Leitfaden Basis Tiplu (R4)

Extensions für Procedure

Einführung

Die nachfolgenden Extensions an der Ressource Procedure haben den Hintergrund von Eingangswerten des DRG-Groupers und des §21-Datensatz. Alle diese Werte finden sich mit medizinischer Fragestellung in Instanzen anderer Ressourcen wieder. Allerdings sind diese Daten für die Abrechnung teils verändert oder aggregiert. Aus diesem Grund haben wir uns dazu entschlossen, sie am Account zu profilieren.

Beleganaesthesist

https://tiplu.de/fhir/StructureDefinition/Beleganaesthesist

Beschreibung
Belegarzt (Nicht am Krankenhaus angestellter Arzt mit Honorarvereinbahrung) mit der Facharztbezeichnung: Anästhesie. Nach §21 Prozedurenbezogen: Wird die Prozedur durch einen Beleganästhesisten durchgeführt ist 'J' anzugeben.

Kontext
Procedure
Procedure.performer
PractitionerRole

Definition

Beleganaesthesist (Extension)	I		Extension	Element id Extension Short description Beleganaesthesist Definition Belegarzt (Nicht am Krankenhaus angestellter Arzt mit Honorarvereinbahrung) mit der Facharztbezeichnung: Anästhesie. Nach §21 Prozedurenbezogen: Wird die Prozedur durch einen Beleganästhesisten durchgeführt ist 'J' anzugeben. Data type Extension Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
id		0..1	string	There are no (further) constraints on this element Element id Extension.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..0	Extension	There are no (further) constraints on this element Element id Extension.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition 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. Comments 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. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
url		1..1	uriFixed Value	Element id Extension.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data type uri Fixed value https://tiplu.de/fhir/StructureDefinition/Beleganaesthesist Mappings rim: N/A
value[x]		0..1		Element id Extension.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Sliced: Unordered, Open, by $this(Type) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: N/A
valueBoolean		0..1	booleanPattern	Element id Extension.value[x]:valueBoolean Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Data type boolean Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern true Mappings rim: n/a rim: N/A

Beispiel

"extension":  [
    {
        "url": "https://tiplu.de/fhir/StructureDefinition/Beleganaesthesist",
        "valueBoolean": true
    }
]

Belegoperateur

https://tiplu.de/fhir/StructureDefinition/Belegoperateur

Beschreibung
Belegarzt (Nicht am Krankenhaus angestellter Arzt mit Honorarvereinbahrung) mit der Facharztbezeichnung für ein operatives Fach. Nach §21 Prozedurenbezogen: Wird die Prozedur durch einen Belegoperateur durchgeführt ist 'J' anzugeben.

Kontext
Procedure
Procedure.performer
PractitionerRole

Definition

Belegoperateur (Extension)	I		Extension	Element id Extension Short description Belegoperateur Definition Belegarzt (Nicht am Krankenhaus angestellter Arzt mit Honorarvereinbahrung) mit der Facharztbezeichnung für ein operatives Fach. Nach §21 Prozedurenbezogen: Wird die Prozedur durch einen Belegoperateur durchgeführt ist 'J' anzugeben. Data type Extension Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
id		0..1	string	There are no (further) constraints on this element Element id Extension.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..0	Extension	There are no (further) constraints on this element Element id Extension.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition 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. Comments 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. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
url		1..1	uriFixed Value	Element id Extension.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data type uri Fixed value https://tiplu.de/fhir/StructureDefinition/Belegoperateur Mappings rim: N/A
value[x]		0..1		Element id Extension.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Sliced: Unordered, Open, by $this(Type) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: N/A
valueBoolean		0..1	booleanPattern	Element id Extension.value[x]:valueBoolean Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Data type boolean Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern true Mappings rim: n/a rim: N/A

Beispiel

"extension":  [
    {
        "url": "https://tiplu.de/fhir/StructureDefinition/Belegoperateur",
        "valueBoolean": true
    }
]

Beleghebamme

https://tiplu.de/fhir/StructureDefinition/Belegoperateur

Beschreibung
Beleghebamme (Nicht am Krankenhaus angestellte Hebamme mit Honorarvereinbahrung) Wird die Prozedur durch eine Beleghebamme durchgeführt ist 'J' anzugeben. Die Angabe 'J' ist nur bei einer Haupt- oder einer Belegabteilung mit dem Fachabteilungsschlüssel '2400' (Frauenheilkunde und Geburtshilfe) oder '2500' (Geburtshilfe) möglich.

Kontext
Procedure
Procedure.performer
PractitionerRole

Definition

Beleghebamme (Extension)	I		Extension	Element id Extension Short description Beleghebamme Definition Beleghebamme (Nicht am Krankenhaus angestellte Hebamme mit Honorarvereinbahrung) Wird die Prozedur durch eine Beleghebamme durchgeführt ist 'J' anzugeben. Die Angabe 'J' ist nur bei einer Haupt- oder einer Belegabteilung mit dem Fachabteilungsschlüssel '2400' (Frauenheilkunde und Geburtshilfe) oder '2500' (Geburtshilfe) möglich. Data type Extension Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
id		0..1	string	There are no (further) constraints on this element Element id Extension.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..0	Extension	There are no (further) constraints on this element Element id Extension.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition 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. Comments 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. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
url		1..1	uriFixed Value	Element id Extension.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data type uri Fixed value https://tiplu.de/fhir/StructureDefinition/Beleghebamme Mappings rim: N/A
value[x]		0..1		Element id Extension.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Sliced: Unordered, Open, by $this(Type) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: N/A
valueBoolean		0..1	booleanPattern	Element id Extension.value[x]:valueBoolean Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Data type boolean Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern true Mappings rim: n/a rim: N/A

Beispiel

"extension":  [
    {
        "url": "https://tiplu.de/fhir/StructureDefinition/Beleghebamme",
        "valueBoolean": true
    }
]