<status value="draft" /> <date value="2025-10-01" /> <publisher value="Kassenärztliche Bundesvereinigung" /> <description value="Übergabe von Diagnosen einer behandelten Person vom PVS an die VoS." /> <fhirVersion value="4.0.1" /> <kind value="resource" /> <abstract value="false" /> <type value="Condition" /> <baseDefinition value="https://fhir.kbv.de/StructureDefinition/KBV_PR_Base_Condition_Diagnosis|1.7.0" /> <derivation value="constraint" /> <differential> <element id="Condition"> <path value="Condition" /> <short value="Diagnosen der behandelten Person" /> <definition value="Eine der behandelten Person zugeordnete Diagnose." /> </element> <element id="Condition.id"> <path value="Condition.id" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Condition.meta"> <path value="Condition.meta" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Condition.meta.source"> <path value="Condition.meta.source" /> <max value="0" /> </element> <element id="Condition.meta.profile"> <path value="Condition.meta.profile" /> <slicing> <discriminator> <type value="value" /> <path value="$this" /> </discriminator> <rules value="open" /> </slicing> <min value="1" /> <mustSupport value="true" /> </element> <element id="Condition.meta.profile:vosProfile"> <path value="Condition.meta.profile" /> <sliceName value="vosProfile" /> <min value="1" /> <max value="1" /> <fixedCanonical value="https://fhir.kbv.de/StructureDefinition/KBV_PR_VoS_Condition|2.2.0" /> <mustSupport value="true" /> </element> <element id="Condition.implicitRules"> <path value="Condition.implicitRules" /> <max value="0" /> </element> <element id="Condition.language"> <path value="Condition.language" /> <max value="0" /> </element> <element id="Condition.contained"> <path value="Condition.contained" /> <max value="0" /> </element> <element id="Condition.extension"> <path value="Condition.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <description value="Extensions are always sliced by (at least) url" /> <rules value="closed" /> </slicing> <min value="1" /> </element> <element id="Condition.extension:Feststellungsdatum"> <path value="Condition.extension" /> <sliceName value="Feststellungsdatum" /> <max value="0" /> </element> <element id="Condition.extension:Dauerdiagnose"> <path value="Condition.extension" /> <sliceName value="Dauerdiagnose" /> <short value="Dauerdiagnosenkennzeichnung" /> <definition value="Kennzeichnung, ob es sich um eine Dauerdiagnose handelt" /> <min value="1" /> <max value="1" /> <type> <code value="Extension" /> <profile value="https://fhir.kbv.de/StructureDefinition/KBV_EX_VoS_isPermanent" /> </type> <mustSupport value="true" /> <isModifier value="false" /> </element> <element id="Condition.extension:Dauerdiagnose.value[x]"> <path value="Condition.extension.value[x]" /> <mustSupport value="true" /> </element> <element id="Condition.extension:Dauerdiagnose.value[x]:valueBoolean"> <path value="Condition.extension.value[x]" /> <sliceName value="valueBoolean" /> <short value="Dauerdiagnose" /> <definition value="Angabe, ob die Diagnose eine Dauerdiagnose ist. true = Dauerdiagnose, false = keine Dauerdiagnose" /> <type> <code value="boolean" /> </type> <mustSupport value="true" /> </element> <element id="Condition.extension:Kombination"> <path value="Condition.extension" /> <sliceName value="Kombination" /> <short value="Kombination" /> <definition value="ICD-10(-GM) Codes können in mehrfachkodierter Form auftreten. Aufgrund der gängigen Praxis, die es Erlaubt, dass zusammengesetzte Codes unabhängig voneinander Zusatzkennzeichen wie Diagnosesicherheit und -lokalisation zugeordnet werden können, müssen beide Codebestandteile als separate Conditions aufgefasst werden, die miteinander in Beziehung stehen (Verlinkung). Die Verlinkung von Sekundär- auf die assoziierte Primärdiagnose erfolgt mit Hilfe der international abgestimmten Extension condition-related. Eine Verlinkung der Sekundärdiagnose in Richtung Primärdiagnose sollte vermieden werden, sodass keine zirkuläre Referenzierung entsteht." /> <min value="0" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://hl7.org/fhir/StructureDefinition/condition-related" /> </type> <mustSupport value="true" /> <isModifier value="false" /> </element> <element id="Condition.extension:Kombination.value[x]"> <path value="Condition.extension.value[x]" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.kbv.de/StructureDefinition/KBV_PR_VoS_Condition|2.2.0" /> </type> <mustSupport value="true" /> </element> <element id="Condition.identifier"> <path value="Condition.identifier" /> <max value="0" /> </element> <element id="Condition.clinicalStatus"> <path value="Condition.clinicalStatus" /> <mustSupport value="true" /> </element> <element id="Condition.clinicalStatus.coding"> <path value="Condition.clinicalStatus.coding" /> <min value="1" /> <max value="1" /> <mustSupport value="true" /> </element> <element id="Condition.clinicalStatus.coding.system"> <path value="Condition.clinicalStatus.coding.system" /> <min value="1" /> <fixedUri value="http://terminology.hl7.org/CodeSystem/condition-clinical" /> <mustSupport value="true" /> </element> <element id="Condition.clinicalStatus.coding.version"> <path value="Condition.clinicalStatus.coding.version" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Condition.clinicalStatus.coding.code"> <path value="Condition.clinicalStatus.coding.code" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Condition.clinicalStatus.coding.display"> <path value="Condition.clinicalStatus.coding.display" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Condition.clinicalStatus.coding.userSelected"> <path value="Condition.clinicalStatus.coding.userSelected" /> <max value="0" /> </element> <element id="Condition.clinicalStatus.text"> <path value="Condition.clinicalStatus.text" /> <max value="0" /> </element> <element id="Condition.verificationStatus"> <path value="Condition.verificationStatus" /> <mustSupport value="true" /> </element> <element id="Condition.verificationStatus.coding"> <path value="Condition.verificationStatus.coding" /> <min value="1" /> <max value="1" /> <mustSupport value="true" /> </element> <element id="Condition.verificationStatus.coding.system"> <path value="Condition.verificationStatus.coding.system" /> <min value="1" /> <fixedUri value="http://terminology.hl7.org/CodeSystem/condition-ver-status" /> <mustSupport value="true" /> </element> <element id="Condition.verificationStatus.coding.version"> <path value="Condition.verificationStatus.coding.version" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Condition.verificationStatus.coding.code"> <path value="Condition.verificationStatus.coding.code" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Condition.verificationStatus.coding.display"> <path value="Condition.verificationStatus.coding.display" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Condition.verificationStatus.coding.userSelected"> <path value="Condition.verificationStatus.coding.userSelected" /> <max value="0" /> </element> <element id="Condition.verificationStatus.text"> <path value="Condition.verificationStatus.text" /> <max value="0" /> </element> <element id="Condition.category"> <path value="Condition.category" /> <max value="0" /> </element> <element id="Condition.severity"> <path value="Condition.severity" /> <max value="0" /> </element> <element id="Condition.code"> <path value="Condition.code" /> <mustSupport value="true" /> </element> <element id="Condition.code.coding:ICD-10-GM"> <path value="Condition.code.coding" /> <sliceName value="ICD-10-GM" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Condition.code.coding:ICD-10-GM.extension:Mehrfachcodierungs-Kennzeichen"> <path value="Condition.code.coding.extension" /> <sliceName value="Mehrfachcodierungs-Kennzeichen" /> <mustSupport value="true" /> </element> <element id="Condition.code.coding:ICD-10-GM.extension:Seitenlokalisation"> <path value="Condition.code.coding.extension" /> <sliceName value="Seitenlokalisation" /> <mustSupport value="true" /> </element> <element id="Condition.code.coding:ICD-10-GM.extension:Seitenlokalisation.value[x]"> <path value="Condition.code.coding.extension.value[x]" /> <mustSupport value="true" /> </element> <element id="Condition.code.coding:ICD-10-GM.extension:Seitenlokalisation.value[x].system"> <path value="Condition.code.coding.extension.value[x].system" /> <mustSupport value="true" /> </element> <element id="Condition.code.coding:ICD-10-GM.extension:Seitenlokalisation.value[x].code"> <path value="Condition.code.coding.extension.value[x].code" /> <mustSupport value="true" /> </element> <element id="Condition.code.coding:ICD-10-GM.extension:Diagnosesicherheit"> <path value="Condition.code.coding.extension" /> <sliceName value="Diagnosesicherheit" /> <mustSupport value="true" /> </element> <element id="Condition.code.coding:ICD-10-GM.extension:Diagnosesicherheit.value[x]"> <path value="Condition.code.coding.extension.value[x]" /> <mustSupport value="true" /> </element> <element id="Condition.code.coding:ICD-10-GM.extension:Diagnosesicherheit.value[x].system"> <path value="Condition.code.coding.extension.value[x].system" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Condition.code.coding:ICD-10-GM.extension:Diagnosesicherheit.value[x].code"> <path value="Condition.code.coding.extension.value[x].code" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Condition.code.coding:ICD-10-GM.system"> <path value="Condition.code.coding.system" /> <mustSupport value="true" /> </element> <element id="Condition.code.coding:ICD-10-GM.version"> <path value="Condition.code.coding.version" /> <mustSupport value="true" /> </element> <element id="Condition.code.coding:ICD-10-GM.code"> <path value="Condition.code.coding.code" /> <mustSupport value="true" /> </element> <element id="Condition.bodySite"> <path value="Condition.bodySite" /> <max value="0" /> </element> <element id="Condition.subject"> <path value="Condition.subject" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.kbv.de/StructureDefinition/KBV_PR_VoS_Patient|2.2.0" /> </type> <mustSupport value="true" /> </element> <element id="Condition.subject.reference"> <path value="Condition.subject.reference" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Condition.subject.type"> <path value="Condition.subject.type" /> <max value="0" /> </element> <element id="Condition.subject.identifier"> <path value="Condition.subject.identifier" /> <max value="0" /> </element> <element id="Condition.subject.display"> <path value="Condition.subject.display" /> <max value="0" /> </element> <element id="Condition.encounter"> <path value="Condition.encounter" /> <max value="0" /> </element> <element id="Condition.onset[x]"> <path value="Condition.onset[x]" /> <max value="0" /> </element> <element id="Condition.onset[x]:onsetPeriod"> <path value="Condition.onset[x]" /> <sliceName value="onsetPeriod" /> <max value="0" /> <type> <code value="Period" /> </type> </element> <element id="Condition.onset[x]:onsetRange"> <path value="Condition.onset[x]" /> <sliceName value="onsetRange" /> <max value="0" /> <type> <code value="Range" /> </type> </element> <element id="Condition.onset[x]:onsetDateTime"> <path value="Condition.onset[x]" /> <sliceName value="onsetDateTime" /> <max value="0" /> <type> <code value="dateTime" /> </type> </element> <element id="Condition.onset[x]:onsetAge"> <path value="Condition.onset[x]" /> <sliceName value="onsetAge" /> <max value="0" /> <type> <code value="Age" /> </type> </element> <element id="Condition.abatement[x]"> <path value="Condition.abatement[x]" /> <max value="0" /> </element> <element id="Condition.abatement[x]:abatementPeriod"> <path value="Condition.abatement[x]" /> <sliceName value="abatementPeriod" /> <max value="0" /> <type> <code value="Period" /> </type> </element> <element id="Condition.abatement[x]:abatementRange"> <path value="Condition.abatement[x]" /> <sliceName value="abatementRange" /> <max value="0" /> <type> <code value="Range" /> </type> </element> <element id="Condition.abatement[x]:abatementDateTime"> <path value="Condition.abatement[x]" /> <sliceName value="abatementDateTime" /> <max value="0" /> <type> <code value="dateTime" /> </type> </element> <element id="Condition.abatement[x]:abatementAge"> <path value="Condition.abatement[x]" /> <sliceName value="abatementAge" /> <max value="0" /> <type> <code value="Age" /> </type> </element> <element id="Condition.recordedDate"> <path value="Condition.recordedDate" /> <max value="0" /> </element> <element id="Condition.recorder"> <path value="Condition.recorder" /> <max value="0" /> </element> <element id="Condition.asserter"> <path value="Condition.asserter" /> <max value="0" /> </element> <element id="Condition.stage"> <path value="Condition.stage" /> <max value="0" /> </element> <element id="Condition.evidence"> <path value="Condition.evidence" /> <max value="0" /> </element> <element id="Condition.note"> <path value="Condition.note" /> <max value="0" /> </element> </differential> </StructureDefinition>