<status value="active" /> <experimental value="false" /> <date value="2026-04-02" /> <publisher value="gematik GmbH" /> <description value="Dieses Profil bietet eine abstrahierte Schicht zur Abbildung sonstiger pulsatiler Drücke in der Akutmedizin. Es ist generisch im Sinne der Profil-Abstraktion, allerdings explizit nicht im Sinne einer Blutdruckmessung (siehe dafür Profile zu Blutdruck im generischen Modul Vitalparameter)." /> <fhirVersion value="4.0.1" /> <kind value="resource" /> <abstract value="false" /> <type value="Observation" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Observation" /> <derivation value="constraint" /> <differential> <element id="Observation.id"> <path value="Observation.id" /> <short value="serverseitige, interne ID des Datensatzes" /> <comment value="**bedingtes Pflichtfeld/bedingtes MS:** Alle von einem Server bereitgestellten Ressourcen MÜSSEN über eine `id` verfügen. Von Clients erzeugte Ressourcen, die im Kontext einer CREATE-Interaktion übermittelt werden, MÜSSEN NICHT über eine `id`verfügen." /> <mustSupport value="true" /> </element> <element id="Observation.meta.versionId"> <path value="Observation.meta.versionId" /> <short value="Eindeutiger Name der serverseitigen Version des Datensatzes" /> <comment value="Alle von einem Server bereitgestellten Ressourcen SOLLEN über eine `versionID` verfügen. Von Clients erzeugte Ressourcen, die im Kontext einer CREATE-Interaktion übermittelt werden, MÜSSEN NICHT über eine `versionID`verfügen." /> </element> <element id="Observation.meta.lastUpdated"> <path value="Observation.meta.lastUpdated" /> <short value="Zeitpunkt der letzten Änderung" /> <comment value="Alle von einem Server bereitgestellten Ressourcen SOLLEN über ein `lastUpdate` verfügen. Von Clients erzeugte Ressourcen, die im Kontext einer CREATE-Interaktion übermittelt werden, MÜSSEN NICHT über ein `lastUpdate`verfügen." /> </element> <element id="Observation.implicitRules"> <path value="Observation.implicitRules" /> <short value="Verweis auf die Regeln, nach denen die Ressource erstellt wurde" /> <comment value="Begründung Constraint: In ISiK existiert kein Use-Case für dieses Element. Da es sich um ein Modifying Element handelt, wird es daher ausgeschlossen. Darüber hinaus werden die Regeln als URI vorgehalten. Dies führt dazu, dass sich hinter der URI eine beliebige Menge an Regeln befinden kann; wodurch nicht sichergestellt werden kann, dass alle Clients die Regeln korrekt interpretieren können." /> <max value="0" /> </element> <element id="Observation.identifier"> <path value="Observation.identifier" /> <mustSupport value="true" /> </element> <element id="Observation.basedOn"> <path value="Observation.basedOn" /> <max value="1" /> </element> <element id="Observation.status"> <path value="Observation.status" /> <comment value="Motivation MS: Observation.status ist bereits durch die Kardinalität der Basisklasse Observation erzwungen. Dieses Feld dient der Präzisierung des Status der Untersuchung" /> <mustSupport value="true" /> </element> <element id="Observation.category"> <path value="Observation.category" /> <mustSupport value="true" /> </element> <element id="Observation.code"> <path value="Observation.code" /> <mustSupport value="true" /> </element> <element id="Observation.code.coding"> <path value="Observation.code.coding" /> <slicing> <discriminator> <type value="pattern" /> <path value="$this" /> </discriminator> <rules value="open" /> </slicing> <min value="2" /> <mustSupport value="true" /> </element> <element id="Observation.code.coding.system"> <path value="Observation.code.coding.system" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Observation.code.coding.code"> <path value="Observation.code.coding.code" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Observation.code.coding.display"> <path value="Observation.code.coding.display" /> <mustSupport value="true" /> </element> <element id="Observation.code.coding:sct-generic"> <path value="Observation.code.coding" /> <sliceName value="sct-generic" /> <min value="1" /> <max value="1" /> <patternCoding> <system value="http://snomed.info/sct" /> <code value="75367002" /> </patternCoding> <mustSupport value="true" /> </element> <element id="Observation.code.coding:sct"> <path value="Observation.code.coding" /> <sliceName value="sct" /> <min value="1" /> <max value="1" /> <mustSupport value="true" /> </element> <element id="Observation.subject"> <path value="Observation.subject" /> <mustSupport value="true" /> </element> <element id="Observation.encounter"> <path value="Observation.encounter" /> <mustSupport value="true" /> </element> <element id="Observation.effective[x]"> <path value="Observation.effective[x]" /> <mustSupport value="true" /> </element> <element id="Observation.performer"> <path value="Observation.performer" /> <comment value="Motivation MS: Dieses Feld stellt eine präzisierende Angaben zum Zweck der Qualitätsbewertung bereit" /> <mustSupport value="true" /> </element> <element id="Observation.value[x]"> <path value="Observation.value[x]" /> <max value="0" /> <mustSupport value="true" /> </element> <element id="Observation.dataAbsentReason"> <path value="Observation.dataAbsentReason" /> <max value="0" /> <mustSupport value="true" /> </element> <element id="Observation.interpretation"> <path value="Observation.interpretation" /> <mustSupport value="true" /> </element> <element id="Observation.bodySite"> <path value="Observation.bodySite" /> <mustSupport value="true" /> <binding> <strength value="extensible" /> <description value="Codes describing anatomical locations. May include laterality. Subset of ValueSet for Monitoring und Vitaldaten." /> <valueSet value="https://gematik.de/fhir/isik/ValueSet/vs-mii-icu-bodysite-observation-blutdruck" /> </binding> </element> <element id="Observation.method"> <path value="Observation.method" /> <mustSupport value="true" /> <binding> <strength value="extensible" /> <valueSet value="https://gematik.de/fhir/isik/ValueSet/vs-mii-icu-method-observation-blutdruck" /> </binding> </element> <element id="Observation.method.coding"> <path value="Observation.method.coding" /> <mustSupport value="true" /> </element> <element id="Observation.method.coding.system"> <path value="Observation.method.coding.system" /> <mustSupport value="true" /> </element> <element id="Observation.method.coding.code"> <path value="Observation.method.coding.code" /> <mustSupport value="true" /> </element> <element id="Observation.device"> <path value="Observation.device" /> <mustSupport value="true" /> </element> <element id="Observation.referenceRange"> <path value="Observation.referenceRange" /> <max value="0" /> <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> <mustSupport value="true" /> </element> <element id="Observation.component.code"> <path value="Observation.component.code" /> <mustSupport value="true" /> </element> <element id="Observation.component:SystolicBP"> <path value="Observation.component" /> <sliceName value="SystolicBP" /> <min value="0" /> <max value="1" /> <constraint> <key value="vs-de-3" /> <severity value="error" /> <human value="If there is no value a data absent reason must be present" /> <expression value="value.exists() xor dataAbsentReason.exists()" /> <source value="https://gematik.de/fhir/isik/StructureDefinition/sd-mii-icu-sonstige-pulsatile-druecke-generisch" /> </constraint> <mustSupport value="true" /> </element> <element id="Observation.component:SystolicBP.code"> <path value="Observation.component.code" /> <patternCodeableConcept> <coding> <system value="http://loinc.org" /> <code value="8480-6" /> </coding> </patternCodeableConcept> </element> <element id="Observation.component:SystolicBP.code.coding"> <path value="Observation.component.code.coding" /> <slicing> <discriminator> <type value="pattern" /> <path value="$this" /> </discriminator> <rules value="open" /> </slicing> <min value="1" /> <mustSupport value="true" /> </element> <element id="Observation.component:SystolicBP.code.coding:loinc"> <path value="Observation.component.code.coding" /> <sliceName value="loinc" /> <min value="1" /> <max value="1" /> <patternCoding> <system value="http://loinc.org" /> <code value="8480-6" /> </patternCoding> <mustSupport value="true" /> </element> <element id="Observation.component:SystolicBP.code.coding:loinc.system"> <path value="Observation.component.code.coding.system" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Observation.component:SystolicBP.code.coding:loinc.code"> <path value="Observation.component.code.coding.code" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Observation.component:SystolicBP.code.coding:loinc.display"> <path value="Observation.component.code.coding.display" /> <mustSupport value="true" /> </element> <element id="Observation.component:SystolicBP.code.coding:sct"> <path value="Observation.component.code.coding" /> <sliceName value="sct" /> <min value="0" /> <max value="1" /> <patternCoding> <system value="http://snomed.info/sct" /> <code value="271649006" /> </patternCoding> <mustSupport value="true" /> </element> <element id="Observation.component:SystolicBP.code.coding:sct.system"> <path value="Observation.component.code.coding.system" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Observation.component:SystolicBP.code.coding:sct.code"> <path value="Observation.component.code.coding.code" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Observation.component:SystolicBP.code.coding:sct.display"> <path value="Observation.component.code.coding.display" /> <mustSupport value="true" /> </element> <element id="Observation.component:SystolicBP.code.coding:IEEE-11073"> <path value="Observation.component.code.coding" /> <sliceName value="IEEE-11073" /> <min value="0" /> <max value="*" /> <patternCoding> <system value="urn:iso:std:iso:11073:10101" /> </patternCoding> <mustSupport value="true" /> </element> <element id="Observation.component:SystolicBP.code.coding:IEEE-11073.system"> <path value="Observation.component.code.coding.system" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Observation.component:SystolicBP.code.coding:IEEE-11073.code"> <path value="Observation.component.code.coding.code" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Observation.component:SystolicBP.code.coding:IEEE-11073.display"> <path value="Observation.component.code.coding.display" /> <mustSupport value="true" /> </element> <element id="Observation.component:SystolicBP.value[x]"> <path value="Observation.component.value[x]" /> <type> <code value="Quantity" /> </type> <patternQuantity> <unit value="millimeter Mercury column" /> <system value="http://unitsofmeasure.org" /> <code value="mm[Hg]" /> </patternQuantity> <mustSupport value="true" /> </element> <element id="Observation.component:SystolicBP.value[x].value"> <path value="Observation.component.value[x].value" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Observation.component:SystolicBP.value[x].unit"> <path value="Observation.component.value[x].unit" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Observation.component:SystolicBP.value[x].system"> <path value="Observation.component.value[x].system" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Observation.component:SystolicBP.value[x].code"> <path value="Observation.component.value[x].code" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Observation.component:SystolicBP.dataAbsentReason"> <path value="Observation.component.dataAbsentReason" /> <mustSupport value="true" /> </element> <element id="Observation.component:DiastolicBP"> <path value="Observation.component" /> <sliceName value="DiastolicBP" /> <min value="0" /> <max value="1" /> <constraint> <key value="vs-de-3" /> <severity value="error" /> <human value="If there is no value a data absent reason must be present" /> <expression value="value.exists() xor dataAbsentReason.exists()" /> <source value="https://gematik.de/fhir/isik/StructureDefinition/sd-mii-icu-sonstige-pulsatile-druecke-generisch" /> </constraint> <mustSupport value="true" /> </element> <element id="Observation.component:DiastolicBP.code"> <path value="Observation.component.code" /> <patternCodeableConcept> <coding> <system value="http://loinc.org" /> <code value="8462-4" /> </coding> </patternCodeableConcept> </element> <element id="Observation.component:DiastolicBP.code.coding"> <path value="Observation.component.code.coding" /> <slicing> <discriminator> <type value="pattern" /> <path value="$this" /> </discriminator> <rules value="open" /> </slicing> <min value="1" /> <mustSupport value="true" /> </element> <element id="Observation.component:DiastolicBP.code.coding:loinc"> <path value="Observation.component.code.coding" /> <sliceName value="loinc" /> <min value="1" /> <max value="1" /> <patternCoding> <system value="http://loinc.org" /> <code value="8462-4" /> </patternCoding> <mustSupport value="true" /> </element> <element id="Observation.component:DiastolicBP.code.coding:loinc.system"> <path value="Observation.component.code.coding.system" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Observation.component:DiastolicBP.code.coding:loinc.code"> <path value="Observation.component.code.coding.code" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Observation.component:DiastolicBP.code.coding:loinc.display"> <path value="Observation.component.code.coding.display" /> <mustSupport value="true" /> </element> <element id="Observation.component:DiastolicBP.code.coding:sct"> <path value="Observation.component.code.coding" /> <sliceName value="sct" /> <min value="0" /> <max value="1" /> <patternCoding> <system value="http://snomed.info/sct" /> <code value="271650006" /> </patternCoding> <mustSupport value="true" /> </element> <element id="Observation.component:DiastolicBP.code.coding:sct.system"> <path value="Observation.component.code.coding.system" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Observation.component:DiastolicBP.code.coding:sct.code"> <path value="Observation.component.code.coding.code" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Observation.component:DiastolicBP.code.coding:sct.display"> <path value="Observation.component.code.coding.display" /> <mustSupport value="true" /> </element> <element id="Observation.component:DiastolicBP.code.coding:IEEE-11073"> <path value="Observation.component.code.coding" /> <sliceName value="IEEE-11073" /> <min value="0" /> <max value="*" /> <patternCoding> <system value="urn:iso:std:iso:11073:10101" /> </patternCoding> <mustSupport value="true" /> </element> <element id="Observation.component:DiastolicBP.code.coding:IEEE-11073.system"> <path value="Observation.component.code.coding.system" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Observation.component:DiastolicBP.code.coding:IEEE-11073.code"> <path value="Observation.component.code.coding.code" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Observation.component:DiastolicBP.code.coding:IEEE-11073.display"> <path value="Observation.component.code.coding.display" /> <mustSupport value="true" /> </element> <element id="Observation.component:DiastolicBP.value[x]"> <path value="Observation.component.value[x]" /> <type> <code value="Quantity" /> </type> <patternQuantity> <unit value="millimeter Mercury column" /> <system value="http://unitsofmeasure.org" /> <code value="mm[Hg]" /> </patternQuantity> <mustSupport value="true" /> </element> <element id="Observation.component:DiastolicBP.value[x].value"> <path value="Observation.component.value[x].value" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Observation.component:DiastolicBP.value[x].unit"> <path value="Observation.component.value[x].unit" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Observation.component:DiastolicBP.value[x].system"> <path value="Observation.component.value[x].system" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Observation.component:DiastolicBP.value[x].code"> <path value="Observation.component.value[x].code" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Observation.component:DiastolicBP.dataAbsentReason"> <path value="Observation.component.dataAbsentReason" /> <mustSupport value="true" /> </element> <element id="Observation.component:meanBP"> <path value="Observation.component" /> <sliceName value="meanBP" /> <min value="0" /> <max value="1" /> <constraint> <key value="vs-de-3" /> <severity value="error" /> <human value="If there is no value a data absent reason must be present" /> <expression value="value.exists() xor dataAbsentReason.exists()" /> <source value="https://gematik.de/fhir/isik/StructureDefinition/sd-mii-icu-sonstige-pulsatile-druecke-generisch" /> </constraint> <mustSupport value="true" /> </element> <element id="Observation.component:meanBP.code"> <path value="Observation.component.code" /> <patternCodeableConcept> <coding> <system value="http://loinc.org" /> <code value="8478-0" /> </coding> </patternCodeableConcept> </element> <element id="Observation.component:meanBP.code.coding"> <path value="Observation.component.code.coding" /> <slicing> <discriminator> <type value="pattern" /> <path value="$this" /> </discriminator> <rules value="open" /> </slicing> <min value="1" /> <mustSupport value="true" /> </element> <element id="Observation.component:meanBP.code.coding:loinc"> <path value="Observation.component.code.coding" /> <sliceName value="loinc" /> <min value="1" /> <max value="1" /> <patternCoding> <system value="http://loinc.org" /> <code value="8478-0" /> </patternCoding> <mustSupport value="true" /> </element> <element id="Observation.component:meanBP.code.coding:loinc.system"> <path value="Observation.component.code.coding.system" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Observation.component:meanBP.code.coding:loinc.code"> <path value="Observation.component.code.coding.code" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Observation.component:meanBP.code.coding:loinc.display"> <path value="Observation.component.code.coding.display" /> <mustSupport value="true" /> </element> <element id="Observation.component:meanBP.code.coding:sct"> <path value="Observation.component.code.coding" /> <sliceName value="sct" /> <min value="0" /> <max value="1" /> <patternCoding> <system value="http://snomed.info/sct" /> <code value="6797001" /> </patternCoding> <mustSupport value="true" /> </element> <element id="Observation.component:meanBP.code.coding:sct.system"> <path value="Observation.component.code.coding.system" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Observation.component:meanBP.code.coding:sct.code"> <path value="Observation.component.code.coding.code" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Observation.component:meanBP.code.coding:sct.display"> <path value="Observation.component.code.coding.display" /> <mustSupport value="true" /> </element> <element id="Observation.component:meanBP.code.coding:IEEE-11073"> <path value="Observation.component.code.coding" /> <sliceName value="IEEE-11073" /> <min value="0" /> <max value="*" /> <patternCoding> <system value="urn:iso:std:iso:11073:10101" /> </patternCoding> <mustSupport value="true" /> </element> <element id="Observation.component:meanBP.code.coding:IEEE-11073.system"> <path value="Observation.component.code.coding.system" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Observation.component:meanBP.code.coding:IEEE-11073.code"> <path value="Observation.component.code.coding.code" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Observation.component:meanBP.code.coding:IEEE-11073.display"> <path value="Observation.component.code.coding.display" /> <mustSupport value="true" /> </element> <element id="Observation.component:meanBP.value[x]"> <path value="Observation.component.value[x]" /> <type> <code value="Quantity" /> </type> <patternQuantity> <unit value="millimeter Mercury column" /> <system value="http://unitsofmeasure.org" /> <code value="mm[Hg]" /> </patternQuantity> <mustSupport value="true" /> </element> <element id="Observation.component:meanBP.value[x].value"> <path value="Observation.component.value[x].value" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Observation.component:meanBP.value[x].unit"> <path value="Observation.component.value[x].unit" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Observation.component:meanBP.value[x].system"> <path value="Observation.component.value[x].system" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Observation.component:meanBP.value[x].code"> <path value="Observation.component.value[x].code" /> <min value="1" /> <mustSupport value="true" /> </element> </differential> </StructureDefinition>