MII-Initiative

MII IG Person v2025

Todesursache (Condition)

Beschreibung

Dieses Profil beschreibt den Todesursache der PatientIn als Element des Kerndatensatzes Medizininformatik-Initiative.

Die Todesursache MUSS mittels ICD-10-WHO codiert werden. Das Condition-Profil für die Todesursache unterscheidet sich an dieser Stelle (Condition.code) bewusst vom Condition-Profil im Modul Diagnose, welches die ICD-10-GM verwendet. Grund dafür ist, dass in Deutschland die ICD-10-WHO als Grundlage für die Todesursachenstatistik vom Gesetzgeber vorgeschrieben ist, siehe Todesursachenstatistik beim Bundesinstitut für Arzneimittel und Medizinprodukte (BfArM).

NameStatusVersionLizenzCanonicalBasis
MII_PR_Person_Todesursacheactive2025.0.1CC-BY-4.0https://www.medizininformatik-initiative.de/fhir/core/modul-person/StructureDefinition/Todesursachehttp://hl7.org/fhir/StructureDefinition/Condition

Inhalt

idS Σ0..1id
id0..1string
extensionC0..*Extension
versionIdΣ0..1id
lastUpdatedΣ0..1instant
sourceΣ0..1uri
profileS Σ0..*canonical(StructureDefinition)
securityΣ0..*CodingBinding
tagΣ0..*Coding
implicitRulesΣ ?!0..1uri
language0..1codeBinding
text0..1Narrative
contained0..*Resource
extensionC0..*Extension
modifierExtension?! C0..*Extension
identifierΣ0..*Identifier
clinicalStatusS Σ ?! C0..1CodeableConceptBinding
verificationStatusS Σ ?! C0..1CodeableConceptBinding
id0..1string
extensionC0..*Extension
snomedS Σ1..1CodingPattern
loincS Σ1..1CodingPattern
textΣ0..1string
severity0..1CodeableConceptBinding
id0..1string
extensionC0..*Extension
id0..1string
extensionC0..*Extension
systemS Σ1..1uriPattern
versionS Σ1..1string
codeS Σ1..1code
displayΣ0..1string
userSelectedΣ0..1boolean
textS Σ0..1string
bodySiteΣ0..*CodeableConcept
subjectS Σ C1..1Reference(Group | Patient)
encounterS Σ C0..1Reference(Encounter)
onsetAgeAge
onsetDateTimedateTime
onsetPeriodPeriod
onsetRangeRange
onsetStringstring
abatementAgeAge
abatementDateTimedateTime
abatementPeriodPeriod
abatementRangeRange
abatementStringstring
recordedDateS Σ0..1dateTime
recorderΣ C0..1Reference(Patient | Practitioner | PractitionerRole | RelatedPerson)
asserterΣ C0..1Reference(Patient | Practitioner | PractitionerRole | RelatedPerson)
id0..1string
extensionC0..*Extension
modifierExtensionΣ ?! C0..*Extension
summaryC0..1CodeableConcept
assessmentC0..*Reference(ClinicalImpression | DiagnosticReport | Observation)
type0..1CodeableConcept
id0..1string
extensionC0..*Extension
modifierExtensionΣ ?! C0..*Extension
codeΣ C0..*CodeableConcept
detailΣ C0..*Reference(Resource)
noteS0..*Annotation

Dieses Profil beschreibt den Todesursache der Patient*in als Element des Kerndatensatzes Medizininformatik-Initiative

FeldnameKurzbeschreibung
Condition.id
Condition.meta
Condition.meta.profile
Condition.clinicalStatusKlinischer Status
Condition.verificationStatusVerifizierungsstatus
Condition.categoryKategorie
Condition.category:todesDiagnose
Condition.category:todesDiagnose.coding
Condition.category:todesDiagnose.coding:snomed
Condition.category:todesDiagnose.coding:loinc
Condition.codeCode
Condition.code.coding
Condition.code.coding:icd10-whoICD-10-WHO
Condition.code.coding:icd10-who.system
Condition.code.coding:icd10-who.version
Condition.code.coding:icd10-who.code
Condition.code.text
Condition.subject
Condition.encounterFall oder Kontakt
Condition.recordedDateAufzeichnungsdatum
Condition.noteHinweis
<StructureDefinition xmlns="http://hl7.org/fhir">
<id value="mii-pr-person-todesursache" />
<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-person/StructureDefinition/Todesursache" />
<version value="2025.0.1" />
<name value="MII_PR_Person_Todesursache" />
<title value="MII PR Person Todesursache">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de-DE" />
</extension>
<extension url="content">
<valueString value="Todesursache" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en-US" />
</extension>
<extension url="content">
<valueString value="Cause of Death" />
</extension>
</extension>
</title>
<status value="active" />
<date value="2024-12-04" />
<publisher value="Medizininformatik Initiative" />
<contact>
<telecom>
<system value="url" />
<value value="https://www.medizininformatik-initiative.de" />
</telecom>
</contact>
<description value="Dieses Profil beschreibt den Todesursache der Patient*in als Element des Kerndatensatzes Medizininformatik-Initiative">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de-DE" />
</extension>
<extension url="content">
<valueString value="Todesursache der verstorbenen Patientin oder des verstorbenen Patienten." />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en-US" />
</extension>
<extension url="content">
<valueString value="Cause of death of the deceased patient." />
</extension>
</extension>
</description>
<fhirVersion value="4.0.1" />
<kind value="resource" />
<abstract value="false" />
<type value="Condition" />
<baseDefinition value="http://hl7.org/fhir/StructureDefinition/Condition" />
<derivation value="constraint" />
<differential>
<element id="Condition.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.profile">
<path value="Condition.meta.profile" />
<mustSupport value="true" />
</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 | Rückfall | 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 | Rückfall | 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" />
</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="unbestätigt | vorläufig | differential | bestätigt | widerlegt | fehlerhafte Eingabe">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de-DE" />
</extension>
<extension url="content">
<valueString value="unbestätigt | vorläufig | differential | bestätigt | 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.category">
<path value="Condition.category" />
<slicing>
<discriminator>
<type value="pattern" />
<path value="$this" />
</discriminator>
<rules value="open" />
</slicing>
<short value="Kategorie">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de-DE" />
</extension>
<extension url="content">
<valueString value="Kategorie" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en-US" />
</extension>
<extension url="content">
<valueString value="Category" />
</extension>
</extension>
</short>
<definition value="Eine Kategorie, die der Diagnose zugeordnet ist.">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de-DE" />
</extension>
<extension url="content">
<valueString value="Eine Kategorie, die der Diagnose zugeordnet ist." />
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="en-US" />
</extension>
<extension url="content">
<valueString value="A category assigned to the condition." />
</extension>
</extension>
</definition>
<min value="1" />
<mustSupport value="true" />
</element>
<element id="Condition.category:todesDiagnose">
<path value="Condition.category" />
<sliceName value="todesDiagnose" />
<min value="1" />
<max value="1" />
<patternCodeableConcept>
<coding>
<system value="http://snomed.info/sct" />
<code value="16100001" />
</coding>
<coding>
<system value="http://loinc.org" />
<code value="79378-6" />
</coding>
</patternCodeableConcept>
<mustSupport value="true" />
</element>
<element id="Condition.category:todesDiagnose.coding">
<path value="Condition.category.coding" />
<slicing>
<discriminator>
<type value="pattern" />
<path value="$this" />
</discriminator>
<rules value="open" />
</slicing>
<min value="2" />
<mustSupport value="true" />
</element>
<element id="Condition.category:todesDiagnose.coding:snomed">
<path value="Condition.category.coding" />
<sliceName value="snomed" />
<min value="1" />
<max value="1" />
<patternCoding>
<system value="http://snomed.info/sct" />
<code value="16100001" />
</patternCoding>
<mustSupport value="true" />
</element>
<element id="Condition.category:todesDiagnose.coding:loinc">
<path value="Condition.category.coding" />
<sliceName value="loinc" />
<min value="1" />
<max value="1" />
<patternCoding>
<system value="http://loinc.org" />
<code value="79378-6" />
</patternCoding>
<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-WHO Code, der die Todesursache 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-WHO Code, der die Todesursache 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-WHO code identifying the cause of death." />
</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" />
</element>
<element id="Condition.code.coding:icd10-who">
<path value="Condition.code.coding" />
<sliceName value="icd10-who" />
<short value="ICD-10-WHO" />
<definition value="Ein ICD-10-WHO Code, der die Todesursache identifiziert." />
<min value="1" />
<max value="1" />
<patternCoding>
<system value="http://hl7.org/fhir/sid/icd-10" />
</patternCoding>
<mustSupport value="true" />
<binding>
<strength value="required" />
<valueSet value="http://hl7.org/fhir/sid/icd-10/vs" />
</binding>
</element>
<element id="Condition.code.coding:icd10-who.system">
<path value="Condition.code.coding.system" />
<min value="1" />
<mustSupport value="true" />
</element>
<element id="Condition.code.coding:icd10-who.version">
<path value="Condition.code.coding.version" />
<min value="1" />
<mustSupport value="true" />
</element>
<element id="Condition.code.coding:icd10-who.code">
<path value="Condition.code.coding.code" />
<min value="1" />
<mustSupport value="true" />
</element>
<element id="Condition.code.text">
<path value="Condition.code.text" />
<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 Todesursache 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 Todesursache 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 cause of death was determined." />
</extension>
</extension>
</definition>
<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 Todesursache 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 Todesursache 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 cause of death was first recorded." />
</extension>
</extension>
</definition>
<mustSupport value="true" />
</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="Zusätzliche Informationen zur Todesursache als Freitext.">
<extension url="http://hl7.org/fhir/StructureDefinition/translation">
<extension url="lang">
<valueCode value="de-DE" />
</extension>
<extension url="content">
<valueString value="Zusätzliche Informationen zur Todesursache 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 cause of death as free text." />
</extension>
</extension>
</definition>
<mustSupport value="true" />
</element>
</differential>
</StructureDefinition>
{
"resourceType": "StructureDefinition",
"id": "mii-pr-person-todesursache",
"extension": [
{
"url": "https://www.medizininformatik-initiative.de/fhir/modul-meta/StructureDefinition/mii-ex-meta-license-codeable",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/spdx-license",
"code": "CC-BY-4.0",
"display": "Creative Commons Attribution 4.0 International"
}
]
}
}
],
"url": "https://www.medizininformatik-initiative.de/fhir/core/modul-person/StructureDefinition/Todesursache",
"version": "2025.0.1",
"name": "MII_PR_Person_Todesursache",
"title": "MII PR Person Todesursache",
"_title": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "de-DE"
},
{
"url": "content",
"valueString": "Todesursache"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension": [
{
"url": "lang",
"valueCode": "en-US"
},
{
"url": "content",
"valueString": "Cause of Death"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"status": "active",
"date": "2024-12-04",
"publisher": "Medizininformatik Initiative",
"contact": [
{
"telecom": [
{
"system": "url",
"value": "https://www.medizininformatik-initiative.de"
}
]
}
],
"description": "Dieses Profil beschreibt den Todesursache der Patient*in als Element des Kerndatensatzes Medizininformatik-Initiative",
"_description": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "de-DE"
},
{
"url": "content",
"valueString": "Todesursache der verstorbenen Patientin oder des verstorbenen Patienten."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension": [
{
"url": "lang",
"valueCode": "en-US"
},
{
"url": "content",
"valueString": "Cause of death of the deceased patient."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"fhirVersion": "4.0.1",
"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.profile",
"path": "Condition.meta.profile",
"mustSupport": true
},
{
"id": "Condition.clinicalStatus",
"path": "Condition.clinicalStatus",
"short": "Klinischer Status",
"_short": {
"extension": [
{
"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"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"definition": "aktiv | Rezidiv | Rückfall | inaktiv | Remission | abgeklungen",
"_definition": {
"extension": [
{
"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"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"mustSupport": true
},
{
"id": "Condition.verificationStatus",
"path": "Condition.verificationStatus",
"short": "Verifizierungsstatus",
"_short": {
"extension": [
{
"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"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"definition": "unbestätigt | vorläufig | differential | bestätigt | widerlegt | fehlerhafte Eingabe",
"_definition": {
"extension": [
{
"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"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"mustSupport": true
},
{
"id": "Condition.category",
"path": "Condition.category",
"slicing": {
"discriminator": [
{
"type": "pattern",
"path": "$this"
}
],
"rules": "open"
},
"short": "Kategorie",
"_short": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "de-DE"
},
{
"url": "content",
"valueString": "Kategorie"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension": [
{
"url": "lang",
"valueCode": "en-US"
},
{
"url": "content",
"valueString": "Category"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"definition": "Eine Kategorie, die der Diagnose zugeordnet ist.",
"_definition": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "de-DE"
},
{
"url": "content",
"valueString": "Eine Kategorie, die der Diagnose zugeordnet ist."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension": [
{
"url": "lang",
"valueCode": "en-US"
},
{
"url": "content",
"valueString": "A category assigned to the condition."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"min": 1,
"mustSupport": true
},
{
"id": "Condition.category:todesDiagnose",
"path": "Condition.category",
"sliceName": "todesDiagnose",
"min": 1,
"max": "1",
"patternCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "16100001"
},
{
"system": "http://loinc.org",
"code": "79378-6"
}
]
},
"mustSupport": true
},
{
"id": "Condition.category:todesDiagnose.coding",
"path": "Condition.category.coding",
"slicing": {
"discriminator": [
{
"type": "pattern",
"path": "$this"
}
],
"rules": "open"
},
"min": 2,
"mustSupport": true
},
{
"id": "Condition.category:todesDiagnose.coding:snomed",
"path": "Condition.category.coding",
"sliceName": "snomed",
"min": 1,
"max": "1",
"patternCoding": {
"system": "http://snomed.info/sct",
"code": "16100001"
},
"mustSupport": true
},
{
"id": "Condition.category:todesDiagnose.coding:loinc",
"path": "Condition.category.coding",
"sliceName": "loinc",
"min": 1,
"max": "1",
"patternCoding": {
"system": "http://loinc.org",
"code": "79378-6"
},
"mustSupport": true
},
{
"id": "Condition.code",
"path": "Condition.code",
"short": "Code",
"_short": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "de-DE"
},
{
"url": "content",
"valueString": "Code"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension": [
{
"url": "lang",
"valueCode": "en-US"
},
{
"url": "content",
"valueString": "Code"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"definition": "Ein ICD-10-WHO Code, der die Todesursache identifiziert.",
"_definition": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "de-DE"
},
{
"url": "content",
"valueString": "Ein ICD-10-WHO Code, der die Todesursache identifiziert."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension": [
{
"url": "lang",
"valueCode": "en-US"
},
{
"url": "content",
"valueString": "An ICD-10-WHO code identifying the cause of death."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"min": 1,
"mustSupport": true
},
{
"id": "Condition.code.coding",
"path": "Condition.code.coding",
"slicing": {
"discriminator": [
{
"type": "pattern",
"path": "$this"
}
],
"rules": "open"
},
"min": 1,
"mustSupport": true
},
{
"id": "Condition.code.coding:icd10-who",
"path": "Condition.code.coding",
"sliceName": "icd10-who",
"short": "ICD-10-WHO",
"definition": "Ein ICD-10-WHO Code, der die Todesursache identifiziert.",
"min": 1,
"max": "1",
"patternCoding": {
"system": "http://hl7.org/fhir/sid/icd-10"
},
"mustSupport": true,
"binding": {
"strength": "required",
"valueSet": "http://hl7.org/fhir/sid/icd-10/vs"
}
},
{
"id": "Condition.code.coding:icd10-who.system",
"path": "Condition.code.coding.system",
"min": 1,
"mustSupport": true
},
{
"id": "Condition.code.coding:icd10-who.version",
"path": "Condition.code.coding.version",
"min": 1,
"mustSupport": true
},
{
"id": "Condition.code.coding:icd10-who.code",
"path": "Condition.code.coding.code",
"min": 1,
"mustSupport": true
},
{
"id": "Condition.code.text",
"path": "Condition.code.text",
"mustSupport": true
},
{
"id": "Condition.subject",
"path": "Condition.subject",
"mustSupport": true
},
{
"id": "Condition.encounter",
"path": "Condition.encounter",
"short": "Fall oder Kontakt",
"_short": {
"extension": [
{
"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"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"definition": "Fall oder Kontakt, bei dem die Todesursache festgestellt wurde.",
"_definition": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "de-DE"
},
{
"url": "content",
"valueString": "Fall oder Kontakt, bei dem die Todesursache festgestellt wurde."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension": [
{
"url": "lang",
"valueCode": "en-US"
},
{
"url": "content",
"valueString": "Encounter during which the cause of death was determined."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"mustSupport": true
},
{
"id": "Condition.recordedDate",
"path": "Condition.recordedDate",
"short": "Aufzeichnungsdatum",
"_short": {
"extension": [
{
"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"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"definition": "Datum, an dem die Todesursache erstmals dokumentiert wurde.",
"_definition": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "de-DE"
},
{
"url": "content",
"valueString": "Datum, an dem die Todesursache erstmals dokumentiert wurde."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension": [
{
"url": "lang",
"valueCode": "en-US"
},
{
"url": "content",
"valueString": "Date when the cause of death was first recorded."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"mustSupport": true
},
{
"id": "Condition.note",
"path": "Condition.note",
"short": "Hinweis",
"_short": {
"extension": [
{
"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"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"definition": "Zusätzliche Informationen zur Todesursache als Freitext.",
"_definition": {
"extension": [
{
"extension": [
{
"url": "lang",
"valueCode": "de-DE"
},
{
"url": "content",
"valueString": "Zusätzliche Informationen zur Todesursache als Freitext."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
},
{
"extension": [
{
"url": "lang",
"valueCode": "en-US"
},
{
"url": "content",
"valueString": "Additional information about the cause of death as free text."
}
],
"url": "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"mustSupport": true
}
]
}
}
MII PR Person Todesursache

Hinweise

FHIR-Element Erklärung
Condition.id Must-support, jedoch OPTIONAL
Condition.meta Must-support, jedoch OPTIONAL
Condition.meta.profile VERPFLICHTEND für die Abfrage im DIZ-Repsoitory inkl Versionsnummer des Profils. Siehe CapabilityStatement. In allen anderen Fällen OPTIONAL.
Condition.category Fixed LOINC und SNOMED-Code MÜSSEN vorhanden sein, weitere Codings OPTIONAL.
Condition.code Kodierung per ICD-10-WHO VERPFLICHTEND, weitere Codings OPTIONAL. Weitere Infos siehe BfArM.
Condition.subject Patientenbezug MUSS stets gegeben sein.

Mapping

FHIR-Element Logischer Datensatz
Condition.code Person.Demographie.Vitalstatus.Todesgrund

Suchparameter

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

  1. Der Suchparameter "_id" MUSS unterstützt werden:

    Beispiele:

    GET [base]/Condition?_id=103270

    Anwendungshinweise: Weitere Informationen zur Suche nach "_id" finden sich in der FHIR-Basisspezifikation - Abschnitt "Parameters for all resources".

  2. Der Suchparameter "_profile" MUSS unterstützt werden:

    Beispiele:

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

    Anwendungshinweise: Weitere Informationen zur Suche nach "_profile" finden sich in der FHIR-Basisspezifikation - Abschnitt "Parameters for all resources".

  3. Der Suchparameter "category" MUSS unterstützt werden:

    Beispiele:

    GET [base]/Condition?category=http://snomed.info/sct|16100001

    Anwendungshinweise: Weitere Informationen zur Suche nach "Condition.category" finden sich in der FHIR-Basisspezifikation - Abschnitt "Token Search".

  4. Der Suchparameter "code" MUSS unterstützt werden:

    Beispiele:

    GET [base]/Condition?code=/Condition??code=http://hl7.org/fhir/sid/icd-10|A15.0

    Anwendungshinweise: Weitere Informationen zur Suche nach "Condition.code" finden sich in der FHIR-Basisspezifikation - Abschnitt "Token Search".

  5. Der Suchparameter "subject" MUSS unterstützt werden:

    Beispiele:

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

    Anwendungshinweise: Weitere Informationen zur Suche nach "Condition.subject" finden sich in der FHIR-Basisspezifikation - Abschnitt "reference".

  6. Der Suchparameter "patient" MUSS unterstützt werden:

    Beispiele:

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

    Anwendungshinweise: Weitere Informationen zur Suche nach "Condition.subject" finden sich in der FHIR-Basisspezifikation - Abschnitt "reference".

Beispiele

Beispiel (vollständig):

{
"resourceType": "Condition",
"id": "mii-exa-person-condition-todesursache",
"meta": {
"profile": [
"https://www.medizininformatik-initiative.de/fhir/core/modul-person/StructureDefinition/Todesursache|2025.0.1"
],
"security": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
"code": "HTEST",
"display": "test health data"
}
]
},
"category": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "16100001"
},
{
"system": "http://loinc.org",
"code": "79378-6"
}
]
}
],
"code": {
"coding": [
{
"system": "http://hl7.org/fhir/sid/icd-10",
"version": "2019",
"code": "R96.1"
}
]
},
"subject": {
"reference": "Patient/example"
}
}

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