MII IG Symptom DE v2024

Datensätze inkl. Beschreibungen

Die offizielle und abgenommene Version des Informationsmodells für das Modul Symptome/klinischer Phänotyp findet sich auf ArtDecor. Zur Vereinheitlichung der Repräsentation wurde das Informationsmodell zusätzlich als FHIR Logical Model abgebildet:

MII_LM_Symptom (Symptom)			Element	Element id Symptom Short description MII LM Symptom Definition Logische Repräsentation des Basismoduls Symptom/klinischer Phänotyp Data type Element Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
id		0..1	string	There are no (further) constraints on this element Element id Symptom.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 Symptom.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
Condition		0..*	BackboneElement	Element id Symptom.Condition Short description Im Sinne einer FHIR Condition: klinische Zustände, Probleme, Diagnosen oder andere Ereignisse und Situationen. Conditions können als Beschreibung von Krankheiten von Health Professionals dokumentiert sein. Conditions können im Rahmen einer Anamnese vom Patienten selber geäußert werden (Symptom). Definition Im Sinne einer FHIR Condition: klinische Zustände, Probleme, Diagnosen oder andere Ereignisse und Situationen. Conditions können als Beschreibung von Krankheiten von Health Professionals dokumentiert sein. Conditions können im Rahmen einer Anamnese vom Patienten selber geäußert werden (Symptom). Data type BackboneElement Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a FHIR: Condition
id		0..1	string	There are no (further) constraints on this element Element id Symptom.Condition.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 Symptom.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 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 Symptom.Condition.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		0..1	CodeableConcept	Element id Symptom.Condition.Code Short description Code für ein Symptom, Phänomen, Erkrankung, Disposition: SNOMED CT (Findings), ICD-10, OrphaCodes, HPO, MedDRA Definition Code für ein Symptom, Phänomen, Erkrankung, Disposition: SNOMED CT (Findings), ICD-10, OrphaCodes, HPO, MedDRA 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 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 FHIR: Condition.code
Identifikator		0..*	Identifier	Element id Symptom.Condition.Identifikator Short description Externer Identifikator für die Condition Definition Externer Identifikator für die Condition 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 FHIR: Condition.identifier
Bezeichnung		0..1	string	Element id Symptom.Condition.Bezeichnung Short description Natürlichsprachige Bezeichnung für ein Symptom, Diagnose, Erkrankung, Phänotyp, Disposition Definition Natürlichsprachige Bezeichnung für ein Symptom, Diagnose, Erkrankung, Phänotyp, Disposition 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 FHIR: Condition.code.coding.display
Beschreibung		0..1	string	Element id Symptom.Condition.Beschreibung Short description Natürlichsprachige Beschreibung für ein Symptom, eine Erkrankung, eine Diagnose oder eine Disposition. Definition Natürlichsprachige Beschreibung für ein Symptom, eine Erkrankung, eine Diagnose oder eine Disposition. 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 FHIR: Condition.code.text
Kategorie		0..*	CodeableConcept	Element id Symptom.Condition.Kategorie Short description Kategorien der Condition (z.B. problem-list-item \| encounter-diagnosis) Definition Kategorien der Condition (z.B. problem-list-item \| encounter-diagnosis) 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 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 FHIR: Condition.category
Lokalisation		0..*	CodeableConcept	Element id Symptom.Condition.Lokalisation Short description Lokalisation eines Symptoms etc. Körperstellen (Lokalisationen) werden SNOMED CT kodiert. Definition Lokalisation eines Symptoms etc. Körperstellen (Lokalisationen) werden SNOMED CT kodiert. 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 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 FHIR: Conditon.bodySite
KlinischRelevanterZeitraum		0..1	BackboneElement	Element id Symptom.Condition.KlinischRelevanterZeitraum Short description Zeitspanne des Vorhandenseins des Symptoms, der Erkrankung, der Diagnose, der Disposition, des Phänotyps Definition Zeitspanne des Vorhandenseins des Symptoms, der Erkrankung, der Diagnose, der Disposition, des Phänotyps Data type BackboneElement Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a FHIR: Conditon.onset[x] FHIR: Conditon.abatement[x]
id		0..1	string	There are no (further) constraints on this element Element id Symptom.Condition.KlinischRelevanterZeitraum.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 Symptom.Condition.KlinischRelevanterZeitraum.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 Symptom.Condition.KlinischRelevanterZeitraum.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
Zeitraum	I	0..1	Period	Element id Symptom.Condition.KlinischRelevanterZeitraum.Zeitraum Short description Klinisch relevanter Zeitraum als Zeitintervall mit von/am und bis. Definition Klinisch relevanter Zeitraum als Zeitintervall mit von/am und bis. Comments A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration. Data type Period Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` per-1: If present, start SHALL have a lower value than end `start.hasValue().not() or end.hasValue().not() or (start <= end)` Mappings rim: n/a v2: DR rim: IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"] FHIR: Conditon.onsetPeriod FHIR: Conditon.abatementPeriod
id		0..1	string	There are no (further) constraints on this element Element id Symptom.Condition.KlinischRelevanterZeitraum.Zeitraum.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 Symptom.Condition.KlinischRelevanterZeitraum.Zeitraum.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	Σ I	0..1	dateTime	Element id Symptom.Condition.KlinischRelevanterZeitraum.Zeitraum.start Short description Startzeitpunkt: Zeitpunkt des Beginns des Symptoms, der Erkrankung, der Diagnose, der Disposition, des Phänotyps Definition Startzeitpunkt: Zeitpunkt des Beginns des Symptoms, der Erkrankung, der Diagnose, der Disposition, des Phänotyps 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 FHIR: Conditon.onsetPeriod.start FHIR: Conditon.abatementPeriod.start
end	Σ I	0..1	dateTime	Element id Symptom.Condition.KlinischRelevanterZeitraum.Zeitraum.end Short description Endzeitpunkt: Zeitpunkt des Verschwindens des Symptoms, der Erkrankung, der Diagnose, der Disposition, des Phänotyps Definition Endzeitpunkt: Zeitpunkt des Verschwindens des Symptoms, der Erkrankung, der Diagnose, der Disposition, des Phänotyps 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 FHIR: Conditon.onsetPeriod.end FHIR: Conditon.abatementPeriod.end
Lebensphase		0..1	BackboneElement	Element id Symptom.Condition.KlinischRelevanterZeitraum.Lebensphase Short description Zusätzlich zu einem Zeitraum ist die Angabe der Lebensphase, zu der eine Krankheit vorlag/vorliegt, möglich. Hiermit lässt sich beispielsweise angeben, dass eine Person eine Krankheit bereits als Säugling gehabt hat. Das entsprechende ValueSet ist derzeit noch in Arbeit. Definition Zusätzlich zu einem Zeitraum ist die Angabe der Lebensphase, zu der eine Krankheit vorlag/vorliegt, möglich. Hiermit lässt sich beispielsweise angeben, dass eine Person eine Krankheit bereits als Säugling gehabt hat. Das entsprechende ValueSet ist derzeit noch in Arbeit. Data type BackboneElement Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a FHIR: Condition.onsetPeriod.start.extension.where(url='http://fhir.de/StructureDefinition/lebensphase') FHIR: Condition.onsetPeriod.end.extension.where(url='http://fhir.de/StructureDefinition/lebensphase')
id		0..1	string	There are no (further) constraints on this element Element id Symptom.Condition.KlinischRelevanterZeitraum.Lebensphase.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 Symptom.Condition.KlinischRelevanterZeitraum.Lebensphase.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 Symptom.Condition.KlinischRelevanterZeitraum.Lebensphase.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
von		0..1	CodeableConcept	Element id Symptom.Condition.KlinischRelevanterZeitraum.Lebensphase.von Short description Lebensphase Start Definition Lebensphase Start 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 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 FHIR: Condition.onsetPeriod.start.extension.where(url='http://fhir.de/StructureDefinition/lebensphase').valueCodeableConcept
bis		0..1	CodeableConcept	Element id Symptom.Condition.KlinischRelevanterZeitraum.Lebensphase.bis Short description Lebensphase Ende Definition Lebensphase Ende 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 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 FHIR: Condition.onsetPeriod.end.extension.where(url='http://fhir.de/StructureDefinition/lebensphase').valueCodeableConcept
Beobachtungszeitpunkt		0..1	dateTime	Element id Symptom.Condition.Beobachtungszeitpunkt Short description Zeitpunkt der Beobachtung/Feststellung des Symptoms, Erkrankung, Diagnose, Disposition. Definition Zeitpunkt der Beobachtung/Feststellung des Symptoms, Erkrankung, Diagnose, Disposition. 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 FHIR: Conditon.extension.where(url='http://hl7.org/fhir/StructureDefinition/condition-assertedDate')
Dokumentationszeitpunkt		0..1	dateTime	Element id Symptom.Condition.Dokumentationszeitpunkt Short description Zeitpunkt der Dokumentation das Symptoms, Erkrankung, Diagnose, Disposition Definition Zeitpunkt der Dokumentation das Symptoms, Erkrankung, Diagnose, Disposition 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 FHIR: Condition.recordedDate
Status		1..1	CodeableConcept	Element id Symptom.Condition.Status Short description Status des Symptoms, Erkrankung, Diagnose, Disposition: "Aktiv", "Zustand nach", "in Remission", "beseitigt/geheilt"). Codiert z. B. mit ValueSet aus FHIR oder SNOMED CT. Definition Status des Symptoms, Erkrankung, Diagnose, Disposition: "Aktiv", "Zustand nach", "in Remission", "beseitigt/geheilt"). Codiert z. B. mit ValueSet aus FHIR oder SNOMED CT. 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 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 FHIR: Condition.clinicalStatus
Schweregrad		0..1	CodeableConcept	Element id Symptom.Condition.Schweregrad Short description Schweregrad des Symptoms, Erkrankung, Diagnose, Disposition. Codesystem: SNOMED CT. Definition Schweregrad des Symptoms, Erkrankung, Diagnose, Disposition. Codesystem: SNOMED CT. 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 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 FHIR: Condition.severity
Verifikationsstatus		0..1	CodeableConcept	Element id Symptom.Condition.Verifikationsstatus Short description Empirische, epistemologische, algorithmische, diagnostische Gewissheit des Symptoms, Erkrankung, Diagnose, Disposition. Codesystem: SNOMED CT. Definition Empirische, epistemologische, algorithmische, diagnostische Gewissheit des Symptoms, Erkrankung, Diagnose, Disposition. Codesystem: SNOMED CT. 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 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 FHIR: Condition.verificationStatus
ZugrundeliegendeBeobachtungEvidenz		0..*	BackboneElement	Element id Symptom.Condition.ZugrundeliegendeBeobachtungEvidenz Short description Die dem Symptom, Erkrankung, Diagnose, Disposition zugrundeliegend Beobachtung Definition Die dem Symptom, Erkrankung, Diagnose, Disposition zugrundeliegend Beobachtung Data type BackboneElement Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a FHIR: Condition.evidence
id		0..1	string	There are no (further) constraints on this element Element id Symptom.Condition.ZugrundeliegendeBeobachtungEvidenz.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 Symptom.Condition.ZugrundeliegendeBeobachtungEvidenz.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 Symptom.Condition.ZugrundeliegendeBeobachtungEvidenz.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
BeschreibungZugrundeliegendeBeobachtung		0..1	string	Element id Symptom.Condition.ZugrundeliegendeBeobachtungEvidenz.BeschreibungZugrundeliegendeBeobachtung Short description Natürlichsprachige Beschreibung einer dem Symptom zugrundeliegenden Beobachtung, Symptoms, Erkrankung, Diagnose, Disposition Definition Natürlichsprachige Beschreibung einer dem Symptom zugrundeliegenden Beobachtung, Symptoms, Erkrankung, Diagnose, Disposition 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 FHIR: Condition.evidence.code.text
CodeZugrundeliegendeBeobachtung		0..*	CodeableConcept	Element id Symptom.Condition.ZugrundeliegendeBeobachtungEvidenz.CodeZugrundeliegendeBeobachtung Short description Code der zugrundeliegenden Beobachtung des Symptoms, Erkrankung, Diagnose, Disposition: SNOMED CT, LOINC Definition Code der zugrundeliegenden Beobachtung des Symptoms, Erkrankung, Diagnose, Disposition: SNOMED CT, LOINC 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 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 FHIR: Condition.evidence.code
LinkAufZugrundeliegendeBeobachtung	I	0..*	Reference()	Element id Symptom.Condition.ZugrundeliegendeBeobachtungEvidenz.LinkAufZugrundeliegendeBeobachtung Short description Link auf die dem Symptom zugrundeliegenden Beobachtung für das Symptoms, Erkrankung, Diagnose, Disposition Definition Link auf die dem Symptom zugrundeliegenden Beobachtung für das Symptoms, Erkrankung, Diagnose, Disposition 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() 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) FHIR: Condition.evidence.detail
Stadium		0..*	BackboneElement	Element id Symptom.Condition.Stadium Short description Stadium der Condition Definition Stadium der Condition Data type BackboneElement Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a FHIR: Condition.stage
id		0..1	string	There are no (further) constraints on this element Element id Symptom.Condition.Stadium.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 Symptom.Condition.Stadium.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 Symptom.Condition.Stadium.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
Zusammenfassung		0..1	CodeableConcept	Element id Symptom.Condition.Stadium.Zusammenfassung Short description Einfache Zusammenfassung des Stadiums Definition Einfache Zusammenfassung des Stadiums 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 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 FHIR: Condition.stage.summary
Einschaetzung	I	0..*	Reference()	Element id Symptom.Condition.Stadium.Einschaetzung Short description Referenz auf eine formale Einschätzung des Stadiums (ClinicalImpression, DiagnosticReport, Observation) Definition Referenz auf eine formale Einschätzung des Stadiums (ClinicalImpression, DiagnosticReport, Observation) 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() 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) FHIR: Condition.stage.assessment
ArtDerStadieneinteilung		0..1	CodeableConcept	Element id Symptom.Condition.Stadium.ArtDerStadieneinteilung Short description Art der Stadieneinteilung Definition Art der Stadieneinteilung 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 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 FHIR: Condition.stage.type
Patient	I	1..1	Reference()	Element id Symptom.Condition.Patient Short description Link auf Patient Definition Link auf Patient 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() 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) FHIR: Condition.subject
Fall	I	0..1	Reference()	Element id Symptom.Condition.Fall Short description Link auf Behandlungsfall Definition Link auf Behandlungsfall 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() 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) FHIR: Condition.encounter
Observation		0..*	BackboneElement	Element id Symptom.Observation Short description Observation i. S. einer FHIR Observation: Messungen oder Zuweisungen zu einem Patienten. Die meisten Beobachtungen sind einfache Entity/Value Paare, sie können aber auch komplex hierarchisch aufgebaut sein. Definition Observation i. S. einer FHIR Observation: Messungen oder Zuweisungen zu einem Patienten. Die meisten Beobachtungen sind einfache Entity/Value Paare, sie können aber auch komplex hierarchisch aufgebaut sein. Data type BackboneElement Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a FHIR: Observation
id		0..1	string	There are no (further) constraints on this element Element id Symptom.Observation.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 Symptom.Observation.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 Symptom.Observation.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
Identifikator		0..*	Identifier	Element id Symptom.Observation.Identifikator Short description Eindeutiger Identifier der Observation Definition Eindeutiger Identifier der Observation 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 FHIR: Observation.identifier
Bezeichnung		0..1	string	Element id Symptom.Observation.Bezeichnung Short description Natürlichsprachige Bezeichnung der Observation Definition Natürlichsprachige Bezeichnung der Observation 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 FHIR: Observation.code.coding.display
Beschreibung		0..1	string	Element id Symptom.Observation.Beschreibung Short description Natürlichsprachige Beschreibung der Beobachtung Definition Natürlichsprachige Beschreibung der Beobachtung 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 FHIR: Observation.code.text
Kategorie		0..*	CodeableConcept	Element id Symptom.Observation.Kategorie Short description Kategorie der Observation Definition Kategorie der Observation 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 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 FHIR: Observation.category
Status		1..1	code	Element id Symptom.Observation.Status Short description Status der Observation Definition Status der Observation 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 FHIR: Observation.status
Code		1..1	CodeableConcept	Element id Symptom.Observation.Code Short description Code der Observation: z. B. LOINC, SNOMED CT, HPO Definition Code der Observation: z. B. LOINC, SNOMED CT, HPO 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 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 FHIR: Observation.code
Zeitspanne	I	0..1	Period	Element id Symptom.Observation.Zeitspanne Short description Klinisch relevante Zeitpunkte/Zeitspanne Definition Klinisch relevante Zeitpunkte/Zeitspanne Comments A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See Duration. Data type Period Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` per-1: If present, start SHALL have a lower value than end `start.hasValue().not() or end.hasValue().not() or (start <= end)` Mappings rim: n/a v2: DR rim: IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"] FHIR: Observation.effectiveDateTime FHIR: Observation.effectivePeriod
id		0..1	string	There are no (further) constraints on this element Element id Symptom.Observation.Zeitspanne.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 Symptom.Observation.Zeitspanne.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	Σ I	0..1	dateTime	Element id Symptom.Observation.Zeitspanne.start Short description Klinisch relevanter (Start-)Zeitpunkt einer Observation Definition Klinisch relevanter (Start-)Zeitpunkt einer Observation 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 FHIR: Observation.effectivePeriod.start
end	Σ I	0..1	dateTime	Element id Symptom.Observation.Zeitspanne.end Short description Klinisch relevanter Endzeitpunkt einer Observation Definition Klinisch relevanter Endzeitpunkt einer Observation 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 FHIR: Observation.effectivePeriod.end
Dokumentationsdatum		0..1	instant	Element id Symptom.Observation.Dokumentationsdatum Short description Zeitpunkt der Dokumentation der Observation. Definition Zeitpunkt der Dokumentation der Observation. Comments Note: This is intended for where precisely observed times are required, typically system logs etc., and not human-reported times - for them, see date and dateTime (which can be as precise as instant, but is not required to be) below. Time zone is always required 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 FHIR: Observation.issued
Wert[x]		0..1		Element id Symptom.Observation.Wert[x] Short description Wert der Observation Definition Wert der Observation Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a FHIR: Observation.value[x]
WertQuantity			Quantity	Data type Quantity
WertCodeableConcept			CodeableConcept	Data type CodeableConcept
WertString			string	Data type string
WertBoolean			boolean	Data type boolean
WertInteger			integer	Data type integer
WertRange			Range	Data type Range
WertRatio			Ratio	Data type Ratio
WertSampledData			SampledData	Data type SampledData
WertTime			time	Data type time
WertDateTime			dateTime	Data type dateTime
WertPeriod			Period	Data type Period
ReferenzIntervall		0..*	BackboneElement	Element id Symptom.Observation.ReferenzIntervall Short description Referenz-Intervall entsprechend des eingebetteten komplexen Typs (Observation.referenceRange) Definition Referenz-Intervall entsprechend des eingebetteten komplexen Typs (Observation.referenceRange) Data type BackboneElement Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a FHIR: Observation.referenceRange
GrundNichtVorhandenerDaten		0..1	CodeableConcept	Element id Symptom.Observation.GrundNichtVorhandenerDaten Short description Grund für nicht vorhandene Daten der Observation Definition Grund für nicht vorhandene Daten der Observation 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 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 FHIR: Observation.dataAbesentReason
Interpretation		0..*	CodeableConcept	Element id Symptom.Observation.Interpretation Short description Interpretation einer Observation Definition Interpretation einer Observation 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 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 FHIR: Observation.interpretation
Kommentar		0..*	Annotation	Element id Symptom.Observation.Kommentar Short description Natürlichsprachiger Kommentar zur Observation. Definition Natürlichsprachiger Kommentar zur Observation. 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 FHIR: Observation.note
Lokalisation		0..1	CodeableConcept	Element id Symptom.Observation.Lokalisation Short description Lokalisation der Observation als SNOMED CT Body Structure codiert. Definition Lokalisation der Observation als SNOMED CT Body Structure codiert. 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 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 FHIR: Observation.bodySite
Patient	I	0..1	Reference()	Element id Symptom.Observation.Patient Short description Link auf Patient Definition Link auf Patient 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() 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) FHIR: Observation.subject
Fall	I	0..1	Reference()	Element id Symptom.Observation.Fall Short description Fall der Observation Definition Fall der Observation 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() 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) FHIR: Observation.encounter
Probe	I	0..1	Reference()	Element id Symptom.Observation.Probe Short description Referenz auf die Probe, auf der die Observation basiert Definition Referenz auf die Probe, auf der die Observation basiert 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() 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) FHIR: Observation.specimen
Messgeraet	I	0..1	Reference()	Element id Symptom.Observation.Messgeraet Short description Referenz auf das verwendete Mess-/Untersuchungsgerät Definition Referenz auf das verwendete Mess-/Untersuchungsgerät 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() 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) FHIR: Observation.device
Methode		0..1	CodeableConcept	Element id Symptom.Observation.Methode Short description Methode der Untersuchung Definition Methode der Untersuchung 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 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 FHIR: Observation.method
BezugZuHatTeil	I	0..*	Reference()	Element id Symptom.Observation.BezugZuHatTeil Short description Bezug zu Ressourcen, die zu dieser Observation gehören (Observation, QuestionnaireResponse, MolecularSequence) Definition Bezug zu Ressourcen, die zu dieser Observation gehören (Observation, QuestionnaireResponse, MolecularSequence) 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() 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) FHIR: Observation.hasMember
BezugVonIstTeilVon	I	0..*	Reference()	Element id Symptom.Observation.BezugVonIstTeilVon Short description Referenz auf Messunger/Beobachtungen, aus denen diese Observation hervorgeht. Definition Referenz auf Messunger/Beobachtungen, aus denen diese Observation hervorgeht. 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() 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) FHIR: Observation.derivedFrom
Komponente		0..*	BackboneElement	Element id Symptom.Observation.Komponente Short description Komponente einer Observation mit mehreren Komponenten (z. B. Blutdruck) entsprechend des komplexen Typs (Observation.component) mit .code, .value, .dataAbsentReason, .interpretation, .referenceRange (alle wie oben beschrieben) Definition Komponente einer Observation mit mehreren Komponenten (z. B. Blutdruck) entsprechend des komplexen Typs (Observation.component) mit .code, .value, .dataAbsentReason, .interpretation, .referenceRange (alle wie oben beschrieben) Data type BackboneElement Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a FHIR: Observation.component

Es ist zu beachten, dass das Logical Model rein auf die Abbildung der Datenelemente und deren Beschreibung abzielt. Verwendete Datentypen und Kardinalitäten sind nicht als verpflichtend anzusehen. Dies wird abschließend durch die FHIR-Profile festgelegt. Für jedes Element innerhalb des Logical Models existiert ein 1:1 Mapping auf ein Element einer konkreten FHIR Ressource.

Datensatz	Erklaerung
Symptom	Logische Repräsentation des Basismoduls Symptom/klinischer Phänotyp
Symptom.Condition	Im Sinne einer FHIR Condition: klinische Zustände, Probleme, Diagnosen oder andere Ereignisse und Situationen. Conditions können als Beschreibung von Krankheiten von Health Professionals dokumentiert sein. Conditions können im Rahmen einer Anamnese vom Patienten selber geäußert werden (Symptom).
Symptom.Condition.Code	Code für ein Symptom, Phänomen, Erkrankung, Disposition: SNOMED CT (Findings), ICD-10, OrphaCodes, HPO, MedDRA
Symptom.Condition.Identifikator	Externer Identifikator für die Condition
Symptom.Condition.Bezeichnung	Natürlichsprachige Bezeichnung für ein Symptom, Diagnose, Erkrankung, Phänotyp, Disposition
Symptom.Condition.Beschreibung	Natürlichsprachige Beschreibung für ein Symptom, eine Erkrankung, eine Diagnose oder eine Disposition.
Symptom.Condition.Kategorie	Kategorien der Condition (z.B. problem-list-item \| encounter-diagnosis)
Symptom.Condition.Lokalisation	Lokalisation eines Symptoms etc. Körperstellen (Lokalisationen) werden SNOMED CT kodiert.
Symptom.Condition.KlinischRelevanterZeitraum	Zeitspanne des Vorhandenseins des Symptoms, der Erkrankung, der Diagnose, der Disposition, des Phänotyps
Symptom.Condition.KlinischRelevanterZeitraum.Zeitraum	Klinisch relevanter Zeitraum als Zeitintervall mit von/am und bis.
Symptom.Condition.KlinischRelevanterZeitraum.Zeitraum.start	Startzeitpunkt: Zeitpunkt des Beginns des Symptoms, der Erkrankung, der Diagnose, der Disposition, des Phänotyps
Symptom.Condition.KlinischRelevanterZeitraum.Zeitraum.end	Endzeitpunkt: Zeitpunkt des Verschwindens des Symptoms, der Erkrankung, der Diagnose, der Disposition, des Phänotyps
Symptom.Condition.KlinischRelevanterZeitraum.Lebensphase	Zusätzlich zu einem Zeitraum ist die Angabe der Lebensphase, zu der eine Krankheit vorlag/vorliegt, möglich. Hiermit lässt sich beispielsweise angeben, dass eine Person eine Krankheit bereits als Säugling gehabt hat. Das entsprechende ValueSet ist derzeit noch in Arbeit.
Symptom.Condition.KlinischRelevanterZeitraum.Lebensphase.von	Lebensphase Start
Symptom.Condition.KlinischRelevanterZeitraum.Lebensphase.bis	Lebensphase Ende
Symptom.Condition.Beobachtungszeitpunkt	Zeitpunkt der Beobachtung/Feststellung des Symptoms, Erkrankung, Diagnose, Disposition.
Symptom.Condition.Dokumentationszeitpunkt	Zeitpunkt der Dokumentation das Symptoms, Erkrankung, Diagnose, Disposition
Symptom.Condition.Status	Status des Symptoms, Erkrankung, Diagnose, Disposition: "Aktiv", "Zustand nach", "in Remission", "beseitigt/geheilt"). Codiert z. B. mit ValueSet aus FHIR oder SNOMED CT.
Symptom.Condition.Schweregrad	Schweregrad des Symptoms, Erkrankung, Diagnose, Disposition. Codesystem: SNOMED CT.
Symptom.Condition.Verifikationsstatus	Empirische, epistemologische, algorithmische, diagnostische Gewissheit des Symptoms, Erkrankung, Diagnose, Disposition. Codesystem: SNOMED CT.
Symptom.Condition.ZugrundeliegendeBeobachtungEvidenz	Die dem Symptom, Erkrankung, Diagnose, Disposition zugrundeliegend Beobachtung
Symptom.Condition.ZugrundeliegendeBeobachtungEvidenz.BeschreibungZugrundeliegendeBeobachtung	Natürlichsprachige Beschreibung einer dem Symptom zugrundeliegenden Beobachtung, Symptoms, Erkrankung, Diagnose, Disposition
Symptom.Condition.ZugrundeliegendeBeobachtungEvidenz.CodeZugrundeliegendeBeobachtung	Code der zugrundeliegenden Beobachtung des Symptoms, Erkrankung, Diagnose, Disposition: SNOMED CT, LOINC
Symptom.Condition.ZugrundeliegendeBeobachtungEvidenz.LinkAufZugrundeliegendeBeobachtung	Link auf die dem Symptom zugrundeliegenden Beobachtung für das Symptoms, Erkrankung, Diagnose, Disposition
Symptom.Condition.Stadium	Stadium der Condition
Symptom.Condition.Stadium.Zusammenfassung	Einfache Zusammenfassung des Stadiums
Symptom.Condition.Stadium.Einschaetzung	Referenz auf eine formale Einschätzung des Stadiums (ClinicalImpression, DiagnosticReport, Observation)
Symptom.Condition.Stadium.ArtDerStadieneinteilung	Art der Stadieneinteilung
Symptom.Condition.Patient	Link auf Patient
Symptom.Condition.Fall	Link auf Behandlungsfall
Symptom.Observation	Observation i. S. einer FHIR Observation: Messungen oder Zuweisungen zu einem Patienten. Die meisten Beobachtungen sind einfache Entity/Value Paare, sie können aber auch komplex hierarchisch aufgebaut sein.
Symptom.Observation.Identifikator	Eindeutiger Identifier der Observation
Symptom.Observation.Bezeichnung	Natürlichsprachige Bezeichnung der Observation
Symptom.Observation.Beschreibung	Natürlichsprachige Beschreibung der Beobachtung
Symptom.Observation.Kategorie	Kategorie der Observation
Symptom.Observation.Status	Status der Observation
Symptom.Observation.Code	Code der Observation: z. B. LOINC, SNOMED CT, HPO
Symptom.Observation.Zeitspanne	Klinisch relevante Zeitpunkte/Zeitspanne
Symptom.Observation.Zeitspanne.start	Klinisch relevanter (Start-)Zeitpunkt einer Observation
Symptom.Observation.Zeitspanne.end	Klinisch relevanter Endzeitpunkt einer Observation
Symptom.Observation.Dokumentationsdatum	Zeitpunkt der Dokumentation der Observation.
Symptom.Observation.Wert[x]	Wert der Observation
Symptom.Observation.ReferenzIntervall	Referenz-Intervall entsprechend des eingebetteten komplexen Typs (Observation.referenceRange)
Symptom.Observation.GrundNichtVorhandenerDaten	Grund für nicht vorhandene Daten der Observation
Symptom.Observation.Interpretation	Interpretation einer Observation
Symptom.Observation.Kommentar	Natürlichsprachiger Kommentar zur Observation.
Symptom.Observation.Lokalisation	Lokalisation der Observation als SNOMED CT Body Structure codiert.
Symptom.Observation.Patient	Link auf Patient
Symptom.Observation.Fall	Fall der Observation
Symptom.Observation.Probe	Referenz auf die Probe, auf der die Observation basiert
Symptom.Observation.Messgeraet	Referenz auf das verwendete Mess-/Untersuchungsgerät
Symptom.Observation.Methode	Methode der Untersuchung
Symptom.Observation.BezugZuHatTeil	Bezug zu Ressourcen, die zu dieser Observation gehören (Observation, QuestionnaireResponse, MolecularSequence)
Symptom.Observation.BezugVonIstTeilVon	Referenz auf Messunger/Beobachtungen, aus denen diese Observation hervorgeht.
Symptom.Observation.Komponente	Komponente einer Observation mit mehreren Komponenten (z. B. Blutdruck) entsprechend des komplexen Typs (Observation.component) mit .code, .value, .dataAbsentReason, .interpretation, .referenceRange (alle wie oben beschrieben)