# MII PR Diagnose Condition - MII Implementation Guide Core Dataset Base v2026.0.1

## Resource Profile: MII PR Diagnose Condition 

 
A clinical diagnosis of a patient. 

**Example Usage Scenarios:**

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

### Profile Specific Implementation Guidance

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

#### Coding Requirements

**Mandatory Coding:**

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

**Multiple Code Systems:**

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

#### ICD-10-GM Specific Extensions

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

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

**Extension Usage:**

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

**Reference:** See [ICD-10-GM Coding Profile](https://ig.fhir.de/basisprofile-de/1.5.4/ig-markdown-Datentypen-Coding.html#ig-markdown-Datentypen-ICD-10GM-Coding) and [Diagnosesicherheit Extension](https://ig.fhir.de/basisprofile-de/1.5.4/ig-markdown-ExtensionsfrCondition.html) in the German Base Profiles for detailed constraints.

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

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

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

**Linking Secondary to Primary:**

* The primary diagnosis Condition (etiology/Ätiologie with † marker) is the main instance
* Secondary diagnosis Conditions (manifestation/Manifestation with * marker, additional information with ! marker) use the [Condition Related Extension](http://hl7.org/fhir/R4/extension-condition-related.html) to reference the primary diagnosis
* This creates an explicit relationship chain: manifestation → etiology

**Alpha-ID and Orphanet Codes:**

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

**Diagnostic Certainty Considerations:**

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

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

#### Body Site Documentation

**`Condition.bodySite`:**

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

#### Encounter Linkage

##### Best Practice - Diagnosis-Encounter Relationships

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

**Current Recommendation - Condition.encounter:**

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

#### Temporal Information

**`Condition.onset[x]`:**

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

**`Condition.recordedDate`:**

* Represents when the diagnosis was recorded in the system

**Usages:**

* Examples for this Profile: [Condition/mii-exa-diagnose-appendicitis](Condition-mii-exa-diagnose-appendicitis.md), [Condition/mii-exa-diagnose-condition-elbow-contusion](Condition-mii-exa-diagnose-condition-elbow-contusion.md), [Condition/mii-exa-diagnose-condition-multiple-codings](Condition-mii-exa-diagnose-condition-multiple-codings.md), [Condition/mii-exa-diagnose-mehrfachcodierung-primaercode](Condition-mii-exa-diagnose-mehrfachcodierung-primaercode.md) and [Condition/mii-exa-diagnose-mehrfachcodierung-sekundaercode](Condition-mii-exa-diagnose-mehrfachcodierung-sekundaercode.md)
* CapabilityStatements using this Profile: [MII CPS Diagnose CapabilityStatement](CapabilityStatement-mii-cps-diagnose-capabilitystatement.md)

You can also check for [usages in the FHIR IG Statistics](https://packages2.fhir.org/xig/resource/de.medizininformatikinitiative.kerndatensatz.base|current/StructureDefinition/StructureDefinition-mii-pr-diagnose-condition.json)

### Formal Views of Profile Content

 [Description Differentials, Snapshots, and other representations](http://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#structure-definitions). 

 

Other representations of profile: [CSV](../StructureDefinition-mii-pr-diagnose-condition.csv), [Excel](../StructureDefinition-mii-pr-diagnose-condition.xlsx), [Schematron](../StructureDefinition-mii-pr-diagnose-condition.sch) 



## Resource Content

```json
{
  "resourceType" : "StructureDefinition",
  "id" : "mii-pr-diagnose-condition",
  "meta" : {
    "extension" : [{
      "url" : "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-license",
      "valueCode" : "CC-BY-4.0"
    },
    {
      "extension" : [{
        "url" : "packageId",
        "valueId" : "de.medizininformatikinitiative.kerndatensatz.base"
      },
      {
        "url" : "version",
        "valueString" : "2026.0.1"
      },
      {
        "url" : "uri",
        "valueUri" : "https://www.medizininformatik-initiative.de/fhir/modul-base"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/package-source"
    }],
    "profile" : ["http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareablestructuredefinition",
    "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-publishablestructuredefinition"]
  },
  "extension" : [{
    "url" : "http://hl7.org/fhir/StructureDefinition/artifact-versionAlgorithm",
    "valueCoding" : {
      "system" : "http://hl7.org/fhir/version-algorithm",
      "code" : "semver",
      "display" : "SemVer"
    }
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability",
    "valueCode" : "shareable"
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability",
    "valueCode" : "publishable"
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/artifact-versionPolicy",
    "valueCodeableConcept" : {
      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/artifact-version-policy-codes",
        "code" : "package",
        "display" : "Package"
      }]
    }
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/artifact-usage",
    "valueMarkdown" : "Use this profile as the technical FHIR representation of the corresponding Medical Informatics Initiative logical model. The profile constrains a base FHIR resource for the MII module context by specifying how elements are used, which elements are required or not used, which extensions and terminology bindings apply, and how the resource maps to the module-specific content model. Implementers should produce and consume resource instances that conform to this profile when exchanging data for the corresponding MII module."
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/resource-approvalDate",
    "valueDate" : "2024-03-07"
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/resource-effectivePeriod",
    "valuePeriod" : {
      "start" : "2026"
    }
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/artifact-topic",
    "valueCodeableConcept" : {
      "coding" : [{
        "system" : "http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl",
        "code" : "C15607"
      }]
    }
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/artifact-author",
    "valueContactDetail" : {
      "telecom" : [{
        "system" : "email",
        "value" : "julian.sass@charite.de"
      }]
    }
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/artifact-editor",
    "valueContactDetail" : {
      "name" : "Taskforce Core Data Set"
    }
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/artifact-reviewer",
    "valueContactDetail" : {
      "name" : "Interoperability Working Group",
      "telecom" : [{
        "system" : "url",
        "value" : "https://www.medizininformatik-initiative.de/en/collaboration/interoperability-working-group"
      }]
    }
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/artifact-reviewer",
    "valueContactDetail" : {
      "name" : "National Steering Committee",
      "telecom" : [{
        "system" : "url",
        "value" : "https://www.medizininformatik-initiative.de/en/collaboration/national-steering-committee"
      }]
    }
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/artifact-endorser",
    "valueContactDetail" : {
      "name" : "Interoperability Working Group",
      "telecom" : [{
        "system" : "url",
        "value" : "https://www.medizininformatik-initiative.de/en/collaboration/interoperability-working-group"
      }]
    }
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/artifact-endorser",
    "valueContactDetail" : {
      "name" : "National Steering Committee",
      "telecom" : [{
        "system" : "url",
        "value" : "https://www.medizininformatik-initiative.de/en/collaboration/national-steering-committee"
      }]
    }
  }],
  "url" : "https://www.medizininformatik-initiative.de/fhir/core/modul-diagnose/StructureDefinition/Diagnose",
  "version" : "2026.0.1",
  "name" : "MII_PR_Diagnose_Condition",
  "title" : "MII PR Diagnose Condition",
  "_title" : {
    "extension" : [{
      "extension" : [{
        "url" : "lang",
        "valueCode" : "de-DE"
      },
      {
        "url" : "content",
        "valueString" : "Diagnose"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/translation"
    },
    {
      "extension" : [{
        "url" : "lang",
        "valueCode" : "en-US"
      },
      {
        "url" : "content",
        "valueString" : "Diagnosis"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/translation"
    }]
  },
  "status" : "active",
  "experimental" : false,
  "date" : "2026-06-15",
  "publisher" : "Medical Informatics Initiative (MII)",
  "contact" : [{
    "name" : "Medical Informatics Initiative (MII)",
    "telecom" : [{
      "system" : "url",
      "value" : "https://www.medizininformatik-initiative.de/en"
    }]
  }],
  "description" : "Dieses Profil beschreibt eine Diagnose der Medizininformatik Initiative",
  "_description" : {
    "extension" : [{
      "extension" : [{
        "url" : "lang",
        "valueCode" : "de-DE"
      },
      {
        "url" : "content",
        "valueString" : "Eine klinische Diagnose der Patientin oder des Patienten."
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/translation"
    },
    {
      "extension" : [{
        "url" : "lang",
        "valueCode" : "en-US"
      },
      {
        "url" : "content",
        "valueString" : "A clinical diagnosis of a patient."
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/translation"
    }]
  },
  "jurisdiction" : [{
    "coding" : [{
      "system" : "urn:iso:std:iso:3166",
      "code" : "DE",
      "display" : "Germany"
    }]
  }],
  "purpose" : "Constrain the FHIR Condition resource for consistent exchange of diagnoses in the MII Core Data Set.",
  "fhirVersion" : "4.0.1",
  "mapping" : [{
    "identity" : "LogicalModel",
    "name" : "FHIR-Profil zu LogicalModel Mapping"
  },
  {
    "identity" : "workflow",
    "uri" : "http://hl7.org/fhir/workflow",
    "name" : "Workflow Pattern"
  },
  {
    "identity" : "sct-concept",
    "uri" : "http://snomed.info/conceptdomain",
    "name" : "SNOMED CT Concept Domain Binding"
  },
  {
    "identity" : "v2",
    "uri" : "http://hl7.org/v2",
    "name" : "HL7 v2 Mapping"
  },
  {
    "identity" : "w5",
    "uri" : "http://hl7.org/fhir/fivews",
    "name" : "FiveWs Pattern Mapping"
  },
  {
    "identity" : "sct-attr",
    "uri" : "http://snomed.org/attributebinding",
    "name" : "SNOMED CT Attribute Binding"
  }],
  "kind" : "resource",
  "abstract" : false,
  "type" : "Condition",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Condition",
  "derivation" : "constraint",
  "differential" : {
    "element" : [{
      "id" : "Condition",
      "path" : "Condition"
    },
    {
      "id" : "Condition.id",
      "path" : "Condition.id",
      "mustSupport" : true
    },
    {
      "id" : "Condition.meta",
      "path" : "Condition.meta",
      "mustSupport" : true
    },
    {
      "id" : "Condition.meta.source",
      "path" : "Condition.meta.source",
      "mustSupport" : true
    },
    {
      "id" : "Condition.meta.profile",
      "path" : "Condition.meta.profile",
      "mustSupport" : true
    },
    {
      "id" : "Condition.extension",
      "path" : "Condition.extension",
      "slicing" : {
        "discriminator" : [{
          "type" : "value",
          "path" : "url"
        }],
        "ordered" : false,
        "rules" : "open"
      }
    },
    {
      "id" : "Condition.extension:ReferenzPrimaerdiagnose",
      "path" : "Condition.extension",
      "sliceName" : "ReferenzPrimaerdiagnose",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Extension",
        "profile" : ["http://hl7.org/fhir/StructureDefinition/condition-related"]
      }],
      "mustSupport" : true
    },
    {
      "id" : "Condition.extension:ReferenzPrimaerdiagnose.url",
      "path" : "Condition.extension.url",
      "mustSupport" : true
    },
    {
      "id" : "Condition.extension:ReferenzPrimaerdiagnose.value[x]",
      "path" : "Condition.extension.value[x]",
      "mustSupport" : true
    },
    {
      "id" : "Condition.extension:Feststellungsdatum",
      "path" : "Condition.extension",
      "sliceName" : "Feststellungsdatum",
      "short" : "Feststellungsdatum",
      "_short" : {
        "extension" : [{
          "extension" : [{
            "url" : "lang",
            "valueCode" : "de-DE"
          },
          {
            "url" : "content",
            "valueString" : "Feststellungsdatum"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        },
        {
          "extension" : [{
            "url" : "lang",
            "valueCode" : "en-US"
          },
          {
            "url" : "content",
            "valueString" : "Asserted date"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        }]
      },
      "definition" : "Datum, an dem die Diagnose erstmals festgestellt wurde",
      "_definition" : {
        "extension" : [{
          "extension" : [{
            "url" : "lang",
            "valueCode" : "de-DE"
          },
          {
            "url" : "content",
            "valueString" : "Datum, an dem die Diagnose erstmals festgestellt wurde"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        },
        {
          "extension" : [{
            "url" : "lang",
            "valueCode" : "en-US"
          },
          {
            "url" : "content",
            "valueString" : "Date the condition was first asserted"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        }]
      },
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Extension",
        "profile" : ["http://hl7.org/fhir/StructureDefinition/condition-assertedDate"]
      }],
      "mustSupport" : true,
      "mapping" : [{
        "identity" : "LogicalModel",
        "map" : "Feststellungsdatum"
      }]
    },
    {
      "id" : "Condition.extension:Feststellungsdatum.url",
      "path" : "Condition.extension.url",
      "mustSupport" : true
    },
    {
      "id" : "Condition.extension:Feststellungsdatum.value[x]",
      "path" : "Condition.extension.value[x]",
      "mustSupport" : true
    },
    {
      "id" : "Condition.clinicalStatus",
      "path" : "Condition.clinicalStatus",
      "short" : "Klinischer Status",
      "_short" : {
        "extension" : [{
          "extension" : [{
            "url" : "lang",
            "valueCode" : "de-DE"
          },
          {
            "url" : "content",
            "valueString" : "Klinischer Status"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        },
        {
          "extension" : [{
            "url" : "lang",
            "valueCode" : "en-US"
          },
          {
            "url" : "content",
            "valueString" : "Clinical status"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        }]
      },
      "definition" : "aktiv | Rezidiv | Rückfall | inaktiv | Remission | abgeklungen",
      "_definition" : {
        "extension" : [{
          "extension" : [{
            "url" : "lang",
            "valueCode" : "de-DE"
          },
          {
            "url" : "content",
            "valueString" : "aktiv | Rezidiv | Rückfall | inaktiv | Remission | abgeklungen"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        },
        {
          "extension" : [{
            "url" : "lang",
            "valueCode" : "en-US"
          },
          {
            "url" : "content",
            "valueString" : "active | recurrence | relapse | inactive | remission | resolved"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        }]
      },
      "mustSupport" : true,
      "mapping" : [{
        "identity" : "LogicalModel",
        "map" : "KlinischerStatus"
      }]
    },
    {
      "id" : "Condition.clinicalStatus.coding",
      "path" : "Condition.clinicalStatus.coding",
      "mustSupport" : true
    },
    {
      "id" : "Condition.clinicalStatus.coding.system",
      "path" : "Condition.clinicalStatus.coding.system",
      "mustSupport" : true
    },
    {
      "id" : "Condition.clinicalStatus.coding.code",
      "path" : "Condition.clinicalStatus.coding.code",
      "mustSupport" : true
    },
    {
      "id" : "Condition.verificationStatus",
      "path" : "Condition.verificationStatus",
      "short" : "Verifizierungsstatus",
      "_short" : {
        "extension" : [{
          "extension" : [{
            "url" : "lang",
            "valueCode" : "de-DE"
          },
          {
            "url" : "content",
            "valueString" : "Verifizierungsstatus"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        },
        {
          "extension" : [{
            "url" : "lang",
            "valueCode" : "en-US"
          },
          {
            "url" : "content",
            "valueString" : "Verification status"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        }]
      },
      "definition" : "unbestätigt | vorläufig | differential | bestätigt | widerlegt | fehlerhafte Eingabe",
      "_definition" : {
        "extension" : [{
          "extension" : [{
            "url" : "lang",
            "valueCode" : "de-DE"
          },
          {
            "url" : "content",
            "valueString" : "unbestätigt | vorläufig | differential | bestätigt | widerlegt | fehlerhafte Eingabe"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        },
        {
          "extension" : [{
            "url" : "lang",
            "valueCode" : "en-US"
          },
          {
            "url" : "content",
            "valueString" : "unconfirmed | provisional | differential | confirmed | refuted | entered-in-error"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        }]
      },
      "mustSupport" : true
    },
    {
      "id" : "Condition.verificationStatus.coding",
      "path" : "Condition.verificationStatus.coding",
      "mustSupport" : true
    },
    {
      "id" : "Condition.verificationStatus.coding.system",
      "path" : "Condition.verificationStatus.coding.system",
      "mustSupport" : true
    },
    {
      "id" : "Condition.verificationStatus.coding.code",
      "path" : "Condition.verificationStatus.coding.code",
      "mustSupport" : true
    },
    {
      "id" : "Condition.code",
      "path" : "Condition.code",
      "short" : "Code",
      "_short" : {
        "extension" : [{
          "extension" : [{
            "url" : "lang",
            "valueCode" : "de-DE"
          },
          {
            "url" : "content",
            "valueString" : "Code"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        },
        {
          "extension" : [{
            "url" : "lang",
            "valueCode" : "en-US"
          },
          {
            "url" : "content",
            "valueString" : "Code"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        }]
      },
      "definition" : "Ein ICD-10-, Alpha-ID-, SNOMED-, Orpha- oder anderer Code, der die Diagnose identifiziert.",
      "_definition" : {
        "extension" : [{
          "extension" : [{
            "url" : "lang",
            "valueCode" : "de-DE"
          },
          {
            "url" : "content",
            "valueString" : "Ein ICD-10-, Alpha-ID-, SNOMED-, Orpha- oder anderer Code, der die Diagnose identifiziert."
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        },
        {
          "extension" : [{
            "url" : "lang",
            "valueCode" : "en-US"
          },
          {
            "url" : "content",
            "valueString" : "An ICD-10-, Alpha-ID-, SNOMED-, Orpha- or other code that identifies the diagnosis."
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        }]
      },
      "min" : 1,
      "mustSupport" : true
    },
    {
      "id" : "Condition.code.coding",
      "path" : "Condition.code.coding",
      "slicing" : {
        "discriminator" : [{
          "type" : "pattern",
          "path" : "$this"
        }],
        "rules" : "open"
      },
      "min" : 1,
      "mustSupport" : true,
      "mapping" : [{
        "identity" : "LogicalModel",
        "map" : "WeitereKodiersysteme"
      }]
    },
    {
      "id" : "Condition.code.coding.code",
      "path" : "Condition.code.coding.code",
      "mapping" : [{
        "identity" : "LogicalModel",
        "map" : "WeitereKodiersysteme.Diagnosecode"
      }]
    },
    {
      "id" : "Condition.code.coding:icd10-gm",
      "path" : "Condition.code.coding",
      "sliceName" : "icd10-gm",
      "short" : "ICD-10-GM Code",
      "_short" : {
        "extension" : [{
          "extension" : [{
            "url" : "lang",
            "valueCode" : "de-DE"
          },
          {
            "url" : "content",
            "valueString" : "ICD-10-GM Code"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        },
        {
          "extension" : [{
            "url" : "lang",
            "valueCode" : "en-US"
          },
          {
            "url" : "content",
            "valueString" : "ICD-10-GM code"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        }]
      },
      "definition" : "Ein Verweis auf einen von der ICD-10-GM definierten Code",
      "_definition" : {
        "extension" : [{
          "extension" : [{
            "url" : "lang",
            "valueCode" : "de-DE"
          },
          {
            "url" : "content",
            "valueString" : "Ein Verweis auf einen von der ICD-10-GM definierten Code"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        },
        {
          "extension" : [{
            "url" : "lang",
            "valueCode" : "en-US"
          },
          {
            "url" : "content",
            "valueString" : "A reference to a code defined by the ICD-10-GM"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        }]
      },
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Coding",
        "profile" : ["http://fhir.de/StructureDefinition/CodingICD10GM"]
      }],
      "patternCoding" : {
        "system" : "http://fhir.de/CodeSystem/bfarm/icd-10-gm"
      },
      "mustSupport" : true,
      "binding" : {
        "strength" : "required",
        "valueSet" : "https://www.medizininformatik-initiative.de/fhir/core/modul-diagnose/ValueSet/mii-vs-diagnose-icd10gm"
      },
      "mapping" : [{
        "identity" : "LogicalModel",
        "map" : "ICD10GMDiagnoseKodiert"
      }]
    },
    {
      "id" : "Condition.code.coding:icd10-gm.extension:Mehrfachcodierungs-Kennzeichen",
      "path" : "Condition.code.coding.extension",
      "sliceName" : "Mehrfachcodierungs-Kennzeichen",
      "mustSupport" : true
    },
    {
      "id" : "Condition.code.coding:icd10-gm.extension:Mehrfachcodierungs-Kennzeichen.url",
      "path" : "Condition.code.coding.extension.url",
      "mustSupport" : true
    },
    {
      "id" : "Condition.code.coding:icd10-gm.extension:Mehrfachcodierungs-Kennzeichen.value[x]",
      "path" : "Condition.code.coding.extension.value[x]",
      "mustSupport" : true
    },
    {
      "id" : "Condition.code.coding:icd10-gm.extension:Mehrfachcodierungs-Kennzeichen.value[x].system",
      "path" : "Condition.code.coding.extension.value[x].system",
      "mustSupport" : true
    },
    {
      "id" : "Condition.code.coding:icd10-gm.extension:Mehrfachcodierungs-Kennzeichen.value[x].code",
      "path" : "Condition.code.coding.extension.value[x].code",
      "mustSupport" : true
    },
    {
      "id" : "Condition.code.coding:icd10-gm.extension:Seitenlokalisation",
      "path" : "Condition.code.coding.extension",
      "sliceName" : "Seitenlokalisation",
      "mustSupport" : true
    },
    {
      "id" : "Condition.code.coding:icd10-gm.extension:Seitenlokalisation.url",
      "path" : "Condition.code.coding.extension.url",
      "mustSupport" : true
    },
    {
      "id" : "Condition.code.coding:icd10-gm.extension:Seitenlokalisation.value[x]",
      "path" : "Condition.code.coding.extension.value[x]",
      "mustSupport" : true
    },
    {
      "id" : "Condition.code.coding:icd10-gm.extension:Seitenlokalisation.value[x].system",
      "path" : "Condition.code.coding.extension.value[x].system",
      "mustSupport" : true
    },
    {
      "id" : "Condition.code.coding:icd10-gm.extension:Seitenlokalisation.value[x].code",
      "path" : "Condition.code.coding.extension.value[x].code",
      "mustSupport" : true
    },
    {
      "id" : "Condition.code.coding:icd10-gm.extension:Diagnosesicherheit",
      "path" : "Condition.code.coding.extension",
      "sliceName" : "Diagnosesicherheit",
      "mustSupport" : true
    },
    {
      "id" : "Condition.code.coding:icd10-gm.extension:Diagnosesicherheit.url",
      "path" : "Condition.code.coding.extension.url",
      "mustSupport" : true
    },
    {
      "id" : "Condition.code.coding:icd10-gm.extension:Diagnosesicherheit.value[x]",
      "path" : "Condition.code.coding.extension.value[x]",
      "mustSupport" : true
    },
    {
      "id" : "Condition.code.coding:icd10-gm.extension:Diagnosesicherheit.value[x].system",
      "path" : "Condition.code.coding.extension.value[x].system",
      "mustSupport" : true
    },
    {
      "id" : "Condition.code.coding:icd10-gm.extension:Diagnosesicherheit.value[x].code",
      "path" : "Condition.code.coding.extension.value[x].code",
      "mustSupport" : true
    },
    {
      "id" : "Condition.code.coding:icd10-gm.system",
      "path" : "Condition.code.coding.system",
      "mustSupport" : true
    },
    {
      "id" : "Condition.code.coding:icd10-gm.version",
      "path" : "Condition.code.coding.version",
      "mustSupport" : true
    },
    {
      "id" : "Condition.code.coding:icd10-gm.code",
      "path" : "Condition.code.coding.code",
      "mustSupport" : true,
      "mapping" : [{
        "identity" : "LogicalModel",
        "map" : "ICD10GMDiagnoseKodiert.Diagnosecode"
      }]
    },
    {
      "id" : "Condition.code.coding:alpha-id",
      "path" : "Condition.code.coding",
      "sliceName" : "alpha-id",
      "short" : "Alpha-ID Code",
      "_short" : {
        "extension" : [{
          "extension" : [{
            "url" : "lang",
            "valueCode" : "de-DE"
          },
          {
            "url" : "content",
            "valueString" : "Alpha-ID Code"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        },
        {
          "extension" : [{
            "url" : "lang",
            "valueCode" : "en-US"
          },
          {
            "url" : "content",
            "valueString" : "Alpha-ID code"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        }]
      },
      "definition" : "Ein Verweis auf einen von der Alpha-ID definierten Code",
      "_definition" : {
        "extension" : [{
          "extension" : [{
            "url" : "lang",
            "valueCode" : "de-DE"
          },
          {
            "url" : "content",
            "valueString" : "Ein Verweis auf einen von der Alpha-ID definierten Code"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        },
        {
          "extension" : [{
            "url" : "lang",
            "valueCode" : "en-US"
          },
          {
            "url" : "content",
            "valueString" : "A reference to a code defined by the Alpha-ID"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        }]
      },
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Coding",
        "profile" : ["http://fhir.de/StructureDefinition/CodingAlphaID"]
      }],
      "patternCoding" : {
        "system" : "http://fhir.de/CodeSystem/bfarm/alpha-id"
      },
      "mustSupport" : true,
      "binding" : {
        "strength" : "required",
        "valueSet" : "https://www.medizininformatik-initiative.de/fhir/core/modul-diagnose/ValueSet/mii-vs-diagnose-alphaid"
      },
      "mapping" : [{
        "identity" : "LogicalModel",
        "map" : "ALPHAIDKodiert"
      }]
    },
    {
      "id" : "Condition.code.coding:alpha-id.system",
      "path" : "Condition.code.coding.system",
      "mustSupport" : true
    },
    {
      "id" : "Condition.code.coding:alpha-id.version",
      "path" : "Condition.code.coding.version",
      "mustSupport" : true
    },
    {
      "id" : "Condition.code.coding:alpha-id.code",
      "path" : "Condition.code.coding.code",
      "mustSupport" : true,
      "mapping" : [{
        "identity" : "LogicalModel",
        "map" : "ALPHAIDKodiert.Diagnosecode"
      }]
    },
    {
      "id" : "Condition.code.coding:sct",
      "path" : "Condition.code.coding",
      "sliceName" : "sct",
      "short" : "SNOMED CT Code",
      "_short" : {
        "extension" : [{
          "extension" : [{
            "url" : "lang",
            "valueCode" : "de-DE"
          },
          {
            "url" : "content",
            "valueString" : "SNOMED CT Code"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        },
        {
          "extension" : [{
            "url" : "lang",
            "valueCode" : "en-US"
          },
          {
            "url" : "content",
            "valueString" : "SNOMED CT code"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        }]
      },
      "definition" : "Ein Verweis auf einen von SNOMED CT definierten Code",
      "_definition" : {
        "extension" : [{
          "extension" : [{
            "url" : "lang",
            "valueCode" : "de-DE"
          },
          {
            "url" : "content",
            "valueString" : "Ein Verweis auf einen von SNOMED CT definierten Code"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        },
        {
          "extension" : [{
            "url" : "lang",
            "valueCode" : "en-US"
          },
          {
            "url" : "content",
            "valueString" : "A reference to a code defined by SNOMED CT"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        }]
      },
      "min" : 0,
      "max" : "1",
      "patternCoding" : {
        "system" : "http://snomed.info/sct"
      },
      "mustSupport" : true,
      "binding" : {
        "strength" : "required",
        "valueSet" : "https://www.medizininformatik-initiative.de/fhir/core/modul-diagnose/ValueSet/diagnoses-sct"
      },
      "mapping" : [{
        "identity" : "LogicalModel",
        "map" : "SNOMEDDiagnoseKodiert"
      }]
    },
    {
      "id" : "Condition.code.coding:sct.system",
      "path" : "Condition.code.coding.system",
      "min" : 1,
      "mustSupport" : true
    },
    {
      "id" : "Condition.code.coding:sct.version",
      "path" : "Condition.code.coding.version",
      "mustSupport" : true
    },
    {
      "id" : "Condition.code.coding:sct.code",
      "path" : "Condition.code.coding.code",
      "min" : 1,
      "mustSupport" : true,
      "mapping" : [{
        "identity" : "LogicalModel",
        "map" : "SNOMEDDiagnoseKodiert.Diagnosecode"
      }]
    },
    {
      "id" : "Condition.code.coding:orphanet",
      "path" : "Condition.code.coding",
      "sliceName" : "orphanet",
      "short" : "ORPHAcode",
      "_short" : {
        "extension" : [{
          "extension" : [{
            "url" : "lang",
            "valueCode" : "de-DE"
          },
          {
            "url" : "content",
            "valueString" : "ORPHAcode"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        },
        {
          "extension" : [{
            "url" : "lang",
            "valueCode" : "en-US"
          },
          {
            "url" : "content",
            "valueString" : "ORPHAcode"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        }]
      },
      "definition" : "Ein Verweis auf einen von der Orphanet Nomenklatur der Seltenen Krankheiten definierten Code",
      "_definition" : {
        "extension" : [{
          "extension" : [{
            "url" : "lang",
            "valueCode" : "de-DE"
          },
          {
            "url" : "content",
            "valueString" : "Ein Verweis auf einen von der Orphanet Nomenklatur der Seltenen Krankheiten definierten Code"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        },
        {
          "extension" : [{
            "url" : "lang",
            "valueCode" : "en-US"
          },
          {
            "url" : "content",
            "valueString" : "A reference to a code defined by the Orphanet nomenclature of rare diseases"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        }]
      },
      "min" : 0,
      "max" : "1",
      "patternCoding" : {
        "system" : "http://www.orpha.net"
      },
      "mustSupport" : true,
      "binding" : {
        "strength" : "required",
        "valueSet" : "https://www.medizininformatik-initiative.de/fhir/core/modul-diagnose/ValueSet/mii-vs-diagnose-orphanet"
      },
      "mapping" : [{
        "identity" : "LogicalModel",
        "map" : "ORPHANETDiagnoseKodiert"
      }]
    },
    {
      "id" : "Condition.code.coding:orphanet.system",
      "path" : "Condition.code.coding.system",
      "min" : 1,
      "mustSupport" : true
    },
    {
      "id" : "Condition.code.coding:orphanet.code",
      "path" : "Condition.code.coding.code",
      "min" : 1,
      "mustSupport" : true,
      "mapping" : [{
        "identity" : "LogicalModel",
        "map" : "ORPHANETDiagnoseKodiert.Diagnosecode"
      }]
    },
    {
      "id" : "Condition.code.text",
      "path" : "Condition.code.text",
      "mapping" : [{
        "identity" : "LogicalModel",
        "map" : "Freitextbeschreibung"
      }]
    },
    {
      "id" : "Condition.bodySite",
      "path" : "Condition.bodySite",
      "short" : "Körperstelle",
      "_short" : {
        "extension" : [{
          "extension" : [{
            "url" : "lang",
            "valueCode" : "de-DE"
          },
          {
            "url" : "content",
            "valueString" : "Körperstelle"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        },
        {
          "extension" : [{
            "url" : "lang",
            "valueCode" : "en-US"
          },
          {
            "url" : "content",
            "valueString" : "Body site"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        }]
      },
      "definition" : "Die Körperstelle der Diagnose mittels SNOMED oder anderem Code.",
      "_definition" : {
        "extension" : [{
          "extension" : [{
            "url" : "lang",
            "valueCode" : "de-DE"
          },
          {
            "url" : "content",
            "valueString" : "Körperstelle der Diagnose mittels SNOMED oder anderem Code."
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        },
        {
          "extension" : [{
            "url" : "lang",
            "valueCode" : "en-US"
          },
          {
            "url" : "content",
            "valueString" : "The body site of the diagnosis using SNOMED or other systems."
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        }]
      },
      "mustSupport" : true,
      "mapping" : [{
        "identity" : "LogicalModel",
        "map" : "Koerperstelle"
      }]
    },
    {
      "id" : "Condition.bodySite.coding",
      "path" : "Condition.bodySite.coding",
      "slicing" : {
        "discriminator" : [{
          "type" : "pattern",
          "path" : "system"
        }],
        "rules" : "open"
      },
      "mustSupport" : true
    },
    {
      "id" : "Condition.bodySite.coding:snomed-ct",
      "path" : "Condition.bodySite.coding",
      "sliceName" : "snomed-ct",
      "short" : "SNOMED CT Code",
      "_short" : {
        "extension" : [{
          "extension" : [{
            "url" : "lang",
            "valueCode" : "de-DE"
          },
          {
            "url" : "content",
            "valueString" : "SNOMED CT Code"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        },
        {
          "extension" : [{
            "url" : "lang",
            "valueCode" : "en-US"
          },
          {
            "url" : "content",
            "valueString" : "SNOMED CT code"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        }]
      },
      "definition" : "Ein Verweis auf einen von SNOMED CT definierten Code",
      "_definition" : {
        "extension" : [{
          "extension" : [{
            "url" : "lang",
            "valueCode" : "de-DE"
          },
          {
            "url" : "content",
            "valueString" : "Ein Verweis auf einen von SNOMED CT definierten Code"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        },
        {
          "extension" : [{
            "url" : "lang",
            "valueCode" : "en-US"
          },
          {
            "url" : "content",
            "valueString" : "A reference to a code defined by SNOMED CT"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        }]
      },
      "min" : 0,
      "max" : "1",
      "mustSupport" : true,
      "binding" : {
        "strength" : "required",
        "valueSet" : "https://www.medizininformatik-initiative.de/fhir/core/modul-diagnose/ValueSet/mii-vs-diagnose-bodystructure-snomed"
      }
    },
    {
      "id" : "Condition.bodySite.coding:snomed-ct.system",
      "path" : "Condition.bodySite.coding.system",
      "min" : 1,
      "patternUri" : "http://snomed.info/sct",
      "mustSupport" : true
    },
    {
      "id" : "Condition.bodySite.coding:snomed-ct.version",
      "path" : "Condition.bodySite.coding.version",
      "mustSupport" : true
    },
    {
      "id" : "Condition.bodySite.coding:snomed-ct.code",
      "path" : "Condition.bodySite.coding.code",
      "min" : 1,
      "mustSupport" : true
    },
    {
      "id" : "Condition.subject",
      "path" : "Condition.subject",
      "mustSupport" : true
    },
    {
      "id" : "Condition.subject.reference",
      "path" : "Condition.subject.reference",
      "mustSupport" : true
    },
    {
      "id" : "Condition.encounter",
      "path" : "Condition.encounter",
      "short" : "Kontakt (Aufenthaltsbezug)",
      "_short" : {
        "extension" : [{
          "extension" : [{
            "url" : "lang",
            "valueCode" : "de-DE"
          },
          {
            "url" : "content",
            "valueString" : "Kontakt"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        },
        {
          "extension" : [{
            "url" : "lang",
            "valueCode" : "en-US"
          },
          {
            "url" : "content",
            "valueString" : "Encounter"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        }]
      },
      "definition" : "Kontakt, während dem die Diagnose erstellt wurde oder mit dem die Diagnose in Zusammenhang steht.",
      "_definition" : {
        "extension" : [{
          "extension" : [{
            "url" : "lang",
            "valueCode" : "de-DE"
          },
          {
            "url" : "content",
            "valueString" : "Kontakt, während dem die Diagnose erstellt wurde oder mit dem die Diagnose in Zusammenhang steht."
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        },
        {
          "extension" : [{
            "url" : "lang",
            "valueCode" : "en-US"
          },
          {
            "url" : "content",
            "valueString" : "The Encounter during which this Condition was created or to which the creation of this record is tightly associated."
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        }]
      },
      "mustSupport" : true
    },
    {
      "id" : "Condition.encounter.reference",
      "path" : "Condition.encounter.reference",
      "mustSupport" : true
    },
    {
      "id" : "Condition.onset[x]",
      "path" : "Condition.onset[x]",
      "slicing" : {
        "discriminator" : [{
          "type" : "type",
          "path" : "$this"
        }],
        "ordered" : false,
        "rules" : "open"
      },
      "short" : "Beginn",
      "_short" : {
        "extension" : [{
          "extension" : [{
            "url" : "lang",
            "valueCode" : "de-DE"
          },
          {
            "url" : "content",
            "valueString" : "Beginn"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        },
        {
          "extension" : [{
            "url" : "lang",
            "valueCode" : "en-US"
          },
          {
            "url" : "content",
            "valueString" : "Onset"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        }]
      },
      "definition" : "Geschätztes oder tatsächliches Datum oder Zeitraum, an dem die Erkrankung begonnen hat, nach Meinung des Klinikers.",
      "_definition" : {
        "extension" : [{
          "extension" : [{
            "url" : "lang",
            "valueCode" : "de-DE"
          },
          {
            "url" : "content",
            "valueString" : "Geschätztes oder tatsächliches Datum oder Zeitraum, an dem die Erkrankung begonnen hat, nach Meinung des Klinikers."
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        },
        {
          "extension" : [{
            "url" : "lang",
            "valueCode" : "en-US"
          },
          {
            "url" : "content",
            "valueString" : "Estimated or actual date or date-time the condition began, in the opinion of the clinician."
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        }]
      },
      "type" : [{
        "code" : "dateTime"
      },
      {
        "code" : "Age"
      },
      {
        "code" : "Period"
      }],
      "mustSupport" : true,
      "mapping" : [{
        "identity" : "LogicalModel",
        "map" : "KlinischRelevanterZeitraum"
      }]
    },
    {
      "id" : "Condition.onset[x]:onsetPeriod",
      "path" : "Condition.onset[x]",
      "sliceName" : "onsetPeriod",
      "short" : "Beginn Zeitraum",
      "definition" : "Der Zeitraum, in dem die Erkrankung begonnen hat, nach Meinung des Klinikers.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Period"
      }],
      "mustSupport" : true,
      "mapping" : [{
        "identity" : "LogicalModel",
        "map" : "KlinischRelevanterZeitraum.Zeitraum"
      }]
    },
    {
      "id" : "Condition.onset[x]:onsetPeriod.start",
      "path" : "Condition.onset[x].start",
      "mustSupport" : true,
      "mapping" : [{
        "identity" : "LogicalModel",
        "map" : "KlinischRelevanterZeitraum.Zeitraum.von"
      }]
    },
    {
      "id" : "Condition.onset[x]:onsetPeriod.start.extension",
      "path" : "Condition.onset[x].start.extension",
      "slicing" : {
        "discriminator" : [{
          "type" : "value",
          "path" : "url"
        }],
        "ordered" : false,
        "rules" : "open"
      }
    },
    {
      "id" : "Condition.onset[x]:onsetPeriod.start.extension:lebensphase-von",
      "path" : "Condition.onset[x].start.extension",
      "sliceName" : "lebensphase-von",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Extension",
        "profile" : ["http://fhir.de/StructureDefinition/lebensphase"]
      }],
      "mustSupport" : true
    },
    {
      "id" : "Condition.onset[x]:onsetPeriod.start.extension:lebensphase-von.url",
      "path" : "Condition.onset[x].start.extension.url",
      "mustSupport" : true
    },
    {
      "id" : "Condition.onset[x]:onsetPeriod.start.extension:lebensphase-von.value[x]",
      "path" : "Condition.onset[x].start.extension.value[x]",
      "mustSupport" : true,
      "mapping" : [{
        "identity" : "LogicalModel",
        "map" : "KlinischRelevanterZeitraum.Lebensphase.von"
      }]
    },
    {
      "id" : "Condition.onset[x]:onsetPeriod.start.extension:lebensphase-von.value[x].coding",
      "path" : "Condition.onset[x].start.extension.value[x].coding",
      "mustSupport" : true
    },
    {
      "id" : "Condition.onset[x]:onsetPeriod.start.extension:lebensphase-von.value[x].coding.system",
      "path" : "Condition.onset[x].start.extension.value[x].coding.system",
      "mustSupport" : true
    },
    {
      "id" : "Condition.onset[x]:onsetPeriod.start.extension:lebensphase-von.value[x].coding.code",
      "path" : "Condition.onset[x].start.extension.value[x].coding.code",
      "mustSupport" : true
    },
    {
      "id" : "Condition.onset[x]:onsetPeriod.end",
      "path" : "Condition.onset[x].end",
      "mustSupport" : true,
      "mapping" : [{
        "identity" : "LogicalModel",
        "map" : "KlinischRelevanterZeitraum.Zeitraum.bis"
      }]
    },
    {
      "id" : "Condition.onset[x]:onsetPeriod.end.extension",
      "path" : "Condition.onset[x].end.extension",
      "slicing" : {
        "discriminator" : [{
          "type" : "value",
          "path" : "url"
        }],
        "ordered" : false,
        "rules" : "open"
      }
    },
    {
      "id" : "Condition.onset[x]:onsetPeriod.end.extension:lebensphase-bis",
      "path" : "Condition.onset[x].end.extension",
      "sliceName" : "lebensphase-bis",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Extension",
        "profile" : ["http://fhir.de/StructureDefinition/lebensphase"]
      }],
      "mustSupport" : true
    },
    {
      "id" : "Condition.onset[x]:onsetPeriod.end.extension:lebensphase-bis.url",
      "path" : "Condition.onset[x].end.extension.url",
      "mustSupport" : true
    },
    {
      "id" : "Condition.onset[x]:onsetPeriod.end.extension:lebensphase-bis.value[x]",
      "path" : "Condition.onset[x].end.extension.value[x]",
      "mustSupport" : true,
      "mapping" : [{
        "identity" : "LogicalModel",
        "map" : "KlinischRelevanterZeitraum.Lebensphase.bis"
      }]
    },
    {
      "id" : "Condition.onset[x]:onsetPeriod.end.extension:lebensphase-bis.value[x].coding",
      "path" : "Condition.onset[x].end.extension.value[x].coding",
      "mustSupport" : true
    },
    {
      "id" : "Condition.onset[x]:onsetPeriod.end.extension:lebensphase-bis.value[x].coding.system",
      "path" : "Condition.onset[x].end.extension.value[x].coding.system",
      "mustSupport" : true
    },
    {
      "id" : "Condition.onset[x]:onsetPeriod.end.extension:lebensphase-bis.value[x].coding.code",
      "path" : "Condition.onset[x].end.extension.value[x].coding.code",
      "mustSupport" : true
    },
    {
      "id" : "Condition.onset[x]:onsetDateTime",
      "path" : "Condition.onset[x]",
      "sliceName" : "onsetDateTime",
      "short" : "Beginn Datum",
      "definition" : "Das Datum, an dem die Erkrankung begonnen hat, nach Meinung des Klinikers.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "dateTime"
      }],
      "mustSupport" : true
    },
    {
      "id" : "Condition.onset[x]:onsetAge",
      "path" : "Condition.onset[x]",
      "sliceName" : "onsetAge",
      "short" : "Erkrankungsbeginn als Alter",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Age"
      }],
      "mustSupport" : true
    },
    {
      "id" : "Condition.onset[x]:onsetAge.extension:Lebensphase-Beginn",
      "path" : "Condition.onset[x].extension",
      "sliceName" : "Lebensphase-Beginn",
      "short" : "Lebensphase des Erkrankungsbeginns",
      "comment" : "Alternative Angabe, wenn genauere Eingrenzungen des Zeitraums nicht möglich sind, insbesondere im Kontext anamnestischer Diagnosen",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Extension",
        "profile" : ["http://fhir.de/StructureDefinition/lebensphase"]
      }]
    },
    {
      "id" : "Condition.onset[x]:onsetAge.extension:Lebensphase-Beginn.url",
      "path" : "Condition.onset[x].extension.url",
      "mustSupport" : true
    },
    {
      "id" : "Condition.onset[x]:onsetAge.extension:Lebensphase-Beginn.value[x]",
      "path" : "Condition.onset[x].extension.value[x]",
      "mustSupport" : true
    },
    {
      "id" : "Condition.onset[x]:onsetAge.extension:Lebensphase-Beginn.value[x].coding",
      "path" : "Condition.onset[x].extension.value[x].coding",
      "mustSupport" : true
    },
    {
      "id" : "Condition.onset[x]:onsetAge.extension:Lebensphase-Beginn.value[x].coding.system",
      "path" : "Condition.onset[x].extension.value[x].coding.system",
      "mustSupport" : true
    },
    {
      "id" : "Condition.onset[x]:onsetAge.extension:Lebensphase-Beginn.value[x].coding.code",
      "path" : "Condition.onset[x].extension.value[x].coding.code",
      "mustSupport" : true
    },
    {
      "id" : "Condition.recordedDate",
      "path" : "Condition.recordedDate",
      "short" : "Aufzeichnungsdatum",
      "_short" : {
        "extension" : [{
          "extension" : [{
            "url" : "lang",
            "valueCode" : "de-DE"
          },
          {
            "url" : "content",
            "valueString" : "Aufzeichnungsdatum"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        },
        {
          "extension" : [{
            "url" : "lang",
            "valueCode" : "en-US"
          },
          {
            "url" : "content",
            "valueString" : "Recorded date"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        }]
      },
      "definition" : "Datum, an dem die Diagnose erstmals dokumentiert wurde.",
      "_definition" : {
        "extension" : [{
          "extension" : [{
            "url" : "lang",
            "valueCode" : "de-DE"
          },
          {
            "url" : "content",
            "valueString" : "Datum, an dem die Diagnose erstmals dokumentiert wurde."
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        },
        {
          "extension" : [{
            "url" : "lang",
            "valueCode" : "en-US"
          },
          {
            "url" : "content",
            "valueString" : "Date when the diagnosis was first recorded."
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        }]
      },
      "min" : 1,
      "mustSupport" : true,
      "mapping" : [{
        "identity" : "LogicalModel",
        "map" : "Dokumentationsdatum"
      }]
    },
    {
      "id" : "Condition.note",
      "path" : "Condition.note",
      "short" : "Hinweis",
      "_short" : {
        "extension" : [{
          "extension" : [{
            "url" : "lang",
            "valueCode" : "de-DE"
          },
          {
            "url" : "content",
            "valueString" : "Hinweis"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        },
        {
          "extension" : [{
            "url" : "lang",
            "valueCode" : "en-US"
          },
          {
            "url" : "content",
            "valueString" : "Note"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        }]
      },
      "definition" : "Zusätzliche Informationen zur Diagnose als Freitext.",
      "_definition" : {
        "extension" : [{
          "extension" : [{
            "url" : "lang",
            "valueCode" : "de-DE"
          },
          {
            "url" : "content",
            "valueString" : "Zusätzliche Informationen zur Diagnose als Freitext."
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        },
        {
          "extension" : [{
            "url" : "lang",
            "valueCode" : "en-US"
          },
          {
            "url" : "content",
            "valueString" : "Additional information about the diagnosis as free text."
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        }]
      },
      "mustSupport" : true,
      "mapping" : [{
        "identity" : "LogicalModel",
        "map" : "Diagnoseerlaeuterung"
      }]
    }]
  }
}

```
