MII Implementation Guide Core Dataset Base
2026.0.0 - Release Germany

MII Implementation Guide Core Dataset Base - Local Development build (v2026.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. 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:

- Examples for this Profile: Condition/mii-exa-diagnose-appendicitis, Condition/mii-exa-diagnose-condition-elbow-contusion, Condition/mii-exa-diagnose-condition-multiple-codings, Condition/mii-exa-diagnose-mehrfachcodierung-primaercode and Condition/mii-exa-diagnose-mehrfachcodierung-sekundaercode
- CapabilityStatements using this Profile: MII CPS Diagnose CapabilityStatement

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

Description Differentials, Snapshots, and other representations.

- Key Elements Table
- Differential Table
- Snapshot Table
- Statistics/References
- All

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Condition | C | 0..* | Condition | Detailed information about conditions, problems or diagnoses Constraints: con-3, con-4, con-5
id | S Σ | 0..1 | id | Logical id of this artifact
meta | S Σ | 0..1 | Meta | Metadata about the resource
source | S Σ | 0..1 | uri | Identifies where the resource comes from
profile | S Σ | 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
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
clinicalStatus | ?!S Σ C | 0..1 | CodeableConcept | Klinischer Status Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
verificationStatus | ?!S Σ C | 0..1 | CodeableConcept | Verifizierungsstatus Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
code | S Σ | 1..1 | CodeableConcept | Code Binding: Condition/Problem/DiagnosisCodes (example): Identification of the condition or diagnosis.
Slices for coding | S Σ | 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 | S Σ | 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 | S Σ | 1..1 | uri | Canonische CodeSystem URL für ICD-10-GM Fixed Value: http://fhir.de/CodeSystem/bfarm/icd-10-gm
version | S Σ | 1..1 | string | Die Jahresversion von ICD-10-GM. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017")
code | S Σ C | 1..1 | code | Der ICD-10-Code Constraints: icd-regex Example Einfacher ICD-Code: F17.4
coding:alpha-id | S Σ | 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 | S Σ | 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 | S Σ | 1..1 | code | Der Alpha-ID-Code
coding:sct | S Σ | 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 | S Σ | 1..1 | uri | Identity of the terminology system
version | S Σ | 0..1 | string | Version of the system - if relevant
code | S Σ | 1..1 | code | Symbol in syntax defined by the system
coding:orphanet | S Σ | 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 | S Σ | 1..1 | uri | Identity of the terminology system
code | S Σ | 1..1 | code | Symbol in syntax defined by the system
text | Σ | 0..1 | string | Plain text representation of the concept
bodySite | S Σ | 0..* | CodeableConcept | Körperstelle Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
Slices for coding | S Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:system
coding:snomed-ct | S Σ | 0..1 | Coding | SNOMED CT Code Binding: MII VS Diagnose BodyStructure SNOMED (required)
system | S Σ | 1..1 | uri | Identity of the terminology system Required Pattern: http://snomed.info/sct
version | S Σ | 0..1 | string | Version of the system - if relevant
code | S Σ | 1..1 | code | Symbol in syntax defined by the system
subject | S Σ | 1..1 | Reference(Patient | Group) | Who has the condition?
encounter | S Σ | 0..1 | Reference(Encounter) | Kontakt (Aufenthaltsbezug)
Slices for onset[x] | S Σ | 0..1 |  | Beginn Slice: Unordered, Closed by type:$this
onsetDateTime |  |  | dateTime |
onsetAge |  |  | Age |
onsetPeriod |  |  | Period |
onset[x]:onsetPeriod | S Σ | 0..1 | Period | Beginn Zeitraum
start | S Σ C | 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 | S Σ C | 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 | S Σ | 0..1 | dateTime | Beginn Datum
onset[x]:onsetAge | S Σ | 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 | S Σ | 1..1 | dateTime | Aufzeichnungsdatum
note | S | 0..* | Annotation | Hinweis
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})?$')`

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
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
clinicalStatus | S | 0..1 | CodeableConcept | Klinischer Status
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
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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Condition | C | 0..* | Condition | Detailed information about conditions, problems or diagnoses Constraints: con-3, con-4, con-5
id | S Σ | 0..1 | id | Logical id of this artifact
meta | S Σ | 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 | S Σ | 0..1 | uri | Identifies where the resource comes from
profile | S Σ | 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
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
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 | ?!S Σ C | 0..1 | CodeableConcept | Klinischer Status Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
verificationStatus | ?!S Σ C | 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 | S Σ | 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 | S Σ | 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 | S Σ | 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 | S Σ | 1..1 | uri | Canonische CodeSystem URL für ICD-10-GM Fixed Value: http://fhir.de/CodeSystem/bfarm/icd-10-gm
version | S Σ | 1..1 | string | Die Jahresversion von ICD-10-GM. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017")
code | S Σ C | 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 | S Σ | 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 | S Σ | 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 | S Σ | 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 | S Σ | 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 | S Σ | 1..1 | uri | Identity of the terminology system
version | S Σ | 0..1 | string | Version of the system - if relevant
code | S 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
coding:orphanet | S Σ | 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 | S Σ | 1..1 | uri | Identity of the terminology system
version | Σ | 0..1 | string | Version of the system - if relevant
code | S 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
bodySite | S Σ | 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 | S Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:system
coding:snomed-ct | S Σ | 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 | S Σ | 1..1 | uri | Identity of the terminology system Required Pattern: http://snomed.info/sct
version | S Σ | 0..1 | string | Version of the system - if relevant
code | S 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
subject | S Σ | 1..1 | Reference(Patient | Group) | Who has the condition?
encounter | S Σ | 0..1 | Reference(Encounter) | Kontakt (Aufenthaltsbezug)
Slices for onset[x] | S Σ | 0..1 |  | Beginn Slice: Unordered, Closed by type:$this
onsetDateTime |  |  | dateTime |
onsetAge |  |  | Age |
onsetPeriod |  |  | Period |
onset[x]:onsetPeriod | S Σ | 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 | S Σ C | 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 | S Σ C | 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 | S Σ | 0..1 | dateTime | Beginn Datum
onset[x]:onsetAge | S Σ | 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 | Σ C | 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 | S Σ | 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 | Σ C | 0..* | CodeableConcept | Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.
detail | Σ C | 0..* | Reference(Resource) | Supporting information found elsewhere
note | S | 0..* | Annotation | Hinweis
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:

- Coding-Profil für ICD-10-GM (http://fhir.de/StructureDefinition/CodingICD10GM)
- Coding-Profil für Alpha-ID (http://fhir.de/StructureDefinition/CodingAlphaID)

Extensions

This structure refers to these extensions:

- http://hl7.org/fhir/StructureDefinition/condition-related
- http://hl7.org/fhir/StructureDefinition/condition-assertedDate
- http://fhir.de/StructureDefinition/lebensphase

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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Condition | C | 0..* | Condition | Detailed information about conditions, problems or diagnoses Constraints: con-3, con-4, con-5
id | S Σ | 0..1 | id | Logical id of this artifact
meta | S Σ | 0..1 | Meta | Metadata about the resource
source | S Σ | 0..1 | uri | Identifies where the resource comes from
profile | S Σ | 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
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
clinicalStatus | ?!S Σ C | 0..1 | CodeableConcept | Klinischer Status Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
verificationStatus | ?!S Σ C | 0..1 | CodeableConcept | Verifizierungsstatus Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
code | S Σ | 1..1 | CodeableConcept | Code Binding: Condition/Problem/DiagnosisCodes (example): Identification of the condition or diagnosis.
Slices for coding | S Σ | 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 | S Σ | 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 | S Σ | 1..1 | uri | Canonische CodeSystem URL für ICD-10-GM Fixed Value: http://fhir.de/CodeSystem/bfarm/icd-10-gm
version | S Σ | 1..1 | string | Die Jahresversion von ICD-10-GM. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017")
code | S Σ C | 1..1 | code | Der ICD-10-Code Constraints: icd-regex Example Einfacher ICD-Code: F17.4
coding:alpha-id | S Σ | 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 | S Σ | 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 | S Σ | 1..1 | code | Der Alpha-ID-Code
coding:sct | S Σ | 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 | S Σ | 1..1 | uri | Identity of the terminology system
version | S Σ | 0..1 | string | Version of the system - if relevant
code | S Σ | 1..1 | code | Symbol in syntax defined by the system
coding:orphanet | S Σ | 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 | S Σ | 1..1 | uri | Identity of the terminology system
code | S Σ | 1..1 | code | Symbol in syntax defined by the system
text | Σ | 0..1 | string | Plain text representation of the concept
bodySite | S Σ | 0..* | CodeableConcept | Körperstelle Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
Slices for coding | S Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:system
coding:snomed-ct | S Σ | 0..1 | Coding | SNOMED CT Code Binding: MII VS Diagnose BodyStructure SNOMED (required)
system | S Σ | 1..1 | uri | Identity of the terminology system Required Pattern: http://snomed.info/sct
version | S Σ | 0..1 | string | Version of the system - if relevant
code | S Σ | 1..1 | code | Symbol in syntax defined by the system
subject | S Σ | 1..1 | Reference(Patient | Group) | Who has the condition?
encounter | S Σ | 0..1 | Reference(Encounter) | Kontakt (Aufenthaltsbezug)
Slices for onset[x] | S Σ | 0..1 |  | Beginn Slice: Unordered, Closed by type:$this
onsetDateTime |  |  | dateTime |
onsetAge |  |  | Age |
onsetPeriod |  |  | Period |
onset[x]:onsetPeriod | S Σ | 0..1 | Period | Beginn Zeitraum
start | S Σ C | 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 | S Σ C | 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 | S Σ | 0..1 | dateTime | Beginn Datum
onset[x]:onsetAge | S Σ | 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 | S Σ | 1..1 | dateTime | Aufzeichnungsdatum
note | S | 0..* | Annotation | Hinweis
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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
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
clinicalStatus | S | 0..1 | CodeableConcept | Klinischer Status
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
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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Condition | C | 0..* | Condition | Detailed information about conditions, problems or diagnoses Constraints: con-3, con-4, con-5
id | S Σ | 0..1 | id | Logical id of this artifact
meta | S Σ | 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 | S Σ | 0..1 | uri | Identifies where the resource comes from
profile | S Σ | 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
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
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 | ?!S Σ C | 0..1 | CodeableConcept | Klinischer Status Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
verificationStatus | ?!S Σ C | 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 | S Σ | 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 | S Σ | 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 | S Σ | 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 | S Σ | 1..1 | uri | Canonische CodeSystem URL für ICD-10-GM Fixed Value: http://fhir.de/CodeSystem/bfarm/icd-10-gm
version | S Σ | 1..1 | string | Die Jahresversion von ICD-10-GM. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017")
code | S Σ C | 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 | S Σ | 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 | S Σ | 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 | S Σ | 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 | S Σ | 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 | S Σ | 1..1 | uri | Identity of the terminology system
version | S Σ | 0..1 | string | Version of the system - if relevant
code | S 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
coding:orphanet | S Σ | 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 | S Σ | 1..1 | uri | Identity of the terminology system
version | Σ | 0..1 | string | Version of the system - if relevant
code | S 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
bodySite | S Σ | 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 | S Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:system
coding:snomed-ct | S Σ | 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 | S Σ | 1..1 | uri | Identity of the terminology system Required Pattern: http://snomed.info/sct
version | S Σ | 0..1 | string | Version of the system - if relevant
code | S 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
subject | S Σ | 1..1 | Reference(Patient | Group) | Who has the condition?
encounter | S Σ | 0..1 | Reference(Encounter) | Kontakt (Aufenthaltsbezug)
Slices for onset[x] | S Σ | 0..1 |  | Beginn Slice: Unordered, Closed by type:$this
onsetDateTime |  |  | dateTime |
onsetAge |  |  | Age |
onsetPeriod |  |  | Period |
onset[x]:onsetPeriod | S Σ | 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 | S Σ C | 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 | S Σ C | 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 | S Σ | 0..1 | dateTime | Beginn Datum
onset[x]:onsetAge | S Σ | 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 | Σ C | 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 | S Σ | 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 | Σ C | 0..* | CodeableConcept | Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.
detail | Σ C | 0..* | Reference(Resource) | Supporting information found elsewhere
note | S | 0..* | Annotation | Hinweis
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:

- Coding-Profil für ICD-10-GM (http://fhir.de/StructureDefinition/CodingICD10GM)
- Coding-Profil für Alpha-ID (http://fhir.de/StructureDefinition/CodingAlphaID)

Extensions

This structure refers to these extensions:

- http://hl7.org/fhir/StructureDefinition/condition-related
- http://hl7.org/fhir/StructureDefinition/condition-assertedDate
- http://fhir.de/StructureDefinition/lebensphase

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