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Source1
{
"resourceType": "StructureDefinition",
"id": "mii-pr-kardio-observation-rauchen-acribisalpha",
"url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-kardio/StructureDefinition/mii-pr-kardio-observation-rauchen-acribisalpha",
"version": "2026.0.0-alpha.1",
"name": "MII_PR_Kardio_Observation_Rauchen_AcribisAlpha",
"title": "MII PR Kardio Observation Rauchen AcribisAlpha",
"status": "active",
"publisher": "Medizininformatik Initiative",
"contact": [
{
"telecom": [
{
"system": "url",
"value": "https://www.medizininformatik-initiative.de"
}
]
}
],
"description": "Profil zur Erfassung des Rauchverhaltens einer Person im Kontext des Projekts ACRIBiS.",
"fhirVersion": "4.0.1",
"kind": "resource",
"abstract": false,
"type": "Observation",
"baseDefinition": "https://gematik.de/fhir/isik/StructureDefinition/ISiKLebensZustand",
"derivation": "constraint",
"differential": {
"element": [
{
"id": "Observation.category",
"path": "Observation.category",
"min": 1,
"max": "1",
"patternCodeableConcept": {
"coding": [
{
"code": "social-history",
"system": "http://terminology.hl7.org/CodeSystem/observation-category"
}
]
},
"binding": {
"strength": "required",
"valueSet": "http://hl7.org/fhir/ValueSet/observation-category"
}
},
{
"id": "Observation.code.coding:snomed-ct",
"path": "Observation.code.coding",
"sliceName": "snomed-ct",
"patternCoding": {
"code": "77176002",
"system": "http://snomed.info/sct",
"version": "http://snomed.info/sct/900000000000207008/version/20240701"
}
},
{
"id": "Observation.code.coding:loinc",
"path": "Observation.code.coding",
"sliceName": "loinc",
"patternCoding": {
"code": "72166-2",
"system": "http://loinc.org"
}
},
{
"id": "Observation.subject",
"path": "Observation.subject",
"type": [
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/Patient"
]
}
]
},
{
"id": "Observation.performer",
"path": "Observation.performer",
"mustSupport": true
},
{
"id": "Observation.value[x]",
"path": "Observation.value[x]",
"short": "Current Smoking Status als Loinc-Answer Code, Angabe 'Smoker' via SNOMED CT-Code.",
"type": [
{
"code": "CodeableConcept"
}
],
"binding": {
"strength": "extensible",
"valueSet": "https://www.medizininformatik-initiative.de/fhir/ext/modul-kardio/ValueSet/mii-vs-kardio-rauchen-acribisalpha"
}
},
{
"id": "Observation.hasMember",
"path": "Observation.hasMember",
"type": [
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/Observation",
"http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"
]
}
]
},
{
"id": "Observation.derivedFrom",
"path": "Observation.derivedFrom",
"type": [
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/DocumentReference",
"http://hl7.org/fhir/StructureDefinition/Media",
"http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse",
"http://hl7.org/fhir/StructureDefinition/Observation"
]
}
]
},
{
"id": "Observation.component",
"path": "Observation.component",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "code"
}
],
"rules": "open",
"ordered": false,
"description": "Zusätzliche Angaben zum Rauchverhalten."
},
"short": "Zusätzliche Angaben zum Rauchverhalten."
},
{
"id": "Observation.component:packungsjahre",
"path": "Observation.component",
"sliceName": "packungsjahre",
"min": 0,
"max": "*"
},
{
"id": "Observation.component:packungsjahre.code",
"path": "Observation.component.code",
"patternCodeableConcept": {
"coding": [
{
"code": "pack-years",
"system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-kardio/CodeSystem/mii-cs-kardio-rauchen-einheiten"
}
]
}
},
{
"id": "Observation.component:packungsjahre.value[x]",
"path": "Observation.component.value[x]",
"type": [
{
"code": "Quantity"
}
]
},
{
"id": "Observation.component:packungsjahre.value[x].comparator",
"path": "Observation.component.value[x].comparator",
"mustSupport": true
},
{
"id": "Observation.component:packungsjahre.value[x].unit",
"path": "Observation.component.value[x].unit",
"patternString": "Packungsjahre"
},
{
"id": "Observation.component:packungsjahre.value[x].system",
"path": "Observation.component.value[x].system",
"patternUri": "https://www.medizininformatik-initiative.de/fhir/ext/modul-kardio/CodeSystem/mii-cs-kardio-rauchen-einheiten"
},
{
"id": "Observation.component:packungsjahre.value[x].code",
"path": "Observation.component.value[x].code",
"patternCode": "pack-years"
},
{
"id": "Observation.component:packungenProTag",
"path": "Observation.component",
"sliceName": "packungenProTag",
"min": 0,
"max": "*"
},
{
"id": "Observation.component:packungenProTag.code",
"path": "Observation.component.code",
"patternCodeableConcept": {
"coding": [
{
"code": "packs-per-day",
"system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-kardio/CodeSystem/mii-cs-kardio-rauchen-einheiten"
}
]
}
},
{
"id": "Observation.component:packungenProTag.value[x]",
"path": "Observation.component.value[x]",
"type": [
{
"code": "Quantity"
}
]
},
{
"id": "Observation.component:packungenProTag.value[x].comparator",
"path": "Observation.component.value[x].comparator",
"mustSupport": true
},
{
"id": "Observation.component:packungenProTag.value[x].unit",
"path": "Observation.component.value[x].unit",
"patternString": "Packungen pro Tag"
},
{
"id": "Observation.component:packungenProTag.value[x].system",
"path": "Observation.component.value[x].system",
"patternUri": "https://www.medizininformatik-initiative.de/fhir/ext/modul-kardio/CodeSystem/mii-cs-kardio-rauchen-einheiten"
},
{
"id": "Observation.component:packungenProTag.value[x].code",
"path": "Observation.component.value[x].code",
"patternCode": "packs-per-day"
},
{
"id": "Observation.component:zigarettenProTag",
"path": "Observation.component",
"sliceName": "zigarettenProTag",
"min": 0,
"max": "*"
},
{
"id": "Observation.component:zigarettenProTag.code",
"path": "Observation.component.code",
"patternCodeableConcept": {
"coding": [
{
"code": "cigarettes-per-day",
"system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-kardio/CodeSystem/mii-cs-kardio-rauchen-einheiten"
}
]
}
},
{
"id": "Observation.component:zigarettenProTag.value[x]",
"path": "Observation.component.value[x]",
"type": [
{
"code": "integer"
}
]
},
{
"id": "Observation.component:rauchbeginn",
"path": "Observation.component",
"sliceName": "rauchbeginn",
"min": 0,
"max": "*"
},
{
"id": "Observation.component:rauchbeginn.code",
"path": "Observation.component.code",
"patternCodeableConcept": {
"coding": [
{
"code": "rauchbeginn",
"system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-kardio/CodeSystem/mii-cs-kardio-rauchen-einheiten"
}
]
}
},
{
"id": "Observation.component:rauchbeginn.value[x]",
"path": "Observation.component.value[x]",
"comment": "Die Angabe von 'fuzzy'-Datumsangaben mit nicht definiertem Monat oder Tag ist möglich.",
"type": [
{
"code": "dateTime"
}
]
},
{
"id": "Observation.component:rauchdauer",
"path": "Observation.component",
"sliceName": "rauchdauer",
"min": 0,
"max": "*"
},
{
"id": "Observation.component:rauchdauer.code",
"path": "Observation.component.code",
"patternCodeableConcept": {
"coding": [
{
"code": "rauchdauer",
"system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-kardio/CodeSystem/mii-cs-kardio-rauchen-einheiten"
}
]
}
},
{
"id": "Observation.component:rauchdauer.value[x]",
"path": "Observation.component.value[x]",
"type": [
{
"code": "Quantity"
}
]
},
{
"id": "Observation.component:rauchdauer.value[x].comparator",
"path": "Observation.component.value[x].comparator",
"mustSupport": true
},
{
"id": "Observation.component:rauchdauer.value[x].unit",
"path": "Observation.component.value[x].unit",
"patternString": "year"
},
{
"id": "Observation.component:rauchdauer.value[x].system",
"path": "Observation.component.value[x].system",
"patternUri": "http://unitsofmeasure.org"
},
{
"id": "Observation.component:rauchdauer.value[x].code",
"path": "Observation.component.value[x].code",
"patternCode": "a"
}
]
}
}
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