# MII PR Person Todesursache - MII Implementation Guide Core Dataset Base v2026.0.1

## Resource Profile: MII PR Person Todesursache 

 
Cause of death of the deceased patient. 

**Example Usage Scenarios:**

* Document the cause of death for deceased patients for clinical documentation and mortality statistics
* Support epidemiological research and public health surveillance through standardized cause of death coding
* Enable mortality analyses across healthcare facilities using internationally comparable ICD-10-WHO codes
* Link cause of death information to vital status observations and Patient.deceased[x] documentation

### Profile Specific Implementation Guidance

This section provides detailed implementation guidance for the MII Cause of Death (Todesursache) Profile.

#### ICD-10-WHO Coding Requirement

##### Best Practice - ICD-10-WHO vs. ICD-10-GM

**Mandatory Code System:** Cause of death **MUST** be coded using ICD-10-WHO (`http://hl7.org/fhir/sid/icd-10`).

**Deviation from Diagnose Module:** This Condition profile for cause of death deliberately differs from the Condition profile in the Diagnose module at `Condition.code`. The Diagnose module uses ICD-10-GM (German modification), while Todesursache uses ICD-10-WHO (international version).

**Legal Requirement:** In Germany, ICD-10-WHO is legally mandated as the basis for cause of death statistics. See [BfArM ICD-10-WHO](https://www.bfarm.de/DE/Kodiersysteme/Klassifikationen/ICD/ICD-10-WHO/Todesursachenstatistik/_node.html) for details on the German cause of death statistics requirements.

**Additional Codings:** While ICD-10-WHO coding is mandatory, additional codings (e.g., SNOMED CT) are OPTIONAL and may be included to provide supplementary semantic information.

#### Required Elements

**Fixed Category Values:**

* **`Condition.category`**: Fixed LOINC code `79378-6` (Cause of death) and SNOMED CT code `16100001` (Death diagnosis) **MUST** be present
* Additional category codings are OPTIONAL
* These fixed codes ensure the Condition is unambiguously identified as a cause of death

**Code Element:**

* **`Condition.code`**: ICD-10-WHO coding is [Mandatory](general-requirements.md) 
* Use code system `http://hl7.org/fhir/sid/icd-10` (ICD-10-WHO)
* Additional codings from other terminologies (SNOMED CT, etc.) are OPTIONAL
* Refer to [BfArM ICD-10-WHO](https://www.bfarm.de/DE/Kodiersysteme/Klassifikationen/ICD/ICD-10-WHO/Todesursachenstatistik/_node.html) for official coding guidance and cause of death statistics requirements
 

**Patient Reference:**

* **`Condition.subject`**: Reference to Patient **MUST** always be provided
* Cause of death is inherently patient-specific and cannot exist without this reference
* The referenced Patient **SHOULD** have `Patient.deceased[x]` populated to indicate death

**Usages:**

* Examples for this Profile: [Condition/mii-exa-person-condition-todesursache](Condition-mii-exa-person-condition-todesursache.md)
* CapabilityStatements using this Profile: [MII CPS Person CapabilityStatement](CapabilityStatement-mii-cps-person-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-person-todesursache.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-person-todesursache.csv), [Excel](../StructureDefinition-mii-pr-person-todesursache.xlsx), [Schematron](../StructureDefinition-mii-pr-person-todesursache.sch) 



## Resource Content

```json
{
  "resourceType" : "StructureDefinition",
  "id" : "mii-pr-person-todesursache",
  "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" : "C81239"
      }]
    }
  },
  {
    "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-person/StructureDefinition/Todesursache",
  "version" : "2026.0.1",
  "name" : "MII_PR_Person_Todesursache",
  "title" : "MII PR Person Todesursache",
  "_title" : {
    "extension" : [{
      "extension" : [{
        "url" : "lang",
        "valueCode" : "de-DE"
      },
      {
        "url" : "content",
        "valueString" : "Todesursache"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/translation"
    },
    {
      "extension" : [{
        "url" : "lang",
        "valueCode" : "en-US"
      },
      {
        "url" : "content",
        "valueString" : "Cause of Death"
      }],
      "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 den Todesursache der Patient*in als Element des Kerndatensatzes Medizininformatik-Initiative",
  "_description" : {
    "extension" : [{
      "extension" : [{
        "url" : "lang",
        "valueCode" : "de-DE"
      },
      {
        "url" : "content",
        "valueString" : "Todesursache der verstorbenen Patientin oder des verstorbenen Patienten."
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/translation"
    },
    {
      "extension" : [{
        "url" : "lang",
        "valueCode" : "en-US"
      },
      {
        "url" : "content",
        "valueString" : "Cause of death of the deceased 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 to represent cause of death information consistently as part of the MII Person module.",
  "fhirVersion" : "4.0.1",
  "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.profile",
      "path" : "Condition.meta.profile",
      "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
    },
    {
      "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.category",
      "path" : "Condition.category",
      "slicing" : {
        "discriminator" : [{
          "type" : "pattern",
          "path" : "$this"
        }],
        "rules" : "open"
      },
      "short" : "Kategorie",
      "_short" : {
        "extension" : [{
          "extension" : [{
            "url" : "lang",
            "valueCode" : "de-DE"
          },
          {
            "url" : "content",
            "valueString" : "Kategorie"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        },
        {
          "extension" : [{
            "url" : "lang",
            "valueCode" : "en-US"
          },
          {
            "url" : "content",
            "valueString" : "Category"
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        }]
      },
      "definition" : "Eine Kategorie, die der Diagnose zugeordnet ist.",
      "_definition" : {
        "extension" : [{
          "extension" : [{
            "url" : "lang",
            "valueCode" : "de-DE"
          },
          {
            "url" : "content",
            "valueString" : "Eine Kategorie, die der Diagnose zugeordnet ist."
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        },
        {
          "extension" : [{
            "url" : "lang",
            "valueCode" : "en-US"
          },
          {
            "url" : "content",
            "valueString" : "A category assigned to the condition."
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        }]
      },
      "min" : 1,
      "mustSupport" : true
    },
    {
      "id" : "Condition.category:todesDiagnose",
      "path" : "Condition.category",
      "sliceName" : "todesDiagnose",
      "min" : 1,
      "max" : "1",
      "patternCodeableConcept" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "16100001"
        },
        {
          "system" : "http://loinc.org",
          "code" : "79378-6"
        }]
      },
      "mustSupport" : true
    },
    {
      "id" : "Condition.category:todesDiagnose.coding",
      "path" : "Condition.category.coding",
      "slicing" : {
        "discriminator" : [{
          "type" : "pattern",
          "path" : "$this"
        }],
        "rules" : "open"
      },
      "min" : 2,
      "mustSupport" : true
    },
    {
      "id" : "Condition.category:todesDiagnose.coding:snomed",
      "path" : "Condition.category.coding",
      "sliceName" : "snomed",
      "min" : 1,
      "max" : "1",
      "patternCoding" : {
        "system" : "http://snomed.info/sct",
        "code" : "16100001"
      },
      "mustSupport" : true
    },
    {
      "id" : "Condition.category:todesDiagnose.coding:snomed.system",
      "path" : "Condition.category.coding.system",
      "mustSupport" : true
    },
    {
      "id" : "Condition.category:todesDiagnose.coding:snomed.code",
      "path" : "Condition.category.coding.code",
      "mustSupport" : true
    },
    {
      "id" : "Condition.category:todesDiagnose.coding:loinc",
      "path" : "Condition.category.coding",
      "sliceName" : "loinc",
      "min" : 1,
      "max" : "1",
      "patternCoding" : {
        "system" : "http://loinc.org",
        "code" : "79378-6"
      },
      "mustSupport" : true
    },
    {
      "id" : "Condition.category:todesDiagnose.coding:loinc.system",
      "path" : "Condition.category.coding.system",
      "mustSupport" : true
    },
    {
      "id" : "Condition.category:todesDiagnose.coding:loinc.code",
      "path" : "Condition.category.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-WHO Code, der die Todesursache identifiziert.",
      "_definition" : {
        "extension" : [{
          "extension" : [{
            "url" : "lang",
            "valueCode" : "de-DE"
          },
          {
            "url" : "content",
            "valueString" : "Ein ICD-10-WHO Code, der die Todesursache identifiziert."
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        },
        {
          "extension" : [{
            "url" : "lang",
            "valueCode" : "en-US"
          },
          {
            "url" : "content",
            "valueString" : "An ICD-10-WHO code identifying the cause of death."
          }],
          "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
    },
    {
      "id" : "Condition.code.coding:icd10-who",
      "path" : "Condition.code.coding",
      "sliceName" : "icd10-who",
      "short" : "ICD-10-WHO",
      "definition" : "Ein ICD-10-WHO Code, der die Todesursache identifiziert.",
      "min" : 1,
      "max" : "1",
      "patternCoding" : {
        "system" : "http://hl7.org/fhir/sid/icd-10"
      },
      "mustSupport" : true,
      "binding" : {
        "strength" : "required",
        "valueSet" : "https://www.medizininformatik-initiative.de/fhir/core/modul-person/ValueSet/mii-vs-person-icd10who"
      }
    },
    {
      "id" : "Condition.code.coding:icd10-who.system",
      "path" : "Condition.code.coding.system",
      "min" : 1,
      "mustSupport" : true
    },
    {
      "id" : "Condition.code.coding:icd10-who.version",
      "path" : "Condition.code.coding.version",
      "min" : 1,
      "mustSupport" : true
    },
    {
      "id" : "Condition.code.coding:icd10-who.code",
      "path" : "Condition.code.coding.code",
      "min" : 1,
      "mustSupport" : true
    },
    {
      "id" : "Condition.code.text",
      "path" : "Condition.code.text",
      "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 Todesursache festgestellt wurde.",
      "_definition" : {
        "extension" : [{
          "extension" : [{
            "url" : "lang",
            "valueCode" : "de-DE"
          },
          {
            "url" : "content",
            "valueString" : "Kontakt, bei dem die Todesursache festgestellt wurde."
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        },
        {
          "extension" : [{
            "url" : "lang",
            "valueCode" : "en-US"
          },
          {
            "url" : "content",
            "valueString" : "Encounter during which the cause of death was determined."
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        }]
      },
      "mustSupport" : true
    },
    {
      "id" : "Condition.encounter.reference",
      "path" : "Condition.encounter.reference",
      "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 Todesursache erstmals dokumentiert wurde.",
      "_definition" : {
        "extension" : [{
          "extension" : [{
            "url" : "lang",
            "valueCode" : "de-DE"
          },
          {
            "url" : "content",
            "valueString" : "Datum, an dem die Todesursache erstmals dokumentiert wurde."
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        },
        {
          "extension" : [{
            "url" : "lang",
            "valueCode" : "en-US"
          },
          {
            "url" : "content",
            "valueString" : "Date when the cause of death was first recorded."
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        }]
      },
      "mustSupport" : true
    },
    {
      "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 Todesursache als Freitext.",
      "_definition" : {
        "extension" : [{
          "extension" : [{
            "url" : "lang",
            "valueCode" : "de-DE"
          },
          {
            "url" : "content",
            "valueString" : "Zusätzliche Informationen zur Todesursache als Freitext."
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        },
        {
          "extension" : [{
            "url" : "lang",
            "valueCode" : "en-US"
          },
          {
            "url" : "content",
            "valueString" : "Additional information about the cause of death as free text."
          }],
          "url" : "http://hl7.org/fhir/StructureDefinition/translation"
        }]
      },
      "mustSupport" : true
    }]
  }
}

```
