{
  "resourceType": "StructureDefinition",
  "url": "https://www.medizininformatik-initiative.de/fhir/core/StructureDefinition/Diagnose",
  "version": "0.9",
  "name": "Diagnose",
  "status": "draft",
  "description": "Dieses Profil beschreibt eine Diagnose der Medizininformatik Initiative",
  "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",
        "constraint": [
          {
            "key": "icd-1",
            "severity": "warning",
            "human": "Bei Angabe eines Codes in der Haupt-Kreuz-Extension, muss dieser auch Bestandteil des postkoordinierten ICD-Codes sein!",
            "expression": "extension('https://www.medizininformatik-initiative.de/fhir/core/StructureDefinition/icd-10-gm-primaercode').empty() or code.contains($this.extension('https://www.medizininformatik-initiative.de/fhir/core/StructureDefinition/icd-10-gm-primaercode').value.code)"
          },
          {
            "key": "icd-2",
            "severity": "warning",
            "human": "Bei Angabe eines Codes in der Stern-Extension, muss dieser auch Bestandteil des postkoordinierten ICD-Codes sein!",
            "expression": "extension('https://www.medizininformatik-initiative.de/fhir/core/StructureDefinition/icd-10-gm-manifestation').empty() or code.contains($this.extension('https://www.medizininformatik-initiative.de/fhir/core/StructureDefinition/icd-10-gm-manifestation').value.code)"
          },
          {
            "key": "icd-3",
            "severity": "warning",
            "human": "Bei Angabe eines Codes in der Ausrufezeichen-Extension, muss dieser auch Bestandteil des postkoordinierten ICD-Codes sein!",
            "expression": "extension('http://fhir.de/StructureDefinition/icd-10-gm-ausrufezeichen').empty() or code.contains($this.extension('http://fhir.de/StructureDefinition/icd-10-gm-ausrufezeichen').value.code)"
          }
        ]
      },
      {
        "id": "Condition.id",
        "path": "Condition.id",
        "mustSupport": true
      },
      {
        "id": "Condition.meta",
        "path": "Condition.meta",
        "mustSupport": true
      },
      {
        "id": "Condition.meta.source",
        "path": "Condition.meta.source",
        "mustSupport": true
      },
      {
        "id": "Condition.meta.profile",
        "path": "Condition.meta.profile",
        "mustSupport": true
      },
      {
        "id": "Condition.clinicalStatus",
        "path": "Condition.clinicalStatus",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Condition.code",
        "path": "Condition.code",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Condition.code.coding",
        "path": "Condition.code.coding",
        "slicing": {
          "discriminator": [
            {
              "type": "pattern",
              "path": "system"
            }
          ],
          "rules": "open"
        },
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Condition.code.coding:icd10-gm",
        "path": "Condition.code.coding",
        "sliceName": "icd10-gm",
        "max": "1",
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "valueSet": "http://fhir.de/ValueSet/dimdi/icd-10-gm"
        }
      },
      {
        "id": "Condition.code.coding:icd10-gm.extension",
        "path": "Condition.code.coding.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Condition.code.coding:icd10-gm.extension:Diagnosesicherheit",
        "path": "Condition.code.coding.extension",
        "sliceName": "Diagnosesicherheit",
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Condition.code.coding:icd10-gm.extension:Seitenlokalisation",
        "path": "Condition.code.coding.extension",
        "sliceName": "Seitenlokalisation",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://fhir.de/StructureDefinition/seitenlokalisation"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Condition.code.coding:icd10-gm.extension:AusrufezeichenCode",
        "path": "Condition.code.coding.extension",
        "sliceName": "AusrufezeichenCode",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://fhir.de/StructureDefinition/icd-10-gm-ausrufezeichen"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Condition.code.coding:icd10-gm.extension:ManifestationsCode",
        "path": "Condition.code.coding.extension",
        "sliceName": "ManifestationsCode",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://www.medizininformatik-initiative.de/fhir/core/StructureDefinition/icd-10-gm-manifestation"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Condition.code.coding:icd10-gm.extension:Primaercode",
        "path": "Condition.code.coding.extension",
        "sliceName": "Primaercode",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://www.medizininformatik-initiative.de/fhir/core/StructureDefinition/icd-10-gm-primaercode"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Condition.code.coding:icd10-gm.system",
        "path": "Condition.code.coding.system",
        "min": 1,
        "patternUri": "http://fhir.de/CodeSystem/dimdi/icd-10-gm",
        "mustSupport": true
      },
      {
        "id": "Condition.code.coding:icd10-gm.version",
        "path": "Condition.code.coding.version",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Condition.code.coding:icd10-gm.code",
        "path": "Condition.code.coding.code",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Condition.code.coding:alpha-id",
        "path": "Condition.code.coding",
        "sliceName": "alpha-id",
        "max": "1",
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "valueSet": "http://fhir.de/ValueSet/dimdi/alpha-id"
        }
      },
      {
        "id": "Condition.code.coding:alpha-id.system",
        "path": "Condition.code.coding.system",
        "min": 1,
        "patternUri": "http://fhir.de/CodeSystem/dimdi/alpha-id",
        "mustSupport": true
      },
      {
        "id": "Condition.code.coding:alpha-id.code",
        "path": "Condition.code.coding.code",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Condition.code.coding:sct",
        "path": "Condition.code.coding",
        "sliceName": "sct",
        "max": "1",
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "valueSet": "https://www.medizininformatik-initiative.de/fhir/core/ValueSet/diagnoses-sct"
        }
      },
      {
        "id": "Condition.code.coding:sct.system",
        "path": "Condition.code.coding.system",
        "min": 1,
        "patternUri": "http://snomed.info/sct",
        "mustSupport": true
      },
      {
        "id": "Condition.code.coding:sct.code",
        "path": "Condition.code.coding.code",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Condition.code.coding:orphanet",
        "path": "Condition.code.coding",
        "sliceName": "orphanet",
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Condition.code.coding:orphanet.system",
        "path": "Condition.code.coding.system",
        "min": 1,
        "patternUri": "http://www.orpha.net",
        "mustSupport": true
      },
      {
        "id": "Condition.code.coding:orphanet.code",
        "path": "Condition.code.coding.code",
        "min": 1
      },
      {
        "id": "Condition.bodySite",
        "path": "Condition.bodySite",
        "mustSupport": true
      },
      {
        "id": "Condition.bodySite.coding",
        "path": "Condition.bodySite.coding",
        "slicing": {
          "discriminator": [
            {
              "type": "pattern",
              "path": "system"
            }
          ],
          "rules": "open"
        },
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Condition.bodySite.coding:snomed-ct",
        "path": "Condition.bodySite.coding",
        "sliceName": "snomed-ct",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Condition.bodySite.coding:snomed-ct.system",
        "path": "Condition.bodySite.coding.system",
        "min": 1,
        "patternUri": "http://snomed.info/sct",
        "mustSupport": true
      },
      {
        "id": "Condition.bodySite.coding:snomed-ct.code",
        "path": "Condition.bodySite.coding.code",
        "min": 1
      },
      {
        "id": "Condition.subject",
        "path": "Condition.subject",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "profile": [
              "https://www.medizininformatik-initiative.de/fhir/core/StructureDefinition/MII-Reference"
            ],
            "targetProfile": [
              "https://www.medizininformatik-initiative.de/fhir/core/StructureDefinition/Patient"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Condition.encounter",
        "path": "Condition.encounter",
        "max": "0"
      },
      {
        "id": "Condition.onset[x]",
        "path": "Condition.onset[x]",
        "slicing": {
          "discriminator": [
            {
              "type": "type",
              "path": "$this"
            }
          ],
          "rules": "closed"
        },
        "min": 1,
        "type": [
          {
            "code": "dateTime"
          },
          {
            "code": "Period"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Condition.onset[x]:onsetPeriod",
        "path": "Condition.onset[x]",
        "sliceName": "onsetPeriod",
        "type": [
          {
            "code": "Period"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Condition.onset[x]:onsetPeriod.start",
        "path": "Condition.onset[x].start",
        "mustSupport": true
      },
      {
        "id": "Condition.onset[x]:onsetPeriod.start.extension",
        "path": "Condition.onset[x].start.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Condition.onset[x]:onsetPeriod.start.extension:lebensphase-start",
        "path": "Condition.onset[x].start.extension",
        "sliceName": "lebensphase-start",
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://www.medizininformatik-initiative.de/fhir/core/StructureDefinition/Lebensphase"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Condition.onset[x]:onsetPeriod.end",
        "path": "Condition.onset[x].end",
        "mustSupport": true
      },
      {
        "id": "Condition.onset[x]:onsetPeriod.end.extension",
        "path": "Condition.onset[x].end.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Condition.onset[x]:onsetPeriod.end.extension:lebensphase-ende",
        "path": "Condition.onset[x].end.extension",
        "sliceName": "lebensphase-ende",
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://www.medizininformatik-initiative.de/fhir/core/StructureDefinition/Lebensphase"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Condition.onset[x]:onsetDateTime",
        "path": "Condition.onset[x]",
        "sliceName": "onsetDateTime",
        "type": [
          {
            "code": "dateTime"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Condition.recordedDate",
        "path": "Condition.recordedDate",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Condition.note",
        "path": "Condition.note",
        "mustSupport": true
      }
    ]
  }
}