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Source1
{
"resourceType": "StructureDefinition",
"id": "KBV-PR-Base-Observation-Apgar-Score",
"url": "https://fhir.kbv.de/StructureDefinition/KBV_PR_Base_Observation_Apgar_Score",
"version": "1.7.0",
"name": "KBV_PR_Base_Observation_Apgar_Score",
"status": "active",
"date": "2024-10-24",
"description": "Dieses Profil bildet einen Apgar-Score ab.",
"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",
"short": "Apgar-Score",
"definition": "Dieses Element beschreibt die Dokumentation eines einzelnen Apgar-Score zu einem definierten Zeitpunkt nach Geburt. Hierbei wird in diesem Basisprofil nur der Gesamt-Apgar-Score modelliert und nicht die einzelnen Teilkomponenten Aussehen, Puls, Gesichtsbewegungen, Aktivität und Respiration."
},
{
"id": "Observation.status",
"path": "Observation.status",
"definition": "Hier wird der Status des Eintrages als Code angegeben."
},
{
"id": "Observation.code",
"path": "Observation.code",
"definition": "In diesem Element werden Angaben zum Apgar-Score gemacht. Diese werden als codierte Information und/oder als Freitext angegeben."
},
{
"id": "Observation.code.coding",
"path": "Observation.code.coding",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "$this"
}
],
"rules": "open"
},
"definition": "Hier wird ein Code aus einem geeigneten Code-System angegeben.",
"min": 2
},
{
"id": "Observation.code.coding:snomed",
"path": "Observation.code.coding",
"sliceName": "snomed",
"definition": "In diesem Element wird der Code für den Apgar-Score als SNOMED CT®-Code aus der vorgegebenen Werteliste angegeben, inklusive Anzeigename (Display Name) sowie Name und Version des Code-Systems.",
"min": 1,
"max": "1",
"binding": {
"strength": "required",
"valueSet": "https://fhir.kbv.de/ValueSet/KBV_VS_Base_Apgar_Score_Identifier_SNOMED_CT"
}
},
{
"id": "Observation.code.coding:snomed.system",
"path": "Observation.code.coding.system",
"min": 1
},
{
"id": "Observation.code.coding:snomed.version",
"path": "Observation.code.coding.version",
"min": 1
},
{
"id": "Observation.code.coding:snomed.code",
"path": "Observation.code.coding.code",
"min": 1
},
{
"id": "Observation.code.coding:snomed.display",
"path": "Observation.code.coding.display",
"min": 1
},
{
"id": "Observation.code.coding:loinc",
"path": "Observation.code.coding",
"sliceName": "loinc",
"definition": "In diesem Element wird der Code für den Apgar-Score als LOINC®-Code aus der vorgegebenen Werteliste angegeben, inklusive Anzeigename (Display Name) sowie Name und Version des Code-Systems.",
"min": 1,
"max": "1",
"binding": {
"strength": "required",
"valueSet": "https://fhir.kbv.de/ValueSet/KBV_VS_Base_Apgar_Score_Identifier_LOINC"
}
},
{
"id": "Observation.code.coding:loinc.system",
"path": "Observation.code.coding.system",
"min": 1
},
{
"id": "Observation.code.coding:loinc.version",
"path": "Observation.code.coding.version",
"min": 1
},
{
"id": "Observation.code.coding:loinc.code",
"path": "Observation.code.coding.code",
"min": 1
},
{
"id": "Observation.code.coding:loinc.display",
"path": "Observation.code.coding.display",
"min": 1
},
{
"id": "Observation.code.text",
"path": "Observation.code.text",
"definition": "Hier wird ein Freitext eingetragen."
},
{
"id": "Observation.subject",
"path": "Observation.subject",
"min": 1,
"type": [
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/Patient",
"http://hl7.org/fhir/StructureDefinition/Group",
"http://hl7.org/fhir/StructureDefinition/Device",
"http://hl7.org/fhir/StructureDefinition/Location",
"https://fhir.kbv.de/StructureDefinition/KBV_PR_Base_Patient|1.7.0",
"https://fhir.kbv.de/StructureDefinition/KBV_PR_Base_Device|1.7.0"
]
}
]
},
{
"id": "Observation.focus",
"path": "Observation.focus",
"max": "0"
},
{
"id": "Observation.effective[x]",
"path": "Observation.effective[x]",
"definition": "Beschreibt den absoluten Zeitpunkt der Bestimmung des Apgar-Scores.",
"type": [
{
"code": "dateTime"
}
]
},
{
"id": "Observation.value[x]",
"path": "Observation.value[x]",
"slicing": {
"discriminator": [
{
"type": "type",
"path": "$this"
}
],
"rules": "closed"
},
"type": [
{
"code": "CodeableConcept"
}
]
},
{
"id": "Observation.value[x]:valueCodeableConcept",
"path": "Observation.value[x]",
"sliceName": "valueCodeableConcept",
"definition": "Enthält die numerische Angabe des Gesamt-Apgar-Scores in Form eines SNOMED CT®-Codes.",
"min": 0,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
],
"binding": {
"strength": "required",
"valueSet": "https://fhir.kbv.de/ValueSet/KBV_VS_Base_Apgar_Score_Value"
}
},
{
"id": "Observation.value[x]:valueCodeableConcept.coding",
"path": "Observation.value[x].coding",
"min": 1,
"max": "1"
},
{
"id": "Observation.value[x]:valueCodeableConcept.coding.system",
"path": "Observation.value[x].coding.system",
"min": 1
},
{
"id": "Observation.value[x]:valueCodeableConcept.coding.version",
"path": "Observation.value[x].coding.version",
"min": 1
},
{
"id": "Observation.value[x]:valueCodeableConcept.coding.code",
"path": "Observation.value[x].coding.code",
"min": 1
},
{
"id": "Observation.value[x]:valueCodeableConcept.coding.display",
"path": "Observation.value[x].coding.display",
"min": 1
},
{
"id": "Observation.note",
"path": "Observation.note",
"definition": "Hier werden ergänzende freitextliche Kommentare und Notizen vorgenommen, die nicht durch die strukturierten Datenelemente erfassbar sind."
},
{
"id": "Observation.note.author[x]",
"path": "Observation.note.author[x]",
"slicing": {
"discriminator": [
{
"type": "type",
"path": "$this"
}
],
"rules": "open"
},
"definition": "Hier wird die Person angegeben, die die Notiz erstellt hat."
},
{
"id": "Observation.note.author[x]:authorReference",
"path": "Observation.note.author[x]",
"sliceName": "authorReference",
"definition": "Hier wird die Person, die die Notiz erstellt hat, referenziert.",
"min": 0,
"max": "1",
"type": [
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/Practitioner",
"http://hl7.org/fhir/StructureDefinition/Patient",
"http://hl7.org/fhir/StructureDefinition/RelatedPerson",
"http://hl7.org/fhir/StructureDefinition/Organization",
"https://fhir.kbv.de/StructureDefinition/KBV_PR_Base_Organization|1.7.0",
"https://fhir.kbv.de/StructureDefinition/KBV_PR_Base_RelatedPerson|1.7.0",
"https://fhir.kbv.de/StructureDefinition/KBV_PR_Base_Practitioner|1.7.0",
"https://fhir.kbv.de/StructureDefinition/KBV_PR_Base_Patient|1.7.0"
]
}
]
},
{
"id": "Observation.note.author[x]:authorString",
"path": "Observation.note.author[x]",
"sliceName": "authorString",
"definition": "Hier wird die Person, die die Notiz erstellt hat, referenziert.",
"min": 0,
"max": "1",
"type": [
{
"code": "string"
}
]
},
{
"id": "Observation.note.time",
"path": "Observation.note.time",
"definition": "Hier wird der Zeitpunkt angegeben, zu dem die Notiz erstellt wurde."
},
{
"id": "Observation.note.text",
"path": "Observation.note.text",
"definition": "Hier wird der eigentliche Text der Notiz eingetragen."
},
{
"id": "Observation.bodySite",
"path": "Observation.bodySite",
"max": "0"
},
{
"id": "Observation.specimen",
"path": "Observation.specimen",
"max": "0"
},
{
"id": "Observation.device",
"path": "Observation.device",
"max": "0"
},
{
"id": "Observation.component",
"path": "Observation.component",
"max": "0"
}
]
}
}
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