ErstdokumentationHI
type: StructureDefinition
node role: treeRoot
id:
  v: ErstdokumentationHI
text:
  status:
    v: extensions
  div: Generated Narrative: StructureDefinition ErstdokumentationHI Name Flags Card. Type Description & Constraints<img src="[binary]" alt="doco" style="background-color: inherit"/> ErstdokumentationHI 0..* Base Medizinische Datensätze - Erstdokumentation (im Rahmen der Erstabklärung erhoben/durchgeführt) #xD; VPNR 1..1 integer Vertragspartnernummer #xD; Untersuchungsdatum 1..1 date Untersuchungsdatum #xD; Patient 1..1 PatientHI Patient #xD; Erstabklaerung 1..1 BackboneElement Diagnostische Erstabklärung #xD; Untersuchung 1..1 boolean Spezifische körperliche Untersuchung #xD; Komorbiditaeten 1..1 BackboneElement Komorbiditäten #xD; KHK 1..1 boolean Koronare Herzkrankheit #xD; Diabetes 1..1 boolean Diabetes mellitus #xD; Hypertonie 1..1 boolean Hypertonie #xD; Herzvitien 1..1 boolean Herzvitien #xD; VHF 1..1 boolean Vorhofflimmern/-flattern #xD; CVS 1..1 boolean Cerebrovaskuläre Störungen #xD; Nieren 1..1 boolean Chronische Niereninsuffizienz #xD; COB 1..1 boolean Chronisch obstruktive Bronchitis #xD; COPD 1..1 boolean Chronisch obstruktive Lungenerkrankung #xD; Schlaf 1..1 boolean Schlafapnoesyndrom #xD; Depression 1..1 boolean Depression #xD; Anaemie 1..1 boolean Anämie #xD; Onko 1..1 boolean Onkologische Erkrankungen #xD; Kachexie 1..1 boolean Kachexie #xD; Schmerz 1..1 boolean Chronische Schmerzen #xD; EKG 1..1 boolean EKG (mit 12 Ableitungen) #xD; Echokardiogramm 1..1 boolean Echokardiographie/LVEF Messung #xD; <a href="StructureDefinition-ErstdokumentationHI-definitions.html#ErstdokumentationHI.Erstabklaerung.NTproBNP" title="Mit Blick auf die aktuelle Versorgungssituation muss festgehalten werden, dass die Bestimmung des#xA;NT-proBNP als wichtiger Parameter im Rahmen der Diagnostik sowie als wesentlicher Marker im Krankheitsverlauf für die Primärversorgung#xA;österreichweit nicht einheitlich geregelt ist. Auch in den CHI-Projekten gibt es unterschiedliche Vorgehensweisen. Die einheitliche#xA;Regelung in Bezug auf NT-proBNP ist unabdingbar und sollte entsprechend prio…
url:
  v: https://gabriel0316.github.io/ig-tooling-pages/ig/ig-tooling-test/StructureDefinition/ErstdokumentationHI
version:
  v: 0.5.3
name:
  v: ErstdokumentationHI
title:
  v: Medizinische Datensätze - Erstdokumentation (im Rahmen der Erstabklärung erhoben/durchgeführt)
status:
  v: draft
date:
  v: 2025-10-22T13:51:07+02:00
fhir version:
  v: 4.0.1
kind:
  v: logical
abstract:
  v: false
type:
  v: https://gabriel0316.github.io/ig-tooling-pages/ig/ig-tooling-test/StructureDefinition/ErstdokumentationHI
base definition:
  v: http://hl7.org/fhir/StructureDefinition/Base
  link: http://hl7.org/fhir/StructureDefinition/Base
derivation:
  v: specialization
snapshot:
  extension:
    url:
      v: http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version
    value: string
      v: 4.0.1
  element:
    id:
      v: ErstdokumentationHI
    path:
      v: ErstdokumentationHI
    short:
      v: Medizinische Datensätze - Erstdokumentation (im Rahmen der Erstabklärung erhoben/durchgeführt)
    definition:
      v: Medizinische Datensätze - Erstdokumentation (im Rahmen der Erstabklärung erhoben/durchgeführt)
    min:
      v: 0
    max:
      v: *
    base:
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    is modifier:
      v: false
  element:
    id:
      v: ErstdokumentationHI.VPNR
    path:
      v: ErstdokumentationHI.VPNR
    short:
      v: Vertragspartnernummer
    definition:
      v: Vertragspartnernummer
    min:
      v: 1
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      v: 1
    base:
      path:
        v: ErstdokumentationHI.VPNR
      min:
        v: 1
      max:
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    type:
      code:
        v: integer
  element:
    id:
      v: ErstdokumentationHI.Untersuchungsdatum
    path:
      v: ErstdokumentationHI.Untersuchungsdatum
    short:
      v: Untersuchungsdatum
    definition:
      v: Untersuchungsdatum
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      v: 1
    max:
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    base:
      path:
        v: ErstdokumentationHI.Untersuchungsdatum
      min:
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      max:
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    type:
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        v: date
  element:
    id:
      v: ErstdokumentationHI.Patient
    path:
      v: ErstdokumentationHI.Patient
    short:
      v: Patient
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      v: Patient
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    max:
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    base:
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        v: ErstdokumentationHI.Patient
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      max:
        v: 1
    type:
      code:
        v: https://gabriel0316.github.io/ig-tooling-pages/ig/ig-tooling-test/StructureDefinition/PatientHI
  element:
    id:
      v: ErstdokumentationHI.Erstabklaerung
    path:
      v: ErstdokumentationHI.Erstabklaerung
    short:
      v: Diagnostische Erstabklärung
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      v: Diagnostische Erstabklärung
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      v: 1
    max:
      v: 1
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      xpath:
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      source:
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        link: http://hl7.org/fhir/StructureDefinition/Element
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    path:
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    definition:
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      code:
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    is modifier:
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    is summary:
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    mapping:
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url
v: string

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path:
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short:
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definition:
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comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
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max:
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mapping:
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id:
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path:
  v: ErstdokumentationHI.Erstabklaerung.modifierExtension
short:
  v: Extensions that cannot be ignored even if unrecognized
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
requirements:
  v: Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
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    link: http://hl7.org/fhir/StructureDefinition/Extension
is modifier:
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  v: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
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id:
  v: ErstdokumentationHI.Erstabklaerung.Untersuchung
path:
  v: ErstdokumentationHI.Erstabklaerung.Untersuchung
short:
  v: Spezifische körperliche Untersuchung
definition:
  v: Spezifische körperliche Untersuchung
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type:
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    v: boolean

id:
  v: ErstdokumentationHI.Erstabklaerung.Komorbiditaeten
path:
  v: ErstdokumentationHI.Erstabklaerung.Komorbiditaeten
short:
  v: Komorbiditäten
definition:
  v: Komorbiditäten
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type:
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  source:
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    link: http://hl7.org/fhir/StructureDefinition/Element

id:
  v: ErstdokumentationHI.Erstabklaerung.Komorbiditaeten.id
path:
  v: ErstdokumentationHI.Erstabklaerung.Komorbiditaeten.id
representation:
  v: xmlAttr
short:
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definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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is modifier:
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is summary:
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mapping:
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id:
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path:
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slicing:
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short:
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definition:
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comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
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id:
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path:
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short:
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comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
requirements:
  v: Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
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mapping:
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id:
  v: ErstdokumentationHI.Erstabklaerung.Komorbiditaeten.KHK
path:
  v: ErstdokumentationHI.Erstabklaerung.Komorbiditaeten.KHK
short:
  v: Koronare Herzkrankheit
definition:
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id:
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path:
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type:
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id:
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id:
  v: ErstdokumentationHI.Erstabklaerung.Komorbiditaeten.Herzvitien
path:
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short:
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id:
  v: ErstdokumentationHI.Erstabklaerung.Komorbiditaeten.VHF
path:
  v: ErstdokumentationHI.Erstabklaerung.Komorbiditaeten.VHF
short:
  v: Vorhofflimmern/-flattern
definition:
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type:
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id:
  v: ErstdokumentationHI.Erstabklaerung.Komorbiditaeten.CVS
path:
  v: ErstdokumentationHI.Erstabklaerung.Komorbiditaeten.CVS
short:
  v: Cerebrovaskuläre Störungen
definition:
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type:
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id:
  v: ErstdokumentationHI.Erstabklaerung.Komorbiditaeten.Nieren
path:
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short:
  v: Chronische Niereninsuffizienz
definition:
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id:
  v: ErstdokumentationHI.Erstabklaerung.Komorbiditaeten.COB
path:
  v: ErstdokumentationHI.Erstabklaerung.Komorbiditaeten.COB
short:
  v: Chronisch obstruktive Bronchitis
definition:
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id:
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path:
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short:
  v: Chronisch obstruktive Lungenerkrankung
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type:
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id:
  v: ErstdokumentationHI.Erstabklaerung.Komorbiditaeten.Schlaf
path:
  v: ErstdokumentationHI.Erstabklaerung.Komorbiditaeten.Schlaf
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base:
  path:
    v: ErstdokumentationHI.Erstabklaerung.Komorbiditaeten.Schlaf
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: boolean

id:
  v: ErstdokumentationHI.Erstabklaerung.Komorbiditaeten.Depression
path:
  v: ErstdokumentationHI.Erstabklaerung.Komorbiditaeten.Depression
short:
  v: Depression
definition:
  v: Depression
min:
  v: 1
max:
  v: 1
base:
  path:
    v: ErstdokumentationHI.Erstabklaerung.Komorbiditaeten.Depression
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: boolean

id:
  v: ErstdokumentationHI.Erstabklaerung.Komorbiditaeten.Anaemie
path:
  v: ErstdokumentationHI.Erstabklaerung.Komorbiditaeten.Anaemie
short:
  v: Anämie
definition:
  v: Anämie
min:
  v: 1
max:
  v: 1
base:
  path:
    v: ErstdokumentationHI.Erstabklaerung.Komorbiditaeten.Anaemie
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: boolean

id:
  v: ErstdokumentationHI.Erstabklaerung.Komorbiditaeten.Onko
path:
  v: ErstdokumentationHI.Erstabklaerung.Komorbiditaeten.Onko
short:
  v: Onkologische Erkrankungen
definition:
  v: Onkologische Erkrankungen
min:
  v: 1
max:
  v: 1
base:
  path:
    v: ErstdokumentationHI.Erstabklaerung.Komorbiditaeten.Onko
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: boolean

id:
  v: ErstdokumentationHI.Erstabklaerung.Komorbiditaeten.Kachexie
path:
  v: ErstdokumentationHI.Erstabklaerung.Komorbiditaeten.Kachexie
short:
  v: Kachexie
definition:
  v: Kachexie
min:
  v: 1
max:
  v: 1
base:
  path:
    v: ErstdokumentationHI.Erstabklaerung.Komorbiditaeten.Kachexie
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: boolean

id:
  v: ErstdokumentationHI.Erstabklaerung.Komorbiditaeten.Schmerz
path:
  v: ErstdokumentationHI.Erstabklaerung.Komorbiditaeten.Schmerz
short:
  v: Chronische Schmerzen
definition:
  v: Chronische Schmerzen
min:
  v: 1
max:
  v: 1
base:
  path:
    v: ErstdokumentationHI.Erstabklaerung.Komorbiditaeten.Schmerz
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: boolean

id:
  v: ErstdokumentationHI.Erstabklaerung.EKG
path:
  v: ErstdokumentationHI.Erstabklaerung.EKG
short:
  v: EKG (mit 12 Ableitungen)
definition:
  v: EKG (mit 12 Ableitungen)
min:
  v: 1
max:
  v: 1
base:
  path:
    v: ErstdokumentationHI.Erstabklaerung.EKG
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: boolean

id:
  v: ErstdokumentationHI.Erstabklaerung.Echokardiogramm
path:
  v: ErstdokumentationHI.Erstabklaerung.Echokardiogramm
short:
  v: Echokardiographie/LVEF Messung
definition:
  v: Echokardiographie/LVEF Messung
min:
  v: 1
max:
  v: 1
base:
  path:
    v: ErstdokumentationHI.Erstabklaerung.Echokardiogramm
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: boolean

id:
  v: ErstdokumentationHI.Erstabklaerung.NTproBNP
path:
  v: ErstdokumentationHI.Erstabklaerung.NTproBNP
short:
  v: NT-proBNP
definition:
  v: Mit Blick auf die aktuelle Versorgungssituation muss festgehalten werden, dass die Bestimmung des NT-proBNP als wichtiger Parameter im Rahmen der Diagnostik sowie als wesentlicher Marker im Krankheitsverlauf für die Primärversorgung österreichweit nicht einheitlich geregelt ist. Auch in den CHI-Projekten gibt es unterschiedliche Vorgehensweisen. Die einheitliche Regelung in Bezug auf NT-proBNP ist unabdingbar und sollte entsprechend priorisiert werden.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ErstdokumentationHI.Erstabklaerung.NTproBNP
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string

id:
  v: ErstdokumentationHI.Erstabklaerung.Symptomatik
path:
  v: ErstdokumentationHI.Erstabklaerung.Symptomatik
short:
  v: Symptomatik/klinischer Status (NYHA I | NYHA II | NYHA III | NYHA IV)
definition:
  v: Symptomatik/klinischer Status (NYHA I | NYHA II | NYHA III | NYHA IV)
min:
  v: 1
max:
  v: 1
base:
  path:
    v: ErstdokumentationHI.Erstabklaerung.Symptomatik
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: CodeableConcept

id:
  v: ErstdokumentationHI.Erstabklaerung.Kardiologe
path:
  v: ErstdokumentationHI.Erstabklaerung.Kardiologe
short:
  v: Überweisung an Kardiologin bzw. Kardiologen im Rahmen der Erstdiagnose
definition:
  v: Der Begriff 'Kardiologe' wird hier der Einfachheit halber synonym für Fachärztin bzw. -arzt für Innere Medizin und Kardiologie (Ärzteausbildungsordnung 2015) bzw. Fachärztin bzw. -arzt für Innere Medizin mit Additivfach Kardiologie (Ärzteausbildungsordnung 2006) verwendet.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: ErstdokumentationHI.Erstabklaerung.Kardiologe
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: boolean

id:
  v: ErstdokumentationHI.Erstabklaerung.Diagnose
path:
  v: ErstdokumentationHI.Erstabklaerung.Diagnose
short:
  v: HFrEF | HFmrEF | HFpEF
definition:
  v: HFrEF | HFmrEF | HFpEF
min:
  v: 1
max:
  v: 1
base:
  path:
    v: ErstdokumentationHI.Erstabklaerung.Diagnose
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: CodeableConcept

id:
  v: ErstdokumentationHI.Erstabklaerung.Behandlungsziel
path:
  v: ErstdokumentationHI.Erstabklaerung.Behandlungsziel
short:
  v: 1 | 2 | 3a | 3b
definition:
  v: 1 | 2 | 3a | 3b
min:
  v: 1
max:
  v: 1
base:
  path:
    v: ErstdokumentationHI.Erstabklaerung.Behandlungsziel
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: CodeableConcept

id:
  v: ErstdokumentationHI.Labor
path:
  v: ErstdokumentationHI.Labor
short:
  v: Laborkontrolle entsprechend Betreuungspfad (mind. halbjährlich zu erheben)
definition:
  v: Laborkontrolle entsprechend Betreuungspfad (mind. halbjährlich zu erheben)
min:
  v: 1
max:
  v: 1
base:
  path:
    v: ErstdokumentationHI.Labor
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: date

id:
  v: ErstdokumentationHI.Therapie
path:
  v: ErstdokumentationHI.Therapie
short:
  v: Therapie
definition:
  v: Therapie
min:
  v: 1
max:
  v: 1
base:
  path:
    v: ErstdokumentationHI.Therapie
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: BackboneElement
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element

id:
  v: ErstdokumentationHI.Therapie.id
path:
  v: ErstdokumentationHI.Therapie.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
    value: url
      v: string
  code:
    v: http://hl7.org/fhirpath/System.String
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: ErstdokumentationHI.Therapie.extension
path:
  v: ErstdokumentationHI.Therapie.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: ErstdokumentationHI.Therapie.modifierExtension
path:
  v: ErstdokumentationHI.Therapie.modifierExtension
short:
  v: Extensions that cannot be ignored even if unrecognized
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
requirements:
  v: Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
alias:
  v: extensions
alias:
  v: user content
alias:
  v: modifiers
min:
  v: 0
max:
  v: *
base:
  path:
    v: BackboneElement.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
is modifier:
  v: true
is modifier reason:
  v: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: ErstdokumentationHI.Therapie.HITherapie
path:
  v: ErstdokumentationHI.Therapie.HITherapie
short:
  v: HI-spezifische Therapie
definition:
  v: HI-spezifische Therapie
min:
  v: 1
max:
  v: 1
base:
  path:
    v: ErstdokumentationHI.Therapie.HITherapie
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: BackboneElement
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element

id:
  v: ErstdokumentationHI.Therapie.HITherapie.id
path:
  v: ErstdokumentationHI.Therapie.HITherapie.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
    value: url
      v: string
  code:
    v: http://hl7.org/fhirpath/System.String
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: ErstdokumentationHI.Therapie.HITherapie.extension
path:
  v: ErstdokumentationHI.Therapie.HITherapie.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: ErstdokumentationHI.Therapie.HITherapie.modifierExtension
path:
  v: ErstdokumentationHI.Therapie.HITherapie.modifierExtension
short:
  v: Extensions that cannot be ignored even if unrecognized
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
requirements:
  v: Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
alias:
  v: extensions
alias:
  v: user content
alias:
  v: modifiers
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  v: 0
max:
  v: *
base:
  path:
    v: BackboneElement.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
is modifier:
  v: true
is modifier reason:
  v: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: ErstdokumentationHI.Therapie.HITherapie.Therapie
path:
  v: ErstdokumentationHI.Therapie.HITherapie.Therapie
short:
  v: Ja | Nein | Kontraindikation
definition:
  v: Ja | Nein | Kontraindikation
min:
  v: 1
max:
  v: 1
base:
  path:
    v: ErstdokumentationHI.Therapie.HITherapie.Therapie
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: CodeableConcept

id:
  v: ErstdokumentationHI.Therapie.HITherapie.Zieldosis
path:
  v: ErstdokumentationHI.Therapie.HITherapie.Zieldosis
short:
  v: Evidenzbasierte Zieldosis (Erreicht | Nicht erreicht | Titrationsphase | Max. tolerierte Dosis erreicht)
definition:
  v: Evidenzbasierte Zieldosis (Erreicht | Nicht erreicht | Titrationsphase | Max. tolerierte Dosis erreicht)
min:
  v: 1
max:
  v: 1
base:
  path:
    v: ErstdokumentationHI.Therapie.HITherapie.Zieldosis
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: CodeableConcept

id:
  v: ErstdokumentationHI.Therapie.Komedikation
path:
  v: ErstdokumentationHI.Therapie.Komedikation
short:
  v: Wesentliche Ko-Medikationen (Ja | Nein | Kontraindikation)
definition:
  v: Wesentliche Ko-Medikationen (Ja | Nein | Kontraindikation)
min:
  v: 1
max:
  v: 1
base:
  path:
    v: ErstdokumentationHI.Therapie.Komedikation
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: CodeableConcept

id:
  v: ErstdokumentationHI.Selbstmanagement
path:
  v: ErstdokumentationHI.Selbstmanagement
short:
  v: Selbstmanagement (SM)/Schulung
definition:
  v: Selbstmanagement (SM)/Schulung
min:
  v: 1
max:
  v: 1
base:
  path:
    v: ErstdokumentationHI.Selbstmanagement
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: BackboneElement
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element

id:
  v: ErstdokumentationHI.Selbstmanagement.id
path:
  v: ErstdokumentationHI.Selbstmanagement.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
    value: url
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    link: http://hl7.org/fhir/StructureDefinition/Element
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  map:
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id:
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comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
requirements:
  v: Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
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    link: http://hl7.org/fhir/StructureDefinition/Element
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  map:
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id:
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path:
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id:
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type:
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id:
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  v: Telemonitoring
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  v: Telemonitoring
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    v: All FHIR elements must have a @value or children
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  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element

id:
  v: ErstdokumentationHI.Selbstmanagement.TelemonitoringSchulung.id
path:
  v: ErstdokumentationHI.Selbstmanagement.TelemonitoringSchulung.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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  v: 1
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      v: string
  code:
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  v: false
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  v: false
mapping:
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  map:
    v: n/a

id:
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path:
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    path:
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  description:
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short:
  v: Additional content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
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    link: http://hl7.org/fhir/StructureDefinition/Element
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    link: http://hl7.org/fhir/StructureDefinition/Extension
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id:
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path:
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short:
  v: Extensions that cannot be ignored even if unrecognized
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  v: May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
requirements:
  v: Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
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  v: user content
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    v: hasValue() or (children().count() > id.count())
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  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
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    v: ext-1
  severity:
    v: error
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    v: Must have either extensions or value[x], not both
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    link: http://hl7.org/fhir/StructureDefinition/Extension
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is summary:
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id:
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path:
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id:
  v: ErstdokumentationHI.Selbstmanagement.TelemonitoringSchulung.Datum
path:
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short:
  v: Datum der Schulung
definition:
  v: Datum der Schulung
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  v: 1
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  v: 1
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    v: ErstdokumentationHI.Selbstmanagement.TelemonitoringSchulung.Datum
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type:
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    v: date

id:
  v: ErstdokumentationHI.Lebensqualitaet
path:
  v: ErstdokumentationHI.Lebensqualitaet
short:
  v: Fragebogen Lebensqualität EQ-5D (jährlich zu erheben ab Einschreibung) (5-stelliger Code)
definition:
  v: Fragebogen Lebensqualität EQ-5D (jährlich zu erheben ab Einschreibung) (5-stelliger Code)
min:
  v: 1
max:
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type:
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element:
  id:
    v: ErstdokumentationHI
  path:
    v: ErstdokumentationHI
  short:
    v: Medizinische Datensätze - Erstdokumentation (im Rahmen der Erstabklärung erhoben/durchgeführt)
  definition:
    v: Medizinische Datensätze - Erstdokumentation (im Rahmen der Erstabklärung erhoben/durchgeführt)
element:
  id:
    v: ErstdokumentationHI.VPNR
  path:
    v: ErstdokumentationHI.VPNR
  short:
    v: Vertragspartnernummer
  definition:
    v: Vertragspartnernummer
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    v: 1
  max:
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  type:
    code:
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element:
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    v: ErstdokumentationHI.Untersuchungsdatum
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    v: Untersuchungsdatum
  definition:
    v: Untersuchungsdatum
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  type:
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element:
  id:
    v: ErstdokumentationHI.Patient
  path:
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  short:
    v: Patient
  definition:
    v: Patient
  min:
    v: 1
  max:
    v: 1
  type:
    code:
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element:
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    v: ErstdokumentationHI.Erstabklaerung
  path:
    v: ErstdokumentationHI.Erstabklaerung
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    v: Diagnostische Erstabklärung
  definition:
    v: Diagnostische Erstabklärung
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    v: 1
  max:
    v: 1
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element:
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  short:
    v: Spezifische körperliche Untersuchung
  definition:
    v: Spezifische körperliche Untersuchung
  min:
    v: 1
  max:
    v: 1
  type:
    code:
      v: boolean
element:
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    v: ErstdokumentationHI.Erstabklaerung.Komorbiditaeten
  short:
    v: Komorbiditäten
  definition:
    v: Komorbiditäten
  min:
    v: 1
  max:
    v: 1
  type:
    code:
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element:
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    v: ErstdokumentationHI.Erstabklaerung.Komorbiditaeten.KHK
  path:
    v: ErstdokumentationHI.Erstabklaerung.Komorbiditaeten.KHK
  short:
    v: Koronare Herzkrankheit
  definition:
    v: Koronare Herzkrankheit
  min:
    v: 1
  max:
    v: 1
  type:
    code:
      v: boolean
element:
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  path:
    v: ErstdokumentationHI.Erstabklaerung.Komorbiditaeten.Diabetes
  short:
    v: Diabetes mellitus
  definition:
    v: Diabetes mellitus
  min:
    v: 1
  max:
    v: 1
  type:
    code:
      v: boolean
element:
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    v: ErstdokumentationHI.Erstabklaerung.Komorbiditaeten.Hypertonie
  path:
    v: ErstdokumentationHI.Erstabklaerung.Komorbiditaeten.Hypertonie
  short:
    v: Hypertonie
  definition:
    v: Hypertonie
  min:
    v: 1
  max:
    v: 1
  type:
    code:
      v: boolean
element:
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    v: ErstdokumentationHI.Erstabklaerung.Komorbiditaeten.Herzvitien
  path:
    v: ErstdokumentationHI.Erstabklaerung.Komorbiditaeten.Herzvitien
  short:
    v: Herzvitien
  definition:
    v: Herzvitien
  min:
    v: 1
  max:
    v: 1
  type:
    code:
      v: boolean
element:
  id:
    v: ErstdokumentationHI.Erstabklaerung.Komorbiditaeten.VHF
  path:
    v: ErstdokumentationHI.Erstabklaerung.Komorbiditaeten.VHF
  short:
    v: Vorhofflimmern/-flattern
  definition:
    v: Vorhofflimmern/-flattern
  min:
    v: 1
  max:
    v: 1
  type:
    code:
      v: boolean
element:
  id:
    v: ErstdokumentationHI.Erstabklaerung.Komorbiditaeten.CVS
  path:
    v: ErstdokumentationHI.Erstabklaerung.Komorbiditaeten.CVS
  short:
    v: Cerebrovaskuläre Störungen
  definition:
    v: Cerebrovaskuläre Störungen
  min:
    v: 1
  max:
    v: 1
  type:
    code:
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id:
  v: ErstdokumentationHI.Erstabklaerung.Komorbiditaeten.Nieren
path:
  v: ErstdokumentationHI.Erstabklaerung.Komorbiditaeten.Nieren
short:
  v: Chronische Niereninsuffizienz
definition:
  v: Chronische Niereninsuffizienz
min:
  v: 1
max:
  v: 1
type:
  code:
    v: boolean

id:
  v: ErstdokumentationHI.Erstabklaerung.Komorbiditaeten.COB
path:
  v: ErstdokumentationHI.Erstabklaerung.Komorbiditaeten.COB
short:
  v: Chronisch obstruktive Bronchitis
definition:
  v: Chronisch obstruktive Bronchitis
min:
  v: 1
max:
  v: 1
type:
  code:
    v: boolean

id:
  v: ErstdokumentationHI.Erstabklaerung.Komorbiditaeten.COPD
path:
  v: ErstdokumentationHI.Erstabklaerung.Komorbiditaeten.COPD
short:
  v: Chronisch obstruktive Lungenerkrankung
definition:
  v: Chronisch obstruktive Lungenerkrankung
min:
  v: 1
max:
  v: 1
type:
  code:
    v: boolean

id:
  v: ErstdokumentationHI.Erstabklaerung.Komorbiditaeten.Schlaf
path:
  v: ErstdokumentationHI.Erstabklaerung.Komorbiditaeten.Schlaf
short:
  v: Schlafapnoesyndrom
definition:
  v: Schlafapnoesyndrom
min:
  v: 1
max:
  v: 1
type:
  code:
    v: boolean

id:
  v: ErstdokumentationHI.Erstabklaerung.Komorbiditaeten.Depression
path:
  v: ErstdokumentationHI.Erstabklaerung.Komorbiditaeten.Depression
short:
  v: Depression
definition:
  v: Depression
min:
  v: 1
max:
  v: 1
type:
  code:
    v: boolean

id:
  v: ErstdokumentationHI.Erstabklaerung.Komorbiditaeten.Anaemie
path:
  v: ErstdokumentationHI.Erstabklaerung.Komorbiditaeten.Anaemie
short:
  v: Anämie
definition:
  v: Anämie
min:
  v: 1
max:
  v: 1
type:
  code:
    v: boolean

id:
  v: ErstdokumentationHI.Erstabklaerung.Komorbiditaeten.Onko
path:
  v: ErstdokumentationHI.Erstabklaerung.Komorbiditaeten.Onko
short:
  v: Onkologische Erkrankungen
definition:
  v: Onkologische Erkrankungen
min:
  v: 1
max:
  v: 1
type:
  code:
    v: boolean

id:
  v: ErstdokumentationHI.Erstabklaerung.Komorbiditaeten.Kachexie
path:
  v: ErstdokumentationHI.Erstabklaerung.Komorbiditaeten.Kachexie
short:
  v: Kachexie
definition:
  v: Kachexie
min:
  v: 1
max:
  v: 1
type:
  code:
    v: boolean

id:
  v: ErstdokumentationHI.Erstabklaerung.Komorbiditaeten.Schmerz
path:
  v: ErstdokumentationHI.Erstabklaerung.Komorbiditaeten.Schmerz
short:
  v: Chronische Schmerzen
definition:
  v: Chronische Schmerzen
min:
  v: 1
max:
  v: 1
type:
  code:
    v: boolean

id:
  v: ErstdokumentationHI.Erstabklaerung.EKG
path:
  v: ErstdokumentationHI.Erstabklaerung.EKG
short:
  v: EKG (mit 12 Ableitungen)
definition:
  v: EKG (mit 12 Ableitungen)
min:
  v: 1
max:
  v: 1
type:
  code:
    v: boolean

id:
  v: ErstdokumentationHI.Erstabklaerung.Echokardiogramm
path:
  v: ErstdokumentationHI.Erstabklaerung.Echokardiogramm
short:
  v: Echokardiographie/LVEF Messung
definition:
  v: Echokardiographie/LVEF Messung
min:
  v: 1
max:
  v: 1
type:
  code:
    v: boolean

id:
  v: ErstdokumentationHI.Erstabklaerung.NTproBNP
path:
  v: ErstdokumentationHI.Erstabklaerung.NTproBNP
short:
  v: NT-proBNP
definition:
  v: Mit Blick auf die aktuelle Versorgungssituation muss festgehalten werden, dass die Bestimmung des NT-proBNP als wichtiger Parameter im Rahmen der Diagnostik sowie als wesentlicher Marker im Krankheitsverlauf für die Primärversorgung österreichweit nicht einheitlich geregelt ist. Auch in den CHI-Projekten gibt es unterschiedliche Vorgehensweisen. Die einheitliche Regelung in Bezug auf NT-proBNP ist unabdingbar und sollte entsprechend priorisiert werden.
min:
  v: 0
max:
  v: 1
type:
  code:
    v: string

id:
  v: ErstdokumentationHI.Erstabklaerung.Symptomatik
path:
  v: ErstdokumentationHI.Erstabklaerung.Symptomatik
short:
  v: Symptomatik/klinischer Status (NYHA I | NYHA II | NYHA III | NYHA IV)
definition:
  v: Symptomatik/klinischer Status (NYHA I | NYHA II | NYHA III | NYHA IV)
min:
  v: 1
max:
  v: 1
type:
  code:
    v: CodeableConcept

id:
  v: ErstdokumentationHI.Erstabklaerung.Kardiologe
path:
  v: ErstdokumentationHI.Erstabklaerung.Kardiologe
short:
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definition:
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