Implementierungsleitfaden ISiK-Basismodul

ExtensionISiKRehaEntlassung

Extension zur Dokumentation von Informationen nach §301 (4 und 4a) SGB V, entsprechend dem ärztliche Reha-Entlassungsbericht. Mit dieser Extension können spezifische Entlassungsinformationen im Kontext einer Rehabilitationsmaßnahme angegeben werden. Dies ist besonders relevant für Einrichtungen, die Leistungen im Bereich Rehabilitation erbringen, und unterstützt die strukturierte Kommunikation im Entlassmanagement.

Metadaten

CanonicalURL	https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKRehaEntlassung
Kontext	Encounter.hospitalization.dischargeDisposition
Status	active
Version	5.1.0
Herausgeber	gematik GmbH

Inhalt

ExtensionISiKRehaEntlassung (Extension)	C		Extension	There are no (further) constraints on this element Element id Extension Short description Optional Extensions Element Definition Optional Extension Element - found in all resources. Data type Extension Conditions The cardinality or value of this element may be affected by these constraints: ele-1 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	C	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 Slicing 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
Entlassform	S C	0..1	Extension	There are no (further) constraints on this element Element id Extension.extension:Entlassform 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 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
id		0..1	string	There are no (further) constraints on this element Element id Extension.extension:Entlassform.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	C	0..0	Extension	There are no (further) constraints on this element Element id Extension.extension:Entlassform.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 Slicing 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
url		1..1	uriFixed Value	Element id Extension.extension:Entlassform.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 Entlassform Mappings rim: N/A
value[x]		0..1	Binding	Element id Extension.extension:Entlassform.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). Binding ISiKEntlassformRehaVS (extensible) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: N/A
valueCoding			Coding	Data type Coding
BesondereBehandlung	S C	0..1	Extension	There are no (further) constraints on this element Element id Extension.extension:BesondereBehandlung 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 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
id		0..1	string	There are no (further) constraints on this element Element id Extension.extension:BesondereBehandlung.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	C	0..0	Extension	There are no (further) constraints on this element Element id Extension.extension:BesondereBehandlung.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 Slicing 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
url		1..1	uriFixed Value	Element id Extension.extension:BesondereBehandlung.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 BesondereBehandlung Mappings rim: N/A
value[x]		0..1	Binding	Element id Extension.extension:BesondereBehandlung.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). Binding ISiKBesondereBehandlungsformRehaVS (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: N/A
valueCoding			Coding	Data type Coding
BehandlungsergebnisReha	S C	0..1	Extension	There are no (further) constraints on this element Element id Extension.extension:BehandlungsergebnisReha 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 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
id		0..1	string	There are no (further) constraints on this element Element id Extension.extension:BehandlungsergebnisReha.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	C	0..0	Extension	There are no (further) constraints on this element Element id Extension.extension:BehandlungsergebnisReha.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 Slicing 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
url		1..1	uriFixed Value	Element id Extension.extension:BehandlungsergebnisReha.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 BehandlungsergebnisReha Mappings rim: N/A
value[x]		0..1	Binding	Element id Extension.extension:BehandlungsergebnisReha.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). Binding ISiKBehandlungsergebnisRehaVS (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: N/A
valueCoding			Coding	Data type Coding
UnterbrechnungReha	S C	0..1	Extension	There are no (further) constraints on this element Element id Extension.extension:UnterbrechnungReha 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 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
id		0..1	string	There are no (further) constraints on this element Element id Extension.extension:UnterbrechnungReha.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	C	0..0	Extension	There are no (further) constraints on this element Element id Extension.extension:UnterbrechnungReha.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 Slicing 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
url		1..1	uriFixed Value	Element id Extension.extension:UnterbrechnungReha.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 UnterbrechnungReha Mappings rim: N/A
value[x]		0..1	Binding	Element id Extension.extension:UnterbrechnungReha.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). Binding ISiKUnterbrechungRehaVS (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: N/A
valueCoding			Coding	Data type Coding
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://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKRehaEntlassung Mappings rim: N/A
value[x]		0..0		There are no (further) constraints on this element 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). Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: N/A

<id value="ExtensionISiKRehaEntlassung" />
<url value="https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKRehaEntlassung" />
<version value="5.1.0" />
<name value="ExtensionISiKRehaEntlassung" />
<status value="active" />
<experimental value="false" />
<date value="2025-10-23" />
<publisher value="gematik GmbH" />
<description value="Extension zur Dokumentation von Informationen nach §301 (4 und 4a) SGB V, entsprechend dem ärztliche Reha-Entlassungsbericht. Mit dieser Extension können spezifische Entlassungsinformationen im Kontext einer Rehabilitationsmaßnahme angegeben werden. Dies ist besonders relevant für Einrichtungen, die Leistungen im Bereich Rehabilitation erbringen, und unterstützt die strukturierte Kommunikation im Entlassmanagement." />
<fhirVersion value="4.0.1" />
<kind value="complex-type" />
<abstract value="false" />
<context>
<type value="element" />
<expression value="Encounter.hospitalization.dischargeDisposition" />
</context>
<type value="Extension" />
<baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension" />
<derivation value="constraint" />
<differential>
<element id="Extension.extension:Entlassform">
<path value="Extension.extension" />
<sliceName value="Entlassform" />
<min value="0" />
<max value="1" />
<mustSupport value="true" />
</element>
<element id="Extension.extension:Entlassform.extension">
<path value="Extension.extension.extension" />
<max value="0" />
</element>
<element id="Extension.extension:Entlassform.url">
<path value="Extension.extension.url" />
<fixedUri value="Entlassform" />
</element>
<element id="Extension.extension:Entlassform.value[x]">
<path value="Extension.extension.value[x]" />
<type>
<code value="Coding" />
</type>
<binding>
<strength value="extensible" />
<valueSet value="https://gematik.de/fhir/isik/ValueSet/ISiKEntlassformReha" />
</binding>
</element>
<element id="Extension.extension:BesondereBehandlung">
<path value="Extension.extension" />
<sliceName value="BesondereBehandlung" />
<min value="0" />
<max value="1" />
<mustSupport value="true" />
</element>
<element id="Extension.extension:BesondereBehandlung.extension">
<path value="Extension.extension.extension" />
<max value="0" />
</element>
<element id="Extension.extension:BesondereBehandlung.url">
<path value="Extension.extension.url" />
<fixedUri value="BesondereBehandlung" />
</element>
<element id="Extension.extension:BesondereBehandlung.value[x]">
<path value="Extension.extension.value[x]" />
<type>
<code value="Coding" />
</type>
<binding>
<strength value="required" />
<valueSet value="https://gematik.de/fhir/isik/ValueSet/ISiKBesondereBehandlungsformReha" />
</binding>
</element>
<element id="Extension.extension:BehandlungsergebnisReha">
<path value="Extension.extension" />
<sliceName value="BehandlungsergebnisReha" />
<min value="0" />
<max value="1" />
<mustSupport value="true" />
</element>
<element id="Extension.extension:BehandlungsergebnisReha.extension">
<path value="Extension.extension.extension" />
<max value="0" />
</element>
<element id="Extension.extension:BehandlungsergebnisReha.url">
<path value="Extension.extension.url" />
<fixedUri value="BehandlungsergebnisReha" />
</element>
<element id="Extension.extension:BehandlungsergebnisReha.value[x]">
<path value="Extension.extension.value[x]" />
<type>
<code value="Coding" />
</type>
<binding>
<strength value="required" />
<valueSet value="https://gematik.de/fhir/isik/ValueSet/ISiKBehandlungsergebnisReha" />
</binding>
</element>
<element id="Extension.extension:UnterbrechnungReha">
<path value="Extension.extension" />
<sliceName value="UnterbrechnungReha" />
<min value="0" />
<max value="1" />
<mustSupport value="true" />
</element>
<element id="Extension.extension:UnterbrechnungReha.extension">
<path value="Extension.extension.extension" />
<max value="0" />
</element>
<element id="Extension.extension:UnterbrechnungReha.url">
<path value="Extension.extension.url" />
<fixedUri value="UnterbrechnungReha" />
</element>
<element id="Extension.extension:UnterbrechnungReha.value[x]">
<path value="Extension.extension.value[x]" />
<type>
<code value="Coding" />
</type>
<binding>
<strength value="required" />
<valueSet value="https://gematik.de/fhir/isik/ValueSet/ISiKUnterbrechungReha" />
</binding>
</element>
<element id="Extension.url">
<path value="Extension.url" />
<fixedUri value="https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKRehaEntlassung" />
</element>
<element id="Extension.value[x]">
<path value="Extension.value[x]" />
<max value="0" />
</element>
</differential>

</StructureDefinition>

{

"resourceType": "StructureDefinition",
"id": "ExtensionISiKRehaEntlassung",
"url": "https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKRehaEntlassung",
"version": "5.1.0",
"name": "ExtensionISiKRehaEntlassung",
"status": "active",
"experimental": false,
"date": "2025-10-23",
"publisher": "gematik GmbH",
"description": "Extension zur Dokumentation von Informationen nach §301 (4 und 4a) SGB V, entsprechend dem ärztliche Reha-Entlassungsbericht. Mit dieser Extension können spezifische Entlassungsinformationen im Kontext einer Rehabilitationsmaßnahme angegeben werden. Dies ist besonders relevant für Einrichtungen, die Leistungen im Bereich Rehabilitation erbringen, und unterstützt die strukturierte Kommunikation im Entlassmanagement.",
"fhirVersion": "4.0.1",
"kind": "complex-type",
"abstract": false,
"context": [
{
"expression": "Encounter.hospitalization.dischargeDisposition",
"type": "element"
}
],
"type": "Extension",
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension",
"derivation": "constraint",
"differential": {
"element": [
{
"id": "Extension.extension:Entlassform",
"path": "Extension.extension",
"sliceName": "Entlassform",
"min": 0,
"max": "1",
"mustSupport": true
},
{
"id": "Extension.extension:Entlassform.extension",
"path": "Extension.extension.extension",
"max": "0"
},
{
"id": "Extension.extension:Entlassform.url",
"path": "Extension.extension.url",
"fixedUri": "Entlassform"
},
{
"id": "Extension.extension:Entlassform.value[x]",
"path": "Extension.extension.value[x]",
"type": [
{
"code": "Coding"
}
],
"binding": {
"strength": "extensible",
"valueSet": "https://gematik.de/fhir/isik/ValueSet/ISiKEntlassformReha"
}
},
{
"id": "Extension.extension:BesondereBehandlung",
"path": "Extension.extension",
"sliceName": "BesondereBehandlung",
"min": 0,
"max": "1",
"mustSupport": true
},
{
"id": "Extension.extension:BesondereBehandlung.extension",
"path": "Extension.extension.extension",
"max": "0"
},
{
"id": "Extension.extension:BesondereBehandlung.url",
"path": "Extension.extension.url",
"fixedUri": "BesondereBehandlung"
},
{
"id": "Extension.extension:BesondereBehandlung.value[x]",
"path": "Extension.extension.value[x]",
"type": [
{
"code": "Coding"
}
],
"binding": {
"strength": "required",
"valueSet": "https://gematik.de/fhir/isik/ValueSet/ISiKBesondereBehandlungsformReha"
}
},
{
"id": "Extension.extension:BehandlungsergebnisReha",
"path": "Extension.extension",
"sliceName": "BehandlungsergebnisReha",
"min": 0,
"max": "1",
"mustSupport": true
},
{
"id": "Extension.extension:BehandlungsergebnisReha.extension",
"path": "Extension.extension.extension",
"max": "0"
},
{
"id": "Extension.extension:BehandlungsergebnisReha.url",
"path": "Extension.extension.url",
"fixedUri": "BehandlungsergebnisReha"
},
{
"id": "Extension.extension:BehandlungsergebnisReha.value[x]",
"path": "Extension.extension.value[x]",
"type": [
{
"code": "Coding"
}
],
"binding": {
"strength": "required",
"valueSet": "https://gematik.de/fhir/isik/ValueSet/ISiKBehandlungsergebnisReha"
}
},
{
"id": "Extension.extension:UnterbrechnungReha",
"path": "Extension.extension",
"sliceName": "UnterbrechnungReha",
"min": 0,
"max": "1",
"mustSupport": true
},
{
"id": "Extension.extension:UnterbrechnungReha.extension",
"path": "Extension.extension.extension",
"max": "0"
},
{
"id": "Extension.extension:UnterbrechnungReha.url",
"path": "Extension.extension.url",
"fixedUri": "UnterbrechnungReha"
},
{
"id": "Extension.extension:UnterbrechnungReha.value[x]",
"path": "Extension.extension.value[x]",
"type": [
{
"code": "Coding"
}
],
"binding": {
"strength": "required",
"valueSet": "https://gematik.de/fhir/isik/ValueSet/ISiKUnterbrechungReha"
}
},
{
"id": "Extension.url",
"path": "Extension.url",
"fixedUri": "https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKRehaEntlassung"
},
{
"id": "Extension.value[x]",
"path": "Extension.value[x]",
"max": "0"
}
]
}

}

ExtensionISiKRehaEntlassung