{
  "resourceType": "StructureDefinition",
  "id": "Condition",
  "url": "https://fhir.centraxx.de/StructureDefinition/Condition",
  "version": "2025.4.0",
  "name": "Condition",
  "status": "active",
  "publisher": "Kairos an IQVIA business",
  "description": "Represents a CentraXX Diagnosis.",
  "fhirVersion": "4.0.1",
  "kind": "resource",
  "abstract": false,
  "type": "Condition",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Condition",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Condition.extension",
        "path": "Condition.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "closed"
        },
        "min": 0,
        "max": "11",
        "type": [
          {
            "code": "Extension"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Condition.extension:updateWithOverwrite",
        "path": "Condition.extension",
        "sliceName": "updateWithOverwrite",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://fhir.centraxx.de/extension/updateWithOverwrite"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Condition.extension:attestationDate",
        "path": "Condition.extension",
        "sliceName": "attestationDate",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://fhir.centraxx.de/extension/attestationDate"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Condition.extension:diagnosisCertainty",
        "path": "Condition.extension",
        "sliceName": "diagnosisCertainty",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://fhir.centraxx.de/extension/diagnosis/diagnosisCertainty"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Condition.extension:isAdmissionDiagnosis",
        "path": "Condition.extension",
        "sliceName": "isAdmissionDiagnosis",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://fhir.centraxx.de/extension/diagnosis/isAdmissionDiagnosis"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Condition.extension:isInitialDiagnosis",
        "path": "Condition.extension",
        "sliceName": "isInitialDiagnosis",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://fhir.centraxx.de/extension/diagnosis/isInitialDiagnosis"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Condition.extension:isPermanentDiagnosis",
        "path": "Condition.extension",
        "sliceName": "isPermanentDiagnosis",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://fhir.centraxx.de/extension/diagnosis/isPermanentDiagnosis"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Condition.extension:isTransferDiagnosis",
        "path": "Condition.extension",
        "sliceName": "isTransferDiagnosis",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://fhir.centraxx.de/extension/diagnosis/isTransferDiagnosis"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Condition.extension:isCauseOfDeath",
        "path": "Condition.extension",
        "sliceName": "isCauseOfDeath",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://fhir.centraxx.de/extension/diagnosis/isCauseOfDeath"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Condition.extension:isDischargeDiagnosis",
        "path": "Condition.extension",
        "sliceName": "isDischargeDiagnosis",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://fhir.centraxx.de/extension/diagnosis/isDischargeDiagnosis"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Condition.extension:isMedDepartmentDiagnosis",
        "path": "Condition.extension",
        "sliceName": "isMedDepartmentDiagnosis",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://fhir.centraxx.de/extension/diagnosis/isMedDepartmentDiagnosis"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Condition.extension:isPostoperativeDiagnosis",
        "path": "Condition.extension",
        "sliceName": "isPostoperativeDiagnosis",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://fhir.centraxx.de/extension/diagnosis/isPostoperativeDiagnosis"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Condition.identifier",
        "path": "Condition.identifier",
        "min": 0,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Condition.identifier.value",
        "path": "Condition.identifier.value",
        "sliceName": "diagnosisId",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Condition.severity",
        "path": "Condition.severity",
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "valueSet": "https://fhir.centraxx.de/valueSet/gtds/ecogDictionary"
        }
      },
      {
        "id": "Condition.severity.coding",
        "path": "Condition.severity.coding",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Condition.severity.coding.system",
        "path": "Condition.severity.coding.system",
        "min": 1,
        "max": "1",
        "fixedString": "https://fhir.centraxx.de/system/gtds/ecogDictionary",
        "mustSupport": true
      },
      {
        "id": "Condition.severity.coding.version",
        "path": "Condition.severity.coding.version",
        "min": 1,
        "max": "1",
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "valueSet": "https://fhir.centraxx.de/valueSet/gtds/version"
        }
      },
      {
        "id": "Condition.severity.coding.code",
        "path": "Condition.severity.coding.code",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Condition.severity.coding.display",
        "path": "Condition.severity.coding.display",
        "min": 0,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Condition.severity.coding.display.extension",
        "path": "Condition.severity.coding.display.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "closed"
        },
        "min": 1,
        "max": "*",
        "type": [
          {
            "code": "Extension"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Condition.severity.coding.display.extension:translation",
        "path": "Condition.severity.coding.display.extension",
        "sliceName": "translation",
        "min": 1,
        "max": "*",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/translation"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Condition.code",
        "path": "Condition.code",
        "sliceName": "diagnosisCode",
        "mustSupport": true
      },
      {
        "id": "Condition.code.coding",
        "path": "Condition.code.coding",
        "min": 1,
        "max": "1",
        "constraint": [
          {
            "key": "con-cxx-1",
            "severity": "error",
            "human": "The catalog system must be supported by CentraXX. The system url must start with 'urn:centraxx:CodeSystem/<catalog>' where <catalog> must be one of: IcdCatalog, Catalog",
            "expression": "system.startsWith('urn:centraxx:CodeSystem/IcdCatalog') or system.startsWith('urn:centraxx:CodeSystem/Catalog')",
            "source": "https://fhir.centraxx.de/StructureDefinition/Condition"
          },
          {
            "key": "con-cxx-2",
            "severity": "error",
            "human": "If the catalog is an IcdCatalog, a version must be given.",
            "expression": "system.startsWith('urn:centraxx:CodeSystem/IcdCatalog-') implies version.exists()",
            "source": "https://fhir.centraxx.de/StructureDefinition/Observation"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Condition.code.coding.system",
        "path": "Condition.code.coding.system",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Condition.code.coding.version",
        "path": "Condition.code.coding.version",
        "min": 0,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Condition.code.coding.code",
        "path": "Condition.code.coding.code",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Condition.bodySite",
        "path": "Condition.bodySite",
        "min": 0,
        "max": "1",
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "valueSet": "https://fhir.centraxx.de/valueSet/gtds/sideDictionary"
        }
      },
      {
        "id": "Condition.bodySite.coding",
        "path": "Condition.bodySite.coding",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Condition.bodySite.coding.system",
        "path": "Condition.bodySite.coding.system",
        "min": 1,
        "max": "1",
        "fixedString": "https://fhir.centraxx.de/system/gtds/sideDictionary",
        "mustSupport": true
      },
      {
        "id": "Condition.bodySite.coding.version",
        "path": "Condition.bodySite.coding.version",
        "min": 1,
        "max": "1",
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "valueSet": "https://fhir.centraxx.de/valueSet/gtds/version"
        }
      },
      {
        "id": "Condition.bodySite.coding.code",
        "path": "Condition.bodySite.coding.code",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Condition.bodySite.coding.display",
        "path": "Condition.bodySite.coding.display",
        "min": 0,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Condition.bodySite.coding.display.extension",
        "path": "Condition.bodySite.coding.display.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "closed"
        },
        "min": 1,
        "max": "*",
        "type": [
          {
            "code": "Extension"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Condition.bodySite.coding.display.extension:translation",
        "path": "Condition.bodySite.coding.display.extension",
        "sliceName": "translation",
        "min": 1,
        "max": "*",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/translation"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Condition.subject",
        "path": "Condition.subject",
        "min": 1,
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://fhir.centraxx.de/StructureDefinition/Patient"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Condition.encounter",
        "path": "Condition.encounter",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://fhir.centraxx.de/StructureDefinition/Encounter"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Condition.onset[x]",
        "path": "Condition.onset[x]",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "dateTime"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Condition.recordedDate",
        "path": "Condition.recordedDate",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Condition.recorder",
        "path": "Condition.recorder",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://fhir.centraxx.de/StructureDefinition/Person"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Condition.asserter",
        "path": "Condition.asserter",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://fhir.centraxx.de/StructureDefinition/Practitioner"
            ]
          }
        ],
        "constraint": [
          {
            "key": "cxx-con-1",
            "severity": "error",
            "human": "When the asserter (attending doctor) is given, the episode must be given as well",
            "expression": "Condition.asserter.exists() implies Condition.episode.exists()",
            "source": "https://fhir.centraxx.de/StructureDefinition/Condition"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Condition.note",
        "path": "Condition.note",
        "mustSupport": true
      }
    ]
  }
}