MII Implementierungsleitfaden Kerndatensatz Basis
2026.0.0 - Release Germany

This page is part of the MII Implementation Guide Core Dataset Base (v2026.0.0: Release) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 2026.0.1. For a full list of available versions, see the Directory of published versions

Logisches Modell: MII LM Diagnose - Detaillierte Beschreibungen

Active Stand: 2024-12-09

Definitionen für das mii-lm-diagnose logisches modell

Guidance on how to interpret the contents of this table can be foundhere

0. Diagnose
Definition

Logische Repräsentation des Basismoduls Diagnose


Base definition for all elements in a resource.

ShortDas Basismodul Diagnosen enthält Diagnosen als Behandlungsbegründungen und abrechnungsbasiertes Gliederungsmerkmal, z.B. als Hauptdiagnose, Nebendiagnose, Quartalsdiagnose etc.Base for all elements
Control0..*
This element is affected by the following invariants: ele-1
Is Modifierfalse
Logical ModelInstances of this logical model are not marked to be the target of a Reference
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
2. Diagnose.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

ShortUnique id for inter-element referencing
Control0..1
Typestring
Is Modifierfalse
XML FormatIn the XML format, this property is represented as an attribute.
Summaryfalse
4. Diagnose.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

ShortAdditional content defined by implementations
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on Diagnose.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ url
  • 6. Diagnose.ICD10GMDiagnoseKodiert
    Definition

    Im Bereich der administrativen und statistischen Auswertung wird die Diagnose mit Hilfe von Codiersystemen verschlüsselt. So wird z.B. bei der Abrechnung nach 301 und 301 und

    ShortIm Bereich der administrativen und statistischen Auswertung wird die Diagnose mit Hilfe von Codiersystemen verschlüsselt. So wird z.B. bei der Abrechnung nach 301 und 301 und
    Control0..1
    TypeBackboneElement
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    8. Diagnose.ICD10GMDiagnoseKodiert.id
    Definition

    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

    ShortUnique id for inter-element referencing
    Control0..1
    Typestring
    Is Modifierfalse
    XML FormatIn the XML format, this property is represented as an attribute.
    Summaryfalse
    10. Diagnose.ICD10GMDiagnoseKodiert.extension
    Definition

    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

    ShortAdditional content defined by implementations
    Comments

    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

    Control0..*
    TypeExtension
    Is Modifierfalse
    Summaryfalse
    Alternate Namesextensions, user content
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    SlicingThis element introduces a set of slices on Diagnose.ICD10GMDiagnoseKodiert.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ url
    • 12. Diagnose.ICD10GMDiagnoseKodiert.modifierExtension
      Definition

      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

      ShortExtensions that cannot be ignored even if unrecognized
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
      Summarytrue
      Requirements

      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

      Alternate Namesextensions, user content, modifiers
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      14. Diagnose.ICD10GMDiagnoseKodiert.Diagnosecode
      Definition

      Code ohne Zusatzkennzeichen

      ShortDiagnosecode ICD-10-GM
      Control1..1
      Typecode
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      16. Diagnose.ICD10GMDiagnoseKodiert.Mehrfachkodierungskennzeichen
      Definition

      Mehrfachkodierungskennzeichen Kreuz-Stern-System und Ausrufezeichen ("*", "†", "!").

      ShortMehrfachkodierungskennzeichen
      Control0..1
      Typecode
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      18. Diagnose.ICD10GMDiagnoseKodiert.Diagnosesicherheit
      Definition

      Die Diagnosensicherheit, d.h. wie sicher die Diagnose im Einzelfall zu werten ist, kann unterschiedlich angegeben werden. Für Abrechnungszwecke in der ambulanten Versorgung muss obligatorisch ein Zusatzkennzeichen für die Diagnosensicherheit (A, G, V oder Z) angegeben werden, d. h. die Angabe ist obligatorisch. In der stationären Versorgung sind diese Zusatzkennzeichen für die Angabe der Diagnosensicherheit für Abrechnungszwecke dagegen nicht zulässig.

      ShortZusatzkennzeichen für die Diagnosensicherhe
      Control0..1
      Typecode
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      20. Diagnose.ICD10GMDiagnoseKodiert.Seitenlokalisation
      Definition

      Zusatzkennzeichen der ICD-10 für die Seitigkeit einer Diagnose (R, L, B)

      ShortZusatzkennzeichen Seite einer Erkrankung
      Control0..1
      Typecode
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      22. Diagnose.ALPHAIDKodiert
      Definition

      Kodierung einer Diagnose mit Alpha-ID

      ShortKodierung einer Diagnose mit Alpha-ID
      Control0..1
      TypeBackboneElement
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      24. Diagnose.ALPHAIDKodiert.id
      Definition

      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

      ShortUnique id for inter-element referencing
      Control0..1
      Typestring
      Is Modifierfalse
      XML FormatIn the XML format, this property is represented as an attribute.
      Summaryfalse
      26. Diagnose.ALPHAIDKodiert.extension
      Definition

      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

      ShortAdditional content defined by implementations
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is Modifierfalse
      Summaryfalse
      Alternate Namesextensions, user content
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      SlicingThis element introduces a set of slices on Diagnose.ALPHAIDKodiert.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • value @ url
      • 28. Diagnose.ALPHAIDKodiert.modifierExtension
        Definition

        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

        ShortExtensions that cannot be ignored even if unrecognized
        Comments

        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

        Control0..*
        TypeExtension
        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
        Summarytrue
        Requirements

        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

        Alternate Namesextensions, user content, modifiers
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        30. Diagnose.ALPHAIDKodiert.Diagnosecode
        Definition

        Alpha-ID-Code

        ShortAlpha-ID-Code
        Control1..1
        Typecode
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        32. Diagnose.ORPHANETDiagnoseKodiert
        Definition

        Für die Kodierung von Seltenen Krankheiten ist die Orpha-Kennnummer erforderlich.

        ShortFür die Kodierung von Seltenen Krankheiten ist die Orpha-Kennnummer erforderlich.
        Control0..1
        TypeBackboneElement
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        34. Diagnose.ORPHANETDiagnoseKodiert.id
        Definition

        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

        ShortUnique id for inter-element referencing
        Control0..1
        Typestring
        Is Modifierfalse
        XML FormatIn the XML format, this property is represented as an attribute.
        Summaryfalse
        36. Diagnose.ORPHANETDiagnoseKodiert.extension
        Definition

        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

        ShortAdditional content defined by implementations
        Comments

        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

        Control0..*
        TypeExtension
        Is Modifierfalse
        Summaryfalse
        Alternate Namesextensions, user content
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        SlicingThis element introduces a set of slices on Diagnose.ORPHANETDiagnoseKodiert.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • value @ url
        • 38. Diagnose.ORPHANETDiagnoseKodiert.modifierExtension
          Definition

          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

          ShortExtensions that cannot be ignored even if unrecognized
          Comments

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Control0..*
          TypeExtension
          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
          Summarytrue
          Requirements

          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

          Alternate Namesextensions, user content, modifiers
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          40. Diagnose.ORPHANETDiagnoseKodiert.Diagnosecode
          Definition

          Orpha-Kennnummer

          ShortOrpha-Kennnummer
          Control1..1
          Typecode
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          42. Diagnose.SNOMEDDiagnoseKodiert
          Definition

          Ermöglicht die Kodierung einer Diagnose mit SNOMED-CT

          ShortErmöglicht die Kodierung einer Diagnose mit SNOMED-CT
          Control0..1
          TypeBackboneElement
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          44. Diagnose.SNOMEDDiagnoseKodiert.id
          Definition

          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

          ShortUnique id for inter-element referencing
          Control0..1
          Typestring
          Is Modifierfalse
          XML FormatIn the XML format, this property is represented as an attribute.
          Summaryfalse
          46. Diagnose.SNOMEDDiagnoseKodiert.extension
          Definition

          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

          ShortAdditional content defined by implementations
          Comments

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Control0..*
          TypeExtension
          Is Modifierfalse
          Summaryfalse
          Alternate Namesextensions, user content
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          SlicingThis element introduces a set of slices on Diagnose.SNOMEDDiagnoseKodiert.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
          • value @ url
          • 48. Diagnose.SNOMEDDiagnoseKodiert.modifierExtension
            Definition

            May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

            ShortExtensions that cannot be ignored even if unrecognized
            Comments

            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

            Control0..*
            TypeExtension
            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
            Summarytrue
            Requirements

            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

            Alternate Namesextensions, user content, modifiers
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            50. Diagnose.SNOMEDDiagnoseKodiert.Diagnosecode
            Definition

            SNOMED-CT Code

            ShortSNOMED-CT Code
            Control1..1
            Typecode
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            52. Diagnose.WeitereKodiersysteme
            Definition

            Bei Bedarf ist die Aufnahme weiterer Klassifikationen und Terminologien möglich.

            ShortBei Bedarf ist die Aufnahme weiterer Klassifikationen und Terminologien möglich.
            Control0..*
            TypeBackboneElement
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            54. Diagnose.WeitereKodiersysteme.id
            Definition

            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

            ShortUnique id for inter-element referencing
            Control0..1
            Typestring
            Is Modifierfalse
            XML FormatIn the XML format, this property is represented as an attribute.
            Summaryfalse
            56. Diagnose.WeitereKodiersysteme.extension
            Definition

            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

            ShortAdditional content defined by implementations
            Comments

            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

            Control0..*
            TypeExtension
            Is Modifierfalse
            Summaryfalse
            Alternate Namesextensions, user content
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            SlicingThis element introduces a set of slices on Diagnose.WeitereKodiersysteme.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
            • value @ url
            • 58. Diagnose.WeitereKodiersysteme.modifierExtension
              Definition

              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

              ShortExtensions that cannot be ignored even if unrecognized
              Comments

              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

              Control0..*
              TypeExtension
              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
              Summarytrue
              Requirements

              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

              Alternate Namesextensions, user content, modifiers
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              60. Diagnose.WeitereKodiersysteme.Diagnosecode
              Definition

              Angabe des Codes aus weiterem Kodiersystem

              ShortCode aus weiterem Kodiersystem
              Control1..1
              Typecode
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              62. Diagnose.Koerperstelle
              Definition

              Über die Körperstelle kann angegeben werden, in welchem Bereich des Körpers eine Krankheit diagnostiziert wurde (Topografische Informatiomn)

              ShortKörperstelle
              Control0..*
              Typecode
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              64. Diagnose.Freitextbeschreibung
              Definition

              Diagnose im Klartext. Im Bereich der medizinischen Dokumentation sollte die Textbeschreibung obligatorisch sein. Bei der sekundären Übernahme einer kodierten Diagonse aus der Primärdokumentation kann eine Freitextbeschreibung fehlen.

              ShortDiagnose im Klartext
              Control0..1
              Typestring
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              66. Diagnose.Diagnoseerlaeuterung
              Definition

              Damit soll dem Arzt die Möglichkeit gegeben werden, umfangreichere Angaben zusätzlich zu einer Diagnose abzufassen.

              ShortDiagnoseerläuterung
              Control0..*
              Typestring
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              68. Diagnose.KlinischerStatus
              Definition

              aktiv, Rezidiv, Rückfall, inaktiv, Remission, geheilt

              ShortKlinischer Status
              Control0..1
              Typecode
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              70. Diagnose.KlinischRelevanterZeitraum
              Definition

              Hier kann der Klinisch Relevante Zeitraum beziehungsweise die Lebensphase einer Erkrankung angegeben werden. Datumsangaben zu Diagnosen können in unterschiedlicher Präzision vorhanden sein.

              ShortKlinisch relevanter Zeitraum
              Control0..1
              TypeBackboneElement
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              72. Diagnose.KlinischRelevanterZeitraum.id
              Definition

              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

              ShortUnique id for inter-element referencing
              Control0..1
              Typestring
              Is Modifierfalse
              XML FormatIn the XML format, this property is represented as an attribute.
              Summaryfalse
              74. Diagnose.KlinischRelevanterZeitraum.extension
              Definition

              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

              ShortAdditional content defined by implementations
              Comments

              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

              Control0..*
              TypeExtension
              Is Modifierfalse
              Summaryfalse
              Alternate Namesextensions, user content
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              SlicingThis element introduces a set of slices on Diagnose.KlinischRelevanterZeitraum.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
              • value @ url
              • 76. Diagnose.KlinischRelevanterZeitraum.modifierExtension
                Definition

                May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                ShortExtensions that cannot be ignored even if unrecognized
                Comments

                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                Control0..*
                TypeExtension
                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                Summarytrue
                Requirements

                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                Alternate Namesextensions, user content, modifiers
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                78. Diagnose.KlinischRelevanterZeitraum.Zeitraum
                Definition

                Der Zeitraum wird durch zwei Datumsangaben beschrieben, das heißt, von wann bis wann ein Patient an der diagnostizierten Krankheit litt. Über den Zeitraum kann auch ausgedrückt werden, seit wann ein Patient an einer Krankheit leidet, indem nur das Startdatum des Zeitraums angegeben wird. Das Startdatum des Zeitraums kann abweichen von dem Diagnosedatum. Datumsangaben zu Diagnosen können in unterschiedlicher Präzision vorhanden sein.

                Shortklinisch relevanter Zeitraum
                Control0..1
                TypeBackboneElement
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                80. Diagnose.KlinischRelevanterZeitraum.Zeitraum.id
                Definition

                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                ShortUnique id for inter-element referencing
                Control0..1
                Typestring
                Is Modifierfalse
                XML FormatIn the XML format, this property is represented as an attribute.
                Summaryfalse
                82. Diagnose.KlinischRelevanterZeitraum.Zeitraum.extension
                Definition

                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                ShortAdditional content defined by implementations
                Comments

                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                Control0..*
                TypeExtension
                Is Modifierfalse
                Summaryfalse
                Alternate Namesextensions, user content
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                SlicingThis element introduces a set of slices on Diagnose.KlinischRelevanterZeitraum.Zeitraum.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                • value @ url
                • 84. Diagnose.KlinischRelevanterZeitraum.Zeitraum.modifierExtension
                  Definition

                  May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                  Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                  ShortExtensions that cannot be ignored even if unrecognized
                  Comments

                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                  Control0..*
                  TypeExtension
                  Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                  Summarytrue
                  Requirements

                  Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                  Alternate Namesextensions, user content, modifiers
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  86. Diagnose.KlinischRelevanterZeitraum.Zeitraum.von
                  Definition

                  Startdatum

                  ShortStartdatum
                  Control0..1
                  TypedateTime
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  88. Diagnose.KlinischRelevanterZeitraum.Zeitraum.bis
                  Definition

                  Enddatum

                  ShortEnddatum
                  Control0..1
                  TypedateTime
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  90. Diagnose.KlinischRelevanterZeitraum.Lebensphase
                  Definition

                  Lebensphase, in der die Erkrankung aufgetreten ist

                  ShortLebensphase
                  Control0..*
                  TypeBackboneElement
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  92. Diagnose.KlinischRelevanterZeitraum.Lebensphase.id
                  Definition

                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                  ShortUnique id for inter-element referencing
                  Control0..1
                  Typestring
                  Is Modifierfalse
                  XML FormatIn the XML format, this property is represented as an attribute.
                  Summaryfalse
                  94. Diagnose.KlinischRelevanterZeitraum.Lebensphase.extension
                  Definition

                  May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                  ShortAdditional content defined by implementations
                  Comments

                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                  Control0..*
                  TypeExtension
                  Is Modifierfalse
                  Summaryfalse
                  Alternate Namesextensions, user content
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  SlicingThis element introduces a set of slices on Diagnose.KlinischRelevanterZeitraum.Lebensphase.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                  • value @ url
                  • 96. Diagnose.KlinischRelevanterZeitraum.Lebensphase.modifierExtension
                    Definition

                    May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                    ShortExtensions that cannot be ignored even if unrecognized
                    Comments

                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                    Control0..*
                    TypeExtension
                    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                    Summarytrue
                    Requirements

                    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                    Alternate Namesextensions, user content, modifiers
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    98. Diagnose.KlinischRelevanterZeitraum.Lebensphase.von
                    Definition

                    In welcher Lebensphase die Krankheit began

                    ShortIn welcher Lebensphase die Krankheit began
                    Control0..1
                    Typecode
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    100. Diagnose.KlinischRelevanterZeitraum.Lebensphase.bis
                    Definition

                    In welcher Lebensphase die Krankheit endete

                    ShortIn welcher Lebensphase die Krankheit endete
                    Control0..1
                    Typecode
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    102. Diagnose.Feststellungsdatum
                    Definition

                    Das Datum ist der Zeitpunkt, an dem eine Krankheit z. B. durch einen Arzt festgestellt wurde. Dies wird im Folgenden mit Diagnosedatum bezeichnet.

                    ShortFeststellungsdatum / Diagnosedatum
                    Control0..1
                    Typedate
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    104. Diagnose.Dokumentationsdatum
                    Definition

                    Das Datum ist der Zeitpunkt, an dem eine Krankheit z. B. durch einen Arzt dokumentiert wurde. Hinweis: Wenn zwischen Feststellung der Diagnose und Dokumentationsdatum nicht unterschieden werden muss, ist das Datum der Feststellung der Diagnose (Diagnosedatum) anzugeben.

                    ShortDokumentationsdatum
                    Control1..1
                    Typedate
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension

                    Guidance on how to interpret the contents of this table can be foundhere

                    0. Diagnose
                    Definition

                    Logische Repräsentation des Basismoduls Diagnose

                    ShortDas Basismodul Diagnosen enthält Diagnosen als Behandlungsbegründungen und abrechnungsbasiertes Gliederungsmerkmal, z.B. als Hauptdiagnose, Nebendiagnose, Quartalsdiagnose etc.
                    Logical ModelInstances of this logical model are not marked to be the target of a Reference
                    2. Diagnose.ICD10GMDiagnoseKodiert
                    Definition

                    Im Bereich der administrativen und statistischen Auswertung wird die Diagnose mit Hilfe von Codiersystemen verschlüsselt. So wird z.B. bei der Abrechnung nach 301 und 301 und

                    ShortIm Bereich der administrativen und statistischen Auswertung wird die Diagnose mit Hilfe von Codiersystemen verschlüsselt. So wird z.B. bei der Abrechnung nach 301 und 301 und
                    Control0..1
                    TypeBackboneElement
                    4. Diagnose.ICD10GMDiagnoseKodiert.Diagnosecode
                    Definition

                    Code ohne Zusatzkennzeichen

                    ShortDiagnosecode ICD-10-GM
                    Control1..1
                    Typecode
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    6. Diagnose.ICD10GMDiagnoseKodiert.Mehrfachkodierungskennzeichen
                    Definition

                    Mehrfachkodierungskennzeichen Kreuz-Stern-System und Ausrufezeichen ("*", "†", "!").

                    ShortMehrfachkodierungskennzeichen
                    Control0..1
                    Typecode
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    8. Diagnose.ICD10GMDiagnoseKodiert.Diagnosesicherheit
                    Definition

                    Die Diagnosensicherheit, d.h. wie sicher die Diagnose im Einzelfall zu werten ist, kann unterschiedlich angegeben werden. Für Abrechnungszwecke in der ambulanten Versorgung muss obligatorisch ein Zusatzkennzeichen für die Diagnosensicherheit (A, G, V oder Z) angegeben werden, d. h. die Angabe ist obligatorisch. In der stationären Versorgung sind diese Zusatzkennzeichen für die Angabe der Diagnosensicherheit für Abrechnungszwecke dagegen nicht zulässig.

                    ShortZusatzkennzeichen für die Diagnosensicherhe
                    Control0..1
                    Typecode
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    10. Diagnose.ICD10GMDiagnoseKodiert.Seitenlokalisation
                    Definition

                    Zusatzkennzeichen der ICD-10 für die Seitigkeit einer Diagnose (R, L, B)

                    ShortZusatzkennzeichen Seite einer Erkrankung
                    Control0..1
                    Typecode
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    12. Diagnose.ALPHAIDKodiert
                    Definition

                    Kodierung einer Diagnose mit Alpha-ID

                    ShortKodierung einer Diagnose mit Alpha-ID
                    Control0..1
                    TypeBackboneElement
                    14. Diagnose.ALPHAIDKodiert.Diagnosecode
                    Definition

                    Alpha-ID-Code

                    ShortAlpha-ID-Code
                    Control1..1
                    Typecode
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    16. Diagnose.ORPHANETDiagnoseKodiert
                    Definition

                    Für die Kodierung von Seltenen Krankheiten ist die Orpha-Kennnummer erforderlich.

                    ShortFür die Kodierung von Seltenen Krankheiten ist die Orpha-Kennnummer erforderlich.
                    Control0..1
                    TypeBackboneElement
                    18. Diagnose.ORPHANETDiagnoseKodiert.Diagnosecode
                    Definition

                    Orpha-Kennnummer

                    ShortOrpha-Kennnummer
                    Control1..1
                    Typecode
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    20. Diagnose.SNOMEDDiagnoseKodiert
                    Definition

                    Ermöglicht die Kodierung einer Diagnose mit SNOMED-CT

                    ShortErmöglicht die Kodierung einer Diagnose mit SNOMED-CT
                    Control0..1
                    TypeBackboneElement
                    22. Diagnose.SNOMEDDiagnoseKodiert.Diagnosecode
                    Definition

                    SNOMED-CT Code

                    ShortSNOMED-CT Code
                    Control1..1
                    Typecode
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    24. Diagnose.WeitereKodiersysteme
                    Definition

                    Bei Bedarf ist die Aufnahme weiterer Klassifikationen und Terminologien möglich.

                    ShortBei Bedarf ist die Aufnahme weiterer Klassifikationen und Terminologien möglich.
                    Control0..*
                    TypeBackboneElement
                    26. Diagnose.WeitereKodiersysteme.Diagnosecode
                    Definition

                    Angabe des Codes aus weiterem Kodiersystem

                    ShortCode aus weiterem Kodiersystem
                    Control1..1
                    Typecode
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    28. Diagnose.Koerperstelle
                    Definition

                    Über die Körperstelle kann angegeben werden, in welchem Bereich des Körpers eine Krankheit diagnostiziert wurde (Topografische Informatiomn)

                    ShortKörperstelle
                    Control0..*
                    Typecode
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    30. Diagnose.Freitextbeschreibung
                    Definition

                    Diagnose im Klartext. Im Bereich der medizinischen Dokumentation sollte die Textbeschreibung obligatorisch sein. Bei der sekundären Übernahme einer kodierten Diagonse aus der Primärdokumentation kann eine Freitextbeschreibung fehlen.

                    ShortDiagnose im Klartext
                    Control0..1
                    Typestring
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    32. Diagnose.Diagnoseerlaeuterung
                    Definition

                    Damit soll dem Arzt die Möglichkeit gegeben werden, umfangreichere Angaben zusätzlich zu einer Diagnose abzufassen.

                    ShortDiagnoseerläuterung
                    Control0..*
                    Typestring
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    34. Diagnose.KlinischerStatus
                    Definition

                    aktiv, Rezidiv, Rückfall, inaktiv, Remission, geheilt

                    ShortKlinischer Status
                    Control0..1
                    Typecode
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    36. Diagnose.KlinischRelevanterZeitraum
                    Definition

                    Hier kann der Klinisch Relevante Zeitraum beziehungsweise die Lebensphase einer Erkrankung angegeben werden. Datumsangaben zu Diagnosen können in unterschiedlicher Präzision vorhanden sein.

                    ShortKlinisch relevanter Zeitraum
                    Control0..1
                    TypeBackboneElement
                    38. Diagnose.KlinischRelevanterZeitraum.Zeitraum
                    Definition

                    Der Zeitraum wird durch zwei Datumsangaben beschrieben, das heißt, von wann bis wann ein Patient an der diagnostizierten Krankheit litt. Über den Zeitraum kann auch ausgedrückt werden, seit wann ein Patient an einer Krankheit leidet, indem nur das Startdatum des Zeitraums angegeben wird. Das Startdatum des Zeitraums kann abweichen von dem Diagnosedatum. Datumsangaben zu Diagnosen können in unterschiedlicher Präzision vorhanden sein.

                    Shortklinisch relevanter Zeitraum
                    Control0..1
                    TypeBackboneElement
                    40. Diagnose.KlinischRelevanterZeitraum.Zeitraum.von
                    Definition

                    Startdatum

                    ShortStartdatum
                    Control0..1
                    TypedateTime
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    42. Diagnose.KlinischRelevanterZeitraum.Zeitraum.bis
                    Definition

                    Enddatum

                    ShortEnddatum
                    Control0..1
                    TypedateTime
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    44. Diagnose.KlinischRelevanterZeitraum.Lebensphase
                    Definition

                    Lebensphase, in der die Erkrankung aufgetreten ist

                    ShortLebensphase
                    Control0..*
                    TypeBackboneElement
                    46. Diagnose.KlinischRelevanterZeitraum.Lebensphase.von
                    Definition

                    In welcher Lebensphase die Krankheit began

                    ShortIn welcher Lebensphase die Krankheit began
                    Control0..1
                    Typecode
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    48. Diagnose.KlinischRelevanterZeitraum.Lebensphase.bis
                    Definition

                    In welcher Lebensphase die Krankheit endete

                    ShortIn welcher Lebensphase die Krankheit endete
                    Control0..1
                    Typecode
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    50. Diagnose.Feststellungsdatum
                    Definition

                    Das Datum ist der Zeitpunkt, an dem eine Krankheit z. B. durch einen Arzt festgestellt wurde. Dies wird im Folgenden mit Diagnosedatum bezeichnet.

                    ShortFeststellungsdatum / Diagnosedatum
                    Control0..1
                    Typedate
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    52. Diagnose.Dokumentationsdatum
                    Definition

                    Das Datum ist der Zeitpunkt, an dem eine Krankheit z. B. durch einen Arzt dokumentiert wurde. Hinweis: Wenn zwischen Feststellung der Diagnose und Dokumentationsdatum nicht unterschieden werden muss, ist das Datum der Feststellung der Diagnose (Diagnosedatum) anzugeben.

                    ShortDokumentationsdatum
                    Control1..1
                    Typedate
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension

                    Guidance on how to interpret the contents of this table can be foundhere

                    0. Diagnose
                    Definition

                    Logische Repräsentation des Basismoduls Diagnose

                    ShortDas Basismodul Diagnosen enthält Diagnosen als Behandlungsbegründungen und abrechnungsbasiertes Gliederungsmerkmal, z.B. als Hauptdiagnose, Nebendiagnose, Quartalsdiagnose etc.
                    Control0..*
                    This element is affected by the following invariants: ele-1
                    Is Modifierfalse
                    Logical ModelInstances of this logical model are not marked to be the target of a Reference
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    2. Diagnose.id
                    Definition

                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                    ShortUnique id for inter-element referencing
                    Control0..1
                    Typestring
                    Is Modifierfalse
                    XML FormatIn the XML format, this property is represented as an attribute.
                    Summaryfalse
                    4. Diagnose.extension
                    Definition

                    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                    ShortAdditional content defined by implementations
                    Comments

                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                    Control0..*
                    TypeExtension
                    Is Modifierfalse
                    Summaryfalse
                    Alternate Namesextensions, user content
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    SlicingThis element introduces a set of slices on Diagnose.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                    • value @ url
                    • 6. Diagnose.ICD10GMDiagnoseKodiert
                      Definition

                      Im Bereich der administrativen und statistischen Auswertung wird die Diagnose mit Hilfe von Codiersystemen verschlüsselt. So wird z.B. bei der Abrechnung nach 301 und 301 und

                      ShortIm Bereich der administrativen und statistischen Auswertung wird die Diagnose mit Hilfe von Codiersystemen verschlüsselt. So wird z.B. bei der Abrechnung nach 301 und 301 und
                      Control0..1
                      TypeBackboneElement
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      8. Diagnose.ICD10GMDiagnoseKodiert.id
                      Definition

                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                      ShortUnique id for inter-element referencing
                      Control0..1
                      Typestring
                      Is Modifierfalse
                      XML FormatIn the XML format, this property is represented as an attribute.
                      Summaryfalse
                      10. Diagnose.ICD10GMDiagnoseKodiert.extension
                      Definition

                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                      ShortAdditional content defined by implementations
                      Comments

                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                      Control0..*
                      TypeExtension
                      Is Modifierfalse
                      Summaryfalse
                      Alternate Namesextensions, user content
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      SlicingThis element introduces a set of slices on Diagnose.ICD10GMDiagnoseKodiert.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                      • value @ url
                      • 12. Diagnose.ICD10GMDiagnoseKodiert.modifierExtension
                        Definition

                        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                        ShortExtensions that cannot be ignored even if unrecognized
                        Comments

                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                        Control0..*
                        TypeExtension
                        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                        Summarytrue
                        Requirements

                        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                        Alternate Namesextensions, user content, modifiers
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                        14. Diagnose.ICD10GMDiagnoseKodiert.Diagnosecode
                        Definition

                        Code ohne Zusatzkennzeichen

                        ShortDiagnosecode ICD-10-GM
                        Control1..1
                        Typecode
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        16. Diagnose.ICD10GMDiagnoseKodiert.Mehrfachkodierungskennzeichen
                        Definition

                        Mehrfachkodierungskennzeichen Kreuz-Stern-System und Ausrufezeichen ("*", "†", "!").

                        ShortMehrfachkodierungskennzeichen
                        Control0..1
                        Typecode
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        18. Diagnose.ICD10GMDiagnoseKodiert.Diagnosesicherheit
                        Definition

                        Die Diagnosensicherheit, d.h. wie sicher die Diagnose im Einzelfall zu werten ist, kann unterschiedlich angegeben werden. Für Abrechnungszwecke in der ambulanten Versorgung muss obligatorisch ein Zusatzkennzeichen für die Diagnosensicherheit (A, G, V oder Z) angegeben werden, d. h. die Angabe ist obligatorisch. In der stationären Versorgung sind diese Zusatzkennzeichen für die Angabe der Diagnosensicherheit für Abrechnungszwecke dagegen nicht zulässig.

                        ShortZusatzkennzeichen für die Diagnosensicherhe
                        Control0..1
                        Typecode
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        20. Diagnose.ICD10GMDiagnoseKodiert.Seitenlokalisation
                        Definition

                        Zusatzkennzeichen der ICD-10 für die Seitigkeit einer Diagnose (R, L, B)

                        ShortZusatzkennzeichen Seite einer Erkrankung
                        Control0..1
                        Typecode
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        22. Diagnose.ALPHAIDKodiert
                        Definition

                        Kodierung einer Diagnose mit Alpha-ID

                        ShortKodierung einer Diagnose mit Alpha-ID
                        Control0..1
                        TypeBackboneElement
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        24. Diagnose.ALPHAIDKodiert.id
                        Definition

                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                        ShortUnique id for inter-element referencing
                        Control0..1
                        Typestring
                        Is Modifierfalse
                        XML FormatIn the XML format, this property is represented as an attribute.
                        Summaryfalse
                        26. Diagnose.ALPHAIDKodiert.extension
                        Definition

                        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                        ShortAdditional content defined by implementations
                        Comments

                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                        Control0..*
                        TypeExtension
                        Is Modifierfalse
                        Summaryfalse
                        Alternate Namesextensions, user content
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                        SlicingThis element introduces a set of slices on Diagnose.ALPHAIDKodiert.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                        • value @ url
                        • 28. Diagnose.ALPHAIDKodiert.modifierExtension
                          Definition

                          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                          ShortExtensions that cannot be ignored even if unrecognized
                          Comments

                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                          Control0..*
                          TypeExtension
                          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                          Summarytrue
                          Requirements

                          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                          Alternate Namesextensions, user content, modifiers
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          30. Diagnose.ALPHAIDKodiert.Diagnosecode
                          Definition

                          Alpha-ID-Code

                          ShortAlpha-ID-Code
                          Control1..1
                          Typecode
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          32. Diagnose.ORPHANETDiagnoseKodiert
                          Definition

                          Für die Kodierung von Seltenen Krankheiten ist die Orpha-Kennnummer erforderlich.

                          ShortFür die Kodierung von Seltenen Krankheiten ist die Orpha-Kennnummer erforderlich.
                          Control0..1
                          TypeBackboneElement
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          34. Diagnose.ORPHANETDiagnoseKodiert.id
                          Definition

                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                          ShortUnique id for inter-element referencing
                          Control0..1
                          Typestring
                          Is Modifierfalse
                          XML FormatIn the XML format, this property is represented as an attribute.
                          Summaryfalse
                          36. Diagnose.ORPHANETDiagnoseKodiert.extension
                          Definition

                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                          ShortAdditional content defined by implementations
                          Comments

                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                          Control0..*
                          TypeExtension
                          Is Modifierfalse
                          Summaryfalse
                          Alternate Namesextensions, user content
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          SlicingThis element introduces a set of slices on Diagnose.ORPHANETDiagnoseKodiert.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                          • value @ url
                          • 38. Diagnose.ORPHANETDiagnoseKodiert.modifierExtension
                            Definition

                            May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                            ShortExtensions that cannot be ignored even if unrecognized
                            Comments

                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                            Control0..*
                            TypeExtension
                            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                            Summarytrue
                            Requirements

                            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                            Alternate Namesextensions, user content, modifiers
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                            40. Diagnose.ORPHANETDiagnoseKodiert.Diagnosecode
                            Definition

                            Orpha-Kennnummer

                            ShortOrpha-Kennnummer
                            Control1..1
                            Typecode
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            42. Diagnose.SNOMEDDiagnoseKodiert
                            Definition

                            Ermöglicht die Kodierung einer Diagnose mit SNOMED-CT

                            ShortErmöglicht die Kodierung einer Diagnose mit SNOMED-CT
                            Control0..1
                            TypeBackboneElement
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            44. Diagnose.SNOMEDDiagnoseKodiert.id
                            Definition

                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                            ShortUnique id for inter-element referencing
                            Control0..1
                            Typestring
                            Is Modifierfalse
                            XML FormatIn the XML format, this property is represented as an attribute.
                            Summaryfalse
                            46. Diagnose.SNOMEDDiagnoseKodiert.extension
                            Definition

                            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                            ShortAdditional content defined by implementations
                            Comments

                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                            Control0..*
                            TypeExtension
                            Is Modifierfalse
                            Summaryfalse
                            Alternate Namesextensions, user content
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                            SlicingThis element introduces a set of slices on Diagnose.SNOMEDDiagnoseKodiert.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                            • value @ url
                            • 48. Diagnose.SNOMEDDiagnoseKodiert.modifierExtension
                              Definition

                              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                              ShortExtensions that cannot be ignored even if unrecognized
                              Comments

                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                              Control0..*
                              TypeExtension
                              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                              Summarytrue
                              Requirements

                              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                              Alternate Namesextensions, user content, modifiers
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                              50. Diagnose.SNOMEDDiagnoseKodiert.Diagnosecode
                              Definition

                              SNOMED-CT Code

                              ShortSNOMED-CT Code
                              Control1..1
                              Typecode
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              52. Diagnose.WeitereKodiersysteme
                              Definition

                              Bei Bedarf ist die Aufnahme weiterer Klassifikationen und Terminologien möglich.

                              ShortBei Bedarf ist die Aufnahme weiterer Klassifikationen und Terminologien möglich.
                              Control0..*
                              TypeBackboneElement
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              54. Diagnose.WeitereKodiersysteme.id
                              Definition

                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                              ShortUnique id for inter-element referencing
                              Control0..1
                              Typestring
                              Is Modifierfalse
                              XML FormatIn the XML format, this property is represented as an attribute.
                              Summaryfalse
                              56. Diagnose.WeitereKodiersysteme.extension
                              Definition

                              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                              ShortAdditional content defined by implementations
                              Comments

                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                              Control0..*
                              TypeExtension
                              Is Modifierfalse
                              Summaryfalse
                              Alternate Namesextensions, user content
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                              SlicingThis element introduces a set of slices on Diagnose.WeitereKodiersysteme.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                              • value @ url
                              • 58. Diagnose.WeitereKodiersysteme.modifierExtension
                                Definition

                                May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                ShortExtensions that cannot be ignored even if unrecognized
                                Comments

                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                Control0..*
                                TypeExtension
                                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                Summarytrue
                                Requirements

                                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                Alternate Namesextensions, user content, modifiers
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                60. Diagnose.WeitereKodiersysteme.Diagnosecode
                                Definition

                                Angabe des Codes aus weiterem Kodiersystem

                                ShortCode aus weiterem Kodiersystem
                                Control1..1
                                Typecode
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                62. Diagnose.Koerperstelle
                                Definition

                                Über die Körperstelle kann angegeben werden, in welchem Bereich des Körpers eine Krankheit diagnostiziert wurde (Topografische Informatiomn)

                                ShortKörperstelle
                                Control0..*
                                Typecode
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                64. Diagnose.Freitextbeschreibung
                                Definition

                                Diagnose im Klartext. Im Bereich der medizinischen Dokumentation sollte die Textbeschreibung obligatorisch sein. Bei der sekundären Übernahme einer kodierten Diagonse aus der Primärdokumentation kann eine Freitextbeschreibung fehlen.

                                ShortDiagnose im Klartext
                                Control0..1
                                Typestring
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                66. Diagnose.Diagnoseerlaeuterung
                                Definition

                                Damit soll dem Arzt die Möglichkeit gegeben werden, umfangreichere Angaben zusätzlich zu einer Diagnose abzufassen.

                                ShortDiagnoseerläuterung
                                Control0..*
                                Typestring
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                68. Diagnose.KlinischerStatus
                                Definition

                                aktiv, Rezidiv, Rückfall, inaktiv, Remission, geheilt

                                ShortKlinischer Status
                                Control0..1
                                Typecode
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                70. Diagnose.KlinischRelevanterZeitraum
                                Definition

                                Hier kann der Klinisch Relevante Zeitraum beziehungsweise die Lebensphase einer Erkrankung angegeben werden. Datumsangaben zu Diagnosen können in unterschiedlicher Präzision vorhanden sein.

                                ShortKlinisch relevanter Zeitraum
                                Control0..1
                                TypeBackboneElement
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                72. Diagnose.KlinischRelevanterZeitraum.id
                                Definition

                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                ShortUnique id for inter-element referencing
                                Control0..1
                                Typestring
                                Is Modifierfalse
                                XML FormatIn the XML format, this property is represented as an attribute.
                                Summaryfalse
                                74. Diagnose.KlinischRelevanterZeitraum.extension
                                Definition

                                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                ShortAdditional content defined by implementations
                                Comments

                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                Control0..*
                                TypeExtension
                                Is Modifierfalse
                                Summaryfalse
                                Alternate Namesextensions, user content
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                SlicingThis element introduces a set of slices on Diagnose.KlinischRelevanterZeitraum.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                • value @ url
                                • 76. Diagnose.KlinischRelevanterZeitraum.modifierExtension
                                  Definition

                                  May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                  Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                  ShortExtensions that cannot be ignored even if unrecognized
                                  Comments

                                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                  Control0..*
                                  TypeExtension
                                  Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                  Summarytrue
                                  Requirements

                                  Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                  Alternate Namesextensions, user content, modifiers
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                  78. Diagnose.KlinischRelevanterZeitraum.Zeitraum
                                  Definition

                                  Der Zeitraum wird durch zwei Datumsangaben beschrieben, das heißt, von wann bis wann ein Patient an der diagnostizierten Krankheit litt. Über den Zeitraum kann auch ausgedrückt werden, seit wann ein Patient an einer Krankheit leidet, indem nur das Startdatum des Zeitraums angegeben wird. Das Startdatum des Zeitraums kann abweichen von dem Diagnosedatum. Datumsangaben zu Diagnosen können in unterschiedlicher Präzision vorhanden sein.

                                  Shortklinisch relevanter Zeitraum
                                  Control0..1
                                  TypeBackboneElement
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  80. Diagnose.KlinischRelevanterZeitraum.Zeitraum.id
                                  Definition

                                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                  ShortUnique id for inter-element referencing
                                  Control0..1
                                  Typestring
                                  Is Modifierfalse
                                  XML FormatIn the XML format, this property is represented as an attribute.
                                  Summaryfalse
                                  82. Diagnose.KlinischRelevanterZeitraum.Zeitraum.extension
                                  Definition

                                  May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                  ShortAdditional content defined by implementations
                                  Comments

                                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                  Control0..*
                                  TypeExtension
                                  Is Modifierfalse
                                  Summaryfalse
                                  Alternate Namesextensions, user content
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                  SlicingThis element introduces a set of slices on Diagnose.KlinischRelevanterZeitraum.Zeitraum.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                  • value @ url
                                  • 84. Diagnose.KlinischRelevanterZeitraum.Zeitraum.modifierExtension
                                    Definition

                                    May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                    ShortExtensions that cannot be ignored even if unrecognized
                                    Comments

                                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                    Control0..*
                                    TypeExtension
                                    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                    Summarytrue
                                    Requirements

                                    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                    Alternate Namesextensions, user content, modifiers
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                    86. Diagnose.KlinischRelevanterZeitraum.Zeitraum.von
                                    Definition

                                    Startdatum

                                    ShortStartdatum
                                    Control0..1
                                    TypedateTime
                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                    88. Diagnose.KlinischRelevanterZeitraum.Zeitraum.bis
                                    Definition

                                    Enddatum

                                    ShortEnddatum
                                    Control0..1
                                    TypedateTime
                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                    90. Diagnose.KlinischRelevanterZeitraum.Lebensphase
                                    Definition

                                    Lebensphase, in der die Erkrankung aufgetreten ist

                                    ShortLebensphase
                                    Control0..*
                                    TypeBackboneElement
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    92. Diagnose.KlinischRelevanterZeitraum.Lebensphase.id
                                    Definition

                                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                    ShortUnique id for inter-element referencing
                                    Control0..1
                                    Typestring
                                    Is Modifierfalse
                                    XML FormatIn the XML format, this property is represented as an attribute.
                                    Summaryfalse
                                    94. Diagnose.KlinischRelevanterZeitraum.Lebensphase.extension
                                    Definition

                                    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                    ShortAdditional content defined by implementations
                                    Comments

                                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                    Control0..*
                                    TypeExtension
                                    Is Modifierfalse
                                    Summaryfalse
                                    Alternate Namesextensions, user content
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                    SlicingThis element introduces a set of slices on Diagnose.KlinischRelevanterZeitraum.Lebensphase.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                    • value @ url
                                    • 96. Diagnose.KlinischRelevanterZeitraum.Lebensphase.modifierExtension
                                      Definition

                                      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                      ShortExtensions that cannot be ignored even if unrecognized
                                      Comments

                                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                      Control0..*
                                      TypeExtension
                                      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                      Summarytrue
                                      Requirements

                                      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                      Alternate Namesextensions, user content, modifiers
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                      98. Diagnose.KlinischRelevanterZeitraum.Lebensphase.von
                                      Definition

                                      In welcher Lebensphase die Krankheit began

                                      ShortIn welcher Lebensphase die Krankheit began
                                      Control0..1
                                      Typecode
                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                      100. Diagnose.KlinischRelevanterZeitraum.Lebensphase.bis
                                      Definition

                                      In welcher Lebensphase die Krankheit endete

                                      ShortIn welcher Lebensphase die Krankheit endete
                                      Control0..1
                                      Typecode
                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                      102. Diagnose.Feststellungsdatum
                                      Definition

                                      Das Datum ist der Zeitpunkt, an dem eine Krankheit z. B. durch einen Arzt festgestellt wurde. Dies wird im Folgenden mit Diagnosedatum bezeichnet.

                                      ShortFeststellungsdatum / Diagnosedatum
                                      Control0..1
                                      Typedate
                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                      104. Diagnose.Dokumentationsdatum
                                      Definition

                                      Das Datum ist der Zeitpunkt, an dem eine Krankheit z. B. durch einen Arzt dokumentiert wurde. Hinweis: Wenn zwischen Feststellung der Diagnose und Dokumentationsdatum nicht unterschieden werden muss, ist das Datum der Feststellung der Diagnose (Diagnosedatum) anzugeben.

                                      ShortDokumentationsdatum
                                      Control1..1
                                      Typedate
                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension