FHIR IG Statistics: StructureDefinition/KBV_PR_AW_Observation_Anamnese
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{
"resourceType": "StructureDefinition",
"url": "https://fhir.kbv.de/StructureDefinition/KBV_PR_AW_Observation_Anamnese",
"version": "1.2.0",
"name": "KBV_PR_AW_Observation_Anamnese",
"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": "Anamnese",
"definition": "In dieser Ressource wird die generische Form einer Anamnese abgebilet. Es kann eine Freitext hinterlegt 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_Anamnese|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",
"max": "0"
},
{
"id": "Observation.code",
"path": "Observation.code",
"short": "Observation Anamnese",
"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": "Anamnese",
"min": 1,
"fixedCode": "Anamnese"
},
{
"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.valueString",
"sliceName": "valueString",
"short": "Beschreibung",
"definition": "Beschreibung des Inhalts der anamnestischen Dokumentation",
"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",
"max": "0"
}
]
}
}
FHIR