{
  "description": "Kreatininwert einer behandelten Person",
  "_filename": "StructureDefinition-KBV-PR-VoS-Observation-Creatinine-Level.json",
  "package_name": "kbv.ita.vos",
  "date": "2025-10-01",
  "derivation": "constraint",
  "publisher": "Kassenärztliche Bundesvereinigung",
  "fhirVersion": "4.0.1",
  "name": "KBV_PR_VoS_Observation_Creatinine_Level",
  "abstract": false,
  "type": "Observation",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": "KBV_PR_VoS_Observation_Creatinine_Level",
  "package_version": "2.2.0-kommentierung2",
  "status": "draft",
  "id": "4f2afa6c-1cdc-4117-b0bd-6e3d081a6b40",
  "kind": "resource",
  "url": "https://fhir.kbv.de/StructureDefinition/KBV_PR_VoS_Observation_Creatinine_Level",
  "version": "2.2.0",
  "differential": {
    "element": [ {
      "id": "Observation.id",
      "min": 1,
      "path": "Observation.id",
      "mustSupport": true
    }, {
      "id": "Observation.meta",
      "min": 1,
      "path": "Observation.meta",
      "mustSupport": true
    }, {
      "id": "Observation.meta.source",
      "max": "0",
      "path": "Observation.meta.source"
    }, {
      "id": "Observation.meta.profile",
      "min": 1,
      "path": "Observation.meta.profile",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "$this",
          "type": "value"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "Observation.meta.profile:vosProfile",
      "max": "1",
      "min": 1,
      "path": "Observation.meta.profile",
      "sliceName": "vosProfile",
      "mustSupport": true,
      "fixedCanonical": "https://fhir.kbv.de/StructureDefinition/KBV_PR_VoS_Observation_Creatinine_Level|2.2.0"
    }, {
      "id": "Observation.meta.security",
      "max": "0",
      "path": "Observation.meta.security"
    }, {
      "id": "Observation.meta.tag",
      "max": "0",
      "path": "Observation.meta.tag"
    }, {
      "id": "Observation.implicitRules",
      "max": "0",
      "path": "Observation.implicitRules"
    }, {
      "id": "Observation.language",
      "max": "0",
      "path": "Observation.language"
    }, {
      "id": "Observation.contained",
      "max": "0",
      "path": "Observation.contained"
    }, {
      "id": "Observation.identifier",
      "max": "0",
      "path": "Observation.identifier"
    }, {
      "id": "Observation.basedOn",
      "max": "0",
      "path": "Observation.basedOn"
    }, {
      "id": "Observation.partOf",
      "max": "0",
      "path": "Observation.partOf"
    }, {
      "id": "Observation.status",
      "path": "Observation.status",
      "fixedCode": "final",
      "mustSupport": true
    }, {
      "id": "Observation.category",
      "max": "0",
      "path": "Observation.category"
    }, {
      "id": "Observation.code",
      "path": "Observation.code",
      "mustSupport": true
    }, {
      "id": "Observation.code.coding",
      "max": "2",
      "min": 2,
      "path": "Observation.code.coding",
      "slicing": {
        "rules": "closed",
        "discriminator": [ {
          "path": "system",
          "type": "value"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "Observation.code.coding:loinc",
      "max": "1",
      "min": 1,
      "path": "Observation.code.coding",
      "sliceName": "loinc",
      "mustSupport": true
    }, {
      "id": "Observation.code.coding:loinc.system",
      "min": 1,
      "path": "Observation.code.coding.system",
      "fixedUri": "http://loinc.org",
      "mustSupport": true
    }, {
      "id": "Observation.code.coding:loinc.code",
      "min": 1,
      "path": "Observation.code.coding.code",
      "fixedCode": "2160-0",
      "mustSupport": true
    }, {
      "id": "Observation.code.coding:loinc.display",
      "min": 1,
      "path": "Observation.code.coding.display",
      "fixedString": "Creatinine [Mass/volume] in Serum or Plasma",
      "mustSupport": true
    }, {
      "id": "Observation.code.coding:loinc.userSelected",
      "max": "0",
      "path": "Observation.code.coding.userSelected"
    }, {
      "id": "Observation.code.coding:kbv_code",
      "max": "1",
      "min": 1,
      "path": "Observation.code.coding",
      "sliceName": "kbv_code",
      "mustSupport": true
    }, {
      "id": "Observation.code.coding:kbv_code.system",
      "min": 1,
      "path": "Observation.code.coding.system",
      "fixedUri": "https://fhir.kbv.de/CodeSystem/KBV_CS_VoS_VitalSigns",
      "mustSupport": true
    }, {
      "id": "Observation.code.coding:kbv_code.code",
      "min": 1,
      "path": "Observation.code.coding.code",
      "fixedCode": "Kreatinin",
      "mustSupport": true
    }, {
      "id": "Observation.code.coding:kbv_code.display",
      "min": 1,
      "path": "Observation.code.coding.display",
      "fixedString": "Kreatinin",
      "mustSupport": true
    }, {
      "id": "Observation.code.coding:kbv_code.userSelected",
      "max": "0",
      "path": "Observation.code.coding.userSelected"
    }, {
      "id": "Observation.code.text",
      "max": "0",
      "path": "Observation.code.text"
    }, {
      "id": "Observation.subject",
      "min": 1,
      "path": "Observation.subject",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://fhir.kbv.de/StructureDefinition/KBV_PR_VoS_Patient|2.2.0" ]
      } ],
      "short": "Behandelte Person",
      "definition": "Referenz auf die behaldelte Person, für die der Kreatininwert vorliegt.",
      "mustSupport": true
    }, {
      "id": "Observation.subject.reference",
      "min": 1,
      "path": "Observation.subject.reference",
      "mustSupport": true
    }, {
      "id": "Observation.subject.type",
      "max": "0",
      "path": "Observation.subject.type"
    }, {
      "id": "Observation.subject.identifier",
      "max": "0",
      "path": "Observation.subject.identifier"
    }, {
      "id": "Observation.subject.display",
      "max": "0",
      "path": "Observation.subject.display"
    }, {
      "id": "Observation.focus",
      "max": "0",
      "path": "Observation.focus"
    }, {
      "id": "Observation.encounter",
      "max": "0",
      "path": "Observation.encounter"
    }, {
      "id": "Observation.effective[x]",
      "path": "Observation.effective[x]",
      "type": [ {
        "code": "dateTime"
      } ],
      "short": "Zeitpunkt",
      "slicing": {
        "rules": "closed",
        "ordered": false,
        "discriminator": [ {
          "path": "$this",
          "type": "type"
        } ]
      },
      "definition": "Hier wird ein Zeitpunkt eingetragen, wobei dieser mindestens Jahr beinhalten muss."
    }, {
      "id": "Observation.effective[x]:effectiveDateTime",
      "max": "1",
      "min": 0,
      "path": "Observation.effective[x]",
      "type": [ {
        "code": "dateTime"
      } ],
      "sliceName": "effectiveDateTime"
    }, {
      "id": "Observation.issued",
      "max": "0",
      "path": "Observation.issued"
    }, {
      "id": "Observation.performer",
      "max": "0",
      "path": "Observation.performer"
    }, {
      "id": "Observation.value[x]",
      "min": 1,
      "path": "Observation.value[x]",
      "type": [ {
        "code": "Quantity"
      } ],
      "slicing": {
        "rules": "closed",
        "discriminator": [ {
          "path": "$this",
          "type": "type"
        } ]
      },
      "mustSupport": true
    }, {
      "path": "Observation.value[x]",
      "min": 1,
      "definition": "Angabe des Kreatininwerts in mg/dL",
      "short": "Kreatininwert",
      "type": [ {
        "code": "Quantity"
      } ],
      "mustSupport": true,
      "sliceName": "valueQuantity",
      "max": "1",
      "id": "Observation.value[x]:valueQuantity"
    }, {
      "id": "Observation.value[x]:valueQuantity.value",
      "min": 1,
      "path": "Observation.value[x].value",
      "mustSupport": true
    }, {
      "id": "Observation.value[x]:valueQuantity.unit",
      "min": 1,
      "path": "Observation.value[x].unit",
      "fixedString": "mg/dL",
      "mustSupport": true
    }, {
      "id": "Observation.value[x]:valueQuantity.system",
      "min": 1,
      "path": "Observation.value[x].system",
      "mustSupport": true
    }, {
      "id": "Observation.value[x]:valueQuantity.code",
      "min": 1,
      "path": "Observation.value[x].code",
      "fixedCode": "mg/dL",
      "mustSupport": true
    }, {
      "id": "Observation.dataAbsentReason",
      "max": "0",
      "path": "Observation.dataAbsentReason"
    }, {
      "id": "Observation.interpretation",
      "max": "0",
      "path": "Observation.interpretation"
    }, {
      "id": "Observation.note",
      "max": "1",
      "path": "Observation.note",
      "mustSupport": true
    }, {
      "id": "Observation.note.author[x]",
      "max": "0",
      "path": "Observation.note.author[x]",
      "slicing": {
        "rules": "open",
        "ordered": false,
        "discriminator": [ {
          "path": "$this",
          "type": "type"
        } ]
      }
    }, {
      "id": "Observation.note.author[x]:authorReference",
      "max": "0",
      "min": 0,
      "path": "Observation.note.author[x]",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Practitioner", "http://hl7.org/fhir/StructureDefinition/Patient", "http://hl7.org/fhir/StructureDefinition/RelatedPerson", "http://hl7.org/fhir/StructureDefinition/Organization" ]
      } ],
      "sliceName": "authorReference"
    }, {
      "id": "Observation.note.author[x]:authorString",
      "max": "0",
      "min": 0,
      "path": "Observation.note.author[x]",
      "type": [ {
        "code": "string"
      } ],
      "sliceName": "authorString"
    }, {
      "id": "Observation.note.time",
      "max": "0",
      "path": "Observation.note.time"
    }, {
      "id": "Observation.note.text",
      "path": "Observation.note.text",
      "mustSupport": true
    }, {
      "id": "Observation.bodySite",
      "max": "0",
      "path": "Observation.bodySite"
    }, {
      "id": "Observation.method",
      "max": "0",
      "path": "Observation.method"
    }, {
      "id": "Observation.specimen",
      "max": "0",
      "path": "Observation.specimen"
    }, {
      "id": "Observation.device",
      "max": "0",
      "path": "Observation.device"
    }, {
      "id": "Observation.referenceRange",
      "max": "0",
      "path": "Observation.referenceRange"
    }, {
      "id": "Observation.hasMember",
      "max": "0",
      "path": "Observation.hasMember"
    }, {
      "id": "Observation.derivedFrom",
      "max": "0",
      "path": "Observation.derivedFrom"
    }, {
      "id": "Observation.component",
      "max": "0",
      "path": "Observation.component"
    } ]
  },
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Observation"
}