{
  "resourceType": "StructureDefinition",
  "id": "d2b227d1-3e3e-4c63-ba16-f95214a2547d",
  "meta": {
    "lastUpdated": "2019-02-22T08:43:45.6639456+00:00"
  },
  "url": "http://medico-emr.net/stu3/sd/Condition-Infection-MetaItIPSS-1",
  "name": "Condition-Infection-MetaItIPSS-1",
  "status": "active",
  "date": "2019-02-22T08:43:46.1264362+00:00",
  "description": "A description for an infection. This infection profile will be provided by IPSS (a product by MetaIT). Instances of this profile will be sent to medico and then be stored in medico.",
  "purpose": "Access: Create,Read,Update\r\nVisibility: public",
  "fhirVersion": "3.0.1",
  "kind": "resource",
  "abstract": false,
  "type": "Condition",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Condition",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Condition.id",
        "path": "Condition.id",
        "definition": "medico: Format: InfectionIPSS-####\r\nids written to medico's FHIR server using this profile will be replaced by medico's own ids.\r\nTo be able to later update the same resource - make sure to pass the identifier in slice MetaIPSSResourceId"
      },
      {
        "id": "Condition.meta",
        "path": "Condition.meta",
        "min": 1
      },
      {
        "id": "Condition.meta.id",
        "path": "Condition.meta.id",
        "max": "0"
      },
      {
        "id": "Condition.meta.versionId",
        "path": "Condition.meta.versionId",
        "max": "0"
      },
      {
        "id": "Condition.meta.lastUpdated",
        "path": "Condition.meta.lastUpdated",
        "min": 1
      },
      {
        "id": "Condition.meta.profile",
        "path": "Condition.meta.profile",
        "min": 1,
        "max": "1",
        "fixedUri": "http://medico-emr.net/stu3/sd/Condition-Infection-MetaItIPSS-1"
      },
      {
        "id": "Condition.meta.profile.id",
        "path": "Condition.meta.profile.id",
        "max": "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.text",
        "path": "Condition.text",
        "max": "0"
      },
      {
        "id": "Condition.contained",
        "path": "Condition.contained",
        "max": "0"
      },
      {
        "id": "Condition.extension",
        "path": "Condition.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Condition.extension:pathogen",
        "path": "Condition.extension",
        "sliceName": "pathogen",
        "short": "pathogen causing the condition",
        "definition": "specifies the pathogen for the given condition",
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": "http://medico-emr.net/stu3/sd/MXT-Condition-Pathogen-1"
          }
        ]
      },
      {
        "id": "Condition.extension:pathogen.valueCodeableConcept:valueCodeableConcept",
        "path": "Condition.extension.valueCodeableConcept",
        "sliceName": "valueCodeableConcept",
        "short": "pathogen causing the condition",
        "definition": "specifies the pathogen for the given condition and is provided by IPSS \r\nProperties BacteriaCode and BacteriaName"
      },
      {
        "id": "Condition.extension:pathogen.valueCodeableConcept:valueCodeableConcept.coding.system",
        "path": "Condition.extension.valueCodeableConcept.coding.system",
        "definition": "A system url that resolves to http://metait.de/ipss/%KUNDE%/cs1/Pathogen"
      },
      {
        "id": "Condition.identifier",
        "path": "Condition.identifier",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "system"
            }
          ],
          "rules": "open"
        },
        "min": 1
      },
      {
        "id": "Condition.identifier:medicoResourceId",
        "path": "Condition.identifier",
        "sliceName": "medicoResourceId",
        "definition": "An identifier for medico internal resources, this will not be present if just created by another partner system like MetaIt IPSS",
        "max": "1",
        "type": [
          {
            "code": "Identifier",
            "profile": "http://medico-emr.net/stu3/sd/Identifier-medicoResourceId-1"
          }
        ]
      },
      {
        "id": "Condition.identifier:medicoResourceId.system",
        "path": "Condition.identifier.system",
        "comment": "Dynamically resolved for validation\r\n--FixedValue=http://medico-emr.net/%KUNDE%/sid1/InfectionIPSS"
      },
      {
        "id": "Condition.identifier:MetaItIPSSResourceId",
        "path": "Condition.identifier",
        "sliceName": "MetaItIPSSResourceId",
        "definition": "unique id generated by IPSS. can be used to retrieve the condition-infection from a IPSS Fhir service",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Condition.identifier:MetaItIPSSResourceId.id",
        "path": "Condition.identifier.id",
        "max": "0"
      },
      {
        "id": "Condition.identifier:MetaItIPSSResourceId.use",
        "path": "Condition.identifier.use",
        "max": "0"
      },
      {
        "id": "Condition.identifier:MetaItIPSSResourceId.type",
        "path": "Condition.identifier.type",
        "max": "0"
      },
      {
        "id": "Condition.identifier:MetaItIPSSResourceId.system",
        "path": "Condition.identifier.system",
        "min": 1,
        "fixedUri": "http://metait.de/ipss/def/sid/Infection"
      },
      {
        "id": "Condition.identifier:MetaItIPSSResourceId.value",
        "path": "Condition.identifier.value",
        "definition": "identifyer of the infection within MetaIt IPSS\r\nproperty: SpotId",
        "min": 1
      },
      {
        "id": "Condition.identifier:MetaItIPSSResourceId.period",
        "path": "Condition.identifier.period",
        "max": "0"
      },
      {
        "id": "Condition.identifier:MetaItIPSSResourceId.assigner",
        "path": "Condition.identifier.assigner",
        "max": "0"
      },
      {
        "id": "Condition.clinicalStatus",
        "path": "Condition.clinicalStatus",
        "short": "active | resolved",
        "definition": "The clinical status of the infection."
      },
      {
        "id": "Condition.verificationStatus",
        "path": "Condition.verificationStatus",
        "short": "entered-in-error | unknown",
        "definition": "medico:  (1) in case of an infection provided by IPSS with the flag \"IsDeleted=true\" will be mapped to \"entered-in-error\" - otherwise allways \"unknown\""
      },
      {
        "id": "Condition.category",
        "path": "Condition.category",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Condition.category.id",
        "path": "Condition.category.id",
        "max": "0"
      },
      {
        "id": "Condition.category.coding",
        "path": "Condition.category.coding",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Condition.category.coding.id",
        "path": "Condition.category.coding.id",
        "max": "0"
      },
      {
        "id": "Condition.category.coding.system",
        "path": "Condition.category.coding.system",
        "min": 1,
        "fixedUri": "http://medico-emr.net/cs1"
      },
      {
        "id": "Condition.category.coding.version",
        "path": "Condition.category.coding.version",
        "max": "0"
      },
      {
        "id": "Condition.category.coding.code",
        "path": "Condition.category.coding.code",
        "min": 1,
        "fixedCode": "Infection"
      },
      {
        "id": "Condition.category.coding.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Condition.category.coding.display",
        "max": "0"
      },
      {
        "id": "Condition.category.coding.userSelected",
        "path": "Condition.category.coding.userSelected",
        "max": "0"
      },
      {
        "id": "Condition.category.text",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Condition.category.text",
        "max": "0"
      },
      {
        "id": "Condition.severity",
        "path": "Condition.severity",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "coding.system"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Condition.severity:MetaIPSSSeverity",
        "path": "Condition.severity",
        "sliceName": "MetaIPSSSeverity",
        "definition": "severity provided by MetaIt IPSS"
      },
      {
        "id": "Condition.severity:MetaIPSSSeverity.id",
        "path": "Condition.severity.id",
        "max": "0"
      },
      {
        "id": "Condition.severity:MetaIPSSSeverity.coding",
        "path": "Condition.severity.coding",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Condition.severity:MetaIPSSSeverity.coding.id",
        "path": "Condition.severity.coding.id",
        "max": "0"
      },
      {
        "id": "Condition.severity:MetaIPSSSeverity.coding.system",
        "path": "Condition.severity.coding.system",
        "min": 1,
        "fixedUri": "http://metait.de/ipss/def/cs1/Severity"
      },
      {
        "id": "Condition.severity:MetaIPSSSeverity.coding.version",
        "path": "Condition.severity.coding.version",
        "max": "0"
      },
      {
        "id": "Condition.severity:MetaIPSSSeverity.coding.code",
        "path": "Condition.severity.coding.code",
        "definition": "One of the following codes\r\n- NoInfection\r\n- Colonisation\r\n- Infection\r\n- SevereInfection",
        "min": 1
      },
      {
        "id": "Condition.severity:MetaIPSSSeverity.coding.userSelected",
        "path": "Condition.severity.coding.userSelected",
        "max": "0"
      },
      {
        "id": "Condition.severity:MetaIPSSSeverity.text",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Condition.severity.text",
        "max": "0"
      },
      {
        "id": "Condition.severity:medicoSeverity",
        "path": "Condition.severity",
        "sliceName": "medicoSeverity"
      },
      {
        "id": "Condition.severity:medicoSeverity.id",
        "path": "Condition.severity.id",
        "max": "0"
      },
      {
        "id": "Condition.severity:medicoSeverity.coding",
        "path": "Condition.severity.coding",
        "min": 1,
        "max": "1",
        "binding": {
          "strength": "preferred",
          "valueSetUri": "http://medico-emr.net/stu3/vs/Condition-Infection-Severity-1"
        }
      },
      {
        "id": "Condition.severity:medicoSeverity.coding.id",
        "path": "Condition.severity.coding.id",
        "max": "0"
      },
      {
        "id": "Condition.severity:medicoSeverity.coding.system",
        "path": "Condition.severity.coding.system",
        "min": 1,
        "fixedUri": "http://medico-emr.net/cs1"
      },
      {
        "id": "Condition.severity:medicoSeverity.coding.version",
        "path": "Condition.severity.coding.version",
        "max": "0"
      },
      {
        "id": "Condition.severity:medicoSeverity.coding.code",
        "path": "Condition.severity.coding.code",
        "definition": "severity code defined by http://medico-emr.net/stu3/vs/Condition-Infection-Severity-1",
        "min": 1
      },
      {
        "id": "Condition.severity:medicoSeverity.coding.userSelected",
        "path": "Condition.severity.coding.userSelected",
        "max": "0"
      },
      {
        "id": "Condition.severity:medicoSeverity.text",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Condition.severity.text",
        "max": "0"
      },
      {
        "id": "Condition.code",
        "path": "Condition.code",
        "definition": "Infection Code provided by IPSS - property Code",
        "min": 1
      },
      {
        "id": "Condition.code.id",
        "path": "Condition.code.id",
        "max": "0"
      },
      {
        "id": "Condition.code.coding",
        "path": "Condition.code.coding",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Condition.code.coding.id",
        "path": "Condition.code.coding.id",
        "max": "0"
      },
      {
        "id": "Condition.code.coding.system",
        "path": "Condition.code.coding.system",
        "definition": "A system url that resolves to http://metait.de/ipss/%KUNDE%/cs1/Infection",
        "min": 1
      },
      {
        "id": "Condition.code.coding.version",
        "path": "Condition.code.coding.version",
        "max": "0"
      },
      {
        "id": "Condition.code.coding.code",
        "path": "Condition.code.coding.code",
        "definition": "the code for the given infection, \r\nIPSS property Code",
        "min": 1
      },
      {
        "id": "Condition.code.coding.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Condition.code.coding.display",
        "definition": "text for the given infection\r\nIPSS property Name",
        "min": 1
      },
      {
        "id": "Condition.code.coding.userSelected",
        "path": "Condition.code.coding.userSelected",
        "max": "0"
      },
      {
        "id": "Condition.code.text",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Condition.code.text",
        "definition": "medico: Plain text description of the infection"
      },
      {
        "id": "Condition.bodySite",
        "path": "Condition.bodySite",
        "definition": "The anatomical location where this condition manifests itself. Provided by MetaIt IPSS",
        "max": "1"
      },
      {
        "id": "Condition.bodySite.id",
        "path": "Condition.bodySite.id",
        "max": "0"
      },
      {
        "id": "Condition.bodySite.coding",
        "path": "Condition.bodySite.coding",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Condition.bodySite.coding.id",
        "path": "Condition.bodySite.coding.id",
        "max": "0"
      },
      {
        "id": "Condition.bodySite.coding.system",
        "path": "Condition.bodySite.coding.system",
        "definition": "http://metait.de/ipss/%KUNDE%/cs1/Localization",
        "comment": "Dynamically resolved for validation\r\n--FixedValue=http://metait.de/ipss/%KUNDE%/cs1/Localization",
        "min": 1
      },
      {
        "id": "Condition.bodySite.coding.version",
        "path": "Condition.bodySite.coding.version",
        "max": "0"
      },
      {
        "id": "Condition.bodySite.coding.code",
        "path": "Condition.bodySite.coding.code",
        "definition": "code provided by MetaIt IPSS which specifies the localization \r\nproperty: LocalizationCode",
        "min": 1
      },
      {
        "id": "Condition.bodySite.coding.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Condition.bodySite.coding.display",
        "definition": "displaytext for the localization provided by MetaIt IPSS\r\nproperty: LocalizationName",
        "min": 1
      },
      {
        "id": "Condition.bodySite.coding.userSelected",
        "path": "Condition.bodySite.coding.userSelected",
        "max": "0"
      },
      {
        "id": "Condition.bodySite.text",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Condition.bodySite.text",
        "max": "0"
      },
      {
        "id": "Condition.subject",
        "path": "Condition.subject",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Patient"
          }
        ]
      },
      {
        "id": "Condition.subject.id",
        "path": "Condition.subject.id",
        "max": "0"
      },
      {
        "id": "Condition.subject.identifier.id",
        "path": "Condition.subject.identifier.id",
        "max": "0"
      },
      {
        "id": "Condition.subject.identifier.use",
        "path": "Condition.subject.identifier.use",
        "max": "0"
      },
      {
        "id": "Condition.subject.identifier.type",
        "path": "Condition.subject.identifier.type",
        "max": "0"
      },
      {
        "id": "Condition.subject.identifier.period",
        "path": "Condition.subject.identifier.period",
        "max": "0"
      },
      {
        "id": "Condition.subject.identifier.assigner",
        "path": "Condition.subject.identifier.assigner",
        "max": "0"
      },
      {
        "id": "Condition.subject.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Condition.subject.display",
        "max": "0"
      },
      {
        "id": "Condition.context",
        "path": "Condition.context",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Encounter"
          }
        ]
      },
      {
        "id": "Condition.context.id",
        "path": "Condition.context.id",
        "max": "0"
      },
      {
        "id": "Condition.context.identifier.id",
        "path": "Condition.context.identifier.id",
        "max": "0"
      },
      {
        "id": "Condition.context.identifier.use",
        "path": "Condition.context.identifier.use",
        "max": "0"
      },
      {
        "id": "Condition.context.identifier.type",
        "path": "Condition.context.identifier.type",
        "max": "0"
      },
      {
        "id": "Condition.context.identifier.period",
        "path": "Condition.context.identifier.period",
        "max": "0"
      },
      {
        "id": "Condition.context.identifier.assigner",
        "path": "Condition.context.identifier.assigner",
        "max": "0"
      },
      {
        "id": "Condition.context.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Condition.context.display",
        "max": "0"
      },
      {
        "id": "Condition.onset[x]:onsetDateTime",
        "path": "Condition.onsetDateTime",
        "sliceName": "onsetDateTime",
        "definition": "medico: initial start of the infection",
        "max": "0",
        "type": [
          {
            "code": "dateTime"
          }
        ]
      },
      {
        "id": "Condition.abatement[x]:abatementDateTime",
        "path": "Condition.abatementDateTime",
        "sliceName": "abatementDateTime",
        "type": [
          {
            "code": "dateTime"
          }
        ]
      },
      {
        "id": "Condition.abatement[x]:abatementDateTime.id",
        "path": "Condition.abatementDateTime.id",
        "max": "0"
      },
      {
        "id": "Condition.assertedDate",
        "path": "Condition.assertedDate",
        "definition": "MetaIt IPSS: Date property provided"
      },
      {
        "id": "Condition.asserter",
        "path": "Condition.asserter",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://medico-emr.net/stu3/sd/Practitioner-User-1"
          }
        ]
      },
      {
        "id": "Condition.asserter.id",
        "path": "Condition.asserter.id",
        "max": "0"
      },
      {
        "id": "Condition.asserter.reference",
        "path": "Condition.asserter.reference",
        "definition": "a reference to the user in medico who made the condition statement.\r\nFormat: Practitioner/User-######, wher ##### is the username of the medico user",
        "min": 1
      },
      {
        "id": "Condition.asserter.identifier",
        "path": "Condition.asserter.identifier",
        "max": "0"
      },
      {
        "id": "Condition.asserter.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "Condition.asserter.display",
        "max": "0"
      },
      {
        "id": "Condition.stage",
        "path": "Condition.stage",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "summary.coding.system"
            }
          ],
          "rules": "open"
        },
        "definition": "medico: possible stage for the infection resource is that medical isolation of the patient is necessary - which is expressed through summary.coding"
      },
      {
        "id": "Condition.stage:isolationStage",
        "path": "Condition.stage",
        "sliceName": "isolationStage",
        "definition": "medico: Encodes if a medical isolation of the patient is required"
      },
      {
        "id": "Condition.stage:isolationStage.id",
        "path": "Condition.stage.id",
        "max": "0"
      },
      {
        "id": "Condition.stage:isolationStage.summary",
        "path": "Condition.stage.summary",
        "definition": "medico: Encodes if a medical isolation of the patient is required",
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "ConditionStage"
            }
          ],
          "strength": "preferred",
          "valueSetReference": {
            "reference": "http://medico-emr.net/stu3/vs/Condition-InfectionIPSS-medicalIsolation-1"
          }
        }
      },
      {
        "id": "Condition.stage:isolationStage.summary.id",
        "path": "Condition.stage.summary.id",
        "max": "0"
      },
      {
        "id": "Condition.stage:isolationStage.summary.coding.id",
        "path": "Condition.stage.summary.coding.id",
        "max": "0"
      },
      {
        "id": "Condition.stage:isolationStage.summary.coding.system",
        "path": "Condition.stage.summary.coding.system",
        "min": 1,
        "fixedUri": "http://medico-emr.net/cs1"
      },
      {
        "id": "Condition.stage:isolationStage.summary.coding.version",
        "path": "Condition.stage.summary.coding.version",
        "max": "0"
      },
      {
        "id": "Condition.stage:isolationStage.summary.coding.code",
        "path": "Condition.stage.summary.coding.code",
        "definition": "see valueset binding: http://medico-emr.net/stu3/vs/Condition-InfectionIPSS-medicalIsolation-1\r\nValid codes are:\r\nIsolationRequired  or   NoIsolationRequired",
        "min": 1
      },
      {
        "id": "Condition.stage:isolationStage.summary.coding.display",
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        "id": "Condition.evidence:MetaItIPSSSubstratum.code.coding.system",
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        "definition": "code provided by MetaIt IPSS which specifies the given substratum\r\nproperty: SubstanceCode",
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        "id": "Condition.note",
        "path": "Condition.note",
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        "max": "1"
      },
      {
        "id": "Condition.note.id",
        "path": "Condition.note.id",
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      },
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        "id": "Condition.note.author[x]:authorReference",
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            "code": "Reference",
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        ]
      },
      {
        "id": "Condition.note.time",
        "path": "Condition.note.time",
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    ]
  }
}