THIS IS A DRAFT IG!
0.4.0 - ballot
0.4.0 - ballot
This page is part of the IG Tooling by GKL (v0.4.0: DSTU 1) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 0.2.0. For a full list of available versions, see the Directory of published versions
| Official URL: https://gabriel0316.github.io/ig-tooling-pages/ig/ig-tooling/StructureDefinition/ErstdokumentationHI | Version: 0.4.0 | |||
| Draft as of 2025-02-28 | Computable Name: ErstdokumentationHI | |||
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  ErstdokumentationHI |
0..* | Base | Medizinische Datensätze - Erstdokumentation (im Rahmen der Erstabklärung erhoben/durchgeführt) | |
  VPNR |
1..1 | integer | Vertragspartnernummer | |
| Untersuchungsdatum |
1..1 | date | Untersuchungsdatum | |
 Patient |
1..1 | PatientHI | Patient | |
  Erstabklaerung |
1..1 | BackboneElement | Diagnostische Erstabklärung ele-1: All FHIR elements must have a @value or children | |
 @id |
0..1 | string | Unique id for inter-element referencing | |
 extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
 modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| Untersuchung |
1..1 | boolean | Spezifische körperliche Untersuchung | |
| Komorbiditaeten |
1..1 | BackboneElement | Komorbiditäten ele-1: All FHIR elements must have a @value or children | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| KHK |
1..1 | boolean | Koronare Herzkrankheit | |
| Diabetes |
1..1 | boolean | Diabetes mellitus | |
| Hypertonie |
1..1 | boolean | Hypertonie | |
| Herzvitien |
1..1 | boolean | Herzvitien | |
| VHF |
1..1 | boolean | Vorhofflimmern/-flattern | |
| CVS |
1..1 | boolean | Cerebrovaskuläre Störungen | |
| Nieren |
1..1 | boolean | Chronische Niereninsuffizienz | |
| COB |
1..1 | boolean | Chronisch obstruktive Bronchitis | |
| COPD |
1..1 | boolean | Chronisch obstruktive Lungenerkrankung | |
| Schlaf |
1..1 | boolean | Schlafapnoesyndrom | |
| Depression |
1..1 | boolean | Depression | |
| Anaemie |
1..1 | boolean | Anämie | |
| Onko |
1..1 | boolean | Onkologische Erkrankungen | |
| Kachexie |
1..1 | boolean | Kachexie | |
 Schmerz |
1..1 | boolean | Chronische Schmerzen | |
| EKG |
1..1 | boolean | EKG (mit 12 Ableitungen) | |
| Echokardiogramm |
1..1 | boolean | Echokardiographie/LVEF Messung | |
| NTproBNP |
0..1 | string | NT-proBNP | |
| Symptomatik |
1..1 | CodeableConcept | Symptomatik/klinischer Status (NYHA I | NYHA II | NYHA III | NYHA IV) | |
| Kardiologe |
1..1 | boolean | Überweisung an Kardiologin bzw. Kardiologen im Rahmen der Erstdiagnose | |
| Diagnose |
1..1 | CodeableConcept | HFrEF | HFmrEF | HFpEF | |
| Behandlungsziel |
1..1 | CodeableConcept | 1 | 2 | 3a | 3b | |
| Labor |
1..1 | date | Laborkontrolle entsprechend Betreuungspfad (mind. halbjährlich zu erheben) | |
| Therapie |
1..1 | BackboneElement | Therapie ele-1: All FHIR elements must have a @value or children | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| HITherapie |
1..1 | BackboneElement | HI-spezifische Therapie ele-1: All FHIR elements must have a @value or children | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| Therapie |
1..1 | CodeableConcept | Ja | Nein | Kontraindikation | |
| Zieldosis |
1..1 | CodeableConcept | Evidenzbasierte Zieldosis (Erreicht | Nicht erreicht | Titrationsphase | Max. tolerierte Dosis erreicht) | |
| Komedikation |
1..1 | CodeableConcept | Wesentliche Ko-Medikationen (Ja | Nein | Kontraindikation) | |
| Selbstmanagement |
1..1 | BackboneElement | Selbstmanagement (SM)/Schulung ele-1: All FHIR elements must have a @value or children | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| Ressourcen |
1..1 | CodeableConcept | Ressourcen der Patienten/Angehörigen (Selbstmanagement möglich (regelmäßiges Monitoring wichtiger Parameter) | prinzipiell Selbstmanagement (Überprüfung in definierten Zeitintervallen) | Kontinuierliche Supervision) | |
| Betreuung |
1..1 | string | Betreuungssituation (Angehörige, Pflege, Heimhilfe etc.) | |
| DMPSchulung |
1..1 | BackboneElement | DM(P)-spezifische Patientenschulung ele-1: All FHIR elements must have a @value or children | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| absolviert |
1..1 | boolean | absolviert | |
| Datum |
1..1 | date | Datum der Schulung | |
| GewichtSchulung |
1..1 | BackboneElement | Schulung zur Überwachung des Gewichts ele-1: All FHIR elements must have a @value or children | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| absolviert |
1..1 | CodeableConcept | Ja | Nein | Nicht erforderlich | |
| Datum |
1..1 | date | Datum der Schulung | |
| ImpfungBeratung |
1..1 | BackboneElement | Beratung über Impfungen (Grippe, Pneumokokken) ele-1: All FHIR elements must have a @value or children | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| absolviert |
1..1 | CodeableConcept | Ja | Nein | Nicht erforderlich | |
| Datum |
1..1 | date | Datum der Beratung | |
 TelemonitoringSchulung |
1..1 | BackboneElement | Telemonitoring ele-1: All FHIR elements must have a @value or children | |
 @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| absolviert |
1..1 | CodeableConcept | Ja | Nein | Nicht erforderlich | |
| Datum |
1..1 | date | Datum der Schulung | |
| Lebensqualitaet |
1..1 | code | Fragebogen Lebensqualität EQ-5D (jährlich zu erheben ab Einschreibung) (5-stelliger Code) | |
| Documentation for this format | ||||
| Id | Grade | Path(s) | Details | Requirements |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from Base
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| ErstdokumentationHI |
0..* | Base | Medizinische Datensätze - Erstdokumentation (im Rahmen der Erstabklärung erhoben/durchgeführt) | |
| VPNR |
1..1 | integer | Vertragspartnernummer | |
| Untersuchungsdatum |
1..1 | date | Untersuchungsdatum | |
| Patient |
1..1 | PatientHI | Patient | |
| Erstabklaerung |
1..1 | BackboneElement | Diagnostische Erstabklärung | |
| Untersuchung |
1..1 | boolean | Spezifische körperliche Untersuchung | |
| Komorbiditaeten |
1..1 | BackboneElement | Komorbiditäten | |
| KHK |
1..1 | boolean | Koronare Herzkrankheit | |
| Diabetes |
1..1 | boolean | Diabetes mellitus | |
| Hypertonie |
1..1 | boolean | Hypertonie | |
| Herzvitien |
1..1 | boolean | Herzvitien | |
| VHF |
1..1 | boolean | Vorhofflimmern/-flattern | |
| CVS |
1..1 | boolean | Cerebrovaskuläre Störungen | |
| Nieren |
1..1 | boolean | Chronische Niereninsuffizienz | |
| COB |
1..1 | boolean | Chronisch obstruktive Bronchitis | |
| COPD |
1..1 | boolean | Chronisch obstruktive Lungenerkrankung | |
| Schlaf |
1..1 | boolean | Schlafapnoesyndrom | |
| Depression |
1..1 | boolean | Depression | |
| Anaemie |
1..1 | boolean | Anämie | |
| Onko |
1..1 | boolean | Onkologische Erkrankungen | |
| Kachexie |
1..1 | boolean | Kachexie | |
| Schmerz |
1..1 | boolean | Chronische Schmerzen | |
| EKG |
1..1 | boolean | EKG (mit 12 Ableitungen) | |
| Echokardiogramm |
1..1 | boolean | Echokardiographie/LVEF Messung | |
| NTproBNP |
0..1 | string | NT-proBNP | |
| Symptomatik |
1..1 | CodeableConcept | Symptomatik/klinischer Status (NYHA I | NYHA II | NYHA III | NYHA IV) | |
| Kardiologe |
1..1 | boolean | Überweisung an Kardiologin bzw. Kardiologen im Rahmen der Erstdiagnose | |
| Diagnose |
1..1 | CodeableConcept | HFrEF | HFmrEF | HFpEF | |
| Behandlungsziel |
1..1 | CodeableConcept | 1 | 2 | 3a | 3b | |
| Labor |
1..1 | date | Laborkontrolle entsprechend Betreuungspfad (mind. halbjährlich zu erheben) | |
| Therapie |
1..1 | BackboneElement | Therapie | |
| HITherapie |
1..1 | BackboneElement | HI-spezifische Therapie | |
| Therapie |
1..1 | CodeableConcept | Ja | Nein | Kontraindikation | |
| Zieldosis |
1..1 | CodeableConcept | Evidenzbasierte Zieldosis (Erreicht | Nicht erreicht | Titrationsphase | Max. tolerierte Dosis erreicht) | |
| Komedikation |
1..1 | CodeableConcept | Wesentliche Ko-Medikationen (Ja | Nein | Kontraindikation) | |
| Selbstmanagement |
1..1 | BackboneElement | Selbstmanagement (SM)/Schulung | |
| Ressourcen |
1..1 | CodeableConcept | Ressourcen der Patienten/Angehörigen (Selbstmanagement möglich (regelmäßiges Monitoring wichtiger Parameter) | prinzipiell Selbstmanagement (Überprüfung in definierten Zeitintervallen) | Kontinuierliche Supervision) | |
| Betreuung |
1..1 | string | Betreuungssituation (Angehörige, Pflege, Heimhilfe etc.) | |
| DMPSchulung |
1..1 | BackboneElement | DM(P)-spezifische Patientenschulung | |
| absolviert |
1..1 | boolean | absolviert | |
| Datum |
1..1 | date | Datum der Schulung | |
| GewichtSchulung |
1..1 | BackboneElement | Schulung zur Überwachung des Gewichts | |
| absolviert |
1..1 | CodeableConcept | Ja | Nein | Nicht erforderlich | |
| Datum |
1..1 | date | Datum der Schulung | |
| ImpfungBeratung |
1..1 | BackboneElement | Beratung über Impfungen (Grippe, Pneumokokken) | |
| absolviert |
1..1 | CodeableConcept | Ja | Nein | Nicht erforderlich | |
| Datum |
1..1 | date | Datum der Beratung | |
| TelemonitoringSchulung |
1..1 | BackboneElement | Telemonitoring | |
| absolviert |
1..1 | CodeableConcept | Ja | Nein | Nicht erforderlich | |
| Datum |
1..1 | date | Datum der Schulung | |
| Lebensqualitaet |
1..1 | code | Fragebogen Lebensqualität EQ-5D (jährlich zu erheben ab Einschreibung) (5-stelliger Code) | |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| ErstdokumentationHI |
0..* | Base | Medizinische Datensätze - Erstdokumentation (im Rahmen der Erstabklärung erhoben/durchgeführt) | |
| VPNR |
1..1 | integer | Vertragspartnernummer | |
| Untersuchungsdatum |
1..1 | date | Untersuchungsdatum | |
| Patient |
1..1 | PatientHI | Patient | |
| Erstabklaerung |
1..1 | BackboneElement | Diagnostische Erstabklärung | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Untersuchung |
1..1 | boolean | Spezifische körperliche Untersuchung | |
| Komorbiditaeten |
1..1 | BackboneElement | Komorbiditäten | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| KHK |
1..1 | boolean | Koronare Herzkrankheit | |
| Diabetes |
1..1 | boolean | Diabetes mellitus | |
| Hypertonie |
1..1 | boolean | Hypertonie | |
| Herzvitien |
1..1 | boolean | Herzvitien | |
| VHF |
1..1 | boolean | Vorhofflimmern/-flattern | |
| CVS |
1..1 | boolean | Cerebrovaskuläre Störungen | |
| Nieren |
1..1 | boolean | Chronische Niereninsuffizienz | |
| COB |
1..1 | boolean | Chronisch obstruktive Bronchitis | |
| COPD |
1..1 | boolean | Chronisch obstruktive Lungenerkrankung | |
| Schlaf |
1..1 | boolean | Schlafapnoesyndrom | |
| Depression |
1..1 | boolean | Depression | |
| Anaemie |
1..1 | boolean | Anämie | |
| Onko |
1..1 | boolean | Onkologische Erkrankungen | |
| Kachexie |
1..1 | boolean | Kachexie | |
| Schmerz |
1..1 | boolean | Chronische Schmerzen | |
| EKG |
1..1 | boolean | EKG (mit 12 Ableitungen) | |
| Echokardiogramm |
1..1 | boolean | Echokardiographie/LVEF Messung | |
| NTproBNP |
0..1 | string | NT-proBNP | |
| Symptomatik |
1..1 | CodeableConcept | Symptomatik/klinischer Status (NYHA I | NYHA II | NYHA III | NYHA IV) | |
| Kardiologe |
1..1 | boolean | Überweisung an Kardiologin bzw. Kardiologen im Rahmen der Erstdiagnose | |
| Diagnose |
1..1 | CodeableConcept | HFrEF | HFmrEF | HFpEF | |
| Behandlungsziel |
1..1 | CodeableConcept | 1 | 2 | 3a | 3b | |
| Labor |
1..1 | date | Laborkontrolle entsprechend Betreuungspfad (mind. halbjährlich zu erheben) | |
| Therapie |
1..1 | BackboneElement | Therapie | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| HITherapie |
1..1 | BackboneElement | HI-spezifische Therapie | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Therapie |
1..1 | CodeableConcept | Ja | Nein | Kontraindikation | |
| Zieldosis |
1..1 | CodeableConcept | Evidenzbasierte Zieldosis (Erreicht | Nicht erreicht | Titrationsphase | Max. tolerierte Dosis erreicht) | |
| Komedikation |
1..1 | CodeableConcept | Wesentliche Ko-Medikationen (Ja | Nein | Kontraindikation) | |
| Selbstmanagement |
1..1 | BackboneElement | Selbstmanagement (SM)/Schulung | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Ressourcen |
1..1 | CodeableConcept | Ressourcen der Patienten/Angehörigen (Selbstmanagement möglich (regelmäßiges Monitoring wichtiger Parameter) | prinzipiell Selbstmanagement (Überprüfung in definierten Zeitintervallen) | Kontinuierliche Supervision) | |
| Betreuung |
1..1 | string | Betreuungssituation (Angehörige, Pflege, Heimhilfe etc.) | |
| DMPSchulung |
1..1 | BackboneElement | DM(P)-spezifische Patientenschulung | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| absolviert |
1..1 | boolean | absolviert | |
| Datum |
1..1 | date | Datum der Schulung | |
| GewichtSchulung |
1..1 | BackboneElement | Schulung zur Überwachung des Gewichts | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| absolviert |
1..1 | CodeableConcept | Ja | Nein | Nicht erforderlich | |
| Datum |
1..1 | date | Datum der Schulung | |
| ImpfungBeratung |
1..1 | BackboneElement | Beratung über Impfungen (Grippe, Pneumokokken) | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| absolviert |
1..1 | CodeableConcept | Ja | Nein | Nicht erforderlich | |
| Datum |
1..1 | date | Datum der Beratung | |
| TelemonitoringSchulung |
1..1 | BackboneElement | Telemonitoring | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| absolviert |
1..1 | CodeableConcept | Ja | Nein | Nicht erforderlich | |
| Datum |
1..1 | date | Datum der Schulung | |
| Lebensqualitaet |
1..1 | code | Fragebogen Lebensqualität EQ-5D (jährlich zu erheben ab Einschreibung) (5-stelliger Code) | |
| Documentation for this format | ||||
| Id | Grade | Path(s) | Details | Requirements |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from Base
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| ErstdokumentationHI |
0..* | Base | Medizinische Datensätze - Erstdokumentation (im Rahmen der Erstabklärung erhoben/durchgeführt) | |
| VPNR |
1..1 | integer | Vertragspartnernummer | |
| Untersuchungsdatum |
1..1 | date | Untersuchungsdatum | |
| Patient |
1..1 | PatientHI | Patient | |
| Erstabklaerung |
1..1 | BackboneElement | Diagnostische Erstabklärung ele-1: All FHIR elements must have a @value or children | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| Untersuchung |
1..1 | boolean | Spezifische körperliche Untersuchung | |
| Komorbiditaeten |
1..1 | BackboneElement | Komorbiditäten ele-1: All FHIR elements must have a @value or children | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| KHK |
1..1 | boolean | Koronare Herzkrankheit | |
| Diabetes |
1..1 | boolean | Diabetes mellitus | |
| Hypertonie |
1..1 | boolean | Hypertonie | |
| Herzvitien |
1..1 | boolean | Herzvitien | |
| VHF |
1..1 | boolean | Vorhofflimmern/-flattern | |
| CVS |
1..1 | boolean | Cerebrovaskuläre Störungen | |
| Nieren |
1..1 | boolean | Chronische Niereninsuffizienz | |
| COB |
1..1 | boolean | Chronisch obstruktive Bronchitis | |
| COPD |
1..1 | boolean | Chronisch obstruktive Lungenerkrankung | |
| Schlaf |
1..1 | boolean | Schlafapnoesyndrom | |
| Depression |
1..1 | boolean | Depression | |
| Anaemie |
1..1 | boolean | Anämie | |
| Onko |
1..1 | boolean | Onkologische Erkrankungen | |
| Kachexie |
1..1 | boolean | Kachexie | |
| Schmerz |
1..1 | boolean | Chronische Schmerzen | |
| EKG |
1..1 | boolean | EKG (mit 12 Ableitungen) | |
| Echokardiogramm |
1..1 | boolean | Echokardiographie/LVEF Messung | |
| NTproBNP |
0..1 | string | NT-proBNP | |
| Symptomatik |
1..1 | CodeableConcept | Symptomatik/klinischer Status (NYHA I | NYHA II | NYHA III | NYHA IV) | |
| Kardiologe |
1..1 | boolean | Überweisung an Kardiologin bzw. Kardiologen im Rahmen der Erstdiagnose | |
| Diagnose |
1..1 | CodeableConcept | HFrEF | HFmrEF | HFpEF | |
| Behandlungsziel |
1..1 | CodeableConcept | 1 | 2 | 3a | 3b | |
| Labor |
1..1 | date | Laborkontrolle entsprechend Betreuungspfad (mind. halbjährlich zu erheben) | |
| Therapie |
1..1 | BackboneElement | Therapie ele-1: All FHIR elements must have a @value or children | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| HITherapie |
1..1 | BackboneElement | HI-spezifische Therapie ele-1: All FHIR elements must have a @value or children | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| Therapie |
1..1 | CodeableConcept | Ja | Nein | Kontraindikation | |
| Zieldosis |
1..1 | CodeableConcept | Evidenzbasierte Zieldosis (Erreicht | Nicht erreicht | Titrationsphase | Max. tolerierte Dosis erreicht) | |
| Komedikation |
1..1 | CodeableConcept | Wesentliche Ko-Medikationen (Ja | Nein | Kontraindikation) | |
| Selbstmanagement |
1..1 | BackboneElement | Selbstmanagement (SM)/Schulung ele-1: All FHIR elements must have a @value or children | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| Ressourcen |
1..1 | CodeableConcept | Ressourcen der Patienten/Angehörigen (Selbstmanagement möglich (regelmäßiges Monitoring wichtiger Parameter) | prinzipiell Selbstmanagement (Überprüfung in definierten Zeitintervallen) | Kontinuierliche Supervision) | |
| Betreuung |
1..1 | string | Betreuungssituation (Angehörige, Pflege, Heimhilfe etc.) | |
| DMPSchulung |
1..1 | BackboneElement | DM(P)-spezifische Patientenschulung ele-1: All FHIR elements must have a @value or children | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| absolviert |
1..1 | boolean | absolviert | |
| Datum |
1..1 | date | Datum der Schulung | |
| GewichtSchulung |
1..1 | BackboneElement | Schulung zur Überwachung des Gewichts ele-1: All FHIR elements must have a @value or children | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| absolviert |
1..1 | CodeableConcept | Ja | Nein | Nicht erforderlich | |
| Datum |
1..1 | date | Datum der Schulung | |
| ImpfungBeratung |
1..1 | BackboneElement | Beratung über Impfungen (Grippe, Pneumokokken) ele-1: All FHIR elements must have a @value or children | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| absolviert |
1..1 | CodeableConcept | Ja | Nein | Nicht erforderlich | |
| Datum |
1..1 | date | Datum der Beratung | |
| TelemonitoringSchulung |
1..1 | BackboneElement | Telemonitoring ele-1: All FHIR elements must have a @value or children | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| absolviert |
1..1 | CodeableConcept | Ja | Nein | Nicht erforderlich | |
| Datum |
1..1 | date | Datum der Schulung | |
| Lebensqualitaet |
1..1 | code | Fragebogen Lebensqualität EQ-5D (jährlich zu erheben ab Einschreibung) (5-stelliger Code) | |
| Documentation for this format | ||||
| Id | Grade | Path(s) | Details | Requirements |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
Differential View
This structure is derived from Base
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| ErstdokumentationHI |
0..* | Base | Medizinische Datensätze - Erstdokumentation (im Rahmen der Erstabklärung erhoben/durchgeführt) | |
| VPNR |
1..1 | integer | Vertragspartnernummer | |
| Untersuchungsdatum |
1..1 | date | Untersuchungsdatum | |
| Patient |
1..1 | PatientHI | Patient | |
| Erstabklaerung |
1..1 | BackboneElement | Diagnostische Erstabklärung | |
| Untersuchung |
1..1 | boolean | Spezifische körperliche Untersuchung | |
| Komorbiditaeten |
1..1 | BackboneElement | Komorbiditäten | |
| KHK |
1..1 | boolean | Koronare Herzkrankheit | |
| Diabetes |
1..1 | boolean | Diabetes mellitus | |
| Hypertonie |
1..1 | boolean | Hypertonie | |
| Herzvitien |
1..1 | boolean | Herzvitien | |
| VHF |
1..1 | boolean | Vorhofflimmern/-flattern | |
| CVS |
1..1 | boolean | Cerebrovaskuläre Störungen | |
| Nieren |
1..1 | boolean | Chronische Niereninsuffizienz | |
| COB |
1..1 | boolean | Chronisch obstruktive Bronchitis | |
| COPD |
1..1 | boolean | Chronisch obstruktive Lungenerkrankung | |
| Schlaf |
1..1 | boolean | Schlafapnoesyndrom | |
| Depression |
1..1 | boolean | Depression | |
| Anaemie |
1..1 | boolean | Anämie | |
| Onko |
1..1 | boolean | Onkologische Erkrankungen | |
| Kachexie |
1..1 | boolean | Kachexie | |
| Schmerz |
1..1 | boolean | Chronische Schmerzen | |
| EKG |
1..1 | boolean | EKG (mit 12 Ableitungen) | |
| Echokardiogramm |
1..1 | boolean | Echokardiographie/LVEF Messung | |
| NTproBNP |
0..1 | string | NT-proBNP | |
| Symptomatik |
1..1 | CodeableConcept | Symptomatik/klinischer Status (NYHA I | NYHA II | NYHA III | NYHA IV) | |
| Kardiologe |
1..1 | boolean | Überweisung an Kardiologin bzw. Kardiologen im Rahmen der Erstdiagnose | |
| Diagnose |
1..1 | CodeableConcept | HFrEF | HFmrEF | HFpEF | |
| Behandlungsziel |
1..1 | CodeableConcept | 1 | 2 | 3a | 3b | |
| Labor |
1..1 | date | Laborkontrolle entsprechend Betreuungspfad (mind. halbjährlich zu erheben) | |
| Therapie |
1..1 | BackboneElement | Therapie | |
| HITherapie |
1..1 | BackboneElement | HI-spezifische Therapie | |
| Therapie |
1..1 | CodeableConcept | Ja | Nein | Kontraindikation | |
| Zieldosis |
1..1 | CodeableConcept | Evidenzbasierte Zieldosis (Erreicht | Nicht erreicht | Titrationsphase | Max. tolerierte Dosis erreicht) | |
| Komedikation |
1..1 | CodeableConcept | Wesentliche Ko-Medikationen (Ja | Nein | Kontraindikation) | |
| Selbstmanagement |
1..1 | BackboneElement | Selbstmanagement (SM)/Schulung | |
| Ressourcen |
1..1 | CodeableConcept | Ressourcen der Patienten/Angehörigen (Selbstmanagement möglich (regelmäßiges Monitoring wichtiger Parameter) | prinzipiell Selbstmanagement (Überprüfung in definierten Zeitintervallen) | Kontinuierliche Supervision) | |
| Betreuung |
1..1 | string | Betreuungssituation (Angehörige, Pflege, Heimhilfe etc.) | |
| DMPSchulung |
1..1 | BackboneElement | DM(P)-spezifische Patientenschulung | |
| absolviert |
1..1 | boolean | absolviert | |
| Datum |
1..1 | date | Datum der Schulung | |
| GewichtSchulung |
1..1 | BackboneElement | Schulung zur Überwachung des Gewichts | |
| absolviert |
1..1 | CodeableConcept | Ja | Nein | Nicht erforderlich | |
| Datum |
1..1 | date | Datum der Schulung | |
| ImpfungBeratung |
1..1 | BackboneElement | Beratung über Impfungen (Grippe, Pneumokokken) | |
| absolviert |
1..1 | CodeableConcept | Ja | Nein | Nicht erforderlich | |
| Datum |
1..1 | date | Datum der Beratung | |
| TelemonitoringSchulung |
1..1 | BackboneElement | Telemonitoring | |
| absolviert |
1..1 | CodeableConcept | Ja | Nein | Nicht erforderlich | |
| Datum |
1..1 | date | Datum der Schulung | |
| Lebensqualitaet |
1..1 | code | Fragebogen Lebensqualität EQ-5D (jährlich zu erheben ab Einschreibung) (5-stelliger Code) | |
| Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| ErstdokumentationHI |
0..* | Base | Medizinische Datensätze - Erstdokumentation (im Rahmen der Erstabklärung erhoben/durchgeführt) | |
| VPNR |
1..1 | integer | Vertragspartnernummer | |
| Untersuchungsdatum |
1..1 | date | Untersuchungsdatum | |
| Patient |
1..1 | PatientHI | Patient | |
| Erstabklaerung |
1..1 | BackboneElement | Diagnostische Erstabklärung | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Untersuchung |
1..1 | boolean | Spezifische körperliche Untersuchung | |
| Komorbiditaeten |
1..1 | BackboneElement | Komorbiditäten | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| KHK |
1..1 | boolean | Koronare Herzkrankheit | |
| Diabetes |
1..1 | boolean | Diabetes mellitus | |
| Hypertonie |
1..1 | boolean | Hypertonie | |
| Herzvitien |
1..1 | boolean | Herzvitien | |
| VHF |
1..1 | boolean | Vorhofflimmern/-flattern | |
| CVS |
1..1 | boolean | Cerebrovaskuläre Störungen | |
| Nieren |
1..1 | boolean | Chronische Niereninsuffizienz | |
| COB |
1..1 | boolean | Chronisch obstruktive Bronchitis | |
| COPD |
1..1 | boolean | Chronisch obstruktive Lungenerkrankung | |
| Schlaf |
1..1 | boolean | Schlafapnoesyndrom | |
| Depression |
1..1 | boolean | Depression | |
| Anaemie |
1..1 | boolean | Anämie | |
| Onko |
1..1 | boolean | Onkologische Erkrankungen | |
| Kachexie |
1..1 | boolean | Kachexie | |
| Schmerz |
1..1 | boolean | Chronische Schmerzen | |
| EKG |
1..1 | boolean | EKG (mit 12 Ableitungen) | |
| Echokardiogramm |
1..1 | boolean | Echokardiographie/LVEF Messung | |
| NTproBNP |
0..1 | string | NT-proBNP | |
| Symptomatik |
1..1 | CodeableConcept | Symptomatik/klinischer Status (NYHA I | NYHA II | NYHA III | NYHA IV) | |
| Kardiologe |
1..1 | boolean | Überweisung an Kardiologin bzw. Kardiologen im Rahmen der Erstdiagnose | |
| Diagnose |
1..1 | CodeableConcept | HFrEF | HFmrEF | HFpEF | |
| Behandlungsziel |
1..1 | CodeableConcept | 1 | 2 | 3a | 3b | |
| Labor |
1..1 | date | Laborkontrolle entsprechend Betreuungspfad (mind. halbjährlich zu erheben) | |
| Therapie |
1..1 | BackboneElement | Therapie | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| HITherapie |
1..1 | BackboneElement | HI-spezifische Therapie | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Therapie |
1..1 | CodeableConcept | Ja | Nein | Kontraindikation | |
| Zieldosis |
1..1 | CodeableConcept | Evidenzbasierte Zieldosis (Erreicht | Nicht erreicht | Titrationsphase | Max. tolerierte Dosis erreicht) | |
| Komedikation |
1..1 | CodeableConcept | Wesentliche Ko-Medikationen (Ja | Nein | Kontraindikation) | |
| Selbstmanagement |
1..1 | BackboneElement | Selbstmanagement (SM)/Schulung | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Ressourcen |
1..1 | CodeableConcept | Ressourcen der Patienten/Angehörigen (Selbstmanagement möglich (regelmäßiges Monitoring wichtiger Parameter) | prinzipiell Selbstmanagement (Überprüfung in definierten Zeitintervallen) | Kontinuierliche Supervision) | |
| Betreuung |
1..1 | string | Betreuungssituation (Angehörige, Pflege, Heimhilfe etc.) | |
| DMPSchulung |
1..1 | BackboneElement | DM(P)-spezifische Patientenschulung | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| absolviert |
1..1 | boolean | absolviert | |
| Datum |
1..1 | date | Datum der Schulung | |
| GewichtSchulung |
1..1 | BackboneElement | Schulung zur Überwachung des Gewichts | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| absolviert |
1..1 | CodeableConcept | Ja | Nein | Nicht erforderlich | |
| Datum |
1..1 | date | Datum der Schulung | |
| ImpfungBeratung |
1..1 | BackboneElement | Beratung über Impfungen (Grippe, Pneumokokken) | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| absolviert |
1..1 | CodeableConcept | Ja | Nein | Nicht erforderlich | |
| Datum |
1..1 | date | Datum der Beratung | |
| TelemonitoringSchulung |
1..1 | BackboneElement | Telemonitoring | |
| @id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| absolviert |
1..1 | CodeableConcept | Ja | Nein | Nicht erforderlich | |
| Datum |
1..1 | date | Datum der Schulung | |
| Lebensqualitaet |
1..1 | code | Fragebogen Lebensqualität EQ-5D (jährlich zu erheben ab Einschreibung) (5-stelliger Code) | |
| Documentation for this format | ||||
| Id | Grade | Path(s) | Details | Requirements |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from Base