{
  "resourceType": "StructureDefinition",
  "id": "observation-de-pflegegrad",
  "url": "http://fhir.de/StructureDefinition/observation-de-pflegegrad",
  "version": "1.6.0-ballot",
  "name": "ObservationDePflegegrad",
  "title": "Pflegegrad, deutsches Basisprofil",
  "status": "active",
  "experimental": false,
  "date": "2025-12-23",
  "publisher": "HL7 Deutschland e.V. (Technisches Komitee FHIR)",
  "contact": [
    {
      "telecom": [
        {
          "system": "url",
          "value": "http://hl7.de/technische-komitees/fhir/"
        }
      ]
    }
  ],
  "description": "Deutsches Profil zur Abbildung des Pflegegrads eines Patienten incl. Abbildung des erfolgten Antrags auf Einstufung in einen Pflegegrad",
  "fhirVersion": "4.0.1",
  "kind": "resource",
  "abstract": false,
  "type": "Observation",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Observation",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Observation.code.coding",
        "path": "Observation.code.coding",
        "slicing": {
          "discriminator": [
            {
              "type": "pattern",
              "path": "$this"
            }
          ],
          "rules": "open"
        },
        "min": 1
      },
      {
        "id": "Observation.code.coding:loinc",
        "path": "Observation.code.coding",
        "sliceName": "loinc",
        "min": 1,
        "max": "1",
        "patternCoding": {
          "code": "80391-6",
          "system": "http://loinc.org"
        }
      },
      {
        "id": "Observation.subject",
        "path": "Observation.subject",
        "min": 1,
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Patient"
            ]
          }
        ]
      },
      {
        "id": "Observation.effective[x]",
        "path": "Observation.effective[x]",
        "slicing": {
          "discriminator": [
            {
              "type": "type",
              "path": "$this"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "min": 1,
        "type": [
          {
            "code": "dateTime"
          },
          {
            "code": "Period"
          }
        ]
      },
      {
        "id": "Observation.effective[x]:effectivePeriod",
        "path": "Observation.effective[x]",
        "sliceName": "effectivePeriod",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Period"
          }
        ]
      },
      {
        "id": "Observation.effective[x]:effectivePeriod.start",
        "path": "Observation.effective[x].start",
        "min": 1
      },
      {
        "id": "Observation.value[x]",
        "path": "Observation.value[x]",
        "min": 1,
        "type": [
          {
            "code": "CodeableConcept"
          }
        ]
      },
      {
        "id": "Observation.value[x].coding",
        "path": "Observation.value[x].coding",
        "min": 1,
        "binding": {
          "strength": "required",
          "valueSet": "http://fhir.de/ValueSet/pflegegrad-de"
        }
      },
      {
        "id": "Observation.bodySite",
        "path": "Observation.bodySite",
        "max": "0"
      },
      {
        "id": "Observation.component",
        "path": "Observation.component",
        "max": "0"
      }
    ]
  }
}