FHIR IG Statistics: StructureDefinition/KBV_PR_AW_Observation_Befund
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{
"resourceType": "StructureDefinition",
"url": "https://fhir.kbv.de/StructureDefinition/KBV_PR_AW_Observation_Befund",
"version": "1.2.0",
"name": "KBV_PR_AW_Observation_Befund",
"status": "active",
"publisher": "Kassenärztliche Bundesvereinigung (KBV)",
"copyright": "Copyright © [2020], Kassenärztliche Bundesvereinigung (KBV). All rights reserved.",
"fhirVersion": "4.0.1",
"mapping": [
{
"identity": "workflow",
"uri": "http://hl7.org/fhir/workflow",
"name": "Workflow Pattern"
},
{
"identity": "sct-concept",
"uri": "http://snomed.info/conceptdomain",
"name": "SNOMED CT Concept Domain Binding"
},
{
"identity": "v2",
"uri": "http://hl7.org/v2",
"name": "HL7 v2 Mapping"
},
{
"identity": "rim",
"uri": "http://hl7.org/v3",
"name": "RIM Mapping"
},
{
"identity": "w5",
"uri": "http://hl7.org/fhir/fivews",
"name": "FiveWs Pattern Mapping"
},
{
"identity": "sct-attr",
"uri": "http://snomed.org/attributebinding",
"name": "SNOMED CT Attribute Binding"
}
],
"kind": "resource",
"abstract": false,
"type": "Observation",
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Observation",
"derivation": "constraint",
"differential": {
"element": [
{
"id": "Observation",
"path": "Observation",
"short": "Befund",
"definition": "In dieser Ressource wird die generische Form eines Befundes abgebildet. Zusätzlich können spezielle Befunde als Komponente eingefügt werden."
},
{
"id": "Observation.id",
"path": "Observation.id",
"min": 1
},
{
"id": "Observation.meta",
"path": "Observation.meta",
"min": 1
},
{
"id": "Observation.meta.versionId",
"path": "Observation.meta.versionId",
"min": 1
},
{
"id": "Observation.meta.lastUpdated",
"path": "Observation.meta.lastUpdated",
"min": 1
},
{
"id": "Observation.meta.profile",
"path": "Observation.meta.profile",
"min": 1,
"max": "1",
"fixedCanonical": "https://fhir.kbv.de/StructureDefinition/KBV_PR_AW_Observation_Befund|1.2.0"
},
{
"id": "Observation.text",
"path": "Observation.text",
"min": 1
},
{
"id": "Observation.identifier",
"path": "Observation.identifier",
"max": "0"
},
{
"id": "Observation.basedOn",
"path": "Observation.basedOn",
"max": "0"
},
{
"id": "Observation.partOf",
"path": "Observation.partOf",
"max": "0"
},
{
"id": "Observation.status",
"path": "Observation.status",
"definition": "Der Status ist immer abgeschlossen (final).",
"fixedCode": "final"
},
{
"id": "Observation.category",
"path": "Observation.category",
"definition": "Dieses Attribut dient zur Kategorisierung des Befundes. Zur Auswahl stehen ausschließlich Eigenbefund, Fremdbefund, Laborbefund, Roentgenbefund, Patientenangabe und EKG-Befund.",
"min": 1,
"max": "1",
"mustSupport": true,
"binding": {
"strength": "required",
"description": "Befundart",
"valueSet": "https://fhir.kbv.de/ValueSet/KBV_VS_AW_Befundart"
}
},
{
"id": "Observation.category.coding",
"path": "Observation.category.coding",
"min": 1,
"max": "1"
},
{
"id": "Observation.category.coding.system",
"path": "Observation.category.coding.system",
"min": 1
},
{
"id": "Observation.category.coding.version",
"path": "Observation.category.coding.version",
"max": "0"
},
{
"id": "Observation.category.coding.code",
"path": "Observation.category.coding.code",
"min": 1
},
{
"id": "Observation.category.coding.display",
"path": "Observation.category.coding.display",
"max": "0"
},
{
"id": "Observation.category.coding.userSelected",
"path": "Observation.category.coding.userSelected",
"max": "0"
},
{
"id": "Observation.category.text",
"path": "Observation.category.text",
"max": "0"
},
{
"id": "Observation.code",
"path": "Observation.code",
"short": "Observation Befund",
"definition": "In diesem Element wird der Typ der Observation definiert.\r\n\r\nIst ein Loinc-Code zu dieser Observation bekannt, so ist dieser im Attribut loinc_code zu dokumentieren",
"mustSupport": true
},
{
"id": "Observation.code.coding",
"path": "Observation.code.coding",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "system"
}
],
"description": "kbv_code\r\nloinc_code",
"rules": "closed"
},
"min": 1,
"max": "2",
"mustSupport": true
},
{
"id": "Observation.code.coding:kbv_code",
"path": "Observation.code.coding",
"sliceName": "kbv_code",
"min": 1,
"max": "1",
"mustSupport": true
},
{
"id": "Observation.code.coding:kbv_code.system",
"path": "Observation.code.coding.system",
"min": 1,
"fixedUri": "https://fhir.kbv.de/CodeSystem/KBV_CS_AW_Ressourcentyp"
},
{
"id": "Observation.code.coding:kbv_code.version",
"path": "Observation.code.coding.version",
"max": "0"
},
{
"id": "Observation.code.coding:kbv_code.code",
"path": "Observation.code.coding.code",
"short": "Befund",
"min": 1,
"fixedCode": "Befund"
},
{
"id": "Observation.code.coding:kbv_code.display",
"path": "Observation.code.coding.display",
"max": "0"
},
{
"id": "Observation.code.coding:kbv_code.userSelected",
"path": "Observation.code.coding.userSelected",
"max": "0"
},
{
"id": "Observation.code.coding:loinc_code",
"path": "Observation.code.coding",
"sliceName": "loinc_code",
"max": "1"
},
{
"id": "Observation.code.coding:loinc_code.system",
"path": "Observation.code.coding.system",
"min": 1,
"fixedUri": "http://loinc.org"
},
{
"id": "Observation.code.coding:loinc_code.version",
"path": "Observation.code.coding.version",
"max": "0"
},
{
"id": "Observation.code.coding:loinc_code.code",
"path": "Observation.code.coding.code",
"min": 1
},
{
"id": "Observation.code.coding:loinc_code.display",
"path": "Observation.code.coding.display",
"max": "0"
},
{
"id": "Observation.code.coding:loinc_code.userSelected",
"path": "Observation.code.coding.userSelected",
"max": "0"
},
{
"id": "Observation.code.text",
"path": "Observation.code.text",
"max": "0"
},
{
"id": "Observation.subject",
"path": "Observation.subject",
"label": "TR01",
"short": "Patientenbezug",
"definition": "Siehe Reason for inclusion and constrainment",
"requirements": "Diese Referenz wurde aus technischen Gründen erzeugt, um dieser patientenbezogenen Ressource zu genügen. Aus informationstechnischer Sicht ist Diese jedoch nicht notwendig, da der Zusammenhang bereits über das Attribut related hergestellt worden ist.",
"min": 1,
"type": [
{
"code": "Reference",
"targetProfile": [
"https://fhir.kbv.de/StructureDefinition/KBV_PR_AW_Patient|1.2.0"
]
}
],
"mustSupport": true
},
{
"id": "Observation.subject.reference",
"path": "Observation.subject.reference",
"min": 1
},
{
"id": "Observation.subject.type",
"path": "Observation.subject.type",
"max": "0"
},
{
"id": "Observation.subject.identifier",
"path": "Observation.subject.identifier",
"max": "0"
},
{
"id": "Observation.subject.display",
"path": "Observation.subject.display",
"max": "0"
},
{
"id": "Observation.focus",
"path": "Observation.focus",
"max": "0"
},
{
"id": "Observation.encounter",
"path": "Observation.encounter",
"short": "Begegnung",
"definition": "Referenz zur Ressource Begegnung",
"min": 1,
"type": [
{
"code": "Reference",
"targetProfile": [
"https://fhir.kbv.de/StructureDefinition/KBV_PR_AW_Begegnung|1.2.0"
]
}
],
"mustSupport": true
},
{
"id": "Observation.encounter.reference",
"path": "Observation.encounter.reference",
"min": 1
},
{
"id": "Observation.encounter.type",
"path": "Observation.encounter.type",
"max": "0"
},
{
"id": "Observation.encounter.identifier",
"path": "Observation.encounter.identifier",
"max": "0"
},
{
"id": "Observation.encounter.display",
"path": "Observation.encounter.display",
"max": "0"
},
{
"id": "Observation.effective[x]",
"path": "Observation.effective[x]",
"slicing": {
"discriminator": [
{
"type": "type",
"path": "$this"
}
],
"rules": "closed"
},
"type": [
{
"code": "dateTime"
}
]
},
{
"id": "Observation.effective[x]:effectiveDateTime",
"path": "Observation.effective[x]",
"sliceName": "effectiveDateTime",
"short": "Aufnahmezeitunkt",
"type": [
{
"code": "dateTime"
}
]
},
{
"id": "Observation.issued",
"path": "Observation.issued",
"max": "0"
},
{
"id": "Observation.performer",
"path": "Observation.performer",
"max": "0"
},
{
"id": "Observation.value[x]",
"path": "Observation.value[x]",
"slicing": {
"discriminator": [
{
"type": "type",
"path": "$this"
}
],
"rules": "closed"
},
"min": 1,
"type": [
{
"code": "string"
}
],
"mustSupport": true
},
{
"id": "Observation.value[x]:valueString",
"path": "Observation.value[x]",
"sliceName": "valueString",
"short": "Befund",
"definition": "Freitext zur Beschreibung des Befundes",
"min": 1,
"type": [
{
"code": "string"
}
]
},
{
"id": "Observation.dataAbsentReason",
"path": "Observation.dataAbsentReason",
"max": "0"
},
{
"id": "Observation.interpretation",
"path": "Observation.interpretation",
"max": "0"
},
{
"id": "Observation.note",
"path": "Observation.note",
"max": "0"
},
{
"id": "Observation.bodySite",
"path": "Observation.bodySite",
"max": "0"
},
{
"id": "Observation.method",
"path": "Observation.method",
"max": "0"
},
{
"id": "Observation.specimen",
"path": "Observation.specimen",
"max": "0"
},
{
"id": "Observation.device",
"path": "Observation.device",
"max": "0"
},
{
"id": "Observation.referenceRange",
"path": "Observation.referenceRange",
"max": "0"
},
{
"id": "Observation.hasMember",
"path": "Observation.hasMember",
"max": "0"
},
{
"id": "Observation.derivedFrom",
"path": "Observation.derivedFrom",
"max": "0"
},
{
"id": "Observation.component",
"path": "Observation.component",
"mustSupport": true
},
{
"id": "Observation.component.code",
"path": "Observation.component.code",
"short": "Loinc-Code",
"definition": "Die Angabe eines Loinc-Codes ist verpflichtend.",
"mustSupport": true
},
{
"id": "Observation.component.code.coding",
"path": "Observation.component.code.coding",
"min": 1,
"max": "1"
},
{
"id": "Observation.component.code.coding.system",
"path": "Observation.component.code.coding.system",
"min": 1,
"fixedUri": "http://loinc.org"
},
{
"id": "Observation.component.code.coding.version",
"path": "Observation.component.code.coding.version",
"max": "0"
},
{
"id": "Observation.component.code.coding.code",
"path": "Observation.component.code.coding.code",
"min": 1
},
{
"id": "Observation.component.code.coding.display",
"path": "Observation.component.code.coding.display",
"max": "0"
},
{
"id": "Observation.component.code.coding.userSelected",
"path": "Observation.component.code.coding.userSelected",
"max": "0"
},
{
"id": "Observation.component.code.text",
"path": "Observation.component.code.text",
"max": "0"
},
{
"id": "Observation.component.value[x]",
"path": "Observation.component.value[x]",
"slicing": {
"discriminator": [
{
"type": "type",
"path": "$this"
}
],
"rules": "closed"
},
"short": "Wert des Befundes",
"definition": "Der Datentyp ist dem zu speichernden Wert anzupassen",
"min": 1,
"type": [
{
"code": "Quantity"
},
{
"code": "string"
},
{
"code": "Range"
},
{
"code": "Ratio"
},
{
"code": "time"
},
{
"code": "dateTime"
},
{
"code": "Period"
}
],
"mustSupport": true
},
{
"id": "Observation.component.value[x]:valueQuantity",
"path": "Observation.component.value[x]",
"sliceName": "valueQuantity",
"type": [
{
"code": "Quantity"
}
]
},
{
"id": "Observation.component.value[x]:valueString",
"path": "Observation.component.value[x]",
"sliceName": "valueString",
"type": [
{
"code": "string"
}
]
},
{
"id": "Observation.component.value[x]:valueRange",
"path": "Observation.component.value[x]",
"sliceName": "valueRange",
"type": [
{
"code": "Range"
}
]
},
{
"id": "Observation.component.value[x]:valueRatio",
"path": "Observation.component.value[x]",
"sliceName": "valueRatio",
"type": [
{
"code": "Ratio"
}
]
},
{
"id": "Observation.component.value[x]:valueTime",
"path": "Observation.component.value[x]",
"sliceName": "valueTime",
"type": [
{
"code": "time"
}
]
},
{
"id": "Observation.component.value[x]:valueDateTime",
"path": "Observation.component.value[x]",
"sliceName": "valueDateTime",
"type": [
{
"code": "dateTime"
}
]
},
{
"id": "Observation.component.value[x]:valuePeriod",
"path": "Observation.component.value[x]",
"sliceName": "valuePeriod",
"type": [
{
"code": "Period"
}
]
},
{
"id": "Observation.component.dataAbsentReason",
"path": "Observation.component.dataAbsentReason",
"max": "0"
},
{
"id": "Observation.component.interpretation",
"path": "Observation.component.interpretation",
"max": "0"
},
{
"id": "Observation.component.referenceRange",
"path": "Observation.component.referenceRange",
"max": "0"
}
]
}
}
FHIR