MII Implementation Guide Core Dataset Base
2026.0.0 - Release
Germany
MII Implementation Guide Core Dataset Base
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 as of 2024-12-09 |
XML representation of the mii-lm-diagnose logical model.
<StructureDefinition xmlns="http://hl7.org/fhir">
<id value="mii-lm-diagnose"/>
<language value="en"/>
<text>
<status value="extensions"/>
<div xml:lang="en" lang="en"><hr/><p><b>English</b></p><hr/><p class="res-header-id"><b>Generated Narrative: StructureDefinition mii-lm-diagnose</b></p><a name="mii-lm-diagnose"> </a><a name="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="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>
<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
</text>
<extension
url="https://www.medizininformatik-initiative.de/fhir/modul-meta/StructureDefinition/mii-ex-meta-license-codeable">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/spdx-license"/>
<code value="CC-BY-4.0"/>
<display value="Creative Commons Attribution 4.0 International"/>
</coding>
</valueCodeableConcept>
</extension>
<url
value="https://www.medizininformatik-initiative.de/fhir/core/modul-diagnose/StructureDefinition/LogicalModel/Diagnose"/>
<version value="2026.0.0"/>
<name value="MII_LM_Diagnose"/>
<title value="MII LM Diagnose"/>
<status value="active"/>
<date value="2024-12-09"/>
<publisher value="Medical Informatics Initiative (MII)"/>
<contact>
<name value="Medical Informatics Initiative (MII)"/>
<telecom>
<system value="url"/>
<value value="https://www.medizininformatik-initiative.de/en"/>
</telecom>
</contact>
<description value="Logische Repräsentation des Basismoduls Diagnose"/>
<jurisdiction>
<coding>
<system value="urn:iso:std:iso:3166"/>
<code value="DE"/>
<display value="Germany"/>
</coding>
</jurisdiction>
<fhirVersion value="4.0.1"/>
<mapping>
<identity value="FHIR"/>
<name value="Diagnose LogicalModel FHIR Mapping"/>
</mapping>
<mapping>
<identity value="rim"/>
<uri value="http://hl7.org/v3"/>
<name value="RIM Mapping"/>
</mapping>
<kind value="logical"/>
<abstract value="false"/>
<type
value="https://www.medizininformatik-initiative.de/fhir/core/modul-diagnose/StructureDefinition/LogicalModel/Diagnose"/>
<baseDefinition value="http://hl7.org/fhir/StructureDefinition/Element"/>
<derivation value="specialization"/>
<snapshot>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version">
<valueString value="4.0.1"/>
</extension>
<element id="Diagnose">
<path value="Diagnose"/>
<short
value="Das Basismodul Diagnosen enthält Diagnosen als Behandlungsbegründungen und abrechnungsbasiertes Gliederungsmerkmal, z.B. als Hauptdiagnose, Nebendiagnose, Quartalsdiagnose etc."/>
<definition value="Logische Repräsentation des Basismoduls Diagnose"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element"/>
<min value="0"/>
<max value="*"/>
</base>
<condition value="ele-1"/>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<isModifier value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="Diagnose.id">
<path value="Diagnose.id"/>
<representation value="xmlAttr"/>
<short value="Unique id for inter-element referencing"/>
<definition
value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string"/>
</extension>
<code value="http://hl7.org/fhirpath/System.String"/>
</type>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="Diagnose.extension">
<path value="Diagnose.extension"/>
<slicing>
<discriminator>
<type value="value"/>
<path value="url"/>
</discriminator>
<description value="Extensions are always sliced by (at least) url"/>
<rules value="open"/>
</slicing>
<short value="Additional content defined by implementations"/>
<definition
value="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
value="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 value="extensions"/>
<alias value="user content"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="Diagnose.ICD10GMDiagnoseKodiert">
<path value="Diagnose.ICD10GMDiagnoseKodiert"/>
<short
value="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
value="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 value="0"/>
<max value="1"/>
<base>
<path value="Diagnose.ICD10GMDiagnoseKodiert"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="BackboneElement"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mapping>
<identity value="FHIR"/>
<map
value="Condition.code.coding.where(system='http://fhir.de/CodeSystem/bfarm/icd-10-gm')"/>
</mapping>
</element>
<element id="Diagnose.ICD10GMDiagnoseKodiert.id">
<path value="Diagnose.ICD10GMDiagnoseKodiert.id"/>
<representation value="xmlAttr"/>
<short value="Unique id for inter-element referencing"/>
<definition
value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string"/>
</extension>
<code value="http://hl7.org/fhirpath/System.String"/>
</type>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="Diagnose.ICD10GMDiagnoseKodiert.extension">
<path value="Diagnose.ICD10GMDiagnoseKodiert.extension"/>
<slicing>
<discriminator>
<type value="value"/>
<path value="url"/>
</discriminator>
<description value="Extensions are always sliced by (at least) url"/>
<rules value="open"/>
</slicing>
<short value="Additional content defined by implementations"/>
<definition
value="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
value="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 value="extensions"/>
<alias value="user content"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="Diagnose.ICD10GMDiagnoseKodiert.modifierExtension">
<path value="Diagnose.ICD10GMDiagnoseKodiert.modifierExtension"/>
<short value="Extensions that cannot be ignored even if unrecognized"/>
<definition
value="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)."/>
<comment
value="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
value="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 value="extensions"/>
<alias value="user content"/>
<alias value="modifiers"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="BackboneElement.modifierExtension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
</constraint>
<isModifier value="true"/>
<isModifierReason
value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="Diagnose.ICD10GMDiagnoseKodiert.Diagnosecode">
<path value="Diagnose.ICD10GMDiagnoseKodiert.Diagnosecode"/>
<short value="Diagnosecode ICD-10-GM"/>
<definition value="Code ohne Zusatzkennzeichen"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Diagnose.ICD10GMDiagnoseKodiert.Diagnosecode"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
<mapping>
<identity value="FHIR"/>
<map
value="Condition.code.coding.where(system='http://fhir.de/CodeSystem/bfarm/icd-10-gm').code"/>
</mapping>
</element>
<element
id="Diagnose.ICD10GMDiagnoseKodiert.Mehrfachkodierungskennzeichen">
<path
value="Diagnose.ICD10GMDiagnoseKodiert.Mehrfachkodierungskennzeichen"/>
<short value="Mehrfachkodierungskennzeichen"/>
<definition
value="Mehrfachkodierungskennzeichen Kreuz-Stern-System und Ausrufezeichen ("*", "†", "!")."/>
<min value="0"/>
<max value="1"/>
<base>
<path
value="Diagnose.ICD10GMDiagnoseKodiert.Mehrfachkodierungskennzeichen"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
<mapping>
<identity value="FHIR"/>
<map
value="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"/>
</mapping>
</element>
<element id="Diagnose.ICD10GMDiagnoseKodiert.Diagnosesicherheit">
<path value="Diagnose.ICD10GMDiagnoseKodiert.Diagnosesicherheit"/>
<short value="Zusatzkennzeichen für die Diagnosensicherhe"/>
<definition
value="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 value="0"/>
<max value="1"/>
<base>
<path value="Diagnose.ICD10GMDiagnoseKodiert.Diagnosesicherheit"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
<mapping>
<identity value="FHIR"/>
<map
value="Condition.code.coding.where(system='http://fhir.de/CodeSystem/bfarm/icd-10-gm').extension('http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit').valueCoding.code"/>
</mapping>
</element>
<element id="Diagnose.ICD10GMDiagnoseKodiert.Seitenlokalisation">
<path value="Diagnose.ICD10GMDiagnoseKodiert.Seitenlokalisation"/>
<short value="Zusatzkennzeichen Seite einer Erkrankung"/>
<definition
value="Zusatzkennzeichen der ICD-10 für die Seitigkeit einer Diagnose (R, L, B)"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Diagnose.ICD10GMDiagnoseKodiert.Seitenlokalisation"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
<mapping>
<identity value="FHIR"/>
<map
value="Condition.code.coding.where(system='http://fhir.de/CodeSystem/bfarm/icd-10-gm').extension('http://fhir.de/StructureDefinition/seitenlokalisation').valueCoding.code"/>
</mapping>
</element>
<element id="Diagnose.ALPHAIDKodiert">
<path value="Diagnose.ALPHAIDKodiert"/>
<short value="Kodierung einer Diagnose mit Alpha-ID"/>
<definition value="Kodierung einer Diagnose mit Alpha-ID"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Diagnose.ALPHAIDKodiert"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="BackboneElement"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mapping>
<identity value="FHIR"/>
<map
value="Condition.code.coding.where(system='http://fhir.de/CodeSystem/bfarm/alpha-id')"/>
</mapping>
</element>
<element id="Diagnose.ALPHAIDKodiert.id">
<path value="Diagnose.ALPHAIDKodiert.id"/>
<representation value="xmlAttr"/>
<short value="Unique id for inter-element referencing"/>
<definition
value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string"/>
</extension>
<code value="http://hl7.org/fhirpath/System.String"/>
</type>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="Diagnose.ALPHAIDKodiert.extension">
<path value="Diagnose.ALPHAIDKodiert.extension"/>
<slicing>
<discriminator>
<type value="value"/>
<path value="url"/>
</discriminator>
<description value="Extensions are always sliced by (at least) url"/>
<rules value="open"/>
</slicing>
<short value="Additional content defined by implementations"/>
<definition
value="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
value="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 value="extensions"/>
<alias value="user content"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="Diagnose.ALPHAIDKodiert.modifierExtension">
<path value="Diagnose.ALPHAIDKodiert.modifierExtension"/>
<short value="Extensions that cannot be ignored even if unrecognized"/>
<definition
value="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)."/>
<comment
value="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
value="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 value="extensions"/>
<alias value="user content"/>
<alias value="modifiers"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="BackboneElement.modifierExtension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
</constraint>
<isModifier value="true"/>
<isModifierReason
value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="Diagnose.ALPHAIDKodiert.Diagnosecode">
<path value="Diagnose.ALPHAIDKodiert.Diagnosecode"/>
<short value="Alpha-ID-Code"/>
<definition value="Alpha-ID-Code"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Diagnose.ALPHAIDKodiert.Diagnosecode"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
<mapping>
<identity value="FHIR"/>
<map
value="Condition.code.coding.where(system='http://fhir.de/CodeSystem/bfarm/alpha-id').code"/>
</mapping>
</element>
<element id="Diagnose.ORPHANETDiagnoseKodiert">
<path value="Diagnose.ORPHANETDiagnoseKodiert"/>
<short
value="Für die Kodierung von Seltenen Krankheiten ist die Orpha-Kennnummer erforderlich."/>
<definition
value="Für die Kodierung von Seltenen Krankheiten ist die Orpha-Kennnummer erforderlich."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Diagnose.ORPHANETDiagnoseKodiert"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="BackboneElement"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mapping>
<identity value="FHIR"/>
<map
value="Condition.code.coding.where(system='http://www.orpha.net')"/>
</mapping>
</element>
<element id="Diagnose.ORPHANETDiagnoseKodiert.id">
<path value="Diagnose.ORPHANETDiagnoseKodiert.id"/>
<representation value="xmlAttr"/>
<short value="Unique id for inter-element referencing"/>
<definition
value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string"/>
</extension>
<code value="http://hl7.org/fhirpath/System.String"/>
</type>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="Diagnose.ORPHANETDiagnoseKodiert.extension">
<path value="Diagnose.ORPHANETDiagnoseKodiert.extension"/>
<slicing>
<discriminator>
<type value="value"/>
<path value="url"/>
</discriminator>
<description value="Extensions are always sliced by (at least) url"/>
<rules value="open"/>
</slicing>
<short value="Additional content defined by implementations"/>
<definition
value="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
value="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 value="extensions"/>
<alias value="user content"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="Diagnose.ORPHANETDiagnoseKodiert.modifierExtension">
<path value="Diagnose.ORPHANETDiagnoseKodiert.modifierExtension"/>
<short value="Extensions that cannot be ignored even if unrecognized"/>
<definition
value="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)."/>
<comment
value="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
value="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 value="extensions"/>
<alias value="user content"/>
<alias value="modifiers"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="BackboneElement.modifierExtension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
</constraint>
<isModifier value="true"/>
<isModifierReason
value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="Diagnose.ORPHANETDiagnoseKodiert.Diagnosecode">
<path value="Diagnose.ORPHANETDiagnoseKodiert.Diagnosecode"/>
<short value="Orpha-Kennnummer"/>
<definition value="Orpha-Kennnummer"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Diagnose.ORPHANETDiagnoseKodiert.Diagnosecode"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
<mapping>
<identity value="FHIR"/>
<map
value="Condition.code.coding.where(system='http://www.orpha.net').code"/>
</mapping>
</element>
<element id="Diagnose.SNOMEDDiagnoseKodiert">
<path value="Diagnose.SNOMEDDiagnoseKodiert"/>
<short value="Ermöglicht die Kodierung einer Diagnose mit SNOMED-CT"/>
<definition
value="Ermöglicht die Kodierung einer Diagnose mit SNOMED-CT"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Diagnose.SNOMEDDiagnoseKodiert"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="BackboneElement"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mapping>
<identity value="FHIR"/>
<map
value="Condition.code.coding.where(system='http://snomed.info/sct')"/>
</mapping>
</element>
<element id="Diagnose.SNOMEDDiagnoseKodiert.id">
<path value="Diagnose.SNOMEDDiagnoseKodiert.id"/>
<representation value="xmlAttr"/>
<short value="Unique id for inter-element referencing"/>
<definition
value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string"/>
</extension>
<code value="http://hl7.org/fhirpath/System.String"/>
</type>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="Diagnose.SNOMEDDiagnoseKodiert.extension">
<path value="Diagnose.SNOMEDDiagnoseKodiert.extension"/>
<slicing>
<discriminator>
<type value="value"/>
<path value="url"/>
</discriminator>
<description value="Extensions are always sliced by (at least) url"/>
<rules value="open"/>
</slicing>
<short value="Additional content defined by implementations"/>
<definition
value="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
value="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 value="extensions"/>
<alias value="user content"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="Diagnose.SNOMEDDiagnoseKodiert.modifierExtension">
<path value="Diagnose.SNOMEDDiagnoseKodiert.modifierExtension"/>
<short value="Extensions that cannot be ignored even if unrecognized"/>
<definition
value="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)."/>
<comment
value="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
value="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 value="extensions"/>
<alias value="user content"/>
<alias value="modifiers"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="BackboneElement.modifierExtension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
</constraint>
<isModifier value="true"/>
<isModifierReason
value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="Diagnose.SNOMEDDiagnoseKodiert.Diagnosecode">
<path value="Diagnose.SNOMEDDiagnoseKodiert.Diagnosecode"/>
<short value="SNOMED-CT Code"/>
<definition value="SNOMED-CT Code"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Diagnose.SNOMEDDiagnoseKodiert.Diagnosecode"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
<mapping>
<identity value="FHIR"/>
<map
value="Condition.code.coding.where(system='http://snomed.info/sct').code"/>
</mapping>
</element>
<element id="Diagnose.WeitereKodiersysteme">
<path value="Diagnose.WeitereKodiersysteme"/>
<short
value="Bei Bedarf ist die Aufnahme weiterer Klassifikationen und Terminologien möglich."/>
<definition
value="Bei Bedarf ist die Aufnahme weiterer Klassifikationen und Terminologien möglich."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Diagnose.WeitereKodiersysteme"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="BackboneElement"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mapping>
<identity value="FHIR"/>
<map value="Condition.code.coding"/>
</mapping>
</element>
<element id="Diagnose.WeitereKodiersysteme.id">
<path value="Diagnose.WeitereKodiersysteme.id"/>
<representation value="xmlAttr"/>
<short value="Unique id for inter-element referencing"/>
<definition
value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string"/>
</extension>
<code value="http://hl7.org/fhirpath/System.String"/>
</type>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="Diagnose.WeitereKodiersysteme.extension">
<path value="Diagnose.WeitereKodiersysteme.extension"/>
<slicing>
<discriminator>
<type value="value"/>
<path value="url"/>
</discriminator>
<description value="Extensions are always sliced by (at least) url"/>
<rules value="open"/>
</slicing>
<short value="Additional content defined by implementations"/>
<definition
value="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
value="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 value="extensions"/>
<alias value="user content"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="Diagnose.WeitereKodiersysteme.modifierExtension">
<path value="Diagnose.WeitereKodiersysteme.modifierExtension"/>
<short value="Extensions that cannot be ignored even if unrecognized"/>
<definition
value="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)."/>
<comment
value="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
value="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 value="extensions"/>
<alias value="user content"/>
<alias value="modifiers"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="BackboneElement.modifierExtension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
</constraint>
<isModifier value="true"/>
<isModifierReason
value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="Diagnose.WeitereKodiersysteme.Diagnosecode">
<path value="Diagnose.WeitereKodiersysteme.Diagnosecode"/>
<short value="Code aus weiterem Kodiersystem"/>
<definition value="Angabe des Codes aus weiterem Kodiersystem"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Diagnose.WeitereKodiersysteme.Diagnosecode"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
<mapping>
<identity value="FHIR"/>
<map value="Condition.code.coding.code"/>
</mapping>
</element>
<element id="Diagnose.Koerperstelle">
<path value="Diagnose.Koerperstelle"/>
<short value="Körperstelle"/>
<definition
value="Über die Körperstelle kann angegeben werden, in welchem Bereich des Körpers eine Krankheit diagnostiziert wurde (Topografische Informatiomn)"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Diagnose.Koerperstelle"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="code"/>
</type>
<mapping>
<identity value="FHIR"/>
<map value="Condition.bodySite"/>
</mapping>
</element>
<element id="Diagnose.Freitextbeschreibung">
<path value="Diagnose.Freitextbeschreibung"/>
<short value="Diagnose im Klartext"/>
<definition
value="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 value="0"/>
<max value="1"/>
<base>
<path value="Diagnose.Freitextbeschreibung"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
<mapping>
<identity value="FHIR"/>
<map value="Condition.code.text"/>
</mapping>
</element>
<element id="Diagnose.Diagnoseerlaeuterung">
<path value="Diagnose.Diagnoseerlaeuterung"/>
<short value="Diagnoseerläuterung"/>
<definition
value="Damit soll dem Arzt die Möglichkeit gegeben werden, umfangreichere Angaben zusätzlich zu einer Diagnose abzufassen."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Diagnose.Diagnoseerlaeuterung"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="string"/>
</type>
<mapping>
<identity value="FHIR"/>
<map value="Condition.note"/>
</mapping>
</element>
<element id="Diagnose.KlinischerStatus">
<path value="Diagnose.KlinischerStatus"/>
<short value="Klinischer Status"/>
<definition
value="aktiv, Rezidiv, Rückfall, inaktiv, Remission, geheilt"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Diagnose.KlinischerStatus"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
<mapping>
<identity value="FHIR"/>
<map value="Condition.clinicalStatus"/>
</mapping>
</element>
<element id="Diagnose.KlinischRelevanterZeitraum">
<path value="Diagnose.KlinischRelevanterZeitraum"/>
<short value="Klinisch relevanter Zeitraum"/>
<definition
value="Hier kann der Klinisch Relevante Zeitraum beziehungsweise die Lebensphase einer Erkrankung angegeben werden. Datumsangaben zu Diagnosen können in unterschiedlicher Präzision vorhanden sein."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Diagnose.KlinischRelevanterZeitraum"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="BackboneElement"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mapping>
<identity value="FHIR"/>
<map value="Condition.onset[x]"/>
</mapping>
</element>
<element id="Diagnose.KlinischRelevanterZeitraum.id">
<path value="Diagnose.KlinischRelevanterZeitraum.id"/>
<representation value="xmlAttr"/>
<short value="Unique id for inter-element referencing"/>
<definition
value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string"/>
</extension>
<code value="http://hl7.org/fhirpath/System.String"/>
</type>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="Diagnose.KlinischRelevanterZeitraum.extension">
<path value="Diagnose.KlinischRelevanterZeitraum.extension"/>
<slicing>
<discriminator>
<type value="value"/>
<path value="url"/>
</discriminator>
<description value="Extensions are always sliced by (at least) url"/>
<rules value="open"/>
</slicing>
<short value="Additional content defined by implementations"/>
<definition
value="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
value="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 value="extensions"/>
<alias value="user content"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="Diagnose.KlinischRelevanterZeitraum.modifierExtension">
<path value="Diagnose.KlinischRelevanterZeitraum.modifierExtension"/>
<short value="Extensions that cannot be ignored even if unrecognized"/>
<definition
value="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)."/>
<comment
value="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
value="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 value="extensions"/>
<alias value="user content"/>
<alias value="modifiers"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="BackboneElement.modifierExtension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
</constraint>
<isModifier value="true"/>
<isModifierReason
value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="Diagnose.KlinischRelevanterZeitraum.Zeitraum">
<path value="Diagnose.KlinischRelevanterZeitraum.Zeitraum"/>
<short value="klinisch relevanter Zeitraum"/>
<definition
value="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 value="0"/>
<max value="1"/>
<base>
<path value="Diagnose.KlinischRelevanterZeitraum.Zeitraum"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="BackboneElement"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mapping>
<identity value="FHIR"/>
<map value="Condition.onsetPeriod"/>
</mapping>
</element>
<element id="Diagnose.KlinischRelevanterZeitraum.Zeitraum.id">
<path value="Diagnose.KlinischRelevanterZeitraum.Zeitraum.id"/>
<representation value="xmlAttr"/>
<short value="Unique id for inter-element referencing"/>
<definition
value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string"/>
</extension>
<code value="http://hl7.org/fhirpath/System.String"/>
</type>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="Diagnose.KlinischRelevanterZeitraum.Zeitraum.extension">
<path value="Diagnose.KlinischRelevanterZeitraum.Zeitraum.extension"/>
<slicing>
<discriminator>
<type value="value"/>
<path value="url"/>
</discriminator>
<description value="Extensions are always sliced by (at least) url"/>
<rules value="open"/>
</slicing>
<short value="Additional content defined by implementations"/>
<definition
value="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
value="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 value="extensions"/>
<alias value="user content"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element
id="Diagnose.KlinischRelevanterZeitraum.Zeitraum.modifierExtension">
<path
value="Diagnose.KlinischRelevanterZeitraum.Zeitraum.modifierExtension"/>
<short value="Extensions that cannot be ignored even if unrecognized"/>
<definition
value="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)."/>
<comment
value="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
value="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 value="extensions"/>
<alias value="user content"/>
<alias value="modifiers"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="BackboneElement.modifierExtension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
</constraint>
<isModifier value="true"/>
<isModifierReason
value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="Diagnose.KlinischRelevanterZeitraum.Zeitraum.von">
<path value="Diagnose.KlinischRelevanterZeitraum.Zeitraum.von"/>
<short value="Startdatum"/>
<definition value="Startdatum"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Diagnose.KlinischRelevanterZeitraum.Zeitraum.von"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="dateTime"/>
</type>
<mapping>
<identity value="FHIR"/>
<map value="Condition.onsetPeriod.start"/>
</mapping>
</element>
<element id="Diagnose.KlinischRelevanterZeitraum.Zeitraum.bis">
<path value="Diagnose.KlinischRelevanterZeitraum.Zeitraum.bis"/>
<short value="Enddatum"/>
<definition value="Enddatum"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Diagnose.KlinischRelevanterZeitraum.Zeitraum.bis"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="dateTime"/>
</type>
<mapping>
<identity value="FHIR"/>
<map value="Condition.onsetPeriod.end"/>
</mapping>
</element>
<element id="Diagnose.KlinischRelevanterZeitraum.Lebensphase">
<path value="Diagnose.KlinischRelevanterZeitraum.Lebensphase"/>
<short value="Lebensphase"/>
<definition value="Lebensphase, in der die Erkrankung aufgetreten ist"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Diagnose.KlinischRelevanterZeitraum.Lebensphase"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="BackboneElement"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
</element>
<element id="Diagnose.KlinischRelevanterZeitraum.Lebensphase.id">
<path value="Diagnose.KlinischRelevanterZeitraum.Lebensphase.id"/>
<representation value="xmlAttr"/>
<short value="Unique id for inter-element referencing"/>
<definition
value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string"/>
</extension>
<code value="http://hl7.org/fhirpath/System.String"/>
</type>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="Diagnose.KlinischRelevanterZeitraum.Lebensphase.extension">
<path
value="Diagnose.KlinischRelevanterZeitraum.Lebensphase.extension"/>
<slicing>
<discriminator>
<type value="value"/>
<path value="url"/>
</discriminator>
<description value="Extensions are always sliced by (at least) url"/>
<rules value="open"/>
</slicing>
<short value="Additional content defined by implementations"/>
<definition
value="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
value="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 value="extensions"/>
<alias value="user content"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element
id="Diagnose.KlinischRelevanterZeitraum.Lebensphase.modifierExtension">
<path
value="Diagnose.KlinischRelevanterZeitraum.Lebensphase.modifierExtension"/>
<short value="Extensions that cannot be ignored even if unrecognized"/>
<definition
value="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)."/>
<comment
value="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
value="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 value="extensions"/>
<alias value="user content"/>
<alias value="modifiers"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="BackboneElement.modifierExtension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
</constraint>
<isModifier value="true"/>
<isModifierReason
value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="Diagnose.KlinischRelevanterZeitraum.Lebensphase.von">
<path value="Diagnose.KlinischRelevanterZeitraum.Lebensphase.von"/>
<short value="In welcher Lebensphase die Krankheit began"/>
<definition value="In welcher Lebensphase die Krankheit began"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Diagnose.KlinischRelevanterZeitraum.Lebensphase.von"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
<mapping>
<identity value="FHIR"/>
<map
value="Condition.onsetPeriod.start.extension('http://fhir.de/StructureDefinition/lebensphase').valueCodeableConcept"/>
</mapping>
</element>
<element id="Diagnose.KlinischRelevanterZeitraum.Lebensphase.bis">
<path value="Diagnose.KlinischRelevanterZeitraum.Lebensphase.bis"/>
<short value="In welcher Lebensphase die Krankheit endete"/>
<definition value="In welcher Lebensphase die Krankheit endete"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Diagnose.KlinischRelevanterZeitraum.Lebensphase.bis"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
<mapping>
<identity value="FHIR"/>
<map
value="Condition.onsetPeriod.end.extension('http://fhir.de/StructureDefinition/lebensphase').valueCodeableConcept"/>
</mapping>
</element>
<element id="Diagnose.Feststellungsdatum">
<path value="Diagnose.Feststellungsdatum"/>
<short value="Feststellungsdatum / Diagnosedatum"/>
<definition
value="Das Datum ist der Zeitpunkt, an dem eine Krankheit z. B. durch einen Arzt festgestellt wurde. Dies wird im Folgenden mit Diagnosedatum bezeichnet."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Diagnose.Feststellungsdatum"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="date"/>
</type>
<mapping>
<identity value="FHIR"/>
<map
value="Condition.extension('http://hl7.org/fhir/StructureDefinition/condition-assertedDate').valueDateTime"/>
</mapping>
</element>
<element id="Diagnose.Dokumentationsdatum">
<path value="Diagnose.Dokumentationsdatum"/>
<short value="Dokumentationsdatum"/>
<definition
value="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 value="1"/>
<max value="1"/>
<base>
<path value="Diagnose.Dokumentationsdatum"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="date"/>
</type>
<mapping>
<identity value="FHIR"/>
<map value="Condition.recordedDate"/>
</mapping>
</element>
</snapshot>
<differential>
<element id="Diagnose">
<path value="Diagnose"/>
<short
value="Das Basismodul Diagnosen enthält Diagnosen als Behandlungsbegründungen und abrechnungsbasiertes Gliederungsmerkmal, z.B. als Hauptdiagnose, Nebendiagnose, Quartalsdiagnose etc."/>
<definition value="Logische Repräsentation des Basismoduls Diagnose"/>
</element>
<element id="Diagnose.ICD10GMDiagnoseKodiert">
<path value="Diagnose.ICD10GMDiagnoseKodiert"/>
<short
value="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
value="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 value="0"/>
<max value="1"/>
<type>
<code value="BackboneElement"/>
</type>
<mapping>
<identity value="FHIR"/>
<map
value="Condition.code.coding.where(system='http://fhir.de/CodeSystem/bfarm/icd-10-gm')"/>
</mapping>
</element>
<element id="Diagnose.ICD10GMDiagnoseKodiert.Diagnosecode">
<path value="Diagnose.ICD10GMDiagnoseKodiert.Diagnosecode"/>
<short value="Diagnosecode ICD-10-GM"/>
<definition value="Code ohne Zusatzkennzeichen"/>
<min value="1"/>
<max value="1"/>
<type>
<code value="code"/>
</type>
<mapping>
<identity value="FHIR"/>
<map
value="Condition.code.coding.where(system='http://fhir.de/CodeSystem/bfarm/icd-10-gm').code"/>
</mapping>
</element>
<element
id="Diagnose.ICD10GMDiagnoseKodiert.Mehrfachkodierungskennzeichen">
<path
value="Diagnose.ICD10GMDiagnoseKodiert.Mehrfachkodierungskennzeichen"/>
<short value="Mehrfachkodierungskennzeichen"/>
<definition
value="Mehrfachkodierungskennzeichen Kreuz-Stern-System und Ausrufezeichen ("*", "†", "!")."/>
<min value="0"/>
<max value="1"/>
<type>
<code value="code"/>
</type>
<mapping>
<identity value="FHIR"/>
<map
value="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"/>
</mapping>
</element>
<element id="Diagnose.ICD10GMDiagnoseKodiert.Diagnosesicherheit">
<path value="Diagnose.ICD10GMDiagnoseKodiert.Diagnosesicherheit"/>
<short value="Zusatzkennzeichen für die Diagnosensicherhe"/>
<definition
value="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 value="0"/>
<max value="1"/>
<type>
<code value="code"/>
</type>
<mapping>
<identity value="FHIR"/>
<map
value="Condition.code.coding.where(system='http://fhir.de/CodeSystem/bfarm/icd-10-gm').extension('http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit').valueCoding.code"/>
</mapping>
</element>
<element id="Diagnose.ICD10GMDiagnoseKodiert.Seitenlokalisation">
<path value="Diagnose.ICD10GMDiagnoseKodiert.Seitenlokalisation"/>
<short value="Zusatzkennzeichen Seite einer Erkrankung"/>
<definition
value="Zusatzkennzeichen der ICD-10 für die Seitigkeit einer Diagnose (R, L, B)"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="code"/>
</type>
<mapping>
<identity value="FHIR"/>
<map
value="Condition.code.coding.where(system='http://fhir.de/CodeSystem/bfarm/icd-10-gm').extension('http://fhir.de/StructureDefinition/seitenlokalisation').valueCoding.code"/>
</mapping>
</element>
<element id="Diagnose.ALPHAIDKodiert">
<path value="Diagnose.ALPHAIDKodiert"/>
<short value="Kodierung einer Diagnose mit Alpha-ID"/>
<definition value="Kodierung einer Diagnose mit Alpha-ID"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="BackboneElement"/>
</type>
<mapping>
<identity value="FHIR"/>
<map
value="Condition.code.coding.where(system='http://fhir.de/CodeSystem/bfarm/alpha-id')"/>
</mapping>
</element>
<element id="Diagnose.ALPHAIDKodiert.Diagnosecode">
<path value="Diagnose.ALPHAIDKodiert.Diagnosecode"/>
<short value="Alpha-ID-Code"/>
<definition value="Alpha-ID-Code"/>
<min value="1"/>
<max value="1"/>
<type>
<code value="code"/>
</type>
<mapping>
<identity value="FHIR"/>
<map
value="Condition.code.coding.where(system='http://fhir.de/CodeSystem/bfarm/alpha-id').code"/>
</mapping>
</element>
<element id="Diagnose.ORPHANETDiagnoseKodiert">
<path value="Diagnose.ORPHANETDiagnoseKodiert"/>
<short
value="Für die Kodierung von Seltenen Krankheiten ist die Orpha-Kennnummer erforderlich."/>
<definition
value="Für die Kodierung von Seltenen Krankheiten ist die Orpha-Kennnummer erforderlich."/>
<min value="0"/>
<max value="1"/>
<type>
<code value="BackboneElement"/>
</type>
<mapping>
<identity value="FHIR"/>
<map
value="Condition.code.coding.where(system='http://www.orpha.net')"/>
</mapping>
</element>
<element id="Diagnose.ORPHANETDiagnoseKodiert.Diagnosecode">
<path value="Diagnose.ORPHANETDiagnoseKodiert.Diagnosecode"/>
<short value="Orpha-Kennnummer"/>
<definition value="Orpha-Kennnummer"/>
<min value="1"/>
<max value="1"/>
<type>
<code value="code"/>
</type>
<mapping>
<identity value="FHIR"/>
<map
value="Condition.code.coding.where(system='http://www.orpha.net').code"/>
</mapping>
</element>
<element id="Diagnose.SNOMEDDiagnoseKodiert">
<path value="Diagnose.SNOMEDDiagnoseKodiert"/>
<short value="Ermöglicht die Kodierung einer Diagnose mit SNOMED-CT"/>
<definition
value="Ermöglicht die Kodierung einer Diagnose mit SNOMED-CT"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="BackboneElement"/>
</type>
<mapping>
<identity value="FHIR"/>
<map
value="Condition.code.coding.where(system='http://snomed.info/sct')"/>
</mapping>
</element>
<element id="Diagnose.SNOMEDDiagnoseKodiert.Diagnosecode">
<path value="Diagnose.SNOMEDDiagnoseKodiert.Diagnosecode"/>
<short value="SNOMED-CT Code"/>
<definition value="SNOMED-CT Code"/>
<min value="1"/>
<max value="1"/>
<type>
<code value="code"/>
</type>
<mapping>
<identity value="FHIR"/>
<map
value="Condition.code.coding.where(system='http://snomed.info/sct').code"/>
</mapping>
</element>
<element id="Diagnose.WeitereKodiersysteme">
<path value="Diagnose.WeitereKodiersysteme"/>
<short
value="Bei Bedarf ist die Aufnahme weiterer Klassifikationen und Terminologien möglich."/>
<definition
value="Bei Bedarf ist die Aufnahme weiterer Klassifikationen und Terminologien möglich."/>
<min value="0"/>
<max value="*"/>
<type>
<code value="BackboneElement"/>
</type>
<mapping>
<identity value="FHIR"/>
<map value="Condition.code.coding"/>
</mapping>
</element>
<element id="Diagnose.WeitereKodiersysteme.Diagnosecode">
<path value="Diagnose.WeitereKodiersysteme.Diagnosecode"/>
<short value="Code aus weiterem Kodiersystem"/>
<definition value="Angabe des Codes aus weiterem Kodiersystem"/>
<min value="1"/>
<max value="1"/>
<type>
<code value="code"/>
</type>
<mapping>
<identity value="FHIR"/>
<map value="Condition.code.coding.code"/>
</mapping>
</element>
<element id="Diagnose.Koerperstelle">
<path value="Diagnose.Koerperstelle"/>
<short value="Körperstelle"/>
<definition
value="Über die Körperstelle kann angegeben werden, in welchem Bereich des Körpers eine Krankheit diagnostiziert wurde (Topografische Informatiomn)"/>
<min value="0"/>
<max value="*"/>
<type>
<code value="code"/>
</type>
<mapping>
<identity value="FHIR"/>
<map value="Condition.bodySite"/>
</mapping>
</element>
<element id="Diagnose.Freitextbeschreibung">
<path value="Diagnose.Freitextbeschreibung"/>
<short value="Diagnose im Klartext"/>
<definition
value="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 value="0"/>
<max value="1"/>
<type>
<code value="string"/>
</type>
<mapping>
<identity value="FHIR"/>
<map value="Condition.code.text"/>
</mapping>
</element>
<element id="Diagnose.Diagnoseerlaeuterung">
<path value="Diagnose.Diagnoseerlaeuterung"/>
<short value="Diagnoseerläuterung"/>
<definition
value="Damit soll dem Arzt die Möglichkeit gegeben werden, umfangreichere Angaben zusätzlich zu einer Diagnose abzufassen."/>
<min value="0"/>
<max value="*"/>
<type>
<code value="string"/>
</type>
<mapping>
<identity value="FHIR"/>
<map value="Condition.note"/>
</mapping>
</element>
<element id="Diagnose.KlinischerStatus">
<path value="Diagnose.KlinischerStatus"/>
<short value="Klinischer Status"/>
<definition
value="aktiv, Rezidiv, Rückfall, inaktiv, Remission, geheilt"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="code"/>
</type>
<mapping>
<identity value="FHIR"/>
<map value="Condition.clinicalStatus"/>
</mapping>
</element>
<element id="Diagnose.KlinischRelevanterZeitraum">
<path value="Diagnose.KlinischRelevanterZeitraum"/>
<short value="Klinisch relevanter Zeitraum"/>
<definition
value="Hier kann der Klinisch Relevante Zeitraum beziehungsweise die Lebensphase einer Erkrankung angegeben werden. Datumsangaben zu Diagnosen können in unterschiedlicher Präzision vorhanden sein."/>
<min value="0"/>
<max value="1"/>
<type>
<code value="BackboneElement"/>
</type>
<mapping>
<identity value="FHIR"/>
<map value="Condition.onset[x]"/>
</mapping>
</element>
<element id="Diagnose.KlinischRelevanterZeitraum.Zeitraum">
<path value="Diagnose.KlinischRelevanterZeitraum.Zeitraum"/>
<short value="klinisch relevanter Zeitraum"/>
<definition
value="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 value="0"/>
<max value="1"/>
<type>
<code value="BackboneElement"/>
</type>
<mapping>
<identity value="FHIR"/>
<map value="Condition.onsetPeriod"/>
</mapping>
</element>
<element id="Diagnose.KlinischRelevanterZeitraum.Zeitraum.von">
<path value="Diagnose.KlinischRelevanterZeitraum.Zeitraum.von"/>
<short value="Startdatum"/>
<definition value="Startdatum"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="dateTime"/>
</type>
<mapping>
<identity value="FHIR"/>
<map value="Condition.onsetPeriod.start"/>
</mapping>
</element>
<element id="Diagnose.KlinischRelevanterZeitraum.Zeitraum.bis">
<path value="Diagnose.KlinischRelevanterZeitraum.Zeitraum.bis"/>
<short value="Enddatum"/>
<definition value="Enddatum"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="dateTime"/>
</type>
<mapping>
<identity value="FHIR"/>
<map value="Condition.onsetPeriod.end"/>
</mapping>
</element>
<element id="Diagnose.KlinischRelevanterZeitraum.Lebensphase">
<path value="Diagnose.KlinischRelevanterZeitraum.Lebensphase"/>
<short value="Lebensphase"/>
<definition value="Lebensphase, in der die Erkrankung aufgetreten ist"/>
<min value="0"/>
<max value="*"/>
<type>
<code value="BackboneElement"/>
</type>
</element>
<element id="Diagnose.KlinischRelevanterZeitraum.Lebensphase.von">
<path value="Diagnose.KlinischRelevanterZeitraum.Lebensphase.von"/>
<short value="In welcher Lebensphase die Krankheit began"/>
<definition value="In welcher Lebensphase die Krankheit began"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="code"/>
</type>
<mapping>
<identity value="FHIR"/>
<map
value="Condition.onsetPeriod.start.extension('http://fhir.de/StructureDefinition/lebensphase').valueCodeableConcept"/>
</mapping>
</element>
<element id="Diagnose.KlinischRelevanterZeitraum.Lebensphase.bis">
<path value="Diagnose.KlinischRelevanterZeitraum.Lebensphase.bis"/>
<short value="In welcher Lebensphase die Krankheit endete"/>
<definition value="In welcher Lebensphase die Krankheit endete"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="code"/>
</type>
<mapping>
<identity value="FHIR"/>
<map
value="Condition.onsetPeriod.end.extension('http://fhir.de/StructureDefinition/lebensphase').valueCodeableConcept"/>
</mapping>
</element>
<element id="Diagnose.Feststellungsdatum">
<path value="Diagnose.Feststellungsdatum"/>
<short value="Feststellungsdatum / Diagnosedatum"/>
<definition
value="Das Datum ist der Zeitpunkt, an dem eine Krankheit z. B. durch einen Arzt festgestellt wurde. Dies wird im Folgenden mit Diagnosedatum bezeichnet."/>
<min value="0"/>
<max value="1"/>
<type>
<code value="date"/>
</type>
<mapping>
<identity value="FHIR"/>
<map
value="Condition.extension('http://hl7.org/fhir/StructureDefinition/condition-assertedDate').valueDateTime"/>
</mapping>
</element>
<element id="Diagnose.Dokumentationsdatum">
<path value="Diagnose.Dokumentationsdatum"/>
<short value="Dokumentationsdatum"/>
<definition
value="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 value="1"/>
<max value="1"/>
<type>
<code value="date"/>
</type>
<mapping>
<identity value="FHIR"/>
<map value="Condition.recordedDate"/>
</mapping>
</element>
</differential>
</StructureDefinition>