MII Implementierungsleitfaden Kerndatensatz Basis
2027.0.0-ballot - Germany

This page is part of the MII Implementation Guide Core Dataset Base (v2027.0.0-ballot: 2027 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Ressourcenprofil: MII PR Diagnose Condition

Offizielle URL: https://www.medizininformatik-initiative.de/fhir/core/modul-diagnose/StructureDefinition/Diagnose Version: 2027.0.0-ballot
Active Stand: 2026-09-01 Maschinenlesbarer Name: MII_PR_Diagnose_Condition

Eine klinische Diagnose der Patientin oder des Patienten.

Beispielhafte Anwendungsszenarien:

  • Dokumentation von Diagnosen für Patienten in der klinischen Versorgung mittels ICD-10-GM-Codierung
  • Unterstützung von Abrechnungsprozessen mit codierten Diagnoseinformationen
  • Ermöglichung epidemiologischer Forschung durch standardisierte Diagnosecodierung
  • Darstellung seltener Erkrankungen mittels Alpha-ID oder Orphanet-Codes neben ICD-10-GM
  • Verknüpfung von Diagnosen mit spezifischen Behandlungsfällen zur zeitlichen und kontextuellen Dokumentation

Profilspezifische Implementierungshinweise

Dieser Abschnitt enthält detaillierte Implementierungshinweise für das MII-Diagnose-Profil.

Codierungsanforderungen

Verpflichtende Codierung:

  • Condition.code: Mindestens eine codierte Diagnose MUSS enthalten sein
  • System frei wählbar aus: ICD-10-GM, Alpha-ID, SNOMED CT oder Orphanet
  • ICD-10-GM-Codierung ist das primäre Codiersystem für Diagnosen in Deutschland

Mehrere Codiersysteme:

  • Mehrfachcodierungen aus verschiedenen Terminologien sind erlaubt und werden, wo anwendbar, empfohlen
  • Beispiel: ICD-10-GM für Abrechnungszwecke + SNOMED CT für semantische Interoperabilität + Alpha-ID/Orphanet für seltene Erkrankungen

ICD-10-GM-spezifische Extensions

Best Practice - ICD-10-GM-Extensions und Sonderzeichen

Trennung von Sonderzeichen: Das Element Condition.code.coding.where(system='http://fhir.de/CodeSystem/bfarm/icd-10-gm').code SOLL NICHT ein Mehrfachcodierungskennzeichen oder Zusatzkennzeichen (z.B. Seitenlokalisation oder Diagnosesicherheit) enthalten.

Verwendung von Extensions:

  • Mehrfachcodierungs-Kennzeichen: Mehrfachcodierungskennzeichen (*, †, !) SOLLEN von den ICD-10-GM-Codes getrennt und in der Extension "Mehrfachcodierungs-Kennzeichen" erfasst werden
  • Seitenlokalisation: Die Extension "Seitenlokalisation" SOLL zur Angabe der Seitenlokalisation in der ICD-10-GM-codierung verwendet werden
  • Diagnosesicherheit: Die Extension "Diagnosesicherheit" SOLL zur Angabe der Diagnosesicherheit in der ICD-10-GM-codierung verwendet werden

Referenz: Siehe ICD-10-GM Coding-Profil und Diagnosesicherheit Extension in den Deutschen Basisprofilen für detaillierte Constraints.

Mehrfachcodierung mit ICD-10-GM Kreuz-Stern-System

Best Practice - Kreuz-Stern-System Implementierung

Mehrere Condition-Instanzen: Bei der Verwendung von ICD-10-GM-Codes mit dem Kreuz-Stern-System wird für jeden ICD-10-Code eine separate Condition-Instanz erstellt (Ätiologie, Manifestation, Zusatzinformation).

Verknüpfung von Sekundär- zu Primärdiagnose:

  • Die Primärdiagnose-Condition (Ätiologie mit †-Kennzeichen) ist die Hauptinstanz
  • Sekundärdiagnose-Conditions (Manifestation mit *-Kennzeichen, Zusatzinformation mit !-Kennzeichen) nutzen die Extension Condition Related, um auf die Primärdiagnose zu referenzieren
  • Dies erstellt eine explizite Beziehungskette: Manifestation → Ätiologie

Alpha-ID und Orphanet-Codes:

  • Wenn Alpha-ID- oder Orphanet-Codes zu kombinierten ICD-10-GM-Codes gemappt sind, werden sie nur in der Primärdiagnose-Condition-Instanz angegeben
  • Alpha-ID/Orphanet-Codes werden nicht in Sekundärdiagnose-Condition-Instanzen dupliziert

Aspekte zur Diagnosesicherheit:

  • Bei abweichenden Diagnosesicherheiten zwischen Primär- und Sekundärdiagnose MUSS sichergestellt werden, dass die Diagnosesicherheit der Primärcondition auf die assoziierte Alpha-ID zutrifft
  • Dies verhindert Inkonsistenzen, wenn bspw. Seltene-Erkrankungen-Codes (Alpha-ID/Orphanet) mit unsicheren ätiologischen Diagnosen verknüpft sind

Beispiel: Siehe Beispielressourcen für Alpha-ID I97525 mit ICD-10-GM A54.4† (Ätiologie) und M73.09* (Manifestation).

Dokumentation der Körperstelle

Die Modellierung codierter und detaillierter anatomischer Lokalisationen wurde mit gematik ISiK Diagnose 6.0.0 harmonisiert. Condition.bodySite unterstützt zwei Darstellungen:

  • eine codierte anatomische Lokalisation, vorzugsweise mit SNOMED CT; oder
  • eine Referenz auf eine patientenbezogene BodyStructure über die Extension http://hl7.org/fhir/StructureDefinition/bodySite, wenn eine codierte Körperstelle allein nicht die erforderliche Detailtiefe bietet.

EHDS-Ausblick: HL7 Europe Condition (EU core) 2.0.0 verwendet dieselbe Darstellung durch Codierung oder Referenz und wendet die Invariante eu-bodysite-1 an. Für zukünftige EHDS-Kompatibilität SOLLTE jedes Vorkommen von Condition.bodySite entweder Codierung/Text oder die BodyStructure-Referenz-Extension enthalten, jedoch nicht beides.

Condition.bodySite:

  • OPTIONALES Element
  • Falls dieses optionale Element verwendet wird, SOLL die Körperstelle mindestens mit einem SNOMED CT-Code codiert werden
  • Die BodyStructure-Referenz-Extension SOLL verwendet werden, wenn die codierte Körperstelle nicht ausreichend präzise ist
  • Für die Lateralität bei ICD-10-GM SOLL die Extension Seitenlokalisation auf Condition.code.coding:icd10-gm verwendet werden, anstatt die Lateralität in bodySite zu codieren

Verknüpfung mit dem Fall

Best Practice - Diagnose-Fall-Beziehungen

Änderung gegenüber vorheriger Version: In früheren Versionen dieses Implementierungsleitfadens wurde empfohlen, Encounter.diagnosis zur Verknüpfung von Diagnosen mit Behandlungsfällen zu verwenden. Diese Empfehlung wurde aktualisiert, um sich an die gematik ISiK-Empfehlungen (Informationssysteme im Krankenhaus) anzupassen.

Aktuelle Empfehlung - Condition.encounter:

  • Ebene Abteilungskontakt: Die Zuordnung SOLL auf einen Encounter der Ebene "Abteilungskontakt" erfolgen
  • Bei der Auswahl des Encounters ist zu beachten, dass unter einer (Abrechnungs-)"Fallnummer" (hier: Encounter.account) unter Umständen mehrere Encounter gruppiert sein können (z.B. stationärer Besuch mit mehreren vor- und nachstationären Aufenthalten)

Zeitliche Informationen

Best Practice - Erkrankungsbeginn und Erkrankungsende

Die Modellierung von Erkrankungsbeginn und Erkrankungsende wurde mit gematik ISiK harmonisiert. Implementierende SOLLTEN onsetDateTime/abatementDateTime für Datumsangaben und onsetAge/abatementAge mit der Lebensphasen-Extension verwenden, wenn nur eine Lebensphase bekannt ist. onsetPeriod und abatementPeriod bleiben ausschließlich aus Gründen der Rückwärtskompatibilität zulässig und SOLLTEN NICHT in neuen Implementierungen verwendet werden.

EHDS-Ausblick: Das veröffentlichte Trial-Use-Profil HL7 Europe Condition (EU core) 2.0.0, das in kommende EHDS-Spezifikationen einfließt, profiliert für Erkrankungsbeginn und Erkrankungsende ausdrücklich die dateTime-Varianten. Um die zukünftige EHDS-Konformität zu erleichtern, SOLLTEN neue Implementierungen daher onsetDateTime und abatementDateTime verwenden, sofern ein Datum verfügbar ist.

Condition.onset[x]:

  • SOLLTE als dateTime oder Age erfasst werden
  • Bei Verwendung von Age KANN die Lebensphasen-Extension eine Lebensphase als Code angeben, wenn das genaue Datum unbekannt ist
  • Period bleibt aus Gründen der Rückwärtskompatibilität zulässig, aber SOLLTE NICHT verwendet werden
  • Repräsentiert, wann die Erkrankung begann oder erstmals bemerkt wurde

Condition.abatement[x]:

  • SOLLTE als dateTime oder Age erfasst werden
  • Bei Verwendung von Age KANN die Lebensphasen-Extension eine Lebensphase als Code angeben, wenn das genaue Datum unbekannt ist
  • Period bleibt aus Gründen der Rückwärtskompatibilität zulässig, aber SOLLTE NICHT verwendet werden
  • Repräsentiert, wann die Erkrankung endete, abklang oder in Remission überging

Condition.recordedDate:

  • Repräsentiert, wann die Diagnose im System erfasst wurde
  • Dient der zeitlichen Einordnung der Diagnose

Usages:

You can also check for usages in the FHIR IG Statistics

Formale Ansichten des Profilinhalts

Beschreibung von Profilen, Differentials, Snapshots und deren Repräsentationen.

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 (Complex) Conditions associated with this condition
URL: http://hl7.org/fhir/StructureDefinition/condition-related
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url S 1..1 uri "http://hl7.org/fhir/StructureDefinition/condition-related"
..... value[x] S 1..1 Reference(Condition) Value of extension
.... extension:Feststellungsdatum S 0..1 (Complex) Feststellungsdatum
URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url S 1..1 uri "http://hl7.org/fhir/StructureDefinition/condition-assertedDate"
..... value[x] S 1..1 dateTime Value of extension
... 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.
.... coding SΣ 0..* Coding Code defined by a terminology system
..... system SΣ 0..1 uri Identity of the terminology system
..... code SΣ 0..1 code Symbol in syntax defined by the system
... verificationStatus ?!SΣC 0..1 CodeableConcept Verifizierungsstatus
Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
.... coding SΣ 0..* Coding Code defined by a terminology system
..... system SΣ 0..1 uri Identity of the terminology system
..... code SΣ 0..1 code Symbol in syntax defined by the system
... 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
...... 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 S 0..1 (Complex) Optional Extensions Element
URL: http://fhir.de/StructureDefinition/icd-10-gm-mehrfachcodierungs-kennzeichen
........ extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
........ url S 1..1 uri "http://fhir.de/StructureDefinition/icd-10-gm-mehrfachcodierungs-kennzeichen"
........ value[x] S 1..1 Coding Value of extension
Binding: Mehrfachkodierungs-Kennzeichen ICD10GM ValueSet (required)
......... system SΣ 1..1 uri Identity of the terminology system
......... code SΣ 1..1 code Symbol in syntax defined by the system
....... extension:Seitenlokalisation S 0..1 (Complex) Optional Extensions Element
URL: http://fhir.de/StructureDefinition/seitenlokalisation
........ extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
........ url S 1..1 uri "http://fhir.de/StructureDefinition/seitenlokalisation"
........ value[x] S 1..1 Coding Value of extension
Binding: KBV_VS_SFHIR_ICD_SEITENLOKALISATION . (required)
......... system SΣ 1..1 uri Identity of the terminology system
......... code SΣ 1..1 code Symbol in syntax defined by the system
....... extension:Diagnosesicherheit S 0..1 (Complex) Optional Extensions Element
URL: http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit
........ extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
........ url S 1..1 uri "http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit"
........ value[x] SC 1..1 Coding Value of extension
Binding: KBV_VS_SFHIR_ICD_DIAGNOSESICHERHEIT . (required)
Constraints: icd-4, icd-5, icd-6, icd-7
......... system SΣ 0..1 uri Identity of the terminology system
......... code SΣ 0..1 code Symbol in syntax defined by the system
...... 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
...... 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 SΣ 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
...... 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
Fixed Value: 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
..... 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
...... version 0..1 string Version of the system - if relevant
...... 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
Fixed Value: http://www.orpha.net
...... 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 extension Content/Rules for all slices
..... extension:bodySite 0..1 Reference(BodyStructure) Target anatomic location or structure
URL: http://hl7.org/fhir/StructureDefinition/bodySite
.... 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?
.... reference SΣC 0..1 string Literal reference, Relative, internal or absolute URL
... encounter SΣ 0..1 Reference(Encounter) Kontakt (Aufenthaltsbezug)
.... reference SΣC 0..1 string Literal reference, Relative, internal or absolute URL
... Slices for onset[x] SΣ 0..1 Beginn
Slice: Unordered, Open by type:$this
.... onsetDateTime dateTime
.... onsetAge Age
.... onsetPeriod Period
.... onset[x]:onsetDateTime SΣ 0..1 dateTime Beginn Datum
.... onset[x]:onsetAge SΣ 0..1 Age Erkrankungsbeginn als Alter
..... Slices for extension Content/Rules for all slices
...... extension:Lebensphase-Beginn 0..1 (Complex) Lebensphase des Erkrankungsbeginns
URL: http://fhir.de/StructureDefinition/lebensphase
....... extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
....... url S 1..1 uri "http://fhir.de/StructureDefinition/lebensphase"
....... value[x] S 1..1 CodeableConcept Value of extension
........ coding SΣ 1..1 Coding Code defined by a terminology system
Binding: LebensphaseDe ValueSet (required): Lebensphase
......... system SΣ 1..1 uri Identity of the terminology system
......... code SΣ 1..1 code Symbol in syntax defined by the system
..... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
... Slices for abatement[x] SC 0..1 Ende
Slice: Unordered, Open by type:$this
.... abatementDateTime dateTime
.... abatementAge Age
.... abatementPeriod Period
.... abatement[x]:abatementDateTime SC 0..1 dateTime Ende Datum
.... abatement[x]:abatementAge SC 0..1 Age Erkrankungsende als Alter
..... Slices for extension Content/Rules for all slices
...... extension:Lebensphase-Ende 0..1 (Complex) Lebensphase des Erkrankungsendes
URL: http://fhir.de/StructureDefinition/lebensphase
....... extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
....... url S 1..1 uri "http://fhir.de/StructureDefinition/lebensphase"
....... value[x] S 1..1 CodeableConcept Value of extension
........ coding SΣ 1..1 Coding Code defined by a terminology system
Binding: LebensphaseDe ValueSet (required): Lebensphase
......... system SΣ 1..1 uri Identity of the terminology system
......... code SΣ 1..1 code Symbol in syntax defined by the system
..... 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 📦2027.0.0-ballot This IG
Condition.code.coding:icd10-gm.​extension:Mehrfachcodierungs-Kennzeichen.​value[x] Base required Mehrfachkodierungs-Kennzeichen ICD10GM ValueSet 📦1.6.0 de.basisprofil.r4 v1.6
Condition.code.coding:icd10-gm.​extension:Seitenlokalisation.​value[x] Base required KBV_VS_SFHIR_ICD_SEITENLOKALISATION . ⏿1.00 127.0.0.1
Condition.code.coding:icd10-gm.​extension:Diagnosesicherheit.​value[x] Base required KBV_VS_SFHIR_ICD_DIAGNOSESICHERHEIT . ⏿1.00 127.0.0.1
Condition.code.coding:alpha-id Base required MII VS Diagnose Alpha-ID 📦2027.0.0-ballot This IG
Condition.code.coding:sct Base required MII VS Diagnose Diagnose-Codes SNOMED 📦2027.0.0-ballot This IG
Condition.code.coding:orphanet Base required MII VS Diagnose Orphanet 📦2027.0.0-ballot 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 📦2027.0.0-ballot This IG
Condition.onset[x]:onsetAge.​extension:Lebensphase-Beginn.​value[x].coding Base required LebensphaseDe ValueSet 📦1.6.0 de.basisprofil.r4 v1.6
Condition.onset[x]:onsetAge.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Condition.abatement[x]:abatementAge.​extension:Lebensphase-Ende.​value[x].coding Base required LebensphaseDe ValueSet 📦1.6.0 de.basisprofil.r4 v1.6
Condition.abatement[x]:abatementAge.​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-4 warning Condition.code.coding:icd10-gm.extension:Diagnosesicherheit.value[x] Wenn die Diagnosesicherheit "A (Ausschluss)" verwendet wird, dann muss clinicalStatus leer bleiben und verificationStaus auf "refuted" gesetzt werden. code!='A' or (%resource.verificationStatus.coding.where(code='refuted').exists() and %resource.clinicalStatus.empty())
icd-5 warning Condition.code.coding:icd10-gm.extension:Diagnosesicherheit.value[x] Wenn die Diagnosesicherheit "G (Gesichert)" verwendet wird, dann muss clinicalStatus auf "active" und verificationStatus auf "confirmed" gesetzt werden. code!='G' or (%resource.clinicalStatus.coding.where(code='active').exists() and %resource.verificationStatus.coding.where(code='confirmed').exists())
icd-6 warning Condition.code.coding:icd10-gm.extension:Diagnosesicherheit.value[x] Wenn die Diagnosesicherheit "V (Verdacht auf)" verwendet wird, dann muss clinicalStatus auf "active" und verificationStatus auf "provisional" oder "differential" gesetzt werden. code!='V' or (%resource.clinicalStatus.coding.where(code='active').exists() and (%resource.verificationStatus.coding.where(code='provisional').exists() or %resource.verificationStatus.coding.where(code='differential').exists()))
icd-7 warning Condition.code.coding:icd10-gm.extension:Diagnosesicherheit.value[x] Wenn die Diagnosesicherheit "Z (Zustand nach)" verwendet wird, dann muss clinicalStatus auf "resolved" und verificationStatus auf "confirmed" gesetzt werden. code!='Z' or (%resource.clinicalStatus.coding.where(code='resolved').exists() and %resource.verificationStatus.coding.where(code='confirmed').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})?$')

Diese Struktur ist abgeleitet von Condition

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 (Complex) Conditions associated with this condition
URL: http://hl7.org/fhir/StructureDefinition/condition-related
..... url S 1..1 uri identifies the meaning of the extension
..... value[x] S 1..1 Reference(Condition) Value of extension
.... extension:Feststellungsdatum S 0..1 (Complex) Feststellungsdatum
URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
..... url S 1..1 uri identifies the meaning of the extension
..... value[x] S 1..1 dateTime Value of extension
.... coding S 0..* Coding Code defined by a terminology system
..... system S 0..1 uri Identity of the terminology system
..... code S 0..1 code Symbol in syntax defined by the system
... verificationStatus S 0..1 CodeableConcept Verifizierungsstatus
.... coding S 0..* Coding Code defined by a terminology system
..... system S 0..1 uri Identity of the terminology system
..... code S 0..1 code Symbol in syntax defined by the system
... 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
...... Slices for extension Content/Rules for all slices
....... extension:Mehrfachcodierungs-Kennzeichen S 0..1 ExtensionMehrfachcodierungKennzeichen Optional Extensions Element
........ url S 1..1 uri identifies the meaning of the extension
........ value[x] S 1..1 Coding Value of extension
......... system S 1..1 uri Identity of the terminology system
......... code S 1..1 code Symbol in syntax defined by the system
....... extension:Seitenlokalisation S 0..1 ExtensionSeitenlokalisation Optional Extensions Element
........ url S 1..1 uri identifies the meaning of the extension
........ value[x] S 1..1 Coding Value of extension
......... system S 1..1 uri Identity of the terminology system
......... code S 1..1 code Symbol in syntax defined by the system
....... extension:Diagnosesicherheit S 0..1 ExtensionICD10GMDiagnosesicherheit Optional Extensions Element
........ url S 1..1 uri identifies the meaning of the extension
........ value[x] S 1..1 Coding Value of extension
......... system S 0..1 uri Identity of the terminology system
......... code S 0..1 code Symbol in syntax defined by the system
...... system S 1..1 uri Canonische CodeSystem URL für ICD-10-GM
Fixed Value: http://fhir.de/CodeSystem/bfarm/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 S 1..1 uri Canonische CodeSystem URL für Alpha-ID
Fixed Value: http://fhir.de/CodeSystem/bfarm/alpha-id
...... version S 1..1 string Die Jahresversion von Alpha-ID. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017")
...... 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 S 1..1 uri Identity of the terminology system
Fixed Value: 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
..... coding:orphanet S 0..1 Coding ORPHAcode
Binding: MII VS Diagnose Orphanet (required)
Required Pattern: At least the following
...... system S 1..1 uri Identity of the terminology system
Fixed Value: http://www.orpha.net
...... 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 extension Content/Rules for all slices
..... extension:bodySite 0..1 Reference(BodyStructure) Target anatomic location or structure
URL: http://hl7.org/fhir/StructureDefinition/bodySite
.... 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?
.... reference S 0..1 string Literal reference, Relative, internal or absolute URL
... encounter S 0..1 Reference(Encounter) Kontakt (Aufenthaltsbezug)
.... reference S 0..1 string Literal reference, Relative, internal or absolute URL
... Slices for onset[x] S 0..1 Beginn
Slice: Unordered, Open by type:$this
.... onsetDateTime dateTime
.... onsetAge Age
.... onsetPeriod Period
.... 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 (Complex) Lebensphase des Erkrankungsbeginns
URL: http://fhir.de/StructureDefinition/lebensphase
....... url S 1..1 uri identifies the meaning of the extension
....... value[x] S 1..1 CodeableConcept Value of extension
........ coding S 1..1 Coding Code defined by a terminology system
......... system S 1..1 uri Identity of the terminology system
......... code S 1..1 code Symbol in syntax defined by the system
... Slices for abatement[x] S 0..1 Ende
Slice: Unordered, Open by type:$this
.... abatementDateTime dateTime
.... abatementAge Age
.... abatementPeriod Period
.... abatement[x]:abatementDateTime S 0..1 dateTime Ende Datum
.... abatement[x]:abatementAge S 0..1 Age Erkrankungsende als Alter
..... Slices for extension Content/Rules for all slices
...... extension:Lebensphase-Ende 0..1 (Complex) Lebensphase des Erkrankungsendes
URL: http://fhir.de/StructureDefinition/lebensphase
....... url S 1..1 uri identifies the meaning of the extension
....... value[x] S 1..1 CodeableConcept Value of extension
........ coding S 1..1 Coding Code defined by a terminology system
......... system S 1..1 uri Identity of the terminology system
......... code S 1..1 code Symbol in syntax defined by the system
... 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 📦2027.0.0-ballot This IG
Condition.code.coding:alpha-id Base required MII VS Diagnose Alpha-ID 📦2027.0.0-ballot This IG
Condition.code.coding:sct Base required MII VS Diagnose Diagnose-Codes SNOMED 📦2027.0.0-ballot This IG
Condition.code.coding:orphanet Base required MII VS Diagnose Orphanet 📦2027.0.0-ballot This IG
Condition.bodySite.coding:snomed-ct Base required MII VS Diagnose BodyStructure SNOMED 📦2027.0.0-ballot 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 (Complex) Conditions associated with this condition
URL: http://hl7.org/fhir/StructureDefinition/condition-related
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url S 1..1 uri "http://hl7.org/fhir/StructureDefinition/condition-related"
..... value[x] S 1..1 Reference(Condition) Value of extension
.... extension:Feststellungsdatum S 0..1 (Complex) Feststellungsdatum
URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url S 1..1 uri "http://hl7.org/fhir/StructureDefinition/condition-assertedDate"
..... value[x] S 1..1 dateTime Value of extension
... 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.
.... 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 SΣ 0..* Coding Code defined by a terminology system
..... 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 0..1 uri Identity of the terminology system
..... version Σ 0..1 string Version of the system - if relevant
..... code SΣ 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
.... text Σ 0..1 string Plain text representation of the concept
... verificationStatus ?!SΣC 0..1 CodeableConcept Verifizierungsstatus
Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status 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
.... coding SΣ 0..* Coding Code defined by a terminology system
..... 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 0..1 uri Identity of the terminology system
..... version Σ 0..1 string Version of the system - if relevant
..... code SΣ 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
.... text Σ 0..1 string Plain text representation of the concept
... 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
...... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... Slices for extension Content/Rules for all slices
....... extension:Mehrfachcodierungs-Kennzeichen S 0..1 (Complex) Optional Extensions Element
URL: http://fhir.de/StructureDefinition/icd-10-gm-mehrfachcodierungs-kennzeichen
........ 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 S 1..1 uri "http://fhir.de/StructureDefinition/icd-10-gm-mehrfachcodierungs-kennzeichen"
........ value[x] S 1..1 Coding Value of extension
Binding: Mehrfachkodierungs-Kennzeichen ICD10GM ValueSet (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
......... 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
....... extension:Seitenlokalisation S 0..1 (Complex) Optional Extensions Element
URL: http://fhir.de/StructureDefinition/seitenlokalisation
........ 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 S 1..1 uri "http://fhir.de/StructureDefinition/seitenlokalisation"
........ value[x] S 1..1 Coding Value of extension
Binding: KBV_VS_SFHIR_ICD_SEITENLOKALISATION . (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
......... 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
....... extension:Diagnosesicherheit S 0..1 (Complex) Optional Extensions Element
URL: http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit
........ 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 S 1..1 uri "http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit"
........ value[x] SC 1..1 Coding Value of extension
Binding: KBV_VS_SFHIR_ICD_DIAGNOSESICHERHEIT . (required)
Constraints: icd-4, icd-5, icd-6, icd-7
......... 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 0..1 uri Identity of the terminology system
......... version Σ 0..1 string Version of the system - if relevant
......... code SΣ 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
...... 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
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 SΣ 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
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: 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
..... 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
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://www.orpha.net
...... 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
.... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... extension:bodySite 0..1 Reference(BodyStructure) Target anatomic location or structure
URL: http://hl7.org/fhir/StructureDefinition/bodySite
.... 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?
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... encounter SΣ 0..1 Reference(Encounter) Kontakt (Aufenthaltsbezug)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... Slices for onset[x] SΣ 0..1 Beginn
Slice: Unordered, Open by type:$this
.... onsetDateTime dateTime
.... onsetAge Age
.... onsetPeriod Period
.... 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
..... Slices for extension Content/Rules for all slices
...... extension:Lebensphase-Beginn 0..1 (Complex) Lebensphase des Erkrankungsbeginns
URL: http://fhir.de/StructureDefinition/lebensphase
....... 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 S 1..1 uri "http://fhir.de/StructureDefinition/lebensphase"
....... value[x] S 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 SΣ 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 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
..... 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
... Slices for abatement[x] SC 0..1 Ende
Slice: Unordered, Open by type:$this
.... abatementDateTime dateTime
.... abatementAge Age
.... abatementPeriod Period
.... abatement[x]:abatementDateTime SC 0..1 dateTime Ende Datum
.... abatement[x]:abatementAge SC 0..1 Age Erkrankungsende 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
..... Slices for extension Content/Rules for all slices
...... extension:Lebensphase-Ende 0..1 (Complex) Lebensphase des Erkrankungsendes
URL: http://fhir.de/StructureDefinition/lebensphase
....... 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 S 1..1 uri "http://fhir.de/StructureDefinition/lebensphase"
....... value[x] S 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 SΣ 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 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
..... 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
... 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 📦2027.0.0-ballot This IG
Condition.code.coding:icd10-gm.​extension:Mehrfachcodierungs-Kennzeichen.​value[x] Base required Mehrfachkodierungs-Kennzeichen ICD10GM ValueSet 📦1.6.0 de.basisprofil.r4 v1.6
Condition.code.coding:icd10-gm.​extension:Seitenlokalisation.​value[x] Base required KBV_VS_SFHIR_ICD_SEITENLOKALISATION . ⏿1.00 127.0.0.1
Condition.code.coding:icd10-gm.​extension:Diagnosesicherheit.​value[x] Base required KBV_VS_SFHIR_ICD_DIAGNOSESICHERHEIT . ⏿1.00 127.0.0.1
Condition.code.coding:alpha-id Base required MII VS Diagnose Alpha-ID 📦2027.0.0-ballot This IG
Condition.code.coding:sct Base required MII VS Diagnose Diagnose-Codes SNOMED 📦2027.0.0-ballot This IG
Condition.code.coding:orphanet Base required MII VS Diagnose Orphanet 📦2027.0.0-ballot 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 📦2027.0.0-ballot This IG
Condition.subject.type Base extensible ResourceType 📍4.0.1 FHIR Std.
Condition.encounter.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
Condition.onset[x]:onsetAge.​extension:Lebensphase-Beginn.​value[x].coding Base required LebensphaseDe ValueSet 📦1.6.0 de.basisprofil.r4 v1.6
Condition.onset[x]:onsetAge.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Condition.abatement[x]:abatementAge.​extension:Lebensphase-Ende.​value[x].coding Base required LebensphaseDe ValueSet 📦1.6.0 de.basisprofil.r4 v1.6
Condition.abatement[x]:abatementAge.​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-4 warning Condition.code.coding:icd10-gm.extension:Diagnosesicherheit.value[x] Wenn die Diagnosesicherheit "A (Ausschluss)" verwendet wird, dann muss clinicalStatus leer bleiben und verificationStaus auf "refuted" gesetzt werden. code!='A' or (%resource.verificationStatus.coding.where(code='refuted').exists() and %resource.clinicalStatus.empty())
icd-5 warning Condition.code.coding:icd10-gm.extension:Diagnosesicherheit.value[x] Wenn die Diagnosesicherheit "G (Gesichert)" verwendet wird, dann muss clinicalStatus auf "active" und verificationStatus auf "confirmed" gesetzt werden. code!='G' or (%resource.clinicalStatus.coding.where(code='active').exists() and %resource.verificationStatus.coding.where(code='confirmed').exists())
icd-6 warning Condition.code.coding:icd10-gm.extension:Diagnosesicherheit.value[x] Wenn die Diagnosesicherheit "V (Verdacht auf)" verwendet wird, dann muss clinicalStatus auf "active" und verificationStatus auf "provisional" oder "differential" gesetzt werden. code!='V' or (%resource.clinicalStatus.coding.where(code='active').exists() and (%resource.verificationStatus.coding.where(code='provisional').exists() or %resource.verificationStatus.coding.where(code='differential').exists()))
icd-7 warning Condition.code.coding:icd10-gm.extension:Diagnosesicherheit.value[x] Wenn die Diagnosesicherheit "Z (Zustand nach)" verwendet wird, dann muss clinicalStatus auf "resolved" und verificationStatus auf "confirmed" gesetzt werden. code!='Z' or (%resource.clinicalStatus.coding.where(code='resolved').exists() and %resource.verificationStatus.coding.where(code='confirmed').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})?$')

Diese Struktur ist abgeleitet von Condition

Summary

Mandatory: 3 elements(6 nested mandatory elements)
Must-Support: 78 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]
  • The element 1 is sliced based on the value of Condition.abatement[x]

Schlüsselelemente-Ansicht

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 (Complex) Conditions associated with this condition
URL: http://hl7.org/fhir/StructureDefinition/condition-related
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url S 1..1 uri "http://hl7.org/fhir/StructureDefinition/condition-related"
..... value[x] S 1..1 Reference(Condition) Value of extension
.... extension:Feststellungsdatum S 0..1 (Complex) Feststellungsdatum
URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url S 1..1 uri "http://hl7.org/fhir/StructureDefinition/condition-assertedDate"
..... value[x] S 1..1 dateTime Value of extension
... 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.
.... coding SΣ 0..* Coding Code defined by a terminology system
..... system SΣ 0..1 uri Identity of the terminology system
..... code SΣ 0..1 code Symbol in syntax defined by the system
... verificationStatus ?!SΣC 0..1 CodeableConcept Verifizierungsstatus
Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
.... coding SΣ 0..* Coding Code defined by a terminology system
..... system SΣ 0..1 uri Identity of the terminology system
..... code SΣ 0..1 code Symbol in syntax defined by the system
... 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
...... 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 S 0..1 (Complex) Optional Extensions Element
URL: http://fhir.de/StructureDefinition/icd-10-gm-mehrfachcodierungs-kennzeichen
........ extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
........ url S 1..1 uri "http://fhir.de/StructureDefinition/icd-10-gm-mehrfachcodierungs-kennzeichen"
........ value[x] S 1..1 Coding Value of extension
Binding: Mehrfachkodierungs-Kennzeichen ICD10GM ValueSet (required)
......... system SΣ 1..1 uri Identity of the terminology system
......... code SΣ 1..1 code Symbol in syntax defined by the system
....... extension:Seitenlokalisation S 0..1 (Complex) Optional Extensions Element
URL: http://fhir.de/StructureDefinition/seitenlokalisation
........ extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
........ url S 1..1 uri "http://fhir.de/StructureDefinition/seitenlokalisation"
........ value[x] S 1..1 Coding Value of extension
Binding: KBV_VS_SFHIR_ICD_SEITENLOKALISATION . (required)
......... system SΣ 1..1 uri Identity of the terminology system
......... code SΣ 1..1 code Symbol in syntax defined by the system
....... extension:Diagnosesicherheit S 0..1 (Complex) Optional Extensions Element
URL: http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit
........ extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
........ url S 1..1 uri "http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit"
........ value[x] SC 1..1 Coding Value of extension
Binding: KBV_VS_SFHIR_ICD_DIAGNOSESICHERHEIT . (required)
Constraints: icd-4, icd-5, icd-6, icd-7
......... system SΣ 0..1 uri Identity of the terminology system
......... code SΣ 0..1 code Symbol in syntax defined by the system
...... 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
...... 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 SΣ 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
...... 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
Fixed Value: 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
..... 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
...... version 0..1 string Version of the system - if relevant
...... 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
Fixed Value: http://www.orpha.net
...... 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 extension Content/Rules for all slices
..... extension:bodySite 0..1 Reference(BodyStructure) Target anatomic location or structure
URL: http://hl7.org/fhir/StructureDefinition/bodySite
.... 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?
.... reference SΣC 0..1 string Literal reference, Relative, internal or absolute URL
... encounter SΣ 0..1 Reference(Encounter) Kontakt (Aufenthaltsbezug)
.... reference SΣC 0..1 string Literal reference, Relative, internal or absolute URL
... Slices for onset[x] SΣ 0..1 Beginn
Slice: Unordered, Open by type:$this
.... onsetDateTime dateTime
.... onsetAge Age
.... onsetPeriod Period
.... onset[x]:onsetDateTime SΣ 0..1 dateTime Beginn Datum
.... onset[x]:onsetAge SΣ 0..1 Age Erkrankungsbeginn als Alter
..... Slices for extension Content/Rules for all slices
...... extension:Lebensphase-Beginn 0..1 (Complex) Lebensphase des Erkrankungsbeginns
URL: http://fhir.de/StructureDefinition/lebensphase
....... extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
....... url S 1..1 uri "http://fhir.de/StructureDefinition/lebensphase"
....... value[x] S 1..1 CodeableConcept Value of extension
........ coding SΣ 1..1 Coding Code defined by a terminology system
Binding: LebensphaseDe ValueSet (required): Lebensphase
......... system SΣ 1..1 uri Identity of the terminology system
......... code SΣ 1..1 code Symbol in syntax defined by the system
..... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
... Slices for abatement[x] SC 0..1 Ende
Slice: Unordered, Open by type:$this
.... abatementDateTime dateTime
.... abatementAge Age
.... abatementPeriod Period
.... abatement[x]:abatementDateTime SC 0..1 dateTime Ende Datum
.... abatement[x]:abatementAge SC 0..1 Age Erkrankungsende als Alter
..... Slices for extension Content/Rules for all slices
...... extension:Lebensphase-Ende 0..1 (Complex) Lebensphase des Erkrankungsendes
URL: http://fhir.de/StructureDefinition/lebensphase
....... extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
....... url S 1..1 uri "http://fhir.de/StructureDefinition/lebensphase"
....... value[x] S 1..1 CodeableConcept Value of extension
........ coding SΣ 1..1 Coding Code defined by a terminology system
Binding: LebensphaseDe ValueSet (required): Lebensphase
......... system SΣ 1..1 uri Identity of the terminology system
......... code SΣ 1..1 code Symbol in syntax defined by the system
..... 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 📦2027.0.0-ballot This IG
Condition.code.coding:icd10-gm.​extension:Mehrfachcodierungs-Kennzeichen.​value[x] Base required Mehrfachkodierungs-Kennzeichen ICD10GM ValueSet 📦1.6.0 de.basisprofil.r4 v1.6
Condition.code.coding:icd10-gm.​extension:Seitenlokalisation.​value[x] Base required KBV_VS_SFHIR_ICD_SEITENLOKALISATION . ⏿1.00 127.0.0.1
Condition.code.coding:icd10-gm.​extension:Diagnosesicherheit.​value[x] Base required KBV_VS_SFHIR_ICD_DIAGNOSESICHERHEIT . ⏿1.00 127.0.0.1
Condition.code.coding:alpha-id Base required MII VS Diagnose Alpha-ID 📦2027.0.0-ballot This IG
Condition.code.coding:sct Base required MII VS Diagnose Diagnose-Codes SNOMED 📦2027.0.0-ballot This IG
Condition.code.coding:orphanet Base required MII VS Diagnose Orphanet 📦2027.0.0-ballot 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 📦2027.0.0-ballot This IG
Condition.onset[x]:onsetAge.​extension:Lebensphase-Beginn.​value[x].coding Base required LebensphaseDe ValueSet 📦1.6.0 de.basisprofil.r4 v1.6
Condition.onset[x]:onsetAge.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Condition.abatement[x]:abatementAge.​extension:Lebensphase-Ende.​value[x].coding Base required LebensphaseDe ValueSet 📦1.6.0 de.basisprofil.r4 v1.6
Condition.abatement[x]:abatementAge.​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-4 warning Condition.code.coding:icd10-gm.extension:Diagnosesicherheit.value[x] Wenn die Diagnosesicherheit "A (Ausschluss)" verwendet wird, dann muss clinicalStatus leer bleiben und verificationStaus auf "refuted" gesetzt werden. code!='A' or (%resource.verificationStatus.coding.where(code='refuted').exists() and %resource.clinicalStatus.empty())
icd-5 warning Condition.code.coding:icd10-gm.extension:Diagnosesicherheit.value[x] Wenn die Diagnosesicherheit "G (Gesichert)" verwendet wird, dann muss clinicalStatus auf "active" und verificationStatus auf "confirmed" gesetzt werden. code!='G' or (%resource.clinicalStatus.coding.where(code='active').exists() and %resource.verificationStatus.coding.where(code='confirmed').exists())
icd-6 warning Condition.code.coding:icd10-gm.extension:Diagnosesicherheit.value[x] Wenn die Diagnosesicherheit "V (Verdacht auf)" verwendet wird, dann muss clinicalStatus auf "active" und verificationStatus auf "provisional" oder "differential" gesetzt werden. code!='V' or (%resource.clinicalStatus.coding.where(code='active').exists() and (%resource.verificationStatus.coding.where(code='provisional').exists() or %resource.verificationStatus.coding.where(code='differential').exists()))
icd-7 warning Condition.code.coding:icd10-gm.extension:Diagnosesicherheit.value[x] Wenn die Diagnosesicherheit "Z (Zustand nach)" verwendet wird, dann muss clinicalStatus auf "resolved" und verificationStatus auf "confirmed" gesetzt werden. code!='Z' or (%resource.clinicalStatus.coding.where(code='resolved').exists() and %resource.verificationStatus.coding.where(code='confirmed').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-Ansicht

Diese Struktur ist abgeleitet von Condition

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 (Complex) Conditions associated with this condition
URL: http://hl7.org/fhir/StructureDefinition/condition-related
..... url S 1..1 uri identifies the meaning of the extension
..... value[x] S 1..1 Reference(Condition) Value of extension
.... extension:Feststellungsdatum S 0..1 (Complex) Feststellungsdatum
URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
..... url S 1..1 uri identifies the meaning of the extension
..... value[x] S 1..1 dateTime Value of extension
.... coding S 0..* Coding Code defined by a terminology system
..... system S 0..1 uri Identity of the terminology system
..... code S 0..1 code Symbol in syntax defined by the system
... verificationStatus S 0..1 CodeableConcept Verifizierungsstatus
.... coding S 0..* Coding Code defined by a terminology system
..... system S 0..1 uri Identity of the terminology system
..... code S 0..1 code Symbol in syntax defined by the system
... 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
...... Slices for extension Content/Rules for all slices
....... extension:Mehrfachcodierungs-Kennzeichen S 0..1 ExtensionMehrfachcodierungKennzeichen Optional Extensions Element
........ url S 1..1 uri identifies the meaning of the extension
........ value[x] S 1..1 Coding Value of extension
......... system S 1..1 uri Identity of the terminology system
......... code S 1..1 code Symbol in syntax defined by the system
....... extension:Seitenlokalisation S 0..1 ExtensionSeitenlokalisation Optional Extensions Element
........ url S 1..1 uri identifies the meaning of the extension
........ value[x] S 1..1 Coding Value of extension
......... system S 1..1 uri Identity of the terminology system
......... code S 1..1 code Symbol in syntax defined by the system
....... extension:Diagnosesicherheit S 0..1 ExtensionICD10GMDiagnosesicherheit Optional Extensions Element
........ url S 1..1 uri identifies the meaning of the extension
........ value[x] S 1..1 Coding Value of extension
......... system S 0..1 uri Identity of the terminology system
......... code S 0..1 code Symbol in syntax defined by the system
...... system S 1..1 uri Canonische CodeSystem URL für ICD-10-GM
Fixed Value: http://fhir.de/CodeSystem/bfarm/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 S 1..1 uri Canonische CodeSystem URL für Alpha-ID
Fixed Value: http://fhir.de/CodeSystem/bfarm/alpha-id
...... version S 1..1 string Die Jahresversion von Alpha-ID. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017")
...... 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 S 1..1 uri Identity of the terminology system
Fixed Value: 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
..... coding:orphanet S 0..1 Coding ORPHAcode
Binding: MII VS Diagnose Orphanet (required)
Required Pattern: At least the following
...... system S 1..1 uri Identity of the terminology system
Fixed Value: http://www.orpha.net
...... 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 extension Content/Rules for all slices
..... extension:bodySite 0..1 Reference(BodyStructure) Target anatomic location or structure
URL: http://hl7.org/fhir/StructureDefinition/bodySite
.... 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?
.... reference S 0..1 string Literal reference, Relative, internal or absolute URL
... encounter S 0..1 Reference(Encounter) Kontakt (Aufenthaltsbezug)
.... reference S 0..1 string Literal reference, Relative, internal or absolute URL
... Slices for onset[x] S 0..1 Beginn
Slice: Unordered, Open by type:$this
.... onsetDateTime dateTime
.... onsetAge Age
.... onsetPeriod Period
.... 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 (Complex) Lebensphase des Erkrankungsbeginns
URL: http://fhir.de/StructureDefinition/lebensphase
....... url S 1..1 uri identifies the meaning of the extension
....... value[x] S 1..1 CodeableConcept Value of extension
........ coding S 1..1 Coding Code defined by a terminology system
......... system S 1..1 uri Identity of the terminology system
......... code S 1..1 code Symbol in syntax defined by the system
... Slices for abatement[x] S 0..1 Ende
Slice: Unordered, Open by type:$this
.... abatementDateTime dateTime
.... abatementAge Age
.... abatementPeriod Period
.... abatement[x]:abatementDateTime S 0..1 dateTime Ende Datum
.... abatement[x]:abatementAge S 0..1 Age Erkrankungsende als Alter
..... Slices for extension Content/Rules for all slices
...... extension:Lebensphase-Ende 0..1 (Complex) Lebensphase des Erkrankungsendes
URL: http://fhir.de/StructureDefinition/lebensphase
....... url S 1..1 uri identifies the meaning of the extension
....... value[x] S 1..1 CodeableConcept Value of extension
........ coding S 1..1 Coding Code defined by a terminology system
......... system S 1..1 uri Identity of the terminology system
......... code S 1..1 code Symbol in syntax defined by the system
... 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 📦2027.0.0-ballot This IG
Condition.code.coding:alpha-id Base required MII VS Diagnose Alpha-ID 📦2027.0.0-ballot This IG
Condition.code.coding:sct Base required MII VS Diagnose Diagnose-Codes SNOMED 📦2027.0.0-ballot This IG
Condition.code.coding:orphanet Base required MII VS Diagnose Orphanet 📦2027.0.0-ballot This IG
Condition.bodySite.coding:snomed-ct Base required MII VS Diagnose BodyStructure SNOMED 📦2027.0.0-ballot This IG

Snapshot-AnsichtView

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 (Complex) Conditions associated with this condition
URL: http://hl7.org/fhir/StructureDefinition/condition-related
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url S 1..1 uri "http://hl7.org/fhir/StructureDefinition/condition-related"
..... value[x] S 1..1 Reference(Condition) Value of extension
.... extension:Feststellungsdatum S 0..1 (Complex) Feststellungsdatum
URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url S 1..1 uri "http://hl7.org/fhir/StructureDefinition/condition-assertedDate"
..... value[x] S 1..1 dateTime Value of extension
... 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.
.... 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 SΣ 0..* Coding Code defined by a terminology system
..... 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 0..1 uri Identity of the terminology system
..... version Σ 0..1 string Version of the system - if relevant
..... code SΣ 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
.... text Σ 0..1 string Plain text representation of the concept
... verificationStatus ?!SΣC 0..1 CodeableConcept Verifizierungsstatus
Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status 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
.... coding SΣ 0..* Coding Code defined by a terminology system
..... 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 0..1 uri Identity of the terminology system
..... version Σ 0..1 string Version of the system - if relevant
..... code SΣ 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
.... text Σ 0..1 string Plain text representation of the concept
... 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
...... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... Slices for extension Content/Rules for all slices
....... extension:Mehrfachcodierungs-Kennzeichen S 0..1 (Complex) Optional Extensions Element
URL: http://fhir.de/StructureDefinition/icd-10-gm-mehrfachcodierungs-kennzeichen
........ 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 S 1..1 uri "http://fhir.de/StructureDefinition/icd-10-gm-mehrfachcodierungs-kennzeichen"
........ value[x] S 1..1 Coding Value of extension
Binding: Mehrfachkodierungs-Kennzeichen ICD10GM ValueSet (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
......... 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
....... extension:Seitenlokalisation S 0..1 (Complex) Optional Extensions Element
URL: http://fhir.de/StructureDefinition/seitenlokalisation
........ 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 S 1..1 uri "http://fhir.de/StructureDefinition/seitenlokalisation"
........ value[x] S 1..1 Coding Value of extension
Binding: KBV_VS_SFHIR_ICD_SEITENLOKALISATION . (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
......... 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
....... extension:Diagnosesicherheit S 0..1 (Complex) Optional Extensions Element
URL: http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit
........ 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 S 1..1 uri "http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit"
........ value[x] SC 1..1 Coding Value of extension
Binding: KBV_VS_SFHIR_ICD_DIAGNOSESICHERHEIT . (required)
Constraints: icd-4, icd-5, icd-6, icd-7
......... 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 0..1 uri Identity of the terminology system
......... version Σ 0..1 string Version of the system - if relevant
......... code SΣ 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
...... 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
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 SΣ 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
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: 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
..... 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
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://www.orpha.net
...... 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
.... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... extension:bodySite 0..1 Reference(BodyStructure) Target anatomic location or structure
URL: http://hl7.org/fhir/StructureDefinition/bodySite
.... 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?
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... encounter SΣ 0..1 Reference(Encounter) Kontakt (Aufenthaltsbezug)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... Slices for onset[x] SΣ 0..1 Beginn
Slice: Unordered, Open by type:$this
.... onsetDateTime dateTime
.... onsetAge Age
.... onsetPeriod Period
.... 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
..... Slices for extension Content/Rules for all slices
...... extension:Lebensphase-Beginn 0..1 (Complex) Lebensphase des Erkrankungsbeginns
URL: http://fhir.de/StructureDefinition/lebensphase
....... 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 S 1..1 uri "http://fhir.de/StructureDefinition/lebensphase"
....... value[x] S 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 SΣ 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 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
..... 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
... Slices for abatement[x] SC 0..1 Ende
Slice: Unordered, Open by type:$this
.... abatementDateTime dateTime
.... abatementAge Age
.... abatementPeriod Period
.... abatement[x]:abatementDateTime SC 0..1 dateTime Ende Datum
.... abatement[x]:abatementAge SC 0..1 Age Erkrankungsende 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
..... Slices for extension Content/Rules for all slices
...... extension:Lebensphase-Ende 0..1 (Complex) Lebensphase des Erkrankungsendes
URL: http://fhir.de/StructureDefinition/lebensphase
....... 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 S 1..1 uri "http://fhir.de/StructureDefinition/lebensphase"
....... value[x] S 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 SΣ 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 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
..... 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
... 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 📦2027.0.0-ballot This IG
Condition.code.coding:icd10-gm.​extension:Mehrfachcodierungs-Kennzeichen.​value[x] Base required Mehrfachkodierungs-Kennzeichen ICD10GM ValueSet 📦1.6.0 de.basisprofil.r4 v1.6
Condition.code.coding:icd10-gm.​extension:Seitenlokalisation.​value[x] Base required KBV_VS_SFHIR_ICD_SEITENLOKALISATION . ⏿1.00 127.0.0.1
Condition.code.coding:icd10-gm.​extension:Diagnosesicherheit.​value[x] Base required KBV_VS_SFHIR_ICD_DIAGNOSESICHERHEIT . ⏿1.00 127.0.0.1
Condition.code.coding:alpha-id Base required MII VS Diagnose Alpha-ID 📦2027.0.0-ballot This IG
Condition.code.coding:sct Base required MII VS Diagnose Diagnose-Codes SNOMED 📦2027.0.0-ballot This IG
Condition.code.coding:orphanet Base required MII VS Diagnose Orphanet 📦2027.0.0-ballot 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 📦2027.0.0-ballot This IG
Condition.subject.type Base extensible ResourceType 📍4.0.1 FHIR Std.
Condition.encounter.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
Condition.onset[x]:onsetAge.​extension:Lebensphase-Beginn.​value[x].coding Base required LebensphaseDe ValueSet 📦1.6.0 de.basisprofil.r4 v1.6
Condition.onset[x]:onsetAge.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Condition.abatement[x]:abatementAge.​extension:Lebensphase-Ende.​value[x].coding Base required LebensphaseDe ValueSet 📦1.6.0 de.basisprofil.r4 v1.6
Condition.abatement[x]:abatementAge.​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-4 warning Condition.code.coding:icd10-gm.extension:Diagnosesicherheit.value[x] Wenn die Diagnosesicherheit "A (Ausschluss)" verwendet wird, dann muss clinicalStatus leer bleiben und verificationStaus auf "refuted" gesetzt werden. code!='A' or (%resource.verificationStatus.coding.where(code='refuted').exists() and %resource.clinicalStatus.empty())
icd-5 warning Condition.code.coding:icd10-gm.extension:Diagnosesicherheit.value[x] Wenn die Diagnosesicherheit "G (Gesichert)" verwendet wird, dann muss clinicalStatus auf "active" und verificationStatus auf "confirmed" gesetzt werden. code!='G' or (%resource.clinicalStatus.coding.where(code='active').exists() and %resource.verificationStatus.coding.where(code='confirmed').exists())
icd-6 warning Condition.code.coding:icd10-gm.extension:Diagnosesicherheit.value[x] Wenn die Diagnosesicherheit "V (Verdacht auf)" verwendet wird, dann muss clinicalStatus auf "active" und verificationStatus auf "provisional" oder "differential" gesetzt werden. code!='V' or (%resource.clinicalStatus.coding.where(code='active').exists() and (%resource.verificationStatus.coding.where(code='provisional').exists() or %resource.verificationStatus.coding.where(code='differential').exists()))
icd-7 warning Condition.code.coding:icd10-gm.extension:Diagnosesicherheit.value[x] Wenn die Diagnosesicherheit "Z (Zustand nach)" verwendet wird, dann muss clinicalStatus auf "resolved" und verificationStatus auf "confirmed" gesetzt werden. code!='Z' or (%resource.clinicalStatus.coding.where(code='resolved').exists() and %resource.verificationStatus.coding.where(code='confirmed').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})?$')

Diese Struktur ist abgeleitet von Condition

Summary

Mandatory: 3 elements(6 nested mandatory elements)
Must-Support: 78 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]
  • The element 1 is sliced based on the value of Condition.abatement[x]

 

Weitere Repräsentationen des Profils: CSV, Excel, Schematron