{
  "resourceType": "StructureDefinition",
  "url": "https://fhir.kbv.de/StructureDefinition/74_PR_DMPD2_Diagnose_Einschreibung",
  "version": "0.10",
  "name": "74_PR_DMPD2_Diagnose_Einschreibung",
  "status": "draft",
  "experimental": false,
  "publisher": "Kassenärztliche Bundesvereinigung",
  "contact": [
    {
      "name": "Kassenärztliche Bundesvereinigung",
      "telecom": [
        {
          "system": "url",
          "value": "www.kbv.de"
        }
      ]
    }
  ],
  "fhirVersion": "3.0.1",
  "kind": "resource",
  "abstract": false,
  "type": "Condition",
  "baseDefinition": "http://fhir.de/StructureDefinition/condition-de-basis/0.2",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Condition.id",
        "path": "Condition.id",
        "min": 1
      },
      {
        "id": "Condition.meta",
        "path": "Condition.meta",
        "min": 1
      },
      {
        "id": "Condition.meta.profile",
        "path": "Condition.meta.profile",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Condition.text",
        "path": "Condition.text",
        "min": 1
      },
      {
        "id": "Condition.text.status",
        "path": "Condition.text.status",
        "fixedCode": "extensions"
      },
      {
        "id": "Condition.extension:Diagnosesicherheit",
        "path": "Condition.extension",
        "sliceName": "Diagnosesicherheit",
        "comment": "Im DMP-Dokumentationsbogen sind alle zu übermittelnden Diagnosen zwingend mit der Diagnosesicherheit \"G\" zu übermitteln, da nach GBA-Richtlinien nur gesicherte Diagnosen dokumentiert werden dürfen.",
        "min": 1
      },
      {
        "id": "Condition.extension:Diagnosesicherheit.valueCodeableConcept:valueCodeableConcept.coding.code",
        "path": "Condition.extension.valueCodeableConcept.coding.code",
        "fixedCode": "G"
      },
      {
        "id": "Condition.extension:Diagnosesicherheit.valueCodeableConcept:valueCodeableConcept.coding.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Condition.extension.valueCodeableConcept.coding.display",
        "max": "0"
      },
      {
        "id": "Condition.extension:Diagnosesicherheit.valueCodeableConcept:valueCodeableConcept.coding.userSelected",
        "path": "Condition.extension.valueCodeableConcept.coding.userSelected",
        "max": "0"
      },
      {
        "id": "Condition.identifier",
        "path": "Condition.identifier",
        "max": "0"
      },
      {
        "id": "Condition.clinicalStatus",
        "path": "Condition.clinicalStatus",
        "min": 1,
        "fixedCode": "active",
        "mustSupport": false
      },
      {
        "id": "Condition.verificationStatus",
        "path": "Condition.verificationStatus",
        "min": 1,
        "fixedCode": "confirmed",
        "mustSupport": false
      },
      {
        "id": "Condition.category",
        "path": "Condition.category",
        "max": "0"
      },
      {
        "id": "Condition.severity",
        "path": "Condition.severity",
        "max": "0"
      },
      {
        "id": "Condition.code",
        "path": "Condition.code",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Condition.code.coding",
        "path": "Condition.code.coding",
        "min": 2,
        "max": "2"
      },
      {
        "id": "Condition.code.coding:ICD-10-GM",
        "path": "Condition.code.coding",
        "sliceName": "ICD-10-GM",
        "min": 1,
        "max": "1",
        "binding": {
          "strength": "required",
          "valueSetUri": "https://fhir.kbv.de/ValueSet/74_VS_DMPD2_Diagnosen_Einschreibung_ICD"
        }
      },
      {
        "id": "Condition.code.coding:ICD-10-GM.extension:Haupt-Code_Kreuz-Code",
        "path": "Condition.code.coding.extension",
        "sliceName": "Haupt-Code_Kreuz-Code",
        "max": "0"
      },
      {
        "id": "Condition.code.coding:ICD-10-GM.extension:Stern-Code",
        "path": "Condition.code.coding.extension",
        "sliceName": "Stern-Code",
        "max": "0"
      },
      {
        "id": "Condition.code.coding:ICD-10-GM.extension:Ausrufezeichen-Code",
        "path": "Condition.code.coding.extension",
        "sliceName": "Ausrufezeichen-Code",
        "max": "0"
      },
      {
        "id": "Condition.code.coding:ICD-10-GM.userSelected",
        "path": "Condition.code.coding.userSelected",
        "max": "0"
      },
      {
        "id": "Condition.code.coding:ALPHA-ID",
        "path": "Condition.code.coding",
        "sliceName": "ALPHA-ID",
        "min": 1,
        "max": "1",
        "binding": {
          "strength": "required",
          "valueSetUri": "https://fhir.kbv.de/ValueSet/74_VS_DMPD2_Diagnosen_Einschreibung_ALPHA-ID"
        }
      },
      {
        "id": "Condition.code.coding:ALPHA-ID.system",
        "path": "Condition.code.coding.system",
        "min": 1,
        "fixedUri": "http://fhir.de/CodeSystem/dimdi/alpha-id"
      },
      {
        "id": "Condition.code.coding:ALPHA-ID.code",
        "path": "Condition.code.coding.code",
        "min": 1
      },
      {
        "id": "Condition.code.coding:ALPHA-ID.userSelected",
        "path": "Condition.code.coding.userSelected",
        "max": "0"
      },
      {
        "id": "Condition.code.text",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Condition.code.text",
        "definition": "Hier ist die Bezeichnung der Diagnose eingetragen wie sie in der Originaldokumentation vermerkt ist (siehe Feld designation.value im ValueSet).",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Condition.bodySite",
        "path": "Condition.bodySite",
        "max": "0"
      },
      {
        "id": "Condition.subject",
        "path": "Condition.subject",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "https://fhir.kbv.de/StructureDefinition/74_PR_DMPD2_Patient"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Condition.subject.reference",
        "path": "Condition.subject.reference",
        "min": 1,
        "mustSupport": false
      },
      {
        "id": "Condition.subject.identifier",
        "path": "Condition.subject.identifier",
        "max": "0"
      },
      {
        "id": "Condition.subject.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Condition.subject.display",
        "max": "0"
      },
      {
        "id": "Condition.context",
        "path": "Condition.context",
        "max": "0"
      },
      {
        "id": "Condition.onset[x]",
        "path": "Condition.onset[x]",
        "max": "0"
      },
      {
        "id": "Condition.abatement[x]",
        "path": "Condition.abatement[x]",
        "max": "0"
      },
      {
        "id": "Condition.assertedDate",
        "path": "Condition.assertedDate",
        "max": "0"
      },
      {
        "id": "Condition.asserter",
        "path": "Condition.asserter",
        "definition": "Referenz auf den Behandelnden, der die Diagnose hier dokumentiert.",
        "min": 1,
        "type": [
          {
            "code": "Reference",
            "targetProfile": "https://fhir.kbv.de/StructureDefinition/74_PR_DMPD2_Behandelnder"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Condition.asserter.reference",
        "path": "Condition.asserter.reference",
        "min": 1
      },
      {
        "id": "Condition.asserter.identifier",
        "path": "Condition.asserter.identifier",
        "max": "0"
      },
      {
        "id": "Condition.asserter.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Condition.asserter.display",
        "max": "0"
      },
      {
        "id": "Condition.stage",
        "path": "Condition.stage",
        "max": "0"
      },
      {
        "id": "Condition.evidence",
        "path": "Condition.evidence",
        "max": "0"
      },
      {
        "id": "Condition.note",
        "path": "Condition.note",
        "max": "0"
      }
    ]
  }
}