{
  "resourceType": "StructureDefinition",
  "url": "https://fhir.kbv.de/StructureDefinition/KBV_PR_MIO_Vaccination_Condition",
  "version": "1.1.0",
  "name": "KBV_PR_MIO_Vaccination_Condition",
  "status": "active",
  "publisher": "Kassenärztliche Bundesvereinigung (KBV)",
  "copyright": "Hinweis: This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of SNOMED International. All rights reserved. SNOMED CT®, was originally created by The College of American Pathologists. SNOMED and SNOMED CT are registered trademarks of SNOMED International. Implementers of these artefacts must have the appropriate SNOMED CT Affiliate license.",
  "fhirVersion": "4.0.1",
  "mapping": [
    {
      "identity": "workflow",
      "uri": "http://hl7.org/fhir/workflow",
      "name": "Workflow Pattern"
    },
    {
      "identity": "sct-concept",
      "uri": "http://snomed.info/conceptdomain",
      "name": "SNOMED CT Concept Domain Binding"
    },
    {
      "identity": "v2",
      "uri": "http://hl7.org/v2",
      "name": "HL7 v2 Mapping"
    },
    {
      "identity": "rim",
      "uri": "http://hl7.org/v3",
      "name": "RIM Mapping"
    },
    {
      "identity": "w5",
      "uri": "http://hl7.org/fhir/fivews",
      "name": "FiveWs Pattern Mapping"
    },
    {
      "identity": "sct-attr",
      "uri": "http://snomed.org/attributebinding",
      "name": "SNOMED CT Attribute Binding"
    }
  ],
  "kind": "resource",
  "abstract": false,
  "type": "Condition",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Condition",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Condition",
        "path": "Condition",
        "short": "vorangegangenen / durchlebten Erkrankung / Infektionskrankheit",
        "definition": "Dieses Profil enthält alle Informationen zu einer vorangegangenen / durchlebten Erkrankung / Infektionskrankheit, die zu einer Immunität geführt hat. Die Immunität führt dazu, dass in der Regel keine Impfung notwendig ist.",
        "comment": "Zu diesem Profil kann eine Provenance-Ressource angehängt werden.",
        "constraint": [
          {
            "key": "Cond1",
            "severity": "error",
            "human": "Das Dokumentationsdatum muss mindestens mit TT.MM.JJJJ angegeben werden",
            "expression": "recordedDate.toString().length()>=10",
            "source": "https://fhir.kbv.de/StructureDefinition/KBV_PR_MIO_Vaccination_Condition"
          }
        ]
      },
      {
        "id": "Condition.meta",
        "path": "Condition.meta",
        "min": 1
      },
      {
        "id": "Condition.meta.versionId",
        "path": "Condition.meta.versionId",
        "max": "0"
      },
      {
        "id": "Condition.meta.lastUpdated",
        "path": "Condition.meta.lastUpdated",
        "max": "0"
      },
      {
        "id": "Condition.meta.source",
        "path": "Condition.meta.source",
        "max": "0"
      },
      {
        "id": "Condition.meta.profile",
        "path": "Condition.meta.profile",
        "min": 1,
        "max": "1",
        "fixedCanonical": "https://fhir.kbv.de/StructureDefinition/KBV_PR_MIO_Vaccination_Condition|1.1.0"
      },
      {
        "id": "Condition.meta.security",
        "path": "Condition.meta.security",
        "max": "0"
      },
      {
        "id": "Condition.meta.tag",
        "path": "Condition.meta.tag",
        "max": "0"
      },
      {
        "id": "Condition.implicitRules",
        "path": "Condition.implicitRules",
        "max": "0"
      },
      {
        "id": "Condition.language",
        "path": "Condition.language",
        "max": "0"
      },
      {
        "id": "Condition.contained",
        "path": "Condition.contained",
        "max": "0"
      },
      {
        "id": "Condition.identifier",
        "path": "Condition.identifier",
        "max": "0"
      },
      {
        "id": "Condition.clinicalStatus",
        "path": "Condition.clinicalStatus",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Condition.clinicalStatus.coding",
        "path": "Condition.clinicalStatus.coding",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Condition.clinicalStatus.coding.system",
        "path": "Condition.clinicalStatus.coding.system",
        "min": 1,
        "fixedUri": "http://terminology.hl7.org/CodeSystem/condition-clinical"
      },
      {
        "id": "Condition.clinicalStatus.coding.code",
        "path": "Condition.clinicalStatus.coding.code",
        "min": 1,
        "fixedCode": "resolved"
      },
      {
        "id": "Condition.clinicalStatus.text",
        "path": "Condition.clinicalStatus.text",
        "max": "0"
      },
      {
        "id": "Condition.verificationStatus",
        "path": "Condition.verificationStatus",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Condition.verificationStatus.coding",
        "path": "Condition.verificationStatus.coding",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Condition.verificationStatus.coding.system",
        "path": "Condition.verificationStatus.coding.system",
        "min": 1,
        "fixedUri": "http://terminology.hl7.org/CodeSystem/condition-ver-status"
      },
      {
        "id": "Condition.verificationStatus.coding.code",
        "path": "Condition.verificationStatus.coding.code",
        "min": 1,
        "fixedCode": "confirmed"
      },
      {
        "id": "Condition.verificationStatus.coding.userSelected",
        "path": "Condition.verificationStatus.coding.userSelected",
        "max": "0"
      },
      {
        "id": "Condition.verificationStatus.text",
        "path": "Condition.verificationStatus.text",
        "max": "0"
      },
      {
        "id": "Condition.category",
        "path": "Condition.category",
        "max": "0"
      },
      {
        "id": "Condition.severity",
        "path": "Condition.severity",
        "max": "0"
      },
      {
        "id": "Condition.code",
        "path": "Condition.code",
        "short": "Diagnosecode",
        "definition": "Dieses Element beschreibt die durchgemachte Infektionskrankheit, die zu einer Immunität führt. Enthalten ist die Bezeichnung der Erkrankung mit der entsprechenden Codierung.",
        "comment": "Ist es notwendig eine hier nicht aufgeführte (unspezifizierte) Erkrankung zu dokumentieren, ist der entsprechende Code auszuwählen. Es sollte eine nähere Beschreibung als Freitext in der note (Diagnoseerläuterung) erfolgen.",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Condition.code.coding",
        "path": "Condition.code.coding",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "system"
            }
          ],
          "rules": "closed"
        },
        "min": 1,
        "max": "2",
        "mustSupport": true
      },
      {
        "id": "Condition.code.coding:snomed_CT",
        "path": "Condition.code.coding",
        "sliceName": "snomed_CT",
        "min": 1,
        "max": "1",
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "valueSet": "https://fhir.kbv.de/ValueSet/KBV_VS_MIO_Vaccination_Prior_Disease|1.1.0"
        }
      },
      {
        "id": "Condition.code.coding:snomed_CT.system",
        "path": "Condition.code.coding.system",
        "min": 1,
        "fixedUri": "http://snomed.info/sct",
        "mustSupport": true
      },
      {
        "id": "Condition.code.coding:snomed_CT.version",
        "path": "Condition.code.coding.version",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Condition.code.coding:snomed_CT.code",
        "path": "Condition.code.coding.code",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Condition.code.coding:snomed_CT.display",
        "path": "Condition.code.coding.display",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Condition.code.coding:snomed_CT.display.extension",
        "path": "Condition.code.coding.display.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Condition.code.coding:snomed_CT.display.extension:anzeigenameCodeSnomed",
        "path": "Condition.code.coding.display.extension",
        "sliceName": "anzeigenameCodeSnomed",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://fhir.kbv.de/StructureDefinition/KBV_EX_Base_Terminology_German|1.1.1"
            ]
          }
        ]
      },
      {
        "id": "Condition.code.coding:snomed_CT.display.extension:anzeigenameCodeSnomed.extension",
        "path": "Condition.code.coding.display.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Condition.code.coding:snomed_CT.display.extension:anzeigenameCodeSnomed.extension:content",
        "path": "Condition.code.coding.display.extension.extension",
        "sliceName": "content"
      },
      {
        "id": "Condition.code.coding:snomed_CT.display.extension:anzeigenameCodeSnomed.extension:content.value[x]:valueString",
        "path": "Condition.code.coding.display.extension.extension.value[x]",
        "sliceName": "valueString",
        "definition": "In diesem Attribut sollen die entsprechende deutsche Bezeichnung des Snomed-Codes aus der Conceptmap eingetragen werden, also in diesem Fall den Displaynamen des Targetsystems aus KBV_CM_MIO_Vaccination_Prior_Disease_German"
      },
      {
        "id": "Condition.code.coding:snomed_CT.userSelected",
        "path": "Condition.code.coding.userSelected",
        "max": "0"
      },
      {
        "id": "Condition.code.coding:icd-10-gm",
        "path": "Condition.code.coding",
        "sliceName": "icd-10-gm",
        "max": "1",
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "valueSet": "https://fhir.kbv.de/ValueSet/KBV_VS_MIO_Vaccination_Prior_Disease_ICD|1.1.0"
        }
      },
      {
        "id": "Condition.code.coding:icd-10-gm.system",
        "path": "Condition.code.coding.system",
        "min": 1,
        "fixedUri": "http://fhir.de/CodeSystem/dimdi/icd-10-gm",
        "mustSupport": true
      },
      {
        "id": "Condition.code.coding:icd-10-gm.version",
        "path": "Condition.code.coding.version",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Condition.code.coding:icd-10-gm.code",
        "path": "Condition.code.coding.code",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Condition.code.coding:icd-10-gm.display",
        "path": "Condition.code.coding.display",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Condition.code.coding:icd-10-gm.userSelected",
        "path": "Condition.code.coding.userSelected",
        "max": "0"
      },
      {
        "id": "Condition.code.text",
        "path": "Condition.code.text",
        "max": "0"
      },
      {
        "id": "Condition.bodySite",
        "path": "Condition.bodySite",
        "max": "0"
      },
      {
        "id": "Condition.subject",
        "path": "Condition.subject",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://fhir.kbv.de/StructureDefinition/KBV_PR_MIO_Vaccination_Patient|1.1.0"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Condition.subject.reference",
        "path": "Condition.subject.reference",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Condition.subject.type",
        "path": "Condition.subject.type",
        "max": "0"
      },
      {
        "id": "Condition.subject.identifier",
        "path": "Condition.subject.identifier",
        "max": "0"
      },
      {
        "id": "Condition.subject.display",
        "path": "Condition.subject.display",
        "max": "0"
      },
      {
        "id": "Condition.encounter",
        "path": "Condition.encounter",
        "max": "0"
      },
      {
        "id": "Condition.onset[x]",
        "path": "Condition.onset[x]",
        "slicing": {
          "discriminator": [
            {
              "type": "type",
              "path": "$this"
            }
          ],
          "rules": "open"
        },
        "mustSupport": true
      },
      {
        "id": "Condition.onset[x]:onsetString",
        "path": "Condition.onset[x]",
        "sliceName": "onsetString",
        "type": [
          {
            "code": "string"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Condition.onset[x]:onsetString.extension",
        "path": "Condition.onset[x].extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Condition.onset[x]:onsetString.extension:lebensphase",
        "path": "Condition.onset[x].extension",
        "sliceName": "lebensphase",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_Vaccination_Age_Groups|1.1.0"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Condition.onset[x]:onsetString.extension:lebensphase.value[x]:valueCodeableConcept",
        "path": "Condition.onset[x].extension.value[x]",
        "sliceName": "valueCodeableConcept"
      },
      {
        "id": "Condition.onset[x]:onsetString.extension:lebensphase.value[x]:valueCodeableConcept.coding.system",
        "path": "Condition.onset[x].extension.value[x].coding.system",
        "mustSupport": true
      },
      {
        "id": "Condition.onset[x]:onsetString.extension:lebensphase.value[x]:valueCodeableConcept.coding.version",
        "path": "Condition.onset[x].extension.value[x].coding.version",
        "mustSupport": true
      },
      {
        "id": "Condition.onset[x]:onsetString.extension:lebensphase.value[x]:valueCodeableConcept.coding.code",
        "path": "Condition.onset[x].extension.value[x].coding.code",
        "mustSupport": true
      },
      {
        "id": "Condition.onset[x]:onsetString.extension:lebensphase.value[x]:valueCodeableConcept.coding.display",
        "path": "Condition.onset[x].extension.value[x].coding.display",
        "mustSupport": true
      },
      {
        "id": "Condition.onset[x]:onsetString.extension:lebensphase.value[x]:valueCodeableConcept.coding.display.extension",
        "path": "Condition.onset[x].extension.value[x].coding.display.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Condition.onset[x]:onsetString.extension:lebensphase.value[x]:valueCodeableConcept.coding.display.extension:anzeigenameCodeSnomed",
        "path": "Condition.onset[x].extension.value[x].coding.display.extension",
        "sliceName": "anzeigenameCodeSnomed",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Condition.abatement[x]",
        "path": "Condition.abatement[x]",
        "max": "0"
      },
      {
        "id": "Condition.recordedDate",
        "path": "Condition.recordedDate",
        "short": "Dokumentationsdatum",
        "definition": "Zeitpunkt, an dem eine Krankheit z. B. durch eine ärztlich tätige Person in diesem Eintrag dokumentiert wurde. Hinweis: Wenn zwischen Feststellung der Diagnose und Dokumentationsdatum nicht unterschieden werden muss, ist das Datum der Feststellung der Diagnose (Diagnosedatum) anzugeben.",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Condition.recorder",
        "path": "Condition.recorder",
        "short": "Eintragende Person",
        "definition": "Diese Person hat den Eintrag im digitalen Impfpass getätigt.",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://fhir.kbv.de/StructureDefinition/KBV_PR_MIO_Vaccination_Practitionerrole|1.1.0"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Condition.recorder.reference",
        "path": "Condition.recorder.reference",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Condition.recorder.type",
        "path": "Condition.recorder.type",
        "max": "0"
      },
      {
        "id": "Condition.recorder.identifier",
        "path": "Condition.recorder.identifier",
        "max": "0"
      },
      {
        "id": "Condition.recorder.display",
        "path": "Condition.recorder.display",
        "max": "0"
      },
      {
        "id": "Condition.asserter",
        "path": "Condition.asserter",
        "max": "0"
      },
      {
        "id": "Condition.stage",
        "path": "Condition.stage",
        "max": "0"
      },
      {
        "id": "Condition.evidence",
        "path": "Condition.evidence",
        "max": "0"
      },
      {
        "id": "Condition.note",
        "path": "Condition.note",
        "short": "Diagnoseerläuterung",
        "definition": "Damit soll dem Arzt die Möglichkeit gegeben werden evt. nähere Angaben zu einer Diagnose in Form von Freitext zu machen",
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Condition.note.author[x]",
        "path": "Condition.note.author[x]",
        "max": "0"
      },
      {
        "id": "Condition.note.time",
        "path": "Condition.note.time",
        "max": "0"
      }
    ]
  }
}