Pflegegrad

Deutsches Profil zur Abbildung des Pflegegrads eines Patienten incl. Abbildung des erfolgten Antrags auf Einstufung in einen Pflegegrad.

Profil

Name: ObservationDePflegegrad (Simplifier Projekt Link)

Canonical: http://fhir.de/StructureDefinition/observation-de-pflegegrad

identifierΣ0..*Identifier
basedOnΣ I0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)
partOfΣ I0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)
statusΣ ?!1..1codeBinding
category0..*CodeableConceptBinding
loincΣ1..1Coding
textΣ0..1string
subjectΣ I1..1Reference(Patient)
focusΣ I0..*Reference(Resource)
encounterΣ I0..1Reference(Encounter)
startΣ I1..1dateTime
endΣ I0..1dateTime
issuedΣ0..1instant
performerΣ I0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)
codingΣ1..*CodingBinding
textΣ0..1string
dataAbsentReasonI0..1CodeableConceptBinding
interpretation0..*CodeableConceptBinding
note0..*Annotation
bodySite0..0CodeableConcept
method0..1CodeableConcept
specimenI0..1Reference(Specimen)
deviceI0..1Reference(Device | DeviceMetric)
lowI0..1SimpleQuantity
highI0..1SimpleQuantity
type0..1CodeableConceptBinding
appliesTo0..*CodeableConcept
ageI0..1Range
text0..1string
hasMemberΣ I0..*Reference(Observation | QuestionnaireResponse | MolecularSequence)
derivedFromΣ I0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)

Beispiel:

<Observation xmlns="http://hl7.org/fhir">
    <id value="Example-observation-pflegegrad" />
    <meta>
        <profile value="http://fhir.de/StructureDefinition/observation-de-pflegegrad" />
    </meta>
    <status value="final" />
    <code>
        <coding>
            <system value="http://loinc.org" />
            <code value="80391-6" />
            <display value="Pflegegrad" />
        </coding>
    </code>
    <subject>
        <reference value="Patient/example" />
    </subject>
    <effectivePeriod>
        <start value="2019-01-09" />
    </effectivePeriod>
    <valueCodeableConcept>
        <coding>
            <system value="http://fhir.de/CodeSystem/bfarm/ops" />
            <version value="2019" />
            <code value="9-984.6" />
            <display value="Pflegebed&#252;rftig nach Pflegegrad 1" />
        </coding>
    </valueCodeableConcept>
</Observation>

Diskussion siehe hier: https://chat.fhir.org/#narrow/stream/179183-german-(d-a-ch)/topic/Observation.20(Pflegestufe)