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

Resource Profile: MII PR Diagnose Condition

Official URL: https://www.medizininformatik-initiative.de/fhir/core/modul-diagnose/StructureDefinition/Diagnose Version: 2026.0.0
Computable Name: MII_PR_Diagnose_Condition

A clinical diagnosis of a patient.

Example Usage Scenarios:

  • Document diagnoses for patients in clinical care using ICD-10-GM coding
  • Support billing and administrative processes with coded diagnosis information
  • Enable epidemiological research and disease surveillance through standardized diagnosis coding
  • Represent rare diseases using Alpha-ID or Orphanet codes alongside ICD-10-GM
  • Link diagnoses to specific encounters for temporal and contextual documentation

Profile Specific Implementation Guidance

This section provides detailed implementation guidance for the MII Diagnose (Diagnosis) Profile.

Coding Requirements

Mandatory Coding:

  • Condition.code: At least one coded diagnosis MUST be present
  • Code system may be freely selected from: ICD-10-GM, Alpha-ID, SNOMED CT, or Orphanet
  • ICD-10-GM coding is the primary coding system for diagnoses in Germany

Multiple Code Systems:

  • Multiple codings from different terminologies are permitted and encouraged where applicable
  • Example: ICD-10-GM for billing/administrative purposes + SNOMED CT for semantic interoperability + Alpha-ID/Orphanet for rare diseases

ICD-10-GM Specific Extensions

Best Practice - ICD-10-GM Extensions and Special Characters

Separation of Special Characters: The element Condition.code.coding.where(system='http://fhir.de/CodeSystem/bfarm/icd-10-gm').code SHOULD NOT contain multi-coding markers or additional markers (e.g., laterality or diagnostic certainty).

Extension Usage:

  • Mehrfachcodierungs-Kennzeichen: Multi-coding markers (*, †, !) SHOULD be separated from ICD-10-GM codes and captured in the "Mehrfachcodierungs-Kennzeichen" extension
  • Seitenlokalisation: The "Seitenlokalisation" extension SHOULD be used to specify laterality in ICD-10-GM coding
  • Diagnosesicherheit: The "Diagnosesicherheit" extension SHOULD be used to specify diagnostic certainty in ICD-10-GM coding

Reference: See ICD-10-GM Coding Profile and Diagnosesicherheit Extension in the German Base Profiles for detailed constraints.

Multi-Coding with ICD-10-GM Cross-Dagger System

Best Practice - Cross-Dagger (Kreuz-Stern) System Implementation

Multiple Condition Instances: When using ICD-10-GM codes with the cross-dagger system (Kreuz-Stern), create a separate Condition instance for each ICD-10 code (etiology, manifestation, additional information).

Linking Secondary to Primary:

  • The primary diagnosis Condition (etiology/Ätiologie with † marker) is the main instance
  • Secondary diagnosis Conditions (manifestation/Manifestation with * marker, additional information with ! marker) use the Condition Related Extension to reference the primary diagnosis
  • This creates an explicit relationship chain: manifestation → etiology

Alpha-ID and Orphanet Codes:

  • When Alpha-ID or Orphanet codes are mapped to combined ICD-10-GM codes, include them only in the primary diagnosis Condition instance
  • Do not duplicate Alpha-ID/Orphanet codes in secondary Condition instances

Diagnostic Certainty Considerations:

  • If diagnostic certainty differs between primary and secondary diagnoses, ensure the certainty of the primary Condition applies to the associated Alpha-ID
  • This prevents inconsistencies when rare disease codes (Alpha-ID/Orphanet) are associated with uncertain etiological diagnoses

Example: See example resources for Alpha-ID I97525 with ICD-10-GM A54.4† (etiology) and M73.09* (manifestation).

Body Site Documentation

Condition.bodySite:

  • OPTIONAL element
  • If used, body site SHOULD be coded with at least one SNOMED CT code
  • DO NOT include laterality in bodySite - use the Seitenlokalisation extension on Condition.code.coding:icd10-gm instead

Encounter Linkage

Best Practice - Diagnosis-Encounter Relationships

Change from Previous Version: In previous versions of this implementation guide, it was recommended to use Encounter.diagnosis to link diagnoses to encounters. This guidance has been updated to align with gematik ISiK (Informationssysteme im Krankenhaus) recommendations.

Current Recommendation - Condition.encounter:

  • Department Contact Level: The reference SHOULD be to an Encounter at the "Abteilungskontakt" (department contact) level.
  • When selecting the Encounter, note that multiple Encounters may be grouped under a single (billing) case number (Encounter.account), such as an inpatient visit with multiple pre- and post-hospitalization contacts

Temporal Information

Condition.onset[x]:

  • MAY be captured as Period or dateTime
  • OPTIONAL: Use the extension to specify life phase as code when exact timepoints are unknown
  • Represents when the condition began or was first noticed

Condition.recordedDate:

  • Represents when the diagnosis was recorded in the system

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description Differentials, Snapshots, and other representations.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Condition C 0..* Condition Detailed information about conditions, problems or diagnoses
Constraints: con-3, con-4, con-5
... id SΣ 0..1 id Logical id of this artifact
... meta SΣ 0..1 Meta Metadata about the resource
.... source SΣ 0..1 uri Identifies where the resource comes from
.... profile SΣ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
.... extension:ReferenzPrimaerdiagnose S 0..1 Reference(Condition) Conditions associated with this condition
URL: http://hl7.org/fhir/StructureDefinition/condition-related
.... extension:Feststellungsdatum S 0..1 dateTime Feststellungsdatum
URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... clinicalStatus ?!SΣC 0..1 CodeableConcept Klinischer Status
Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
... verificationStatus ?!SΣC 0..1 CodeableConcept Verifizierungsstatus
Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
... code SΣ 1..1 CodeableConcept Code
Binding: Condition/Problem/DiagnosisCodes (example): Identification of the condition or diagnosis.
.... Slices for coding SΣ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... coding:All Slices Content/Rules for all slices
...... code Σ 0..1 code Symbol in syntax defined by the system
..... coding:icd10-gm SΣ 0..1 CodingICD10GM ICD-10-GM Code
Binding: MII VS Diagnose ICD-10-GM (required)

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://fhir.de/CodeSystem/bfarm/icd-10-gm
...... version 0..1 string Version of the system - if relevant
...... code 0..1 code Symbol in syntax defined by the system
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
...... Slices for extension Content/Rules for all slices
....... extension:Mehrfachcodierungs-Kennzeichen N 0..1 Coding Optional Extensions Element
URL: http://fhir.de/StructureDefinition/icd-10-gm-mehrfachcodierungs-kennzeichen
Binding: Mehrfachkodierungs-Kennzeichen ICD10GM ValueSet (required)
....... extension:Seitenlokalisation N 0..1 Coding Optional Extensions Element
URL: http://fhir.de/StructureDefinition/seitenlokalisation
Binding: KBV_VS_SFHIR_ICD_SEITENLOKALISATION . (required)
....... extension:Diagnosesicherheit N 0..1 Coding Optional Extensions Element
URL: http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit
Binding: KBV_VS_SFHIR_ICD_DIAGNOSESICHERHEIT . (required)
...... system SΣ 1..1 uri Canonische CodeSystem URL für ICD-10-GM
Fixed Value: http://fhir.de/CodeSystem/bfarm/icd-10-gm
...... version SΣ 1..1 string Die Jahresversion von ICD-10-GM. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017")
...... code SΣC 1..1 code Der ICD-10-Code
Constraints: icd-regex
Example Einfacher ICD-Code: F17.4
..... coding:alpha-id SΣ 0..1 CodingAlphaID Alpha-ID Code
Binding: MII VS Diagnose Alpha-ID (required)

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://fhir.de/CodeSystem/bfarm/alpha-id
...... version 0..1 string Version of the system - if relevant
...... code 0..1 code Symbol in syntax defined by the system
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
...... system SΣ 1..1 uri Canonische CodeSystem URL für Alpha-ID
Fixed Value: http://fhir.de/CodeSystem/bfarm/alpha-id
...... version Σ 1..1 string Die Jahresversion von Alpha-ID. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017")
...... code SΣ 1..1 code Der Alpha-ID-Code
..... coding:sct SΣ 0..1 Coding SNOMED CT Code
Binding: MII VS Diagnose Diagnose-Codes SNOMED (required)

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... version 0..1 string Version of the system - if relevant
...... code 0..1 code Symbol in syntax defined by the system
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
...... system SΣ 1..1 uri Identity of the terminology system
...... version SΣ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
..... coding:orphanet SΣ 0..1 Coding ORPHAcode
Binding: MII VS Diagnose Orphanet (required)

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://www.orpha.net
...... version 0..1 string Version of the system - if relevant
...... code 0..1 code Symbol in syntax defined by the system
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
...... system SΣ 1..1 uri Identity of the terminology system
...... code SΣ 1..1 code Symbol in syntax defined by the system
.... text Σ 0..1 string Plain text representation of the concept
... bodySite SΣ 0..* CodeableConcept Körperstelle
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
.... Slices for coding SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:system
..... coding:snomed-ct SΣ 0..1 Coding SNOMED CT Code
Binding: MII VS Diagnose BodyStructure SNOMED (required)
...... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: http://snomed.info/sct
...... version SΣ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
... subject SΣ 1..1 Reference(Patient | Group) Who has the condition?
... encounter SΣ 0..1 Reference(Encounter) Kontakt (Aufenthaltsbezug)
... Slices for onset[x] SΣ 0..1 Beginn
Slice: Unordered, Closed by type:$this
.... onsetDateTime dateTime
.... onsetAge Age
.... onsetPeriod Period
.... onset[x]:onsetPeriod SΣ 0..1 Period Beginn Zeitraum
..... start SΣC 0..1 dateTime Starting time with inclusive boundary
...... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
....... extension:lebensphase-von S 0..1 (Complex) Optional Extensions Element
URL: http://fhir.de/StructureDefinition/lebensphase
Constraints: ext-1
........ extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
........ url 1..1 uri "http://fhir.de/StructureDefinition/lebensphase"
........ value[x] 1..1 CodeableConcept Value of extension
......... coding Σ 1..1 Coding Code defined by a terminology system
Binding: LebensphaseDe ValueSet (required): Lebensphase
.......... system Σ 1..1 uri Identity of the terminology system
.......... code Σ 1..1 code Symbol in syntax defined by the system
..... end SΣC 0..1 dateTime End time with inclusive boundary, if not ongoing
...... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
....... extension:lebensphase-bis S 0..1 (Complex) Optional Extensions Element
URL: http://fhir.de/StructureDefinition/lebensphase
Constraints: ext-1
........ extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
........ url 1..1 uri "http://fhir.de/StructureDefinition/lebensphase"
........ value[x] 1..1 CodeableConcept Value of extension
......... coding Σ 1..1 Coding Code defined by a terminology system
Binding: LebensphaseDe ValueSet (required): Lebensphase
.......... system Σ 1..1 uri Identity of the terminology system
.......... code Σ 1..1 code Symbol in syntax defined by the system
.... onset[x]:onsetDateTime SΣ 0..1 dateTime Beginn Datum
.... onset[x]:onsetAge SΣ 0..1 Age Erkrankungsbeginn als Alter
..... Slices for extension Content/Rules for all slices
...... extension:Lebensphase-Beginn 0..1 CodeableConcept Lebensphase des Erkrankungsbeginns
URL: http://fhir.de/StructureDefinition/lebensphase
..... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
... recordedDate SΣ 1..1 dateTime Aufzeichnungsdatum
... note S 0..* Annotation Hinweis

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Condition.clinicalStatus Base required Condition Clinical Status Codes 📍4.0.1 FHIR Std.
Condition.verificationStatus Base required ConditionVerificationStatus 📍4.0.1 FHIR Std.
Condition.code Base example Condition/Problem/Diagnosis Codes 📍4.0.1 FHIR Std.
Condition.code.coding:icd10-gm Base required MII VS Diagnose ICD-10-GM 📦2026.0.0 This IG
Condition.code.coding:alpha-id Base required MII VS Diagnose Alpha-ID 📦2026.0.0 This IG
Condition.code.coding:sct Base required MII VS Diagnose Diagnose-Codes SNOMED 📦2026.0.0 This IG
Condition.code.coding:orphanet Base required MII VS Diagnose Orphanet 📦2026.0.0 This IG
Condition.bodySite Base example SNOMED CT Body Structures 📍4.0.1 FHIR Std.
Condition.bodySite.coding:snomed-ct Base required MII VS Diagnose BodyStructure SNOMED 📦2026.0.0 This IG
Condition.onset[x]:onsetPeriod.​start.extension:lebensphase-von.​value[x].coding Base required LebensphaseDe ValueSet 📦1.5.4 de.basisprofil.r4 v1.5
Condition.onset[x]:onsetPeriod.​end.extension:lebensphase-bis.​value[x].coding Base required LebensphaseDe ValueSet 📦1.5.4 de.basisprofil.r4 v1.5
Condition.onset[x]:onsetAge.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
con-3 best practice Condition Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
con-4 error Condition If condition is abated, then clinicalStatus must be either inactive, resolved, or remission abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
con-5 error Condition Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
dom-2 error Condition If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Condition If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Condition If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Condition If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Condition A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
icd-regex warning Condition.code.coding:icd10-gm.code In code sind nur gültige ICD-10-Codes ohne Zusätze erlaubt matches('^[A-Z][0-9][A-Z0-9](\\.?[A-Z0-9]{0,4})?$')

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Condition 0..* Condition Detailed information about conditions, problems or diagnoses
... id S 0..1 id Logical id of this artifact
... meta S 0..1 Meta Metadata about the resource
.... source S 0..1 uri Identifies where the resource comes from
.... profile S 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:ReferenzPrimaerdiagnose S 0..1 Reference(Condition) Conditions associated with this condition
URL: http://hl7.org/fhir/StructureDefinition/condition-related
.... extension:Feststellungsdatum S 0..1 dateTime Feststellungsdatum
URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
... verificationStatus S 0..1 CodeableConcept Verifizierungsstatus
... code S 1..1 CodeableConcept Code
.... Slices for coding S 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... coding:All Slices Content/Rules for all slices
...... code 0..1 code Symbol in syntax defined by the system
..... coding:icd10-gm S 0..1 CodingICD10GM ICD-10-GM Code
Binding: MII VS Diagnose ICD-10-GM (required)
Required Pattern: At least the following
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://fhir.de/CodeSystem/bfarm/icd-10-gm
...... system S 1..1 uri Canonische CodeSystem URL für ICD-10-GM
...... version S 1..1 string Die Jahresversion von ICD-10-GM. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017")
...... code S 1..1 code Der ICD-10-Code
..... coding:alpha-id S 0..1 CodingAlphaID Alpha-ID Code
Binding: MII VS Diagnose Alpha-ID (required)
Required Pattern: At least the following
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://fhir.de/CodeSystem/bfarm/alpha-id
...... system S 1..1 uri Canonische CodeSystem URL für Alpha-ID
...... code S 1..1 code Der Alpha-ID-Code
..... coding:sct S 0..1 Coding SNOMED CT Code
Binding: MII VS Diagnose Diagnose-Codes SNOMED (required)
Required Pattern: At least the following
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... system S 1..1 uri Identity of the terminology system
...... version S 0..1 string Version of the system - if relevant
...... code S 1..1 code Symbol in syntax defined by the system
..... coding:orphanet S 0..1 Coding ORPHAcode
Binding: MII VS Diagnose Orphanet (required)
Required Pattern: At least the following
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://www.orpha.net
...... system S 1..1 uri Identity of the terminology system
...... code S 1..1 code Symbol in syntax defined by the system
.... text 0..1 string Plain text representation of the concept
... bodySite S 0..* CodeableConcept Körperstelle
.... Slices for coding S 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:system
..... coding:snomed-ct S 0..1 Coding SNOMED CT Code
Binding: MII VS Diagnose BodyStructure SNOMED (required)
...... system S 1..1 uri Identity of the terminology system
Required Pattern: http://snomed.info/sct
...... version S 0..1 string Version of the system - if relevant
...... code S 1..1 code Symbol in syntax defined by the system
... subject S 1..1 Reference(Patient | Group) Who has the condition?
... encounter S 0..1 Reference(Encounter) Kontakt (Aufenthaltsbezug)
... Slices for onset[x] S 0..1 Beginn
Slice: Unordered, Open by type:$this
.... onsetDateTime dateTime
.... onsetAge Age
.... onsetPeriod Period
.... onset[x]:onsetPeriod S 0..1 Period Beginn Zeitraum
..... start S 0..1 dateTime Starting time with inclusive boundary
...... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
....... extension:lebensphase-von S 0..1 (Complex) Optional Extensions Element
URL: http://fhir.de/StructureDefinition/lebensphase
........ value[x] 1..1 CodeableConcept Value of extension
..... end S 0..1 dateTime End time with inclusive boundary, if not ongoing
...... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
....... extension:lebensphase-bis S 0..1 (Complex) Optional Extensions Element
URL: http://fhir.de/StructureDefinition/lebensphase
........ value[x] 1..1 CodeableConcept Value of extension
.... onset[x]:onsetDateTime S 0..1 dateTime Beginn Datum
.... onset[x]:onsetAge S 0..1 Age Erkrankungsbeginn als Alter
..... Slices for extension Content/Rules for all slices
...... extension:Lebensphase-Beginn 0..1 CodeableConcept Lebensphase des Erkrankungsbeginns
URL: http://fhir.de/StructureDefinition/lebensphase
... recordedDate S 1..1 dateTime Aufzeichnungsdatum
... note S 0..* Annotation Hinweis

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Condition.code.coding:icd10-gm Base required MII VS Diagnose ICD-10-GM 📦2026.0.0 This IG
Condition.code.coding:alpha-id Base required MII VS Diagnose Alpha-ID 📦2026.0.0 This IG
Condition.code.coding:sct Base required MII VS Diagnose Diagnose-Codes SNOMED 📦2026.0.0 This IG
Condition.code.coding:orphanet Base required MII VS Diagnose Orphanet 📦2026.0.0 This IG
Condition.bodySite.coding:snomed-ct Base required MII VS Diagnose BodyStructure SNOMED 📦2026.0.0 This IG
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Condition C 0..* Condition Detailed information about conditions, problems or diagnoses
Constraints: con-3, con-4, con-5
... id SΣ 0..1 id Logical id of this artifact
... meta SΣ 0..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source SΣ 0..1 uri Identifies where the resource comes from
.... profile SΣ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:ReferenzPrimaerdiagnose S 0..1 Reference(Condition) Conditions associated with this condition
URL: http://hl7.org/fhir/StructureDefinition/condition-related
.... extension:Feststellungsdatum S 0..1 dateTime Feststellungsdatum
URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier External Ids for this condition
... clinicalStatus ?!SΣC 0..1 CodeableConcept Klinischer Status
Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
... verificationStatus ?!SΣC 0..1 CodeableConcept Verifizierungsstatus
Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
... category 0..* CodeableConcept problem-list-item | encounter-diagnosis
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
... severity 0..1 CodeableConcept Subjective severity of condition
Binding: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.
... code SΣ 1..1 CodeableConcept Code
Binding: Condition/Problem/DiagnosisCodes (example): Identification of the condition or diagnosis.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding SΣ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... coding:All Slices Content/Rules for all slices
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 0..1 uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 0..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:icd10-gm SΣ 0..1 CodingICD10GM ICD-10-GM Code
Binding: MII VS Diagnose ICD-10-GM (required)

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://fhir.de/CodeSystem/bfarm/icd-10-gm
...... version 0..1 string Version of the system - if relevant
...... code 0..1 code Symbol in syntax defined by the system
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
...... id 0..1 string Unique id for inter-element referencing
...... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... extension:Mehrfachcodierungs-Kennzeichen N 0..1 Coding Optional Extensions Element
URL: http://fhir.de/StructureDefinition/icd-10-gm-mehrfachcodierungs-kennzeichen
Binding: Mehrfachkodierungs-Kennzeichen ICD10GM ValueSet (required)
....... extension:Seitenlokalisation N 0..1 Coding Optional Extensions Element
URL: http://fhir.de/StructureDefinition/seitenlokalisation
Binding: KBV_VS_SFHIR_ICD_SEITENLOKALISATION . (required)
....... extension:Diagnosesicherheit N 0..1 Coding Optional Extensions Element
URL: http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit
Binding: KBV_VS_SFHIR_ICD_DIAGNOSESICHERHEIT . (required)
...... system SΣ 1..1 uri Canonische CodeSystem URL für ICD-10-GM
Fixed Value: http://fhir.de/CodeSystem/bfarm/icd-10-gm
...... version SΣ 1..1 string Die Jahresversion von ICD-10-GM. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017")
...... code SΣC 1..1 code Der ICD-10-Code
Constraints: icd-regex
Example Einfacher ICD-Code: F17.4
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:alpha-id SΣ 0..1 CodingAlphaID Alpha-ID Code
Binding: MII VS Diagnose Alpha-ID (required)

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://fhir.de/CodeSystem/bfarm/alpha-id
...... version 0..1 string Version of the system - if relevant
...... code 0..1 code Symbol in syntax defined by the system
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Canonische CodeSystem URL für Alpha-ID
Fixed Value: http://fhir.de/CodeSystem/bfarm/alpha-id
...... version Σ 1..1 string Die Jahresversion von Alpha-ID. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017")
...... code SΣ 1..1 code Der Alpha-ID-Code
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:sct SΣ 0..1 Coding SNOMED CT Code
Binding: MII VS Diagnose Diagnose-Codes SNOMED (required)

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... version 0..1 string Version of the system - if relevant
...... code 0..1 code Symbol in syntax defined by the system
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
...... version SΣ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:orphanet SΣ 0..1 Coding ORPHAcode
Binding: MII VS Diagnose Orphanet (required)

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://www.orpha.net
...... version 0..1 string Version of the system - if relevant
...... code 0..1 code Symbol in syntax defined by the system
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... bodySite SΣ 0..* CodeableConcept Körperstelle
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:system
..... coding:snomed-ct SΣ 0..1 Coding SNOMED CT Code
Binding: MII VS Diagnose BodyStructure SNOMED (required)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: http://snomed.info/sct
...... version SΣ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... subject SΣ 1..1 Reference(Patient | Group) Who has the condition?
... encounter SΣ 0..1 Reference(Encounter) Kontakt (Aufenthaltsbezug)
... Slices for onset[x] SΣ 0..1 Beginn
Slice: Unordered, Closed by type:$this
.... onsetDateTime dateTime
.... onsetAge Age
.... onsetPeriod Period
.... onset[x]:onsetPeriod SΣ 0..1 Period Beginn Zeitraum
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... start SΣC 0..1 dateTime Starting time with inclusive boundary
...... id 0..1 string xml:id (or equivalent in JSON)
...... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
....... extension:lebensphase-von S 0..1 (Complex) Optional Extensions Element
URL: http://fhir.de/StructureDefinition/lebensphase
Constraints: ext-1
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
........ url 1..1 uri "http://fhir.de/StructureDefinition/lebensphase"
........ value[x] 1..1 CodeableConcept Value of extension
......... id 0..1 string Unique id for inter-element referencing
......... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
......... coding Σ 1..1 Coding Code defined by a terminology system
Binding: LebensphaseDe ValueSet (required): Lebensphase
.......... id 0..1 string Unique id for inter-element referencing
.......... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.......... system Σ 1..1 uri Identity of the terminology system
.......... version Σ 0..1 string Version of the system - if relevant
.......... code Σ 1..1 code Symbol in syntax defined by the system
.......... display Σ 0..1 string Representation defined by the system
.......... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
......... text Σ 0..1 string Plain text representation of the concept
...... value 0..1 dateTime Primitive value for dateTime
..... end SΣC 0..1 dateTime End time with inclusive boundary, if not ongoing
...... id 0..1 string xml:id (or equivalent in JSON)
...... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
....... extension:lebensphase-bis S 0..1 (Complex) Optional Extensions Element
URL: http://fhir.de/StructureDefinition/lebensphase
Constraints: ext-1
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
........ url 1..1 uri "http://fhir.de/StructureDefinition/lebensphase"
........ value[x] 1..1 CodeableConcept Value of extension
......... id 0..1 string Unique id for inter-element referencing
......... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
......... coding Σ 1..1 Coding Code defined by a terminology system
Binding: LebensphaseDe ValueSet (required): Lebensphase
.......... id 0..1 string Unique id for inter-element referencing
.......... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.......... system Σ 1..1 uri Identity of the terminology system
.......... version Σ 0..1 string Version of the system - if relevant
.......... code Σ 1..1 code Symbol in syntax defined by the system
.......... display Σ 0..1 string Representation defined by the system
.......... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
......... text Σ 0..1 string Plain text representation of the concept
...... value 0..1 dateTime Primitive value for dateTime
.... onset[x]:onsetDateTime SΣ 0..1 dateTime Beginn Datum
.... onset[x]:onsetAge SΣ 0..1 Age Erkrankungsbeginn als Alter
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... extension:Lebensphase-Beginn 0..1 CodeableConcept Lebensphase des Erkrankungsbeginns
URL: http://fhir.de/StructureDefinition/lebensphase
..... value Σ 0..1 decimal Numerical value (with implicit precision)
..... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
..... unit Σ 0..1 string Unit representation
..... system ΣC 0..1 uri System that defines coded unit form
..... code Σ 0..1 code Coded form of the unit
... abatement[x] C 0..1 When in resolution/remission
.... abatementDateTime dateTime
.... abatementAge Age
.... abatementPeriod Period
.... abatementRange Range
.... abatementString string
... recordedDate SΣ 1..1 dateTime Aufzeichnungsdatum
... recorder Σ 0..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) Who recorded the condition
... asserter Σ 0..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) Person who asserts this condition
... stage C 0..* BackboneElement Stage/grade, usually assessed formally
Constraints: con-1
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... summary C 0..1 CodeableConcept Simple summary (disease specific)
Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).
.... assessment C 0..* Reference(ClinicalImpression | DiagnosticReport | Observation) Formal record of assessment
.... type 0..1 CodeableConcept Kind of staging
Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).
... evidence C 0..* BackboneElement Supporting evidence
Constraints: con-2
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code ΣC 0..* CodeableConcept Manifestation/symptom
Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.
.... detail ΣC 0..* Reference(Resource) Supporting information found elsewhere
... note S 0..* Annotation Hinweis

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Condition.meta.security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
Condition.meta.tag Base example Common Tags 📍4.0.1 FHIR Std.
Condition.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Condition.clinicalStatus Base required Condition Clinical Status Codes 📍4.0.1 FHIR Std.
Condition.verificationStatus Base required ConditionVerificationStatus 📍4.0.1 FHIR Std.
Condition.category Base extensible Condition Category Codes 📍4.0.1 FHIR Std.
Condition.severity Base preferred Condition/Diagnosis Severity 📍4.0.1 FHIR Std.
Condition.code Base example Condition/Problem/Diagnosis Codes 📍4.0.1 FHIR Std.
Condition.code.coding:icd10-gm Base required MII VS Diagnose ICD-10-GM 📦2026.0.0 This IG
Condition.code.coding:alpha-id Base required MII VS Diagnose Alpha-ID 📦2026.0.0 This IG
Condition.code.coding:sct Base required MII VS Diagnose Diagnose-Codes SNOMED 📦2026.0.0 This IG
Condition.code.coding:orphanet Base required MII VS Diagnose Orphanet 📦2026.0.0 This IG
Condition.bodySite Base example SNOMED CT Body Structures 📍4.0.1 FHIR Std.
Condition.bodySite.coding:snomed-ct Base required MII VS Diagnose BodyStructure SNOMED 📦2026.0.0 This IG
Condition.onset[x]:onsetPeriod.​start.extension:lebensphase-von.​value[x].coding Base required LebensphaseDe ValueSet 📦1.5.4 de.basisprofil.r4 v1.5
Condition.onset[x]:onsetPeriod.​end.extension:lebensphase-bis.​value[x].coding Base required LebensphaseDe ValueSet 📦1.5.4 de.basisprofil.r4 v1.5
Condition.onset[x]:onsetAge.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Condition.stage.summary Base example Condition Stage 📍4.0.1 FHIR Std.
Condition.stage.type Base example Condition Stage Type 📍4.0.1 FHIR Std.
Condition.evidence.code Base example Manifestation and Symptom Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
con-1 error Condition.stage Stage SHALL have summary or assessment summary.exists() or assessment.exists()
con-2 error Condition.evidence evidence SHALL have code or details code.exists() or detail.exists()
con-3 best practice Condition Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
con-4 error Condition If condition is abated, then clinicalStatus must be either inactive, resolved, or remission abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
con-5 error Condition Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
dom-2 error Condition If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Condition If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Condition If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Condition If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Condition A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
icd-regex warning Condition.code.coding:icd10-gm.code In code sind nur gültige ICD-10-Codes ohne Zusätze erlaubt matches('^[A-Z][0-9][A-Z0-9](\\.?[A-Z0-9]{0,4})?$')

Summary

Mandatory: 3 elements(6 nested mandatory elements)
Must-Support: 42 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Condition.code.coding
  • The element 1 is sliced based on the value of Condition.bodySite.coding
  • The element 1 is sliced based on the value of Condition.onset[x]

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Condition C 0..* Condition Detailed information about conditions, problems or diagnoses
Constraints: con-3, con-4, con-5
... id SΣ 0..1 id Logical id of this artifact
... meta SΣ 0..1 Meta Metadata about the resource
.... source SΣ 0..1 uri Identifies where the resource comes from
.... profile SΣ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
.... extension:ReferenzPrimaerdiagnose S 0..1 Reference(Condition) Conditions associated with this condition
URL: http://hl7.org/fhir/StructureDefinition/condition-related
.... extension:Feststellungsdatum S 0..1 dateTime Feststellungsdatum
URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... clinicalStatus ?!SΣC 0..1 CodeableConcept Klinischer Status
Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
... verificationStatus ?!SΣC 0..1 CodeableConcept Verifizierungsstatus
Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
... code SΣ 1..1 CodeableConcept Code
Binding: Condition/Problem/DiagnosisCodes (example): Identification of the condition or diagnosis.
.... Slices for coding SΣ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... coding:All Slices Content/Rules for all slices
...... code Σ 0..1 code Symbol in syntax defined by the system
..... coding:icd10-gm SΣ 0..1 CodingICD10GM ICD-10-GM Code
Binding: MII VS Diagnose ICD-10-GM (required)

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://fhir.de/CodeSystem/bfarm/icd-10-gm
...... version 0..1 string Version of the system - if relevant
...... code 0..1 code Symbol in syntax defined by the system
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
...... Slices for extension Content/Rules for all slices
....... extension:Mehrfachcodierungs-Kennzeichen N 0..1 Coding Optional Extensions Element
URL: http://fhir.de/StructureDefinition/icd-10-gm-mehrfachcodierungs-kennzeichen
Binding: Mehrfachkodierungs-Kennzeichen ICD10GM ValueSet (required)
....... extension:Seitenlokalisation N 0..1 Coding Optional Extensions Element
URL: http://fhir.de/StructureDefinition/seitenlokalisation
Binding: KBV_VS_SFHIR_ICD_SEITENLOKALISATION . (required)
....... extension:Diagnosesicherheit N 0..1 Coding Optional Extensions Element
URL: http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit
Binding: KBV_VS_SFHIR_ICD_DIAGNOSESICHERHEIT . (required)
...... system SΣ 1..1 uri Canonische CodeSystem URL für ICD-10-GM
Fixed Value: http://fhir.de/CodeSystem/bfarm/icd-10-gm
...... version SΣ 1..1 string Die Jahresversion von ICD-10-GM. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017")
...... code SΣC 1..1 code Der ICD-10-Code
Constraints: icd-regex
Example Einfacher ICD-Code: F17.4
..... coding:alpha-id SΣ 0..1 CodingAlphaID Alpha-ID Code
Binding: MII VS Diagnose Alpha-ID (required)

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://fhir.de/CodeSystem/bfarm/alpha-id
...... version 0..1 string Version of the system - if relevant
...... code 0..1 code Symbol in syntax defined by the system
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
...... system SΣ 1..1 uri Canonische CodeSystem URL für Alpha-ID
Fixed Value: http://fhir.de/CodeSystem/bfarm/alpha-id
...... version Σ 1..1 string Die Jahresversion von Alpha-ID. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017")
...... code SΣ 1..1 code Der Alpha-ID-Code
..... coding:sct SΣ 0..1 Coding SNOMED CT Code
Binding: MII VS Diagnose Diagnose-Codes SNOMED (required)

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... version 0..1 string Version of the system - if relevant
...... code 0..1 code Symbol in syntax defined by the system
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
...... system SΣ 1..1 uri Identity of the terminology system
...... version SΣ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
..... coding:orphanet SΣ 0..1 Coding ORPHAcode
Binding: MII VS Diagnose Orphanet (required)

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://www.orpha.net
...... version 0..1 string Version of the system - if relevant
...... code 0..1 code Symbol in syntax defined by the system
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
...... system SΣ 1..1 uri Identity of the terminology system
...... code SΣ 1..1 code Symbol in syntax defined by the system
.... text Σ 0..1 string Plain text representation of the concept
... bodySite SΣ 0..* CodeableConcept Körperstelle
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
.... Slices for coding SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:system
..... coding:snomed-ct SΣ 0..1 Coding SNOMED CT Code
Binding: MII VS Diagnose BodyStructure SNOMED (required)
...... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: http://snomed.info/sct
...... version SΣ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
... subject SΣ 1..1 Reference(Patient | Group) Who has the condition?
... encounter SΣ 0..1 Reference(Encounter) Kontakt (Aufenthaltsbezug)
... Slices for onset[x] SΣ 0..1 Beginn
Slice: Unordered, Closed by type:$this
.... onsetDateTime dateTime
.... onsetAge Age
.... onsetPeriod Period
.... onset[x]:onsetPeriod SΣ 0..1 Period Beginn Zeitraum
..... start SΣC 0..1 dateTime Starting time with inclusive boundary
...... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
....... extension:lebensphase-von S 0..1 (Complex) Optional Extensions Element
URL: http://fhir.de/StructureDefinition/lebensphase
Constraints: ext-1
........ extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
........ url 1..1 uri "http://fhir.de/StructureDefinition/lebensphase"
........ value[x] 1..1 CodeableConcept Value of extension
......... coding Σ 1..1 Coding Code defined by a terminology system
Binding: LebensphaseDe ValueSet (required): Lebensphase
.......... system Σ 1..1 uri Identity of the terminology system
.......... code Σ 1..1 code Symbol in syntax defined by the system
..... end SΣC 0..1 dateTime End time with inclusive boundary, if not ongoing
...... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
....... extension:lebensphase-bis S 0..1 (Complex) Optional Extensions Element
URL: http://fhir.de/StructureDefinition/lebensphase
Constraints: ext-1
........ extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
........ url 1..1 uri "http://fhir.de/StructureDefinition/lebensphase"
........ value[x] 1..1 CodeableConcept Value of extension
......... coding Σ 1..1 Coding Code defined by a terminology system
Binding: LebensphaseDe ValueSet (required): Lebensphase
.......... system Σ 1..1 uri Identity of the terminology system
.......... code Σ 1..1 code Symbol in syntax defined by the system
.... onset[x]:onsetDateTime SΣ 0..1 dateTime Beginn Datum
.... onset[x]:onsetAge SΣ 0..1 Age Erkrankungsbeginn als Alter
..... Slices for extension Content/Rules for all slices
...... extension:Lebensphase-Beginn 0..1 CodeableConcept Lebensphase des Erkrankungsbeginns
URL: http://fhir.de/StructureDefinition/lebensphase
..... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
... recordedDate SΣ 1..1 dateTime Aufzeichnungsdatum
... note S 0..* Annotation Hinweis

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Condition.clinicalStatus Base required Condition Clinical Status Codes 📍4.0.1 FHIR Std.
Condition.verificationStatus Base required ConditionVerificationStatus 📍4.0.1 FHIR Std.
Condition.code Base example Condition/Problem/Diagnosis Codes 📍4.0.1 FHIR Std.
Condition.code.coding:icd10-gm Base required MII VS Diagnose ICD-10-GM 📦2026.0.0 This IG
Condition.code.coding:alpha-id Base required MII VS Diagnose Alpha-ID 📦2026.0.0 This IG
Condition.code.coding:sct Base required MII VS Diagnose Diagnose-Codes SNOMED 📦2026.0.0 This IG
Condition.code.coding:orphanet Base required MII VS Diagnose Orphanet 📦2026.0.0 This IG
Condition.bodySite Base example SNOMED CT Body Structures 📍4.0.1 FHIR Std.
Condition.bodySite.coding:snomed-ct Base required MII VS Diagnose BodyStructure SNOMED 📦2026.0.0 This IG
Condition.onset[x]:onsetPeriod.​start.extension:lebensphase-von.​value[x].coding Base required LebensphaseDe ValueSet 📦1.5.4 de.basisprofil.r4 v1.5
Condition.onset[x]:onsetPeriod.​end.extension:lebensphase-bis.​value[x].coding Base required LebensphaseDe ValueSet 📦1.5.4 de.basisprofil.r4 v1.5
Condition.onset[x]:onsetAge.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
con-3 best practice Condition Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
con-4 error Condition If condition is abated, then clinicalStatus must be either inactive, resolved, or remission abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
con-5 error Condition Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
dom-2 error Condition If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Condition If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Condition If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Condition If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Condition A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
icd-regex warning Condition.code.coding:icd10-gm.code In code sind nur gültige ICD-10-Codes ohne Zusätze erlaubt matches('^[A-Z][0-9][A-Z0-9](\\.?[A-Z0-9]{0,4})?$')

Differential View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Condition 0..* Condition Detailed information about conditions, problems or diagnoses
... id S 0..1 id Logical id of this artifact
... meta S 0..1 Meta Metadata about the resource
.... source S 0..1 uri Identifies where the resource comes from
.... profile S 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:ReferenzPrimaerdiagnose S 0..1 Reference(Condition) Conditions associated with this condition
URL: http://hl7.org/fhir/StructureDefinition/condition-related
.... extension:Feststellungsdatum S 0..1 dateTime Feststellungsdatum
URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
... verificationStatus S 0..1 CodeableConcept Verifizierungsstatus
... code S 1..1 CodeableConcept Code
.... Slices for coding S 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... coding:All Slices Content/Rules for all slices
...... code 0..1 code Symbol in syntax defined by the system
..... coding:icd10-gm S 0..1 CodingICD10GM ICD-10-GM Code
Binding: MII VS Diagnose ICD-10-GM (required)
Required Pattern: At least the following
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://fhir.de/CodeSystem/bfarm/icd-10-gm
...... system S 1..1 uri Canonische CodeSystem URL für ICD-10-GM
...... version S 1..1 string Die Jahresversion von ICD-10-GM. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017")
...... code S 1..1 code Der ICD-10-Code
..... coding:alpha-id S 0..1 CodingAlphaID Alpha-ID Code
Binding: MII VS Diagnose Alpha-ID (required)
Required Pattern: At least the following
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://fhir.de/CodeSystem/bfarm/alpha-id
...... system S 1..1 uri Canonische CodeSystem URL für Alpha-ID
...... code S 1..1 code Der Alpha-ID-Code
..... coding:sct S 0..1 Coding SNOMED CT Code
Binding: MII VS Diagnose Diagnose-Codes SNOMED (required)
Required Pattern: At least the following
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... system S 1..1 uri Identity of the terminology system
...... version S 0..1 string Version of the system - if relevant
...... code S 1..1 code Symbol in syntax defined by the system
..... coding:orphanet S 0..1 Coding ORPHAcode
Binding: MII VS Diagnose Orphanet (required)
Required Pattern: At least the following
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://www.orpha.net
...... system S 1..1 uri Identity of the terminology system
...... code S 1..1 code Symbol in syntax defined by the system
.... text 0..1 string Plain text representation of the concept
... bodySite S 0..* CodeableConcept Körperstelle
.... Slices for coding S 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:system
..... coding:snomed-ct S 0..1 Coding SNOMED CT Code
Binding: MII VS Diagnose BodyStructure SNOMED (required)
...... system S 1..1 uri Identity of the terminology system
Required Pattern: http://snomed.info/sct
...... version S 0..1 string Version of the system - if relevant
...... code S 1..1 code Symbol in syntax defined by the system
... subject S 1..1 Reference(Patient | Group) Who has the condition?
... encounter S 0..1 Reference(Encounter) Kontakt (Aufenthaltsbezug)
... Slices for onset[x] S 0..1 Beginn
Slice: Unordered, Open by type:$this
.... onsetDateTime dateTime
.... onsetAge Age
.... onsetPeriod Period
.... onset[x]:onsetPeriod S 0..1 Period Beginn Zeitraum
..... start S 0..1 dateTime Starting time with inclusive boundary
...... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
....... extension:lebensphase-von S 0..1 (Complex) Optional Extensions Element
URL: http://fhir.de/StructureDefinition/lebensphase
........ value[x] 1..1 CodeableConcept Value of extension
..... end S 0..1 dateTime End time with inclusive boundary, if not ongoing
...... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
....... extension:lebensphase-bis S 0..1 (Complex) Optional Extensions Element
URL: http://fhir.de/StructureDefinition/lebensphase
........ value[x] 1..1 CodeableConcept Value of extension
.... onset[x]:onsetDateTime S 0..1 dateTime Beginn Datum
.... onset[x]:onsetAge S 0..1 Age Erkrankungsbeginn als Alter
..... Slices for extension Content/Rules for all slices
...... extension:Lebensphase-Beginn 0..1 CodeableConcept Lebensphase des Erkrankungsbeginns
URL: http://fhir.de/StructureDefinition/lebensphase
... recordedDate S 1..1 dateTime Aufzeichnungsdatum
... note S 0..* Annotation Hinweis

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Condition.code.coding:icd10-gm Base required MII VS Diagnose ICD-10-GM 📦2026.0.0 This IG
Condition.code.coding:alpha-id Base required MII VS Diagnose Alpha-ID 📦2026.0.0 This IG
Condition.code.coding:sct Base required MII VS Diagnose Diagnose-Codes SNOMED 📦2026.0.0 This IG
Condition.code.coding:orphanet Base required MII VS Diagnose Orphanet 📦2026.0.0 This IG
Condition.bodySite.coding:snomed-ct Base required MII VS Diagnose BodyStructure SNOMED 📦2026.0.0 This IG

Snapshot ViewView

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Condition C 0..* Condition Detailed information about conditions, problems or diagnoses
Constraints: con-3, con-4, con-5
... id SΣ 0..1 id Logical id of this artifact
... meta SΣ 0..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source SΣ 0..1 uri Identifies where the resource comes from
.... profile SΣ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:ReferenzPrimaerdiagnose S 0..1 Reference(Condition) Conditions associated with this condition
URL: http://hl7.org/fhir/StructureDefinition/condition-related
.... extension:Feststellungsdatum S 0..1 dateTime Feststellungsdatum
URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier External Ids for this condition
... clinicalStatus ?!SΣC 0..1 CodeableConcept Klinischer Status
Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
... verificationStatus ?!SΣC 0..1 CodeableConcept Verifizierungsstatus
Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
... category 0..* CodeableConcept problem-list-item | encounter-diagnosis
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
... severity 0..1 CodeableConcept Subjective severity of condition
Binding: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.
... code SΣ 1..1 CodeableConcept Code
Binding: Condition/Problem/DiagnosisCodes (example): Identification of the condition or diagnosis.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding SΣ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... coding:All Slices Content/Rules for all slices
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 0..1 uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 0..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:icd10-gm SΣ 0..1 CodingICD10GM ICD-10-GM Code
Binding: MII VS Diagnose ICD-10-GM (required)

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://fhir.de/CodeSystem/bfarm/icd-10-gm
...... version 0..1 string Version of the system - if relevant
...... code 0..1 code Symbol in syntax defined by the system
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
...... id 0..1 string Unique id for inter-element referencing
...... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... extension:Mehrfachcodierungs-Kennzeichen N 0..1 Coding Optional Extensions Element
URL: http://fhir.de/StructureDefinition/icd-10-gm-mehrfachcodierungs-kennzeichen
Binding: Mehrfachkodierungs-Kennzeichen ICD10GM ValueSet (required)
....... extension:Seitenlokalisation N 0..1 Coding Optional Extensions Element
URL: http://fhir.de/StructureDefinition/seitenlokalisation
Binding: KBV_VS_SFHIR_ICD_SEITENLOKALISATION . (required)
....... extension:Diagnosesicherheit N 0..1 Coding Optional Extensions Element
URL: http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit
Binding: KBV_VS_SFHIR_ICD_DIAGNOSESICHERHEIT . (required)
...... system SΣ 1..1 uri Canonische CodeSystem URL für ICD-10-GM
Fixed Value: http://fhir.de/CodeSystem/bfarm/icd-10-gm
...... version SΣ 1..1 string Die Jahresversion von ICD-10-GM. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017")
...... code SΣC 1..1 code Der ICD-10-Code
Constraints: icd-regex
Example Einfacher ICD-Code: F17.4
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:alpha-id SΣ 0..1 CodingAlphaID Alpha-ID Code
Binding: MII VS Diagnose Alpha-ID (required)

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://fhir.de/CodeSystem/bfarm/alpha-id
...... version 0..1 string Version of the system - if relevant
...... code 0..1 code Symbol in syntax defined by the system
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Canonische CodeSystem URL für Alpha-ID
Fixed Value: http://fhir.de/CodeSystem/bfarm/alpha-id
...... version Σ 1..1 string Die Jahresversion von Alpha-ID. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017")
...... code SΣ 1..1 code Der Alpha-ID-Code
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:sct SΣ 0..1 Coding SNOMED CT Code
Binding: MII VS Diagnose Diagnose-Codes SNOMED (required)

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... version 0..1 string Version of the system - if relevant
...... code 0..1 code Symbol in syntax defined by the system
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
...... version SΣ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:orphanet SΣ 0..1 Coding ORPHAcode
Binding: MII VS Diagnose Orphanet (required)

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://www.orpha.net
...... version 0..1 string Version of the system - if relevant
...... code 0..1 code Symbol in syntax defined by the system
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... bodySite SΣ 0..* CodeableConcept Körperstelle
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:system
..... coding:snomed-ct SΣ 0..1 Coding SNOMED CT Code
Binding: MII VS Diagnose BodyStructure SNOMED (required)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
Required Pattern: http://snomed.info/sct
...... version SΣ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... subject SΣ 1..1 Reference(Patient | Group) Who has the condition?
... encounter SΣ 0..1 Reference(Encounter) Kontakt (Aufenthaltsbezug)
... Slices for onset[x] SΣ 0..1 Beginn
Slice: Unordered, Closed by type:$this
.... onsetDateTime dateTime
.... onsetAge Age
.... onsetPeriod Period
.... onset[x]:onsetPeriod SΣ 0..1 Period Beginn Zeitraum
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... start SΣC 0..1 dateTime Starting time with inclusive boundary
...... id 0..1 string xml:id (or equivalent in JSON)
...... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
....... extension:lebensphase-von S 0..1 (Complex) Optional Extensions Element
URL: http://fhir.de/StructureDefinition/lebensphase
Constraints: ext-1
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
........ url 1..1 uri "http://fhir.de/StructureDefinition/lebensphase"
........ value[x] 1..1 CodeableConcept Value of extension
......... id 0..1 string Unique id for inter-element referencing
......... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
......... coding Σ 1..1 Coding Code defined by a terminology system
Binding: LebensphaseDe ValueSet (required): Lebensphase
.......... id 0..1 string Unique id for inter-element referencing
.......... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.......... system Σ 1..1 uri Identity of the terminology system
.......... version Σ 0..1 string Version of the system - if relevant
.......... code Σ 1..1 code Symbol in syntax defined by the system
.......... display Σ 0..1 string Representation defined by the system
.......... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
......... text Σ 0..1 string Plain text representation of the concept
...... value 0..1 dateTime Primitive value for dateTime
..... end SΣC 0..1 dateTime End time with inclusive boundary, if not ongoing
...... id 0..1 string xml:id (or equivalent in JSON)
...... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
....... extension:lebensphase-bis S 0..1 (Complex) Optional Extensions Element
URL: http://fhir.de/StructureDefinition/lebensphase
Constraints: ext-1
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
........ url 1..1 uri "http://fhir.de/StructureDefinition/lebensphase"
........ value[x] 1..1 CodeableConcept Value of extension
......... id 0..1 string Unique id for inter-element referencing
......... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
......... coding Σ 1..1 Coding Code defined by a terminology system
Binding: LebensphaseDe ValueSet (required): Lebensphase
.......... id 0..1 string Unique id for inter-element referencing
.......... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.......... system Σ 1..1 uri Identity of the terminology system
.......... version Σ 0..1 string Version of the system - if relevant
.......... code Σ 1..1 code Symbol in syntax defined by the system
.......... display Σ 0..1 string Representation defined by the system
.......... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
......... text Σ 0..1 string Plain text representation of the concept
...... value 0..1 dateTime Primitive value for dateTime
.... onset[x]:onsetDateTime SΣ 0..1 dateTime Beginn Datum
.... onset[x]:onsetAge SΣ 0..1 Age Erkrankungsbeginn als Alter
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... extension:Lebensphase-Beginn 0..1 CodeableConcept Lebensphase des Erkrankungsbeginns
URL: http://fhir.de/StructureDefinition/lebensphase
..... value Σ 0..1 decimal Numerical value (with implicit precision)
..... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
..... unit Σ 0..1 string Unit representation
..... system ΣC 0..1 uri System that defines coded unit form
..... code Σ 0..1 code Coded form of the unit
... abatement[x] C 0..1 When in resolution/remission
.... abatementDateTime dateTime
.... abatementAge Age
.... abatementPeriod Period
.... abatementRange Range
.... abatementString string
... recordedDate SΣ 1..1 dateTime Aufzeichnungsdatum
... recorder Σ 0..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) Who recorded the condition
... asserter Σ 0..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) Person who asserts this condition
... stage C 0..* BackboneElement Stage/grade, usually assessed formally
Constraints: con-1
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... summary C 0..1 CodeableConcept Simple summary (disease specific)
Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).
.... assessment C 0..* Reference(ClinicalImpression | DiagnosticReport | Observation) Formal record of assessment
.... type 0..1 CodeableConcept Kind of staging
Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).
... evidence C 0..* BackboneElement Supporting evidence
Constraints: con-2
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code ΣC 0..* CodeableConcept Manifestation/symptom
Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.
.... detail ΣC 0..* Reference(Resource) Supporting information found elsewhere
... note S 0..* Annotation Hinweis

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Condition.meta.security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
Condition.meta.tag Base example Common Tags 📍4.0.1 FHIR Std.
Condition.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Condition.clinicalStatus Base required Condition Clinical Status Codes 📍4.0.1 FHIR Std.
Condition.verificationStatus Base required ConditionVerificationStatus 📍4.0.1 FHIR Std.
Condition.category Base extensible Condition Category Codes 📍4.0.1 FHIR Std.
Condition.severity Base preferred Condition/Diagnosis Severity 📍4.0.1 FHIR Std.
Condition.code Base example Condition/Problem/Diagnosis Codes 📍4.0.1 FHIR Std.
Condition.code.coding:icd10-gm Base required MII VS Diagnose ICD-10-GM 📦2026.0.0 This IG
Condition.code.coding:alpha-id Base required MII VS Diagnose Alpha-ID 📦2026.0.0 This IG
Condition.code.coding:sct Base required MII VS Diagnose Diagnose-Codes SNOMED 📦2026.0.0 This IG
Condition.code.coding:orphanet Base required MII VS Diagnose Orphanet 📦2026.0.0 This IG
Condition.bodySite Base example SNOMED CT Body Structures 📍4.0.1 FHIR Std.
Condition.bodySite.coding:snomed-ct Base required MII VS Diagnose BodyStructure SNOMED 📦2026.0.0 This IG
Condition.onset[x]:onsetPeriod.​start.extension:lebensphase-von.​value[x].coding Base required LebensphaseDe ValueSet 📦1.5.4 de.basisprofil.r4 v1.5
Condition.onset[x]:onsetPeriod.​end.extension:lebensphase-bis.​value[x].coding Base required LebensphaseDe ValueSet 📦1.5.4 de.basisprofil.r4 v1.5
Condition.onset[x]:onsetAge.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Condition.stage.summary Base example Condition Stage 📍4.0.1 FHIR Std.
Condition.stage.type Base example Condition Stage Type 📍4.0.1 FHIR Std.
Condition.evidence.code Base example Manifestation and Symptom Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
con-1 error Condition.stage Stage SHALL have summary or assessment summary.exists() or assessment.exists()
con-2 error Condition.evidence evidence SHALL have code or details code.exists() or detail.exists()
con-3 best practice Condition Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
con-4 error Condition If condition is abated, then clinicalStatus must be either inactive, resolved, or remission abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
con-5 error Condition Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
dom-2 error Condition If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Condition If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Condition If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Condition If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Condition A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
icd-regex warning Condition.code.coding:icd10-gm.code In code sind nur gültige ICD-10-Codes ohne Zusätze erlaubt matches('^[A-Z][0-9][A-Z0-9](\\.?[A-Z0-9]{0,4})?$')

Summary

Mandatory: 3 elements(6 nested mandatory elements)
Must-Support: 42 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Condition.code.coding
  • The element 1 is sliced based on the value of Condition.bodySite.coding
  • The element 1 is sliced based on the value of Condition.onset[x]

 

Other representations of profile: CSV, Excel, Schematron