MII Implementierungsleitfaden Kerndatensatz Basis
2026.0.0 - Release
Germany
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
| Active Stand: 2024-12-09 |
JSON-Darstellung des mii-lm-diagnose logisches modell.
{
"resourceType" : "StructureDefinition",
"id" : "mii-lm-diagnose",
"language" : "de",
"text" : {
"status" : "extensions",
"div" : "<div xml:lang=\"de\" lang=\"de\"><hr/><p><b>German</b></p><hr/><p class=\"res-header-id\"><b>Generated Narrative: StructureDefinition mii-lm-diagnose</b></p><a name=\"de-mii-lm-diagnose\"> </a><a name=\"de-hcmii-lm-diagnose\"> </a><table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top\"><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"The logical name of the element\">Name</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Information about the use of the element\">Flags</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Minimum and Maximum # of times the element can appear in the instance\">Card.</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px; width: 100px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Reference to the type of the element\">Type</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Additional information about the element\">Description & Constraints</a><span style=\"float: right\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-mii-lm-diagnose-definitions.html#Diagnose\" title=\"Logische Repräsentation des Basismoduls Diagnose\">Diagnose</a><a name=\"de-Diagnose\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Element\">Element</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Das Basismodul Diagnosen enthält Diagnosen als Behandlungsbegründungen und abrechnungsbasiertes Gliederungsmerkmal, z.B. als Hauptdiagnose, Nebendiagnose, Quartalsdiagnose etc.<br/><br/>Elements defined in Ancestors:<a href=\"http://hl7.org/fhir/R4/datatypes.html#Element\" title=\"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.\">@id</a>, <a href=\"http://hl7.org/fhir/R4/datatypes.html#Element\" title=\"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.\">extension</a></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-mii-lm-diagnose-definitions.html#Diagnose.ICD10GMDiagnoseKodiert\" title=\"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 extension" : [
{
"url" : "https://www.medizininformatik-initiative.de/fhir/modul-meta/StructureDefinition/mii-ex-meta-license-codeable",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/spdx-license",
"code" : "CC-BY-4.0",
"display" : "Creative Commons Attribution 4.0 International"
}
]
}
}
],
"url" : "https://www.medizininformatik-initiative.de/fhir/core/modul-diagnose/StructureDefinition/LogicalModel/Diagnose",
"version" : "2026.0.0",
"name" : "MII_LM_Diagnose",
"title" : "MII LM Diagnose",
"status" : "active",
"date" : "2024-12-09",
"publisher" : "Medizininformatik-Initiative (MII)",
"contact" : [
{
"name" : "Medical Informatics Initiative (MII)",
"telecom" : [
{
"system" : "url",
"value" : "https://www.medizininformatik-initiative.de/en"
}
]
}
],
"description" : "Logische Repräsentation des Basismoduls Diagnose",
"jurisdiction" : [
{
"coding" : [
{
"system" : "urn:iso:std:iso:3166",
"code" : "DE",
"display" : "Germany"
}
]
}
],
"fhirVersion" : "4.0.1",
"mapping" : [
{
"identity" : "FHIR",
"name" : "Diagnose LogicalModel FHIR Mapping"
},
{
"identity" : "rim",
"uri" : "http://hl7.org/v3",
"name" : "RIM Mapping"
}
],
"kind" : "logical",
"abstract" : false,
"type" : "https://www.medizininformatik-initiative.de/fhir/core/modul-diagnose/StructureDefinition/LogicalModel/Diagnose",
"baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Element",
"derivation" : "specialization",
"snapshot" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version",
"valueString" : "4.0.1"
}
],
"element" : [
{
"id" : "Diagnose",
"path" : "Diagnose",
"short" : "Das Basismodul Diagnosen enthält Diagnosen als Behandlungsbegründungen und abrechnungsbasiertes Gliederungsmerkmal, z.B. als Hauptdiagnose, Nebendiagnose, Quartalsdiagnose etc.",
"definition" : "Logische Repräsentation des Basismoduls Diagnose",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element",
"min" : 0,
"max" : "*"
},
"condition" : [
"ele-1"
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "Diagnose.id",
"path" : "Diagnose.id",
"representation" : [
"xmlAttr"
],
"short" : "Unique id for inter-element referencing",
"definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "1"
},
"type" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl" : "string"
}
],
"code" : "http://hl7.org/fhirpath/System.String"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "Diagnose.extension",
"path" : "Diagnose.extension",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "url"
}
],
"description" : "Extensions are always sliced by (at least) url",
"rules" : "open"
},
"short" : "Additional content defined by implementations",
"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.",
"comment" : "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.",
"alias" : [
"extensions",
"user content"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "Diagnose.ICD10GMDiagnoseKodiert",
"path" : "Diagnose.ICD10GMDiagnoseKodiert",
"short" : "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 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 min" : 0,
"max" : "1",
"base" : {
"path" : "Diagnose.ICD10GMDiagnoseKodiert",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "BackboneElement"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mapping" : [
{
"identity" : "FHIR",
"map" : "Condition.code.coding.where(system='http://fhir.de/CodeSystem/bfarm/icd-10-gm')"
}
]
},
{
"id" : "Diagnose.ICD10GMDiagnoseKodiert.id",
"path" : "Diagnose.ICD10GMDiagnoseKodiert.id",
"representation" : [
"xmlAttr"
],
"short" : "Unique id for inter-element referencing",
"definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "1"
},
"type" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl" : "string"
}
],
"code" : "http://hl7.org/fhirpath/System.String"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "Diagnose.ICD10GMDiagnoseKodiert.extension",
"path" : "Diagnose.ICD10GMDiagnoseKodiert.extension",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "url"
}
],
"description" : "Extensions are always sliced by (at least) url",
"rules" : "open"
},
"short" : "Additional content defined by implementations",
"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.",
"comment" : "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.",
"alias" : [
"extensions",
"user content"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "Diagnose.ICD10GMDiagnoseKodiert.modifierExtension",
"path" : "Diagnose.ICD10GMDiagnoseKodiert.modifierExtension",
"short" : "Extensions that cannot be ignored even if unrecognized",
"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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"comment" : "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.",
"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](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
"alias" : [
"extensions",
"user content",
"modifiers"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "BackboneElement.modifierExtension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier" : true,
"isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "Diagnose.ICD10GMDiagnoseKodiert.Diagnosecode",
"path" : "Diagnose.ICD10GMDiagnoseKodiert.Diagnosecode",
"short" : "Diagnosecode ICD-10-GM",
"definition" : "Code ohne Zusatzkennzeichen",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Diagnose.ICD10GMDiagnoseKodiert.Diagnosecode",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "code"
}
],
"mapping" : [
{
"identity" : "FHIR",
"map" : "Condition.code.coding.where(system='http://fhir.de/CodeSystem/bfarm/icd-10-gm').code"
}
]
},
{
"id" : "Diagnose.ICD10GMDiagnoseKodiert.Mehrfachkodierungskennzeichen",
"path" : "Diagnose.ICD10GMDiagnoseKodiert.Mehrfachkodierungskennzeichen",
"short" : "Mehrfachkodierungskennzeichen",
"definition" : "Mehrfachkodierungskennzeichen Kreuz-Stern-System und Ausrufezeichen (\"*\", \"†\", \"!\").",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Diagnose.ICD10GMDiagnoseKodiert.Mehrfachkodierungskennzeichen",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code"
}
],
"mapping" : [
{
"identity" : "FHIR",
"map" : "Condition.code.coding.where(system='http://fhir.de/CodeSystem/bfarm/icd-10-gm').extension('http://fhir.de/StructureDefinition/icd-10-gm-mehrfachcodierungs-kennzeichen').valueCoding.code"
}
]
},
{
"id" : "Diagnose.ICD10GMDiagnoseKodiert.Diagnosesicherheit",
"path" : "Diagnose.ICD10GMDiagnoseKodiert.Diagnosesicherheit",
"short" : "Zusatzkennzeichen für die Diagnosensicherhe",
"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.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Diagnose.ICD10GMDiagnoseKodiert.Diagnosesicherheit",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code"
}
],
"mapping" : [
{
"identity" : "FHIR",
"map" : "Condition.code.coding.where(system='http://fhir.de/CodeSystem/bfarm/icd-10-gm').extension('http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit').valueCoding.code"
}
]
},
{
"id" : "Diagnose.ICD10GMDiagnoseKodiert.Seitenlokalisation",
"path" : "Diagnose.ICD10GMDiagnoseKodiert.Seitenlokalisation",
"short" : "Zusatzkennzeichen Seite einer Erkrankung",
"definition" : "Zusatzkennzeichen der ICD-10 für die Seitigkeit einer Diagnose (R, L, B)",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Diagnose.ICD10GMDiagnoseKodiert.Seitenlokalisation",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code"
}
],
"mapping" : [
{
"identity" : "FHIR",
"map" : "Condition.code.coding.where(system='http://fhir.de/CodeSystem/bfarm/icd-10-gm').extension('http://fhir.de/StructureDefinition/seitenlokalisation').valueCoding.code"
}
]
},
{
"id" : "Diagnose.ALPHAIDKodiert",
"path" : "Diagnose.ALPHAIDKodiert",
"short" : "Kodierung einer Diagnose mit Alpha-ID",
"definition" : "Kodierung einer Diagnose mit Alpha-ID",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Diagnose.ALPHAIDKodiert",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "BackboneElement"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mapping" : [
{
"identity" : "FHIR",
"map" : "Condition.code.coding.where(system='http://fhir.de/CodeSystem/bfarm/alpha-id')"
}
]
},
{
"id" : "Diagnose.ALPHAIDKodiert.id",
"path" : "Diagnose.ALPHAIDKodiert.id",
"representation" : [
"xmlAttr"
],
"short" : "Unique id for inter-element referencing",
"definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "1"
},
"type" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl" : "string"
}
],
"code" : "http://hl7.org/fhirpath/System.String"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "Diagnose.ALPHAIDKodiert.extension",
"path" : "Diagnose.ALPHAIDKodiert.extension",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "url"
}
],
"description" : "Extensions are always sliced by (at least) url",
"rules" : "open"
},
"short" : "Additional content defined by implementations",
"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.",
"comment" : "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.",
"alias" : [
"extensions",
"user content"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "Diagnose.ALPHAIDKodiert.modifierExtension",
"path" : "Diagnose.ALPHAIDKodiert.modifierExtension",
"short" : "Extensions that cannot be ignored even if unrecognized",
"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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"comment" : "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.",
"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](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
"alias" : [
"extensions",
"user content",
"modifiers"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "BackboneElement.modifierExtension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier" : true,
"isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "Diagnose.ALPHAIDKodiert.Diagnosecode",
"path" : "Diagnose.ALPHAIDKodiert.Diagnosecode",
"short" : "Alpha-ID-Code",
"definition" : "Alpha-ID-Code",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Diagnose.ALPHAIDKodiert.Diagnosecode",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "code"
}
],
"mapping" : [
{
"identity" : "FHIR",
"map" : "Condition.code.coding.where(system='http://fhir.de/CodeSystem/bfarm/alpha-id').code"
}
]
},
{
"id" : "Diagnose.ORPHANETDiagnoseKodiert",
"path" : "Diagnose.ORPHANETDiagnoseKodiert",
"short" : "Für die Kodierung von Seltenen Krankheiten ist die Orpha-Kennnummer erforderlich.",
"definition" : "Für die Kodierung von Seltenen Krankheiten ist die Orpha-Kennnummer erforderlich.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Diagnose.ORPHANETDiagnoseKodiert",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "BackboneElement"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mapping" : [
{
"identity" : "FHIR",
"map" : "Condition.code.coding.where(system='http://www.orpha.net')"
}
]
},
{
"id" : "Diagnose.ORPHANETDiagnoseKodiert.id",
"path" : "Diagnose.ORPHANETDiagnoseKodiert.id",
"representation" : [
"xmlAttr"
],
"short" : "Unique id for inter-element referencing",
"definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "1"
},
"type" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl" : "string"
}
],
"code" : "http://hl7.org/fhirpath/System.String"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "Diagnose.ORPHANETDiagnoseKodiert.extension",
"path" : "Diagnose.ORPHANETDiagnoseKodiert.extension",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "url"
}
],
"description" : "Extensions are always sliced by (at least) url",
"rules" : "open"
},
"short" : "Additional content defined by implementations",
"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.",
"comment" : "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.",
"alias" : [
"extensions",
"user content"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "Diagnose.ORPHANETDiagnoseKodiert.modifierExtension",
"path" : "Diagnose.ORPHANETDiagnoseKodiert.modifierExtension",
"short" : "Extensions that cannot be ignored even if unrecognized",
"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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"comment" : "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.",
"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](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
"alias" : [
"extensions",
"user content",
"modifiers"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "BackboneElement.modifierExtension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier" : true,
"isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "Diagnose.ORPHANETDiagnoseKodiert.Diagnosecode",
"path" : "Diagnose.ORPHANETDiagnoseKodiert.Diagnosecode",
"short" : "Orpha-Kennnummer",
"definition" : "Orpha-Kennnummer",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Diagnose.ORPHANETDiagnoseKodiert.Diagnosecode",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "code"
}
],
"mapping" : [
{
"identity" : "FHIR",
"map" : "Condition.code.coding.where(system='http://www.orpha.net').code"
}
]
},
{
"id" : "Diagnose.SNOMEDDiagnoseKodiert",
"path" : "Diagnose.SNOMEDDiagnoseKodiert",
"short" : "Ermöglicht die Kodierung einer Diagnose mit SNOMED-CT",
"definition" : "Ermöglicht die Kodierung einer Diagnose mit SNOMED-CT",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Diagnose.SNOMEDDiagnoseKodiert",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "BackboneElement"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mapping" : [
{
"identity" : "FHIR",
"map" : "Condition.code.coding.where(system='http://snomed.info/sct')"
}
]
},
{
"id" : "Diagnose.SNOMEDDiagnoseKodiert.id",
"path" : "Diagnose.SNOMEDDiagnoseKodiert.id",
"representation" : [
"xmlAttr"
],
"short" : "Unique id for inter-element referencing",
"definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "1"
},
"type" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl" : "string"
}
],
"code" : "http://hl7.org/fhirpath/System.String"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "Diagnose.SNOMEDDiagnoseKodiert.extension",
"path" : "Diagnose.SNOMEDDiagnoseKodiert.extension",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "url"
}
],
"description" : "Extensions are always sliced by (at least) url",
"rules" : "open"
},
"short" : "Additional content defined by implementations",
"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.",
"comment" : "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.",
"alias" : [
"extensions",
"user content"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "Diagnose.SNOMEDDiagnoseKodiert.modifierExtension",
"path" : "Diagnose.SNOMEDDiagnoseKodiert.modifierExtension",
"short" : "Extensions that cannot be ignored even if unrecognized",
"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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"comment" : "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.",
"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](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
"alias" : [
"extensions",
"user content",
"modifiers"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "BackboneElement.modifierExtension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier" : true,
"isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "Diagnose.SNOMEDDiagnoseKodiert.Diagnosecode",
"path" : "Diagnose.SNOMEDDiagnoseKodiert.Diagnosecode",
"short" : "SNOMED-CT Code",
"definition" : "SNOMED-CT Code",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Diagnose.SNOMEDDiagnoseKodiert.Diagnosecode",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "code"
}
],
"mapping" : [
{
"identity" : "FHIR",
"map" : "Condition.code.coding.where(system='http://snomed.info/sct').code"
}
]
},
{
"id" : "Diagnose.WeitereKodiersysteme",
"path" : "Diagnose.WeitereKodiersysteme",
"short" : "Bei Bedarf ist die Aufnahme weiterer Klassifikationen und Terminologien möglich.",
"definition" : "Bei Bedarf ist die Aufnahme weiterer Klassifikationen und Terminologien möglich.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Diagnose.WeitereKodiersysteme",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "BackboneElement"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mapping" : [
{
"identity" : "FHIR",
"map" : "Condition.code.coding"
}
]
},
{
"id" : "Diagnose.WeitereKodiersysteme.id",
"path" : "Diagnose.WeitereKodiersysteme.id",
"representation" : [
"xmlAttr"
],
"short" : "Unique id for inter-element referencing",
"definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "1"
},
"type" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl" : "string"
}
],
"code" : "http://hl7.org/fhirpath/System.String"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "Diagnose.WeitereKodiersysteme.extension",
"path" : "Diagnose.WeitereKodiersysteme.extension",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "url"
}
],
"description" : "Extensions are always sliced by (at least) url",
"rules" : "open"
},
"short" : "Additional content defined by implementations",
"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.",
"comment" : "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.",
"alias" : [
"extensions",
"user content"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "Diagnose.WeitereKodiersysteme.modifierExtension",
"path" : "Diagnose.WeitereKodiersysteme.modifierExtension",
"short" : "Extensions that cannot be ignored even if unrecognized",
"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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"comment" : "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.",
"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](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
"alias" : [
"extensions",
"user content",
"modifiers"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "BackboneElement.modifierExtension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier" : true,
"isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "Diagnose.WeitereKodiersysteme.Diagnosecode",
"path" : "Diagnose.WeitereKodiersysteme.Diagnosecode",
"short" : "Code aus weiterem Kodiersystem",
"definition" : "Angabe des Codes aus weiterem Kodiersystem",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Diagnose.WeitereKodiersysteme.Diagnosecode",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "code"
}
],
"mapping" : [
{
"identity" : "FHIR",
"map" : "Condition.code.coding.code"
}
]
},
{
"id" : "Diagnose.Koerperstelle",
"path" : "Diagnose.Koerperstelle",
"short" : "Körperstelle",
"definition" : "Über die Körperstelle kann angegeben werden, in welchem Bereich des Körpers eine Krankheit diagnostiziert wurde (Topografische Informatiomn)",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Diagnose.Koerperstelle",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "code"
}
],
"mapping" : [
{
"identity" : "FHIR",
"map" : "Condition.bodySite"
}
]
},
{
"id" : "Diagnose.Freitextbeschreibung",
"path" : "Diagnose.Freitextbeschreibung",
"short" : "Diagnose im Klartext",
"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.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Diagnose.Freitextbeschreibung",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
],
"mapping" : [
{
"identity" : "FHIR",
"map" : "Condition.code.text"
}
]
},
{
"id" : "Diagnose.Diagnoseerlaeuterung",
"path" : "Diagnose.Diagnoseerlaeuterung",
"short" : "Diagnoseerläuterung",
"definition" : "Damit soll dem Arzt die Möglichkeit gegeben werden, umfangreichere Angaben zusätzlich zu einer Diagnose abzufassen.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Diagnose.Diagnoseerlaeuterung",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "string"
}
],
"mapping" : [
{
"identity" : "FHIR",
"map" : "Condition.note"
}
]
},
{
"id" : "Diagnose.KlinischerStatus",
"path" : "Diagnose.KlinischerStatus",
"short" : "Klinischer Status",
"definition" : "aktiv, Rezidiv, Rückfall, inaktiv, Remission, geheilt",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Diagnose.KlinischerStatus",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code"
}
],
"mapping" : [
{
"identity" : "FHIR",
"map" : "Condition.clinicalStatus"
}
]
},
{
"id" : "Diagnose.KlinischRelevanterZeitraum",
"path" : "Diagnose.KlinischRelevanterZeitraum",
"short" : "Klinisch relevanter Zeitraum",
"definition" : "Hier kann der Klinisch Relevante Zeitraum beziehungsweise die Lebensphase einer Erkrankung angegeben werden. Datumsangaben zu Diagnosen können in unterschiedlicher Präzision vorhanden sein.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Diagnose.KlinischRelevanterZeitraum",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "BackboneElement"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mapping" : [
{
"identity" : "FHIR",
"map" : "Condition.onset[x]"
}
]
},
{
"id" : "Diagnose.KlinischRelevanterZeitraum.id",
"path" : "Diagnose.KlinischRelevanterZeitraum.id",
"representation" : [
"xmlAttr"
],
"short" : "Unique id for inter-element referencing",
"definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "1"
},
"type" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl" : "string"
}
],
"code" : "http://hl7.org/fhirpath/System.String"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "Diagnose.KlinischRelevanterZeitraum.extension",
"path" : "Diagnose.KlinischRelevanterZeitraum.extension",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "url"
}
],
"description" : "Extensions are always sliced by (at least) url",
"rules" : "open"
},
"short" : "Additional content defined by implementations",
"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.",
"comment" : "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.",
"alias" : [
"extensions",
"user content"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "Diagnose.KlinischRelevanterZeitraum.modifierExtension",
"path" : "Diagnose.KlinischRelevanterZeitraum.modifierExtension",
"short" : "Extensions that cannot be ignored even if unrecognized",
"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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"comment" : "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.",
"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](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
"alias" : [
"extensions",
"user content",
"modifiers"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "BackboneElement.modifierExtension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier" : true,
"isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "Diagnose.KlinischRelevanterZeitraum.Zeitraum",
"path" : "Diagnose.KlinischRelevanterZeitraum.Zeitraum",
"short" : "klinisch relevanter 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.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Diagnose.KlinischRelevanterZeitraum.Zeitraum",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "BackboneElement"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mapping" : [
{
"identity" : "FHIR",
"map" : "Condition.onsetPeriod"
}
]
},
{
"id" : "Diagnose.KlinischRelevanterZeitraum.Zeitraum.id",
"path" : "Diagnose.KlinischRelevanterZeitraum.Zeitraum.id",
"representation" : [
"xmlAttr"
],
"short" : "Unique id for inter-element referencing",
"definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "1"
},
"type" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl" : "string"
}
],
"code" : "http://hl7.org/fhirpath/System.String"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "Diagnose.KlinischRelevanterZeitraum.Zeitraum.extension",
"path" : "Diagnose.KlinischRelevanterZeitraum.Zeitraum.extension",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "url"
}
],
"description" : "Extensions are always sliced by (at least) url",
"rules" : "open"
},
"short" : "Additional content defined by implementations",
"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.",
"comment" : "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.",
"alias" : [
"extensions",
"user content"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "Diagnose.KlinischRelevanterZeitraum.Zeitraum.modifierExtension",
"path" : "Diagnose.KlinischRelevanterZeitraum.Zeitraum.modifierExtension",
"short" : "Extensions that cannot be ignored even if unrecognized",
"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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"comment" : "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.",
"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](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
"alias" : [
"extensions",
"user content",
"modifiers"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "BackboneElement.modifierExtension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier" : true,
"isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "Diagnose.KlinischRelevanterZeitraum.Zeitraum.von",
"path" : "Diagnose.KlinischRelevanterZeitraum.Zeitraum.von",
"short" : "Startdatum",
"definition" : "Startdatum",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Diagnose.KlinischRelevanterZeitraum.Zeitraum.von",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "dateTime"
}
],
"mapping" : [
{
"identity" : "FHIR",
"map" : "Condition.onsetPeriod.start"
}
]
},
{
"id" : "Diagnose.KlinischRelevanterZeitraum.Zeitraum.bis",
"path" : "Diagnose.KlinischRelevanterZeitraum.Zeitraum.bis",
"short" : "Enddatum",
"definition" : "Enddatum",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Diagnose.KlinischRelevanterZeitraum.Zeitraum.bis",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "dateTime"
}
],
"mapping" : [
{
"identity" : "FHIR",
"map" : "Condition.onsetPeriod.end"
}
]
},
{
"id" : "Diagnose.KlinischRelevanterZeitraum.Lebensphase",
"path" : "Diagnose.KlinischRelevanterZeitraum.Lebensphase",
"short" : "Lebensphase",
"definition" : "Lebensphase, in der die Erkrankung aufgetreten ist",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Diagnose.KlinischRelevanterZeitraum.Lebensphase",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "BackboneElement"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
]
},
{
"id" : "Diagnose.KlinischRelevanterZeitraum.Lebensphase.id",
"path" : "Diagnose.KlinischRelevanterZeitraum.Lebensphase.id",
"representation" : [
"xmlAttr"
],
"short" : "Unique id for inter-element referencing",
"definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "1"
},
"type" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl" : "string"
}
],
"code" : "http://hl7.org/fhirpath/System.String"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "Diagnose.KlinischRelevanterZeitraum.Lebensphase.extension",
"path" : "Diagnose.KlinischRelevanterZeitraum.Lebensphase.extension",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "url"
}
],
"description" : "Extensions are always sliced by (at least) url",
"rules" : "open"
},
"short" : "Additional content defined by implementations",
"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.",
"comment" : "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.",
"alias" : [
"extensions",
"user content"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "Diagnose.KlinischRelevanterZeitraum.Lebensphase.modifierExtension",
"path" : "Diagnose.KlinischRelevanterZeitraum.Lebensphase.modifierExtension",
"short" : "Extensions that cannot be ignored even if unrecognized",
"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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"comment" : "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.",
"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](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
"alias" : [
"extensions",
"user content",
"modifiers"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "BackboneElement.modifierExtension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier" : true,
"isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "Diagnose.KlinischRelevanterZeitraum.Lebensphase.von",
"path" : "Diagnose.KlinischRelevanterZeitraum.Lebensphase.von",
"short" : "In welcher Lebensphase die Krankheit began",
"definition" : "In welcher Lebensphase die Krankheit began",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Diagnose.KlinischRelevanterZeitraum.Lebensphase.von",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code"
}
],
"mapping" : [
{
"identity" : "FHIR",
"map" : "Condition.onsetPeriod.start.extension('http://fhir.de/StructureDefinition/lebensphase').valueCodeableConcept"
}
]
},
{
"id" : "Diagnose.KlinischRelevanterZeitraum.Lebensphase.bis",
"path" : "Diagnose.KlinischRelevanterZeitraum.Lebensphase.bis",
"short" : "In welcher Lebensphase die Krankheit endete",
"definition" : "In welcher Lebensphase die Krankheit endete",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Diagnose.KlinischRelevanterZeitraum.Lebensphase.bis",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code"
}
],
"mapping" : [
{
"identity" : "FHIR",
"map" : "Condition.onsetPeriod.end.extension('http://fhir.de/StructureDefinition/lebensphase').valueCodeableConcept"
}
]
},
{
"id" : "Diagnose.Feststellungsdatum",
"path" : "Diagnose.Feststellungsdatum",
"short" : "Feststellungsdatum / Diagnosedatum",
"definition" : "Das Datum ist der Zeitpunkt, an dem eine Krankheit z. B. durch einen Arzt festgestellt wurde. Dies wird im Folgenden mit Diagnosedatum bezeichnet.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Diagnose.Feststellungsdatum",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "date"
}
],
"mapping" : [
{
"identity" : "FHIR",
"map" : "Condition.extension('http://hl7.org/fhir/StructureDefinition/condition-assertedDate').valueDateTime"
}
]
},
{
"id" : "Diagnose.Dokumentationsdatum",
"path" : "Diagnose.Dokumentationsdatum",
"short" : "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.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Diagnose.Dokumentationsdatum",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "date"
}
],
"mapping" : [
{
"identity" : "FHIR",
"map" : "Condition.recordedDate"
}
]
}
]
},
"differential" : {
"element" : [
{
"id" : "Diagnose",
"path" : "Diagnose",
"short" : "Das Basismodul Diagnosen enthält Diagnosen als Behandlungsbegründungen und abrechnungsbasiertes Gliederungsmerkmal, z.B. als Hauptdiagnose, Nebendiagnose, Quartalsdiagnose etc.",
"definition" : "Logische Repräsentation des Basismoduls Diagnose"
},
{
"id" : "Diagnose.ICD10GMDiagnoseKodiert",
"path" : "Diagnose.ICD10GMDiagnoseKodiert",
"short" : "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 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 min" : 0,
"max" : "1",
"type" : [
{
"code" : "BackboneElement"
}
],
"mapping" : [
{
"identity" : "FHIR",
"map" : "Condition.code.coding.where(system='http://fhir.de/CodeSystem/bfarm/icd-10-gm')"
}
]
},
{
"id" : "Diagnose.ICD10GMDiagnoseKodiert.Diagnosecode",
"path" : "Diagnose.ICD10GMDiagnoseKodiert.Diagnosecode",
"short" : "Diagnosecode ICD-10-GM",
"definition" : "Code ohne Zusatzkennzeichen",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "code"
}
],
"mapping" : [
{
"identity" : "FHIR",
"map" : "Condition.code.coding.where(system='http://fhir.de/CodeSystem/bfarm/icd-10-gm').code"
}
]
},
{
"id" : "Diagnose.ICD10GMDiagnoseKodiert.Mehrfachkodierungskennzeichen",
"path" : "Diagnose.ICD10GMDiagnoseKodiert.Mehrfachkodierungskennzeichen",
"short" : "Mehrfachkodierungskennzeichen",
"definition" : "Mehrfachkodierungskennzeichen Kreuz-Stern-System und Ausrufezeichen (\"*\", \"†\", \"!\").",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "code"
}
],
"mapping" : [
{
"identity" : "FHIR",
"map" : "Condition.code.coding.where(system='http://fhir.de/CodeSystem/bfarm/icd-10-gm').extension('http://fhir.de/StructureDefinition/icd-10-gm-mehrfachcodierungs-kennzeichen').valueCoding.code"
}
]
},
{
"id" : "Diagnose.ICD10GMDiagnoseKodiert.Diagnosesicherheit",
"path" : "Diagnose.ICD10GMDiagnoseKodiert.Diagnosesicherheit",
"short" : "Zusatzkennzeichen für die Diagnosensicherhe",
"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.",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "code"
}
],
"mapping" : [
{
"identity" : "FHIR",
"map" : "Condition.code.coding.where(system='http://fhir.de/CodeSystem/bfarm/icd-10-gm').extension('http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit').valueCoding.code"
}
]
},
{
"id" : "Diagnose.ICD10GMDiagnoseKodiert.Seitenlokalisation",
"path" : "Diagnose.ICD10GMDiagnoseKodiert.Seitenlokalisation",
"short" : "Zusatzkennzeichen Seite einer Erkrankung",
"definition" : "Zusatzkennzeichen der ICD-10 für die Seitigkeit einer Diagnose (R, L, B)",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "code"
}
],
"mapping" : [
{
"identity" : "FHIR",
"map" : "Condition.code.coding.where(system='http://fhir.de/CodeSystem/bfarm/icd-10-gm').extension('http://fhir.de/StructureDefinition/seitenlokalisation').valueCoding.code"
}
]
},
{
"id" : "Diagnose.ALPHAIDKodiert",
"path" : "Diagnose.ALPHAIDKodiert",
"short" : "Kodierung einer Diagnose mit Alpha-ID",
"definition" : "Kodierung einer Diagnose mit Alpha-ID",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "BackboneElement"
}
],
"mapping" : [
{
"identity" : "FHIR",
"map" : "Condition.code.coding.where(system='http://fhir.de/CodeSystem/bfarm/alpha-id')"
}
]
},
{
"id" : "Diagnose.ALPHAIDKodiert.Diagnosecode",
"path" : "Diagnose.ALPHAIDKodiert.Diagnosecode",
"short" : "Alpha-ID-Code",
"definition" : "Alpha-ID-Code",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "code"
}
],
"mapping" : [
{
"identity" : "FHIR",
"map" : "Condition.code.coding.where(system='http://fhir.de/CodeSystem/bfarm/alpha-id').code"
}
]
},
{
"id" : "Diagnose.ORPHANETDiagnoseKodiert",
"path" : "Diagnose.ORPHANETDiagnoseKodiert",
"short" : "Für die Kodierung von Seltenen Krankheiten ist die Orpha-Kennnummer erforderlich.",
"definition" : "Für die Kodierung von Seltenen Krankheiten ist die Orpha-Kennnummer erforderlich.",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "BackboneElement"
}
],
"mapping" : [
{
"identity" : "FHIR",
"map" : "Condition.code.coding.where(system='http://www.orpha.net')"
}
]
},
{
"id" : "Diagnose.ORPHANETDiagnoseKodiert.Diagnosecode",
"path" : "Diagnose.ORPHANETDiagnoseKodiert.Diagnosecode",
"short" : "Orpha-Kennnummer",
"definition" : "Orpha-Kennnummer",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "code"
}
],
"mapping" : [
{
"identity" : "FHIR",
"map" : "Condition.code.coding.where(system='http://www.orpha.net').code"
}
]
},
{
"id" : "Diagnose.SNOMEDDiagnoseKodiert",
"path" : "Diagnose.SNOMEDDiagnoseKodiert",
"short" : "Ermöglicht die Kodierung einer Diagnose mit SNOMED-CT",
"definition" : "Ermöglicht die Kodierung einer Diagnose mit SNOMED-CT",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "BackboneElement"
}
],
"mapping" : [
{
"identity" : "FHIR",
"map" : "Condition.code.coding.where(system='http://snomed.info/sct')"
}
]
},
{
"id" : "Diagnose.SNOMEDDiagnoseKodiert.Diagnosecode",
"path" : "Diagnose.SNOMEDDiagnoseKodiert.Diagnosecode",
"short" : "SNOMED-CT Code",
"definition" : "SNOMED-CT Code",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "code"
}
],
"mapping" : [
{
"identity" : "FHIR",
"map" : "Condition.code.coding.where(system='http://snomed.info/sct').code"
}
]
},
{
"id" : "Diagnose.WeitereKodiersysteme",
"path" : "Diagnose.WeitereKodiersysteme",
"short" : "Bei Bedarf ist die Aufnahme weiterer Klassifikationen und Terminologien möglich.",
"definition" : "Bei Bedarf ist die Aufnahme weiterer Klassifikationen und Terminologien möglich.",
"min" : 0,
"max" : "*",
"type" : [
{
"code" : "BackboneElement"
}
],
"mapping" : [
{
"identity" : "FHIR",
"map" : "Condition.code.coding"
}
]
},
{
"id" : "Diagnose.WeitereKodiersysteme.Diagnosecode",
"path" : "Diagnose.WeitereKodiersysteme.Diagnosecode",
"short" : "Code aus weiterem Kodiersystem",
"definition" : "Angabe des Codes aus weiterem Kodiersystem",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "code"
}
],
"mapping" : [
{
"identity" : "FHIR",
"map" : "Condition.code.coding.code"
}
]
},
{
"id" : "Diagnose.Koerperstelle",
"path" : "Diagnose.Koerperstelle",
"short" : "Körperstelle",
"definition" : "Über die Körperstelle kann angegeben werden, in welchem Bereich des Körpers eine Krankheit diagnostiziert wurde (Topografische Informatiomn)",
"min" : 0,
"max" : "*",
"type" : [
{
"code" : "code"
}
],
"mapping" : [
{
"identity" : "FHIR",
"map" : "Condition.bodySite"
}
]
},
{
"id" : "Diagnose.Freitextbeschreibung",
"path" : "Diagnose.Freitextbeschreibung",
"short" : "Diagnose im Klartext",
"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.",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "string"
}
],
"mapping" : [
{
"identity" : "FHIR",
"map" : "Condition.code.text"
}
]
},
{
"id" : "Diagnose.Diagnoseerlaeuterung",
"path" : "Diagnose.Diagnoseerlaeuterung",
"short" : "Diagnoseerläuterung",
"definition" : "Damit soll dem Arzt die Möglichkeit gegeben werden, umfangreichere Angaben zusätzlich zu einer Diagnose abzufassen.",
"min" : 0,
"max" : "*",
"type" : [
{
"code" : "string"
}
],
"mapping" : [
{
"identity" : "FHIR",
"map" : "Condition.note"
}
]
},
{
"id" : "Diagnose.KlinischerStatus",
"path" : "Diagnose.KlinischerStatus",
"short" : "Klinischer Status",
"definition" : "aktiv, Rezidiv, Rückfall, inaktiv, Remission, geheilt",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "code"
}
],
"mapping" : [
{
"identity" : "FHIR",
"map" : "Condition.clinicalStatus"
}
]
},
{
"id" : "Diagnose.KlinischRelevanterZeitraum",
"path" : "Diagnose.KlinischRelevanterZeitraum",
"short" : "Klinisch relevanter Zeitraum",
"definition" : "Hier kann der Klinisch Relevante Zeitraum beziehungsweise die Lebensphase einer Erkrankung angegeben werden. Datumsangaben zu Diagnosen können in unterschiedlicher Präzision vorhanden sein.",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "BackboneElement"
}
],
"mapping" : [
{
"identity" : "FHIR",
"map" : "Condition.onset[x]"
}
]
},
{
"id" : "Diagnose.KlinischRelevanterZeitraum.Zeitraum",
"path" : "Diagnose.KlinischRelevanterZeitraum.Zeitraum",
"short" : "klinisch relevanter 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.",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "BackboneElement"
}
],
"mapping" : [
{
"identity" : "FHIR",
"map" : "Condition.onsetPeriod"
}
]
},
{
"id" : "Diagnose.KlinischRelevanterZeitraum.Zeitraum.von",
"path" : "Diagnose.KlinischRelevanterZeitraum.Zeitraum.von",
"short" : "Startdatum",
"definition" : "Startdatum",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "dateTime"
}
],
"mapping" : [
{
"identity" : "FHIR",
"map" : "Condition.onsetPeriod.start"
}
]
},
{
"id" : "Diagnose.KlinischRelevanterZeitraum.Zeitraum.bis",
"path" : "Diagnose.KlinischRelevanterZeitraum.Zeitraum.bis",
"short" : "Enddatum",
"definition" : "Enddatum",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "dateTime"
}
],
"mapping" : [
{
"identity" : "FHIR",
"map" : "Condition.onsetPeriod.end"
}
]
},
{
"id" : "Diagnose.KlinischRelevanterZeitraum.Lebensphase",
"path" : "Diagnose.KlinischRelevanterZeitraum.Lebensphase",
"short" : "Lebensphase",
"definition" : "Lebensphase, in der die Erkrankung aufgetreten ist",
"min" : 0,
"max" : "*",
"type" : [
{
"code" : "BackboneElement"
}
]
},
{
"id" : "Diagnose.KlinischRelevanterZeitraum.Lebensphase.von",
"path" : "Diagnose.KlinischRelevanterZeitraum.Lebensphase.von",
"short" : "In welcher Lebensphase die Krankheit began",
"definition" : "In welcher Lebensphase die Krankheit began",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "code"
}
],
"mapping" : [
{
"identity" : "FHIR",
"map" : "Condition.onsetPeriod.start.extension('http://fhir.de/StructureDefinition/lebensphase').valueCodeableConcept"
}
]
},
{
"id" : "Diagnose.KlinischRelevanterZeitraum.Lebensphase.bis",
"path" : "Diagnose.KlinischRelevanterZeitraum.Lebensphase.bis",
"short" : "In welcher Lebensphase die Krankheit endete",
"definition" : "In welcher Lebensphase die Krankheit endete",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "code"
}
],
"mapping" : [
{
"identity" : "FHIR",
"map" : "Condition.onsetPeriod.end.extension('http://fhir.de/StructureDefinition/lebensphase').valueCodeableConcept"
}
]
},
{
"id" : "Diagnose.Feststellungsdatum",
"path" : "Diagnose.Feststellungsdatum",
"short" : "Feststellungsdatum / Diagnosedatum",
"definition" : "Das Datum ist der Zeitpunkt, an dem eine Krankheit z. B. durch einen Arzt festgestellt wurde. Dies wird im Folgenden mit Diagnosedatum bezeichnet.",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "date"
}
],
"mapping" : [
{
"identity" : "FHIR",
"map" : "Condition.extension('http://hl7.org/fhir/StructureDefinition/condition-assertedDate').valueDateTime"
}
]
},
{
"id" : "Diagnose.Dokumentationsdatum",
"path" : "Diagnose.Dokumentationsdatum",
"short" : "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.",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "date"
}
],
"mapping" : [
{
"identity" : "FHIR",
"map" : "Condition.recordedDate"
}
]
}
]
}
}