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ImplementationGuide/Implementierungsleitfaden_ISiKBasismodul.json
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ImplementationGuide/markdown/Angehoeriger/Angehoeriger_Profil.md
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## Profil | ||
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@``` | ||
from StructureDefinition where url = 'https://gematik.de/fhir/isik/v3/Basismodul/StructureDefinition/ISiKAngehoeriger' select Name: name, Canonical: url | ||
from StructureDefinition where url = 'https://gematik.de/fhir/isik/StructureDefinition/ISiKAngehoeriger' select Name: name, Canonical: url | ||
``` | ||
{{tree:https://gematik.de/fhir/isik/v3/Basismodul/StructureDefinition/ISiKAngehoeriger, hybrid}} | ||
{{tree:https://gematik.de/fhir/isik/StructureDefinition/ISiKAngehoeriger, hybrid}} | ||
@``` from StructureDefinition where url = 'https://gematik.de/fhir/isik/v3/Basismodul/StructureDefinition/ISiKAngehoeriger' for differential.element.constraint select key, severity, human, expression``` | ||
@``` from StructureDefinition where url = 'https://gematik.de/fhir/isik/StructureDefinition/ISiKAngehoeriger' for differential.element.constraint select key, severity, human, expression``` | ||
--- |
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ImplementationGuide/markdown/BerichtSubsystem/BerichtSubsystem_Profil.md
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### Profil | ||
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@``` | ||
from StructureDefinition where url = 'https://gematik.de/fhir/isik/v3/Basismodul/StructureDefinition/ISiKBerichtSubSysteme' select Name: name, Canonical: url | ||
from StructureDefinition where url = 'https://gematik.de/fhir/isik/StructureDefinition/ISiKBerichtSubSysteme' select Name: name, Canonical: url | ||
``` | ||
{{tree:https://gematik.de/fhir/isik/v3/Basismodul/StructureDefinition/ISiKBerichtSubSysteme, hybrid}} | ||
{{tree:https://gematik.de/fhir/isik/StructureDefinition/ISiKBerichtSubSysteme, hybrid}} | ||
--- |
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### Profil | ||
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@``` | ||
from StructureDefinition where url = 'https://gematik.de/fhir/isik/v3/Basismodul/StructureDefinition/ISiKBinary' select Name: name, Canonical: url | ||
from StructureDefinition where url = 'https://gematik.de/fhir/isik/StructureDefinition/ISiKBinary' select Name: name, Canonical: url | ||
``` | ||
{{tree:https://gematik.de/fhir/isik/v3/Basismodul/StructureDefinition/ISiKBinary, hybrid}} | ||
{{tree:https://gematik.de/fhir/isik/StructureDefinition/ISiKBinary, hybrid}} | ||
--- |
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### FHIR-Profil | ||
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@``` | ||
from StructureDefinition where url = 'https://gematik.de/fhir/isik/v3/Basismodul/StructureDefinition/ISiKCodeSystem' select Name: name, Canonical: url | ||
from StructureDefinition where url = 'https://gematik.de/fhir/isik/StructureDefinition/ISiKCodeSystem' select Name: name, Canonical: url | ||
``` | ||
{{tree:https://gematik.de/fhir/isik/v3/Basismodul/StructureDefinition/ISiKCodeSystem, hybrid}} | ||
{{tree:https://gematik.de/fhir/isik/StructureDefinition/ISiKCodeSystem, hybrid}} | ||
--- |
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...uide/markdown/Lebenszustand/Lebenszustand_AnmerkungenZuDenMustSupportFeldern.md
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### Anmerkungen zu den Must-Support-Feldern | ||
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### `Observation.category` | ||
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**Bedeutung:** Kategorie-Code der die Untersuchung kategorisiert. | ||
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### `Observation.code` | ||
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**Bedeutung:** Code der die Untersuchung repräsentiert und kodiert. | ||
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### `Observation.subject` | ||
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**Bedeutung:** Ein Patientenbezug der Observation MUSS stets zum Zwecke der Nachvollziehbarkeit und Datenintegrität vorliegen. | ||
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### `Observation.effective[x]` | ||
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**Bedeutung:** Klinisch relevanter Zeitpunkt/Zeitspanne für die Observation. | ||
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### `Observation.value[x] (valueDateTime, valueBoolean)` | ||
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**Bedeutung:** Erfasster Wert der Observation. Es müssen Datum und boolesche Werte supportet werden. | ||
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### `Observation.hasMember` | ||
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**Bedeutung:** Weitere Observation die mit dieser Observation gemeinsam zu betrachten ist. | ||
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--- |
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ImplementationGuide/markdown/Lebenszustand/Lebenszustand_Beispiele.md
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### Beispiele | ||
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Schwangerschaftsstatus: | ||
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{{json:ISiKSchwangerschaftsstatusBeispiel}} | ||
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Erwarteter Entbindungstermin: | ||
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{{json:ISiKSchwangerschaftErwarteterEntbindungsterminBeispiel}} | ||
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Alkoholabusus: | ||
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{{json:ISiKAlkoholAbususBeispiel}} | ||
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Raucherstatus: | ||
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{{json:ISiKRaucherStatusBeispiel}} | ||
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Stillstatus: | ||
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{{json:ISiKStillstatusBeispiel}} |
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ImplementationGuide/markdown/Lebenszustand/Lebenszustand_Interaktionen.md
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### Interaktionen | ||
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Für die Ressource Practitioner MUSS die REST-Interaktion "READ" implementiert werden. | ||
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Folgende Suchparameter sind für das Bestätigungsverfahren relevant, auch in Kombination: | ||
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1. Der Suchparameter "_id" MUSS unterstützt werden: | ||
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Beispiele: | ||
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```GET [base]/Observation?_id=1234567890``` | ||
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Anwendungshinweise: Weitere Informationen zur Suche nach "_id" finden sich in der [FHIR-Basisspezifikation - Abschnitt "Parameters for all resources"](https://www.hl7.org/fhir/R4/search.html#all). | ||
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1. Der Suchparameter "status" MUSS unterstützt werden: | ||
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Beispiel: | ||
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``` GET [base]/Observation?status=http://hl7.org/fhir/observation-status|final``` | ||
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Anwendungshinweise: Weitere Informationen zur Suche nach "status" | ||
finden sich in der [FHIR-Basisspezifikation - Abschnitt "Token Search"](https://hl7.org/fhir/R4/search.html#token). | ||
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1. Der Suchparameter "category" MUSS unterstützt werden: | ||
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Beispiele: | ||
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```GET [base]/Observation?category=http://terminology.hl7.org/CodeSystem/observation-category|social-history``` | ||
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Anwendungshinweise: Weitere Informationen zur Suche nach "Observation.category" finden sich in der [FHIR-Basisspezifikation - Abschnitt "Token Search"](https://hl7.org/fhir/R4/search.html#token). | ||
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1. Der Suchparameter "code" MUSS unterstützt werden: | ||
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Beispiele: | ||
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```GET [base]/Observation?code=http://terminology.hl7.org/CodeSystem/observation-category|social-history``` | ||
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Anwendungshinweise: Weitere Informationen zur Suche nach "Observation.category" finden sich in der [FHIR-Basisspezifikation - Abschnitt "Token Search"](https://hl7.org/fhir/R4/search.html#token). | ||
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1. Der Suchparameter "patient" MUSS unterstützt werden: | ||
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Beispiele: | ||
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```GET [base]/Observation?patient=Patient/123``` | ||
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Anwendungshinweise: Weitere Informationen zur Suche nach "Condition.subject" finden sich in der [FHIR-Basisspezifikation - Abschnitt "Reference Search"](https://www.hl7.org/fhir/R4/search.html#reference). | ||
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Dieser Suchparameter ist für die Umsetzung des IHE QEDm Profils verpflichtend. | ||
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1. Der Suchparameter "subject" MUSS unterstützt werden: | ||
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Beispiele: | ||
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```GET [base]/Observation?subject=Patient/123``` | ||
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Anwendungshinweise: Weitere Informationen zur Suche nach "Condition.subject" finden sich in der [FHIR-Basisspezifikation - Abschnitt "Reference Search"](https://www.hl7.org/fhir/R4/search.html#reference). | ||
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1. Der Suchparameter "date" MUSS unterstützt werden: | ||
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Beispiel: | ||
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``` GET [base]/Observation?date=ge2013-01-14&date=le2021-12-31``` | ||
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Anwendungshinweise: Weitere Informationen zur Suche nach "date" | ||
finden sich in der [FHIR-Basisspezifikation - Abschnitt "Parameters for all resources"](https://www.hl7.org/fhir/R4/search.html#all). | ||
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1. Der Suchparameter "combo-code" MUSS unterstützt werden: | ||
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Beispiel: | ||
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```GET [base]/Observation?combo-code=85354-9``` | ||
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Anwendungshinweise: Weitere Informationen zur Suche nach "combo-code" finden sich in der [FHIR-Basisspezifikation - Abschnitt "Token"](https://www.hl7.org/fhir/R4/search.html#token). | ||
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1. Der Suchparameter "combo-code-value-quantity" MUSS unterstützt werden: | ||
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Beispiel: | ||
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```GET [base]/Observation?combo-code-value-quantity=http://loinc.org|8480-6$120|http://unitsofmeasure.org|mm[Hg]``` | ||
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Anwendungshinweise: Weitere Informationen zur Suche nach "combo-code-value-quantity" finden sich in der [FHIR-Basisspezifikation - Abschnitt "Composite Search Parameters"](https://www.hl7.org/fhir/R4/search.html#combining). | ||
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1. Der Suchparameter "component-code" MUSS unterstützt werden: | ||
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Beispiel: | ||
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```GET [base]/Observation?component-code=http://loinc.org|85354-9``` | ||
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Anwendungshinweise: Weitere Informationen zur Suche nach "component-code" finden sich in der [FHIR-Basisspezifikation - Abschnitt "Token"](https://www.hl7.org/fhir/R4/search.html#token). | ||
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1. Der Suchparameter "encounter" MUSS unterstützt werden: | ||
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Beispiel: | ||
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```GET [base]/Observation?encounter=Encounter/234``` | ||
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Anwendungshinweise: Weitere Informationen zur Suche nach "encounter" finden sich in der [FHIR-Basisspezifikation - Abschnitt "Reference Search"](https://www.hl7.org/fhir/R4/search.html#reference). | ||
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1. Der Suchparameter "encounter" MUSS unterstützt werden: | ||
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Beispiel: | ||
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```GET [base]/Observation?encounter=Encounter/234``` | ||
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Anwendungshinweise: Weitere Informationen zur Suche nach "encounter" finden sich in der [FHIR-Basisspezifikation - Abschnitt "Reference Search"](https://www.hl7.org/fhir/R4/search.html#reference). | ||
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--- |
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ImplementationGuide/markdown/Lebenszustand/Lebenszustand_Kompatibilitaet.md
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### Kompatibilität | ||
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Für Schwangerschaftsstatus & Erwarteter Geburtstermin wird eine Kompatibilität mit folgenden **IPS** Profilen angestrebt: | ||
* [IPS Resource Profile: Observation - Pregnancy: EDD](https://hl7.org/fhir/uv/ips/STU1.1/StructureDefinition-Observation-pregnancy-edd-uv-ips.html). | ||
* [IPS Resource Profile: Observation - Pregnancy: status](https://hl7.org/fhir/uv/ips/STU1.1/StructureDefinition-Observation-pregnancy-status-uv-ips.html) | ||
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Hinweise zu Inkompatibilitäten können über die [Portalseite](https://service.gematik.de/servicedesk/customer/portal/16) gemeldet werden.. | ||
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--- | ||
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ImplementationGuide/markdown/Lebenszustand/Lebenszustand_Motivation.md
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### Motivation | ||
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Viele medizinischen Entscheidungen benötigen Informationen zu den Lebensumständen eines Patienten. Hierzu gehören eine aktuelle Schwangerschaft, Raucherstatus sowie der Alkoholabususstatus. | ||
Motivierender use-case zur Einführung dieser Profile ist der Arzneimitteltherapiesicherheit (AMTS) use-case. | ||
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In FHIR werden Untersuchungen, bzw. Beobachtungen als [`Observation`](https://hl7.org/fhir/R4/observation.html)-Ressource repräsentiert. | ||
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--- |
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