd: Identifier
workflow: Event.identifier
w5: FiveWs.identifier
v2: OBX.21 For OBX segments from systems without OBX-21 support a combination of ORC/OBR and OBX must be negotiated between trading partners to uniquely identify the OBX segment. Depending on how V2 has been implemented each of these may be an option: 1) OBR-3 + OBX-3 + OBX-4 or 2) OBR-3 + OBR-4 + OBX-3 + OBX-4 or 2) some other way to uniquely ID the OBR/ORC + OBX-3 + OBX-4.
rim: id

basedOn

Σ C

0..*

There are no (further) constraints on this element

Element id

Observation.basedOn

Short description

Fulfills plan, proposal or order

Alternate names

Fulfills

Definition

A plan, proposal or order that is fulfilled in whole or in part by this event. For example, a MedicationRequest may require a patient to have laboratory test performed before it is dispensed.

Requirements

Allows tracing of authorization for the event and tracking whether proposals/recommendations were acted upon.

Comments

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ref-1: 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'))

Mappings

rim: n/a
rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
workflow: Event.basedOn
v2: ORC
rim: .inboundRelationship[typeCode=COMP].source[moodCode=EVN]

partOf

S Σ C

1..1

Reference(StfLeichenschau | StfObduktion | Procedure)

There are no (further) constraints on this element

Element id

Observation.partOf

Short description

Zuordnung 'Todesursache aus Leichenschau' vs. 'Todesursache aus Obduktion'

Alternate names

Container

Definition

A larger event of which this particular Observation is a component or step. For example, an observation as part of a procedure.

Comments

Gibt an, ob die Todesursache aus der Leichenschau oder aus der Obduktion stammt.

Data type

Reference(StfLeichenschau | StfObduktion | Procedure)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ref-1: 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'))

Mappings

rim: n/a
rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
workflow: Event.partOf
v2: Varies by domain
rim: .outboundRelationship[typeCode=FLFS].target

status

S Σ ?!

1..1

codeBinding

There are no (further) constraints on this element

Element id

Observation.status

Short description

registered | preliminary | final | amended +

Definition

The status of the result value.

Requirements

Need to track the status of individual results. Some results are finalized before the whole report is finalized.

Comments

This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.

Data type

Binding

Codes providing the status of an observation.

ObservationStatus (required)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
workflow: Event.status
w5: FiveWs.status
sct-concept: < 445584004 |Report by finality status|
v2: OBX-11
rim: status Amended & Final are differentiated by whether it is the subject of a ControlAct event with a type of "revise"

category

0..*

CodeableConceptBinding

There are no (further) constraints on this element

Element id

Observation.category

Short description

Classification of type of observation

Definition

A code that classifies the general type of observation being made.

Requirements

Used for filtering what observations are retrieved and displayed.

Comments

Data type

ObservationCategoryCodes (preferred)

Binding

Codes for high level observation categories.

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE
rim: CD
orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
w5: FiveWs.class
rim: .outboundRelationship[typeCode="COMP].target[classCode="LIST", moodCode="EVN"].code

code

S Σ

1..1

CodeableConceptBinding

There are no (further) constraints on this element

Element id

Observation.code

Short description

Type of observation (code / type)

Alternate names

Name

Definition

Describes what was observed. Sometimes this is called the observation "name".

Requirements

Knowing what kind of observation is being made is essential to understanding the observation.

Comments

All code-value and, if present, component.code-component.value pairs need to be taken into account to correctly understand the meaning of the observation.

Data type

StfObservationCodes (required)

Binding

Codes identifying names of simple observations.

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE
rim: CD
orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
workflow: Event.code
w5: FiveWs.what[x]
sct-concept: < 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
v2: OBX-3
rim: code
sct-attr: 116680003 |Is a|

0..1

There are no (further) constraints on this element

Element id

Observation.code.id

Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

Mappings

rim: n/a

extension

0..*

There are no (further) constraints on this element

Element id

Observation.code.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

coding

1..*

Element id

Observation.code.coding

Short description

Code defined by a terminology system

Definition

A reference to a code defined by a terminology system.

Requirements

Allows for alternative encodings within a code system, and translations to other code systems.

Comments

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.

Data type

Slicing

Unordered, Open, by $this(Pattern)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6
rim: CV
orim: fhir:Coding rdfs:subClassOf dt:CDCoding
v2: C*E.1-8, C*E.10-22
rim: union(., ./translation)
orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding

SCT

S Σ

1..1

CodingPattern

Element id

Observation.code.coding:SCT

Short description

Code defined by a terminology system

Definition

A reference to a code defined by a terminology system.

Requirements

Allows for alternative encodings within a code system, and translations to other code systems.

Comments

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Pattern

{
  "system": "http://snomed.info/sct",
  "code": "184305005"
}

Mappings

rim: n/a
v2: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6
rim: CV
orim: fhir:Coding rdfs:subClassOf dt:CDCoding
v2: C*E.1-8, C*E.10-22
rim: union(., ./translation)
orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding

text

0..1

There are no (further) constraints on this element

Element id

Observation.code.text

Short description

Plain text representation of the concept

Definition

A 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.

Requirements

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.

Comments

Very often the text is the same as a displayName of one of the codings.

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: C*E.9. But note many systems use C*E.2 for this
rim: ./originalText[mediaType/code="text/plain"]/data
orim: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText

subject

S Σ C

1..1

Reference(Patient)

There are no (further) constraints on this element

Element id

Observation.subject

Short description

Who and/or what the observation is about

Definition

Requirements

Observations have no value if you don't know who or what they're about.

Comments

Data type

Reference(Patient)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ref-1: 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'))

Mappings

rim: n/a
rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
workflow: Event.subject
w5: FiveWs.subject[x]
v2: PID-3
rim: participation[typeCode=RTGT]
w5: FiveWs.subject

focus

Σ C

0..*

Reference(Resource)

There are no (further) constraints on this element

Element id

Observation.focus

Short description

What the observation is about, when it is not about the subject of record

Definition

Comments

Data type

Reference(Resource)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ref-1: 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'))

Mappings

rim: n/a
rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
w5: FiveWs.subject[x]
v2: OBX-3
rim: participation[typeCode=SBJ]
w5: FiveWs.subject

encounter

Σ C

0..1

Reference(Encounter)

There are no (further) constraints on this element

Element id

Observation.encounter

Short description

Healthcare event during which this observation is made

Alternate names

Context

Definition

The healthcare event (e.g. a patient and healthcare provider interaction) during which this observation is made.

Requirements

For some observations it may be important to know the link between an observation and a particular encounter.

Comments

Data type

Reference(Encounter)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ref-1: 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'))

Mappings

rim: n/a
rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
workflow: Event.context
w5: FiveWs.context
v2: PV1
rim: inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]

effective[x]

S Σ

0..1

There are no (further) constraints on this element

Element id

Observation.effective[x]

Short description

Clinically relevant time/time-period for observation

Alternate names

Occurrence

Definition

Requirements

Knowing when an observation was deemed true is important to its relevance as well as determining trends.

Comments

Slicing

Unordered, Open, by $this(Type)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
workflow: Event.occurrence[x]
w5: FiveWs.done[x]
v2: OBX-14, and/or OBX-19 after v2.4 (depends on who observation made)
rim: effectiveTime

effectiveDateTime

S Σ

0..1

Element id

Observation.effective[x]:effectiveDateTime

Short description

Clinically relevant time/time-period for observation

Alternate names

Occurrence

Definition

Requirements

Knowing when an observation was deemed true is important to its relevance as well as determining trends.

Comments

Beginn der Krankheit

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
workflow: Event.occurrence[x]
w5: FiveWs.done[x]
v2: OBX-14, and/or OBX-19 after v2.4 (depends on who observation made)
rim: effectiveTime

issued

0..1

instant

There are no (further) constraints on this element

Element id

Observation.issued

Short description

Date/Time this version was made available

Definition

The date and time this version of the observation was made available to providers, typically after the results have been reviewed and verified.

Comments

Data type

instant

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
w5: FiveWs.recorded
v2: OBR.22 (or MSH.7), or perhaps OBX-19 (depends on who observation made)
rim: participation[typeCode=AUT].time

performer

S Σ C

0..*

Element id

Observation.performer

Short description

Who is responsible for the observation

Definition

Who was responsible for asserting the observed value as "true".

Requirements

May give a degree of confidence in the observation and also indicates where follow-up questions should be directed.

Comments

Referenz auf den oder die ausstellende Arztin

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ref-1: 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'))

Mappings

rim: n/a
rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
workflow: Event.performer.actor
w5: FiveWs.actor
v2: OBX.15 / (Practitioner) OBX-16, PRT-5:PRT-4='RO' / (Device) OBX-18 , PRT-10:PRT-4='EQUIP' / (Organization) OBX-23, PRT-8:PRT-4='PO'
rim: participation[typeCode=PRF]

value[x]

S Σ C

0..1

Element id

Observation.value[x]

Short description

Actual result

Definition

The information determined as a result of making the observation, if the information has a simple value.

Requirements

An observation exists to have a value, though it might not if it is in error, or if it represents a group of observations.

Comments

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1, obs-7

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
sct-concept: < 441742003 |Evaluation finding|
v2: OBX.2, OBX.5, OBX.6
rim: value
sct-attr: 363714003 |Interprets|

0..1

There are no (further) constraints on this element

Element id

Observation.value[x].id

Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

Mappings

rim: n/a

extension

0..*

There are no (further) constraints on this element

Element id

Observation.value[x].extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

coding

0..*

There are no (further) constraints on this element

Element id

Observation.value[x].coding

Short description

Code defined by a terminology system

Definition

A reference to a code defined by a terminology system.

Requirements

Allows for alternative encodings within a code system, and translations to other code systems.

Comments

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6
rim: CV
orim: fhir:Coding rdfs:subClassOf dt:CDCoding
v2: C*E.1-8, C*E.10-22
rim: union(., ./translation)
orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding

0..1

There are no (further) constraints on this element

Element id

Observation.value[x].coding.id

Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

Mappings

rim: n/a

extension

0..*

There are no (further) constraints on this element

Element id

Observation.value[x].coding.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

system

S Σ

1..1

uriPattern

Element id

Observation.value[x].coding.system

Short description

Identity of the terminology system

Definition

The identification of the code system that defines the meaning of the symbol in the code.

Requirements

Need to be unambiguous about the source of the definition of the symbol.

Comments

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.

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Pattern

http://hl7.org/fhir/sid/icd-10

Mappings

rim: n/a
v2: C*E.3
rim: ./codeSystem
orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem

version

S Σ

1..1

There are no (further) constraints on this element

Element id

Observation.value[x].coding.version

Short description

Version of the system - if relevant

Definition

The 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.

Comments

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.

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: C*E.7
rim: ./codeSystemVersion
orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion

code

S Σ

1..1

There are no (further) constraints on this element

Element id

Observation.value[x].coding.code

Short description

Symbol in syntax defined by the system

Definition

A 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).

Requirements

Need to refer to a particular code in the system.

Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: C*E.1
rim: ./code
orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code

display

S Σ

0..1

Element id

Observation.value[x].coding.display

Short description

Representation defined by the system

Definition

A representation of the meaning of the code in the system, following the rules of the system.

Requirements

Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

Comments

Im Display sind nur die offiziell in ICD-10 gelisteten Bezeichnungen zu verwenden. Freitexte sind im Text-Element zu hinterlegen.

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: C*E.2 - but note this is not well followed
rim: CV.displayName
orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName

userSelected

0..1

There are no (further) constraints on this element

Element id

Observation.value[x].coding.userSelected

Short description

If this coding was chosen directly by the user

Definition

Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

Requirements

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.

Comments

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.

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: Sometimes implied by being first
rim: CD.codingRationale
orim: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]

text

S Σ

0..1

There are no (further) constraints on this element

Element id

Observation.value[x].text

Short description

Plain text representation of the concept

Definition

A 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.

Requirements

Comments

Very often the text is the same as a displayName of one of the codings.

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: C*E.9. But note many systems use C*E.2 for this
rim: ./originalText[mediaType/code="text/plain"]/data
orim: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText

dataAbsentReason

S C

0..1

CodeableConceptBinding

Element id

Observation.dataAbsentReason

Short description

Why the result is missing

Definition

Provides a reason why the expected value in the element Observation.value[x] is missing.

Requirements

For many results it is necessary to handle exceptional values in measurements.

Comments

Todesart ungeklärt Wenn Todesart = ungeklärt ODER = schwebende Ermittlung dann j sonst n

Data type

Binding

Codes specifying why the result (Observation.value[x]) is missing.

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1, obs-6

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE
rim: CD
orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
v2: N/A
rim: value.nullFlavor

interpretation

0..*

CodeableConceptBinding

There are no (further) constraints on this element

Element id

Observation.interpretation

Short description

High, low, normal, etc.

Alternate names

Abnormal Flag

Definition

A categorical assessment of an observation value. For example, high, low, normal.

Requirements

For some results, particularly numeric results, an interpretation is necessary to fully understand the significance of a result.

Comments

Data type

Binding

Codes identifying interpretations of observations.

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE
rim: CD
orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
sct-concept: < 260245000 |Findings values|
v2: OBX-8
rim: interpretationCode
sct-attr: 363713009 |Has interpretation|

note

0..*

Annotation

Element id

Observation.note

Short description

Comments about the observation

Definition

Comments about the observation or the results.

Requirements

Need to be able to provide free text additional information.

Comments

Nähere Angaben zur Todesursache und zu Begleiterkrankung (Epikrise)

Data type

Annotation

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: N/A
rim: Act
v2: NTE.3 (partner NTE to OBX, or sometimes another (child?) OBX)
rim: subjectOf.observationEvent[code="annotation"].value

bodySite

0..1

There are no (further) constraints on this element

Element id

Observation.bodySite

Short description

Observed body part

Definition

Indicates the site on the subject's body where the observation was made (i.e. the target site).

Comments

Only used if not implicit in code found in Observation.code. In many systems, this may be represented as a related observation instead of an inline component.

If the use case requires BodySite to be handled as a separate resource (e.g. to identify and track separately) then use the standard extension bodySite.

Data type

SNOMEDCTBodyStructures (example)

Binding

Codes describing anatomical locations. May include laterality.

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE
rim: CD
orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
sct-concept: < 123037004 |Body structure|
v2: OBX-20
rim: targetSiteCode
sct-attr: 718497002 |Inherent location|

method

0..1

There are no (further) constraints on this element

Element id

Observation.method

Short description

How it was done

Definition

Indicates the mechanism used to perform the observation.

Requirements

In some cases, method can impact results and is thus used for determining whether results can be compared or determining significance of results.

Comments

Only used if not implicit in code for Observation.code.

Data type

Binding

Methods for simple observations.

ObservationMethods (example)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE
rim: CD
orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
v2: OBX-17
rim: methodCode

specimen

0..1

Reference(Specimen)

There are no (further) constraints on this element

Element id

Observation.specimen

Short description

Specimen used for this observation

Definition

The specimen that was used when this observation was made.

Comments

Data type

Reference(Specimen)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ref-1: 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'))

Mappings

rim: n/a
rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
sct-concept: < 123038009 |Specimen|
v2: SPM segment
rim: participation[typeCode=SPC].specimen
sct-attr: 704319004 |Inherent in|

device

0..1

Reference(Device | DeviceMetric)

There are no (further) constraints on this element

Element id

Observation.device

Short description

(Measurement) Device

Definition

The device used to generate the observation data.

Comments

Note that this is not meant to represent a device involved in the transmission of the result, e.g., a gateway. Such devices may be documented using the Provenance resource where relevant.

Data type

Reference(Device | DeviceMetric)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ref-1: 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'))

Mappings

rim: n/a
rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
sct-concept: < 49062001 |Device|
v2: OBX-17 / PRT -10
rim: participation[typeCode=DEV]
sct-attr: 424226004 |Using device|

referenceRange

0..*

There are no (further) constraints on this element

Element id

Observation.referenceRange

Short description

Provides guide for interpretation

Definition

Requirements

Knowing what values are considered "normal" can help evaluate the significance of a particular result. Need to be able to provide multiple reference ranges for different contexts.

Comments

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
obs-3: Must have at least a low or a high or text
low.exists() or high.exists() or text.exists()

Mappings

rim: n/a
v2: OBX.7
rim: outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]

0..1

There are no (further) constraints on this element

Element id

Observation.referenceRange.id

Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

Mappings

rim: n/a

extension

0..*

There are no (further) constraints on this element

Element id

Observation.referenceRange.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

modifierExtension

Σ ?! C

0..*

There are no (further) constraints on this element

Element id

Observation.referenceRange.modifierExtension

Short description

Extensions that cannot be ignored even if unrecognized

Alternate names

extensions, user content, modifiers

Definition

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Requirements

Comments

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

low

0..1

There are no (further) constraints on this element

Element id

Observation.referenceRange.low

Short description

Low Range, if relevant

Definition

Comments

The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1, obs-3

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
qty-3: If a code for the unit is present, the system SHALL also be present
code.empty() or system.exists()
sqty-1: The comparator is not used on a SimpleQuantity
comparator.empty()

Mappings

rim: n/a
v2: SN (see also Range) or CQ
rim: PQ, IVL<PQ>, MO, CO, depending on the values
v2: OBX-7
rim: value:IVL_PQ.low

high

0..1

There are no (further) constraints on this element

Element id

Observation.referenceRange.high

Short description

High Range, if relevant

Definition

Comments

The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1, obs-3

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
qty-3: If a code for the unit is present, the system SHALL also be present
code.empty() or system.exists()
sqty-1: The comparator is not used on a SimpleQuantity
comparator.empty()

Mappings

rim: n/a
v2: SN (see also Range) or CQ
rim: PQ, IVL<PQ>, MO, CO, depending on the values
v2: OBX-7
rim: value:IVL_PQ.high

type

0..1

CodeableConceptBinding

There are no (further) constraints on this element

Element id

Observation.referenceRange.type

Short description

Reference range qualifier

Definition

Codes to indicate the what part of the targeted reference population it applies to. For example, the normal or therapeutic range.

Requirements

Need to be able to say what kind of reference range this is - normal, recommended, therapeutic, etc., - for proper interpretation.

Comments

This SHOULD be populated if there is more than one range. If this element is not present then the normal range is assumed.

Data type

ObservationReferenceRangeMeaningCodes (preferred)

Binding

Code for the meaning of a reference range.

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE
rim: CD
orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
sct-concept: < 260245000 |Findings values| OR < 365860008 |General clinical state finding| OR < 250171008 |Clinical history or observation findings| OR < 415229000 |Racial group| OR < 365400002 |Finding of puberty stage| OR < 443938003 |Procedure carried out on subject|
v2: OBX-10
rim: interpretationCode

appliesTo

0..*

There are no (further) constraints on this element

Element id

Observation.referenceRange.appliesTo

Short description

Reference range population

Definition

Requirements

Need to be able to identify the target population for proper interpretation.

Comments

This SHOULD be populated if there is more than one range. If this element is not present then the normal population is assumed.

Data type

ObservationReferenceRangeAppliesToCodes (example)

Binding

Codes identifying the population the reference range applies to.

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE
rim: CD
orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
sct-concept: < 260245000 |Findings values| OR < 365860008 |General clinical state finding| OR < 250171008 |Clinical history or observation findings| OR < 415229000 |Racial group| OR < 365400002 |Finding of puberty stage| OR < 443938003 |Procedure carried out on subject|
v2: OBX-10
rim: interpretationCode

age

0..1

There are no (further) constraints on this element

Element id

Observation.referenceRange.age

Short description

Applicable age range, if relevant

Definition

The age at which this reference range is applicable. This is a neonatal age (e.g. number of weeks at term) if the meaning says so.

Requirements

Some analytes vary greatly over age.

Comments

The stated low and high value are assumed to have arbitrarily high precision when it comes to determining which values are in the range. I.e. 1.99 is not in the range 2 -> 3.

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
rng-2: If present, low SHALL have a lower value than high
low.empty() or high.empty() or (low <= high)

Mappings

rim: n/a
v2: NR and also possibly SN (but see also quantity)
rim: IVL<QTY[not(type="TS")]> [lowClosed="true" and highClosed="true"]or URG<QTY[not(type="TS")]>
rim: outboundRelationship[typeCode=PRCN].targetObservationCriterion[code="age"].value

text

0..1

There are no (further) constraints on this element

Element id

Observation.referenceRange.text

Short description

Text based reference range in an observation

Definition

Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: OBX-7
rim: value:ST

hasMember

S Σ C

0..*

Reference(Observation)

Element id

Observation.hasMember

Short description

Related resource that belongs to the Observation group

Definition

This observation is a group observation (e.g. a battery, a panel of tests, a set of vital sign measurements) that includes the target as a member of the group.

Comments

Verknüpfung von nachgelagerten Todesursachen. Alle weiteren Todesursachen, die zur Haupttodesursache geführt haben, werden über hasMember referenziert. Die weiteren Todesursachen selber dürfen keine hasMember Referenzen enthalten.

Data type

Reference(Observation)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ref-1: 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'))

Mappings

rim: n/a
rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
v2: Relationships established by OBX-4 usage
rim: outBoundRelationship

0..1

There are no (further) constraints on this element

Element id

Observation.hasMember.id

Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

Mappings

rim: n/a

extension

0..*

There are no (further) constraints on this element

Element id

Observation.hasMember.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

reference

S Σ C

0..1

There are no (further) constraints on this element

Element id

Observation.hasMember.reference

Short description

Literal reference, Relative, internal or absolute URL

Definition

A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.

Comments

Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1, ref-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
rim: N/A

type

0..1

uriBinding

There are no (further) constraints on this element

Element id

Observation.hasMember.type

Short description

Type the reference refers to (e.g. "Patient")

Definition

The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).

Comments

This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.

Data type

Binding

Aa resource (or, for logical models, the URI of the logical model).

ResourceType (extensible)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
rim: N/A

identifier

0..1

There are no (further) constraints on this element

Element id

Observation.hasMember.identifier

Short description

Logical reference, when literal reference is not known

Definition

An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.

Comments

When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CX / EI (occasionally, more often EI maps to a resource id or a URL)
rim: II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]
servd: Identifier
rim: .identifier

display

0..1

There are no (further) constraints on this element

Element id

Observation.hasMember.display

Short description

Text alternative for the resource

Definition

Plain text narrative that identifies the resource in addition to the resource reference.

Comments

This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
rim: N/A

derivedFrom

Σ C

0..*

There are no (further) constraints on this element

Element id

Observation.derivedFrom

Short description

Related measurements the observation is made from

Definition

The target resource that represents a measurement from which this observation value is derived. For example, a calculated anion gap or a fetal measurement based on an ultrasound image.

Comments

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ref-1: 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'))

Mappings

rim: n/a
rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
v2: Relationships established by OBX-4 usage
rim: .targetObservation

component

S Σ

1..*

Element id

Observation.component

Short description

Component results

Definition

Requirements

Comments

For a discussion on the ways Observations can be assembled in groups together see Notes below.

Data type

Slicing

Unordered, Open, by code(Pattern)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: containment by OBX-4?
rim: outBoundRelationship[typeCode=COMP]

(All Slices)

The requirements in this element apply to all slices

0..1

There are no (further) constraints on this element

Element id

Observation.component.id

Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

Mappings

rim: n/a

extension

0..*

There are no (further) constraints on this element

Element id

Observation.component.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

modifierExtension

Σ ?! C

0..*

There are no (further) constraints on this element

Element id

Observation.component.modifierExtension

Short description

Extensions that cannot be ignored even if unrecognized

Alternate names

extensions, user content, modifiers

Definition

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Requirements

Comments

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

code

S Σ

1..1

CodeableConceptBinding

Element id

Observation.component.code

Short description

Type of component observation (code / type)

Definition

Describes what was observed. Sometimes this is called the observation "code".

Requirements

Knowing what kind of observation is being made is essential to understanding the observation.

Comments

All code-value and component.code-component.value pairs need to be taken into account to correctly understand the meaning of the observation.

Data type

StfObservationCodes (extensible)

Binding

Codes identifying names of simple observations.

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE
rim: CD
orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
w5: FiveWs.what[x]
sct-concept: < 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
v2: OBX-3
rim: code

value[x]

S Σ

0..1

Element id

Observation.component.value[x]

Short description

Actual component result

Definition

The information determined as a result of making the observation, if the information has a simple value.

Requirements

An observation exists to have a value, though it might not if it is in error, or if it represents a group of observations.

Comments

Slicing

Unordered, Open, by $this(Type)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
sct-concept: 363714003 |Interprets| < 441742003 |Evaluation finding|
v2: OBX.2, OBX.5, OBX.6
rim: value
sct-attr: 363714003 |Interprets|

valueBoolean

There are no (further) constraints on this element

Data type

valueDateTime

There are no (further) constraints on this element

Data type

valueInteger

integer

There are no (further) constraints on this element

Data type

integer

valuePeriod

Period

There are no (further) constraints on this element

Data type

Period

valueQuantity

Quantity

There are no (further) constraints on this element

Data type

Quantity

valueRange

There are no (further) constraints on this element

Data type

valueRatio

Ratio

There are no (further) constraints on this element

Data type

Ratio

valueSampledData

SampledData

There are no (further) constraints on this element

Data type

SampledData

valueString

There are no (further) constraints on this element

Data type

valueTime

time

There are no (further) constraints on this element

Data type

time

valueCodeableConcept

S Σ

0..1

Element id

Observation.component.value[x]:valueCodeableConcept

Short description

Actual component result

Definition

The information determined as a result of making the observation, if the information has a simple value.

Requirements

An observation exists to have a value, though it might not if it is in error, or if it represents a group of observations.

Comments

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
sct-concept: 363714003 |Interprets| < 441742003 |Evaluation finding|
v2: OBX.2, OBX.5, OBX.6
rim: value
sct-attr: 363714003 |Interprets|

dataAbsentReason

0..1

CodeableConceptBinding

There are no (further) constraints on this element

Element id

Observation.component.dataAbsentReason

Short description

Why the component result is missing

Definition

Provides a reason why the expected value in the element Observation.component.value[x] is missing.

Requirements

For many results it is necessary to handle exceptional values in measurements.

Comments

Data type

Binding

Codes specifying why the result (Observation.value[x]) is missing.

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1, obs-6

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE
rim: CD
orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
v2: N/A
rim: value.nullFlavor

interpretation

0..*

CodeableConceptBinding

There are no (further) constraints on this element

Element id

Observation.component.interpretation

Short description

High, low, normal, etc.

Alternate names

Abnormal Flag

Definition

A categorical assessment of an observation value. For example, high, low, normal.

Requirements

For some results, particularly numeric results, an interpretation is necessary to fully understand the significance of a result.

Comments

Data type

Binding

Codes identifying interpretations of observations.

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE
rim: CD
orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
sct-concept: < 260245000 |Findings values|
v2: OBX-8
rim: interpretationCode
sct-attr: 363713009 |Has interpretation|

referenceRange

0..*

There are no (further) constraints on this element

Element id

Observation.component.referenceRange

Short description

Provides guide for interpretation of component result

Definition

Guidance on how to interpret the value by comparison to a normal or recommended range.

Requirements

Knowing what values are considered "normal" can help evaluate the significance of a particular result. Need to be able to provide multiple reference ranges for different contexts.

Comments

Mappings

v2: OBX.7
rim: outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]

Todesursachensequenz

S Σ

1..1

Element id

Observation.component:Todesursachensequenz

Short description

Component results

Definition

Requirements

Comments

Hier ist abgebildet, an welcher Stelle der Sequenz diese Todesursache kommt. (Ia, Ib, Ic, II)

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: containment by OBX-4?
rim: outBoundRelationship[typeCode=COMP]

0..1

There are no (further) constraints on this element

Element id

Observation.component:Todesursachensequenz.id

Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

Mappings

rim: n/a

extension

0..*

There are no (further) constraints on this element

Element id

Observation.component:Todesursachensequenz.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

modifierExtension

Σ ?! C

0..*

There are no (further) constraints on this element

Element id

Observation.component:Todesursachensequenz.modifierExtension

Short description

Extensions that cannot be ignored even if unrecognized

Alternate names

extensions, user content, modifiers

Definition

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Requirements

Comments

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

code

S Σ

1..1

CodeableConceptPattern

Element id

Observation.component:Todesursachensequenz.code

Short description

Type of component observation (code / type)

Definition

Describes what was observed. Sometimes this is called the observation "code".

Requirements

Knowing what kind of observation is being made is essential to understanding the observation.

Comments

All code-value and component.code-component.value pairs need to be taken into account to correctly understand the meaning of the observation.

Data type

Binding

Codes identifying names of simple observations.

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Pattern

{
  "coding": [
    {
      "system": "http://loinc.org",
      "code": "82791-5"
    }
  ]
}

Mappings

rim: n/a
v2: CE/CNE/CWE
rim: CD
orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
w5: FiveWs.what[x]
sct-concept: < 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
v2: OBX-3
rim: code

value[x]

S Σ

1..1

Element id

Observation.component:Todesursachensequenz.value[x]

Short description

Actual component result

Definition

The information determined as a result of making the observation, if the information has a simple value.

Requirements

An observation exists to have a value, though it might not if it is in error, or if it represents a group of observations.

Comments

Slicing

Unordered, Open, by $this(Type)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
sct-concept: 363714003 |Interprets| < 441742003 |Evaluation finding|
v2: OBX.2, OBX.5, OBX.6
rim: value
sct-attr: 363714003 |Interprets|

valueCodeableConcept

1..1

Element id

Observation.component:Todesursachensequenz.value[x]:valueCodeableConcept

Short description

Actual component result

Definition

The information determined as a result of making the observation, if the information has a simple value.

Requirements

An observation exists to have a value, though it might not if it is in error, or if it represents a group of observations.

Comments

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
sct-concept: 363714003 |Interprets| < 441742003 |Evaluation finding|
v2: OBX.2, OBX.5, OBX.6
rim: value
sct-attr: 363714003 |Interprets|

0..1

There are no (further) constraints on this element

Element id

Observation.component:Todesursachensequenz.value[x]:valueCodeableConcept.id

Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

Mappings

rim: n/a

extension

0..*

There are no (further) constraints on this element

Element id

Observation.component:Todesursachensequenz.value[x]:valueCodeableConcept.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

coding

S Σ

1..*

CodingBinding

Element id

Observation.component:Todesursachensequenz.value[x]:valueCodeableConcept.coding

Short description

Code defined by a terminology system

Definition

A reference to a code defined by a terminology system.

Requirements

Allows for alternative encodings within a code system, and translations to other code systems.

Comments

Data type

StfTodesursachensequenzVS (required)

Binding

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6
rim: CV
orim: fhir:Coding rdfs:subClassOf dt:CDCoding
v2: C*E.1-8, C*E.10-22
rim: union(., ./translation)
orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding

text

0..1

There are no (further) constraints on this element

Element id

Observation.component:Todesursachensequenz.value[x]:valueCodeableConcept.text

Short description

Plain text representation of the concept

Definition

A 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.

Requirements

Comments

Very often the text is the same as a displayName of one of the codings.

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: C*E.9. But note many systems use C*E.2 for this
rim: ./originalText[mediaType/code="text/plain"]/data
orim: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText

dataAbsentReason

0..1

CodeableConceptBinding

There are no (further) constraints on this element

Element id

Observation.component:Todesursachensequenz.dataAbsentReason

Short description

Why the component result is missing

Definition

Provides a reason why the expected value in the element Observation.component.value[x] is missing.

Requirements

For many results it is necessary to handle exceptional values in measurements.

Comments

Data type

Binding

Codes specifying why the result (Observation.value[x]) is missing.

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1, obs-6

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE
rim: CD
orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
v2: N/A
rim: value.nullFlavor

interpretation

0..*

CodeableConceptBinding

There are no (further) constraints on this element

Element id

Observation.component:Todesursachensequenz.interpretation

Short description

High, low, normal, etc.

Alternate names

Abnormal Flag

Definition

A categorical assessment of an observation value. For example, high, low, normal.

Requirements

For some results, particularly numeric results, an interpretation is necessary to fully understand the significance of a result.

Comments

Data type

Binding

Codes identifying interpretations of observations.

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE
rim: CD
orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
sct-concept: < 260245000 |Findings values|
v2: OBX-8
rim: interpretationCode
sct-attr: 363713009 |Has interpretation|

referenceRange

0..*

There are no (further) constraints on this element

Element id

Observation.component:Todesursachensequenz.referenceRange

Short description

Provides guide for interpretation of component result

Definition

Guidance on how to interpret the value by comparison to a normal or recommended range.

Requirements

Knowing what values are considered "normal" can help evaluate the significance of a particular result. Need to be able to provide multiple reference ranges for different contexts.

Comments

Mappings

v2: OBX.7
rim: outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]

NichtNatuerlicherTod

S Σ

0..1

Element id

Observation.component:NichtNatuerlicherTod

Short description

Component results

Definition

Requirements

Comments

Anhaltspunkte für einen nicht-natürlichen Tod

Wenn Todesart = natürlich, dann 'ja' (Y)

Wenn Todesart = nicht natürlich ODER = Tötung ODER = Selbsttötung ODER = Unfall ODER = Komplikationen medizinischer Behandlungen ODER = Ereignis, dessen nähere Umstände unbestimmt dann 'nein' (N)

Wenn Todesart = leer, dann unbekannt (unknown);

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: containment by OBX-4?
rim: outBoundRelationship[typeCode=COMP]

0..1

There are no (further) constraints on this element

Element id

Observation.component:NichtNatuerlicherTod.id

Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

Mappings

rim: n/a

extension

0..*

There are no (further) constraints on this element

Element id

Observation.component:NichtNatuerlicherTod.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

modifierExtension

Σ ?! C

0..*

There are no (further) constraints on this element

Element id

Observation.component:NichtNatuerlicherTod.modifierExtension

Short description

Extensions that cannot be ignored even if unrecognized

Alternate names

extensions, user content, modifiers

Definition

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Requirements

Comments

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

code

S Σ

1..1

CodeableConceptPattern

Element id

Observation.component:NichtNatuerlicherTod.code

Short description

Type of component observation (code / type)

Definition

Describes what was observed. Sometimes this is called the observation "code".

Requirements

Knowing what kind of observation is being made is essential to understanding the observation.

Comments

All code-value and component.code-component.value pairs need to be taken into account to correctly understand the meaning of the observation.

Data type

Binding

Codes identifying names of simple observations.

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Pattern

{
  "coding": [
    {
      "system": "http://gematik.de/fhir/oegd/stf/CodeSystem/StfObservationCodesErweiterungCS",
      "code": "nichtNatuerlicherTod"
    }
  ]
}

Mappings

rim: n/a
v2: CE/CNE/CWE
rim: CD
orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
w5: FiveWs.what[x]
sct-concept: < 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
v2: OBX-3
rim: code

value[x]

S Σ

0..1

Element id

Observation.component:NichtNatuerlicherTod.value[x]

Short description

Actual component result

Definition

The information determined as a result of making the observation, if the information has a simple value.

Requirements

An observation exists to have a value, though it might not if it is in error, or if it represents a group of observations.

Comments

Slicing

Unordered, Open, by $this(Type)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
sct-concept: 363714003 |Interprets| < 441742003 |Evaluation finding|
v2: OBX.2, OBX.5, OBX.6
rim: value
sct-attr: 363714003 |Interprets|

valueCodeableConcept

0..1

Element id

Observation.component:NichtNatuerlicherTod.value[x]:valueCodeableConcept

Short description

Actual component result

Definition

The information determined as a result of making the observation, if the information has a simple value.

Requirements

An observation exists to have a value, though it might not if it is in error, or if it represents a group of observations.

Comments

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
sct-concept: 363714003 |Interprets| < 441742003 |Evaluation finding|
v2: OBX.2, OBX.5, OBX.6
rim: value
sct-attr: 363714003 |Interprets|

0..1

There are no (further) constraints on this element

Element id

Observation.component:NichtNatuerlicherTod.value[x]:valueCodeableConcept.id

Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

Mappings

rim: n/a

extension

0..*

There are no (further) constraints on this element

Element id

Observation.component:NichtNatuerlicherTod.value[x]:valueCodeableConcept.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

coding

0..*

CodingBinding

Element id

Observation.component:NichtNatuerlicherTod.value[x]:valueCodeableConcept.coding

Short description

Code defined by a terminology system

Definition

A reference to a code defined by a terminology system.

Requirements

Allows for alternative encodings within a code system, and translations to other code systems.

Comments

Data type

Binding

StfJaNeinUnbekannt (required)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6
rim: CV
orim: fhir:Coding rdfs:subClassOf dt:CDCoding
v2: C*E.1-8, C*E.10-22
rim: union(., ./translation)
orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding

text

S Σ

0..1

There are no (further) constraints on this element

Element id

Observation.component:NichtNatuerlicherTod.value[x]:valueCodeableConcept.text

Short description

Plain text representation of the concept

Definition

A 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.

Requirements

Comments

Very often the text is the same as a displayName of one of the codings.

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: C*E.9. But note many systems use C*E.2 for this
rim: ./originalText[mediaType/code="text/plain"]/data
orim: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText

dataAbsentReason

0..1

CodeableConceptBinding

There are no (further) constraints on this element

Element id

Observation.component:NichtNatuerlicherTod.dataAbsentReason

Short description

Why the component result is missing

Definition

Provides a reason why the expected value in the element Observation.component.value[x] is missing.

Requirements

For many results it is necessary to handle exceptional values in measurements.

Comments

Data type

Binding

Codes specifying why the result (Observation.value[x]) is missing.

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1, obs-6

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE
rim: CD
orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
v2: N/A
rim: value.nullFlavor

interpretation

0..*

CodeableConceptBinding

There are no (further) constraints on this element

Element id

Observation.component:NichtNatuerlicherTod.interpretation

Short description

High, low, normal, etc.

Alternate names

Abnormal Flag

Definition

A categorical assessment of an observation value. For example, high, low, normal.

Requirements

For some results, particularly numeric results, an interpretation is necessary to fully understand the significance of a result.

Comments

Data type

Binding

Codes identifying interpretations of observations.

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE
rim: CD
orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
sct-concept: < 260245000 |Findings values|
v2: OBX-8
rim: interpretationCode
sct-attr: 363713009 |Has interpretation|

referenceRange

0..*

There are no (further) constraints on this element

Element id

Observation.component:NichtNatuerlicherTod.referenceRange

Short description

Provides guide for interpretation of component result

Definition

Guidance on how to interpret the value by comparison to a normal or recommended range.

Requirements

Knowing what values are considered "normal" can help evaluate the significance of a particular result. Need to be able to provide multiple reference ranges for different contexts.

Comments

Mappings

v2: OBX.7
rim: outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]

WeitereAngaben

S Σ

0..*

Element id

Observation.component:WeitereAngaben

Short description

Component results

Definition

Requirements

Comments

Weitere Angaben zur Klassifikation der Todesursache, z.B. bei Unfall, Vergiftung, Gewalteinwirkung, Selbsttötung sowie bei Komplikationen medizinischer Behandlung Äußere Ursache der Schädigung (Angaben über den Hergang); bei Vergiftungen zusätzlich Angabe des Mittels

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: containment by OBX-4?
rim: outBoundRelationship[typeCode=COMP]

0..1

There are no (further) constraints on this element

Element id

Observation.component:WeitereAngaben.id

Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

Mappings

rim: n/a

extension

0..*

There are no (further) constraints on this element

Element id

Observation.component:WeitereAngaben.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

modifierExtension

Σ ?! C

0..*

There are no (further) constraints on this element

Element id

Observation.component:WeitereAngaben.modifierExtension

Short description

Extensions that cannot be ignored even if unrecognized

Alternate names

extensions, user content, modifiers

Definition

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Requirements

Comments

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

code

S Σ

1..1

CodeableConceptPattern

Element id

Observation.component:WeitereAngaben.code

Short description

Type of component observation (code / type)

Definition

Describes what was observed. Sometimes this is called the observation "code".

Requirements

Knowing what kind of observation is being made is essential to understanding the observation.

Comments

All code-value and component.code-component.value pairs need to be taken into account to correctly understand the meaning of the observation.

Data type

Binding

Codes identifying names of simple observations.

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Pattern

{
  "coding": [
    {
      "system": "http://gematik.de/fhir/oegd/stf/CodeSystem/StfObservationCodesErweiterungCS",
      "code": "todesursacheKlassifikation"
    }
  ]
}

Mappings

rim: n/a
v2: CE/CNE/CWE
rim: CD
orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
w5: FiveWs.what[x]
sct-concept: < 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
v2: OBX-3
rim: code

value[x]

S Σ

0..1

Element id

Observation.component:WeitereAngaben.value[x]

Short description

Actual component result

Definition

The information determined as a result of making the observation, if the information has a simple value.

Requirements

An observation exists to have a value, though it might not if it is in error, or if it represents a group of observations.

Comments

Slicing

Unordered, Open, by $this(Type)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
sct-concept: 363714003 |Interprets| < 441742003 |Evaluation finding|
v2: OBX.2, OBX.5, OBX.6
rim: value
sct-attr: 363714003 |Interprets|

valueCodeableConcept

0..1

Element id

Observation.component:WeitereAngaben.value[x]:valueCodeableConcept

Short description

Actual component result

Definition

The information determined as a result of making the observation, if the information has a simple value.

Requirements

An observation exists to have a value, though it might not if it is in error, or if it represents a group of observations.

Comments

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
sct-concept: 363714003 |Interprets| < 441742003 |Evaluation finding|
v2: OBX.2, OBX.5, OBX.6
rim: value
sct-attr: 363714003 |Interprets|

0..1

There are no (further) constraints on this element

Element id

Observation.component:WeitereAngaben.value[x]:valueCodeableConcept.id

Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

Mappings

rim: n/a

extension

0..*

There are no (further) constraints on this element

Element id

Observation.component:WeitereAngaben.value[x]:valueCodeableConcept.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

coding

S Σ

0..*

There are no (further) constraints on this element

Element id

Observation.component:WeitereAngaben.value[x]:valueCodeableConcept.coding

Short description

Code defined by a terminology system

Definition

A reference to a code defined by a terminology system.

Requirements

Allows for alternative encodings within a code system, and translations to other code systems.

Comments

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6
rim: CV
orim: fhir:Coding rdfs:subClassOf dt:CDCoding
v2: C*E.1-8, C*E.10-22
rim: union(., ./translation)
orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding

0..1

There are no (further) constraints on this element

Element id

Observation.component:WeitereAngaben.value[x]:valueCodeableConcept.coding.id

Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

Mappings

rim: n/a

extension

0..*

There are no (further) constraints on this element

Element id

Observation.component:WeitereAngaben.value[x]:valueCodeableConcept.coding.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

system

S Σ

1..1

uriPattern

Element id

Observation.component:WeitereAngaben.value[x]:valueCodeableConcept.coding.system

Short description

Identity of the terminology system

Definition

The identification of the code system that defines the meaning of the symbol in the code.

Requirements

Need to be unambiguous about the source of the definition of the symbol.

Comments

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Pattern

http://hl7.org/fhir/sid/icd-10

Mappings

rim: n/a
v2: C*E.3
rim: ./codeSystem
orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem

version

S Σ

1..1

There are no (further) constraints on this element

Element id

Observation.component:WeitereAngaben.value[x]:valueCodeableConcept.coding.version

Short description

Version of the system - if relevant

Definition

Comments

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: C*E.7
rim: ./codeSystemVersion
orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion

code

S Σ

1..1

There are no (further) constraints on this element

Element id

Observation.component:WeitereAngaben.value[x]:valueCodeableConcept.coding.code

Short description

Symbol in syntax defined by the system

Definition

A 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).

Requirements

Need to refer to a particular code in the system.

Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: C*E.1
rim: ./code
orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code

display

S Σ

0..1

There are no (further) constraints on this element

Element id

Observation.component:WeitereAngaben.value[x]:valueCodeableConcept.coding.display

Short description

Representation defined by the system

Definition

A representation of the meaning of the code in the system, following the rules of the system.

Requirements

Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: C*E.2 - but note this is not well followed
rim: CV.displayName
orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName

userSelected

0..1

There are no (further) constraints on this element

Element id

Observation.component:WeitereAngaben.value[x]:valueCodeableConcept.coding.userSelected

Short description

If this coding was chosen directly by the user

Definition

Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

Requirements

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.

Comments

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: Sometimes implied by being first
rim: CD.codingRationale
orim: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]

text

S Σ

0..1

There are no (further) constraints on this element

Element id

Observation.component:WeitereAngaben.value[x]:valueCodeableConcept.text

Short description

Plain text representation of the concept

Definition

A 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.

Requirements

Comments

Very often the text is the same as a displayName of one of the codings.

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: C*E.9. But note many systems use C*E.2 for this
rim: ./originalText[mediaType/code="text/plain"]/data
orim: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText

valueString

S Σ

0..1

Element id

Observation.component:WeitereAngaben.value[x]:valueString

Short description

Actual component result

Definition

The information determined as a result of making the observation, if the information has a simple value.

Requirements

An observation exists to have a value, though it might not if it is in error, or if it represents a group of observations.

Comments

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
sct-concept: 363714003 |Interprets| < 441742003 |Evaluation finding|
v2: OBX.2, OBX.5, OBX.6
rim: value
sct-attr: 363714003 |Interprets|

dataAbsentReason

0..1

CodeableConceptBinding

There are no (further) constraints on this element

Element id

Observation.component:WeitereAngaben.dataAbsentReason

Short description

Why the component result is missing

Definition

Provides a reason why the expected value in the element Observation.component.value[x] is missing.

Requirements

For many results it is necessary to handle exceptional values in measurements.

Comments

Data type

Binding

Codes specifying why the result (Observation.value[x]) is missing.

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1, obs-6

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE
rim: CD
orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
v2: N/A
rim: value.nullFlavor

interpretation

0..*

CodeableConceptBinding

There are no (further) constraints on this element

Element id

Observation.component:WeitereAngaben.interpretation

Short description

High, low, normal, etc.

Alternate names

Abnormal Flag

Definition

A categorical assessment of an observation value. For example, high, low, normal.

Requirements

For some results, particularly numeric results, an interpretation is necessary to fully understand the significance of a result.

Comments

Data type

Binding

Codes identifying interpretations of observations.

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE
rim: CD
orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
sct-concept: < 260245000 |Findings values|
v2: OBX-8
rim: interpretationCode
sct-attr: 363713009 |Has interpretation|

referenceRange

0..*

There are no (further) constraints on this element

Element id

Observation.component:WeitereAngaben.referenceRange

Short description

Provides guide for interpretation of component result

Definition

Guidance on how to interpret the value by comparison to a normal or recommended range.

Requirements

Knowing what values are considered "normal" can help evaluate the significance of a particular result. Need to be able to provide multiple reference ranges for different contexts.

Comments

Mappings

v2: OBX.7
rim: outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]

ZeitdauerBeginnBisTod

S Σ

0..1

Element id

Observation.component:ZeitdauerBeginnBisTod

Short description

Component results

Definition

Requirements

Comments

Angabe der Zeitdauer von Beginn der Krankheit bis zum Tod in beliebiger Angabe

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: containment by OBX-4?
rim: outBoundRelationship[typeCode=COMP]

0..1

There are no (further) constraints on this element

Element id

Observation.component:ZeitdauerBeginnBisTod.id

Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

Mappings

rim: n/a

extension

0..*

There are no (further) constraints on this element

Element id

Observation.component:ZeitdauerBeginnBisTod.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

modifierExtension

Σ ?! C

0..*

There are no (further) constraints on this element

Element id

Observation.component:ZeitdauerBeginnBisTod.modifierExtension

Short description

Extensions that cannot be ignored even if unrecognized

Alternate names

extensions, user content, modifiers

Definition

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Requirements

Comments

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

code

S Σ

1..1

CodeableConceptPattern

Element id

Observation.component:ZeitdauerBeginnBisTod.code

Short description

Type of component observation (code / type)

Definition

Describes what was observed. Sometimes this is called the observation "code".

Requirements

Knowing what kind of observation is being made is essential to understanding the observation.

Comments

All code-value and component.code-component.value pairs need to be taken into account to correctly understand the meaning of the observation.

Data type

Binding

Codes identifying names of simple observations.

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Pattern

{
  "coding": [
    {
      "system": "http://gematik.de/fhir/oegd/stf/CodeSystem/StfObservationCodesErweiterungCS",
      "code": "zeitdauerBeginnBisTod"
    }
  ]
}

Mappings

rim: n/a
v2: CE/CNE/CWE
rim: CD
orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
w5: FiveWs.what[x]
sct-concept: < 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
v2: OBX-3
rim: code

value[x]

S Σ

0..1

Element id

Observation.component:ZeitdauerBeginnBisTod.value[x]

Short description

Actual component result

Definition

The information determined as a result of making the observation, if the information has a simple value.

Requirements

An observation exists to have a value, though it might not if it is in error, or if it represents a group of observations.

Comments

Slicing

Unordered, Open, by $this(Type)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
sct-concept: 363714003 |Interprets| < 441742003 |Evaluation finding|
v2: OBX.2, OBX.5, OBX.6
rim: value
sct-attr: 363714003 |Interprets|

valueString

S Σ

0..1

Element id

Observation.component:ZeitdauerBeginnBisTod.value[x]:valueString

Short description

Actual component result

Definition

The information determined as a result of making the observation, if the information has a simple value.

Requirements

An observation exists to have a value, though it might not if it is in error, or if it represents a group of observations.

Comments

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
sct-concept: 363714003 |Interprets| < 441742003 |Evaluation finding|
v2: OBX.2, OBX.5, OBX.6
rim: value
sct-attr: 363714003 |Interprets|

dataAbsentReason

0..1

CodeableConceptBinding

There are no (further) constraints on this element

Element id

Observation.component:ZeitdauerBeginnBisTod.dataAbsentReason

Short description

Why the component result is missing

Definition

Provides a reason why the expected value in the element Observation.component.value[x] is missing.

Requirements

For many results it is necessary to handle exceptional values in measurements.

Comments

Data type

Binding

Codes specifying why the result (Observation.value[x]) is missing.

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1, obs-6

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE
rim: CD
orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
v2: N/A
rim: value.nullFlavor

interpretation

0..*

CodeableConceptBinding

There are no (further) constraints on this element

Element id

Observation.component:ZeitdauerBeginnBisTod.interpretation

Short description

High, low, normal, etc.

Alternate names

Abnormal Flag

Definition

A categorical assessment of an observation value. For example, high, low, normal.

Requirements

For some results, particularly numeric results, an interpretation is necessary to fully understand the significance of a result.

Comments

Data type

Binding

Codes identifying interpretations of observations.

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE
rim: CD
orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
sct-concept: < 260245000 |Findings values|
v2: OBX-8
rim: interpretationCode
sct-attr: 363713009 |Has interpretation|

referenceRange

0..*

There are no (further) constraints on this element

Element id

Observation.component:ZeitdauerBeginnBisTod.referenceRange

Short description

Provides guide for interpretation of component result

Definition

Guidance on how to interpret the value by comparison to a normal or recommended range.

Requirements

Knowing what values are considered "normal" can help evaluate the significance of a particular result. Need to be able to provide multiple reference ranges for different contexts.

Comments

Mappings

v2: OBX.7
rim: outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]

Todesursache (kompatibel zu MII PR Onkologie Tod )

Feldname	Hinweise
Observation.code.coding:SCT
Observation.performer	Referenz auf den oder die ausstellende Arztin
Observation.value[x].coding.system
Observation.value[x].coding.version
Observation.value[x].coding.code
Observation.value[x].coding.display	Im Display sind nur die offiziell in ICD-10 gelisteten Bezeichnungen zu verwenden. Freitexte sind im Text-Element zu hinterlegen.
Observation.value[x].text
Observation.dataAbsentReason	Todesart ungeklärt Wenn Todesart = ungeklärt ODER = schwebende Ermittlung dann j sonst n
Observation.hasMember.reference
Observation.component
Observation.component.code
Observation.component.value[x]
Observation.component.value[x]:valueCodeableConcept
Observation.component:Todesursachensequenz	Hier ist abgebildet, an welcher Stelle der Sequenz diese Todesursache kommt. (Ia, Ib, Ic, II)
Observation.component:Todesursachensequenz.value[x]:valueCodeableConcept.coding
Observation.component:NichtNatuerlicherTod	Anhaltspunkte für einen nicht-natürlichen Tod Wenn Todesart = natürlich, dann 'ja' (Y) Wenn Todesart = nicht natürlich ODER = Tötung ODER = Selbsttötung ODER = Unfall ODER = Komplikationen medizinischer Behandlungen ODER = Ereignis, dessen nähere Umstände unbestimmt dann 'nein' (N) Wenn Todesart = leer, dann unbekannt (unknown);
Observation.component:NichtNatuerlicherTod.value[x]:valueCodeableConcept.text
Observation.component:WeitereAngaben	Weitere Angaben zur Klassifikation der Todesursache, z.B. bei Unfall, Vergiftung, Gewalteinwirkung, Selbsttötung sowie bei Komplikationen medizinischer Behandlung Äußere Ursache der Schädigung (Angaben über den Hergang); bei Vergiftungen zusätzlich Angabe des Mittels
Observation.component:WeitereAngaben.value[x]:valueCodeableConcept.coding
Observation.component:WeitereAngaben.value[x]:valueCodeableConcept.coding.system
Observation.component:WeitereAngaben.value[x]:valueCodeableConcept.coding.version
Observation.component:WeitereAngaben.value[x]:valueCodeableConcept.coding.code
Observation.component:WeitereAngaben.value[x]:valueCodeableConcept.coding.display
Observation.component:WeitereAngaben.value[x]:valueCodeableConcept.text
Observation.component:WeitereAngaben.value[x]:valueString
Observation.component:ZeitdauerBeginnBisTod	Angabe der Zeitdauer von Beginn der Krankheit bis zum Tod in beliebiger Angabe
Observation.component:ZeitdauerBeginnBisTod.value[x]:valueString

<id value="StfTodesursache" />
<url value="http://gematik.de/fhir/oegd/stf/StructureDefinition/StfTodesursache" />
<version value="1.0.0-ballot" />
<name value="StfTodesursache" />
<title value="STF Todesursache" />
<status value="active" />
<experimental value="false" />
<date value="2025-12-05" />
<publisher value="ELFA Maßnahme Interoperabilität" />
<description value="Todesursache (kompatibel zu [MII PR Onkologie Tod](https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-tod) )" />
<fhirVersion value="4.0.1" />
<kind value="resource" />
<abstract value="false" />
<type value="Observation" />
<baseDefinition value="http://gematik.de/fhir/oegd/stf/StructureDefinition/StfBasisObservation" />
<derivation value="constraint" />
<differential>
<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:SCT">
<path value="Observation.code.coding" />
<sliceName value="SCT" />
<min value="1" />
<max value="1" />
<patternCoding>
<system value="http://snomed.info/sct" />
<code value="184305005" />
</patternCoding>
<mustSupport value="true" />
</element>
<element id="Observation.effective[x]">
<path value="Observation.effective[x]" />
<type>
<code value="dateTime" />
</type>
</element>
<element id="Observation.effective[x]:effectiveDateTime">
<path value="Observation.effective[x]" />
<sliceName value="effectiveDateTime" />
<comment value="Beginn der Krankheit" />
<type>
<code value="dateTime" />
</type>
</element>
<element id="Observation.performer">
<path value="Observation.performer" />
<comment value="Referenz auf den oder die ausstellende Arztin" />
<mustSupport value="true" />
</element>
<element id="Observation.value[x]">
<path value="Observation.value[x]" />
<type>
<code value="CodeableConcept" />
</type>
</element>
<element id="Observation.value[x].coding.system">
<path value="Observation.value[x].coding.system" />
<min value="1" />
<patternUri value="http://hl7.org/fhir/sid/icd-10" />
<mustSupport value="true" />
</element>
<element id="Observation.value[x].coding.version">
<path value="Observation.value[x].coding.version" />
<min value="1" />
<mustSupport value="true" />
</element>
<element id="Observation.value[x].coding.code">
<path value="Observation.value[x].coding.code" />
<min value="1" />
<mustSupport value="true" />
</element>
<element id="Observation.value[x].coding.display">
<path value="Observation.value[x].coding.display" />
<comment value="Im Display sind nur die offiziell in ICD-10 gelisteten Bezeichnungen zu verwenden. Freitexte sind im Text-Element zu hinterlegen." />
<mustSupport value="true" />
</element>
<element id="Observation.value[x].text">
<path value="Observation.value[x].text" />
<mustSupport value="true" />
</element>
<element id="Observation.dataAbsentReason">
<path value="Observation.dataAbsentReason" />
<comment value="Todesart ungeklärt\nWenn Todesart = ungeklärt ODER\n= schwebende Ermittlung\ndann j\nsonst n" />
<mustSupport value="true" />
</element>
<element id="Observation.note">
<path value="Observation.note" />
<comment value="Nähere Angaben zur Todesursache und zu Begleiterkrankung (Epikrise)" />
</element>
<element id="Observation.hasMember">
<path value="Observation.hasMember" />
<comment value="Verknüpfung von nachgelagerten Todesursachen. Alle weiteren Todesursachen, die zur Haupttodesursache geführt haben, werden über hasMember referenziert. Die weiteren Todesursachen selber dürfen keine hasMember Referenzen enthalten." />
</element>
<element id="Observation.hasMember.reference">
<path value="Observation.hasMember.reference" />
<mustSupport value="true" />
</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" />
<mustSupport value="true" />
</element>
<element id="Observation.component.code">
<path value="Observation.component.code" />
<mustSupport value="true" />
<binding>
<strength value="extensible" />
<valueSet value="http://gematik.de/fhir/oegd/stf/ValueSet/StfObservationCodes" />
</binding>
</element>
<element id="Observation.component.value[x]">
<path value="Observation.component.value[x]" />
<slicing>
<discriminator>
<type value="type" />
<path value="$this" />
</discriminator>
<ordered value="false" />
<rules value="open" />
</slicing>
<mustSupport value="true" />
</element>
<element id="Observation.component.value[x]:valueCodeableConcept">
<path value="Observation.component.value[x]" />
<sliceName value="valueCodeableConcept" />
<min value="0" />
<max value="1" />
<type>
<code value="CodeableConcept" />
</type>
<mustSupport value="true" />
</element>
<element id="Observation.component:Todesursachensequenz">
<path value="Observation.component" />
<sliceName value="Todesursachensequenz" />
<comment value="Hier ist abgebildet, an welcher Stelle der Sequenz diese Todesursache kommt. (Ia, Ib, Ic, II)" />
<min value="1" />
<max value="1" />
<mustSupport value="true" />
</element>
<element id="Observation.component:Todesursachensequenz.code">
<path value="Observation.component.code" />
<patternCodeableConcept>
<coding>
<system value="http://loinc.org" />
<code value="82791-5" />
</coding>
</patternCodeableConcept>
</element>
<element id="Observation.component:Todesursachensequenz.value[x]">
<path value="Observation.component.value[x]" />
<min value="1" />
<type>
<code value="CodeableConcept" />
</type>
</element>
<element id="Observation.component:Todesursachensequenz.value[x]:valueCodeableConcept">
<path value="Observation.component.value[x]" />
<sliceName value="valueCodeableConcept" />
<min value="1" />
<type>
<code value="CodeableConcept" />
</type>
</element>
<element id="Observation.component:Todesursachensequenz.value[x]:valueCodeableConcept.coding">
<path value="Observation.component.value[x].coding" />
<min value="1" />
<mustSupport value="true" />
<binding>
<strength value="required" />
<valueSet value="http://gematik.de/fhir/oegd/stf/ValueSet/StfTodesursachensequenzVS" />
</binding>
</element>
<element id="Observation.component:NichtNatuerlicherTod">
<path value="Observation.component" />
<sliceName value="NichtNatuerlicherTod" />
<comment value="Anhaltspunkte für einen nicht-natürlichen Tod\n\nWenn Todesart = natürlich, \ndann 'ja' (Y)\n\nWenn Todesart =  nicht natürlich ODER \n= Tötung ODER \n= Selbsttötung ODER \n= Unfall ODER\n= Komplikationen medizinischer Behandlungen ODER\n= Ereignis, dessen nähere Umstände unbestimmt dann 'nein' (N) \n\nWenn Todesart = leer, \ndann unbekannt (unknown);" />
<min value="0" />
<max value="1" />
<mustSupport value="true" />
</element>
<element id="Observation.component:NichtNatuerlicherTod.code">
<path value="Observation.component.code" />
<patternCodeableConcept>
<coding>
<system value="http://gematik.de/fhir/oegd/stf/CodeSystem/StfObservationCodesErweiterungCS" />
<code value="nichtNatuerlicherTod" />
</coding>
</patternCodeableConcept>
</element>
<element id="Observation.component:NichtNatuerlicherTod.value[x]">
<path value="Observation.component.value[x]" />
<type>
<code value="CodeableConcept" />
</type>
</element>
<element id="Observation.component:NichtNatuerlicherTod.value[x]:valueCodeableConcept">
<path value="Observation.component.value[x]" />
<sliceName value="valueCodeableConcept" />
<type>
<code value="CodeableConcept" />
</type>
</element>
<element id="Observation.component:NichtNatuerlicherTod.value[x]:valueCodeableConcept.coding">
<path value="Observation.component.value[x].coding" />
<binding>
<strength value="required" />
<valueSet value="http://gematik.de/fhir/oegd/stf/ValueSet/StfJaNeinUnbekanntVS" />
</binding>
</element>
<element id="Observation.component:NichtNatuerlicherTod.value[x]:valueCodeableConcept.text">
<path value="Observation.component.value[x].text" />
<mustSupport value="true" />
</element>
<element id="Observation.component:WeitereAngaben">
<path value="Observation.component" />
<sliceName value="WeitereAngaben" />
<comment value="Weitere Angaben zur Klassifikation der Todesursache, z.B. bei Unfall, Vergiftung,  Gewalteinwirkung, Selbsttötung sowie bei Komplikationen medizinischer Behandlung Äußere Ursache der Schädigung (Angaben über den Hergang); bei Vergiftungen zusätzlich Angabe des Mittels" />
<min value="0" />
<max value="*" />
<mustSupport value="true" />
</element>
<element id="Observation.component:WeitereAngaben.code">
<path value="Observation.component.code" />
<patternCodeableConcept>
<coding>
<system value="http://gematik.de/fhir/oegd/stf/CodeSystem/StfObservationCodesErweiterungCS" />
<code value="todesursacheKlassifikation" />
</coding>
</patternCodeableConcept>
</element>
<element id="Observation.component:WeitereAngaben.value[x]">
<path value="Observation.component.value[x]" />
<type>
<code value="CodeableConcept" />
</type>
<type>
<code value="string" />
</type>
</element>
<element id="Observation.component:WeitereAngaben.value[x]:valueCodeableConcept">
<path value="Observation.component.value[x]" />
<sliceName value="valueCodeableConcept" />
<type>
<code value="CodeableConcept" />
</type>
</element>
<element id="Observation.component:WeitereAngaben.value[x]:valueCodeableConcept.coding">
<path value="Observation.component.value[x].coding" />
<mustSupport value="true" />
</element>
<element id="Observation.component:WeitereAngaben.value[x]:valueCodeableConcept.coding.system">
<path value="Observation.component.value[x].coding.system" />
<min value="1" />
<patternUri value="http://hl7.org/fhir/sid/icd-10" />
<mustSupport value="true" />
</element>
<element id="Observation.component:WeitereAngaben.value[x]:valueCodeableConcept.coding.version">
<path value="Observation.component.value[x].coding.version" />
<min value="1" />
<mustSupport value="true" />
</element>
<element id="Observation.component:WeitereAngaben.value[x]:valueCodeableConcept.coding.code">
<path value="Observation.component.value[x].coding.code" />
<min value="1" />
<mustSupport value="true" />
</element>
<element id="Observation.component:WeitereAngaben.value[x]:valueCodeableConcept.coding.display">
<path value="Observation.component.value[x].coding.display" />
<mustSupport value="true" />
</element>
<element id="Observation.component:WeitereAngaben.value[x]:valueCodeableConcept.text">
<path value="Observation.component.value[x].text" />
<mustSupport value="true" />
</element>
<element id="Observation.component:WeitereAngaben.value[x]:valueString">
<path value="Observation.component.value[x]" />
<sliceName value="valueString" />
<min value="0" />
<max value="1" />
<type>
<code value="string" />
</type>
<mustSupport value="true" />
</element>
<element id="Observation.component:ZeitdauerBeginnBisTod">
<path value="Observation.component" />
<sliceName value="ZeitdauerBeginnBisTod" />
<comment value="Angabe der Zeitdauer von Beginn der Krankheit bis zum Tod in beliebiger Angabe" />
<min value="0" />
<max value="1" />
<mustSupport value="true" />
</element>
<element id="Observation.component:ZeitdauerBeginnBisTod.code">
<path value="Observation.component.code" />
<patternCodeableConcept>
<coding>
<system value="http://gematik.de/fhir/oegd/stf/CodeSystem/StfObservationCodesErweiterungCS" />
<code value="zeitdauerBeginnBisTod" />
</coding>
</patternCodeableConcept>
</element>
<element id="Observation.component:ZeitdauerBeginnBisTod.value[x]">
<path value="Observation.component.value[x]" />
<type>
<code value="string" />
</type>
</element>
<element id="Observation.component:ZeitdauerBeginnBisTod.value[x]:valueString">
<path value="Observation.component.value[x]" />
<sliceName value="valueString" />
<min value="0" />
<max value="1" />
<type>
<code value="string" />
</type>
<mustSupport value="true" />
</element>
</differential>

</StructureDefinition>

{

"resourceType": "StructureDefinition",
"id": "StfTodesursache",
"url": "http://gematik.de/fhir/oegd/stf/StructureDefinition/StfTodesursache",
"version": "1.0.0-ballot",
"name": "StfTodesursache",
"title": "STF Todesursache",
"status": "active",
"experimental": false,
"date": "2025-12-05",
"publisher": "ELFA Maßnahme Interoperabilität",
"description": "Todesursache (kompatibel zu [MII PR Onkologie Tod](https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-tod) )",
"fhirVersion": "4.0.1",
"kind": "resource",
"abstract": false,
"type": "Observation",
"baseDefinition": "http://gematik.de/fhir/oegd/stf/StructureDefinition/StfBasisObservation",
"derivation": "constraint",
"differential": {
"element": [
{
"id": "Observation.code.coding",
"path": "Observation.code.coding",
"slicing": {
"discriminator": [
{
"type": "pattern",
"path": "$this"
}
],
"rules": "open"
},
"min": 1
},
{
"id": "Observation.code.coding:SCT",
"path": "Observation.code.coding",
"sliceName": "SCT",
"min": 1,
"max": "1",
"patternCoding": {
"system": "http://snomed.info/sct",
"code": "184305005"
},
"mustSupport": true
},
{
"id": "Observation.effective[x]",
"path": "Observation.effective[x]",
"type": [
{
"code": "dateTime"
}
]
},
{
"id": "Observation.effective[x]:effectiveDateTime",
"path": "Observation.effective[x]",
"sliceName": "effectiveDateTime",
"comment": "Beginn der Krankheit",
"type": [
{
"code": "dateTime"
}
]
},
{
"id": "Observation.performer",
"path": "Observation.performer",
"comment": "Referenz auf den oder die ausstellende Arztin",
"mustSupport": true
},
{
"id": "Observation.value[x]",
"path": "Observation.value[x]",
"type": [
{
"code": "CodeableConcept"
}
]
},
{
"id": "Observation.value[x].coding.system",
"path": "Observation.value[x].coding.system",
"min": 1,
"patternUri": "http://hl7.org/fhir/sid/icd-10",
"mustSupport": true
},
{
"id": "Observation.value[x].coding.version",
"path": "Observation.value[x].coding.version",
"min": 1,
"mustSupport": true
},
{
"id": "Observation.value[x].coding.code",
"path": "Observation.value[x].coding.code",
"min": 1,
"mustSupport": true
},
{
"id": "Observation.value[x].coding.display",
"path": "Observation.value[x].coding.display",
"comment": "Im Display sind nur die offiziell in ICD-10 gelisteten Bezeichnungen zu verwenden. Freitexte sind im Text-Element zu hinterlegen.",
"mustSupport": true
},
{
"id": "Observation.value[x].text",
"path": "Observation.value[x].text",
"mustSupport": true
},
{
"id": "Observation.dataAbsentReason",
"path": "Observation.dataAbsentReason",
"comment": "Todesart ungeklärt\nWenn Todesart = ungeklärt ODER\n= schwebende Ermittlung\ndann j\nsonst n",
"mustSupport": true
},
{
"id": "Observation.note",
"path": "Observation.note",
"comment": "Nähere Angaben zur Todesursache und zu Begleiterkrankung (Epikrise)"
},
{
"id": "Observation.hasMember",
"path": "Observation.hasMember",
"comment": "Verknüpfung von nachgelagerten Todesursachen. Alle weiteren Todesursachen, die zur Haupttodesursache geführt haben, werden über hasMember referenziert. Die weiteren Todesursachen selber dürfen keine hasMember Referenzen enthalten."
},
{
"id": "Observation.hasMember.reference",
"path": "Observation.hasMember.reference",
"mustSupport": true
},
{
"id": "Observation.component",
"path": "Observation.component",
"slicing": {
"discriminator": [
{
"type": "pattern",
"path": "code"
}
],
"rules": "open"
},
"min": 1,
"mustSupport": true
},
{
"id": "Observation.component.code",
"path": "Observation.component.code",
"mustSupport": true,
"binding": {
"strength": "extensible",
"valueSet": "http://gematik.de/fhir/oegd/stf/ValueSet/StfObservationCodes"
}
},
{
"id": "Observation.component.value[x]",
"path": "Observation.component.value[x]",
"slicing": {
"discriminator": [
{
"type": "type",
"path": "$this"
}
],
"ordered": false,
"rules": "open"
},
"mustSupport": true
},
{
"id": "Observation.component.value[x]:valueCodeableConcept",
"path": "Observation.component.value[x]",
"sliceName": "valueCodeableConcept",
"min": 0,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
],
"mustSupport": true
},
{
"id": "Observation.component:Todesursachensequenz",
"path": "Observation.component",
"sliceName": "Todesursachensequenz",
"comment": "Hier ist abgebildet, an welcher Stelle der Sequenz diese Todesursache kommt. (Ia, Ib, Ic, II)",
"min": 1,
"max": "1",
"mustSupport": true
},
{
"id": "Observation.component:Todesursachensequenz.code",
"path": "Observation.component.code",
"patternCodeableConcept": {
"coding": [
{
"system": "http://loinc.org",
"code": "82791-5"
}
]
}
},
{
"id": "Observation.component:Todesursachensequenz.value[x]",
"path": "Observation.component.value[x]",
"min": 1,
"type": [
{
"code": "CodeableConcept"
}
]
},
{
"id": "Observation.component:Todesursachensequenz.value[x]:valueCodeableConcept",
"path": "Observation.component.value[x]",
"sliceName": "valueCodeableConcept",
"min": 1,
"type": [
{
"code": "CodeableConcept"
}
]
},
{
"id": "Observation.component:Todesursachensequenz.value[x]:valueCodeableConcept.coding",
"path": "Observation.component.value[x].coding",
"min": 1,
"mustSupport": true,
"binding": {
"strength": "required",
"valueSet": "http://gematik.de/fhir/oegd/stf/ValueSet/StfTodesursachensequenzVS"
}
},
{
"id": "Observation.component:NichtNatuerlicherTod",
"path": "Observation.component",
"sliceName": "NichtNatuerlicherTod",
"comment": "Anhaltspunkte für einen nicht-natürlichen Tod\n\nWenn Todesart = natürlich, \ndann 'ja' (Y)\n\nWenn Todesart =  nicht natürlich ODER \n= Tötung ODER \n= Selbsttötung ODER \n= Unfall ODER\n= Komplikationen medizinischer Behandlungen ODER\n= Ereignis, dessen nähere Umstände unbestimmt dann 'nein' (N) \n\nWenn Todesart = leer, \ndann unbekannt (unknown);",
"min": 0,
"max": "1",
"mustSupport": true
},
{
"id": "Observation.component:NichtNatuerlicherTod.code",
"path": "Observation.component.code",
"patternCodeableConcept": {
"coding": [
{
"system": "http://gematik.de/fhir/oegd/stf/CodeSystem/StfObservationCodesErweiterungCS",
"code": "nichtNatuerlicherTod"
}
]
}
},
{
"id": "Observation.component:NichtNatuerlicherTod.value[x]",
"path": "Observation.component.value[x]",
"type": [
{
"code": "CodeableConcept"
}
]
},
{
"id": "Observation.component:NichtNatuerlicherTod.value[x]:valueCodeableConcept",
"path": "Observation.component.value[x]",
"sliceName": "valueCodeableConcept",
"type": [
{
"code": "CodeableConcept"
}
]
},
{
"id": "Observation.component:NichtNatuerlicherTod.value[x]:valueCodeableConcept.coding",
"path": "Observation.component.value[x].coding",
"binding": {
"strength": "required",
"valueSet": "http://gematik.de/fhir/oegd/stf/ValueSet/StfJaNeinUnbekanntVS"
}
},
{
"id": "Observation.component:NichtNatuerlicherTod.value[x]:valueCodeableConcept.text",
"path": "Observation.component.value[x].text",
"mustSupport": true
},
{
"id": "Observation.component:WeitereAngaben",
"path": "Observation.component",
"sliceName": "WeitereAngaben",
"comment": "Weitere Angaben zur Klassifikation der Todesursache, z.B. bei Unfall, Vergiftung,  Gewalteinwirkung, Selbsttötung sowie bei Komplikationen medizinischer Behandlung Äußere Ursache der Schädigung (Angaben über den Hergang); bei Vergiftungen zusätzlich Angabe des Mittels",
"min": 0,
"max": "*",
"mustSupport": true
},
{
"id": "Observation.component:WeitereAngaben.code",
"path": "Observation.component.code",
"patternCodeableConcept": {
"coding": [
{
"system": "http://gematik.de/fhir/oegd/stf/CodeSystem/StfObservationCodesErweiterungCS",
"code": "todesursacheKlassifikation"
}
]
}
},
{
"id": "Observation.component:WeitereAngaben.value[x]",
"path": "Observation.component.value[x]",
"type": [
{
"code": "CodeableConcept"
},
{
"code": "string"
}
]
},
{
"id": "Observation.component:WeitereAngaben.value[x]:valueCodeableConcept",
"path": "Observation.component.value[x]",
"sliceName": "valueCodeableConcept",
"type": [
{
"code": "CodeableConcept"
}
]
},
{
"id": "Observation.component:WeitereAngaben.value[x]:valueCodeableConcept.coding",
"path": "Observation.component.value[x].coding",
"mustSupport": true
},
{
"id": "Observation.component:WeitereAngaben.value[x]:valueCodeableConcept.coding.system",
"path": "Observation.component.value[x].coding.system",
"min": 1,
"patternUri": "http://hl7.org/fhir/sid/icd-10",
"mustSupport": true
},
{
"id": "Observation.component:WeitereAngaben.value[x]:valueCodeableConcept.coding.version",
"path": "Observation.component.value[x].coding.version",
"min": 1,
"mustSupport": true
},
{
"id": "Observation.component:WeitereAngaben.value[x]:valueCodeableConcept.coding.code",
"path": "Observation.component.value[x].coding.code",
"min": 1,
"mustSupport": true
},
{
"id": "Observation.component:WeitereAngaben.value[x]:valueCodeableConcept.coding.display",
"path": "Observation.component.value[x].coding.display",
"mustSupport": true
},
{
"id": "Observation.component:WeitereAngaben.value[x]:valueCodeableConcept.text",
"path": "Observation.component.value[x].text",
"mustSupport": true
},
{
"id": "Observation.component:WeitereAngaben.value[x]:valueString",
"path": "Observation.component.value[x]",
"sliceName": "valueString",
"min": 0,
"max": "1",
"type": [
{
"code": "string"
}
],
"mustSupport": true
},
{
"id": "Observation.component:ZeitdauerBeginnBisTod",
"path": "Observation.component",
"sliceName": "ZeitdauerBeginnBisTod",
"comment": "Angabe der Zeitdauer von Beginn der Krankheit bis zum Tod in beliebiger Angabe",
"min": 0,
"max": "1",
"mustSupport": true
},
{
"id": "Observation.component:ZeitdauerBeginnBisTod.code",
"path": "Observation.component.code",
"patternCodeableConcept": {
"coding": [
{
"system": "http://gematik.de/fhir/oegd/stf/CodeSystem/StfObservationCodesErweiterungCS",
"code": "zeitdauerBeginnBisTod"
}
]
}
},
{
"id": "Observation.component:ZeitdauerBeginnBisTod.value[x]",
"path": "Observation.component.value[x]",
"type": [
{
"code": "string"
}
]
},
{
"id": "Observation.component:ZeitdauerBeginnBisTod.value[x]:valueString",
"path": "Observation.component.value[x]",
"sliceName": "valueString",
"min": 0,
"max": "1",
"type": [
{
"code": "string"
}
],
"mustSupport": true
}
]
}

}

STF Todesursache

Terminology-Bindings

Staerke	ValueSet
required	http://hl7.org/fhir/ValueSet/observation-status\|4.0.1
required	http://gematik.de/fhir/oegd/stf/ValueSet/StfObservationCodes
extensible	http://hl7.org/fhir/ValueSet/data-absent-reason
extensible	http://gematik.de/fhir/oegd/stf/ValueSet/StfObservationCodes
required	http://gematik.de/fhir/oegd/stf/ValueSet/StfTodesursachensequenzVS

Constraints/Invarianten

STF Observation Krebserkrankung

Metadaten

Canonical	Status	Version	Basis
http://gematik.de/fhir/oegd/stf/StructureDefinition/StfObservationKrebserkrankung	active	1.0.0-ballot	http://gematik.de/fhir/oegd/stf/StructureDefinition/StfBasisObservation

Inhalt

ID	Kurzbeschreibung	Type	Min	Max	VS_Url	Strength
Observation.partOf	Zuordnung 'Todesursache aus Leichenschau' vs. 'Todesursache aus Obduktion'	Reference	1	1
Observation.status	registered \| preliminary \| final \| amended +	code	1	1	http://hl7.org/fhir/ValueSet/observation-status\|4.0.1	required
Observation.code	Type of observation (code / type)	CodeableConcept	1	1	http://gematik.de/fhir/oegd/stf/ValueSet/StfObservationCodes	required
Observation.subject	Who and/or what the observation is about	Reference	1	1
Observation.effective[x]	Clinically relevant time/time-period for observation	dateTime	0	1
Observation.effective[x]:effectiveDateTime	Clinically relevant time/time-period for observation	dateTime	0	1
Observation.value[x]	Actual result	CodeableConcept	0	1	http://gematik.de/fhir/oegd/stf/ValueSet/StfJaNeinUnbekanntVS	extensible
Observation.note	Comments about the observation	Annotation	0	*
Observation.hasMember	Related resource that belongs to the Observation group	Reference	0	*

StfObservationKrebserkrankung (Observation)

There are no (further) constraints on this element

Element id

Observation

Short description

Measurements and simple assertions

Alternate names

Vital Signs, Measurement, Results, Tests

Definition

Measurements and simple assertions made about a patient, device or other subject.

Comments

Data type

Constraints

dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
contained.contained.empty()
dom-4: 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-3: 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-6: A resource should have narrative for robust management
text.`div`.exists()
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
contained.meta.security.empty()
obs-7: 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()
obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
dataAbsentReason.empty() or value.empty()

Mappings

rim: Entity. Role, or Act
workflow: Event
sct-concept: < 363787002 |Observable entity|
v2: OBX
rim: Observation[classCode=OBS, moodCode=EVN]

0..1

There are no (further) constraints on this element

Element id

Observation.id

Short description

Logical id of this artifact

Definition

The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

Comments

The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

Data type

There are no (further) constraints on this element

Element id

Observation.meta

Short description

Metadata about the resource

Definition

The 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.

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
rim: N/A

implicitRules

Σ ?!

0..1

There are no (further) constraints on this element

Element id

Observation.implicitRules

Short description

A set of rules under which this content was created

Definition

Comments

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a

language

0..1

codeBinding

There are no (further) constraints on this element

Element id

Observation.language

Short description

Language of the resource content

Definition

The base language in which the resource is written.

Comments

Data type

Binding

A human language.

CommonLanguages (preferred)

Binding extensions

maxValueSet	AllLanguages

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a

text

0..1

There are no (further) constraints on this element

Element id

Observation.text

Short description

Text summary of the resource, for human interpretation

Alternate names

narrative, html, xhtml, display

Definition

Comments

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
rim: N/A
rim: Act.text?

contained

0..*

There are no (further) constraints on this element

Element id

Observation.contained

Short description

Contained, inline Resources

Alternate names

inline resources, anonymous resources, contained resources

Definition

Comments

Data type

Mappings

rim: Entity. Role, or Act
rim: N/A

extension

0..*

There are no (further) constraints on this element

Element id

Observation.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

modifierExtension

?! C

0..*

There are no (further) constraints on this element

Element id

Observation.modifierExtension

Short description

Extensions that cannot be ignored

Alternate names

extensions, user content

Definition

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Requirements

Comments

Data type

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

identifier

0..*

There are no (further) constraints on this element

Element id

Observation.identifier

Short description

Business Identifier for observation

Definition

A unique identifier assigned to this observation.

Requirements

Allows observations to be distinguished and referenced.

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CX / EI (occasionally, more often EI maps to a resource id or a URL)
rim: II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]
servd: Identifier
workflow: Event.identifier
w5: FiveWs.identifier
v2: OBX.21 For OBX segments from systems without OBX-21 support a combination of ORC/OBR and OBX must be negotiated between trading partners to uniquely identify the OBX segment. Depending on how V2 has been implemented each of these may be an option: 1) OBR-3 + OBX-3 + OBX-4 or 2) OBR-3 + OBR-4 + OBX-3 + OBX-4 or 2) some other way to uniquely ID the OBR/ORC + OBX-3 + OBX-4.
rim: id

basedOn

Σ C

0..*

There are no (further) constraints on this element

Element id

Observation.basedOn

Short description

Fulfills plan, proposal or order

Alternate names

Fulfills

Definition

A plan, proposal or order that is fulfilled in whole or in part by this event. For example, a MedicationRequest may require a patient to have laboratory test performed before it is dispensed.

Requirements

Allows tracing of authorization for the event and tracking whether proposals/recommendations were acted upon.

Comments

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ref-1: 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'))

Mappings

rim: n/a
rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
workflow: Event.basedOn
v2: ORC
rim: .inboundRelationship[typeCode=COMP].source[moodCode=EVN]

partOf

S Σ C

1..1

Reference(StfLeichenschau | StfObduktion | Procedure)

There are no (further) constraints on this element

Element id

Observation.partOf

Short description

Zuordnung 'Todesursache aus Leichenschau' vs. 'Todesursache aus Obduktion'

Alternate names

Container

Definition

A larger event of which this particular Observation is a component or step. For example, an observation as part of a procedure.

Comments

Gibt an, ob die Todesursache aus der Leichenschau oder aus der Obduktion stammt.

Data type

Reference(StfLeichenschau | StfObduktion | Procedure)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ref-1: 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'))

Mappings

rim: n/a
rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
workflow: Event.partOf
v2: Varies by domain
rim: .outboundRelationship[typeCode=FLFS].target

status

S Σ ?!

1..1

codeBinding

There are no (further) constraints on this element

Element id

Observation.status

Short description

registered | preliminary | final | amended +

Definition

The status of the result value.

Requirements

Need to track the status of individual results. Some results are finalized before the whole report is finalized.

Comments

This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.

Data type