description: Profil zur Erfassung des Rauchverhaltens einer Person im Kontext des Projekts ACRIBiS.
package_name: de.medizininformatikinitiative.kerndatensatz.kardiologie
derivation: constraint
name: MII_PR_Kardio_Observation_Rauchen_AcribisAlpha
type: Observation
elements:
  category:
    binding: {strength: required, valueSet: 'http://hl7.org/fhir/ValueSet/observation-category'}
    pattern:
      type: CodeableConcept
      value:
        coding:
        - {code: social-history, system: 'http://terminology.hl7.org/CodeSystem/observation-category'}
    index: 0
  hasMember:
    type: Reference
    refers: ['http://hl7.org/fhir/StructureDefinition/Observation', 'http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse']
    index: 8
  derivedFrom:
    type: Reference
    refers: ['http://hl7.org/fhir/StructureDefinition/DocumentReference', 'http://hl7.org/fhir/StructureDefinition/Media', 'http://hl7.org/fhir/StructureDefinition/Observation', 'http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse']
    index: 9
  value:
    short: Current Smoking Status als Loinc-Answer Code, Angabe 'Smoker' via SNOMED CT-Code.
    choices: [valueCodeableConcept]
    index: 6
  component:
    short: Zusätzliche Angaben zum Rauchverhalten.
    index: 10
    slicing:
      rules: open
      ordered: false
      description: Zusätzliche Angaben zum Rauchverhalten.
      discriminator:
      - {path: code, type: value}
      min: null
      slices:
        packungsjahre:
          match:
            code:
              coding:
              - {code: pack-years, system: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-kardio/CodeSystem/mii-cs-kardio-rauchen-einheiten'}
          schema:
            array: true
            index: 11
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: pack-years, system: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-kardio/CodeSystem/mii-cs-kardio-rauchen-einheiten'}
                index: 12
              value:
                choices: [valueQuantity]
                index: 14
              valueQuantity: {type: Quantity, choiceOf: value, index: 15}
              value[x]:
                elements:
                  comparator: {mustSupport: true, index: 16}
                  unit:
                    pattern: {type: String, value: Packungsjahre}
                    index: 17
                  system:
                    pattern: {type: Uri, value: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-kardio/CodeSystem/mii-cs-kardio-rauchen-einheiten'}
                    index: 18
                  code:
                    pattern: {type: Code, value: pack-years}
                    index: 19
        packungenProTag:
          match:
            code:
              coding:
              - {code: packs-per-day, system: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-kardio/CodeSystem/mii-cs-kardio-rauchen-einheiten'}
          schema:
            array: true
            index: 20
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: packs-per-day, system: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-kardio/CodeSystem/mii-cs-kardio-rauchen-einheiten'}
                index: 21
              value:
                choices: [valueQuantity]
                index: 23
              valueQuantity: {type: Quantity, choiceOf: value, index: 24}
              value[x]:
                elements:
                  comparator: {mustSupport: true, index: 25}
                  unit:
                    pattern: {type: String, value: Packungen pro Tag}
                    index: 26
                  system:
                    pattern: {type: Uri, value: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-kardio/CodeSystem/mii-cs-kardio-rauchen-einheiten'}
                    index: 27
                  code:
                    pattern: {type: Code, value: packs-per-day}
                    index: 28
        zigarettenProTag:
          match:
            code:
              coding:
              - {code: cigarettes-per-day, system: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-kardio/CodeSystem/mii-cs-kardio-rauchen-einheiten'}
          schema:
            array: true
            index: 29
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: cigarettes-per-day, system: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-kardio/CodeSystem/mii-cs-kardio-rauchen-einheiten'}
                index: 30
              value:
                choices: [valueInteger]
                index: 32
              valueInteger: {type: integer, choiceOf: value, index: 33}
        rauchbeginn:
          match:
            code:
              coding:
              - {code: rauchbeginn, system: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-kardio/CodeSystem/mii-cs-kardio-rauchen-einheiten'}
          schema:
            array: true
            index: 34
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: rauchbeginn, system: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-kardio/CodeSystem/mii-cs-kardio-rauchen-einheiten'}
                index: 35
              value:
                choices: [valueDateTime]
                index: 37
              valueDateTime: {type: dateTime, choiceOf: value, index: 38}
        rauchdauer:
          match:
            code:
              coding:
              - {code: rauchdauer, system: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-kardio/CodeSystem/mii-cs-kardio-rauchen-einheiten'}
          schema:
            array: true
            index: 39
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: rauchdauer, system: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-kardio/CodeSystem/mii-cs-kardio-rauchen-einheiten'}
                index: 40
              value:
                choices: [valueQuantity]
                index: 42
              valueQuantity: {type: Quantity, choiceOf: value, index: 43}
              value[x]:
                elements:
                  comparator: {mustSupport: true, index: 44}
                  unit:
                    pattern: {type: String, value: year}
                    index: 45
                  system:
                    pattern: {type: Uri, value: 'http://unitsofmeasure.org'}
                    index: 46
                  code:
                    pattern: {type: Code, value: a}
                    index: 47
  code:
    elements:
      coding:
        pattern:
          type: Coding
          value: {code: '77176002', system: 'http://snomed.info/sct', version: 'http://snomed.info/sct/900000000000207008/version/20240701'}
        index: 1
        slicing:
          slices:
            snomed-ct:
              match: {}
              schema:
                pattern:
                  type: Coding
                  value: {code: '77176002', system: 'http://snomed.info/sct', version: 'http://snomed.info/sct/900000000000207008/version/20240701'}
                index: 1
            loinc:
              match: {}
              schema:
                pattern:
                  type: Coding
                  value: {code: 72166-2, system: 'http://loinc.org'}
                index: 2
  valueCodeableConcept: {type: CodeableConcept, short: 'Current Smoking Status als Loinc-Answer Code, Angabe ''Smoker'' via SNOMED CT-Code.', choiceOf: value, index: 7}
  subject:
    type: Reference
    refers: ['http://hl7.org/fhir/StructureDefinition/Patient']
    index: 3
  performer: {mustSupport: true, index: 4}
package_version: 2026.0.0-alpha.1
class: profile
kind: resource
url: https://www.medizininformatik-initiative.de/fhir/ext/modul-kardio/StructureDefinition/mii-pr-kardio-observation-rauchen-acribisalpha
base: https://gematik.de/fhir/isik/StructureDefinition/ISiKLebensZustand
version: 2026.0.0-alpha.1
required: [category]