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{
  "resourceType": "StructureDefinition",
  "id": "ISiKDiagnose",
  "url": "https://gematik.de/fhir/isik/StructureDefinition/ISiKDiagnose",
  "version": "4.0.0-rc2",
  "name": "ISiKDiagnose",
  "status": "draft",
  "experimental": false,
  "date": "2024-04-04",
  "publisher": "gematik GmbH",
  "description": "Dieses Profil ermöglicht die Nutzung von Diagnosen in ISiK Szenarien.",
  "fhirVersion": "4.0.1",
  "kind": "resource",
  "abstract": false,
  "type": "Condition",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Condition",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Condition",
        "path": "Condition",
        "constraint": [
          {
            "key": "isik-con1",
            "severity": "error",
            "human": "Falls eine kodierte Diagnose vorliegt muss angegeben werden durch welchen Kontakt diese Dokumentation erfolgte.",
            "expression": "code.coding.exists() implies encounter.exists()",
            "source": "https://gematik.de/fhir/isik/StructureDefinition/ISiKDiagnose"
          }
        ]
      },
      {
        "id": "Condition.id",
        "path": "Condition.id",
        "mustSupport": true
      },
      {
        "id": "Condition.extension",
        "path": "Condition.extension",
        "mustSupport": true
      },
      {
        "id": "Condition.extension:related",
        "path": "Condition.extension",
        "sliceName": "related",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/condition-related"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Condition.clinicalStatus",
        "path": "Condition.clinicalStatus",
        "mustSupport": true
      },
      {
        "id": "Condition.code",
        "path": "Condition.code",
        "min": 1,
        "constraint": [
          {
            "key": "icd-text-1",
            "severity": "error",
            "human": "Entweder MUSS eine kodierte Diagnose vorliegen oder eine textuelle Beschreibung. Stattdessen nur Extensions hinzuzufügen (vgl. https://www.hl7.org/fhir/element.html - ele-1), ist explizit nicht erlaubt.",
            "expression": "coding.exists().not() implies text.exists()",
            "source": "https://gematik.de/fhir/isik/StructureDefinition/ISiKDiagnose"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Condition.code.coding",
        "path": "Condition.code.coding",
        "slicing": {
          "discriminator": [
            {
              "type": "pattern",
              "path": "$this"
            }
          ],
          "rules": "open"
        },
        "mustSupport": true
      },
      {
        "id": "Condition.code.coding:ICD-10-GM",
        "path": "Condition.code.coding",
        "sliceName": "ICD-10-GM",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Coding",
            "profile": [
              "https://gematik.de/fhir/isik/StructureDefinition/ISiKICD10GMCoding"
            ]
          }
        ],
        "patternCoding": {
          "system": "http://fhir.de/CodeSystem/bfarm/icd-10-gm"
        },
        "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:Seitenlokalisation",
        "path": "Condition.code.coding.extension",
        "sliceName": "Seitenlokalisation",
        "mustSupport": true
      },
      {
        "id": "Condition.code.coding:ICD-10-GM.extension:Diagnosesicherheit",
        "path": "Condition.code.coding.extension",
        "sliceName": "Diagnosesicherheit",
        "mustSupport": true
      },
      {
        "id": "Condition.code.coding:Alpha-ID",
        "path": "Condition.code.coding",
        "sliceName": "Alpha-ID",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Coding",
            "profile": [
              "http://fhir.de/StructureDefinition/CodingAlphaID"
            ]
          }
        ],
        "patternCoding": {
          "system": "http://fhir.de/CodeSystem/alpha-id"
        },
        "mustSupport": true
      },
      {
        "id": "Condition.code.coding:Alpha-ID.system",
        "path": "Condition.code.coding.system",
        "mustSupport": true
      },
      {
        "id": "Condition.code.coding:Alpha-ID.code",
        "path": "Condition.code.coding.code",
        "mustSupport": true
      },
      {
        "id": "Condition.code.coding:SNOMED-CT",
        "path": "Condition.code.coding",
        "sliceName": "SNOMED-CT",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Coding",
            "profile": [
              "https://gematik.de/fhir/isik/StructureDefinition/ISiKSnomedCTCoding"
            ]
          }
        ],
        "patternCoding": {
          "system": "http://snomed.info/sct"
        },
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "valueSet": "https://gematik.de/fhir/isik/ValueSet/DiagnosesSCT"
        }
      },
      {
        "id": "Condition.code.coding:Orphanet",
        "path": "Condition.code.coding",
        "sliceName": "Orphanet",
        "min": 0,
        "max": "1",
        "patternCoding": {
          "system": "http://www.orpha.net"
        },
        "mustSupport": true
      },
      {
        "id": "Condition.code.coding:Orphanet.system",
        "path": "Condition.code.coding.system",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Condition.code.coding:Orphanet.code",
        "path": "Condition.code.coding.code",
        "min": 1
      },
      {
        "id": "Condition.subject",
        "path": "Condition.subject",
        "mustSupport": true
      },
      {
        "id": "Condition.subject.reference",
        "path": "Condition.subject.reference",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Condition.encounter",
        "path": "Condition.encounter",
        "mustSupport": true
      },
      {
        "id": "Condition.onset[x]",
        "path": "Condition.onset[x]",
        "slicing": {
          "discriminator": [
            {
              "type": "type",
              "path": "$this"
            }
          ],
          "rules": "closed"
        },
        "type": [
          {
            "code": "dateTime"
          },
          {
            "code": "Period"
          }
        ]
      },
      {
        "id": "Condition.onset[x]:onsetPeriod",
        "path": "Condition.onset[x]",
        "sliceName": "onsetPeriod",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Period"
          }
        ]
      },
      {
        "id": "Condition.onset[x]:onsetPeriod.start.extension:Lebensphase-Start",
        "path": "Condition.onset[x].start.extension",
        "sliceName": "Lebensphase-Start",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://fhir.de/StructureDefinition/lebensphase"
            ]
          }
        ]
      },
      {
        "id": "Condition.onset[x]:onsetPeriod.end.extension:Lebensphase-Ende",
        "path": "Condition.onset[x].end.extension",
        "sliceName": "Lebensphase-Ende",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://fhir.de/StructureDefinition/lebensphase"
            ]
          }
        ]
      },
      {
        "id": "Condition.onset[x]:onsetDateTime",
        "path": "Condition.onset[x]",
        "sliceName": "onsetDateTime",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "dateTime"
          }
        ]
      },
      {
        "id": "Condition.recordedDate",
        "path": "Condition.recordedDate",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Condition.note",
        "path": "Condition.note",
        "mustSupport": true
      }
    ]
  }
}

name : ISiKDiagnose

{

}