<StructureDefinition xmlns="http://hl7.org/fhir">
  <url value="https://fhir.gevko.de/StructureDefinition/EVO_PR_HLM_Condition_Diagnoseschluessel" />
  <version value="1.3" />
  <name value="EVO_PR_HLM_Condition_Diagnoseschluessel" />
  <title value="Diagnoseschlüssel" />
  <status value="active" />
  <date value="2023-10-18" />
  <publisher value="gevko GmbH" />
  <description value="Enthält Informationen zum Diagnoseschlüssel und zur Leitsymptomatik" />
  <fhirVersion value="4.0.1" />
  <kind value="resource" />
  <abstract value="false" />
  <type value="Condition" />
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Condition" />
  <derivation value="constraint" />
  <differential>
    <element id="Condition">
      <path value="Condition" />
      <constraint>
        <key value="patientenindividuelleLeitsymptomatikFreitext" />
        <severity value="error" />
        <human value="Wenn der Code für patientenindividuelle Leitsymptomatik angegeben wird, dann muss die patientenindividuelle Leitsymptomatik als Freitext angegeben werden." />
        <expression value="code.extension('https://fhir.gevko.de/StructureDefinition/EVO_EX_HLM_Leitsymptomatik').extension('leitsymptomatik').valueCoding.code.exists() and code.extension('https://fhir.gevko.de/StructureDefinition/EVO_EX_HLM_Leitsymptomatik').extension('leitsymptomatik').valueCoding.code='pi' implies code.extension('https://fhir.gevko.de/StructureDefinition/EVO_EX_HLM_Leitsymptomatik').extension('leitsymptomatik_Freitext').exists()" />
        <source value="Condition" />
      </constraint>
      <constraint>
        <key value="Codes-Diagnosegruppe-1" />
        <severity value="error" />
        <human value="Wenn patientenindividuelle Leitsymptomatik angegeben wird, dann darf nicht gleichzeitig Leitysmptomatik a, b oder c angegeben werden." />
        <expression value="code.extension('https://fhir.gevko.de/StructureDefinition/EVO_EX_HLM_Leitsymptomatik').extension('leitsymptomatik').exists() and (code.extension('https://fhir.gevko.de/StructureDefinition/EVO_EX_HLM_Leitsymptomatik').extension('leitsymptomatik')[0].valueCoding.code='pi' or code.extension('https://fhir.gevko.de/StructureDefinition/EVO_EX_HLM_Leitsymptomatik').extension('leitsymptomatik')[1].valueCoding.code='pi' or code.extension('https://fhir.gevko.de/StructureDefinition/EVO_EX_HLM_Leitsymptomatik').extension('leitsymptomatik')[2].valueCoding.code='pi')  implies code.extension('https://fhir.gevko.de/StructureDefinition/EVO_EX_HLM_Leitsymptomatik').extension('leitsymptomatik').count()=1" />
        <source value="Condition" />
      </constraint>
      <constraint>
        <key value="Codes-Diagnosegruppe-2" />
        <severity value="error" />
        <human value="Die Codes der Leitsymptomatik dürfen sich nicht wiederholen." />
        <expression value="code.extension('https://fhir.gevko.de/StructureDefinition/EVO_EX_HLM_Leitsymptomatik').extension('leitsymptomatik').valueCoding.code.isDistinct()" />
        <source value="Condition" />
      </constraint>
    </element>
    <element id="Condition.meta">
      <path value="Condition.meta" />
      <min value="1" />
    </element>
    <element id="Condition.meta.versionId">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
      </extension>
      <path value="Condition.meta.versionId" />
      <max value="0" />
    </element>
    <element id="Condition.meta.lastUpdated">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
      </extension>
      <path value="Condition.meta.lastUpdated" />
      <max value="0" />
    </element>
    <element id="Condition.meta.source">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
      </extension>
      <path value="Condition.meta.source" />
      <max value="0" />
    </element>
    <element id="Condition.meta.profile">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
      </extension>
      <path value="Condition.meta.profile" />
      <min value="1" />
      <max value="1" />
      <fixedCanonical value="https://fhir.gevko.de/StructureDefinition/EVO_PR_HLM_Condition_Diagnoseschluessel|1.3" />
    </element>
    <element id="Condition.meta.security">
      <path value="Condition.meta.security" />
      <max value="0" />
    </element>
    <element id="Condition.meta.tag">
      <path value="Condition.meta.tag" />
      <max value="0" />
    </element>
    <element id="Condition.implicitRules">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
      </extension>
      <path value="Condition.implicitRules" />
      <max value="0" />
    </element>
    <element id="Condition.language">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
      </extension>
      <path value="Condition.language" />
      <max value="0" />
    </element>
    <element id="Condition.contained">
      <path value="Condition.contained" />
      <max value="0" />
    </element>
    <element id="Condition.identifier">
      <path value="Condition.identifier" />
      <max value="0" />
    </element>
    <element id="Condition.clinicalStatus">
      <path value="Condition.clinicalStatus" />
      <max value="0" />
    </element>
    <element id="Condition.verificationStatus">
      <path value="Condition.verificationStatus" />
      <max value="0" />
    </element>
    <element id="Condition.category">
      <path value="Condition.category" />
      <max value="0" />
    </element>
    <element id="Condition.severity">
      <path value="Condition.severity" />
      <max value="0" />
    </element>
    <element id="Condition.code">
      <path value="Condition.code" />
      <min value="1" />
    </element>
    <element id="Condition.code.extension">
      <path value="Condition.code.extension" />
      <min value="1" />
    </element>
    <element id="Condition.code.extension:leitsymptomatik">
      <path value="Condition.code.extension" />
      <sliceName value="leitsymptomatik" />
      <min value="1" />
      <max value="1" />
      <type>
        <code value="Extension" />
        <profile value="https://fhir.gevko.de/StructureDefinition/EVO_EX_HLM_Leitsymptomatik" />
      </type>
    </element>
    <element id="Condition.code.coding">
      <path value="Condition.code.coding" />
      <short value="Diagnoseschlüssel" />
      <min value="1" />
      <max value="1" />
      <binding>
        <strength value="required" />
        <description value="Der Code für die Diagnosegruppe muss im ValueSet KBV_VS_SFHIR_HM_DIAGNOSEGRUPPE enthalten sein." />
        <valueSet value="https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_HM_DIAGNOSEGRUPPE" />
      </binding>
    </element>
    <element id="Condition.code.coding.system">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
      </extension>
      <path value="Condition.code.coding.system" />
      <min value="1" />
      <fixedUri value="https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_HM_DIAGNOSEGRUPPE" />
    </element>
    <element id="Condition.code.coding.version">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
      </extension>
      <path value="Condition.code.coding.version" />
    </element>
    <element id="Condition.code.coding.code">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
      </extension>
      <path value="Condition.code.coding.code" />
      <short value="Code der Diagnosegruppe" />
      <min value="1" />
    </element>
    <element id="Condition.code.coding.display">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
      </extension>
      <path value="Condition.code.coding.display" />
    </element>
    <element id="Condition.code.coding.userSelected">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
      </extension>
      <path value="Condition.code.coding.userSelected" />
      <max value="0" />
    </element>
    <element id="Condition.code.text">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
      </extension>
      <path value="Condition.code.text" />
      <max value="0" />
    </element>
    <element id="Condition.bodySite">
      <path value="Condition.bodySite" />
      <max value="0" />
    </element>
    <element id="Condition.subject">
      <path value="Condition.subject" />
      <type>
        <code value="Reference" />
        <targetProfile value="https://fhir.kbv.de/StructureDefinition/KBV_PR_FOR_Patient" />
      </type>
    </element>
    <element id="Condition.subject.reference">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
      </extension>
      <path value="Condition.subject.reference" />
      <min value="1" />
    </element>
    <element id="Condition.subject.type">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
      </extension>
      <path value="Condition.subject.type" />
      <max value="0" />
    </element>
    <element id="Condition.subject.identifier">
      <path value="Condition.subject.identifier" />
      <max value="0" />
    </element>
    <element id="Condition.subject.display">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
      </extension>
      <path value="Condition.subject.display" />
      <max value="0" />
    </element>
    <element id="Condition.encounter">
      <path value="Condition.encounter" />
      <max value="0" />
    </element>
    <element id="Condition.onset[x]">
      <path value="Condition.onset[x]" />
      <max value="0" />
    </element>
    <element id="Condition.abatement[x]">
      <path value="Condition.abatement[x]" />
      <max value="0" />
    </element>
    <element id="Condition.recordedDate">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
      </extension>
      <path value="Condition.recordedDate" />
      <max value="0" />
    </element>
    <element id="Condition.recorder">
      <path value="Condition.recorder" />
      <max value="0" />
    </element>
    <element id="Condition.asserter">
      <path value="Condition.asserter" />
      <min value="1" />
      <type>
        <code value="Reference" />
        <targetProfile value="https://fhir.kbv.de/StructureDefinition/KBV_PR_FOR_Practitioner" />
      </type>
    </element>
    <element id="Condition.asserter.reference">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
      </extension>
      <path value="Condition.asserter.reference" />
      <min value="1" />
    </element>
    <element id="Condition.asserter.type">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
      </extension>
      <path value="Condition.asserter.type" />
      <max value="0" />
    </element>
    <element id="Condition.asserter.identifier">
      <path value="Condition.asserter.identifier" />
      <max value="0" />
    </element>
    <element id="Condition.asserter.display">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
      </extension>
      <path value="Condition.asserter.display" />
      <max value="0" />
    </element>
    <element id="Condition.stage">
      <path value="Condition.stage" />
      <max value="0" />
    </element>
    <element id="Condition.evidence">
      <path value="Condition.evidence" />
      <max value="0" />
    </element>
    <element id="Condition.note">
      <path value="Condition.note" />
      <max value="0" />
    </element>
  </differential>
</StructureDefinition>