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patrick-werner committed Mar 26, 2024
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"resourceType": "ImplementationGuide",
"url": "https://gematik.de/fhir/isik/v4/Vitalparameter/ImplementationGuide/ISiK-vitalparameter",
"name": "Implementierungsleitfaden ISiK-Modul Vitalparameter und Körpermaße",
"status": "active",
"status": "draft",
"fhirVersion": [
"4.0.1"
],
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Expand Up @@ -9,6 +9,11 @@ Die Profile der MII sind medizinisch qualitätsgesichert und weisen eine feingra
Durch die Übernahme der Profile der MII und Abbildung auf das ISIK-Setting, können feingranular kodierte Profile zu Vitalparametern im Krankenhauskontext genutzt werden - für die Normal- wie für die intensivmedizinische Versorgung.
Insbesondere dienen die Profile der Abbildung des Workflows zur Überleitung zwischen Intensiv- und Normalversorgung (siehe {{pagelink:ImplementationGuide/markdown/UebergreifendeUseCases/Intensivversorgung.md}}).

## Designentscheidung
- Max Kardinalitäten von coding slices wurden entfernt (entsprechend des [Best Practice IGs](https://simplifier.net/guide/Best-Practice-bei-der-Implementierung-und-Spezifizierung-mit-HL7/%C3%9Cbersicht/Spezifikation/Profilierung?version=current))
- Profile aus der MII, die den bisherigen, existenten Profilen entsprechen, wurden in die bisherigen Profile gemerged.
- Abweichende Änderung: Das Element .quantity.unit sollte nicht per pattern fixiert werden, daher wurde es entfernt.

## Intensivversorgung - PDMS

### Normativer Status
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4 changes: 2 additions & 2 deletions ImplementationGuide/markdown/Einfuehrung.md
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----
Version: 4.0.0-rc

Datum: 01.02.2024
Datum: tbd. April 2024

Status: Aktiv
Status: Draft

Realm: Deutschland

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11 changes: 11 additions & 0 deletions Material/Abweichungen.md
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Designentscheidung
- Max Kardinalitäten von coding slices wurden entfernt
- Profile aus der MII die den bisherigen, existenten Profilen entsprechen wurden in die bisherigen Profile gemerged, Anpassungen aus der MII wurden in "comments" des elements erfasst
- Änderung: unit sollte nicht per pattern fixiert werden -> entfernt

Korrekturen:
- In teilen falscher IEE code: urn:std:iso:11073:10101, korrekt wäre: urn:iso:std:iso:11073:10101
- Kopfumfang: 363812007 (KBV, BasisDE) vs 363811000 ICU
- linksventrikulaerer-druck: category nicht belegt, kein LOINC Code
- Sonstige pulsatile Drücke: = $sct#75367002 kann nicht gesetzt werden weil children andere sct codes setzen
- Selbiges für 11073
14 changes: 0 additions & 14 deletions Resources/Abweichungen.md

This file was deleted.

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"date": "2024-02-01",
"publisher": "gematik GmbH",
"fhirVersion": "4.0.1",
"mapping": [
{
"identity": "workflow",
"uri": "http://hl7.org/fhir/workflow",
"name": "Workflow Pattern"
},
{
"identity": "sct-concept",
"uri": "http://snomed.info/conceptdomain",
"name": "SNOMED CT Concept Domain Binding"
},
{
"identity": "v2",
"uri": "http://hl7.org/v2",
"name": "HL7 v2 Mapping"
},
{
"identity": "rim",
"uri": "http://hl7.org/v3",
"name": "RIM Mapping"
},
{
"identity": "w5",
"uri": "http://hl7.org/fhir/fivews",
"name": "FiveWs Pattern Mapping"
},
{
"identity": "sct-attr",
"uri": "http://snomed.org/attributebinding",
"name": "SNOMED CT Attribute Binding"
}
],
"kind": "resource",
"abstract": false,
"type": "Observation",
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"date": "2024-02-01",
"publisher": "gematik GmbH",
"fhirVersion": "4.0.1",
"mapping": [
{
"identity": "workflow",
"uri": "http://hl7.org/fhir/workflow",
"name": "Workflow Pattern"
},
{
"identity": "sct-concept",
"uri": "http://snomed.info/conceptdomain",
"name": "SNOMED CT Concept Domain Binding"
},
{
"identity": "v2",
"uri": "http://hl7.org/v2",
"name": "HL7 v2 Mapping"
},
{
"identity": "rim",
"uri": "http://hl7.org/v3",
"name": "RIM Mapping"
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{
"identity": "w5",
"uri": "http://hl7.org/fhir/fivews",
"name": "FiveWs Pattern Mapping"
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{
"identity": "sct-attr",
"uri": "http://snomed.org/attributebinding",
"name": "SNOMED CT Attribute Binding"
}
],
"kind": "resource",
"abstract": false,
"type": "Observation",
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32 changes: 32 additions & 0 deletions Resources/fsh-generated/resources/StructureDefinition-ISiKEkg.json
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"date": "2024-02-01",
"publisher": "gematik GmbH",
"fhirVersion": "4.0.1",
"mapping": [
{
"identity": "workflow",
"uri": "http://hl7.org/fhir/workflow",
"name": "Workflow Pattern"
},
{
"identity": "sct-concept",
"uri": "http://snomed.info/conceptdomain",
"name": "SNOMED CT Concept Domain Binding"
},
{
"identity": "v2",
"uri": "http://hl7.org/v2",
"name": "HL7 v2 Mapping"
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"uri": "http://snomed.org/attributebinding",
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"kind": "resource",
"abstract": false,
"type": "Observation",
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32 changes: 32 additions & 0 deletions Resources/fsh-generated/resources/StructureDefinition-ISiKGCS.json
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"date": "2024-02-01",
"publisher": "gematik GmbH",
"fhirVersion": "4.0.1",
"mapping": [
{
"identity": "workflow",
"uri": "http://hl7.org/fhir/workflow",
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{
"identity": "sct-concept",
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"name": "SNOMED CT Concept Domain Binding"
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{
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"uri": "http://snomed.org/attributebinding",
"name": "SNOMED CT Attribute Binding"
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"kind": "resource",
"abstract": false,
"type": "Observation",
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"date": "2024-02-01",
"publisher": "gematik GmbH",
"fhirVersion": "4.0.1",
"mapping": [
{
"identity": "workflow",
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"abstract": false,
"type": "Observation",
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"date": "2024-02-01",
"publisher": "gematik GmbH",
"fhirVersion": "4.0.1",
"mapping": [
{
"identity": "workflow",
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{
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"abstract": false,
"type": "Observation",
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"date": "2024-02-01",
"publisher": "gematik GmbH",
"fhirVersion": "4.0.1",
"mapping": [
{
"identity": "workflow",
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{
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"name": "SNOMED CT Concept Domain Binding"
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"uri": "http://snomed.org/attributebinding",
"name": "SNOMED CT Attribute Binding"
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"kind": "resource",
"abstract": false,
"type": "Observation",
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"date": "2024-02-01",
"publisher": "gematik GmbH",
"fhirVersion": "4.0.1",
"mapping": [
{
"identity": "workflow",
"uri": "http://hl7.org/fhir/workflow",
"name": "Workflow Pattern"
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{
"identity": "sct-concept",
"uri": "http://snomed.info/conceptdomain",
"name": "SNOMED CT Concept Domain Binding"
},
{
"identity": "v2",
"uri": "http://hl7.org/v2",
"name": "HL7 v2 Mapping"
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{
"identity": "rim",
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"name": "FiveWs Pattern Mapping"
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"identity": "sct-attr",
"uri": "http://snomed.org/attributebinding",
"name": "SNOMED CT Attribute Binding"
}
],
"kind": "resource",
"abstract": false,
"type": "Observation",
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