{
  "resourceType": "StructureDefinition",
  "meta": {
    "lastUpdated": "2022-08-02T09:13:41.902+00:00"
  },
  "url": "https://medico-emr.net/medico/r4/sd/Condition_Diagnosis_1",
  "name": "Condition_Diagnosis_1",
  "status": "active",
  "date": "2019-02-08T11:17:44.9005795+00:00",
  "description": "A condition resource based on this profile represents a diagnosis entered in medico.\r\nTable: x1280dia.control where control<1000",
  "fhirVersion": "4.0.0",
  "kind": "resource",
  "abstract": false,
  "type": "Condition",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Condition",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Condition",
        "path": "Condition",
        "definition": "A FHIR resource of this profile represents a diganosis"
      },
      {
        "id": "Condition.id",
        "path": "Condition.id",
        "short": "Format: Diag-####",
        "definition": "Format: Diag-####, where #### is x1280dia.dia",
        "min": 1
      },
      {
        "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.source",
        "path": "Condition.meta.source",
        "max": "0"
      },
      {
        "id": "Condition.meta.profile",
        "path": "Condition.meta.profile",
        "min": 1,
        "max": "1",
        "fixedCanonical": "https://medico-emr.net/medico/r4/sd/Condition_Diagnosis_1"
      },
      {
        "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"
        },
        "min": 2
      },
      {
        "id": "Condition.extension:createChangeInfo",
        "path": "Condition.extension",
        "sliceName": "createChangeInfo",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://medico-emr.net/medico/r4/sd/ext/MetaCreateChangeInfo_1"
            ]
          }
        ]
      },
      {
        "id": "Condition.extension:diagnosisAttributes",
        "path": "Condition.extension",
        "sliceName": "diagnosisAttributes",
        "min": 0,
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://medico-emr.net/medico/r4/sd/ext/Condition_DiagnosisAttributes_1"
            ]
          }
        ]
      },
      {
        "id": "Condition.extension:diagnosisWorkflow",
        "path": "Condition.extension",
        "sliceName": "diagnosisWorkflow",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://medico-emr.net/medico/r4/sd/ext/Condition_DiagnosisWorkflow_1"
            ]
          }
        ]
      },
      {
        "id": "Condition.extension:diagnosingOrganization",
        "path": "Condition.extension",
        "sliceName": "diagnosingOrganization",
        "min": 0,
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://medico-emr.net/medico/r4/sd/ext/Condition_DiagnosingOrganization_1"
            ]
          }
        ]
      },
      {
        "id": "Condition.extension:dueTo",
        "path": "Condition.extension",
        "sliceName": "dueTo",
        "definition": "Used in ICD10 coding - the condition resource holding the secondary diagnosis points to the condition resource holding the primary diagnosis.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/condition-dueTo"
            ]
          }
        ]
      },
      {
        "id": "Condition.extension:dueTo.id",
        "path": "Condition.extension.id",
        "max": "0"
      },
      {
        "id": "Condition.extension:dueTo.value[x]",
        "path": "Condition.extension.value[x]",
        "type": [
          {
            "code": "Reference"
          }
        ]
      },
      {
        "id": "Condition.extension:dueTo.value[x].id",
        "path": "Condition.extension.value[x].id",
        "max": "0"
      },
      {
        "id": "Condition.extension:dueTo.value[x].reference",
        "path": "Condition.extension.value[x].reference",
        "min": 1
      },
      {
        "id": "Condition.extension:dueTo.value[x].type",
        "path": "Condition.extension.value[x].type",
        "min": 1,
        "fixedUri": "Condition"
      },
      {
        "id": "Condition.extension:dueTo.value[x].identifier",
        "path": "Condition.extension.value[x].identifier",
        "min": 1
      },
      {
        "id": "Condition.extension:dueTo.value[x].identifier.id",
        "path": "Condition.extension.value[x].identifier.id",
        "max": "0"
      },
      {
        "id": "Condition.extension:dueTo.value[x].identifier.use",
        "path": "Condition.extension.value[x].identifier.use",
        "max": "0"
      },
      {
        "id": "Condition.extension:dueTo.value[x].identifier.type",
        "path": "Condition.extension.value[x].identifier.type",
        "max": "0"
      },
      {
        "id": "Condition.extension:dueTo.value[x].identifier.system",
        "path": "Condition.extension.value[x].identifier.system",
        "comment": "Dynamically resolved for validation\r\n--FixedValue=https://medico-emr.net/medico/%KUNDE%/sid1/Diag",
        "min": 1
      },
      {
        "id": "Condition.extension:dueTo.value[x].identifier.value",
        "path": "Condition.extension.value[x].identifier.value",
        "definition": "The portion of the identifier typically relevant to the user and which is unique within the context of the system.\r\nx1280dia.dia",
        "min": 1
      },
      {
        "id": "Condition.extension:dueTo.value[x].identifier.period",
        "path": "Condition.extension.value[x].identifier.period",
        "max": "0"
      },
      {
        "id": "Condition.extension:dueTo.value[x].identifier.assigner",
        "path": "Condition.extension.value[x].identifier.assigner",
        "max": "0"
      },
      {
        "id": "Condition.extension:dueTo.value[x].display",
        "path": "Condition.extension.value[x].display",
        "max": "0"
      },
      {
        "id": "Condition.identifier",
        "path": "Condition.identifier",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "system"
            }
          ],
          "rules": "open"
        },
        "max": "1"
      },
      {
        "id": "Condition.identifier:medicoResourceId",
        "path": "Condition.identifier",
        "sliceName": "medicoResourceId",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Identifier",
            "profile": [
              "https://medico-emr.net/medico/r4/sd/Identifier_medicoResourceId_1"
            ]
          }
        ]
      },
      {
        "id": "Condition.identifier:medicoResourceId.system",
        "path": "Condition.identifier.system",
        "comment": "see http://en.wikipedia.org/wiki/Uniform_resource_identifier\r\nDynamically resolved for validation\r\n--FixedValue=https://medico-emr.net/medico/%KUNDE%/sid1/Diag"
      },
      {
        "id": "Condition.clinicalStatus.id",
        "path": "Condition.clinicalStatus.id",
        "max": "0"
      },
      {
        "id": "Condition.clinicalStatus.coding",
        "path": "Condition.clinicalStatus.coding",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Condition.clinicalStatus.coding.id",
        "path": "Condition.clinicalStatus.coding.id",
        "max": "0"
      },
      {
        "id": "Condition.clinicalStatus.coding.system",
        "path": "Condition.clinicalStatus.coding.system",
        "min": 1,
        "fixedUri": "http://terminology.hl7.org/CodeSystem/condition-clinical"
      },
      {
        "id": "Condition.clinicalStatus.coding.version",
        "path": "Condition.clinicalStatus.coding.version",
        "max": "0"
      },
      {
        "id": "Condition.clinicalStatus.coding.code",
        "path": "Condition.clinicalStatus.coding.code",
        "min": 1,
        "fixedCode": "active"
      },
      {
        "id": "Condition.clinicalStatus.coding.display",
        "path": "Condition.clinicalStatus.coding.display",
        "max": "0"
      },
      {
        "id": "Condition.clinicalStatus.coding.userSelected",
        "path": "Condition.clinicalStatus.coding.userSelected",
        "max": "0"
      },
      {
        "id": "Condition.clinicalStatus.text",
        "path": "Condition.clinicalStatus.text",
        "max": "0"
      },
      {
        "id": "Condition.verificationStatus",
        "path": "Condition.verificationStatus",
        "short": "confirmed",
        "definition": "The verification status to support the clinical status of the condition.\r\nmedico provides only confirmed"
      },
      {
        "id": "Condition.verificationStatus.id",
        "path": "Condition.verificationStatus.id",
        "max": "0"
      },
      {
        "id": "Condition.verificationStatus.coding",
        "path": "Condition.verificationStatus.coding",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Condition.verificationStatus.coding.id",
        "path": "Condition.verificationStatus.coding.id",
        "max": "0"
      },
      {
        "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.version",
        "path": "Condition.verificationStatus.coding.version",
        "max": "0"
      },
      {
        "id": "Condition.verificationStatus.coding.code",
        "path": "Condition.verificationStatus.coding.code",
        "min": 1,
        "fixedCode": "confirmed"
      },
      {
        "id": "Condition.verificationStatus.coding.display",
        "path": "Condition.verificationStatus.coding.display",
        "max": "0"
      },
      {
        "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",
        "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": "https://medico-emr.net/medico/cs/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": "Diagnosis"
      },
      {
        "id": "Condition.category.coding.display",
        "path": "Condition.category.coding.display",
        "max": "0"
      },
      {
        "id": "Condition.category.coding.userSelected",
        "path": "Condition.category.coding.userSelected",
        "max": "0"
      },
      {
        "id": "Condition.category.text",
        "path": "Condition.category.text",
        "max": "0"
      },
      {
        "id": "Condition.severity",
        "path": "Condition.severity",
        "definition": "Provides a rough ranking based on x1280dia.sortseq (not a number, a text).\r\nWhen sorted across all diagnosis - results in an invidual hierarchy",
        "min": 1
      },
      {
        "id": "Condition.severity.id",
        "path": "Condition.severity.id",
        "max": "0"
      },
      {
        "id": "Condition.severity.coding",
        "path": "Condition.severity.coding",
        "max": "0"
      },
      {
        "id": "Condition.severity.text",
        "path": "Condition.severity.text",
        "definition": "provides rough ranking of the diagnosis (x1280dia.sortseq)\r\ni.e. by sorting all diagnosis using this value the ranks of the conditions relative to others can be computed",
        "min": 1
      },
      {
        "id": "Condition.code",
        "path": "Condition.code",
        "min": 1
      },
      {
        "id": "Condition.code.id",
        "path": "Condition.code.id",
        "max": "0"
      },
      {
        "id": "Condition.code.coding",
        "path": "Condition.code.coding",
        "slicing": {
          "discriminator": [
            {
              "type": "profile",
              "path": "extension('https://medico-emr.net/medico/r4/sd/Condition_Diagnosis_ICD10Coding')"
            },
            {
              "type": "profile",
              "path": "extension('https://medico-emr.net/medico/r4/sd/Condition_Diagnosis_BasicCoding')"
            }
          ],
          "rules": "open"
        },
        "min": 1,
        "max": "1"
      },
      {
        "id": "Condition.code.coding:ICD10Coding",
        "path": "Condition.code.coding",
        "sliceName": "ICD10Coding",
        "max": "1",
        "type": [
          {
            "code": "Coding",
            "profile": [
              "https://medico-emr.net/medico/r4/sd/Condition_Diagnosis_ICD10Coding"
            ]
          }
        ]
      },
      {
        "id": "Condition.code.coding:basicCoding",
        "path": "Condition.code.coding",
        "sliceName": "basicCoding",
        "definition": "coding in a basic way, for clients who do not support \"Basisprofil-DE\" - \"ICD-10-GM\"",
        "max": "1",
        "type": [
          {
            "code": "Coding",
            "profile": [
              "https://medico-emr.net/medico/r4/sd/Condition_Diagnosis_BasicCoding"
            ]
          }
        ]
      },
      {
        "id": "Condition.code.text",
        "path": "Condition.code.text",
        "definition": "A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.\r\nmedico: x1280dia.text",
        "min": 1
      },
      {
        "id": "Condition.bodySite",
        "path": "Condition.bodySite",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "coding.system"
            }
          ],
          "rules": "open"
        },
        "definition": "The anatomical location where this condition manifests itself. in case of a multiple / combination code, bodysite is taken from secondary diagnosis first, if there is no bodysite at secondary diagnosis bodysite is taken from primary diagnosis",
        "max": "1"
      },
      {
        "id": "Condition.bodySite:Bodysite-LRB",
        "path": "Condition.bodySite",
        "sliceName": "Bodysite-LRB",
        "definition": "Provides if a diagnosis appear on \"L\"eft, \"R\"ight or \"B\"oth sides\r\nBelow /Bodysite/LRB/*",
        "max": "1",
        "binding": {
          "strength": "preferred",
          "valueSet": "http://fhir.de/ValueSet/kbv/s-icd-seitenlokalisation"
        }
      },
      {
        "id": "Condition.bodySite:Bodysite-LRB.id",
        "path": "Condition.bodySite.id",
        "max": "0"
      },
      {
        "id": "Condition.bodySite:Bodysite-LRB.coding",
        "path": "Condition.bodySite.coding",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Condition.bodySite:Bodysite-LRB.coding.id",
        "path": "Condition.bodySite.coding.id",
        "max": "0"
      },
      {
        "id": "Condition.bodySite:Bodysite-LRB.coding.system",
        "path": "Condition.bodySite.coding.system",
        "min": 1,
        "fixedUri": "http://fhir.de/CodeSystem/kbv/s-icd-seitenlokalisation"
      },
      {
        "id": "Condition.bodySite:Bodysite-LRB.coding.version",
        "path": "Condition.bodySite.coding.version",
        "max": "0"
      },
      {
        "id": "Condition.bodySite:Bodysite-LRB.coding.code",
        "path": "Condition.bodySite.coding.code",
        "definition": "medico: L, R or B (left, rigt, both sides)",
        "min": 1
      },
      {
        "id": "Condition.bodySite:Bodysite-LRB.coding.display",
        "path": "Condition.bodySite.coding.display",
        "max": "0"
      },
      {
        "id": "Condition.bodySite:Bodysite-LRB.coding.userSelected",
        "path": "Condition.bodySite.coding.userSelected",
        "max": "0"
      },
      {
        "id": "Condition.subject",
        "path": "Condition.subject",
        "min": 1,
        "type": [
          {
            "code": "Reference",
            "profile": [
              "https://medico-emr.net/medico/r4/sd/Reference_SubjectPatient_1"
            ],
            "targetProfile": [
              "https://medico-emr.net/medico/r4/sd/Patient_Patient_1"
            ]
          }
        ]
      },
      {
        "id": "Condition.encounter",
        "path": "Condition.encounter",
        "min": 1,
        "type": [
          {
            "code": "Reference",
            "profile": [
              "https://medico-emr.net/medico/r4/sd/Reference_ContextEncounter_1"
            ],
            "targetProfile": [
              "https://medico-emr.net/medico/r4/sd/Encounter_Case_1"
            ],
            "aggregation": [
              "referenced"
            ]
          }
        ]
      },
      {
        "id": "Condition.onset[x]",
        "path": "Condition.onset[x]",
        "max": "0",
        "type": [
          {
            "code": "dateTime"
          }
        ]
      },
      {
        "id": "Condition.abatement[x]",
        "path": "Condition.abatement[x]",
        "max": "0"
      },
      {
        "id": "Condition.recordedDate",
        "path": "Condition.recordedDate",
        "definition": "if provided - that date of surgery for which this diagnosis was created"
      },
      {
        "id": "Condition.recorder",
        "path": "Condition.recorder",
        "max": "0"
      },
      {
        "id": "Condition.asserter",
        "path": "Condition.asserter",
        "definition": "reference to create or change user",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://medico-emr.net/medico/r4/sd/Practitioner_User_1"
            ]
          }
        ]
      },
      {
        "id": "Condition.asserter.id",
        "path": "Condition.asserter.id",
        "max": "0"
      },
      {
        "id": "Condition.asserter.type",
        "path": "Condition.asserter.type",
        "fixedUri": "Practitioner"
      },
      {
        "id": "Condition.asserter.identifier",
        "path": "Condition.asserter.identifier",
        "max": "0"
      },
      {
        "id": "Condition.asserter.display",
        "path": "Condition.asserter.display",
        "max": "0"
      },
      {
        "id": "Condition.stage",
        "path": "Condition.stage",
        "max": "0"
      },
      {
        "id": "Condition.evidence",
        "path": "Condition.evidence",
        "max": "0"
      },
      {
        "id": "Condition.note",
        "path": "Condition.note",
        "max": "0"
      }
    ]
  }
}