Extensions für Encounter
Folgende Extensions werden im Kontext der FHIR Ressource 'Encounter' definiert:
Name: ExtensionAufnahmegrund (Simplifier Projekt Link)
Canonical: http://fhir.de/StructureDefinition/Aufnahmegrund
Kontext:
| Extension | I | | Extension | There are no (further) constraints on this element Element IdShort description Optional Extensions Element Definition Optional Extension Element - found in all resources.
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()
|
| extension | I | 0..* | Extension | Element IdShort 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.
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.
Extension Sliced: Unordered, Open, by url(Value) 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()
|
| ErsteUndZweiteStelle | I | 0..1 | Extension | There are no (further) constraints on this element Element IdExtension.extension:ErsteUndZweiteStelle 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.
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.
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()
|
| url | | 1..1 | System.StringFixed Value | Element IdExtension.extension:ErsteUndZweiteStelle.url identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL.
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.
System.String Fixed Value Mappings |
| value[x] | | 0..1 | Binding | Element IdExtension.extension:ErsteUndZweiteStelle.value[x] Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
A stream of bytes, base64 encoded
AufnahmegrundErsteUndZweiteStelleVS (required) Constraints- ele-1:All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
|
| valueCoding | | | Coding | Data Type Coding |
| DritteStelle | I | 0..1 | Extension | There are no (further) constraints on this element Element IdExtension.extension:DritteStelle 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.
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.
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()
|
| url | | 1..1 | System.StringFixed Value | Element IdExtension.extension:DritteStelle.url identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL.
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.
System.String Fixed Value Mappings |
| value[x] | | 0..1 | Binding | Element IdExtension.extension:DritteStelle.value[x] Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
A stream of bytes, base64 encoded
AufnahmegrundDritteStelleVS (required) Constraints- ele-1:All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
|
| valueCoding | | | Coding | Data Type Coding |
| VierteStelle | I | 0..1 | Extension | There are no (further) constraints on this element Element IdExtension.extension:VierteStelle 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.
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.
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()
|
| url | | 1..1 | System.StringFixed Value | Element IdExtension.extension:VierteStelle.url identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL.
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.
System.String Fixed Value Mappings |
| value[x] | | 0..1 | Binding | Element IdExtension.extension:VierteStelle.value[x] Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
A stream of bytes, base64 encoded
AufnahmegrundVierteStelleVS (required) Constraints- ele-1:All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
|
| valueCoding | | | Coding | Data Type Coding |
| url | | 1..1 | System.StringFixed Value | Element IdShort description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL.
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.
System.String Fixed Value
http://fhir.de/StructureDefinition/Aufnahmegrund Mappings |
| value[x] | | 0..0 | | There are no (further) constraints on this element Element IdShort description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
A stream of bytes, base64 encoded
- ele-1:All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
|
Hinweise:
Weitere Infos siehe Datenübermittlung nach § 301 Abs. 3 SGB V.
Beispiel:
<extension url="http://fhir.de/StructureDefinition/Aufnahmegrund" >
<extension url="ErsteUndZweiteStelle">
<valueCoding>
<system value="http://fhir.de/CodeSystem/dkgev/AufnahmegrundErsteUndZweiteStelle" />
<code value="01" />
<display value="Krankenhausbehandlung, vollstationär" />
</valueCoding>
</extension>
<extension url="DritteStelle">
<valueCoding>
<system value="http://fhir.de/CodeSystem/dkgev/AufnahmegrundDritteStelle" />
<code value="2" />
<display value="Zuständigkeitswechsel des Kostenträgers" />
</valueCoding>
</extension>
<extension url="VierteStelle">
<valueCoding>
<system value="http://fhir.de/CodeSystem/dkgev/AufnahmegrundVierteStelle" />
<code value="7" />
<display value="Notfall" />
</valueCoding>
</extension>
</extension>
Name: ExtensionEntlassungsgrund (Simplifier Projekt Link)
Canonical: http://fhir.de/StructureDefinition/Entlassungsgrund
Kontext:
| expression |
|---|
| Encounter.hospitalization.dischargeDisposition |
| Extension | I | | Extension | There are no (further) constraints on this element Element IdShort description Optional Extensions Element Definition Optional Extension Element - found in all resources.
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()
|
| extension | I | 0..* | Extension | Element IdShort 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.
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.
Extension Sliced: Unordered, Open, by url(Value) 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()
|
| ErsteUndZweiteStelle | I | 0..1 | Extension | There are no (further) constraints on this element Element IdExtension.extension:ErsteUndZweiteStelle 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.
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.
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()
|
| url | | 1..1 | System.StringFixed Value | Element IdExtension.extension:ErsteUndZweiteStelle.url identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL.
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.
System.String Fixed Value Mappings |
| value[x] | | 0..1 | Binding | Element IdExtension.extension:ErsteUndZweiteStelle.value[x] Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
A stream of bytes, base64 encoded
EntlassungsgrundErsteUndZweiteStelleVS (required) Constraints- ele-1:All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
|
| valueCoding | | | Coding | Data Type Coding |
| DritteStelle | I | 0..1 | Extension | There are no (further) constraints on this element Element IdExtension.extension:DritteStelle 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.
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.
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()
|
| url | | 1..1 | System.StringFixed Value | Element IdExtension.extension:DritteStelle.url identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL.
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.
System.String Fixed Value Mappings |
| value[x] | | 0..1 | Binding | Element IdExtension.extension:DritteStelle.value[x] Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
A stream of bytes, base64 encoded
EntlassungsgrundDritteStelleVS (required) Constraints- ele-1:All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
|
| valueCoding | | | Coding | Data Type Coding |
| url | | 1..1 | System.StringFixed Value | Element IdShort description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL.
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.
System.String Fixed Value
http://fhir.de/StructureDefinition/Entlassungsgrund Mappings |
| value[x] | | 0..0 | | There are no (further) constraints on this element Element IdShort description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
A stream of bytes, base64 encoded
- ele-1:All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
|
Hinweise:
Weitere Infos siehe Datenübermittlung nach § 301 Abs. 3 SGB V.
Beispiel:
<extension url="http://fhir.de/StructureDefinition/Entlassungsgrund" >
<extension url="ErsteUndZweiteStelle">
<valueCoding>
<system value="http://fhir.de/CodeSystem/dkgev/Entlassungsgrund" />
<code value="01" />
<display value="Behandlung regulär beendet" />
</valueCoding>
</extension>
<extension url="DritteStelle">
<valueCoding>
<system value="http://fhir.de/CodeSystem/dkgev/EntlassungsgrundDritteStelle" />
<code value="1" />
<display value="arbeitsfähig entlassen" />
</valueCoding>
</extension>
</extension>
Name: ExtensionWahlleistungen (Simplifier Projekt Link)
| Hinweis |
Standard Level: Draft! |
|
Der nachfolgende Abschnitt des Implementierungsleitfadens wird als nicht vollständig genug oder nicht ausreichend geprüft angesehen, um ausschließen zu können, dass zukünftige Versionen rückwärtskompatibel bleiben. Im Anschluss an eine Ballotierung wird der Status in der Regel auf "Trial-Use" angehoben. Wir bitten hierzu um Meinungen und Vorschläge aus der Community. |
Canonical: http://fhir.de/StructureDefinition/Wahlleistung
Kontext:
| expression |
|---|
| Encounter.hospitalization |
| Extension | I | | Extension | There are no (further) constraints on this element Element IdShort description Optional Extensions Element Definition Optional Extension Element - found in all resources.
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()
|
| url | | 1..1 | System.StringFixed Value | Element IdShort description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL.
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.
System.String Fixed Value
http://fhir.de/StructureDefinition/wahlleistungen Mappings |
| value[x] | | 1..1 | Binding | Element IdShort description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
A stream of bytes, base64 encoded
Wahlleistungen (preferred) Constraints- ele-1:All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
|
| valueCoding | | | Coding | Data Type Coding |
| system | Σ | 1..1 | uri | There are no (further) constraints on this element Element IdExtension.value[x].system Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code.
Need to be unambiguous about the source of the definition of the symbol.
The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
uri Constraints- ele-1:All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
- rim:n/a
- v2:C*E.3
- rim:./codeSystem
- orim:fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
|
| version | Σ | 0..1 | string | There are no (further) constraints on this element Element IdExtension.value[x].version Version of the system - if relevant Definition The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.
Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
string Constraints- ele-1:All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
- rim:n/a
- v2:C*E.7
- rim:./codeSystemVersion
- orim:fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
|
| code | Σ | 1..1 | code | There are no (further) constraints on this element Element IdShort description Symbol in syntax defined by the system Definition A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
Need to refer to a particular code in the system.
Note that FHIR strings SHALL NOT exceed 1MB in size
code Constraints- ele-1:All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
- rim:n/a
- v2:C*E.1
- rim:./code
- orim:fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
|
| display | Σ | 0..1 | string | There are no (further) constraints on this element Element IdExtension.value[x].display Representation defined by the system Definition A representation of the meaning of the code in the system, following the rules of the system.
Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
Note that FHIR strings SHALL NOT exceed 1MB in size
string Constraints- ele-1:All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
- rim:n/a
- v2:C*E.2 - but note this is not well followed
- rim:CV.displayName
- orim:fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
|
| userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element IdExtension.value[x].userSelected If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).
This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.
Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
boolean Constraints- ele-1:All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
- rim:n/a
- v2:Sometimes implied by being first
- rim:CD.codingRationale
- orim:fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
|
Hinweise:
Diese Extension sollte nur verwendet werden für gewünschte Wahlleistungen. Erbrachte Wahlleistungen sollten als ChargeItem-Ressource abgebildet werden. Zudem sind hier nur Wahlleistungen bezogen auf die Unterkunft und ärztliche Wahlleistungen abzubilden. Medizinische Wahlleistungen sind per ServiceRequest-Ressource abzubilden.
Beispiel:
<extension url="http://fhir.de/StructureDefinition/Wahlleistung" >
<valueCoding>
<system value="http://fhir.de/CodeSystem/wahlleistungen-de" />
<value value="chef-oder-wahlarztbehandlung" />
<display value="Persönliche Behandlung durch den Chef- bzw. Wahlarzt)" />
</valueCoding>
</extension>
