MII IG Diagnose v2025

Condition

MII PR Diagnose Condition

Beschreibung

Dieses Profil beschreibt eine Diagnose in der Medizininformatik-Initiative.

Mehrfachkodierung und Condition-Ressourcen

Bei der Kombination von ICD-10-Codes mit dem Kreuz-Stern-System wird für jeden ICD-10-Code (Ätiologie, Manifestation, Zusatzinformation) eine Condition-Ressource instanziiert. Die Condition-Ressourcen der Sekundärdiagnosen (Manifestation, Zusatzinformation) nutzen die Extension Condition Related, um auf die Primärdiagnose (Ätiologie) zu referenzieren. Zusätzlich zu kombinierten ICD-10-Codes gemappte Alpha-IDs oder Orpha-Codes, werden nur in der Condition-Ressource der Primärdiagnose angegeben. Bei abweichenden Diagnosesicherheiten zwischen Primär- und Sekundärdiagnose MUSS sichergestellt werden, dass die Diagnosesicherheit der Primärcondition auf die assoziierte Alpha-ID zutrifft. Das Vorgehen wird anhand der Beispielressourcen exemplarisch für Alpha-ID I97525 und ICD-10-GM A54.4+ M73.09* dargestellt.

Gegebenenfalls vorhandene Mehrfachkodierungskennzeichen (*, †, !) werden von den jeweiligen ICD-10-Codes abgetrennt und in die Extension 'Mehrfachkodierungs-Kennzeichen' gesetzt. Das Element Condition.code.coding.where(system='http://fhir.de/CodeSystem/bfarm/icd-10-gm').code, in dem der ICD-10-GM-Code abgebildet wird, SOLLTE NICHT ein Mehrfachkodierungskennzeichen oder Zusatzkennzeichen (z.B. Seitenlokalisation oder Diagnosesicherheit) enthalten. Siehe Beispielressourcen.

Name	Status	Version	Lizenz	Canonical	Basis
MII_PR_Diagnose_Condition	active	2025.0.0	CC-BY-4.0	https://www.medizininformatik-initiative.de/fhir/core/modul-diagnose/StructureDefinition/Diagnose	http://hl7.org/fhir/StructureDefinition/Condition

Inhalt

MII_PR_Diagnose_Condition (Condition)	I		Condition	There are no (further) constraints on this element Element id Condition Short description Detailed information about conditions, problems or diagnoses Definition A clinical condition, problem, diagnosis, or other event, situation, issue, or clinical concept that has risen to a level of concern. Data type Condition Constraints dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources `contained.contained.empty()` dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()` dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource `contained.where((('#'+id in (%resource.descendants().reference \| %resource.descendants().as(canonical) \| %resource.descendants().as(uri) \| %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()` dom-6: A resource should have narrative for robust management text.`div`.exists() dom-5: If a resource is contained in another resource, it SHALL NOT have a security label `contained.meta.security.empty()` con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error `verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()` con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission `abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()` con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item `clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()` Mappings rim: Entity. Role, or Act workflow: Event sct-concept: < 243796009 \|Situation with explicit context\| : 246090004 \|Associated finding\| = ( ( < 404684003 \|Clinical finding\| MINUS ( << 420134006 \|Propensity to adverse reactions\| OR << 473010000 \|Hypersensitivity condition\| OR << 79899007 \|Drug interaction\| OR << 69449002 \|Drug action\| OR << 441742003 \|Evaluation finding\| OR << 307824009 \|Administrative status\| OR << 385356007 \|Tumor stage finding\|)) OR < 272379006 \|Event\|) v2: PPR message rim: Observation[classCode=OBS, moodCode=EVN, code=ASSERTION, value<Diagnosis]
id	S Σ	0..1	string	There are no (further) constraints on this element Element id Condition.id Short description Logical id of this artifact Definition The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. Comments The only time that a resource does not have an id is when it is being submitted to the server using a create operation. Data type string
meta	S Σ	0..1	Meta	There are no (further) constraints on this element Element id Condition.meta Short description Metadata about the resource Definition The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource. Data type Meta Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: N/A
id		0..1	string	There are no (further) constraints on this element Element id Condition.meta.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id Condition.meta.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
versionId	Σ	0..1	id	There are no (further) constraints on this element Element id Condition.meta.versionId Short description Version specific identifier Definition The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted. Comments The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes. Data type id Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
lastUpdated	Σ	0..1	instant	There are no (further) constraints on this element Element id Condition.meta.lastUpdated Short description When the resource version last changed Definition When the resource last changed - e.g. when the version changed. Comments This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a read interaction. Data type instant Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
source	S Σ	0..1	uri	There are no (further) constraints on this element Element id Condition.meta.source Short description Identifies where the resource comes from Definition A uri that identifies the source system of the resource. This provides a minimal amount of Provenance information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc. Comments In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used. This element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
profile	S Σ	0..*	canonical(StructureDefinition)	There are no (further) constraints on this element Element id Condition.meta.profile Short description Profiles this resource claims to conform to Definition A list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url. Comments It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set. Data type canonical(StructureDefinition) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
security	Σ	0..*	CodingBinding	There are no (further) constraints on this element Element id Condition.meta.security Short description Security Labels applied to this resource Definition Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure. Comments The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored. Data type Coding Binding Security Labels from the Healthcare Privacy and Security Classification System. All Security Labels (extensible) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim: CV orim: fhir:Coding rdfs:subClassOf dt:CDCoding
tag	Σ	0..*	Coding	There are no (further) constraints on this element Element id Condition.meta.tag Short description Tags applied to this resource Definition Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource. Comments The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored. Data type Coding Binding Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". CommonTags (example) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim: CV orim: fhir:Coding rdfs:subClassOf dt:CDCoding
implicitRules	Σ ?!	0..1	uri	There are no (further) constraints on this element Element id Condition.implicitRules Short description A set of rules under which this content was created Definition A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. Comments Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
language		0..1	codeBinding	There are no (further) constraints on this element Element id Condition.language Short description Language of the resource content Definition The base language in which the resource is written. Comments Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute). Data type code Binding A human language. CommonLanguages (preferred) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
text		0..1	Narrative	There are no (further) constraints on this element Element id Condition.text Short description Text summary of the resource, for human interpretation Alternate names narrative, html, xhtml, display Definition A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety. Comments Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later. Data type Narrative Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: N/A rim: Act.text?
contained		0..*	Resource	There are no (further) constraints on this element Element id Condition.contained Short description Contained, inline Resources Alternate names inline resources, anonymous resources, contained resources Definition These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope. Comments This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels. Data type Resource Mappings rim: Entity. Role, or Act rim: N/A
extension	I	0..*	Extension	There are no (further) constraints on this element Element id Condition.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
ReferenzPrimaerdiagnose	S I	0..1	Extension(Reference(Condition))	Element id Condition.extension:ReferenzPrimaerdiagnose Short description Conditions associated with this condition Alternate names extensions, user content Definition This condition has an unspecified relationship with another condition. Comments When the relationship is specified, use the more specific extension, such as condition-dueTo, condition-occurredFollowing, or condition-part of. Data type Extension(Reference(Condition)) Extension URL http://hl7.org/fhir/StructureDefinition/condition-related Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
Feststellungsdatum	S I	0..1	Extension(dateTime)	Element id Condition.extension:Feststellungsdatum Short description Feststellungsdatum Alternate names extensions, user content Definition Datum, an dem die Diagnose erstmals festgestellt wurde Comments The assertedDate is in the context of the recording practitioner and might not be the same as the recordedDate. Data type Extension(dateTime) Extension URL http://hl7.org/fhir/StructureDefinition/condition-assertedDate Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A LogicalModel: Feststellungsdatum
modifierExtension	?! I	0..*	Extension	There are no (further) constraints on this element Element id Condition.modifierExtension Short description Extensions that cannot be ignored Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Requirements Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
identifier	Σ	0..*	Identifier	There are no (further) constraints on this element Element id Condition.identifier Short description External Ids for this condition Definition Business identifiers assigned to this condition by the performer or other systems which remain constant as the resource is updated and propagates from server to server. Requirements Allows identification of the condition as it is known by various participating systems and in a way that remains consistent across servers. Comments This is a business identifier, not a resource identifier (see discussion). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number. Data type Identifier Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CX / EI (occasionally, more often EI maps to a resource id or a URL) rim: II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd: Identifier workflow: Event.identifier w5: FiveWs.identifier rim: .id
clinicalStatus	S Σ ?! I	0..1	CodeableConceptBinding	Element id Condition.clinicalStatus Short description Klinischer Status Definition aktiv \| Rezidiv \| Rückfall \| inaktiv \| Remission \| abgeklungen Comments The data type is CodeableConcept because clinicalStatus has some clinical judgment involved, such that there might need to be more specificity than the required FHIR value set allows. For example, a SNOMED coding might allow for additional specificity. Data type CodeableConcept Binding The clinical status of the condition or diagnosis. ConditionClinicalStatusCodes (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD workflow: Event.status w5: FiveWs.status sct-concept: < 303105007 \|Disease phases\| v2: PRB-14 rim: Observation ACT .inboundRelationship[typeCode=COMP].source[classCode=OBS, code="clinicalStatus", moodCode=EVN].value LogicalModel: KlinischerStatus
verificationStatus	S Σ ?! I	0..1	CodeableConceptBinding	Element id Condition.verificationStatus Short description Verifizierungsstatus Definition unbestätigt \| vorläufig \| differential \| bestätigt \| widerlegt \| fehlerhafte Eingabe Comments verificationStatus is not required. For example, when a patient has abdominal pain in the ED, there is not likely going to be a verification status. The data type is CodeableConcept because verificationStatus has some clinical judgment involved, such that there might need to be more specificity than the required FHIR value set allows. For example, a SNOMED coding might allow for additional specificity. Data type CodeableConcept Binding The verification status to support or decline the clinical status of the condition or diagnosis. ConditionVerificationStatus (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD workflow: Event.status w5: FiveWs.status sct-concept: < 410514004 \|Finding context value\| v2: PRB-13 rim: Observation ACT .inboundRelationship[typeCode=COMP].source[classCode=OBS, code="verificationStatus", moodCode=EVN].value sct-attr: 408729009
category		0..*	CodeableConceptBinding	There are no (further) constraints on this element Element id Condition.category Short description problem-list-item \| encounter-diagnosis Definition A category assigned to the condition. Comments The categorization is often highly contextual and may appear poorly differentiated or not very useful in other contexts. Data type CodeableConcept Binding A category assigned to the condition. ConditionCategoryCodes (extensible) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD w5: FiveWs.class sct-concept: < 404684003 \|Clinical finding\| v2: 'problem' if from PRB-3. 'diagnosis' if from DG1 segment in PV1 message rim: .code
severity		0..1	CodeableConceptBinding	There are no (further) constraints on this element Element id Condition.severity Short description Subjective severity of condition Definition A subjective assessment of the severity of the condition as evaluated by the clinician. Comments Coding of the severity with a terminology is preferred, where possible. Data type CodeableConcept Binding A subjective assessment of the severity of the condition as evaluated by the clinician. Condition/DiagnosisSeverity (preferred) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD w5: FiveWs.grade sct-concept: < 272141005 \|Severities\| v2: PRB-26 / ABS-3 rim: Can be pre/post-coordinated into value. Or ./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="severity"].value sct-attr: 246112005
code	S Σ	1..1	CodeableConcept	Element id Condition.code Short description Code Alternate names type Definition Ein ICD-10-, Alpha-ID-, SNOMED-, Orpha- oder anderer Code, der die Diagnose identifiziert. Requirements 0..1 to account for primarily narrative only resources. Comments Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Data type CodeableConcept Binding Identification of the condition or diagnosis. Condition/Problem/DiagnosisCodes (example) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD workflow: Event.code w5: FiveWs.what[x] sct-concept: code 246090004 \|Associated finding\| (< 404684003 \|Clinical finding\| MINUS << 420134006 \|Propensity to adverse reactions\| MINUS << 473010000 \|Hypersensitivity condition\| MINUS << 79899007 \|Drug interaction\| MINUS << 69449002 \|Drug action\| MINUS << 441742003 \|Evaluation finding\| MINUS << 307824009 \|Administrative status\| MINUS << 385356007 \|Tumor stage finding\|) OR < 413350009 \|Finding with explicit context\| OR < 272379006 \|Event\| v2: PRB-3 rim: .value sct-attr: 246090004
id		0..1	string	There are no (further) constraints on this element Element id Condition.code.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id Condition.code.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
coding	S Σ	1..*	Coding	Element id Condition.code.coding Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Data type Coding Sliced: Unordered, Open, by $this(Pattern) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim: CV orim: fhir:Coding rdfs:subClassOf dt:CDCoding v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding LogicalModel: WeitereKodiersysteme
(All Slices)				There are no (further) constraints on this element
id		0..1	string	There are no (further) constraints on this element Element id Condition.code.coding.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id Condition.code.coding.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
system	Σ	0..1	uri	There are no (further) constraints on this element Element id Condition.code.coding.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE.3 rim:* ./codeSystem orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element id Condition.code.coding.version Short description Version of the system - if relevant Definition The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Comments Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE.7 rim:* ./codeSystemVersion orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	Σ	0..1	code	Element id Condition.code.coding.code Short description Symbol in syntax defined by the system Definition A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Requirements Need to refer to a particular code in the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type code Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE.1 rim:* ./code orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code LogicalModel: WeitereKodiersysteme.Diagnosecode
display	Σ	0..1	string	There are no (further) constraints on this element Element id Condition.code.coding.display Short description Representation defined by the system Definition A representation of the meaning of the code in the system, following the rules of the system. Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE.2 - but note this is not well followed rim:* CV.displayName orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element id Condition.code.coding.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Comments Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. Data type boolean Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: Sometimes implied by being first rim: CD.codingRationale orim: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
icd10-gm	S Σ	0..1	CodingICD10GMBindingPattern	Element id Condition.code.coding:icd10-gm Short description ICD-10-GM Code Definition Ein Verweis auf einen von der ICD-10-GM definierten Code Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments Codes may be defined very casually in enumerations or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Data type CodingICD10GM Binding ICD10GM (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern { "system": "http://fhir.de/CodeSystem/bfarm/icd-10-gm" } Mappings rim: n/a v2: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim: CV orim: fhir:Coding rdfs:subClassOf dt:CDCoding v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding LogicalModel: ICD10GMDiagnoseKodiert
id		0..1	string	There are no (further) constraints on this element Element id Condition.code.coding:icd10-gm.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id Condition.code.coding:icd10-gm.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
Mehrfachcodierungs-Kennzeichen	I	0..1	Extension(Coding)	There are no (further) constraints on this element Element id Condition.code.coding:icd10-gm.extension:Mehrfachcodierungs-Kennzeichen Short description Optional Extensions Element Alternate names extensions, user content Definition Optional Extension Element - found in all resources. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension(Coding) Extension URL http://fhir.de/StructureDefinition/icd-10-gm-mehrfachcodierungs-kennzeichen Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
Seitenlokalisation	I	0..1	Extension(Coding)	There are no (further) constraints on this element Element id Condition.code.coding:icd10-gm.extension:Seitenlokalisation Short description Optional Extensions Element Alternate names extensions, user content Definition Optional Extension Element - found in all resources. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension(Coding) Extension URL http://fhir.de/StructureDefinition/seitenlokalisation Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
Diagnosesicherheit	I	0..1	Extension(Coding)	There are no (further) constraints on this element Element id Condition.code.coding:icd10-gm.extension:Diagnosesicherheit Short description Optional Extensions Element Alternate names extensions, user content Definition Optional Extension Element - found in all resources. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension(Coding) Extension URL http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
system	S Σ	1..1	uriFixed ValuePattern	There are no (further) constraints on this element Element id Condition.code.coding:icd10-gm.system Short description Canonische CodeSystem URL für ICD-10-GM Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed value http://fhir.de/CodeSystem/bfarm/icd-10-gm Mappings rim: n/a v2: CE.3 rim:* ./codeSystem orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	S Σ	1..1	string	There are no (further) constraints on this element Element id Condition.code.coding:icd10-gm.version Short description Die Jahresversion von ICD-10-GM. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017") Definition Bie Verwendung von ICD-10-GM ist die Angabe der Version zwingend erforderlich. Hierdurch wird der Tatsache Rechnung getragen, dass jede der jährlich neu erscheinenden Fassung von ICD-10-GM ein neues Codesystem darstellt. Comments Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE.7 rim:* ./codeSystemVersion orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	S Σ I	1..1	code	Element id Condition.code.coding:icd10-gm.code Short description Der ICD-10-Code Definition A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Requirements Need to refer to a particular code in the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type code Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` icd-regex: In code sind nur gültige ICD-10-Codes ohne Zusätze erlaubt `matches('^[A-Z][0-9][A-Z0-9](\\.?[A-Z0-9]{0,4})?$')` Examples Einfacher ICD-Code F17.4 Mappings rim: n/a v2: CE.1 rim:* ./code orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code LogicalModel: ICD10GMDiagnoseKodiert.Diagnosecode
display	Σ	0..1	string	There are no (further) constraints on this element Element id Condition.code.coding:icd10-gm.display Short description Representation defined by the system Definition A representation of the meaning of the code in the system, following the rules of the system. Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE.2 - but note this is not well followed rim:* CV.displayName orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element id Condition.code.coding:icd10-gm.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Comments Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. Data type boolean Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: Sometimes implied by being first rim: CD.codingRationale orim: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
alpha-id	S Σ	0..1	CodingAlphaIDBindingPattern	Element id Condition.code.coding:alpha-id Short description Alpha-ID Code Definition Ein Verweis auf einen von der Alpha-ID definierten Code Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments Codes may be defined very casually in enumerations or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Data type CodingAlphaID Binding AlphaId (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern { "system": "http://fhir.de/CodeSystem/bfarm/alpha-id" } Mappings rim: n/a v2: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim: CV orim: fhir:Coding rdfs:subClassOf dt:CDCoding v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding LogicalModel: ALPHAIDKodiert
id		0..1	string	There are no (further) constraints on this element Element id Condition.code.coding:alpha-id.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id Condition.code.coding:alpha-id.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
system	S Σ	1..1	uriFixed ValuePattern	There are no (further) constraints on this element Element id Condition.code.coding:alpha-id.system Short description Canonische CodeSystem URL für Alpha-ID Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed value http://fhir.de/CodeSystem/bfarm/alpha-id Mappings rim: n/a v2: CE.3 rim:* ./codeSystem orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	1..1	string	There are no (further) constraints on this element Element id Condition.code.coding:alpha-id.version Short description Die Jahresversion von Alpha-ID. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017") Definition Bie Verwendung von Alpha-ID ist die Angabe der Version zwingend erforderlich. Hierdurch wird der Tatsache Rechnung getragen, dass jede der jährlich neu erscheinenden Fassung von Alpha-ID ein neues Codesystem darstellt. Comments Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE.7 rim:* ./codeSystemVersion orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	S Σ	1..1	code	Element id Condition.code.coding:alpha-id.code Short description Der Alpha-ID-Code Definition A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Requirements Need to refer to a particular code in the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type code Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE.1 rim:* ./code orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code LogicalModel: ALPHAIDKodiert.Diagnosecode
display	Σ	0..1	string	There are no (further) constraints on this element Element id Condition.code.coding:alpha-id.display Short description Representation defined by the system Definition A representation of the meaning of the code in the system, following the rules of the system. Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE.2 - but note this is not well followed rim:* CV.displayName orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element id Condition.code.coding:alpha-id.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Comments Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. Data type boolean Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: Sometimes implied by being first rim: CD.codingRationale orim: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
sct	S Σ	0..1	CodingBindingPattern	Element id Condition.code.coding:sct Short description SNOMED CT Code Definition Ein Verweis auf einen von SNOMED CT definierten Code Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Data type Coding Binding MII_VS_Diagnose_DiagnoseCodes_SNOMED (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern { "system": "http://snomed.info/sct" } Mappings rim: n/a v2: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim: CV orim: fhir:Coding rdfs:subClassOf dt:CDCoding v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding LogicalModel: SNOMEDDiagnoseKodiert
id		0..1	string	There are no (further) constraints on this element Element id Condition.code.coding:sct.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id Condition.code.coding:sct.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
system	S Σ	1..1	uriPattern	There are no (further) constraints on this element Element id Condition.code.coding:sct.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern http://snomed.info/sct Mappings rim: n/a v2: CE.3 rim:* ./codeSystem orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	S Σ	0..1	string	There are no (further) constraints on this element Element id Condition.code.coding:sct.version Short description Version of the system - if relevant Definition The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Comments Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE.7 rim:* ./codeSystemVersion orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	S Σ	1..1	code	Element id Condition.code.coding:sct.code Short description Symbol in syntax defined by the system Definition A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Requirements Need to refer to a particular code in the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type code Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE.1 rim:* ./code orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code LogicalModel: SNOMEDDiagnoseKodiert.Diagnosecode
display	Σ	0..1	string	There are no (further) constraints on this element Element id Condition.code.coding:sct.display Short description Representation defined by the system Definition A representation of the meaning of the code in the system, following the rules of the system. Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE.2 - but note this is not well followed rim:* CV.displayName orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element id Condition.code.coding:sct.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Comments Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. Data type boolean Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: Sometimes implied by being first rim: CD.codingRationale orim: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
orphanet	S Σ	0..1	CodingBindingPattern	Element id Condition.code.coding:orphanet Short description ORPHAcode Definition Ein Verweis auf einen von der Orphanet Nomenklatur der Seltenen Krankheiten definierten Code Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Data type Coding Binding MII_VS_Diagnose_Orphanet (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern { "system": "http://www.orpha.net" } Mappings rim: n/a v2: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim: CV orim: fhir:Coding rdfs:subClassOf dt:CDCoding v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding LogicalModel: ORPHANETDiagnoseKodiert
id		0..1	string	There are no (further) constraints on this element Element id Condition.code.coding:orphanet.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id Condition.code.coding:orphanet.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
system	S Σ	1..1	uriPattern	There are no (further) constraints on this element Element id Condition.code.coding:orphanet.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern http://www.orpha.net Mappings rim: n/a v2: CE.3 rim:* ./codeSystem orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element id Condition.code.coding:orphanet.version Short description Version of the system - if relevant Definition The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Comments Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE.7 rim:* ./codeSystemVersion orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	S Σ	1..1	code	Element id Condition.code.coding:orphanet.code Short description Symbol in syntax defined by the system Definition A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Requirements Need to refer to a particular code in the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type code Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE.1 rim:* ./code orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code LogicalModel: ORPHANETDiagnoseKodiert.Diagnosecode
display	Σ	0..1	string	There are no (further) constraints on this element Element id Condition.code.coding:orphanet.display Short description Representation defined by the system Definition A representation of the meaning of the code in the system, following the rules of the system. Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE.2 - but note this is not well followed rim:* CV.displayName orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element id Condition.code.coding:orphanet.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Comments Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. Data type boolean Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: Sometimes implied by being first rim: CD.codingRationale orim: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	Σ	0..1	string	Element id Condition.code.text Short description Plain text representation of the concept Definition A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. Requirements The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Comments Very often the text is the same as a displayName of one of the codings. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE.9. But note many systems use CE.2 for this rim: ./originalText[mediaType/code="text/plain"]/data orim: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText LogicalModel: Freitextbeschreibung
bodySite	S Σ	0..*	CodeableConcept	Element id Condition.bodySite Short description Körperstelle Definition Die Körperstelle der Diagnose mittels SNOMED oder anderem Code. Comments Only used if not implicit in code found in Condition.code. If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension bodySite. May be a summary code, or a reference to a very precise definition of the location, or both. Data type CodeableConcept Binding Codes describing anatomical locations. May include laterality. SNOMEDCTBodyStructures (example) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD sct-concept: < 442083009 \|Anatomical or acquired body structure\| rim: .targetBodySiteCode sct-attr: 363698007 LogicalModel: Koerperstelle
id		0..1	string	There are no (further) constraints on this element Element id Condition.bodySite.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id Condition.bodySite.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
coding	S Σ	1..*	Coding	Element id Condition.bodySite.coding Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Data type Coding Sliced: Unordered, Open, by system(Pattern) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim: CV orim: fhir:Coding rdfs:subClassOf dt:CDCoding v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
snomed-ct	S Σ	1..1	CodingBinding	Element id Condition.bodySite.coding:snomed-ct Short description SNOMED CT Code Definition Ein Verweis auf einen von SNOMED CT definierten Code Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Data type Coding Binding MII_VS_Diagnose_BodyStructure_SNOMED (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim: CV orim: fhir:Coding rdfs:subClassOf dt:CDCoding v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
id		0..1	string	There are no (further) constraints on this element Element id Condition.bodySite.coding:snomed-ct.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id Condition.bodySite.coding:snomed-ct.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
system	S Σ	1..1	uriPattern	Element id Condition.bodySite.coding:snomed-ct.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Pattern http://snomed.info/sct Mappings rim: n/a v2: CE.3 rim:* ./codeSystem orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	S Σ	0..1	string	There are no (further) constraints on this element Element id Condition.bodySite.coding:snomed-ct.version Short description Version of the system - if relevant Definition The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Comments Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE.7 rim:* ./codeSystemVersion orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	S Σ	1..1	code	There are no (further) constraints on this element Element id Condition.bodySite.coding:snomed-ct.code Short description Symbol in syntax defined by the system Definition A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Requirements Need to refer to a particular code in the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type code Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE.1 rim:* ./code orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	0..1	string	There are no (further) constraints on this element Element id Condition.bodySite.coding:snomed-ct.display Short description Representation defined by the system Definition A representation of the meaning of the code in the system, following the rules of the system. Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE.2 - but note this is not well followed rim:* CV.displayName orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element id Condition.bodySite.coding:snomed-ct.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Comments Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. Data type boolean Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: Sometimes implied by being first rim: CD.codingRationale orim: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	Σ	0..1	string	There are no (further) constraints on this element Element id Condition.bodySite.text Short description Plain text representation of the concept Definition A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. Requirements The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Comments Very often the text is the same as a displayName of one of the codings. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE.9. But note many systems use CE.2 for this rim: ./originalText[mediaType/code="text/plain"]/data orim: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
subject	S Σ I	1..1	Reference(Patient \| Group)	There are no (further) constraints on this element Element id Condition.subject Short description Who has the condition? Alternate names patient Definition Indicates the patient or group who the condition record is associated with. Requirements Group is typically used for veterinary or public health use cases. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data type Reference(Patient \| Group) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow: Event.subject w5: FiveWs.subject[x] v2: PID-3 rim: .participation[typeCode=SBJ].role[classCode=PAT] w5: FiveWs.subject
encounter	S Σ I	0..1	Reference(Encounter)	Element id Condition.encounter Short description Fall oder Kontakt Definition Fall oder Kontakt, bei dem die Diagnose festgestellt wurde. Comments This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter. This record indicates the encounter this particular record is associated with. In the case of a "new" diagnosis reflecting ongoing/revised information about the condition, this might be distinct from the first encounter in which the underlying condition was first "known". Data type Reference(Encounter) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow: Event.context w5: FiveWs.context v2: PV1-19 (+PV1-54) rim: .inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]
onset[x]	S Σ	0..1		Element id Condition.onset[x] Short description Beginn Definition Geschätztes oder tatsächliches Datum oder Zeitraum, an dem die Erkrankung begonnen hat, nach Meinung des Klinikers. Comments Age is generally used when the patient reports an age at which the Condition began to occur. Sliced: Unordered, Open, by $this(Type) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a workflow: Event.occurrence[x] w5: FiveWs.init v2: PRB-16 rim: .effectiveTime.low or .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="age at onset"].value LogicalModel: KlinischRelevanterZeitraum
onsetPeriod	S Σ	0..1	Period	Element id Condition.onset[x]:onsetPeriod Short description Beginn Zeitraum Definition Der Zeitraum, in dem die Erkrankung begonnen hat, nach Meinung des Klinikers. Comments Age is generally used when the patient reports an age at which the Condition began to occur. Data type Period Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a workflow: Event.occurrence[x] w5: FiveWs.init v2: PRB-16 rim: .effectiveTime.low or .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="age at onset"].value LogicalModel: KlinischRelevanterZeitraum.Zeitraum
id		0..1	string	There are no (further) constraints on this element Element id Condition.onset[x]:onsetPeriod.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id Condition.onset[x]:onsetPeriod.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
start	S Σ I	0..1	dateTime	Element id Condition.onset[x]:onsetPeriod.start Short description Starting time with inclusive boundary Definition The start of the period. The boundary is inclusive. Comments If the low element is missing, the meaning is that the low boundary is not known. Data type dateTime Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: DR.1 rim: ./low LogicalModel: KlinischRelevanterZeitraum.Zeitraum.von
id		0..1	string	There are no (further) constraints on this element Element id Condition.onset[x]:onsetPeriod.start.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id Condition.onset[x]:onsetPeriod.start.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
lebensphase-von	S I	0..1	Extension(CodeableConcept)	Element id Condition.onset[x]:onsetPeriod.start.extension:lebensphase-von Short description Optional Extensions Element Alternate names extensions, user content Definition Optional Extension Element - found in all resources. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension(CodeableConcept) Extension URL http://fhir.de/StructureDefinition/lebensphase Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
id		0..1	string	There are no (further) constraints on this element Element id Condition.onset[x]:onsetPeriod.start.extension:lebensphase-von.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..0	Extension	There are no (further) constraints on this element Element id Condition.onset[x]:onsetPeriod.start.extension:lebensphase-von.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
url		1..1	uriFixed Value	There are no (further) constraints on this element Element id Condition.onset[x]:onsetPeriod.start.extension:lebensphase-von.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data type uri Fixed value http://fhir.de/StructureDefinition/lebensphase Mappings rim: N/A
value[x]		1..1		Element id Condition.onset[x]:onsetPeriod.start.extension:lebensphase-von.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: N/A LogicalModel: KlinischRelevanterZeitraum.Lebensphase.von
valueCodeableConcept			CodeableConcept	There are no (further) constraints on this element Data type CodeableConcept
id		0..1	string	There are no (further) constraints on this element Element id Condition.onset[x]:onsetPeriod.start.extension:lebensphase-von.value[x].id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id Condition.onset[x]:onsetPeriod.start.extension:lebensphase-von.value[x].extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
coding	Σ	1..1	CodingBinding	There are no (further) constraints on this element Element id Condition.onset[x]:onsetPeriod.start.extension:lebensphase-von.value[x].coding Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Data type Coding Binding Lebensphase ValueSetLebensphaseDe (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim: CV orim: fhir:Coding rdfs:subClassOf dt:CDCoding v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
id		0..1	string	There are no (further) constraints on this element Element id Condition.onset[x]:onsetPeriod.start.extension:lebensphase-von.value[x].coding.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id Condition.onset[x]:onsetPeriod.start.extension:lebensphase-von.value[x].coding.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
system	Σ	1..1	uri	There are no (further) constraints on this element Element id Condition.onset[x]:onsetPeriod.start.extension:lebensphase-von.value[x].coding.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE.3 rim:* ./codeSystem orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element id Condition.onset[x]:onsetPeriod.start.extension:lebensphase-von.value[x].coding.version Short description Version of the system - if relevant Definition The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Comments Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE.7 rim:* ./codeSystemVersion orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	Σ	1..1	code	There are no (further) constraints on this element Element id Condition.onset[x]:onsetPeriod.start.extension:lebensphase-von.value[x].coding.code Short description Symbol in syntax defined by the system Definition A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Requirements Need to refer to a particular code in the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type code Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE.1 rim:* ./code orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	0..1	string	There are no (further) constraints on this element Element id Condition.onset[x]:onsetPeriod.start.extension:lebensphase-von.value[x].coding.display Short description Representation defined by the system Definition A representation of the meaning of the code in the system, following the rules of the system. Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE.2 - but note this is not well followed rim:* CV.displayName orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element id Condition.onset[x]:onsetPeriod.start.extension:lebensphase-von.value[x].coding.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Comments Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. Data type boolean Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: Sometimes implied by being first rim: CD.codingRationale orim: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	Σ	0..1	string	There are no (further) constraints on this element Element id Condition.onset[x]:onsetPeriod.start.extension:lebensphase-von.value[x].text Short description Plain text representation of the concept Definition A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. Requirements The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Comments Very often the text is the same as a displayName of one of the codings. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE.9. But note many systems use CE.2 for this rim: ./originalText[mediaType/code="text/plain"]/data orim: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
value		0..1	System.DateTime	There are no (further) constraints on this element Element id Condition.onset[x]:onsetPeriod.start.value Short description Primitive value for dateTime Definition Primitive value for dateTime Data type System.DateTime
end	S Σ I	0..1	dateTime	Element id Condition.onset[x]:onsetPeriod.end Short description End time with inclusive boundary, if not ongoing Definition The end of the period. If the end of the period is missing, it means no end was known or planned at the time the instance was created. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time. Comments The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03. Meaning when missing If the end of the period is missing, it means that the period is ongoing Data type dateTime Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: DR.2 rim: ./high LogicalModel: KlinischRelevanterZeitraum.Zeitraum.bis
id		0..1	string	There are no (further) constraints on this element Element id Condition.onset[x]:onsetPeriod.end.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id Condition.onset[x]:onsetPeriod.end.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
lebensphase-bis	S I	0..1	Extension(CodeableConcept)	Element id Condition.onset[x]:onsetPeriod.end.extension:lebensphase-bis Short description Optional Extensions Element Alternate names extensions, user content Definition Optional Extension Element - found in all resources. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension(CodeableConcept) Extension URL http://fhir.de/StructureDefinition/lebensphase Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
id		0..1	string	There are no (further) constraints on this element Element id Condition.onset[x]:onsetPeriod.end.extension:lebensphase-bis.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..0	Extension	There are no (further) constraints on this element Element id Condition.onset[x]:onsetPeriod.end.extension:lebensphase-bis.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
url		1..1	uriFixed Value	There are no (further) constraints on this element Element id Condition.onset[x]:onsetPeriod.end.extension:lebensphase-bis.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data type uri Fixed value http://fhir.de/StructureDefinition/lebensphase Mappings rim: N/A
value[x]		1..1		Element id Condition.onset[x]:onsetPeriod.end.extension:lebensphase-bis.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a rim: N/A LogicalModel: KlinischRelevanterZeitraum.Lebensphase.bis
valueCodeableConcept			CodeableConcept	There are no (further) constraints on this element Data type CodeableConcept
id		0..1	string	There are no (further) constraints on this element Element id Condition.onset[x]:onsetPeriod.end.extension:lebensphase-bis.value[x].id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id Condition.onset[x]:onsetPeriod.end.extension:lebensphase-bis.value[x].extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
coding	Σ	1..1	CodingBinding	There are no (further) constraints on this element Element id Condition.onset[x]:onsetPeriod.end.extension:lebensphase-bis.value[x].coding Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Data type Coding Binding Lebensphase ValueSetLebensphaseDe (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim: CV orim: fhir:Coding rdfs:subClassOf dt:CDCoding v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
id		0..1	string	There are no (further) constraints on this element Element id Condition.onset[x]:onsetPeriod.end.extension:lebensphase-bis.value[x].coding.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id Condition.onset[x]:onsetPeriod.end.extension:lebensphase-bis.value[x].coding.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
system	Σ	1..1	uri	There are no (further) constraints on this element Element id Condition.onset[x]:onsetPeriod.end.extension:lebensphase-bis.value[x].coding.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE.3 rim:* ./codeSystem orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element id Condition.onset[x]:onsetPeriod.end.extension:lebensphase-bis.value[x].coding.version Short description Version of the system - if relevant Definition The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Comments Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE.7 rim:* ./codeSystemVersion orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	Σ	1..1	code	There are no (further) constraints on this element Element id Condition.onset[x]:onsetPeriod.end.extension:lebensphase-bis.value[x].coding.code Short description Symbol in syntax defined by the system Definition A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Requirements Need to refer to a particular code in the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type code Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE.1 rim:* ./code orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	0..1	string	There are no (further) constraints on this element Element id Condition.onset[x]:onsetPeriod.end.extension:lebensphase-bis.value[x].coding.display Short description Representation defined by the system Definition A representation of the meaning of the code in the system, following the rules of the system. Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE.2 - but note this is not well followed rim:* CV.displayName orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element id Condition.onset[x]:onsetPeriod.end.extension:lebensphase-bis.value[x].coding.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Comments Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. Data type boolean Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: Sometimes implied by being first rim: CD.codingRationale orim: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	Σ	0..1	string	There are no (further) constraints on this element Element id Condition.onset[x]:onsetPeriod.end.extension:lebensphase-bis.value[x].text Short description Plain text representation of the concept Definition A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. Requirements The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Comments Very often the text is the same as a displayName of one of the codings. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE.9. But note many systems use CE.2 for this rim: ./originalText[mediaType/code="text/plain"]/data orim: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
value		0..1	System.DateTime	There are no (further) constraints on this element Element id Condition.onset[x]:onsetPeriod.end.value Short description Primitive value for dateTime Definition Primitive value for dateTime Data type System.DateTime
onsetDateTime	S Σ	0..1	dateTime	Element id Condition.onset[x]:onsetDateTime Short description Beginn Datum Definition Das Datum, an dem die Erkrankung begonnen hat, nach Meinung des Klinikers. Comments Age is generally used when the patient reports an age at which the Condition began to occur. Data type dateTime Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a workflow: Event.occurrence[x] w5: FiveWs.init v2: PRB-16 rim: .effectiveTime.low or .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="age at onset"].value
abatement[x]	I	0..1		There are no (further) constraints on this element Element id Condition.abatement[x] Short description When in resolution/remission Definition The date or estimated date that the condition resolved or went into remission. This is called "abatement" because of the many overloaded connotations associated with "remission" or "resolution" - Conditions are never really resolved, but they can abate. Comments There is no explicit distinction between resolution and remission because in many cases the distinction is not clear. Age is generally used when the patient reports an age at which the Condition abated. If there is no abatement element, it is unknown whether the condition has resolved or entered remission; applications and users should generally assume that the condition is still valid. When abatementString exists, it implies the condition is abated. Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a w5: FiveWs.done[x] rim: .effectiveTime.high or .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="age at remission"].value or .inboundRelationship[typeCode=SUBJ]source[classCode=CONC, moodCode=EVN].status=completed
abatementDateTime			dateTime	There are no (further) constraints on this element Data type dateTime
abatementAge			Age	There are no (further) constraints on this element Data type Age
abatementPeriod			Period	There are no (further) constraints on this element Data type Period
abatementRange			Range	There are no (further) constraints on this element Data type Range
abatementString			string	There are no (further) constraints on this element Data type string
recordedDate	S Σ	1..1	dateTime	Element id Condition.recordedDate Short description Aufzeichnungsdatum Definition Datum, an dem die Diagnose erstmals dokumentiert wurde. Data type dateTime Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a w5: FiveWs.recorded v2: REL-11 rim: .participation[typeCode=AUT].time LogicalModel: Dokumentationsdatum
recorder	Σ I	0..1	Reference(Practitioner \| PractitionerRole \| Patient \| RelatedPerson)	There are no (further) constraints on this element Element id Condition.recorder Short description Who recorded the condition Definition Individual who recorded the record and takes responsibility for its content. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data type Reference(Practitioner \| PractitionerRole \| Patient \| RelatedPerson) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) w5: FiveWs.author rim: .participation[typeCode=AUT].role
asserter	Σ I	0..1	Reference(Practitioner \| PractitionerRole \| Patient \| RelatedPerson)	There are no (further) constraints on this element Element id Condition.asserter Short description Person who asserts this condition Definition Individual who is making the condition statement. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data type Reference(Practitioner \| PractitionerRole \| Patient \| RelatedPerson) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) w5: FiveWs.source v2: REL-7.1 identifier + REL-7.12 type code rim: .participation[typeCode=INF].role
stage	I	0..*	BackboneElement	There are no (further) constraints on this element Element id Condition.stage Short description Stage/grade, usually assessed formally Definition Clinical stage or grade of a condition. May include formal severity assessments. Data type BackboneElement Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` con-1: Stage SHALL have summary or assessment `summary.exists() or assessment.exists()` Mappings rim: n/a rim: ./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="stage/grade"]
id		0..1	string	There are no (further) constraints on this element Element id Condition.stage.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id Condition.stage.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
modifierExtension	Σ ?! I	0..*	Extension	There are no (further) constraints on this element Element id Condition.stage.modifierExtension Short description Extensions that cannot be ignored even if unrecognized Alternate names extensions, user content, modifiers Definition May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Requirements Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
summary	I	0..1	CodeableConcept	There are no (further) constraints on this element Element id Condition.stage.summary Short description Simple summary (disease specific) Definition A simple summary of the stage such as "Stage 3". The determination of the stage is disease-specific. Comments Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Data type CodeableConcept Binding Codes describing condition stages (e.g. Cancer stages). ConditionStage (example) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD sct-concept: < 254291000 \|Staging and scales\| v2: PRB-14 rim: .value
assessment	I	0..*	Reference(ClinicalImpression \| DiagnosticReport \| Observation)	There are no (further) constraints on this element Element id Condition.stage.assessment Short description Formal record of assessment Definition Reference to a formal record of the evidence on which the staging assessment is based. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data type Reference(ClinicalImpression \| DiagnosticReport \| Observation) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) rim: .self
type		0..1	CodeableConcept	There are no (further) constraints on this element Element id Condition.stage.type Short description Kind of staging Definition The kind of staging, such as pathological or clinical staging. Comments Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Data type CodeableConcept Binding Codes describing the kind of condition staging (e.g. clinical or pathological). ConditionStageType (example) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD rim: ./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="stage type"]
evidence	I	0..*	BackboneElement	There are no (further) constraints on this element Element id Condition.evidence Short description Supporting evidence Definition Supporting evidence / manifestations that are the basis of the Condition's verification status, such as evidence that confirmed or refuted the condition. Comments The evidence may be a simple list of coded symptoms/manifestations, or references to observations or formal assessments, or both. Data type BackboneElement Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` con-2: evidence SHALL have code or details `code.exists() or detail.exists()` Mappings rim: n/a rim: .outboundRelationship[typeCode=SPRT].target[classCode=OBS, moodCode=EVN]
id		0..1	string	There are no (further) constraints on this element Element id Condition.evidence.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id Condition.evidence.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
modifierExtension	Σ ?! I	0..*	Extension	There are no (further) constraints on this element Element id Condition.evidence.modifierExtension Short description Extensions that cannot be ignored even if unrecognized Alternate names extensions, user content, modifiers Definition May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Requirements Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
code	Σ I	0..*	CodeableConcept	There are no (further) constraints on this element Element id Condition.evidence.code Short description Manifestation/symptom Definition A manifestation or symptom that led to the recording of this condition. Comments Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Data type CodeableConcept Binding Codes that describe the manifestation or symptoms of a condition. ManifestationAndSymptomCodes (example) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD workflow: Event.reasonCode w5: FiveWs.why[x] sct-concept: < 404684003 \|Clinical finding\| rim: [code="diagnosis"].value
detail	Σ I	0..*	Reference(Resource)	There are no (further) constraints on this element Element id Condition.evidence.detail Short description Supporting information found elsewhere Definition Links to other relevant information, including pathology reports. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data type Reference(Resource) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity) w5: FiveWs.why[x] rim: .self
note	S	0..*	Annotation	Element id Condition.note Short description Hinweis Definition Zusätzliche Informationen zur Diagnose als Freitext. Comments For systems that do not have structured annotations, they can simply communicate a single annotation with no author or time. This element may need to be included in narrative because of the potential for modifying information. Annotations SHOULD NOT be used to communicate "modifying" information that could be computable. (This is a SHOULD because enforcing user behavior is nearly impossible). Data type Annotation Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: N/A rim: Act workflow: Event.note v2: NTE child of PRB rim: .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="annotation"].value LogicalModel: Diagnoseerlaeuterung

Dieses Profil beschreibt eine Diagnose der Medizininformatik Initiative

Feldname	Kurzbeschreibung
Condition.id
Condition.meta
Condition.meta.source
Condition.meta.profile
Condition.extension:ReferenzPrimaerdiagnose
Condition.extension:Feststellungsdatum	Feststellungsdatum
Condition.clinicalStatus	Klinischer Status
Condition.verificationStatus	Verifizierungsstatus
Condition.code	Code
Condition.code.coding
Condition.code.coding:icd10-gm	ICD-10-GM Code
Condition.code.coding:icd10-gm.system
Condition.code.coding:icd10-gm.version
Condition.code.coding:icd10-gm.code
Condition.code.coding:alpha-id	Alpha-ID Code
Condition.code.coding:alpha-id.system
Condition.code.coding:alpha-id.code
Condition.code.coding:sct	SNOMED CT Code
Condition.code.coding:sct.system
Condition.code.coding:sct.version
Condition.code.coding:sct.code
Condition.code.coding:orphanet	ORPHAcode
Condition.code.coding:orphanet.system
Condition.code.coding:orphanet.code
Condition.bodySite	Körperstelle
Condition.bodySite.coding
Condition.bodySite.coding:snomed-ct	SNOMED CT Code
Condition.bodySite.coding:snomed-ct.system
Condition.bodySite.coding:snomed-ct.version
Condition.bodySite.coding:snomed-ct.code
Condition.subject
Condition.encounter	Fall oder Kontakt
Condition.onset[x]	Beginn
Condition.onset[x]:onsetPeriod	Beginn Zeitraum
Condition.onset[x]:onsetPeriod.start
Condition.onset[x]:onsetPeriod.start.extension:lebensphase-von
Condition.onset[x]:onsetPeriod.end
Condition.onset[x]:onsetPeriod.end.extension:lebensphase-bis
Condition.onset[x]:onsetDateTime	Beginn Datum
Condition.recordedDate	Aufzeichnungsdatum
Condition.note	Hinweis

<StructureDefinition xmlns="http://hl7.org/fhir">
    <id value="mii-pr-diagnose-condition" />
    <extension url="https://www.medizininformatik-initiative.de/fhir/modul-meta/StructureDefinition/mii-ex-meta-license-codeable">
        <valueCodeableConcept>
            <coding>
                <system value="http://hl7.org/fhir/spdx-license" />
                <code value="CC-BY-4.0" />
                <display value="Creative Commons Attribution 4.0 International" />
            </coding>
        </valueCodeableConcept>
    </extension>
    <url value="https://www.medizininformatik-initiative.de/fhir/core/modul-diagnose/StructureDefinition/Diagnose" />
    <version value="2025.0.0" />
    <name value="MII_PR_Diagnose_Condition" />
    <title value="MII PR Diagnose Condition">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
                <valueCode value="de-DE" />
            </extension>
            <extension url="content">
                <valueString value="Diagnose" />
            </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
                <valueCode value="en-US" />
            </extension>
            <extension url="content">
                <valueString value="Diagnosis" />
            </extension>
        </extension>
    </title>
    <status value="active" />
    <date value="2024-12-09" />
    <publisher value="Medizininformatik Initiative" />
    <contact>
        <telecom>
            <system value="url" />
            <value value="https://www.medizininformatik-initiative.de" />
        </telecom>
    </contact>
    <description value="Dieses Profil beschreibt eine Diagnose der Medizininformatik Initiative">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
                <valueCode value="de-DE" />
            </extension>
            <extension url="content">
                <valueString value="Eine klinische Diagnose der Patientin oder des Patienten." />
            </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
                <valueCode value="en-US" />
            </extension>
            <extension url="content">
                <valueString value="A clinical diagnosis of a patient." />
            </extension>
        </extension>
    </description>
    <fhirVersion value="4.0.1" />
    <mapping>
        <identity value="LogicalModel" />
        <name value="FHIR-Profil zu LogicalModel Mapping" />
    </mapping>
    <kind value="resource" />
    <abstract value="false" />
    <type value="Condition" />
    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Condition" />
    <derivation value="constraint" />
    <differential>
        <element id="Condition.id">
            <path value="Condition.id" />
            <mustSupport value="true" />
        </element>
        <element id="Condition.meta">
            <path value="Condition.meta" />
            <mustSupport value="true" />
        </element>
        <element id="Condition.meta.source">
            <path value="Condition.meta.source" />
            <mustSupport value="true" />
        </element>
        <element id="Condition.meta.profile">
            <path value="Condition.meta.profile" />
            <mustSupport value="true" />
        </element>
        <element id="Condition.extension:ReferenzPrimaerdiagnose">
            <path value="Condition.extension" />
            <sliceName value="ReferenzPrimaerdiagnose" />
            <min value="0" />
            <max value="1" />
            <type>
                <code value="Extension" />
                <profile value="http://hl7.org/fhir/StructureDefinition/condition-related" />
            </type>
            <mustSupport value="true" />
        </element>
        <element id="Condition.extension:Feststellungsdatum">
            <path value="Condition.extension" />
            <sliceName value="Feststellungsdatum" />
            <short value="Feststellungsdatum">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Feststellungsdatum" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Asserted date" />
                    </extension>
                </extension>
            </short>
            <definition value="Datum, an dem die Diagnose erstmals festgestellt wurde">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Datum, an dem die Diagnose erstmals festgestellt wurde" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Date the condition was first asserted" />
                    </extension>
                </extension>
            </definition>
            <min value="0" />
            <max value="1" />
            <type>
                <code value="Extension" />
                <profile value="http://hl7.org/fhir/StructureDefinition/condition-assertedDate" />
            </type>
            <mustSupport value="true" />
            <mapping>
                <identity value="LogicalModel" />
                <map value="Feststellungsdatum" />
            </mapping>
        </element>
        <element id="Condition.clinicalStatus">
            <path value="Condition.clinicalStatus" />
            <short value="Klinischer Status">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Klinischer Status" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Clinical status" />
                    </extension>
                </extension>
            </short>
            <definition value="aktiv | Rezidiv | R&#252;ckfall | inaktiv | Remission | abgeklungen">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="aktiv | Rezidiv | R&#252;ckfall | inaktiv | Remission | abgeklungen" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="active | recurrence | relapse | inactive | remission | resolved" />
                    </extension>
                </extension>
            </definition>
            <mustSupport value="true" />
            <mapping>
                <identity value="LogicalModel" />
                <map value="KlinischerStatus" />
            </mapping>
        </element>
        <element id="Condition.verificationStatus">
            <path value="Condition.verificationStatus" />
            <short value="Verifizierungsstatus">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Verifizierungsstatus" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Verification status" />
                    </extension>
                </extension>
            </short>
            <definition value="unbest&#228;tigt | vorl&#228;ufig | differential | best&#228;tigt | widerlegt | fehlerhafte Eingabe">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="unbest&#228;tigt | vorl&#228;ufig | differential | best&#228;tigt | widerlegt | fehlerhafte Eingabe" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="unconfirmed | provisional | differential | confirmed | refuted | entered-in-error" />
                    </extension>
                </extension>
            </definition>
            <mustSupport value="true" />
        </element>
        <element id="Condition.code">
            <path value="Condition.code" />
            <short value="Code">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Code" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Code" />
                    </extension>
                </extension>
            </short>
            <definition value="Ein ICD-10-, Alpha-ID-, SNOMED-, Orpha- oder anderer Code, der die Diagnose identifiziert.">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Ein ICD-10-, Alpha-ID-, SNOMED-, Orpha- oder anderer Code, der die Diagnose identifiziert." />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="An ICD-10-, Alpha-ID-, SNOMED-, Orpha- or other code that identifies the diagnosis." />
                    </extension>
                </extension>
            </definition>
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="Condition.code.coding">
            <path value="Condition.code.coding" />
            <slicing>
                <discriminator>
                    <type value="pattern" />
                    <path value="$this" />
                </discriminator>
                <rules value="open" />
            </slicing>
            <min value="1" />
            <mustSupport value="true" />
            <mapping>
                <identity value="LogicalModel" />
                <map value="WeitereKodiersysteme" />
            </mapping>
        </element>
        <element id="Condition.code.coding.code">
            <path value="Condition.code.coding.code" />
            <mapping>
                <identity value="LogicalModel" />
                <map value="WeitereKodiersysteme.Diagnosecode" />
            </mapping>
        </element>
        <element id="Condition.code.coding:icd10-gm">
            <path value="Condition.code.coding" />
            <sliceName value="icd10-gm" />
            <short value="ICD-10-GM Code">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="ICD-10-GM Code" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="ICD-10-GM code" />
                    </extension>
                </extension>
            </short>
            <definition value="Ein Verweis auf einen von der ICD-10-GM definierten Code">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Ein Verweis auf einen von der ICD-10-GM definierten Code" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="A reference to a code defined by the ICD-10-GM" />
                    </extension>
                </extension>
            </definition>
            <min value="0" />
            <max value="1" />
            <type>
                <code value="Coding" />
                <profile value="http://fhir.de/StructureDefinition/CodingICD10GM" />
            </type>
            <patternCoding>
                <system value="http://fhir.de/CodeSystem/bfarm/icd-10-gm" />
            </patternCoding>
            <mustSupport value="true" />
            <binding>
                <strength value="required" />
                <valueSet value="http://fhir.de/ValueSet/bfarm/icd-10-gm" />
            </binding>
            <mapping>
                <identity value="LogicalModel" />
                <map value="ICD10GMDiagnoseKodiert" />
            </mapping>
        </element>
        <element id="Condition.code.coding:icd10-gm.system">
            <path value="Condition.code.coding.system" />
            <mustSupport value="true" />
        </element>
        <element id="Condition.code.coding:icd10-gm.version">
            <path value="Condition.code.coding.version" />
            <mustSupport value="true" />
        </element>
        <element id="Condition.code.coding:icd10-gm.code">
            <path value="Condition.code.coding.code" />
            <mustSupport value="true" />
            <mapping>
                <identity value="LogicalModel" />
                <map value="ICD10GMDiagnoseKodiert.Diagnosecode" />
            </mapping>
        </element>
        <element id="Condition.code.coding:alpha-id">
            <path value="Condition.code.coding" />
            <sliceName value="alpha-id" />
            <short value="Alpha-ID Code">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Alpha-ID Code" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Alpha-ID code" />
                    </extension>
                </extension>
            </short>
            <definition value="Ein Verweis auf einen von der Alpha-ID definierten Code">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Ein Verweis auf einen von der Alpha-ID definierten Code" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="A reference to a code defined by the Alpha-ID" />
                    </extension>
                </extension>
            </definition>
            <min value="0" />
            <max value="1" />
            <type>
                <code value="Coding" />
                <profile value="http://fhir.de/StructureDefinition/CodingAlphaID" />
            </type>
            <patternCoding>
                <system value="http://fhir.de/CodeSystem/bfarm/alpha-id" />
            </patternCoding>
            <mustSupport value="true" />
            <binding>
                <strength value="required" />
                <valueSet value="http://fhir.de/ValueSet/bfarm/alpha-id" />
            </binding>
            <mapping>
                <identity value="LogicalModel" />
                <map value="ALPHAIDKodiert" />
            </mapping>
        </element>
        <element id="Condition.code.coding:alpha-id.system">
            <path value="Condition.code.coding.system" />
            <mustSupport value="true" />
        </element>
        <element id="Condition.code.coding:alpha-id.code">
            <path value="Condition.code.coding.code" />
            <mustSupport value="true" />
            <mapping>
                <identity value="LogicalModel" />
                <map value="ALPHAIDKodiert.Diagnosecode" />
            </mapping>
        </element>
        <element id="Condition.code.coding:sct">
            <path value="Condition.code.coding" />
            <sliceName value="sct" />
            <short value="SNOMED CT Code">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="SNOMED CT Code" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="SNOMED CT code" />
                    </extension>
                </extension>
            </short>
            <definition value="Ein Verweis auf einen von SNOMED CT definierten Code">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Ein Verweis auf einen von SNOMED CT definierten Code" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="A reference to a code defined by SNOMED CT" />
                    </extension>
                </extension>
            </definition>
            <min value="0" />
            <max value="1" />
            <patternCoding>
                <system value="http://snomed.info/sct" />
            </patternCoding>
            <mustSupport value="true" />
            <binding>
                <strength value="required" />
                <valueSet value="https://www.medizininformatik-initiative.de/fhir/core/modul-diagnose/ValueSet/diagnoses-sct" />
            </binding>
            <mapping>
                <identity value="LogicalModel" />
                <map value="SNOMEDDiagnoseKodiert" />
            </mapping>
        </element>
        <element id="Condition.code.coding:sct.system">
            <path value="Condition.code.coding.system" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="Condition.code.coding:sct.version">
            <path value="Condition.code.coding.version" />
            <mustSupport value="true" />
        </element>
        <element id="Condition.code.coding:sct.code">
            <path value="Condition.code.coding.code" />
            <min value="1" />
            <mustSupport value="true" />
            <mapping>
                <identity value="LogicalModel" />
                <map value="SNOMEDDiagnoseKodiert.Diagnosecode" />
            </mapping>
        </element>
        <element id="Condition.code.coding:orphanet">
            <path value="Condition.code.coding" />
            <sliceName value="orphanet" />
            <short value="ORPHAcode">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="ORPHAcode" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="ORPHAcode" />
                    </extension>
                </extension>
            </short>
            <definition value="Ein Verweis auf einen von der Orphanet Nomenklatur der Seltenen Krankheiten definierten Code">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Ein Verweis auf einen von der Orphanet Nomenklatur der Seltenen Krankheiten definierten Code" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="A reference to a code defined by the Orphanet nomenclature of rare diseases" />
                    </extension>
                </extension>
            </definition>
            <min value="0" />
            <max value="1" />
            <patternCoding>
                <system value="http://www.orpha.net" />
            </patternCoding>
            <mustSupport value="true" />
            <binding>
                <strength value="required" />
                <valueSet value="https://www.medizininformatik-initiative.de/fhir/core/modul-diagnose/ValueSet/mii-vs-diagnose-orphanet" />
            </binding>
            <mapping>
                <identity value="LogicalModel" />
                <map value="ORPHANETDiagnoseKodiert" />
            </mapping>
        </element>
        <element id="Condition.code.coding:orphanet.system">
            <path value="Condition.code.coding.system" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="Condition.code.coding:orphanet.code">
            <path value="Condition.code.coding.code" />
            <min value="1" />
            <mustSupport value="true" />
            <mapping>
                <identity value="LogicalModel" />
                <map value="ORPHANETDiagnoseKodiert.Diagnosecode" />
            </mapping>
        </element>
        <element id="Condition.code.text">
            <path value="Condition.code.text" />
            <mapping>
                <identity value="LogicalModel" />
                <map value="Freitextbeschreibung" />
            </mapping>
        </element>
        <element id="Condition.bodySite">
            <path value="Condition.bodySite" />
            <short value="K&#246;rperstelle">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="K&#246;rperstelle" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Body site" />
                    </extension>
                </extension>
            </short>
            <definition value="Die K&#246;rperstelle der Diagnose mittels SNOMED oder anderem Code.">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="K&#246;rperstelle der Diagnose mittels SNOMED oder anderem Code." />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="The body site of the diagnosis using SNOMED or other systems." />
                    </extension>
                </extension>
            </definition>
            <mustSupport value="true" />
            <mapping>
                <identity value="LogicalModel" />
                <map value="Koerperstelle" />
            </mapping>
        </element>
        <element id="Condition.bodySite.coding">
            <path value="Condition.bodySite.coding" />
            <slicing>
                <discriminator>
                    <type value="pattern" />
                    <path value="system" />
                </discriminator>
                <rules value="open" />
            </slicing>
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="Condition.bodySite.coding:snomed-ct">
            <path value="Condition.bodySite.coding" />
            <sliceName value="snomed-ct" />
            <short value="SNOMED CT Code">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="SNOMED CT Code" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="SNOMED CT code" />
                    </extension>
                </extension>
            </short>
            <definition value="Ein Verweis auf einen von SNOMED CT definierten Code">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Ein Verweis auf einen von SNOMED CT definierten Code" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="A reference to a code defined by SNOMED CT" />
                    </extension>
                </extension>
            </definition>
            <min value="1" />
            <max value="1" />
            <mustSupport value="true" />
            <binding>
                <strength value="required" />
                <valueSet value="https://www.medizininformatik-initiative.de/fhir/core/modul-diagnose/ValueSet/mii-vs-diagnose-bodystructure-snomed" />
            </binding>
        </element>
        <element id="Condition.bodySite.coding:snomed-ct.system">
            <path value="Condition.bodySite.coding.system" />
            <min value="1" />
            <patternUri value="http://snomed.info/sct" />
            <mustSupport value="true" />
        </element>
        <element id="Condition.bodySite.coding:snomed-ct.version">
            <path value="Condition.bodySite.coding.version" />
            <mustSupport value="true" />
        </element>
        <element id="Condition.bodySite.coding:snomed-ct.code">
            <path value="Condition.bodySite.coding.code" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="Condition.subject">
            <path value="Condition.subject" />
            <mustSupport value="true" />
        </element>
        <element id="Condition.encounter">
            <path value="Condition.encounter" />
            <short value="Fall oder Kontakt">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Fall oder Kontakt" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Encounter" />
                    </extension>
                </extension>
            </short>
            <definition value="Fall oder Kontakt, bei dem die Diagnose festgestellt wurde.">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Fall oder Kontakt, bei dem die Diagnose festgestellt wurde." />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Encounter during which the diagnosis was determined." />
                    </extension>
                </extension>
            </definition>
            <mustSupport value="true" />
        </element>
        <element id="Condition.onset[x]">
            <path value="Condition.onset[x]" />
            <slicing>
                <discriminator>
                    <type value="type" />
                    <path value="$this" />
                </discriminator>
                <ordered value="false" />
                <rules value="open" />
            </slicing>
            <short value="Beginn">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Beginn" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Onset" />
                    </extension>
                </extension>
            </short>
            <definition value="Gesch&#228;tztes oder tats&#228;chliches Datum oder Zeitraum, an dem die Erkrankung begonnen hat, nach Meinung des Klinikers.">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Gesch&#228;tztes oder tats&#228;chliches Datum oder Zeitraum, an dem die Erkrankung begonnen hat, nach Meinung des Klinikers." />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Estimated or actual date or date-time the condition began, in the opinion of the clinician." />
                    </extension>
                </extension>
            </definition>
            <type>
                <code value="dateTime" />
            </type>
            <type>
                <code value="Period" />
            </type>
            <mustSupport value="true" />
            <mapping>
                <identity value="LogicalModel" />
                <map value="KlinischRelevanterZeitraum" />
            </mapping>
        </element>
        <element id="Condition.onset[x]:onsetPeriod">
            <path value="Condition.onset[x]" />
            <sliceName value="onsetPeriod" />
            <short value="Beginn Zeitraum" />
            <definition value="Der Zeitraum, in dem die Erkrankung begonnen hat, nach Meinung des Klinikers." />
            <min value="0" />
            <max value="1" />
            <type>
                <code value="Period" />
            </type>
            <mustSupport value="true" />
            <mapping>
                <identity value="LogicalModel" />
                <map value="KlinischRelevanterZeitraum.Zeitraum" />
            </mapping>
        </element>
        <element id="Condition.onset[x]:onsetPeriod.start">
            <path value="Condition.onset[x].start" />
            <mustSupport value="true" />
            <mapping>
                <identity value="LogicalModel" />
                <map value="KlinischRelevanterZeitraum.Zeitraum.von" />
            </mapping>
        </element>
        <element id="Condition.onset[x]:onsetPeriod.start.extension:lebensphase-von">
            <path value="Condition.onset[x].start.extension" />
            <sliceName value="lebensphase-von" />
            <min value="0" />
            <max value="1" />
            <type>
                <code value="Extension" />
                <profile value="http://fhir.de/StructureDefinition/lebensphase" />
            </type>
            <mustSupport value="true" />
        </element>
        <element id="Condition.onset[x]:onsetPeriod.start.extension:lebensphase-von.value[x]">
            <path value="Condition.onset[x].start.extension.value[x]" />
            <mapping>
                <identity value="LogicalModel" />
                <map value="KlinischRelevanterZeitraum.Lebensphase.von" />
            </mapping>
        </element>
        <element id="Condition.onset[x]:onsetPeriod.end">
            <path value="Condition.onset[x].end" />
            <mustSupport value="true" />
            <mapping>
                <identity value="LogicalModel" />
                <map value="KlinischRelevanterZeitraum.Zeitraum.bis" />
            </mapping>
        </element>
        <element id="Condition.onset[x]:onsetPeriod.end.extension:lebensphase-bis">
            <path value="Condition.onset[x].end.extension" />
            <sliceName value="lebensphase-bis" />
            <min value="0" />
            <max value="1" />
            <type>
                <code value="Extension" />
                <profile value="http://fhir.de/StructureDefinition/lebensphase" />
            </type>
            <mustSupport value="true" />
        </element>
        <element id="Condition.onset[x]:onsetPeriod.end.extension:lebensphase-bis.value[x]">
            <path value="Condition.onset[x].end.extension.value[x]" />
            <mapping>
                <identity value="LogicalModel" />
                <map value="KlinischRelevanterZeitraum.Lebensphase.bis" />
            </mapping>
        </element>
        <element id="Condition.onset[x]:onsetDateTime">
            <path value="Condition.onset[x]" />
            <sliceName value="onsetDateTime" />
            <short value="Beginn Datum" />
            <definition value="Das Datum, an dem die Erkrankung begonnen hat, nach Meinung des Klinikers." />
            <min value="0" />
            <max value="1" />
            <type>
                <code value="dateTime" />
            </type>
            <mustSupport value="true" />
        </element>
        <element id="Condition.recordedDate">
            <path value="Condition.recordedDate" />
            <short value="Aufzeichnungsdatum">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Aufzeichnungsdatum" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Recorded date" />
                    </extension>
                </extension>
            </short>
            <definition value="Datum, an dem die Diagnose erstmals dokumentiert wurde.">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Datum, an dem die Diagnose erstmals dokumentiert wurde." />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Date when the diagnosis was first recorded." />
                    </extension>
                </extension>
            </definition>
            <min value="1" />
            <mustSupport value="true" />
            <mapping>
                <identity value="LogicalModel" />
                <map value="Dokumentationsdatum" />
            </mapping>
        </element>
        <element id="Condition.note">
            <path value="Condition.note" />
            <short value="Hinweis">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Hinweis" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Note" />
                    </extension>
                </extension>
            </short>
            <definition value="Zus&#228;tzliche Informationen zur Diagnose als Freitext.">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Zus&#228;tzliche Informationen zur Diagnose als Freitext." />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Additional information about the diagnosis as free text." />
                    </extension>
                </extension>
            </definition>
            <mustSupport value="true" />
            <mapping>
                <identity value="LogicalModel" />
                <map value="Diagnoseerlaeuterung" />
            </mapping>
        </element>
    </differential>
</StructureDefinition>

{
    "resourceType": "StructureDefinition",
    "id": "mii-pr-diagnose-condition",
    "extension":  [
        {
            "url": "https://www.medizininformatik-initiative.de/fhir/modul-meta/StructureDefinition/mii-ex-meta-license-codeable",
            "valueCodeableConcept": {
                "coding":  [
                    {
                        "code": "CC-BY-4.0",
                        "system": "http://hl7.org/fhir/spdx-license",
                        "display": "Creative Commons Attribution 4.0 International"
                    }
                ]
            }
        }
    ],
    "url": "https://www.medizininformatik-initiative.de/fhir/core/modul-diagnose/StructureDefinition/Diagnose",
    "version": "2025.0.0",
    "name": "MII_PR_Diagnose_Condition",
    "title": "MII PR Diagnose Condition",
    "_title": {
        "extension":  [
            {
                "url": "http://hl7.org/fhir/StructureDefinition/translation",
                "extension":  [
                    {
                        "url": "lang",
                        "valueCode": "de-DE"
                    },
                    {
                        "url": "content",
                        "valueString": "Diagnose"
                    }
                ]
            },
            {
                "url": "http://hl7.org/fhir/StructureDefinition/translation",
                "extension":  [
                    {
                        "url": "lang",
                        "valueCode": "en-US"
                    },
                    {
                        "url": "content",
                        "valueString": "Diagnosis"
                    }
                ]
            }
        ]
    },
    "status": "active",
    "date": "2024-12-09",
    "publisher": "Medizininformatik Initiative",
    "contact":  [
        {
            "telecom":  [
                {
                    "system": "url",
                    "value": "https://www.medizininformatik-initiative.de"
                }
            ]
        }
    ],
    "description": "Dieses Profil beschreibt eine Diagnose der Medizininformatik Initiative",
    "_description": {
        "extension":  [
            {
                "url": "http://hl7.org/fhir/StructureDefinition/translation",
                "extension":  [
                    {
                        "url": "lang",
                        "valueCode": "de-DE"
                    },
                    {
                        "url": "content",
                        "valueString": "Eine klinische Diagnose der Patientin oder des Patienten."
                    }
                ]
            },
            {
                "url": "http://hl7.org/fhir/StructureDefinition/translation",
                "extension":  [
                    {
                        "url": "lang",
                        "valueCode": "en-US"
                    },
                    {
                        "url": "content",
                        "valueString": "A clinical diagnosis of a patient."
                    }
                ]
            }
        ]
    },
    "fhirVersion": "4.0.1",
    "mapping":  [
        {
            "identity": "LogicalModel",
            "name": "FHIR-Profil zu LogicalModel Mapping"
        }
    ],
    "kind": "resource",
    "abstract": false,
    "type": "Condition",
    "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Condition",
    "derivation": "constraint",
    "differential": {
        "element":  [
            {
                "id": "Condition.id",
                "path": "Condition.id",
                "mustSupport": true
            },
            {
                "id": "Condition.meta",
                "path": "Condition.meta",
                "mustSupport": true
            },
            {
                "id": "Condition.meta.source",
                "path": "Condition.meta.source",
                "mustSupport": true
            },
            {
                "id": "Condition.meta.profile",
                "path": "Condition.meta.profile",
                "mustSupport": true
            },
            {
                "id": "Condition.extension:ReferenzPrimaerdiagnose",
                "path": "Condition.extension",
                "sliceName": "ReferenzPrimaerdiagnose",
                "min": 0,
                "max": "1",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "http://hl7.org/fhir/StructureDefinition/condition-related"
                        ]
                    }
                ],
                "mustSupport": true
            },
            {
                "id": "Condition.extension:Feststellungsdatum",
                "path": "Condition.extension",
                "sliceName": "Feststellungsdatum",
                "short": "Feststellungsdatum",
                "_short": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Feststellungsdatum"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Asserted date"
                                }
                            ]
                        }
                    ]
                },
                "definition": "Datum, an dem die Diagnose erstmals festgestellt wurde",
                "_definition": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Datum, an dem die Diagnose erstmals festgestellt wurde"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Date the condition was first asserted"
                                }
                            ]
                        }
                    ]
                },
                "min": 0,
                "max": "1",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "http://hl7.org/fhir/StructureDefinition/condition-assertedDate"
                        ]
                    }
                ],
                "mustSupport": true,
                "mapping":  [
                    {
                        "identity": "LogicalModel",
                        "map": "Feststellungsdatum"
                    }
                ]
            },
            {
                "id": "Condition.clinicalStatus",
                "path": "Condition.clinicalStatus",
                "short": "Klinischer Status",
                "_short": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Klinischer Status"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Clinical status"
                                }
                            ]
                        }
                    ]
                },
                "definition": "aktiv | Rezidiv | Rückfall | inaktiv | Remission | abgeklungen",
                "_definition": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "aktiv | Rezidiv | Rückfall | inaktiv | Remission | abgeklungen"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "active | recurrence | relapse | inactive | remission | resolved"
                                }
                            ]
                        }
                    ]
                },
                "mustSupport": true,
                "mapping":  [
                    {
                        "identity": "LogicalModel",
                        "map": "KlinischerStatus"
                    }
                ]
            },
            {
                "id": "Condition.verificationStatus",
                "path": "Condition.verificationStatus",
                "short": "Verifizierungsstatus",
                "_short": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Verifizierungsstatus"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Verification status"
                                }
                            ]
                        }
                    ]
                },
                "definition": "unbestätigt | vorläufig | differential | bestätigt | widerlegt | fehlerhafte Eingabe",
                "_definition": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "unbestätigt | vorläufig | differential | bestätigt | widerlegt | fehlerhafte Eingabe"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "unconfirmed | provisional | differential | confirmed | refuted | entered-in-error"
                                }
                            ]
                        }
                    ]
                },
                "mustSupport": true
            },
            {
                "id": "Condition.code",
                "path": "Condition.code",
                "short": "Code",
                "_short": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Code"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Code"
                                }
                            ]
                        }
                    ]
                },
                "definition": "Ein ICD-10-, Alpha-ID-, SNOMED-, Orpha- oder anderer Code, der die Diagnose identifiziert.",
                "_definition": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Ein ICD-10-, Alpha-ID-, SNOMED-, Orpha- oder anderer Code, der die Diagnose identifiziert."
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "An ICD-10-, Alpha-ID-, SNOMED-, Orpha- or other code that identifies the diagnosis."
                                }
                            ]
                        }
                    ]
                },
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "Condition.code.coding",
                "path": "Condition.code.coding",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "pattern",
                            "path": "$this"
                        }
                    ],
                    "rules": "open"
                },
                "min": 1,
                "mustSupport": true,
                "mapping":  [
                    {
                        "identity": "LogicalModel",
                        "map": "WeitereKodiersysteme"
                    }
                ]
            },
            {
                "id": "Condition.code.coding.code",
                "path": "Condition.code.coding.code",
                "mapping":  [
                    {
                        "identity": "LogicalModel",
                        "map": "WeitereKodiersysteme.Diagnosecode"
                    }
                ]
            },
            {
                "id": "Condition.code.coding:icd10-gm",
                "path": "Condition.code.coding",
                "sliceName": "icd10-gm",
                "short": "ICD-10-GM Code",
                "_short": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "ICD-10-GM Code"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "ICD-10-GM code"
                                }
                            ]
                        }
                    ]
                },
                "definition": "Ein Verweis auf einen von der ICD-10-GM definierten Code",
                "_definition": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Ein Verweis auf einen von der ICD-10-GM definierten Code"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "A reference to a code defined by the ICD-10-GM"
                                }
                            ]
                        }
                    ]
                },
                "min": 0,
                "max": "1",
                "type":  [
                    {
                        "code": "Coding",
                        "profile":  [
                            "http://fhir.de/StructureDefinition/CodingICD10GM"
                        ]
                    }
                ],
                "patternCoding": {
                    "system": "http://fhir.de/CodeSystem/bfarm/icd-10-gm"
                },
                "mustSupport": true,
                "binding": {
                    "strength": "required",
                    "valueSet": "http://fhir.de/ValueSet/bfarm/icd-10-gm"
                },
                "mapping":  [
                    {
                        "identity": "LogicalModel",
                        "map": "ICD10GMDiagnoseKodiert"
                    }
                ]
            },
            {
                "id": "Condition.code.coding:icd10-gm.system",
                "path": "Condition.code.coding.system",
                "mustSupport": true
            },
            {
                "id": "Condition.code.coding:icd10-gm.version",
                "path": "Condition.code.coding.version",
                "mustSupport": true
            },
            {
                "id": "Condition.code.coding:icd10-gm.code",
                "path": "Condition.code.coding.code",
                "mustSupport": true,
                "mapping":  [
                    {
                        "identity": "LogicalModel",
                        "map": "ICD10GMDiagnoseKodiert.Diagnosecode"
                    }
                ]
            },
            {
                "id": "Condition.code.coding:alpha-id",
                "path": "Condition.code.coding",
                "sliceName": "alpha-id",
                "short": "Alpha-ID Code",
                "_short": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Alpha-ID Code"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Alpha-ID code"
                                }
                            ]
                        }
                    ]
                },
                "definition": "Ein Verweis auf einen von der Alpha-ID definierten Code",
                "_definition": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Ein Verweis auf einen von der Alpha-ID definierten Code"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "A reference to a code defined by the Alpha-ID"
                                }
                            ]
                        }
                    ]
                },
                "min": 0,
                "max": "1",
                "type":  [
                    {
                        "code": "Coding",
                        "profile":  [
                            "http://fhir.de/StructureDefinition/CodingAlphaID"
                        ]
                    }
                ],
                "patternCoding": {
                    "system": "http://fhir.de/CodeSystem/bfarm/alpha-id"
                },
                "mustSupport": true,
                "binding": {
                    "strength": "required",
                    "valueSet": "http://fhir.de/ValueSet/bfarm/alpha-id"
                },
                "mapping":  [
                    {
                        "identity": "LogicalModel",
                        "map": "ALPHAIDKodiert"
                    }
                ]
            },
            {
                "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,
                "mapping":  [
                    {
                        "identity": "LogicalModel",
                        "map": "ALPHAIDKodiert.Diagnosecode"
                    }
                ]
            },
            {
                "id": "Condition.code.coding:sct",
                "path": "Condition.code.coding",
                "sliceName": "sct",
                "short": "SNOMED CT Code",
                "_short": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "SNOMED CT Code"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "SNOMED CT code"
                                }
                            ]
                        }
                    ]
                },
                "definition": "Ein Verweis auf einen von SNOMED CT definierten Code",
                "_definition": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Ein Verweis auf einen von SNOMED CT definierten Code"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "A reference to a code defined by SNOMED CT"
                                }
                            ]
                        }
                    ]
                },
                "min": 0,
                "max": "1",
                "patternCoding": {
                    "system": "http://snomed.info/sct"
                },
                "mustSupport": true,
                "binding": {
                    "strength": "required",
                    "valueSet": "https://www.medizininformatik-initiative.de/fhir/core/modul-diagnose/ValueSet/diagnoses-sct"
                },
                "mapping":  [
                    {
                        "identity": "LogicalModel",
                        "map": "SNOMEDDiagnoseKodiert"
                    }
                ]
            },
            {
                "id": "Condition.code.coding:sct.system",
                "path": "Condition.code.coding.system",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "Condition.code.coding:sct.version",
                "path": "Condition.code.coding.version",
                "mustSupport": true
            },
            {
                "id": "Condition.code.coding:sct.code",
                "path": "Condition.code.coding.code",
                "min": 1,
                "mustSupport": true,
                "mapping":  [
                    {
                        "identity": "LogicalModel",
                        "map": "SNOMEDDiagnoseKodiert.Diagnosecode"
                    }
                ]
            },
            {
                "id": "Condition.code.coding:orphanet",
                "path": "Condition.code.coding",
                "sliceName": "orphanet",
                "short": "ORPHAcode",
                "_short": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "ORPHAcode"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "ORPHAcode"
                                }
                            ]
                        }
                    ]
                },
                "definition": "Ein Verweis auf einen von der Orphanet Nomenklatur der Seltenen Krankheiten definierten Code",
                "_definition": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Ein Verweis auf einen von der Orphanet Nomenklatur der Seltenen Krankheiten definierten Code"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "A reference to a code defined by the Orphanet nomenclature of rare diseases"
                                }
                            ]
                        }
                    ]
                },
                "min": 0,
                "max": "1",
                "patternCoding": {
                    "system": "http://www.orpha.net"
                },
                "mustSupport": true,
                "binding": {
                    "strength": "required",
                    "valueSet": "https://www.medizininformatik-initiative.de/fhir/core/modul-diagnose/ValueSet/mii-vs-diagnose-orphanet"
                },
                "mapping":  [
                    {
                        "identity": "LogicalModel",
                        "map": "ORPHANETDiagnoseKodiert"
                    }
                ]
            },
            {
                "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,
                "mustSupport": true,
                "mapping":  [
                    {
                        "identity": "LogicalModel",
                        "map": "ORPHANETDiagnoseKodiert.Diagnosecode"
                    }
                ]
            },
            {
                "id": "Condition.code.text",
                "path": "Condition.code.text",
                "mapping":  [
                    {
                        "identity": "LogicalModel",
                        "map": "Freitextbeschreibung"
                    }
                ]
            },
            {
                "id": "Condition.bodySite",
                "path": "Condition.bodySite",
                "short": "Körperstelle",
                "_short": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Körperstelle"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Body site"
                                }
                            ]
                        }
                    ]
                },
                "definition": "Die Körperstelle der Diagnose mittels SNOMED oder anderem Code.",
                "_definition": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Körperstelle der Diagnose mittels SNOMED oder anderem Code."
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "The body site of the diagnosis using SNOMED or other systems."
                                }
                            ]
                        }
                    ]
                },
                "mustSupport": true,
                "mapping":  [
                    {
                        "identity": "LogicalModel",
                        "map": "Koerperstelle"
                    }
                ]
            },
            {
                "id": "Condition.bodySite.coding",
                "path": "Condition.bodySite.coding",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "pattern",
                            "path": "system"
                        }
                    ],
                    "rules": "open"
                },
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "Condition.bodySite.coding:snomed-ct",
                "path": "Condition.bodySite.coding",
                "sliceName": "snomed-ct",
                "short": "SNOMED CT Code",
                "_short": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "SNOMED CT Code"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "SNOMED CT code"
                                }
                            ]
                        }
                    ]
                },
                "definition": "Ein Verweis auf einen von SNOMED CT definierten Code",
                "_definition": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Ein Verweis auf einen von SNOMED CT definierten Code"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "A reference to a code defined by SNOMED CT"
                                }
                            ]
                        }
                    ]
                },
                "min": 1,
                "max": "1",
                "mustSupport": true,
                "binding": {
                    "strength": "required",
                    "valueSet": "https://www.medizininformatik-initiative.de/fhir/core/modul-diagnose/ValueSet/mii-vs-diagnose-bodystructure-snomed"
                }
            },
            {
                "id": "Condition.bodySite.coding:snomed-ct.system",
                "path": "Condition.bodySite.coding.system",
                "min": 1,
                "patternUri": "http://snomed.info/sct",
                "mustSupport": true
            },
            {
                "id": "Condition.bodySite.coding:snomed-ct.version",
                "path": "Condition.bodySite.coding.version",
                "mustSupport": true
            },
            {
                "id": "Condition.bodySite.coding:snomed-ct.code",
                "path": "Condition.bodySite.coding.code",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "Condition.subject",
                "path": "Condition.subject",
                "mustSupport": true
            },
            {
                "id": "Condition.encounter",
                "path": "Condition.encounter",
                "short": "Fall oder Kontakt",
                "_short": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Fall oder Kontakt"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Encounter"
                                }
                            ]
                        }
                    ]
                },
                "definition": "Fall oder Kontakt, bei dem die Diagnose festgestellt wurde.",
                "_definition": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Fall oder Kontakt, bei dem die Diagnose festgestellt wurde."
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Encounter during which the diagnosis was determined."
                                }
                            ]
                        }
                    ]
                },
                "mustSupport": true
            },
            {
                "id": "Condition.onset[x]",
                "path": "Condition.onset[x]",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "type",
                            "path": "$this"
                        }
                    ],
                    "ordered": false,
                    "rules": "open"
                },
                "short": "Beginn",
                "_short": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Beginn"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Onset"
                                }
                            ]
                        }
                    ]
                },
                "definition": "Geschätztes oder tatsächliches Datum oder Zeitraum, an dem die Erkrankung begonnen hat, nach Meinung des Klinikers.",
                "_definition": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Geschätztes oder tatsächliches Datum oder Zeitraum, an dem die Erkrankung begonnen hat, nach Meinung des Klinikers."
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Estimated or actual date or date-time the condition began, in the opinion of the clinician."
                                }
                            ]
                        }
                    ]
                },
                "type":  [
                    {
                        "code": "dateTime"
                    },
                    {
                        "code": "Period"
                    }
                ],
                "mustSupport": true,
                "mapping":  [
                    {
                        "identity": "LogicalModel",
                        "map": "KlinischRelevanterZeitraum"
                    }
                ]
            },
            {
                "id": "Condition.onset[x]:onsetPeriod",
                "path": "Condition.onset[x]",
                "sliceName": "onsetPeriod",
                "short": "Beginn Zeitraum",
                "definition": "Der Zeitraum, in dem die Erkrankung begonnen hat, nach Meinung des Klinikers.",
                "min": 0,
                "max": "1",
                "type":  [
                    {
                        "code": "Period"
                    }
                ],
                "mustSupport": true,
                "mapping":  [
                    {
                        "identity": "LogicalModel",
                        "map": "KlinischRelevanterZeitraum.Zeitraum"
                    }
                ]
            },
            {
                "id": "Condition.onset[x]:onsetPeriod.start",
                "path": "Condition.onset[x].start",
                "mustSupport": true,
                "mapping":  [
                    {
                        "identity": "LogicalModel",
                        "map": "KlinischRelevanterZeitraum.Zeitraum.von"
                    }
                ]
            },
            {
                "id": "Condition.onset[x]:onsetPeriod.start.extension:lebensphase-von",
                "path": "Condition.onset[x].start.extension",
                "sliceName": "lebensphase-von",
                "min": 0,
                "max": "1",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "http://fhir.de/StructureDefinition/lebensphase"
                        ]
                    }
                ],
                "mustSupport": true
            },
            {
                "id": "Condition.onset[x]:onsetPeriod.start.extension:lebensphase-von.value[x]",
                "path": "Condition.onset[x].start.extension.value[x]",
                "mapping":  [
                    {
                        "identity": "LogicalModel",
                        "map": "KlinischRelevanterZeitraum.Lebensphase.von"
                    }
                ]
            },
            {
                "id": "Condition.onset[x]:onsetPeriod.end",
                "path": "Condition.onset[x].end",
                "mustSupport": true,
                "mapping":  [
                    {
                        "identity": "LogicalModel",
                        "map": "KlinischRelevanterZeitraum.Zeitraum.bis"
                    }
                ]
            },
            {
                "id": "Condition.onset[x]:onsetPeriod.end.extension:lebensphase-bis",
                "path": "Condition.onset[x].end.extension",
                "sliceName": "lebensphase-bis",
                "min": 0,
                "max": "1",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "http://fhir.de/StructureDefinition/lebensphase"
                        ]
                    }
                ],
                "mustSupport": true
            },
            {
                "id": "Condition.onset[x]:onsetPeriod.end.extension:lebensphase-bis.value[x]",
                "path": "Condition.onset[x].end.extension.value[x]",
                "mapping":  [
                    {
                        "identity": "LogicalModel",
                        "map": "KlinischRelevanterZeitraum.Lebensphase.bis"
                    }
                ]
            },
            {
                "id": "Condition.onset[x]:onsetDateTime",
                "path": "Condition.onset[x]",
                "sliceName": "onsetDateTime",
                "short": "Beginn Datum",
                "definition": "Das Datum, an dem die Erkrankung begonnen hat, nach Meinung des Klinikers.",
                "min": 0,
                "max": "1",
                "type":  [
                    {
                        "code": "dateTime"
                    }
                ],
                "mustSupport": true
            },
            {
                "id": "Condition.recordedDate",
                "path": "Condition.recordedDate",
                "short": "Aufzeichnungsdatum",
                "_short": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Aufzeichnungsdatum"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Recorded date"
                                }
                            ]
                        }
                    ]
                },
                "definition": "Datum, an dem die Diagnose erstmals dokumentiert wurde.",
                "_definition": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Datum, an dem die Diagnose erstmals dokumentiert wurde."
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Date when the diagnosis was first recorded."
                                }
                            ]
                        }
                    ]
                },
                "min": 1,
                "mustSupport": true,
                "mapping":  [
                    {
                        "identity": "LogicalModel",
                        "map": "Dokumentationsdatum"
                    }
                ]
            },
            {
                "id": "Condition.note",
                "path": "Condition.note",
                "short": "Hinweis",
                "_short": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Hinweis"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Note"
                                }
                            ]
                        }
                    ]
                },
                "definition": "Zusätzliche Informationen zur Diagnose als Freitext.",
                "_definition": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Zusätzliche Informationen zur Diagnose als Freitext."
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Additional information about the diagnosis as free text."
                                }
                            ]
                        }
                    ]
                },
                "mustSupport": true,
                "mapping":  [
                    {
                        "identity": "LogicalModel",
                        "map": "Diagnoseerlaeuterung"
                    }
                ]
            }
        ]
    }
}

MII PR Diagnose Condition

FHIR-Element	Erklärung
Condition.id	Must-support, jedoch OPTIONAL
Condtion.meta	Must-support, jedoch OPTIONAL
Condtion.clinicalStatus	Keine Einschränkungen, Kompletter Diagnose-Workflow wird unterstützt. Das Element ist OPTIONAL, da es nicht routinemäßig erfasst wird. Zudem wird der Status bei der Entlassung meist nicht erfasst.
Condtion.code	Min. eine kodierte Diagnose MUSS enthalten sein. System frei aus Alpha-ID, SNOMED CT, Orpahanet und ICD-10-GM wählbar.
Condition.code.coding:icd10-gm.extension:Mehrfachcodierungs-Kennzeichen	Innerhalb der Extension "Mehrfachcodierungs-Kennzeichen" SOLLEN die jeweiligen Sonderzeichen ("!", "+" oder "*") vom ICD-10-GM-Code getrennt erfasst werden.
Condition.code.coding:icd10-gm.extension:Seitenlokalisation	Die Extension "Seitenlokalisation" SOLL zur Angabe der Seitenlokalisation in der ICD-10-GM-Codierung verwendet werden.
Condition.code.coding:icd10-gm.extension:Diagnosesicherheit	Die Extension "Diagnosesicherheit" SOLL zur Angabe der Diagnosesicherung in ICD-10-GM-Codierung verwendet werden.
Condtion.bodySite	OPTIONAL. Falls dieses optionale Element verwendet wird, MUSS die Körperstelle min. mit einem SNOMED-Code kodiert werden. Hierbei DARF NICHT die Lateralität angegeben werden. Diese SOLL per Condition.code.coding:icd10-gm.extension:Seitenlokalisation angegeben werden. Das Element dient dazu, zusätzliche Angaben (über den Code hinausgehend) zur Manifestation zu dokumentieren.
Condtion.subject	Die Referenz zum Modul Person MUSS stets gegeben sein.
Condition.encounter	Dieses Element SOLLTE NICHT zur Verknüpfung des Falls und der Diagnose verwendet werden. Ausnahme: Das Element KANN zur Verknüpfung der Diagnose mit dem Fall / Kontakt in dem die Diagnose festgestellt wird (immer ein Kontakt mit einer konkreten Versorgungsstelle!) verwendet werden. Generell SOLLTE die Verknüpfung über Encounter.diagnosis erfolgen.
Condtion.onset[x]	KANN als Period oder dateTime erfasst werden. OPTIONAL zusätzlich Angabe von Lebensphase als Code mittels Extension, falls genaue Zeitpunkte nicht bekannt sind.
Condtion.recordedDate	Dient der zeitlichen Einordnung der Diagnose (Anstelle der Abfragen auf des initialen Abteilungsfall der Feststellung der Diagnose)
Condtion.note	Zusätzliche Erläuterung der Diagnose

FHIR-Element	Erklärung
Encounter.period.start / Diagnose.encounter	Es ist zu beachten, dass die Abbildung des logischen Datenelementes "Fesstellungsdatum" nicht auf die Condition-Ressource sondern auf die Encounter-Ressource erfolgt. Somit SOLLTE die Verknüpfung der Diagnose immer auf einen Einrichtungs-Kontakt erfolgen (Siehe Modul Fall).

Mapping Logischer Datensatz zu FHIR Diagnose-Profil

FHIR	LogischerDatensatz
Condition.extension:Feststellungsdatum	Feststellungsdatum
Condition.clinicalStatus	KlinischerStatus
Condition.code.coding	WeitereKodiersysteme
Condition.code.coding.code	WeitereKodiersysteme.Diagnosecode
Condition.code.coding:icd10-gm	ICD10GMDiagnoseKodiert
Condition.code.coding:icd10-gm.code	ICD10GMDiagnoseKodiert.Diagnosecode
Condition.code.coding:alpha-id	ALPHAIDKodiert
Condition.code.coding:alpha-id.code	ALPHAIDKodiert.Diagnosecode
Condition.code.coding:sct	SNOMEDDiagnoseKodiert
Condition.code.coding:sct.code	SNOMEDDiagnoseKodiert.Diagnosecode
Condition.code.coding:orphanet	ORPHANETDiagnoseKodiert
Condition.code.coding:orphanet.code	ORPHANETDiagnoseKodiert.Diagnosecode
Condition.code.text	Freitextbeschreibung
Condition.bodySite	Koerperstelle
Condition.onset[x]	KlinischRelevanterZeitraum
Condition.onset[x]:onsetPeriod	KlinischRelevanterZeitraum.Zeitraum
Condition.onset[x]:onsetPeriod.start	KlinischRelevanterZeitraum.Zeitraum.von
Condition.onset[x]:onsetPeriod.start.extension:lebensphase-von.value[x]	KlinischRelevanterZeitraum.Lebensphase.von
Condition.onset[x]:onsetPeriod.end	KlinischRelevanterZeitraum.Zeitraum.bis
Condition.onset[x]:onsetPeriod.end.extension:lebensphase-bis.value[x]	KlinischRelevanterZeitraum.Lebensphase.bis
Condition.recordedDate	Dokumentationsdatum
Condition.note	Diagnoseerlaeuterung

FHIR Element	Logischer Datensatz
Encounter.period.start	Diagnose.Feststellungsdatum

Es sind die Invarianten aus den Deutschen Basisprofilen zum Datentyp Profil 'Coding-Profil für ICD-10-GM' und der Extension zur Diagnosesicherheit zu beachten.

Terminology Bindings

Path	Name	Strength	URL
Condition.code.coding	bfarm/icd-10-gm	required	http://fhir.de/ValueSet/bfarm/icd-10-gm
Condition.code.coding	bfarm/alpha-id	required	http://fhir.de/ValueSet/bfarm/alpha-id
Condition.code.coding	diagnoses-sct	required	https://www.medizininformatik-initiative.de/fhir/core/modul-diagnose/ValueSet/diagnoses-sct
Condition.code.coding	mii-vs-diagnose-orphanet	required	https://www.medizininformatik-initiative.de/fhir/core/modul-diagnose/ValueSet/mii-vs-diagnose-orphanet
Condition.bodySite.coding	mii-vs-diagnose-bodystructure-snomed	required	https://www.medizininformatik-initiative.de/fhir/core/modul-diagnose/ValueSet/mii-vs-diagnose-bodystructure-snomed

Suchparameter

Folgende Suchparameter sind für das Modul Person relevant, auch in Kombination:

Der Suchparameter "_id" MUSS unterstützt werden:

Beispiele:

GET [base]/Condition?_id=12345

Anwendungshinweise: Weitere Informationen zur Suche nach "_id" finden sich in der FHIR-Basisspezifikation - Abschnitt "Parameters for all resources".
Der Suchparameter "_profile" MUSS unterstützt werden:

Beispiele:

GET [base]/Condition?_profile=https://www.medizininformatik-initiative.de/fhir/core/modul-diagnose/StructureDefinition/Diagnose

Anwendungshinweise: Weitere Informationen zur Suche nach "_profile" finden sich in der FHIR-Basisspezifikation - Abschnitt "Parameters for all resources".
Der Suchparameter "code" MUSS unterstützt werden:

Beispiele:

GET [base]/Condition?code=/Condition??code=http://fhir.de/CodeSystem/bfarm/icd-10-gm|A15.0

Anwendungshinweise: Weitere Informationen zur Suche nach "Condition.code" finden sich in der FHIR-Basisspezifikation - Abschnitt "Token Search".
Der Suchparameter "subject" MUSS unterstützt werden:

Beispiele:

GET [base]/Condition?subject=Patient/test

Anwendungshinweise: Weitere Informationen zur Suche nach "Condition.subject" finden sich in der FHIR-Basisspezifikation - Abschnitt "reference".
Der Suchparameter "patient" MUSS unterstützt werden:

Beispiele:

GET [base]/Condition?patient=Patient/test

Anwendungshinweise: Weitere Informationen zur Suche nach "Condition.subject" finden sich in der FHIR-Basisspezifikation - Abschnitt "reference".
Der Suchparameter "icd10gm-diagnosesicherheit" MUSS unterstützt werden:

Beispiele:

GET [base]/Condition?icd10gm-diagnosesicherheit=https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_ICD_DIAGNOSESICHERHEIT|G

Anwendungshinweise: Weitere Informationen zur Suche nach "Condition.code.coding.extension.where(url='http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit').value" finden sich in der FHIR-Basisspezifikation - Abschnitt "token".
Der Suchparameter "icd10gm-mehrfachcodierung" MUSS unterstützt werden:

Beispiele:

GET [base]/Condition?icd10gm-mehrfachcodierung=http://fhir.de/CodeSystem/icd-10-gm-mehrfachcodierungs-kennzeichen|†

Anwendungshinweise: Weitere Informationen zur Suche nach "Condition.code.coding.extension.where(url='http://fhir.de/StructureDefinition/icd-10-gm-mehrfachcodierungs-kennzeichen').value" finden sich in der FHIR-Basisspezifikation - Abschnitt "token".
Der Suchparameter "icd10gm-seitenlokalisation" MUSS unterstützt werden:

Beispiele:

GET [base]/Condition?icd10gm-seitenlokalisation=https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_ICD_SEITENLOKALISATION|B

Anwendungshinweise: Weitere Informationen zur Suche nach "Condition.code.coding.extension.where(url = 'http://fhir.de/StructureDefinition/seitenlokalisation').value" finden sich in der FHIR-Basisspezifikation - Abschnitt "token".

Beispiele

Beispiel 1

ICD-10-GM & SNOMED CT:

{
    "resourceType": "Condition",
    "id": "mii-exa-diagnose-condition-minimal",
    "meta": {
        "profile":  [
            "https://www.medizininformatik-initiative.de/fhir/core/modul-diagnose/StructureDefinition/Diagnose|2024.0.0"
        ]
    },
    "clinicalStatus": {
        "coding":  [
            {
                "code": "active",
                "system": "http://terminology.hl7.org/CodeSystem/condition-clinical"
            }
        ]
    },
    "code": {
        "coding":  [
            {
                "version": "2020",
                "code": "S50.0",
                "system": "http://fhir.de/CodeSystem/bfarm/icd-10-gm",
                "display": "Prellung des Ellenbogens"
            },
            {
                "code": "91613004",
                "system": "http://snomed.info/sct",
                "display": "Contusion of elbow (disorder)"
            }
        ],
        "text": "Prellung des linken Ellenbogens"
    },
    "subject": {
        "reference": "Patient/12345"
    },
    "encounter": {
        "reference": "Encounter/12345"
    },
    "onsetPeriod": {
        "start": "2020-02-26T12:00:00+01:00",
        "end": "2020-03-05T13:00:00+01:00"
    },
    "recordedDate": "2020-02-26T12:00:00+01:00"
}

Beispiel 2

ICD-10-GM Diagnose mit Kreuz-Stern-System und Zusatzkennzeichen plus Alpha-ID:

{
    "resourceType": "Condition",
    "id": "mii-exa-diagnose-mehrfachkodierung-primaercode",
    "meta": {
        "profile":  [
            "https://www.medizininformatik-initiative.de/fhir/core/modul-diagnose/StructureDefinition/Diagnose|2024.0.0"
        ]
    },
    "code": {
        "coding":  [
            {
                "system": "http://fhir.de/CodeSystem/bfarm/icd-10-gm",
                "extension":  [
                    {
                        "url": "http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit",
                        "valueCoding": {
                            "code": "G",
                            "system": "https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_ICD_DIAGNOSESICHERHEIT"
                        }
                    },
                    {
                        "url": "http://fhir.de/StructureDefinition/seitenlokalisation",
                        "valueCoding": {
                            "code": "L",
                            "system": "https://fhir.kbv.de/CodeSystem/KBV_CS_SFHIR_ICD_SEITENLOKALISATION",
                            "display": "links"
                        }
                    },
                    {
                        "url": "http://fhir.de/StructureDefinition/icd-10-gm-mehrfachcodierungs-kennzeichen",
                        "valueCoding": {
                            "code": "†",
                            "system": "http://fhir.de/CodeSystem/icd-10-gm-mehrfachcodierungs-kennzeichen"
                        }
                    }
                ],
                "code": "A54.4",
                "version": "2020",
                "display": "Gonokokkeninfektion des Muskel-Skelett-Systems"
            },
            {
                "system": "http://fhir.de/CodeSystem/bfarm/alpha-id",
                "code": "I97525",
                "version": "2020",
                "display": "Bursitis gonorrhoica"
            }
        ]
    },
    "clinicalStatus": {
        "coding":  [
            {
                "code": "active",
                "system": "http://terminology.hl7.org/CodeSystem/condition-clinical"
            }
        ]
    },
    "verificationStatus": {
        "coding":  [
            {
                "code": "confirmed",
                "system": "http://terminology.hl7.org/CodeSystem/condition-ver-status"
            }
        ]
    },
    "subject": {
        "reference": "Patient/12345"
    },
    "encounter": {
        "reference": "Encounter/12345"
    },
    "onsetPeriod": {
        "start": "2019-09-26T12:45:00+01:00",
        "end": "2020-03-25T13:00:00+01:00"
    },
    "recordedDate": "2020-01-05T12:53:00+01:00"
}

{
    "resourceType": "Condition",
    "id": "mii-exa-diagnose-mehrfachkodierung-sekundaercode",
    "meta": {
        "profile":  [
            "https://www.medizininformatik-initiative.de/fhir/core/modul-diagnose/StructureDefinition/Diagnose|2024.0.0"
        ]
    },
    "code": {
        "coding":  [
            {
                "system": "http://fhir.de/CodeSystem/bfarm/icd-10-gm",
                "extension":  [
                    {
                        "url": "http://fhir.de/StructureDefinition/icd-10-gm-mehrfachcodierungs-kennzeichen",
                        "valueCoding": {
                            "code": "*",
                            "system": "http://fhir.de/CodeSystem/icd-10-gm-mehrfachcodierungs-kennzeichen"
                        }
                    }
                ],
                "code": "M73.04",
                "version": "2020",
                "display": "Bursitis gonorrhoica[A54.4] : Hand"
            }
        ]
    },
    "extension":  [
        {
            "url": "http://hl7.org/fhir/StructureDefinition/condition-related",
            "valueReference": {
                "reference": "Condition/mii-exa-diagnose-mehrfachkodierung-primaercode"
            }
        }
    ],
    "clinicalStatus": {
        "coding":  [
            {
                "code": "active",
                "system": "http://terminology.hl7.org/CodeSystem/condition-clinical"
            }
        ]
    },
    "verificationStatus": {
        "coding":  [
            {
                "code": "confirmed",
                "system": "http://terminology.hl7.org/CodeSystem/condition-ver-status"
            }
        ]
    },
    "subject": {
        "reference": "Patient/12345"
    },
    "encounter": {
        "reference": "Encounter/12345"
    },
    "onsetPeriod": {
        "start": "2019-09-26T12:45:00+01:00",
        "end": "2020-03-25T13:00:00+01:00"
    },
    "recordedDate": "2020-01-05T12:53:00+01:00"
}

Beispiel 3

Alpha-ID und Orpha-Kennnummer:

{
    "resourceType": "Condition",
    "id": "mii-exa-diagnose-multiple-kodierungen",
    "meta": {
        "profile":  [
            "https://www.medizininformatik-initiative.de/fhir/core/modul-diagnose/StructureDefinition/Diagnose|2024.0.0"
        ]
    },
    "extension":  [
        {
            "url": "http://hl7.org/fhir/StructureDefinition/condition-assertedDate",
            "valueDateTime": "2020-02-13"
        }
    ],
    "clinicalStatus": {
        "coding":  [
            {
                "code": "active",
                "system": "http://terminology.hl7.org/CodeSystem/condition-clinical"
            }
        ]
    },
    "code": {
        "coding":  [
            {
                "version": "2020",
                "code": "H83.8",
                "system": "http://fhir.de/CodeSystem/bfarm/icd-10-gm",
                "display": "Sonstige näher bezeichnete Krankheiten des Innenohres"
            },
            {
                "code": "I125918",
                "system": "http://fhir.de/CodeSystem/bfarm/alpha-id",
                "version": "2020"
            },
            {
                "code": "420402",
                "system": "http://www.orpha.net",
                "display": "Bogengangsdehiszenz-Syndrom"
            }
        ]
    },
    "subject": {
        "reference": "Patient/12345"
    },
    "encounter": {
        "reference": "Encounter/12345"
    },
    "onsetPeriod": {
        "start": "2020-02-13T16:56:00+01:00"
    },
    "recordedDate": "2020-04-26T12:00:00+01:00"
}