German Practice Management FHIR Profiles (R4)
Version 0.99.1 - release

Extension: Rechtfertigende Indikation Attest

Official URL: https://fhir.cognovis.de/praxis/StructureDefinition/rechtfertigende-indikation-attest Version: 0.99.1
Active as of 2026-08-22 Computable Name: RechtfertigendeIndikationAttestExt
Other Identifiers: OID:2.16.840.1.113883.3.7985.42.274

Copyright/Legal: Copyright 2026+ cognovis GmbH. Cognovis-authored material is licensed under Apache-2.0; third-party material retains its own terms as documented in THIRD_PARTY_NOTICES.md.

Attestierungsmetadaten fuer die rechtfertigende Indikation gemaess SS83 StrlSchG / SS119 StrlSchV. Dokumentiert wer die Indikation gestellt hat (assessor), wann (assessmentDate) und eine Freitext-Begruendung (narrative).

Context of Use

This extension may be used on the following element(s):

  • Element ID Procedure.reasonCode

Usage info

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Extension Content

Description of Profiles, Differentials, Snapshots, and how the XML and JSON presentations work.

This structure is derived from Extension

Summary

Complex Extension: Attestierungsmetadaten fuer die rechtfertigende Indikation gemaess SS83 StrlSchG / SS119 StrlSchV. Dokumentiert wer die Indikation gestellt hat (assessor), wann (assessmentDate) und eine Freitext-Begruendung (narrative).

  • assessor: Reference: Referenz auf den Arzt oder die Aerztin, die die rechtfertigende Indikation gestellt hat (SS119 Abs. 1 StrlSchV).
  • assessmentDate: dateTime: Zeitpunkt der Indikationsstellung fuer die Strahlenanwendung (Aufzeichnungspflicht SS85 StrlSchV).
  • narrative: string: Klinische Freitext-Begruendung der rechtfertigenden Indikation. Ergaenzt die Kodierung in Procedure.reasonCode.

This structure is derived from Extension

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension 0..* Extension Rechtfertigende Indikation Attest
... Slices for extension Content/Rules for all slices
.... extension:assessor S 0..1 Extension Beurteilende Person (rechtfertigende Indikation)
..... extension 0..0 Extension
..... url 1..1 uri "assessor"
..... value[x] 0..1 Reference(Practitioner) Value of extension
.... extension:assessmentDate S 0..1 Extension Datum der Indikationsstellung
..... extension 0..0 Extension
..... url 1..1 uri "assessmentDate"
..... value[x] 0..1 dateTime Value of extension
.... extension:narrative S 0..1 Extension Freitext-Begruendung der rechtfertigenden Indikation
..... extension 0..0 Extension
..... url 1..1 uri "narrative"
..... value[x] 0..1 string Value of extension
... url 1..1 uri "https://fhir.cognovis.de/praxis/StructureDefinition/rechtfertigende-indikation-attest"
... value[x] 0..0 Value of extension

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension 0..* Extension Rechtfertigende Indikation Attest
... id 0..1 string Unique id for inter-element referencing
... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... extension:assessor S 0..1 Extension Beurteilende Person (rechtfertigende Indikation)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "assessor"
..... value[x] 0..1 Reference(Practitioner) Value of extension
.... extension:assessmentDate S 0..1 Extension Datum der Indikationsstellung
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "assessmentDate"
..... value[x] 0..1 dateTime Value of extension
.... extension:narrative S 0..1 Extension Freitext-Begruendung der rechtfertigenden Indikation
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "narrative"
..... value[x] 0..1 string Value of extension
... url 1..1 uri "https://fhir.cognovis.de/praxis/StructureDefinition/rechtfertigende-indikation-attest"

doco Documentation for this format

This structure is derived from Extension

Summary

Complex Extension: Attestierungsmetadaten fuer die rechtfertigende Indikation gemaess SS83 StrlSchG / SS119 StrlSchV. Dokumentiert wer die Indikation gestellt hat (assessor), wann (assessmentDate) und eine Freitext-Begruendung (narrative).

  • assessor: Reference: Referenz auf den Arzt oder die Aerztin, die die rechtfertigende Indikation gestellt hat (SS119 Abs. 1 StrlSchV).
  • assessmentDate: dateTime: Zeitpunkt der Indikationsstellung fuer die Strahlenanwendung (Aufzeichnungspflicht SS85 StrlSchV).
  • narrative: string: Klinische Freitext-Begruendung der rechtfertigenden Indikation. Ergaenzt die Kodierung in Procedure.reasonCode.

Differential View

This structure is derived from Extension

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension 0..* Extension Rechtfertigende Indikation Attest
... Slices for extension Content/Rules for all slices
.... extension:assessor S 0..1 Extension Beurteilende Person (rechtfertigende Indikation)
..... extension 0..0 Extension
..... url 1..1 uri "assessor"
..... value[x] 0..1 Reference(Practitioner) Value of extension
.... extension:assessmentDate S 0..1 Extension Datum der Indikationsstellung
..... extension 0..0 Extension
..... url 1..1 uri "assessmentDate"
..... value[x] 0..1 dateTime Value of extension
.... extension:narrative S 0..1 Extension Freitext-Begruendung der rechtfertigenden Indikation
..... extension 0..0 Extension
..... url 1..1 uri "narrative"
..... value[x] 0..1 string Value of extension
... url 1..1 uri "https://fhir.cognovis.de/praxis/StructureDefinition/rechtfertigende-indikation-attest"
... value[x] 0..0 Value of extension

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension 0..* Extension Rechtfertigende Indikation Attest
... id 0..1 string Unique id for inter-element referencing
... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... extension:assessor S 0..1 Extension Beurteilende Person (rechtfertigende Indikation)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "assessor"
..... value[x] 0..1 Reference(Practitioner) Value of extension
.... extension:assessmentDate S 0..1 Extension Datum der Indikationsstellung
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "assessmentDate"
..... value[x] 0..1 dateTime Value of extension
.... extension:narrative S 0..1 Extension Freitext-Begruendung der rechtfertigenden Indikation
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "narrative"
..... value[x] 0..1 string Value of extension
... url 1..1 uri "https://fhir.cognovis.de/praxis/StructureDefinition/rechtfertigende-indikation-attest"

doco Documentation for this format

 

Other representations of profile: CSV, Excel, Schematron

Constraints

Id Grade Path(s) Description Expression
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()