{
  "resourceType": "StructureDefinition",
  "id": "e99d3c8f-640e-459b-bb8b-de7b7970c28d",
  "meta": {
    "lastUpdated": "2020-11-23T08:47:29.116+00:00"
  },
  "url": "https://tx.gerontonet.org/fhir/StructureDefinition/NotfalldatensatzDiagnosis",
  "version": "0.1",
  "name": "NotfalldatensatzDiagnosis",
  "status": "active",
  "date": "2020-11-16T07:23:01.7621451+00:00",
  "description": "Die Diagnose, die von dem Notfalldatensatz eines Patienten referenziert wird",
  "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": "Rec1",
            "severity": "warning",
            "human": "Das Dokumentationsdatum soll mindestens mit MM.JJJJ angegeben werden.",
            "expression": "recordedDate.toString().length()>=7",
            "source": "https://fhir.kbv.de/StructureDefinition/KBV_PR_Base_Diagnosis"
          }
        ]
      },
      {
        "id": "Condition.clinicalStatus",
        "path": "Condition.clinicalStatus",
        "definition": "Beschreibt den klinischen Status im Sinne der Aktivität einer Erkrankung."
      },
      {
        "id": "Condition.verificationStatus",
        "path": "Condition.verificationStatus",
        "max": "0"
      },
      {
        "id": "Condition.category",
        "path": "Condition.category",
        "max": "0"
      },
      {
        "id": "Condition.severity",
        "path": "Condition.severity",
        "max": "0"
      },
      {
        "id": "Condition.code",
        "path": "Condition.code",
        "definition": "In diesem Element wird der Diagnosecode aufgeführt. Dieser kann aus verschiedenen Codiersystem stammen. Jede Diagnose muss mindestens einen Diagnosecode besitzen. Hierbei können die vorgeschlagenen Codiersysteme (ICD, Alpha-ID, SNOMED, ORPHANET) verwendet werden.",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Condition.code.coding",
        "path": "Condition.code.coding",
        "slicing": {
          "discriminator": [
            {
              "type": "pattern",
              "path": "system"
            }
          ],
          "rules": "open"
        },
        "min": 1
      },
      {
        "id": "Condition.code.coding:ICD-10-GM",
        "path": "Condition.code.coding",
        "sliceName": "ICD-10-GM",
        "max": "1",
        "type": [
          {
            "code": "Coding",
            "profile": [
              "http://fhir.de/StructureDefinition/CodingICD10GM|0.9.11"
            ]
          }
        ]
      },
      {
        "id": "Condition.code.coding:ICD-10-GM.extension",
        "path": "Condition.code.coding.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Condition.code.coding:ICD-10-GM.extension:Primaercode",
        "path": "Condition.code.coding.extension",
        "sliceName": "Primaercode",
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://fhir.de/StructureDefinition/icd-10-gm-primaercode|0.9.11"
            ]
          }
        ]
      },
      {
        "id": "Condition.code.coding:ICD-10-GM.extension:Manifestationscode",
        "path": "Condition.code.coding.extension",
        "sliceName": "Manifestationscode",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://fhir.de/StructureDefinition/icd-10-gm-manifestationscode|0.9.11"
            ]
          }
        ]
      },
      {
        "id": "Condition.code.coding:ICD-10-GM.extension:AusrufezeichenCode",
        "path": "Condition.code.coding.extension",
        "sliceName": "AusrufezeichenCode",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://fhir.de/StructureDefinition/icd-10-gm-ausrufezeichen|0.9.11"
            ]
          }
        ]
      },
      {
        "id": "Condition.code.coding:ICD-10-GM.extension:Diagnosesicherheit",
        "path": "Condition.code.coding.extension",
        "sliceName": "Diagnosesicherheit",
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit|0.9.11"
            ]
          }
        ]
      },
      {
        "id": "Condition.code.coding:ICD-10-GM.extension:Seitenlokalisation",
        "path": "Condition.code.coding.extension",
        "sliceName": "Seitenlokalisation",
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://fhir.de/StructureDefinition/seitenlokalisation|0.9.11"
            ]
          }
        ]
      },
      {
        "id": "Condition.code.coding:ICD-10-GM.system",
        "path": "Condition.code.coding.system",
        "patternUri": "http://fhir.de/CodeSystem/dimdi/icd-10-gm"
      },
      {
        "id": "Condition.code.coding:alpha-id",
        "path": "Condition.code.coding",
        "sliceName": "alpha-id",
        "max": "0"
      },
      {
        "id": "Condition.code.coding:alpha-id.system",
        "path": "Condition.code.coding.system",
        "min": 1,
        "patternUri": "http://fhir.de/CodeSystem/dimdi/alpha-id"
      },
      {
        "id": "Condition.code.coding:alpha-id.version",
        "path": "Condition.code.coding.version",
        "min": 1
      },
      {
        "id": "Condition.code.coding:alpha-id.code",
        "path": "Condition.code.coding.code",
        "min": 1
      },
      {
        "id": "Condition.code.coding:snomed-ct",
        "path": "Condition.code.coding",
        "sliceName": "snomed-ct",
        "max": "1",
        "binding": {
          "strength": "required",
          "valueSet": "https://fhir.kbv.de/ValueSet/KBV_VS_Base_Diagnose_Snomed_CT"
        }
      },
      {
        "id": "Condition.code.coding:snomed-ct.system",
        "path": "Condition.code.coding.system",
        "min": 1,
        "patternUri": "http://snomed.info/sct"
      },
      {
        "id": "Condition.code.coding:snomed-ct.version",
        "path": "Condition.code.coding.version",
        "min": 1
      },
      {
        "id": "Condition.code.coding:snomed-ct.code",
        "path": "Condition.code.coding.code",
        "min": 1
      },
      {
        "id": "Condition.code.coding:snomed-ct.display",
        "path": "Condition.code.coding.display",
        "min": 1
      },
      {
        "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:anzeigenameCode",
        "path": "Condition.code.coding.display.extension",
        "sliceName": "anzeigenameCode",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://fhir.kbv.de/StructureDefinition/KBV_EX_Base_Terminology_German"
            ]
          }
        ]
      },
      {
        "id": "Condition.code.coding:snomed-ct.display.extension:anzeigenameCode.extension",
        "path": "Condition.code.coding.display.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Condition.code.coding:snomed-ct.display.extension:anzeigenameCode.extension:content",
        "path": "Condition.code.coding.display.extension.extension",
        "sliceName": "content"
      },
      {
        "id": "Condition.code.coding:snomed-ct.display.extension:anzeigenameCode.extension:content.url",
        "path": "Condition.code.coding.display.extension.extension.url",
        "fixedUri": "content"
      },
      {
        "id": "Condition.code.coding:snomed-ct.display.extension:anzeigenameCode.extension:content.value[x]",
        "path": "Condition.code.coding.display.extension.extension.value[x]",
        "slicing": {
          "discriminator": [
            {
              "type": "type",
              "path": "$this"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Condition.code.coding:snomed-ct.display.extension:anzeigenameCode.extension:content.value[x]:no name",
        "path": "Condition.code.coding.display.extension.extension.value[x]",
        "sliceName": "no name",
        "definition": "In diesem Attribut sollen die entsprechende deutsche Bezeichnung des Loinc oder Snomed-Codes aus der Conceptmap eingetragen werden. Die entsprechende ConceptMap ist vom ableitetenden Profil anzugeben."
      },
      {
        "id": "Condition.code.coding:snomed-ct.display.extension:anzeigenameCode.url",
        "path": "Condition.code.coding.display.extension.url",
        "fixedUri": "https://fhir.kbv.de/StructureDefinition/KBV_EX_Base_Terminology_German"
      },
      {
        "id": "Condition.code.coding:orphanet",
        "path": "Condition.code.coding",
        "sliceName": "orphanet",
        "max": "0"
      },
      {
        "id": "Condition.code.coding:orphanet.system",
        "path": "Condition.code.coding.system",
        "min": 1,
        "patternUri": "http://www.orpha.net"
      },
      {
        "id": "Condition.code.coding:orphanet.version",
        "path": "Condition.code.coding.version",
        "min": 1
      },
      {
        "id": "Condition.code.coding:orphanet.code",
        "path": "Condition.code.coding.code",
        "min": 1
      },
      {
        "id": "Condition.code.text",
        "path": "Condition.code.text",
        "short": "Diagnoseerläuterung",
        "definition": "Dieses Element ermöglicht die Angabe von näheren Ausführungen oder zusätzlichen Anmerkungen zu einer Diagnose in Form von Freitext."
      },
      {
        "id": "Condition.bodySite",
        "path": "Condition.bodySite",
        "definition": "Über die Körperstelle kann angegeben werden, in welchem Bereich des Körpers eine Krankheit diagnostiziert wurde (topographische Information)."
      },
      {
        "id": "Condition.bodySite.coding",
        "path": "Condition.bodySite.coding",
        "slicing": {
          "discriminator": [
            {
              "type": "pattern",
              "path": "system"
            }
          ],
          "rules": "open"
        },
        "min": 1
      },
      {
        "id": "Condition.bodySite.coding:snomed-ct",
        "path": "Condition.bodySite.coding",
        "sliceName": "snomed-ct",
        "min": 1,
        "max": "1",
        "binding": {
          "strength": "example",
          "description": "Codes describing anatomical locations. May include laterality.",
          "valueSet": "http://hl7.org/fhir/ValueSet/body-site"
        }
      },
      {
        "id": "Condition.bodySite.coding:snomed-ct.system",
        "path": "Condition.bodySite.coding.system",
        "min": 1,
        "patternUri": "http://snomed.info/sct"
      },
      {
        "id": "Condition.bodySite.coding:snomed-ct.version",
        "path": "Condition.bodySite.coding.version",
        "min": 1
      },
      {
        "id": "Condition.bodySite.coding:snomed-ct.code",
        "path": "Condition.bodySite.coding.code",
        "min": 1
      },
      {
        "id": "Condition.onset[x]",
        "path": "Condition.onset[x]",
        "slicing": {
          "discriminator": [
            {
              "type": "type",
              "path": "$this"
            }
          ],
          "rules": "open"
        },
        "type": [
          {
            "code": "Period"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Condition.onset[x]:onsetPeriod",
        "path": "Condition.onset[x]",
        "sliceName": "onsetPeriod",
        "type": [
          {
            "code": "Period"
          }
        ]
      },
      {
        "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-von",
        "path": "Condition.onset[x].start.extension",
        "sliceName": "lebensphase-von",
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://fhir.kbv.de/StructureDefinition/KBV_EX_Base_Stage_Life"
            ]
          }
        ]
      },
      {
        "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-bis",
        "path": "Condition.onset[x].end.extension",
        "sliceName": "lebensphase-bis",
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://fhir.kbv.de/StructureDefinition/KBV_EX_Base_Stage_Life"
            ]
          }
        ]
      },
      {
        "id": "Condition.onset[x]:onsetDateTime",
        "path": "Condition.onset[x]",
        "sliceName": "onsetDateTime",
        "short": "Feststellungsdatum",
        "definition": "Zeitpunkt, an dem die Diagnose bzw. die Erkrankung z.B. durch eine ärztlich tätige Person festgestellt wurde.",
        "type": [
          {
            "code": "dateTime"
          }
        ]
      },
      {
        "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."
      },
      {
        "id": "Condition.asserter",
        "path": "Condition.asserter",
        "max": "0"
      },
      {
        "id": "Condition.evidence",
        "path": "Condition.evidence",
        "max": "0"
      },
      {
        "id": "Condition.note",
        "path": "Condition.note",
        "short": "FREITEXTBESCHREIBUNG",
        "definition": "Diagnose im Klartext. Im Bereich der medizinischen Dokumentation sollte die Textbeschreibung obligatorisch sein.  Bei der sekundären Übernahme einer kodierten Diagnose aus der Primärdokumentation kann eine Freitextbeschreibung fehlen."
      }
    ]
  }
}