Implementierungsleitfaden ISiK-Basismodul (4.0.1)

Beispiele

Schwangerschaftsstatus

Observation

id : ISiKSchwangerschaftsstatusBeispiel

meta

profile : https://gematik.de/fhir/isik/StructureDefinition/ISiKSchwangerschaftsstatus

status : final

code

coding

system : http://loinc.org

version : 2.77

code : 82810-3

display : Pregnancy status

subject

reference : Patient/PatientinMusterfrau

encounter

reference : Encounter/Fachabteilungskontakt

effective : 2024-01-01

value

coding

system : http://loinc.org

version : 2.77

code : LA15173-0

display : Pregnant

hasMember

reference : Observation/ISiKSchwangerschaftErwarteterEntbindungsterminBeispiel

<Observation xmlns="http://hl7.org/fhir">
    <id value="ISiKSchwangerschaftsstatusBeispiel" />
    <meta>
        <profile value="https://gematik.de/fhir/isik/StructureDefinition/ISiKSchwangerschaftsstatus" />
    </meta>
    <status value="final" />
    <code>
        <coding>
            <system value="http://loinc.org" />
            <version value="2.77" />
            <code value="82810-3" />
            <display value="Pregnancy status" />
        </coding>
    </code>
    <subject>
        <reference value="Patient/PatientinMusterfrau" />
    </subject>
    <encounter>
        <reference value="Encounter/Fachabteilungskontakt" />
    </encounter>
    <effectiveDateTime value="2024-01-01" />
    <valueCodeableConcept>
        <coding>
            <system value="http://loinc.org" />
            <version value="2.77" />
            <code value="LA15173-0" />
            <display value="Pregnant" />
        </coding>
    </valueCodeableConcept>
    <hasMember>
        <reference value="Observation/ISiKSchwangerschaftErwarteterEntbindungsterminBeispiel" />
    </hasMember>
</Observation>

{
    "resourceType": "Observation",
    "id": "ISiKSchwangerschaftsstatusBeispiel",
    "meta": {
        "profile":  [
            "https://gematik.de/fhir/isik/StructureDefinition/ISiKSchwangerschaftsstatus"
        ]
    },
    "code": {
        "coding":  [
            {
                "code": "82810-3",
                "system": "http://loinc.org",
                "display": "Pregnancy status",
                "version": "2.77"
            }
        ]
    },
    "status": "final",
    "subject": {
        "reference": "Patient/PatientinMusterfrau"
    },
    "effectiveDateTime": "2024-01-01",
    "valueCodeableConcept": {
        "coding":  [
            {
                "code": "LA15173-0",
                "system": "http://loinc.org",
                "display": "Pregnant",
                "version": "2.77"
            }
        ]
    },
    "hasMember":  [
        {
            "reference": "Observation/ISiKSchwangerschaftErwarteterEntbindungsterminBeispiel"
        }
    ],
    "encounter": {
        "reference": "Encounter/Fachabteilungskontakt"
    }
}

Pregnancy status

Erwarteter Entbindungstermin

Observation

id : ISiKSchwangerschaftErwarteterEntbindungsterminBeispiel

meta

profile : https://gematik.de/fhir/isik/StructureDefinition/ISiKSchwangerschaftErwarteterEntbindungstermin

status : final

code

coding

system : http://loinc.org

version : 2.77

code : 11779-6

display : Delivery date Estimated from last menstrual period

subject

reference : Patient/PatientinMusterfrau

encounter

reference : Encounter/Fachabteilungskontakt

effective : 2024-01-01

value : 2024-08-01

<Observation xmlns="http://hl7.org/fhir">
    <id value="ISiKSchwangerschaftErwarteterEntbindungsterminBeispiel" />
    <meta>
        <profile value="https://gematik.de/fhir/isik/StructureDefinition/ISiKSchwangerschaftErwarteterEntbindungstermin" />
    </meta>
    <status value="final" />
    <code>
        <coding>
            <system value="http://loinc.org" />
            <version value="2.77" />
            <code value="11779-6" />
            <display value="Delivery date Estimated from last menstrual period" />
        </coding>
    </code>
    <subject>
        <reference value="Patient/PatientinMusterfrau" />
    </subject>
    <encounter>
        <reference value="Encounter/Fachabteilungskontakt" />
    </encounter>
    <effectiveDateTime value="2024-01-01" />
    <valueDateTime value="2024-08-01" />
</Observation>

{
    "resourceType": "Observation",
    "id": "ISiKSchwangerschaftErwarteterEntbindungsterminBeispiel",
    "meta": {
        "profile":  [
            "https://gematik.de/fhir/isik/StructureDefinition/ISiKSchwangerschaftErwarteterEntbindungstermin"
        ]
    },
    "code": {
        "coding":  [
            {
                "system": "http://loinc.org",
                "code": "11779-6",
                "display": "Delivery date Estimated from last menstrual period",
                "version": "2.77"
            }
        ]
    },
    "status": "final",
    "subject": {
        "reference": "Patient/PatientinMusterfrau"
    },
    "effectiveDateTime": "2024-01-01",
    "valueDateTime": "2024-08-01",
    "encounter": {
        "reference": "Encounter/Fachabteilungskontakt"
    }
}

Delivery date Estimated from last menstrual period

Alkoholabusus

Observation

id : ISiKAlkoholAbususBeispiel

meta

profile : https://gematik.de/fhir/isik/StructureDefinition/ISiKAlkoholAbusus

status : final

code

coding

system : http://snomed.info/sct

version : http://snomed.info/sct/11000274103/version/20231115

code : 15167005

display : Schädlicher Gebrauch von Alkohol

coding

system : http://loinc.org

version : 2.77

code : 74043-1

display : Alcohol use disorder

subject

reference : Patient/PatientinMusterfrau

encounter

reference : Encounter/Fachabteilungskontakt

effective : 2024-01-01

value

coding

system : http://terminology.hl7.org/CodeSystem/v2-0532

code : Y

display : Yes

<Observation xmlns="http://hl7.org/fhir">
    <id value="ISiKAlkoholAbususBeispiel" />
    <meta>
        <profile value="https://gematik.de/fhir/isik/StructureDefinition/ISiKAlkoholAbusus" />
    </meta>
    <status value="final" />
    <code>
        <coding>
            <system value="http://snomed.info/sct" />
            <version value="http://snomed.info/sct/11000274103/version/20231115" />
            <code value="15167005" />
            <display value="Sch&#228;dlicher Gebrauch von Alkohol" />
        </coding>
        <coding>
            <system value="http://loinc.org" />
            <version value="2.77" />
            <code value="74043-1" />
            <display value="Alcohol use disorder" />
        </coding>
    </code>
    <subject>
        <reference value="Patient/PatientinMusterfrau" />
    </subject>
    <encounter>
        <reference value="Encounter/Fachabteilungskontakt" />
    </encounter>
    <effectiveDateTime value="2024-01-01" />
    <valueCodeableConcept>
        <coding>
            <system value="http://terminology.hl7.org/CodeSystem/v2-0532" />
            <code value="Y" />
            <display value="Yes" />
        </coding>
    </valueCodeableConcept>
</Observation>

{
    "resourceType": "Observation",
    "id": "ISiKAlkoholAbususBeispiel",
    "meta": {
        "profile":  [
            "https://gematik.de/fhir/isik/StructureDefinition/ISiKAlkoholAbusus"
        ]
    },
    "code": {
        "coding":  [
            {
                "code": "15167005",
                "system": "http://snomed.info/sct",
                "display": "Schädlicher Gebrauch von Alkohol",
                "version": "http://snomed.info/sct/11000274103/version/20231115"
            },
            {
                "system": "http://loinc.org",
                "code": "74043-1",
                "display": "Alcohol use disorder",
                "version": "2.77"
            }
        ]
    },
    "status": "final",
    "subject": {
        "reference": "Patient/PatientinMusterfrau"
    },
    "effectiveDateTime": "2024-01-01",
    "valueCodeableConcept": {
        "coding":  [
            {
                "code": "Y",
                "system": "http://terminology.hl7.org/CodeSystem/v2-0532",
                "display": "Yes"
            }
        ]
    },
    "encounter": {
        "reference": "Encounter/Fachabteilungskontakt"
    }
}

Schädlicher Gebrauch von Alkohol

Raucherstatus

Observation

id : ISiKRaucherStatusBeispiel

meta

profile : https://gematik.de/fhir/isik/StructureDefinition/ISiKRaucherStatus

status : final

code

coding

system : http://snomed.info/sct

version : http://snomed.info/sct/11000274103/version/20231115

code : 77176002

display : Smoker

coding

system : http://loinc.org

version : 2.77

code : 72166-2

display : Tobacco smoking status

subject

reference : Patient/PatientinMusterfrau

encounter

reference : Encounter/Fachabteilungskontakt

effective : 2024-01-01

value

coding

system : http://loinc.org

version : 2.77

code : LA15920-4

display : Former smoker

<Observation xmlns="http://hl7.org/fhir">
    <id value="ISiKRaucherStatusBeispiel" />
    <meta>
        <profile value="https://gematik.de/fhir/isik/StructureDefinition/ISiKRaucherStatus" />
    </meta>
    <status value="final" />
    <code>
        <coding>
            <system value="http://snomed.info/sct" />
            <version value="http://snomed.info/sct/11000274103/version/20231115" />
            <code value="77176002" />
            <display value="Smoker" />
        </coding>
        <coding>
            <system value="http://loinc.org" />
            <version value="2.77" />
            <code value="72166-2" />
            <display value="Tobacco smoking status" />
        </coding>
    </code>
    <subject>
        <reference value="Patient/PatientinMusterfrau" />
    </subject>
    <encounter>
        <reference value="Encounter/Fachabteilungskontakt" />
    </encounter>
    <effectiveDateTime value="2024-01-01" />
    <valueCodeableConcept>
        <coding>
            <system value="http://loinc.org" />
            <version value="2.77" />
            <code value="LA15920-4" />
            <display value="Former smoker" />
        </coding>
    </valueCodeableConcept>
</Observation>

{
    "resourceType": "Observation",
    "id": "ISiKRaucherStatusBeispiel",
    "meta": {
        "profile":  [
            "https://gematik.de/fhir/isik/StructureDefinition/ISiKRaucherStatus"
        ]
    },
    "code": {
        "coding":  [
            {
                "code": "77176002",
                "system": "http://snomed.info/sct",
                "display": "Smoker",
                "version": "http://snomed.info/sct/11000274103/version/20231115"
            },
            {
                "system": "http://loinc.org",
                "code": "72166-2",
                "display": "Tobacco smoking status",
                "version": "2.77"
            }
        ]
    },
    "status": "final",
    "subject": {
        "reference": "Patient/PatientinMusterfrau"
    },
    "effectiveDateTime": "2024-01-01",
    "valueCodeableConcept": {
        "coding":  [
            {
                "code": "LA15920-4",
                "system": "http://loinc.org",
                "display": "Former smoker",
                "version": "2.77"
            }
        ]
    },
    "encounter": {
        "reference": "Encounter/Fachabteilungskontakt"
    }
}

Smoker

Stillstatus

Observation

id : ISiKStillstatusBeispiel

meta

profile : https://gematik.de/fhir/isik/StructureDefinition/ISiKStillstatus

status : final

code

coding

system : http://snomed.info/sct

version : http://snomed.info/sct/11000274103/version/20231115

code : 413712001

display : Breastfeeding (mother)

coding

system : http://loinc.org

version : 2.77

code : 63895-7

display : Breastfeeding status

subject

reference : Patient/PatientinMusterfrau

encounter

reference : Encounter/Fachabteilungskontakt

effective : 2024-01-01

value

coding

system : http://loinc.org

code : LA29252-6

display : Currently breastfeeding

<Observation xmlns="http://hl7.org/fhir">
    <id value="ISiKStillstatusBeispiel" />
    <meta>
        <profile value="https://gematik.de/fhir/isik/StructureDefinition/ISiKStillstatus" />
    </meta>
    <status value="final" />
    <code>
        <coding>
            <system value="http://snomed.info/sct" />
            <version value="http://snomed.info/sct/11000274103/version/20231115" />
            <code value="413712001" />
            <display value="Breastfeeding (mother)" />
        </coding>
        <coding>
            <system value="http://loinc.org" />
            <version value="2.77" />
            <code value="63895-7" />
            <display value="Breastfeeding status" />
        </coding>
    </code>
    <subject>
        <reference value="Patient/PatientinMusterfrau" />
    </subject>
    <encounter>
        <reference value="Encounter/Fachabteilungskontakt" />
    </encounter>
    <effectiveDateTime value="2024-01-01" />
    <valueCodeableConcept>
        <coding>
            <system value="http://loinc.org" />
            <code value="LA29252-6" />
            <display value="Currently breastfeeding" />
        </coding>
    </valueCodeableConcept>
</Observation>

{
    "resourceType": "Observation",
    "id": "ISiKStillstatusBeispiel",
    "meta": {
        "profile":  [
            "https://gematik.de/fhir/isik/StructureDefinition/ISiKStillstatus"
        ]
    },
    "code": {
        "coding":  [
            {
                "code": "413712001",
                "system": "http://snomed.info/sct",
                "display": "Breastfeeding (mother)",
                "version": "http://snomed.info/sct/11000274103/version/20231115"
            },
            {
                "system": "http://loinc.org",
                "code": "63895-7",
                "display": "Breastfeeding status",
                "version": "2.77"
            }
        ]
    },
    "status": "final",
    "subject": {
        "reference": "Patient/PatientinMusterfrau"
    },
    "effectiveDateTime": "2024-01-01",
    "valueCodeableConcept": {
        "coding":  [
            {
                "code": "LA29252-6",
                "system": "http://loinc.org",
                "display": "Currently breastfeeding"
            }
        ]
    },
    "encounter": {
        "reference": "Encounter/Fachabteilungskontakt"
    }
}

Breastfeeding (mother)