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: 18
  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: 19
  value:
    choices: [valueCodeableConcept]
    index: 16
    slicing:
      slices:
        valueCodeableConcept:
          match: {}
          schema:
            choices: [valueCodeableConcept]
            index: 16
  component:
    short: Zusätzliche Angaben zum Rauchverhalten.
    index: 20
    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:
            array: true
            index: 21
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: '401201003', system: 'http://snomed.info/sct'}
                index: 22
              value:
                mustSupport: true
                choices: [valueQuantity]
                index: 24
              valueQuantity: {type: Quantity, mustSupport: true, choiceOf: value, index: 25}
              value[x]:
                elements:
                  value: {mustSupport: true, index: 26}
                  comparator: {mustSupport: true, index: 27}
                  unit:
                    pattern: {type: String, value: '{pack-years}'}
                    index: 28
                  system:
                    pattern: {type: Uri, value: 'http://unitsofmeasure.org'}
                    index: 29
                  code:
                    pattern: {type: Code, value: '{pack-years}'}
                    index: 30
                required: [value]
            required: [value, valueQuantity]
        packungenProTag:
          match:
            code:
              coding:
              - {code: '230056004', system: 'http://snomed.info/sct'}
          schema:
            array: true
            index: 31
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: '230056004', system: 'http://snomed.info/sct'}
                index: 32
              value:
                mustSupport: true
                choices: [valueQuantity]
                index: 34
              valueQuantity: {type: Quantity, mustSupport: true, choiceOf: value, index: 35}
              value[x]:
                elements:
                  value: {mustSupport: true, index: 36}
                  comparator: {mustSupport: true, index: 37}
                  unit:
                    pattern: {type: String, value: '{packs-per-day}'}
                    index: 38
                  system:
                    pattern: {type: Uri, value: 'http://unitsofmeasure.org'}
                    index: 39
                  code:
                    pattern: {type: Code, value: '{packs-per-day}'}
                    index: 40
                required: [value]
            required: [value, valueQuantity]
        rauchbeginn:
          match:
            code:
              coding:
              - {code: '228488005', system: 'http://snomed.info/sct'}
          schema:
            index: 41
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: '228488005', system: 'http://snomed.info/sct'}
                index: 42
              value:
                mustSupport: true
                choices: [valueQuantity]
                index: 44
              valueQuantity: {type: Quantity, mustSupport: true, choiceOf: value, index: 45}
              value[x]:
                elements:
                  value: {mustSupport: true, index: 46}
                  unit:
                    pattern: {type: String, value: year}
                    index: 47
                  system:
                    pattern: {type: Uri, value: 'http://unitsofmeasure.org'}
                    index: 48
                  code:
                    pattern: {type: Code, value: a}
                    index: 49
                required: [value]
            required: [value, valueQuantity]
        rauchdauer:
          match:
            code:
              coding:
              - {code: '228487000', system: 'http://snomed.info/sct'}
          schema:
            array: true
            index: 50
            elements:
              code:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: '228487000', system: 'http://snomed.info/sct'}
                index: 51
              value:
                mustSupport: true
                choices: [valueQuantity]
                index: 53
              valueQuantity: {type: Quantity, mustSupport: true, choiceOf: value, index: 54}
              value[x]:
                elements:
                  value: {mustSupport: true, index: 55}
                  comparator: {mustSupport: true, index: 56}
                  unit:
                    pattern: {type: String, value: year}
                    index: 57
                  system:
                    pattern: {type: Uri, value: 'http://unitsofmeasure.org'}
                    index: 58
                  code:
                    pattern: {type: Code, value: a}
                    index: 59
                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:
                pattern:
                  type: Coding
                  value: {code: '77176002', system: 'http://snomed.info/sct', version: 'http://snomed.info/sct/11000274103/version/20260515'}
                index: 5
            loinc:
              match: {}
              schema:
                pattern:
                  type: Coding
                  value: {code: 72166-2, system: 'http://loinc.org'}
                index: 6
            snomed-ct-MII:
              match: {}
              schema:
                index: 7
                elements:
                  system:
                    pattern: {type: Uri, value: 'http://snomed.info/sct'}
                    index: 8
                  code:
                    pattern: {type: Code, value: '77176002'}
                    index: 9
  valueCodeableConcept:
    type: CodeableConcept
    choiceOf: value
    index: 17
    slicing:
      slices:
        valueCodeableConcept:
          match: {}
          schema: {type: CodeableConcept, choiceOf: value, index: 17}
  subject:
    type: Reference
    refers: ['http://hl7.org/fhir/StructureDefinition/Patient']
    index: 10
  performer: {mustSupport: true, index: 11}
package_version: 2026.0.0-alpha.3
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.3
required: [category]