{ "resourceType": "StructureDefinition", "id": "KBV-PR-MIO-BB-Condition-Diagnosis", "url": "https://fhir.kbv.de/StructureDefinition/KBV_PR_MIO_BB_Condition_Diagnosis", "version": "1.0.0", "name": "KBV_PR_MIO_BB_Condition_Diagnosis", "title": "KBV_PR_MIO_BB_Condition_Diagnosis", "status": "draft", "publisher": "Kassenärztliche Bundesvereinigung (KBV)", "description": "Hier werden verschiedene Informationen angegeben, die im Zusammenhang mit medizinischen Diagnosen stehen. ", "copyright": "Im folgenden Profil können Codes aus den Code-Systemen SNOMED CT®, LOINC, Ucum, ATC, ICD-10-GM, ICD-10-WHO, OPS, Alpha-ID/Alpha-ID-SE und ICF enthalten sein, die dem folgenden Urheberrecht unterliegen: This material includes SNOMED CT® Clinical Terms® (SNOMED CT® CT®) which is used by permission of SNOMED CT® International. All rights reserved. SNOMED CT® CT®, was originally created by The College of American Pathologists. SNOMED CT® and SNOMED CT® CT are registered trademarks of SNOMED CT® International. Implementers of these artefacts must have the appropriate SNOMED CT® CT Affiliate license. This material contains content from LOINC (http://LOINC.org). LOINC is copyright © 1995-2020, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and is available at no cost under the license at http://LOINC.org/license. LOINC® is a registered United States trademark of Regenstrief Institute, Inc. This product includes all or a portion of the UCUM table, UCUM codes, and UCUM definitions or is derived from it, subject to a license from Regenstrief Institute, Inc. and The UCUM Organization. Your use of the UCUM table, UCUM codes, UCUM definitions also is subject to this license, a copy of which is available at http://unitsofmeasure.org. The current complete UCUM table, UCUM Specification are available for download at http://unitsofmeasure.org. The UCUM table and UCUM codes are copyright © 1995-2009, Regenstrief Institute, Inc. and the Unified Codes for Units of Measures (UCUM) Organization. All rights reserved. THE UCUM TABLE (IN ALL FORMATS), UCUM DEFINITIONS, AND SPECIFICATION ARE PROVIDED 'AS IS.' ANY EXPRESS OR IMPLIED WARRANTIES ARE DISCLAIMED, INCLUDING, BUT NOT LIMITED TO, THE IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE. Dieses Material enthält Inhalte aus ATC. Die Erstellung erfolgte unter Verwendung der Datenträger der amtlichen Fassung der ATC-Klassifikation mit DDD des Bundesinstituts für Arzneimittel und Medizinprodukte (BfArM). Dieses Material enthält Inhalte aus ICD-10-GM, ICD-10-WHO, OPS Alpha-ID ans Alpha-ID-SE. Die Erstellung erfolgt unter Verwendung der maschinenlesbaren Fassung des Bundesinstituts für Arzneimittel und Medizinprodukte (BfArM). Dieses Material enthält Inhalte aus ICF. Die Erstellung erfolgt unter Verwendung der maschinenlesbaren Fassung des Deutschen Instituts für Medizinische Dokumentation und Information (DIMDI). ICF-Kodes, -Begriffe und -Texte © Weltgesundheitsorganisation, übersetzt und herausgegeben durch das Deutsche Institut für Medizinische Dokumentation und Information von der International classification of functioning, disability and health - ICF, herausgegeben durch die Weltgesundheitsorganisation.", "fhirVersion": "4.0.1", "kind": "resource", "abstract": false, "type": "Condition", "baseDefinition": "https://fhir.kbv.de/StructureDefinition/KBV_PR_Base_Condition_Diagnosis|1.6.0", "derivation": "constraint", "differential": { "element": [ { "id": "Condition", "path": "Condition", "definition": "Hier werden verschiedene Informationen angegeben, die im Zusammenhang mit medizinischen Diagnosen stehen. " }, { "id": "Condition.meta", "path": "Condition.meta", "min": 1 }, { "id": "Condition.meta.versionId", "path": "Condition.meta.versionId", "max": "0" }, { "id": "Condition.meta.lastUpdated", "path": "Condition.meta.lastUpdated", "max": "0" }, { "id": "Condition.meta.source", "path": "Condition.meta.source", "max": "0" }, { "id": "Condition.meta.profile", "path": "Condition.meta.profile", "slicing": { "discriminator": [ { "type": "value", "path": "$this" } ], "rules": "open" }, "min": 1 }, { "id": "Condition.meta.profile:mioProfile", "path": "Condition.meta.profile", "sliceName": "mioProfile", "min": 1, "max": "1", "patternCanonical": "https://fhir.kbv.de/StructureDefinition/KBV_PR_MIO_BB_Condition_Diagnosis|1.0.0" }, { "id": "Condition.meta.security", "path": "Condition.meta.security", "max": "0" }, { "id": "Condition.meta.tag", "path": "Condition.meta.tag", "max": "0" }, { "id": "Condition.implicitRules", "path": "Condition.implicitRules", "max": "0" }, { "id": "Condition.language", "path": "Condition.language", "max": "0" }, { "id": "Condition.text", "path": "Condition.text", "definition": "In diesem Element können die in der Instanz enthaltenen Informationen in einer menschenlesbaren Form zusammengefasst werden. Dabei ist zu beachten, dass keine Informationen aufgenommen werden dürfen, die nicht in strukturierter Form an anderer Stelle in der Instanz enthalten sind." }, { "id": "Condition.text.status", "path": "Condition.text.status", "patternCode": "extensions" }, { "id": "Condition.contained", "path": "Condition.contained", "max": "0" }, { "id": "Condition.extension", "path": "Condition.extension", "mustSupport": true }, { "id": "Condition.extension:Feststellungsdatum", "path": "Condition.extension", "sliceName": "Feststellungsdatum", "definition": "Zeitpunkt, an dem die Diagnose bzw. die Erkrankung z. B. durch eine ärztlich tätige Person festgestellt wurde. Dies wird im Folgenden mit Diagnosedatum bezeichnet.", "constraint": [ { "key": "date-1", "severity": "error", "human": "Diese Invariant stellt sicher, dass das Datum aus mindestens Jahr, Monat und Tag besteht.", "expression": ".length > 9", "source": "https://fhir.kbv.de/StructureDefinition/KBV_PR_MIO_BB_Condition_Diagnosis" } ], "mustSupport": true }, { "id": "Condition.identifier", "path": "Condition.identifier", "max": "0" }, { "id": "Condition.clinicalStatus", "path": "Condition.clinicalStatus", "definition": "Beschreibt den Status einer Diagnose bzw. einer Erkrankung aus klinischer Sicht.", "mustSupport": true }, { "id": "Condition.clinicalStatus.coding", "path": "Condition.clinicalStatus.coding", "mustSupport": true }, { "id": "Condition.clinicalStatus.coding.system", "path": "Condition.clinicalStatus.coding.system", "min": 1, "mustSupport": true }, { "id": "Condition.clinicalStatus.coding.version", "path": "Condition.clinicalStatus.coding.version", "min": 1, "mustSupport": true }, { "id": "Condition.clinicalStatus.coding.code", "path": "Condition.clinicalStatus.coding.code", "min": 1, "mustSupport": true }, { "id": "Condition.clinicalStatus.coding.display", "path": "Condition.clinicalStatus.coding.display", "min": 1, "mustSupport": true }, { "id": "Condition.clinicalStatus.coding.userSelected", "path": "Condition.clinicalStatus.coding.userSelected", "max": "0" }, { "id": "Condition.clinicalStatus.text", "path": "Condition.clinicalStatus.text", "mustSupport": true }, { "id": "Condition.verificationStatus", "path": "Condition.verificationStatus", "definition": "Hier wird die Diagnosesicherheit dokumentiert.", "mustSupport": true }, { "id": "Condition.verificationStatus.coding", "path": "Condition.verificationStatus.coding", "mustSupport": true }, { "id": "Condition.verificationStatus.coding.system", "path": "Condition.verificationStatus.coding.system", "min": 1, "mustSupport": true }, { "id": "Condition.verificationStatus.coding.version", "path": "Condition.verificationStatus.coding.version", "min": 1, "mustSupport": true }, { "id": "Condition.verificationStatus.coding.code", "path": "Condition.verificationStatus.coding.code", "min": 1, "mustSupport": true }, { "id": "Condition.verificationStatus.coding.display", "path": "Condition.verificationStatus.coding.display", "min": 1, "mustSupport": true }, { "id": "Condition.verificationStatus.coding.userSelected", "path": "Condition.verificationStatus.coding.userSelected", "max": "0" }, { "id": "Condition.verificationStatus.text", "path": "Condition.verificationStatus.text", "mustSupport": true }, { "id": "Condition.category", "path": "Condition.category", "max": "0" }, { "id": "Condition.severity", "path": "Condition.severity", "max": "0" }, { "id": "Condition.code", "path": "Condition.code", "definition": "In diesem Element wird die Diagnose in Form einer Codierung angegeben. Die Codierung kann durch verschiedene Code-Systeme erfolgen und kann durch eine freitextliche Bezeichnung ergänzt bzw. erläutert werden.", "mustSupport": true }, { "id": "Condition.code.coding", "path": "Condition.code.coding", "slicing": { "discriminator": [ { "type": "value", "path": "system" } ], "rules": "closed" }, "definition": "Jede Diagnose muss mindestens einen Diagnosecode besitzen. Hierbei können die vorgeschlagenen Code-Systeme (ICD, Alpha-ID, SNOMED CT®, ORPHANET) und/oder andere Code-Systeme verwendet werden.", "mustSupport": true }, { "id": "Condition.code.coding:ICD-10-GM", "path": "Condition.code.coding", "sliceName": "ICD-10-GM", "definition": "Der ICD-Code ist in Deutschland das abrechnungsrelevante Code-System im ambulanten und stationären Bereich. So wird z. B. bei der Abrechnung nach § 301 und § 295 SGB V die Codierung von Diagnosen mittels ICD-10 GM gesetzlich vorgeschrieben. Im ICD-System ist im Gegensatz zu anderen Code-System eine detaillierte Spezifikation von Diagnosen ohne Umwege möglich: die Einordnung der diagnostizierten Erkrankung als Ätiologie oder Manifestation, die Diagnosesicherheit und die Beschreibung des Schweregrades wie auch der Seitenlokalisation.\r\n\r\nSiehe auch https://www.dimdi.de/dynamic/de/klassifikationen/icd/icd-10-gm/\r\n\r\nBei der Benennung und Struktur der ICD Informationselemente haben wir uns an der FHIR®-technischen Umsetzung entsprechend HL7® Deutschland R4 Extension orientiert. Siehe dazu https://simplifier.net/basisprofil-de-r4/~resources?category=Extension", "mustSupport": true }, { "id": "Condition.code.coding:ICD-10-GM.extension", "path": "Condition.code.coding.extension", "mustSupport": true }, { "id": "Condition.code.coding:ICD-10-GM.extension:Mehrfachcodierungs-Kennzeichen", "path": "Condition.code.coding.extension", "sliceName": "Mehrfachcodierungs-Kennzeichen", "mustSupport": true }, { "id": "Condition.code.coding:ICD-10-GM.extension:Mehrfachcodierungs-Kennzeichen.extension", "path": "Condition.code.coding.extension.extension", "max": "0" }, { "id": "Condition.code.coding:ICD-10-GM.extension:Mehrfachcodierungs-Kennzeichen.value[x]", "path": "Condition.code.coding.extension.value[x]", "slicing": { "discriminator": [ { "type": "type", "path": "$this" } ], "rules": "closed" }, "mustSupport": true }, { "id": "Condition.code.coding:ICD-10-GM.extension:Mehrfachcodierungs-Kennzeichen.value[x]:valueCoding", "path": "Condition.code.coding.extension.value[x]", "sliceName": "valueCoding", "min": 1, "max": "1", "type": [ { "code": "Coding" } ], "mustSupport": true }, { "id": "Condition.code.coding:ICD-10-GM.extension:Mehrfachcodierungs-Kennzeichen.value[x]:valueCoding.system", "path": "Condition.code.coding.extension.value[x].system", "mustSupport": true }, { "id": "Condition.code.coding:ICD-10-GM.extension:Mehrfachcodierungs-Kennzeichen.value[x]:valueCoding.version", "path": "Condition.code.coding.extension.value[x].version", "min": 1, "mustSupport": true }, { "id": "Condition.code.coding:ICD-10-GM.extension:Mehrfachcodierungs-Kennzeichen.value[x]:valueCoding.code", "path": "Condition.code.coding.extension.value[x].code", "mustSupport": true }, { "id": "Condition.code.coding:ICD-10-GM.extension:Mehrfachcodierungs-Kennzeichen.value[x]:valueCoding.display", "path": "Condition.code.coding.extension.value[x].display", "min": 1, "mustSupport": true }, { "id": "Condition.code.coding:ICD-10-GM.extension:Mehrfachcodierungs-Kennzeichen.value[x]:valueCoding.userSelected", "path": "Condition.code.coding.extension.value[x].userSelected", "max": "0" }, { "id": "Condition.code.coding:ICD-10-GM.extension:Seitenlokalisation", "path": "Condition.code.coding.extension", "sliceName": "Seitenlokalisation", "mustSupport": true }, { "id": "Condition.code.coding:ICD-10-GM.extension:Seitenlokalisation.extension", "path": "Condition.code.coding.extension.extension", "max": "0" }, { "id": "Condition.code.coding:ICD-10-GM.extension:Seitenlokalisation.value[x]", "path": "Condition.code.coding.extension.value[x]", "slicing": { "discriminator": [ { "type": "type", "path": "$this" } ], "rules": "closed" }, "mustSupport": true }, { "id": "Condition.code.coding:ICD-10-GM.extension:Seitenlokalisation.value[x]:valueCoding", "path": "Condition.code.coding.extension.value[x]", "sliceName": "valueCoding", "min": 1, "max": "1", "type": [ { "code": "Coding" } ], "mustSupport": true }, { "id": "Condition.code.coding:ICD-10-GM.extension:Seitenlokalisation.value[x]:valueCoding.system", "path": "Condition.code.coding.extension.value[x].system", "mustSupport": true }, { "id": "Condition.code.coding:ICD-10-GM.extension:Seitenlokalisation.value[x]:valueCoding.version", "path": "Condition.code.coding.extension.value[x].version", "min": 1, "mustSupport": true }, { "id": "Condition.code.coding:ICD-10-GM.extension:Seitenlokalisation.value[x]:valueCoding.code", "path": "Condition.code.coding.extension.value[x].code", "mustSupport": true }, { "id": "Condition.code.coding:ICD-10-GM.extension:Seitenlokalisation.value[x]:valueCoding.display", "path": "Condition.code.coding.extension.value[x].display", "min": 1, "mustSupport": true }, { "id": "Condition.code.coding:ICD-10-GM.extension:Seitenlokalisation.value[x]:valueCoding.userSelected", "path": "Condition.code.coding.extension.value[x].userSelected", "max": "0" }, { "id": "Condition.code.coding:ICD-10-GM.extension:Diagnosesicherheit", "path": "Condition.code.coding.extension", "sliceName": "Diagnosesicherheit", "mustSupport": true }, { "id": "Condition.code.coding:ICD-10-GM.extension:Diagnosesicherheit.extension", "path": "Condition.code.coding.extension.extension", "max": "0" }, { "id": "Condition.code.coding:ICD-10-GM.extension:Diagnosesicherheit.value[x]", "path": "Condition.code.coding.extension.value[x]", "slicing": { "discriminator": [ { "type": "type", "path": "$this" } ], "rules": "closed" }, "mustSupport": true }, { "id": "Condition.code.coding:ICD-10-GM.extension:Diagnosesicherheit.value[x]:valueCoding", "path": "Condition.code.coding.extension.value[x]", "sliceName": "valueCoding", "min": 1, "max": "1", "type": [ { "code": "Coding" } ], "mustSupport": true }, { "id": "Condition.code.coding:ICD-10-GM.extension:Diagnosesicherheit.value[x]:valueCoding.system", "path": "Condition.code.coding.extension.value[x].system", "min": 1, "mustSupport": true }, { "id": "Condition.code.coding:ICD-10-GM.extension:Diagnosesicherheit.value[x]:valueCoding.version", "path": "Condition.code.coding.extension.value[x].version", "min": 1, "mustSupport": true }, { "id": "Condition.code.coding:ICD-10-GM.extension:Diagnosesicherheit.value[x]:valueCoding.code", "path": "Condition.code.coding.extension.value[x].code", "min": 1, "mustSupport": true }, { "id": "Condition.code.coding:ICD-10-GM.extension:Diagnosesicherheit.value[x]:valueCoding.display", "path": "Condition.code.coding.extension.value[x].display", "min": 1, "mustSupport": true }, { "id": "Condition.code.coding:ICD-10-GM.extension:Diagnosesicherheit.value[x]:valueCoding.userSelected", "path": "Condition.code.coding.extension.value[x].userSelected", "max": "0" }, { "id": "Condition.code.coding:ICD-10-GM.system", "path": "Condition.code.coding.system", "mustSupport": true }, { "id": "Condition.code.coding:ICD-10-GM.version", "path": "Condition.code.coding.version", "mustSupport": true }, { "id": "Condition.code.coding:ICD-10-GM.code", "path": "Condition.code.coding.code", "mustSupport": true }, { "id": "Condition.code.coding:ICD-10-GM.display", "path": "Condition.code.coding.display", "min": 1, "mustSupport": true }, { "id": "Condition.code.coding:ICD-10-GM.userSelected", "path": "Condition.code.coding.userSelected", "max": "0" }, { "id": "Condition.code.coding:alphaId", "path": "Condition.code.coding", "sliceName": "alphaId", "mustSupport": true }, { "id": "Condition.code.coding:alphaId.system", "path": "Condition.code.coding.system", "mustSupport": true }, { "id": "Condition.code.coding:alphaId.version", "path": "Condition.code.coding.version", "mustSupport": true }, { "id": "Condition.code.coding:alphaId.code", "path": "Condition.code.coding.code", "mustSupport": true }, { "id": "Condition.code.coding:alphaId.display", "path": "Condition.code.coding.display", "min": 1, "mustSupport": true }, { "id": "Condition.code.coding:alphaId.userSelected", "path": "Condition.code.coding.userSelected", "max": "0" }, { "id": "Condition.code.coding:snomed", "path": "Condition.code.coding", "sliceName": "snomed", "mustSupport": true }, { "id": "Condition.code.coding:snomed.system", "path": "Condition.code.coding.system", "mustSupport": true }, { "id": "Condition.code.coding:snomed.version", "path": "Condition.code.coding.version", "mustSupport": true }, { "id": "Condition.code.coding:snomed.code", "path": "Condition.code.coding.code", "mustSupport": true }, { "id": "Condition.code.coding:snomed.display", "path": "Condition.code.coding.display", "mustSupport": true }, { "id": "Condition.code.coding:snomed.userSelected", "path": "Condition.code.coding.userSelected", "max": "0" }, { "id": "Condition.code.coding:orphanet", "path": "Condition.code.coding", "sliceName": "orphanet", "max": "0" }, { "id": "Condition.code.text", "path": "Condition.code.text", "mustSupport": true }, { "id": "Condition.bodySite", "path": "Condition.bodySite", "definition": "Über die Körperstelle wird angegeben, in welchem Bereich des Körpers eine Krankheit diagnostiziert wurde (topographische Information). Die Terminologie-Assoziation kann in den verschiedenen Anwendungen variieren und ist deshalb in FHIR® als Example-binding von SNOMED CT®-Konzepten in den Subklassen der SCTID 442083009 vorgesehen, siehe https://www.hl7.org/fhir/valueset-body-site.html", "mustSupport": true, "binding": { "strength": "required", "valueSet": "http://hl7.org/fhir/ValueSet/body-site" } }, { "id": "Condition.bodySite.coding", "path": "Condition.bodySite.coding", "slicing": { "discriminator": [ { "type": "value", "path": "$this" } ], "rules": "closed" }, "mustSupport": true }, { "id": "Condition.bodySite.coding:snomed", "path": "Condition.bodySite.coding", "sliceName": "snomed", "mustSupport": true }, { "id": "Condition.bodySite.coding:snomed.system", "path": "Condition.bodySite.coding.system", "mustSupport": true }, { "id": "Condition.bodySite.coding:snomed.version", "path": "Condition.bodySite.coding.version", "mustSupport": true }, { "id": "Condition.bodySite.coding:snomed.code", "path": "Condition.bodySite.coding.code", "mustSupport": true }, { "id": "Condition.bodySite.coding:snomed.display", "path": "Condition.bodySite.coding.display", "mustSupport": true }, { "id": "Condition.bodySite.coding:snomed.userSelected", "path": "Condition.bodySite.coding.userSelected", "max": "0" }, { "id": "Condition.bodySite.text", "path": "Condition.bodySite.text", "mustSupport": true }, { "id": "Condition.subject", "path": "Condition.subject", "definition": "Hier wird die behandelte Person referenziert.", "type": [ { "code": "Reference", "targetProfile": [ "https://fhir.kbv.de/StructureDefinition/KBV_PR_MIO_BB_Patient" ] } ], "mustSupport": true }, { "id": "Condition.encounter", "path": "Condition.encounter", "max": "0" }, { "id": "Condition.onset[x]", "path": "Condition.onset[x]", "slicing": { "discriminator": [ { "type": "type", "path": "$this" } ], "rules": "closed" }, "definition": "Hier wird angegeben, seit wann der/die Patient:in die Diagnose/Erkrankung hat.", "type": [ { "code": "dateTime" }, { "code": "Age" }, { "code": "Period" }, { "code": "Range" } ], "mustSupport": true }, { "id": "Condition.onset[x]:onsetPeriod", "path": "Condition.onset[x]", "sliceName": "onsetPeriod", "type": [ { "code": "Period" } ], "mustSupport": true }, { "id": "Condition.onset[x]:onsetPeriod.start", "path": "Condition.onset[x].start", "definition": "Datum/Zeit für den Beginn der Zeitspanne.", "constraint": [ { "key": "year-1", "severity": "error", "human": "Diese Invariant stellt sicher, dass das Datum aus mindestens dem Jahr besteht.", "expression": ".length > 3", "source": "https://fhir.kbv.de/StructureDefinition/KBV_PR_MIO_BB_Condition_Diagnosis" } ], "mustSupport": true }, { "id": "Condition.onset[x]:onsetPeriod.end", "path": "Condition.onset[x].end", "definition": "Datum/Zeit für das Ende der Zeitspanne.", "constraint": [ { "key": "year-1", "severity": "error", "human": "Diese Invariant stellt sicher, dass das Datum aus mindestens dem Jahr besteht.", "expression": ".length > 3", "source": "https://fhir.kbv.de/StructureDefinition/KBV_PR_MIO_BB_Condition_Diagnosis" } ], "mustSupport": true }, { "id": "Condition.onset[x]:onsetRange", "path": "Condition.onset[x]", "sliceName": "onsetRange", "definition": "Angabe der Altersspanne, seit dem der/die Patient:in die Diagnose hat (unter der Erkrankung leidet).", "type": [ { "code": "Range" } ], "mustSupport": true }, { "id": "Condition.onset[x]:onsetRange.low", "path": "Condition.onset[x].low", "definition": "Beginn der Altersspanne für die Schätzung des Alters.", "mustSupport": true, "binding": { "strength": "required", "valueSet": "http://hl7.org/fhir/ValueSet/age-units" } }, { "id": "Condition.onset[x]:onsetRange.low.value", "path": "Condition.onset[x].low.value", "mustSupport": true }, { "id": "Condition.onset[x]:onsetRange.low.unit", "path": "Condition.onset[x].low.unit", "mustSupport": true }, { "id": "Condition.onset[x]:onsetRange.low.system", "path": "Condition.onset[x].low.system", "mustSupport": true }, { "id": "Condition.onset[x]:onsetRange.low.code", "path": "Condition.onset[x].low.code", "mustSupport": true }, { "id": "Condition.onset[x]:onsetRange.high", "path": "Condition.onset[x].high", "definition": "Ende der Altersspanne für die Schätzung des Alters.", "mustSupport": true, "binding": { "strength": "required", "valueSet": "http://hl7.org/fhir/ValueSet/age-units" } }, { "id": "Condition.onset[x]:onsetRange.high.value", "path": "Condition.onset[x].high.value", "mustSupport": true }, { "id": "Condition.onset[x]:onsetRange.high.unit", "path": "Condition.onset[x].high.unit", "mustSupport": true }, { "id": "Condition.onset[x]:onsetRange.high.system", "path": "Condition.onset[x].high.system", "mustSupport": true }, { "id": "Condition.onset[x]:onsetRange.high.code", "path": "Condition.onset[x].high.code", "mustSupport": true }, { "id": "Condition.onset[x]:onsetDateTime", "path": "Condition.onset[x]", "sliceName": "onsetDateTime", "definition": "Datum, ab wann der/die Patient:in die Diagnose hatte bzw. unter der Erkrankung leidet/litt.", "type": [ { "code": "dateTime" } ], "mustSupport": true }, { "id": "Condition.onset[x]:onsetAge", "path": "Condition.onset[x]", "sliceName": "onsetAge", "definition": "Angabe des Alters, seit dem der/die Patient:in die Diagnose hat (unter der Erkrankung leidet).", "type": [ { "code": "Age" } ], "constraint": [ { "key": "age-1", "severity": "error", "human": "There SHALL be a code if there is a value and it SHALL be an expression of time. If system is present, it SHALL be UCUM. If value is present, it SHALL be positive.", "expression": "(code.exists() or value.empty()) and (system.empty() or system = %ucum) and (value.empty() or value.hasValue().not() or value > 0)", "source": "https://fhir.kbv.de/StructureDefinition/KBV_PR_MIO_BB_Condition_Diagnosis" } ], "mustSupport": true }, { "id": "Condition.onset[x]:onsetAge.extension", "path": "Condition.onset[x].extension", "mustSupport": true }, { "id": "Condition.onset[x]:onsetAge.extension:lebensphase-von", "path": "Condition.onset[x].extension", "sliceName": "lebensphase-von", "mustSupport": true }, { "id": "Condition.onset[x]:onsetAge.extension:lebensphase-von.value[x]", "path": "Condition.onset[x].extension.value[x]", "mustSupport": true }, { "id": "Condition.onset[x]:onsetAge.extension:lebensphase-von.value[x]:valueCodeableConcept", "path": "Condition.onset[x].extension.value[x]", "sliceName": "valueCodeableConcept", "type": [ { "code": "CodeableConcept" } ], "mustSupport": true }, { "id": "Condition.onset[x]:onsetAge.extension:lebensphase-von.value[x]:valueCodeableConcept.coding", "path": "Condition.onset[x].extension.value[x].coding", "mustSupport": true }, { "id": "Condition.onset[x]:onsetAge.extension:lebensphase-von.value[x]:valueCodeableConcept.coding.system", "path": "Condition.onset[x].extension.value[x].coding.system", "mustSupport": true }, { "id": "Condition.onset[x]:onsetAge.extension:lebensphase-von.value[x]:valueCodeableConcept.coding.version", "path": "Condition.onset[x].extension.value[x].coding.version", "mustSupport": true }, { "id": "Condition.onset[x]:onsetAge.extension:lebensphase-von.value[x]:valueCodeableConcept.coding.code", "path": "Condition.onset[x].extension.value[x].coding.code", "mustSupport": true }, { "id": "Condition.onset[x]:onsetAge.extension:lebensphase-von.value[x]:valueCodeableConcept.coding.display", "path": "Condition.onset[x].extension.value[x].coding.display", "mustSupport": true }, { "id": "Condition.onset[x]:onsetAge.extension:lebensphase-von.value[x]:valueCodeableConcept.coding.userSelected", "path": "Condition.onset[x].extension.value[x].coding.userSelected", "max": "0" }, { "id": "Condition.onset[x]:onsetAge.extension:lebensphase-von.value[x]:valueCodeableConcept.text", "path": "Condition.onset[x].extension.value[x].text", "mustSupport": true }, { "id": "Condition.onset[x]:onsetAge.value", "path": "Condition.onset[x].value", "mustSupport": true }, { "id": "Condition.onset[x]:onsetAge.comparator", "path": "Condition.onset[x].comparator", "max": "0" }, { "id": "Condition.onset[x]:onsetAge.unit", "path": "Condition.onset[x].unit", "mustSupport": true }, { "id": "Condition.onset[x]:onsetAge.system", "path": "Condition.onset[x].system", "mustSupport": true }, { "id": "Condition.onset[x]:onsetAge.code", "path": "Condition.onset[x].code", "mustSupport": true }, { "id": "Condition.abatement[x]", "path": "Condition.abatement[x]", "slicing": { "discriminator": [ { "type": "type", "path": "$this" } ], "rules": "closed" }, "definition": "Hier wird angegeben, bis wann der/die Patient:in die Diagnose/Erkrankung hatte. Bei einer fortbestehenden Diagnose/Erkrankung ist diese Angabe nicht zu übermitteln. ", "type": [ { "code": "dateTime" }, { "code": "Age" }, { "code": "Period" }, { "code": "Range" } ], "mustSupport": true }, { "id": "Condition.abatement[x]:abatementPeriod", "path": "Condition.abatement[x]", "sliceName": "abatementPeriod", "definition": "Zeitintervall, bis zu dem der/die Patient:in unter der Erkrankung litt bzw. bis wann der/die Patient:in die Diagnose hatte.", "type": [ { "code": "Period" } ], "mustSupport": true }, { "id": "Condition.abatement[x]:abatementPeriod.start", "path": "Condition.abatement[x].start", "constraint": [ { "key": "year-1", "severity": "error", "human": "Diese Invariant stellt sicher, dass das Datum aus mindestens dem Jahr besteht.", "expression": ".length > 3", "source": "https://fhir.kbv.de/StructureDefinition/KBV_PR_MIO_BB_Condition_Diagnosis" } ], "mustSupport": true }, { "id": "Condition.abatement[x]:abatementPeriod.end", "path": "Condition.abatement[x].end", "constraint": [ { "key": "year-1", "severity": "error", "human": "Diese Invariant stellt sicher, dass das Datum aus mindestens dem Jahr besteht.", "expression": ".length > 3", "source": "https://fhir.kbv.de/StructureDefinition/KBV_PR_MIO_BB_Condition_Diagnosis" } ], "mustSupport": true }, { "id": "Condition.abatement[x]:abatementRange", "path": "Condition.abatement[x]", "sliceName": "abatementRange", "definition": "Angabe der Altersspanne, seit der der/die Patient:in die Diagnose nicht mehr hat, bzw. nicht mehr unter der Erkrankung leidet.", "type": [ { "code": "Range" } ], "mustSupport": true }, { "id": "Condition.abatement[x]:abatementRange.low", "path": "Condition.abatement[x].low", "mustSupport": true }, { "id": "Condition.abatement[x]:abatementRange.low.value", "path": "Condition.abatement[x].low.value", "mustSupport": true }, { "id": "Condition.abatement[x]:abatementRange.low.unit", "path": "Condition.abatement[x].low.unit", "mustSupport": true }, { "id": "Condition.abatement[x]:abatementRange.low.system", "path": "Condition.abatement[x].low.system", "mustSupport": true }, { "id": "Condition.abatement[x]:abatementRange.low.code", "path": "Condition.abatement[x].low.code", "mustSupport": true }, { "id": "Condition.abatement[x]:abatementRange.high", "path": "Condition.abatement[x].high", "mustSupport": true }, { "id": "Condition.abatement[x]:abatementRange.high.value", "path": "Condition.abatement[x].high.value", "mustSupport": true }, { "id": "Condition.abatement[x]:abatementRange.high.unit", "path": "Condition.abatement[x].high.unit", "mustSupport": true }, { "id": "Condition.abatement[x]:abatementRange.high.system", "path": "Condition.abatement[x].high.system", "mustSupport": true }, { "id": "Condition.abatement[x]:abatementRange.high.code", "path": "Condition.abatement[x].high.code", "mustSupport": true }, { "id": "Condition.abatement[x]:abatementDateTime", "path": "Condition.abatement[x]", "sliceName": "abatementDateTime", "definition": "Angabe des Datums, seit dem der/die Patient:in die Diagnose nicht mehr hat, bzw. nicht mehr unter der Erkrankung leidet.", "type": [ { "code": "dateTime" } ], "mustSupport": true }, { "id": "Condition.abatement[x]:abatementAge", "path": "Condition.abatement[x]", "sliceName": "abatementAge", "definition": "Angabe des Alters, seit dem der/die Patient:in die Diagnose nicht mehr hat, bzw. nicht mehr unter der Erkrankung leidet.", "type": [ { "code": "Age" } ], "constraint": [ { "key": "age-1", "severity": "error", "human": "There SHALL be a code if there is a value and it SHALL be an expression of time. If system is present, it SHALL be UCUM. If value is present, it SHALL be positive.", "expression": "(code.exists() or value.empty()) and (system.empty() or system = %ucum) and (value.empty() or value.hasValue().not() or value > 0)", "source": "https://fhir.kbv.de/StructureDefinition/KBV_PR_MIO_BB_Condition_Diagnosis" } ], "mustSupport": true }, { "id": "Condition.abatement[x]:abatementAge.extension", "path": "Condition.abatement[x].extension", "mustSupport": true }, { "id": "Condition.abatement[x]:abatementAge.extension:lebensphase-bis", "path": "Condition.abatement[x].extension", "sliceName": "lebensphase-bis", "mustSupport": true }, { "id": "Condition.abatement[x]:abatementAge.extension:lebensphase-bis.value[x]", "path": "Condition.abatement[x].extension.value[x]", "mustSupport": true }, { "id": "Condition.abatement[x]:abatementAge.extension:lebensphase-bis.value[x]:valueCodeableConcept", "path": "Condition.abatement[x].extension.value[x]", "sliceName": "valueCodeableConcept", "type": [ { "code": "CodeableConcept" } ], "mustSupport": true }, { "id": "Condition.abatement[x]:abatementAge.extension:lebensphase-bis.value[x]:valueCodeableConcept.coding", "path": "Condition.abatement[x].extension.value[x].coding", "mustSupport": true }, { "id": "Condition.abatement[x]:abatementAge.extension:lebensphase-bis.value[x]:valueCodeableConcept.coding.system", "path": "Condition.abatement[x].extension.value[x].coding.system", "mustSupport": true }, { "id": "Condition.abatement[x]:abatementAge.extension:lebensphase-bis.value[x]:valueCodeableConcept.coding.version", "path": "Condition.abatement[x].extension.value[x].coding.version", "mustSupport": true }, { "id": "Condition.abatement[x]:abatementAge.extension:lebensphase-bis.value[x]:valueCodeableConcept.coding.code", "path": "Condition.abatement[x].extension.value[x].coding.code", "mustSupport": true }, { "id": "Condition.abatement[x]:abatementAge.extension:lebensphase-bis.value[x]:valueCodeableConcept.coding.display", "path": "Condition.abatement[x].extension.value[x].coding.display", "mustSupport": true }, { "id": "Condition.abatement[x]:abatementAge.extension:lebensphase-bis.value[x]:valueCodeableConcept.coding.userSelected", "path": "Condition.abatement[x].extension.value[x].coding.userSelected", "max": "0" }, { "id": "Condition.abatement[x]:abatementAge.extension:lebensphase-bis.value[x]:valueCodeableConcept.text", "path": "Condition.abatement[x].extension.value[x].text", "mustSupport": true }, { "id": "Condition.abatement[x]:abatementAge.value", "path": "Condition.abatement[x].value", "mustSupport": true }, { "id": "Condition.abatement[x]:abatementAge.comparator", "path": "Condition.abatement[x].comparator", "max": "0" }, { "id": "Condition.abatement[x]:abatementAge.unit", "path": "Condition.abatement[x].unit", "mustSupport": true }, { "id": "Condition.abatement[x]:abatementAge.system", "path": "Condition.abatement[x].system", "mustSupport": true }, { "id": "Condition.abatement[x]:abatementAge.code", "path": "Condition.abatement[x].code", "mustSupport": true }, { "id": "Condition.recordedDate", "path": "Condition.recordedDate", "constraint": [ { "key": "date-1", "severity": "error", "human": "Diese Invariant stellt sicher, dass das Datum aus mindestens Jahr, Monat und Tag besteht.", "expression": ".length > 9", "source": "https://fhir.kbv.de/StructureDefinition/KBV_PR_MIO_BB_Condition_Diagnosis" } ], "mustSupport": true }, { "id": "Condition.recorder", "path": "Condition.recorder", "max": "0" }, { "id": "Condition.asserter", "path": "Condition.asserter", "definition": "Hier wird die Person referenziert, die die Erkrankung diagnostiziert bzw. die Diagnose erstellt hat. ", "type": [ { "code": "Reference", "targetProfile": [ "https://fhir.kbv.de/StructureDefinition/KBV_PR_MIO_BB_Practitioner", "https://fhir.kbv.de/StructureDefinition/KBV_PR_BB_PractitionerRole" ] } ], "mustSupport": true }, { "id": "Condition.stage", "path": "Condition.stage", "max": "0" }, { "id": "Condition.evidence", "path": "Condition.evidence", "max": "0" }, { "id": "Condition.note", "path": "Condition.note", "max": "0" } ] } }