description: Profil zur Erfassung des Rauchverhaltens einer Person im Kontext des Modul Kardiologie.
package_name: de.medizininformatikinitiative.kerndatensatz.kardiologie
derivation: constraint
name: MII_PR_Kardio_Observation_Rauchen
type: Observation
elements:
  category:
    binding: {strength: required, valueSet: 'http://hl7.org/fhir/ValueSet/observation-category'}
    index: 0
  hasMember:
    type: Reference
    refers: ['http://hl7.org/fhir/StructureDefinition/Observation', 'http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse']
    index: 14
  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: 15
  value:
    short: 'Current Smoking Status als Loinc-Answer Code (siehe ISiK VS: CurrentSmokingStatusUvIps)'
    choices: []
    index: 10
    slicing:
      slices:
        valueDateTime:
          match: {}
          schema:
            choices: [valueDateTime]
            index: 12
          max: 0
  valueDateTime:
    type: dateTime
    choiceOf: value
    index: 13
    slicing:
      slices:
        valueDateTime:
          match: {}
          schema: {type: dateTime, choiceOf: value, index: 13}
          max: 0
  component:
    short: Zusätzliche Angaben zum Rauchverhalten.
    index: 16
    slicing:
      rules: open
      ordered: false
      description: Zusätzliche Angaben zum Rauchverhalten.
      discriminator:
      - {path: code, type: value}
      min: null
      slices:
        packungsjahre:
          match:
            code:
              coding:
              - {code: '401201003', system: 'http://snomed.info/sct'}
          schema:
            short: Die Zahl der täglich konsumierten Zigarettenpackungen (Inhalt 20 Stück) wird mit der Zahl der Raucherjahre multipliziert (siehe https://cde.nlm.nih.gov/deView?tinyId=Q1fNmemkyg).
            array: true
            index: 17
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: '401201003', system: 'http://snomed.info/sct'}
                index: 18
              value:
                mustSupport: true
                choices: [valueQuantity]
                index: 20
              valueQuantity: {type: Quantity, mustSupport: true, choiceOf: value, index: 21}
              value[x]:
                elements:
                  value: {mustSupport: true, index: 22}
                  comparator: {mustSupport: true, index: 23}
                  unit:
                    pattern: {type: String, value: '{pack-years}'}
                    index: 24
                  system:
                    pattern: {type: Uri, value: 'http://unitsofmeasure.org'}
                    index: 25
                  code:
                    pattern: {type: Code, value: '{pack-years}'}
                    index: 26
                required: [value]
            required: [value, valueQuantity]
        zigarettenProTag:
          match:
            code:
              coding:
              - {code: 63640-7, system: 'http://loinc.org'}
          schema:
            array: true
            index: 27
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: 63640-7, system: 'http://loinc.org'}
                index: 28
              value:
                mustSupport: true
                choices: [valueQuantity]
                index: 30
              valueQuantity: {type: Quantity, mustSupport: true, choiceOf: value, index: 31}
              value[x]:
                elements:
                  value: {mustSupport: true, index: 32}
                  comparator: {mustSupport: true, index: 33}
                  unit:
                    pattern: {type: String, value: '{cigarettes-per-day}'}
                    index: 34
                  system:
                    pattern: {type: Uri, value: 'http://unitsofmeasure.org'}
                    index: 35
                  code:
                    pattern: {type: Code, value: '{cigarettes-per-day}'}
                    index: 36
                required: [value]
            required: [value, valueQuantity]
        rauchbeginn:
          match:
            code:
              coding:
              - {code: '266929003', system: 'http://snomed.info/sct'}
          schema:
            array: true
            index: 37
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: '266929003', system: 'http://snomed.info/sct'}
                index: 38
              value:
                choices: [valueQuantity]
                index: 47
                slicing:
                  slices:
                    valueQuantity:
                      match: {}
                      schema:
                        choices: [valueQuantity]
                        index: 47
                      min: 0
                      max: 1
              valueQuantity:
                type: Quantity
                choiceOf: value
                index: 48
                slicing:
                  slices:
                    valueQuantity:
                      match: {}
                      schema: {type: Quantity, choiceOf: value, index: 48}
                      min: 0
                      max: 1
              valueDateTime:
                type: dateTime
                mustSupport: true
                choiceOf: value
                index: 45
                slicing:
                  slices:
                    valueDateTime:
                      match: {}
                      schema: {type: dateTime, mustSupport: true, choiceOf: value, index: 45}
                      min: 0
                      max: 1
              value[x]:
                elements:
                  unit:
                    pattern: {type: String, value: year}
                    index: 49
                  system:
                    pattern: {type: Uri, value: 'http://unitsofmeasure.org'}
                    index: 50
                  code:
                    pattern: {type: Code, value: a}
                    index: 51
        rauchdauer:
          match:
            code:
              coding:
              - {code: '228487000', system: 'http://snomed.info/sct'}
          schema:
            array: true
            index: 52
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: '228487000', system: 'http://snomed.info/sct'}
                index: 53
              value:
                mustSupport: true
                choices: [valueQuantity]
                index: 55
              valueQuantity: {type: Quantity, mustSupport: true, choiceOf: value, index: 56}
              value[x]:
                elements:
                  value: {mustSupport: true, index: 57}
                  comparator: {mustSupport: true, index: 58}
                  unit:
                    pattern: {type: String, value: year}
                    index: 59
                  system:
                    pattern: {type: Uri, value: 'http://unitsofmeasure.org'}
                    index: 60
                  code:
                    pattern: {type: Code, value: a}
                    index: 61
                required: [value]
            required: [value, valueQuantity]
  code:
    elements:
      coding:
        index: 1
        elements:
          system: {mustSupport: true, index: 2}
          version: {mustSupport: true, index: 3}
          code: {mustSupport: true, index: 4}
        required: [version, system, code]
        slicing:
          slices:
            snomed-ct:
              match: {}
              schema: {index: 5}
              max: 1
            loinc:
              match: {}
              schema: {index: 6}
              max: 1
  subject:
    type: Reference
    refers: ['http://hl7.org/fhir/StructureDefinition/Patient']
    index: 7
  performer: {mustSupport: true, index: 8}
package_version: 2027.0.0-ballot.rc1
class: profile
kind: resource
url: https://www.medizininformatik-initiative.de/fhir/ext/modul-kardio/StructureDefinition/mii-pr-kardio-observation-rauchen
base: https://gematik.de/fhir/isik/StructureDefinition/ISiKRaucherStatus
version: 2027.0.0-ballot.rc1
required: [category]