{
  "resourceType": "StructureDefinition",
  "id": "mii-pr-vent-icu-parameter-von-beatmung",
  "url": "https://gematik.de/fhir/isik/StructureDefinition/mii-pr-vent-icu-parameter-von-beatmung",
  "version": "6.0.0-rc",
  "name": "MII_PR_ICU_Parameter_Von_Beatmung",
  "title": "MII PR ICU Parameter von Beatmung",
  "status": "active",
  "experimental": false,
  "date": "2026-04-02",
  "publisher": "gematik GmbH",
  "description": "Die Datenstruktur wurde dem laufenden Stand der Entwicklung des MII ICU Module entnommen - https://github.com/medizininformatik-initiative/kerndatensatzmodul-intensivmedizin/blob/master/input/fsh/profiles/Beatmungswerte - Details zur Kompatibilität mit dem ISiK Package der Stufe 6 wurden angepasst und Metadaten des Ursprungsschemas zum Teil entfernt. Stand 16.03.2026",
  "fhirVersion": "4.0.1",
  "kind": "resource",
  "abstract": false,
  "type": "Observation",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Observation",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Observation",
        "path": "Observation",
        "constraint": [
          {
            "key": "obs-10",
            "human": "Either subject XOR encounter exists",
            "source": "https://gematik.de/fhir/isik/StructureDefinition/mii-pr-vent-icu-parameter-von-beatmung",
            "severity": "error",
            "expression": "$this.encounter.exists() xor $this.subject.exists()"
          },
          {
            "key": "vs-de-2",
            "human": "If there is no component or hasMember element then either a value[x] or a data absent reason must be present",
            "source": "https://gematik.de/fhir/isik/StructureDefinition/mii-pr-vent-icu-parameter-von-beatmung",
            "severity": "error",
            "expression": "(component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists())"
          }
        ]
      },
      {
        "id": "Observation.identifier",
        "path": "Observation.identifier",
        "mustSupport": true
      },
      {
        "id": "Observation.partOf",
        "path": "Observation.partOf",
        "short": "Observation belongs to a specific extracorporeal procedure.",
        "definition": "Dasjenige extrakorporale Verfahren, im Rahmen dessen der vorliegende Parameter (die Daten dieser Observation-Ressource) erhoben wurden.",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Procedure"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Observation.status",
        "path": "Observation.status",
        "mustSupport": true
      },
      {
        "id": "Observation.category",
        "path": "Observation.category",
        "slicing": {
          "discriminator": [
            {
              "type": "pattern",
              "path": "$this"
            }
          ],
          "rules": "open"
        },
        "min": 1,
        "max": "1",
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "valueSet": "https://gematik.de/fhir/isik/ValueSet/mii-vs-icu-category-procedure-beatmung-snomed"
        }
      },
      {
        "id": "Observation.category.coding",
        "path": "Observation.category.coding",
        "mustSupport": true
      },
      {
        "id": "Observation.category.coding.system",
        "path": "Observation.category.coding.system",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Observation.category.coding.code",
        "path": "Observation.category.coding.code",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Observation.code",
        "path": "Observation.code",
        "mustSupport": true
      },
      {
        "id": "Observation.code.coding",
        "path": "Observation.code.coding",
        "slicing": {
          "discriminator": [
            {
              "type": "pattern",
              "path": "$this"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Observation.code.coding:sct",
        "path": "Observation.code.coding",
        "sliceName": "sct",
        "min": 0,
        "max": "*",
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "valueSet": "https://gematik.de/fhir/isik/ValueSet/mii-vs-icu-code-observation-beatmung-snomed"
        }
      },
      {
        "id": "Observation.code.coding:sct.system",
        "path": "Observation.code.coding.system",
        "min": 1,
        "patternUri": "http://snomed.info/sct",
        "mustSupport": true
      },
      {
        "id": "Observation.code.coding:sct.code",
        "path": "Observation.code.coding.code",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Observation.code.coding:sct.display",
        "path": "Observation.code.coding.display",
        "mustSupport": true
      },
      {
        "id": "Observation.code.coding:loinc",
        "path": "Observation.code.coding",
        "sliceName": "loinc",
        "min": 0,
        "max": "*",
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "valueSet": "https://gematik.de/fhir/isik/ValueSet/mii-vs-icu-code-observation-beatmung-loinc"
        }
      },
      {
        "id": "Observation.code.coding:loinc.system",
        "path": "Observation.code.coding.system",
        "min": 1,
        "patternUri": "http://loinc.org",
        "mustSupport": true
      },
      {
        "id": "Observation.code.coding:loinc.code",
        "path": "Observation.code.coding.code",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Observation.code.coding:loinc.display",
        "path": "Observation.code.coding.display",
        "mustSupport": true
      },
      {
        "id": "Observation.code.coding:IEEE-11073",
        "path": "Observation.code.coding",
        "sliceName": "IEEE-11073",
        "min": 0,
        "max": "*",
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "valueSet": "https://gematik.de/fhir/isik/ValueSet/mii-vs-icu-code-observation-beatmung-loinc-iso11073"
        }
      },
      {
        "id": "Observation.code.coding:IEEE-11073.system",
        "path": "Observation.code.coding.system",
        "min": 1,
        "patternUri": "urn:iso:std:iso:11073:10101",
        "mustSupport": true
      },
      {
        "id": "Observation.code.coding:IEEE-11073.code",
        "path": "Observation.code.coding.code",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Observation.subject",
        "path": "Observation.subject",
        "min": 1,
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Patient",
              "http://hl7.org/fhir/StructureDefinition/Device"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Observation.encounter",
        "path": "Observation.encounter",
        "mustSupport": true
      },
      {
        "id": "Observation.effective[x]",
        "path": "Observation.effective[x]",
        "type": [
          {
            "code": "dateTime"
          },
          {
            "code": "Period"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Observation.issued",
        "path": "Observation.issued",
        "mustSupport": true
      },
      {
        "id": "Observation.performer",
        "path": "Observation.performer",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Practitioner",
              "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
              "http://hl7.org/fhir/StructureDefinition/Organization",
              "http://hl7.org/fhir/StructureDefinition/CareTeam"
            ]
          }
        ]
      },
      {
        "id": "Observation.value[x]",
        "path": "Observation.value[x]",
        "min": 1,
        "type": [
          {
            "code": "Quantity"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Observation.value[x].unit",
        "path": "Observation.value[x].unit",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Observation.value[x].system",
        "path": "Observation.value[x].system",
        "patternUri": "http://unitsofmeasure.org"
      },
      {
        "id": "Observation.value[x].code",
        "path": "Observation.value[x].code",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Observation.dataAbsentReason",
        "path": "Observation.dataAbsentReason",
        "mustSupport": true
      },
      {
        "id": "Observation.bodySite",
        "path": "Observation.bodySite",
        "binding": {
          "strength": "extensible",
          "valueSet": "https://gematik.de/fhir/isik/ValueSet/mii-vs-icu-body-site-observation-beatmung"
        }
      },
      {
        "id": "Observation.device",
        "path": "Observation.device",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://gematik.de/fhir/isik/StructureDefinition/mii-pr-icu-vent-dm-eingestellte-gemessene-parameter-beatmung"
            ]
          }
        ],
        "mustSupport": true
      }
    ]
  }
}