{
  "resourceType": "StructureDefinition",
  "id": "KBV-PR-PTV-Condition-ICD",
  "url": "https://fhir.kbv.de/StructureDefinition/KBV_PR_PTV_Condition_ICD",
  "version": "1.3.0",
  "name": "KBV_PR_PTV_Condition_ICD",
  "status": "draft",
  "date": "2026-01-09",
  "publisher": "Kassenärztliche Bundesvereinigung",
  "contact": [
    {
      "telecom": [
        {
          "system": "url",
          "value": "http://www.kbv.de"
        }
      ]
    }
  ],
  "copyright": "Copyright © [2025], Kassenärztliche Bundesvereinigung (KBV). All rights reserved. Im folgenden Profil können Codes aus den Codesystemen Snomed, Loinc oder Ucum enthalten sein, die dem folgenden Urheberrecht unterliegen: This material includes SNOMED Clinical Terms® SNOMED CT® which is used by permission of SNOMED International. All rights reserved. SNOMED CT®, was originally created by The College of American Pathologists. SNOMED and SNOMED CT are registered trademarks of SNOMED International. Implementers of these artefacts must have the appropriate SNOMED 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 &amp;quot;AS IS.&amp;quot; ANY EXPRESS OR IMPLIED WARRANTIES ARE DISCLAIMED, INCLUDING, BUT NOT LIMITED TO, THE IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE.\"",
  "fhirVersion": "4.0.1",
  "kind": "resource",
  "abstract": false,
  "type": "Condition",
  "baseDefinition": "https://fhir.kbv.de/StructureDefinition/KBV_PR_Base_Condition_Diagnosis",
  "derivation": "constraint",
  "differential": {
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      {
        "id": "Condition.id",
        "path": "Condition.id",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Condition.meta",
        "path": "Condition.meta",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Condition.meta.id",
        "path": "Condition.meta.id",
        "max": "0"
      },
      {
        "id": "Condition.meta.extension",
        "path": "Condition.meta.extension",
        "max": "0"
      },
      {
        "id": "Condition.meta.versionId",
        "path": "Condition.meta.versionId",
        "min": 1,
        "mustSupport": true
      },
      {
        "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,
        "mustSupport": true
      },
      {
        "id": "Condition.meta.profile:PTVProfile",
        "path": "Condition.meta.profile",
        "sliceName": "PTVProfile",
        "min": 1,
        "max": "1",
        "fixedCanonical": "https://fhir.kbv.de/StructureDefinition/KBV_PR_PTV_Condition_ICD|1.0",
        "mustSupport": true
      },
      {
        "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",
        "max": "0"
      },
      {
        "id": "Condition.contained",
        "path": "Condition.contained",
        "max": "0"
      },
      {
        "id": "Condition.extension",
        "path": "Condition.extension",
        "max": "0"
      },
      {
        "id": "Condition.extension:Feststellungsdatum",
        "path": "Condition.extension",
        "sliceName": "Feststellungsdatum",
        "max": "0"
      },
      {
        "id": "Condition.identifier",
        "path": "Condition.identifier",
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      },
      {
        "id": "Condition.clinicalStatus",
        "path": "Condition.clinicalStatus",
        "mustSupport": true
      },
      {
        "id": "Condition.clinicalStatus.coding",
        "path": "Condition.clinicalStatus.coding",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Condition.clinicalStatus.coding.system",
        "path": "Condition.clinicalStatus.coding.system",
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      },
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        "id": "Condition.clinicalStatus.coding.version",
        "path": "Condition.clinicalStatus.coding.version",
        "max": "0"
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        "id": "Condition.clinicalStatus.coding.code",
        "path": "Condition.clinicalStatus.coding.code",
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        "id": "Condition.clinicalStatus.coding.display",
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      {
        "id": "Condition.clinicalStatus.coding.userSelected",
        "path": "Condition.clinicalStatus.coding.userSelected",
        "max": "0"
      },
      {
        "id": "Condition.clinicalStatus.text",
        "path": "Condition.clinicalStatus.text",
        "max": "0"
      },
      {
        "id": "Condition.verificationStatus",
        "path": "Condition.verificationStatus",
        "mustSupport": true
      },
      {
        "id": "Condition.verificationStatus.coding",
        "path": "Condition.verificationStatus.coding",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Condition.verificationStatus.coding.system",
        "path": "Condition.verificationStatus.coding.system",
        "min": 1,
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        "id": "Condition.verificationStatus.coding.code",
        "path": "Condition.verificationStatus.coding.code",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Condition.verificationStatus.coding.display",
        "path": "Condition.verificationStatus.coding.display",
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      },
      {
        "id": "Condition.verificationStatus.coding.userSelected",
        "path": "Condition.verificationStatus.coding.userSelected",
        "max": "0"
      },
      {
        "id": "Condition.verificationStatus.text",
        "path": "Condition.verificationStatus.text",
        "max": "0"
      },
      {
        "id": "Condition.category",
        "path": "Condition.category",
        "max": "0"
      },
      {
        "id": "Condition.severity",
        "path": "Condition.severity",
        "max": "0"
      },
      {
        "id": "Condition.code",
        "path": "Condition.code",
        "mustSupport": true
      },
      {
        "id": "Condition.code.coding",
        "path": "Condition.code.coding",
        "slicing": {
          "rules": "closed"
        },
        "max": "5",
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "valueSet": "http://hl7.org/fhir/ValueSet/icd-10"
        }
      },
      {
        "id": "Condition.code.coding:ICD-10-GM",
        "path": "Condition.code.coding",
        "sliceName": "ICD-10-GM",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Condition.code.coding:ICD-10-GM.extension",
        "path": "Condition.code.coding.extension",
        "slicing": {
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        },
        "max": "3"
      },
      {
        "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.url",
        "path": "Condition.code.coding.extension.url",
        "fixedUri": "Seitenlokalisation"
      },
      {
        "id": "Condition.code.coding:ICD-10-GM.extension:Seitenlokalisation.value[x]",
        "path": "Condition.code.coding.extension.value[x]",
        "mustSupport": true
      },
      {
        "id": "Condition.code.coding:ICD-10-GM.extension:Seitenlokalisation.value[x].system",
        "path": "Condition.code.coding.extension.value[x].system",
        "mustSupport": true
      },
      {
        "id": "Condition.code.coding:ICD-10-GM.extension:Seitenlokalisation.value[x].version",
        "path": "Condition.code.coding.extension.value[x].version",
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      },
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        "id": "Condition.code.coding:ICD-10-GM.extension:Seitenlokalisation.value[x].code",
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        "mustSupport": true
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        "id": "Condition.code.coding:ICD-10-GM.extension:Seitenlokalisation.value[x].display",
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      },
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        "id": "Condition.code.coding:ICD-10-GM.extension:Diagnosesicherheit",
        "path": "Condition.code.coding.extension",
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      },
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        "id": "Condition.code.coding:ICD-10-GM.extension:Diagnosesicherheit.url",
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        "fixedUri": "Diagnosesicherheit"
      },
      {
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        "path": "Condition.code.coding.extension.value[x]",
        "mustSupport": true
      },
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        "path": "Condition.code.coding.extension.value[x].system",
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        "id": "Condition.code.coding:ICD-10-GM.extension:Diagnosesicherheit.value[x].version",
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        "path": "Condition.code.coding.extension.value[x].display",
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        "id": "Condition.code.coding:ICD-10-GM.extension:Diagnosesicherheit.value[x].userSelected",
        "path": "Condition.code.coding.extension.value[x].userSelected",
        "max": "0"
      },
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        "id": "Condition.code.coding:ICD-10-GM.extension:Mehrfachcodierungs-Kennzeichen",
        "path": "Condition.code.coding.extension",
        "sliceName": "Mehrfachcodierungs-Kennzeichen",
        "max": "0"
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        "path": "Condition.code.coding.system",
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        "path": "Condition.code.coding.version",
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        "path": "Condition.code.coding.code",
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        "path": "Condition.code.coding.userSelected",
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        "id": "Condition.code.coding:alphaId",
        "path": "Condition.code.coding",
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        "max": "0"
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        "id": "Condition.code.coding:snomed",
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      },
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        "id": "Condition.code.coding:orphanet",
        "path": "Condition.code.coding",
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        "max": "0"
      },
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        "path": "Condition.code.text",
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      },
      {
        "id": "Condition.bodySite",
        "path": "Condition.bodySite",
        "max": "0"
      },
      {
        "id": "Condition.subject",
        "path": "Condition.subject",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://fhir.kbv.de/StructureDefinition/KBV_PR_FOR_Patient"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Condition.subject.reference",
        "path": "Condition.subject.reference",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Condition.subject.type",
        "path": "Condition.subject.type",
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      },
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        "path": "Condition.subject.identifier",
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      },
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        "id": "Condition.subject.display",
        "path": "Condition.subject.display",
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      },
      {
        "id": "Condition.encounter",
        "path": "Condition.encounter",
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      },
      {
        "id": "Condition.onset[x]",
        "path": "Condition.onset[x]",
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      },
      {
        "id": "Condition.abatement[x]",
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      },
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        "path": "Condition.recordedDate",
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        "path": "Condition.recorder",
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      },
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        "path": "Condition.asserter",
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            "code": "Reference",
            "targetProfile": [
              "https://fhir.kbv.de/StructureDefinition/KBV_PR_FOR_Practitioner"
            ]
          }
        ],
        "mustSupport": true
      },
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        "path": "Condition.asserter.reference",
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      },
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        "path": "Condition.asserter.type",
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      },
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        "path": "Condition.asserter.identifier",
        "max": "0"
      },
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        "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"
      }
    ]
  }
}