{ "resourceType": "StructureDefinition", "id": "KBV-PR-MIO-BB-Observation-Radiation", "url": "https://fhir.kbv.de/StructureDefinition/KBV_PR_MIO_BB_Observation_Radiation", "version": "1.0.0", "name": "KBV_PR_MIO_BB_Observation_Radiation", "title": "KBV_PR_MIO_BB_Observation_Radiation", "status": "draft", "publisher": "Kassenärztliche Bundesvereinigung (KBV)", "description": "Dieses Profil ermöglicht die Abbildung der Strahlenexposition, welche mit der Anwendung ionisierende Strahlung einhergeht. Die Daten zur Strahlenexposition werden u. a. auch durch Dosis-Management-Systeme zur Verfügung gestellt.", "copyright": "Im folgenden Profil können Codes aus den Code-Systemen SNOMED CT®, LOINC, Ucum, ATC, ICD-10-GM, ICD-10-WHO, OPS, Alpha-ID/Alpha-ID-SE und ICF enthalten sein, die dem folgenden Urheberrecht unterliegen: This material includes SNOMED CT® Clinical Terms® (SNOMED CT® CT®) which is used by permission of SNOMED CT® International. All rights reserved. SNOMED CT® CT®, was originally created by The College of American Pathologists. SNOMED CT® and SNOMED CT® CT are registered trademarks of SNOMED CT® International. Implementers of these artefacts must have the appropriate SNOMED CT® CT Affiliate license. This material contains content from LOINC (http://LOINC.org). LOINC is copyright © 1995-2020, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and is available at no cost under the license at http://LOINC.org/license. LOINC® is a registered United States trademark of Regenstrief Institute, Inc. This product includes all or a portion of the UCUM table, UCUM codes, and UCUM definitions or is derived from it, subject to a license from Regenstrief Institute, Inc. and The UCUM Organization. Your use of the UCUM table, UCUM codes, UCUM definitions also is subject to this license, a copy of which is available at http://unitsofmeasure.org. The current complete UCUM table, UCUM Specification are available for download at http://unitsofmeasure.org. The UCUM table and UCUM codes are copyright © 1995-2009, Regenstrief Institute, Inc. and the Unified Codes for Units of Measures (UCUM) Organization. All rights reserved. THE UCUM TABLE (IN ALL FORMATS), UCUM DEFINITIONS, AND SPECIFICATION ARE PROVIDED 'AS IS.' ANY EXPRESS OR IMPLIED WARRANTIES ARE DISCLAIMED, INCLUDING, BUT NOT LIMITED TO, THE IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE. Dieses Material enthält Inhalte aus ATC. Die Erstellung erfolgte unter Verwendung der Datenträger der amtlichen Fassung der ATC-Klassifikation mit DDD des Bundesinstituts für Arzneimittel und Medizinprodukte (BfArM). Dieses Material enthält Inhalte aus ICD-10-GM, ICD-10-WHO, OPS Alpha-ID ans Alpha-ID-SE. Die Erstellung erfolgt unter Verwendung der maschinenlesbaren Fassung des Bundesinstituts für Arzneimittel und Medizinprodukte (BfArM). Dieses Material enthält Inhalte aus ICF. Die Erstellung erfolgt unter Verwendung der maschinenlesbaren Fassung des Deutschen Instituts für Medizinische Dokumentation und Information (DIMDI). ICF-Kodes, -Begriffe und -Texte © Weltgesundheitsorganisation, übersetzt und herausgegeben durch das Deutsche Institut für Medizinische Dokumentation und Information von der International classification of functioning, disability and health - ICF, herausgegeben durch die Weltgesundheitsorganisation.", "fhirVersion": "4.0.1", "kind": "resource", "abstract": false, "type": "Observation", "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Observation", "derivation": "constraint", "differential": { "element": [ { "id": "Observation", "path": "Observation", "definition": "Dieses Profil ermöglicht die Abbildung der Strahlenexposition, welche mit der Anwendung ionisierende Strahlung einhergeht. Die Daten zur Strahlenexposition werden u. a. auch durch Dosis-Management-Systeme zur Verfügung gestellt." }, { "id": "Observation.meta", "path": "Observation.meta", "min": 1 }, { "id": "Observation.meta.versionId", "path": "Observation.meta.versionId", "max": "0" }, { "id": "Observation.meta.lastUpdated", "path": "Observation.meta.lastUpdated", "max": "0" }, { "id": "Observation.meta.source", "path": "Observation.meta.source", "max": "0" }, { "id": "Observation.meta.profile", "path": "Observation.meta.profile", "slicing": { "discriminator": [ { "type": "value", "path": "$this" } ], "rules": "open" }, "min": 1 }, { "id": "Observation.meta.profile:mioProfile", "path": "Observation.meta.profile", "sliceName": "mioProfile", "min": 1, "max": "1", "patternCanonical": "https://fhir.kbv.de/StructureDefinition/KBV_PR_MIO_BB_Observation_Radiation|1.0.0" }, { "id": "Observation.meta.security", "path": "Observation.meta.security", "max": "0" }, { "id": "Observation.meta.tag", "path": "Observation.meta.tag", "max": "0" }, { "id": "Observation.implicitRules", "path": "Observation.implicitRules", "max": "0" }, { "id": "Observation.language", "path": "Observation.language", "max": "0" }, { "id": "Observation.text", "path": "Observation.text", "definition": "In diesem Element können die in der Instanz enthaltenen Informationen in einer menschenlesbaren Form zusammengefasst werden. Dabei ist zu beachten, dass keine Informationen aufgenommen werden dürfen, die nicht in strukturierter Form an anderer Stelle in der Instanz enthalten sind." }, { "id": "Observation.text.status", "path": "Observation.text.status", "patternCode": "extensions" }, { "id": "Observation.contained", "path": "Observation.contained", "max": "0" }, { "id": "Observation.identifier", "path": "Observation.identifier", "max": "0" }, { "id": "Observation.basedOn", "path": "Observation.basedOn", "max": "0" }, { "id": "Observation.partOf", "path": "Observation.partOf", "definition": "Hier wird das bildgestützte oder bildgebende Verfahren (Studie) referenziert, auf welches sich dieses Profil bezieht und während dessen es zur Exposition mit ionisierender Strahlung kam.", "type": [ { "code": "Reference", "targetProfile": [ "https://fhir.kbv.de/StructureDefinition/KBV_PR_MIO_BB_ImagingStudy" ] } ], "mustSupport": true }, { "id": "Observation.status", "path": "Observation.status", "definition": "Hier wird ein festgelegter Code aus dem FHIR® ValueSet http://hl7.org/fhir/ValueSet/observation-status eingetragen, der den Status der Observation als final kennzeichnet.", "patternCode": "final", "mustSupport": true }, { "id": "Observation.category", "path": "Observation.category", "definition": "Hier wird ein festgelegter Code eingetragen und damit das Profil als Dokumentation der Strahlenexposition gekennzeichnet.", "min": 1, "max": "1", "patternCodeableConcept": { "coding": [ { "code": "73569-6", "system": "http://loinc.org", "version": "2.77", "display": "Radiation exposure and protection information [Description] Document Diagnostic imaging" } ] }, "mustSupport": true }, { "id": "Observation.category.coding", "path": "Observation.category.coding", "min": 1, "max": "1", "mustSupport": true }, { "id": "Observation.category.coding.system", "path": "Observation.category.coding.system", "min": 1, "mustSupport": true }, { "id": "Observation.category.coding.version", "path": "Observation.category.coding.version", "min": 1, "mustSupport": true }, { "id": "Observation.category.coding.code", "path": "Observation.category.coding.code", "min": 1, "mustSupport": true }, { "id": "Observation.category.coding.display", "path": "Observation.category.coding.display", "min": 1, "mustSupport": true }, { "id": "Observation.category.coding.userSelected", "path": "Observation.category.coding.userSelected", "max": "0" }, { "id": "Observation.category.text", "path": "Observation.category.text", "max": "0" }, { "id": "Observation.code", "path": "Observation.code", "definition": "Dieses Element codiert den erfassten Parameter für die Strahlenexposition.", "mustSupport": true, "binding": { "strength": "extensible", "valueSet": "https://fhir.kbv.de/ValueSet/KBV_VS_MIO_BB_Dosisparameter_DICOM" } }, { "id": "Observation.code.coding", "path": "Observation.code.coding", "min": 1, "max": "1", "mustSupport": true }, { "id": "Observation.code.coding.system", "path": "Observation.code.coding.system", "min": 1, "mustSupport": true }, { "id": "Observation.code.coding.version", "path": "Observation.code.coding.version", "mustSupport": true }, { "id": "Observation.code.coding.code", "path": "Observation.code.coding.code", "min": 1, "mustSupport": true }, { "id": "Observation.code.coding.display", "path": "Observation.code.coding.display", "min": 1, "mustSupport": true }, { "id": "Observation.code.coding.userSelected", "path": "Observation.code.coding.userSelected", "max": "0" }, { "id": "Observation.code.text", "path": "Observation.code.text", "max": "0" }, { "id": "Observation.subject", "path": "Observation.subject", "definition": "Hier wird die behandelte Person referenziert.", "min": 1, "type": [ { "code": "Reference", "targetProfile": [ "https://fhir.kbv.de/StructureDefinition/KBV_PR_MIO_BB_Patient" ] } ], "mustSupport": true }, { "id": "Observation.focus", "path": "Observation.focus", "max": "0" }, { "id": "Observation.encounter", "path": "Observation.encounter", "max": "0" }, { "id": "Observation.effective[x]", "path": "Observation.effective[x]", "max": "0" }, { "id": "Observation.issued", "path": "Observation.issued", "definition": "Hier wird mindestens das Datum und optional auch der Zeitpunkt der Erstellung des Strahlenexpositionsberichts eingetragen.", "constraint": [ { "key": "date-1", "severity": "error", "human": "Diese Invariant stellt sicher, dass das Datum aus mindestens Jahr, Monat und Tag besteht.", "expression": ".length > 9", "source": "https://fhir.kbv.de/StructureDefinition/KBV_PR_MIO_BB_Observation_Radiation" } ], "mustSupport": true }, { "id": "Observation.performer", "path": "Observation.performer", "max": "0" }, { "id": "Observation.value[x]", "path": "Observation.value[x]", "slicing": { "discriminator": [ { "type": "type", "path": "$this" } ], "rules": "closed" }, "definition": "Hier wird das Ergebnis der Messung, beziehungsweise der Berechnung zur Strahlenexposition eingetragen. Es handelt sich um einen (Mess-)wert, bestehend aus Größe und Einheit.", "min": 1, "type": [ { "code": "Quantity" } ], "mustSupport": true }, { "id": "Observation.value[x]:valueQuantity", "path": "Observation.value[x]", "sliceName": "valueQuantity", "min": 1, "max": "1", "type": [ { "code": "Quantity" } ], "mustSupport": true, "binding": { "strength": "extensible", "valueSet": "https://fhir.kbv.de/ValueSet/KBV_VS_MIO_BB_Radiation_Unit_UCUM" } }, { "id": "Observation.value[x]:valueQuantity.value", "path": "Observation.value[x].value", "min": 1, "mustSupport": true }, { "id": "Observation.value[x]:valueQuantity.comparator", "path": "Observation.value[x].comparator", "max": "0" }, { "id": "Observation.value[x]:valueQuantity.unit", "path": "Observation.value[x].unit", "mustSupport": true }, { "id": "Observation.value[x]:valueQuantity.system", "path": "Observation.value[x].system", "mustSupport": true }, { "id": "Observation.value[x]:valueQuantity.code", "path": "Observation.value[x].code", "mustSupport": true }, { "id": "Observation.dataAbsentReason", "path": "Observation.dataAbsentReason", "max": "0" }, { "id": "Observation.interpretation", "path": "Observation.interpretation", "max": "0" }, { "id": "Observation.note", "path": "Observation.note", "max": "0" }, { "id": "Observation.bodySite", "path": "Observation.bodySite", "max": "0" }, { "id": "Observation.method", "path": "Observation.method", "max": "0" }, { "id": "Observation.specimen", "path": "Observation.specimen", "max": "0" }, { "id": "Observation.device", "path": "Observation.device", "max": "0" }, { "id": "Observation.referenceRange", "path": "Observation.referenceRange", "max": "0" }, { "id": "Observation.hasMember", "path": "Observation.hasMember", "max": "0" }, { "id": "Observation.derivedFrom", "path": "Observation.derivedFrom", "max": "0" }, { "id": "Observation.component", "path": "Observation.component", "max": "0" } ] } }