MII Implementierungsleitfaden Kerndatensatz Basis
2026.0.1 - Release Germany

MII Implementation Guide Core Dataset Base - Downloaded Version 2026.0.1 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: 2026.0.1 | Highlight text changes?
Active Stand: 2026-06-15 | 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 kodierte 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 Mehrfachkodierungskennzeichen 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

`Condition.bodySite`:

- OPTIONALES Element
- Falls dieses optionale Element verwendet wird, SOLL die Körperstelle mindestens mit einem SNOMED CT-Code codiert werden
- Hierbei DARF NICHT die Lateralität angegeben werden - verwenden Sie stattdessen die Extension Seitenlokalisation auf `Condition.code.coding:icd10-gm`

#### 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

`Condition.onset[x]`:

- KANN als Period oder dateTime erfasst werden
- OPTIONAL zusätzlich Angabe von Lebensphase als Code mittels Extension, falls genaue Zeitpunkte nicht bekannt sind
- Repräsentiert, wann die Erkrankung begann oder erstmals bemerkt wurde

`Condition.recordedDate`:

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

Usages:

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

You can also check for usages in the FHIR IG Statistics

### Formale Ansichten des Profilinhalts

Beschreibung von Profilen, Differentials, Snapshots und deren Repräsentationen.

- Schlüsselelemente-Tabelle
- Differential-Tabelle
- Snapshot-Tabelle
- Statistiken/Referenzen
- Alle

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Condition | C | 0..* | Condition | Detailed information about conditions, problems or diagnoses Constraints: con-3, con-4, con-5
id | S Σ | 0..1 | id | Logical id of this artifact
meta | S Σ | 0..1 | Meta | Metadata about the resource
source | S Σ | 0..1 | uri | Identifies where the resource comes from
profile | S Σ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:ReferenzPrimaerdiagnose | S | 0..1 | (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 | ?!S Σ C | 0..1 | CodeableConcept | Klinischer Status Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
coding | S Σ | 0..* | Coding | Code defined by a terminology system
system | S Σ | 0..1 | uri | Identity of the terminology system
code | S Σ | 0..1 | code | Symbol in syntax defined by the system
verificationStatus | ?!S Σ C | 0..1 | CodeableConcept | Verifizierungsstatus Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
coding | S Σ | 0..* | Coding | Code defined by a terminology system
system | S Σ | 0..1 | uri | Identity of the terminology system
code | S Σ | 0..1 | code | Symbol in syntax defined by the system
code | S Σ | 1..1 | CodeableConcept | Code Binding: Condition/Problem/DiagnosisCodes (example): Identification of the condition or diagnosis.
Slices for coding | S Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:All Slices |  |  |  | Content/Rules for all slices
code | Σ | 0..1 | code | Symbol in syntax defined by the system
coding:icd10-gm | S Σ | 0..1 | CodingICD10GM | ICD-10-GM Code Binding: MII VS Diagnose ICD-10-GM (required) Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
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 | S Σ | 1..1 | uri | Identity of the terminology system
code | S Σ | 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 | S Σ | 1..1 | uri | Identity of the terminology system
code | S Σ | 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] | S C | 1..1 | Coding | Value of extension Binding: KBV_VS_SFHIR_ICD_DIAGNOSESICHERHEIT (required) Constraints: icd-4, icd-5, icd-6, icd-7
system | S Σ | 0..1 | uri | Identity of the terminology system
code | S Σ | 0..1 | code | Symbol in syntax defined by the system
system | S Σ | 1..1 | uri | Canonische CodeSystem URL für ICD-10-GM Fixed Value: http://fhir.de/CodeSystem/bfarm/icd-10-gm
version | S Σ | 1..1 | string | Die Jahresversion von ICD-10-GM. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017")
code | S Σ C | 1..1 | code | Der ICD-10-Code Constraints: icd-regex Example Einfacher ICD-Code: F17.4
coding:alpha-id | S Σ | 0..1 | CodingAlphaID | Alpha-ID Code Binding: MII VS Diagnose Alpha-ID (required) Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
system | S Σ | 1..1 | uri | Canonische CodeSystem URL für Alpha-ID Fixed Value: http://fhir.de/CodeSystem/bfarm/alpha-id
version | S Σ | 1..1 | string | Die Jahresversion von Alpha-ID. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017")
code | S Σ | 1..1 | code | Der Alpha-ID-Code
coding:sct | S Σ | 0..1 | Coding | SNOMED CT Code Binding: MII VS Diagnose Diagnose-Codes SNOMED (required) Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
system | S Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct
version | S Σ | 0..1 | string | Version of the system - if relevant
code | S Σ | 1..1 | code | Symbol in syntax defined by the system
coding:orphanet | S Σ | 0..1 | Coding | ORPHAcode Binding: MII VS Diagnose Orphanet (required) Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
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 | S Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://www.orpha.net
code | S Σ | 1..1 | code | Symbol in syntax defined by the system
text | Σ | 0..1 | string | Plain text representation of the concept
bodySite | S Σ | 0..* | CodeableConcept | Körperstelle Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
Slices for coding | S Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:system
coding:snomed-ct | S Σ | 0..1 | Coding | SNOMED CT Code Binding: MII VS Diagnose BodyStructure SNOMED (required)
system | S Σ | 1..1 | uri | Identity of the terminology system Required Pattern: http://snomed.info/sct
version | S Σ | 0..1 | string | Version of the system - if relevant
code | S Σ | 1..1 | code | Symbol in syntax defined by the system
subject | S Σ | 1..1 | Reference(Patient | Group) | Who has the condition?
reference | S Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
encounter | S Σ | 0..1 | Reference(Encounter) | Kontakt (Aufenthaltsbezug)
reference | S Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
Slices for onset[x] | S Σ | 0..1 |  | Beginn Slice: Unordered, Closed by type:$this
onsetDateTime |  |  | dateTime |
onsetAge |  |  | Age |
onsetPeriod |  |  | Period |
onset[x]:onsetPeriod | S Σ | 0..1 | Period | Beginn Zeitraum
start | S Σ C | 0..1 | dateTime | Starting time with inclusive boundary
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
Slices for extension |  |  |  | Content/Rules for all slices
extension:lebensphase-von | S | 0..1 | (Complex) | Optional Extensions Element URL: http://fhir.de/StructureDefinition/lebensphase Constraints: ext-1
extension |  | 0..0 |  | Additional content defined by implementations Slice: Unordered, Open by value:url
url | S | 1..1 | uri | "http://fhir.de/StructureDefinition/lebensphase"
value[x] | S | 1..1 | CodeableConcept | Value of extension
coding | S Σ | 1..1 | Coding | Code defined by a terminology system Binding: LebensphaseDe ValueSet (required): Lebensphase
system | S Σ | 1..1 | uri | Identity of the terminology system
code | S Σ | 1..1 | code | Symbol in syntax defined by the system
end | S Σ C | 0..1 | dateTime | End time with inclusive boundary, if not ongoing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
Slices for extension |  |  |  | Content/Rules for all slices
extension:lebensphase-bis | S | 0..1 | (Complex) | Optional Extensions Element URL: http://fhir.de/StructureDefinition/lebensphase Constraints: ext-1
extension |  | 0..0 |  | Additional content defined by implementations Slice: Unordered, Open by value:url
url | S | 1..1 | uri | "http://fhir.de/StructureDefinition/lebensphase"
value[x] | S | 1..1 | CodeableConcept | Value of extension
coding | S Σ | 1..1 | Coding | Code defined by a terminology system Binding: LebensphaseDe ValueSet (required): Lebensphase
system | S Σ | 1..1 | uri | Identity of the terminology system
code | S Σ | 1..1 | code | Symbol in syntax defined by the system
onset[x]:onsetDateTime | S Σ | 0..1 | dateTime | Beginn Datum
onset[x]:onsetAge | S Σ | 0..1 | Age | Erkrankungsbeginn als Alter
Slices for extension |  |  |  | Content/Rules for all slices
extension:Lebensphase-Beginn |  | 0..1 | (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 | S Σ | 1..1 | Coding | Code defined by a terminology system Binding: LebensphaseDe ValueSet (required): Lebensphase
system | S Σ | 1..1 | uri | Identity of the terminology system
code | S Σ | 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 | S Σ | 1..1 | dateTime | Aufzeichnungsdatum
note | S | 0..* | Annotation | Hinweis
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Condition.clinicalStatus | Base | required | Condition Clinical Status Codes | 📍4.0.1 | FHIR Std.
Condition.verificationStatus | Base | required | ConditionVerificationStatus | 📍4.0.1 | FHIR Std.
Condition.code | Base | example | Condition/Problem/Diagnosis Codes | 📍4.0.1 | FHIR Std.
Condition.code.coding:icd10-gm | Base | required | MII VS Diagnose ICD-10-GM | 📦2026.0.1 | This IG
Condition.code.coding:icd10-gm.​extension:Mehrfachcodierungs-Kennzeichen.​value[x] | Base | required | Mehrfachkodierungs-Kennzeichen ICD10GM ValueSet | 📦1.5.4 | de.basisprofil.r4 v1.5
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 | 📦2026.0.1 | This IG
Condition.code.coding:sct | Base | required | MII VS Diagnose Diagnose-Codes SNOMED | 📦2026.0.1 | This IG
Condition.code.coding:orphanet | Base | required | MII VS Diagnose Orphanet | 📦2026.0.1 | This IG
Condition.bodySite | Base | example | SNOMED CT Body Structures | 📍4.0.1 | FHIR Std.
Condition.bodySite.coding:snomed-ct | Base | required | MII VS Diagnose BodyStructure SNOMED | 📦2026.0.1 | This IG
Condition.onset[x]:onsetPeriod.​start.extension:lebensphase-von.​value[x].coding | Base | required | LebensphaseDe ValueSet | 📦1.5.4 | de.basisprofil.r4 v1.5
Condition.onset[x]:onsetPeriod.​end.extension:lebensphase-bis.​value[x].coding | Base | required | LebensphaseDe ValueSet | 📦1.5.4 | de.basisprofil.r4 v1.5
Condition.onset[x]:onsetAge.​extension:Lebensphase-Beginn.​value[x].coding | Base | required | LebensphaseDe ValueSet | 📦1.5.4 | de.basisprofil.r4 v1.5
Condition.onset[x]:onsetAge.​comparator | Base | required | QuantityComparator | 📍4.0.1 | FHIR Std.

#### Constraints

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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Condition |  | 0..* | Condition | Detailed information about conditions, problems or diagnoses
id | S | 0..1 | id | Logical id of this artifact
meta | S | 0..1 | Meta | Metadata about the resource
source | S | 0..1 | uri | Identifies where the resource comes from
profile | S | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:ReferenzPrimaerdiagnose | S | 0..1 | (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
clinicalStatus | S | 0..1 | CodeableConcept | Klinischer Status
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 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]:onsetPeriod | S | 0..1 | Period | Beginn Zeitraum
start | S | 0..1 | dateTime | Starting time with inclusive boundary
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
Slices for extension |  |  |  | Content/Rules for all slices
extension:lebensphase-von | S | 0..1 | (Complex) | Optional Extensions Element 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
end | S | 0..1 | dateTime | End time with inclusive boundary, if not ongoing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
Slices for extension |  |  |  | Content/Rules for all slices
extension:lebensphase-bis | S | 0..1 | (Complex) | Optional Extensions Element 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
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
recordedDate | S | 1..1 | dateTime | Aufzeichnungsdatum
note | S | 0..* | Annotation | Hinweis
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
Condition.code.coding:icd10-gm | Base | required | MII VS Diagnose ICD-10-GM | 📦2026.0.1 | This IG
Condition.code.coding:alpha-id | Base | required | MII VS Diagnose Alpha-ID | 📦2026.0.1 | This IG
Condition.code.coding:sct | Base | required | MII VS Diagnose Diagnose-Codes SNOMED | 📦2026.0.1 | This IG
Condition.code.coding:orphanet | Base | required | MII VS Diagnose Orphanet | 📦2026.0.1 | This IG
Condition.bodySite.coding:snomed-ct | Base | required | MII VS Diagnose BodyStructure SNOMED | 📦2026.0.1 | This IG

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Condition | C | 0..* | Condition | Detailed information about conditions, problems or diagnoses Constraints: con-3, con-4, con-5
id | S Σ | 0..1 | id | Logical id of this artifact
meta | S Σ | 0..1 | Meta | Metadata about the resource
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
versionId | Σ | 0..1 | id | Version specific identifier
lastUpdated | Σ | 0..1 | instant | When the resource version last changed
source | S Σ | 0..1 | uri | Identifies where the resource comes from
profile | S Σ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to
security | Σ | 0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag | Σ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:ReferenzPrimaerdiagnose | S | 0..1 | (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 | ?!S Σ C | 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 | S Σ | 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 | S Σ | 0..1 | uri | Identity of the terminology system
version | Σ | 0..1 | string | Version of the system - if relevant
code | S 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
text | Σ | 0..1 | string | Plain text representation of the concept
verificationStatus | ?!S Σ C | 0..1 | CodeableConcept | Verifizierungsstatus Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
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 | S Σ | 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 | S Σ | 0..1 | uri | Identity of the terminology system
version | Σ | 0..1 | string | Version of the system - if relevant
code | S 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
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 | S Σ | 1..1 | CodeableConcept | Code Binding: Condition/Problem/DiagnosisCodes (example): Identification of the condition or diagnosis.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding | S Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:All Slices |  |  |  | Content/Rules for all slices
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | Σ | 0..1 | uri | Identity of the terminology system
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 0..1 | code | Symbol in syntax defined by the system
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
coding:icd10-gm | S Σ | 0..1 | CodingICD10GM | ICD-10-GM Code Binding: MII VS Diagnose ICD-10-GM (required) Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
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 | S Σ | 1..1 | uri | Identity of the terminology system
version | Σ | 0..1 | string | Version of the system - if relevant
code | S Σ | 1..1 | code | Symbol in syntax defined by the system
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
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 | S Σ | 1..1 | uri | Identity of the terminology system
version | Σ | 0..1 | string | Version of the system - if relevant
code | S Σ | 1..1 | code | Symbol in syntax defined by the system
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
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] | S C | 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 | S Σ | 0..1 | uri | Identity of the terminology system
version | Σ | 0..1 | string | Version of the system - if relevant
code | S 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
system | S Σ | 1..1 | uri | Canonische CodeSystem URL für ICD-10-GM Fixed Value: http://fhir.de/CodeSystem/bfarm/icd-10-gm
version | S Σ | 1..1 | string | Die Jahresversion von ICD-10-GM. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017")
code | S Σ C | 1..1 | code | Der ICD-10-Code Constraints: icd-regex Example Einfacher ICD-Code: F17.4
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
coding:alpha-id | S Σ | 0..1 | CodingAlphaID | Alpha-ID Code Binding: MII VS Diagnose Alpha-ID (required) Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | S Σ | 1..1 | uri | Canonische CodeSystem URL für Alpha-ID Fixed Value: http://fhir.de/CodeSystem/bfarm/alpha-id
version | S Σ | 1..1 | string | Die Jahresversion von Alpha-ID. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017")
code | S Σ | 1..1 | code | Der Alpha-ID-Code
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
coding:sct | S Σ | 0..1 | Coding | SNOMED CT Code Binding: MII VS Diagnose Diagnose-Codes SNOMED (required) Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | S Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct
version | S Σ | 0..1 | string | Version of the system - if relevant
code | S Σ | 1..1 | code | Symbol in syntax defined by the system
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
coding:orphanet | S Σ | 0..1 | Coding | ORPHAcode Binding: MII VS Diagnose Orphanet (required) Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | S Σ | 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 | S Σ | 1..1 | code | Symbol in syntax defined by the system
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Plain text representation of the concept
bodySite | S Σ | 0..* | CodeableConcept | Körperstelle Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding | S Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:system
coding:snomed-ct | S Σ | 0..1 | Coding | SNOMED CT Code Binding: MII VS Diagnose BodyStructure SNOMED (required)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | S Σ | 1..1 | uri | Identity of the terminology system Required Pattern: http://snomed.info/sct
version | S Σ | 0..1 | string | Version of the system - if relevant
code | S Σ | 1..1 | code | Symbol in syntax defined by the system
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Plain text representation of the concept
subject | S Σ | 1..1 | Reference(Patient | Group) | Who has the condition?
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 | S Σ C | 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 | S Σ | 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 | S Σ C | 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] | S Σ | 0..1 |  | Beginn Slice: Unordered, Closed by type:$this
onsetDateTime |  |  | dateTime |
onsetAge |  |  | Age |
onsetPeriod |  |  | Period |
onset[x]:onsetPeriod | S Σ | 0..1 | Period | Beginn Zeitraum
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
start | S Σ C | 0..1 | dateTime | Starting time with inclusive boundary
id |  | 0..1 | string | xml:id (or equivalent in JSON)
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
Slices for extension |  |  |  | Content/Rules for all slices
extension:lebensphase-von | S | 0..1 | (Complex) | Optional Extensions Element URL: http://fhir.de/StructureDefinition/lebensphase Constraints: ext-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Additional content defined by implementations Slice: Unordered, Open by value:url
url | 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 | S Σ | 1..1 | Coding | Code defined by a terminology system Binding: LebensphaseDe ValueSet (required): Lebensphase
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | S Σ | 1..1 | uri | Identity of the terminology system
version | Σ | 0..1 | string | Version of the system - if relevant
code | S Σ | 1..1 | code | Symbol in syntax defined by the system
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Plain text representation of the concept
value |  | 0..1 | dateTime | Primitive value for dateTime
end | S Σ C | 0..1 | dateTime | End time with inclusive boundary, if not ongoing
id |  | 0..1 | string | xml:id (or equivalent in JSON)
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
Slices for extension |  |  |  | Content/Rules for all slices
extension:lebensphase-bis | S | 0..1 | (Complex) | Optional Extensions Element URL: http://fhir.de/StructureDefinition/lebensphase Constraints: ext-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Additional content defined by implementations Slice: Unordered, Open by value:url
url | 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 | S Σ | 1..1 | Coding | Code defined by a terminology system Binding: LebensphaseDe ValueSet (required): Lebensphase
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | S Σ | 1..1 | uri | Identity of the terminology system
version | Σ | 0..1 | string | Version of the system - if relevant
code | S Σ | 1..1 | code | Symbol in syntax defined by the system
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Plain text representation of the concept
value |  | 0..1 | dateTime | Primitive value for dateTime
onset[x]:onsetDateTime | S Σ | 0..1 | dateTime | Beginn Datum
onset[x]:onsetAge | S Σ | 0..1 | Age | Erkrankungsbeginn als Alter
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
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 | S Σ | 1..1 | Coding | Code defined by a terminology system Binding: LebensphaseDe ValueSet (required): Lebensphase
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | S Σ | 1..1 | uri | Identity of the terminology system
version | Σ | 0..1 | string | Version of the system - if relevant
code | S Σ | 1..1 | code | Symbol in syntax defined by the system
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Plain text representation of the concept
value | Σ | 0..1 | decimal | Numerical value (with implicit precision)
comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit | Σ | 0..1 | string | Unit representation
system | Σ C | 0..1 | uri | System that defines coded unit form
code | Σ | 0..1 | code | Coded form of the unit
abatement[x] | C | 0..1 |  | When in resolution/remission
abatementDateTime |  |  | dateTime |
abatementAge |  |  | Age |
abatementPeriod |  |  | Period |
abatementRange |  |  | Range |
abatementString |  |  | string |
recordedDate | S Σ | 1..1 | dateTime | Aufzeichnungsdatum
recorder | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Who recorded the condition
asserter | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Person who asserts this condition
stage | C | 0..* | BackboneElement | Stage/grade, usually assessed formally Constraints: con-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
summary | C | 0..1 | CodeableConcept | Simple summary (disease specific) Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).
assessment | C | 0..* | Reference(ClinicalImpression | DiagnosticReport | Observation) | Formal record of assessment
type |  | 0..1 | CodeableConcept | Kind of staging Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).
evidence | C | 0..* | BackboneElement | Supporting evidence Constraints: con-2
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | Σ C | 0..* | CodeableConcept | Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.
detail | Σ C | 0..* | Reference(Resource) | Supporting information found elsewhere
note | S | 0..* | Annotation | Hinweis
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Condition.meta.security | Base | extensible | SecurityLabels | 📍4.0.1 | FHIR Std.
Condition.meta.tag | Base | example | Common Tags | 📍4.0.1 | FHIR Std.
Condition.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
Condition.clinicalStatus | Base | required | Condition Clinical Status Codes | 📍4.0.1 | FHIR Std.
Condition.verificationStatus | Base | required | ConditionVerificationStatus | 📍4.0.1 | FHIR Std.
Condition.category | Base | extensible | Condition Category Codes | 📍4.0.1 | FHIR Std.
Condition.severity | Base | preferred | Condition/Diagnosis Severity | 📍4.0.1 | FHIR Std.
Condition.code | Base | example | Condition/Problem/Diagnosis Codes | 📍4.0.1 | FHIR Std.
Condition.code.coding:icd10-gm | Base | required | MII VS Diagnose ICD-10-GM | 📦2026.0.1 | This IG
Condition.code.coding:icd10-gm.​extension:Mehrfachcodierungs-Kennzeichen.​value[x] | Base | required | Mehrfachkodierungs-Kennzeichen ICD10GM ValueSet | 📦1.5.4 | de.basisprofil.r4 v1.5
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 | 📦2026.0.1 | This IG
Condition.code.coding:sct | Base | required | MII VS Diagnose Diagnose-Codes SNOMED | 📦2026.0.1 | This IG
Condition.code.coding:orphanet | Base | required | MII VS Diagnose Orphanet | 📦2026.0.1 | This IG
Condition.bodySite | Base | example | SNOMED CT Body Structures | 📍4.0.1 | FHIR Std.
Condition.bodySite.coding:snomed-ct | Base | required | MII VS Diagnose BodyStructure SNOMED | 📦2026.0.1 | 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]:onsetPeriod.​start.extension:lebensphase-von.​value[x].coding | Base | required | LebensphaseDe ValueSet | 📦1.5.4 | de.basisprofil.r4 v1.5
Condition.onset[x]:onsetPeriod.​end.extension:lebensphase-bis.​value[x].coding | Base | required | LebensphaseDe ValueSet | 📦1.5.4 | de.basisprofil.r4 v1.5
Condition.onset[x]:onsetAge.​extension:Lebensphase-Beginn.​value[x].coding | Base | required | LebensphaseDe ValueSet | 📦1.5.4 | de.basisprofil.r4 v1.5
Condition.onset[x]:onsetAge.​comparator | Base | required | QuantityComparator | 📍4.0.1 | FHIR Std.
Condition.stage.summary | Base | example | Condition Stage | 📍4.0.1 | FHIR Std.
Condition.stage.type | Base | example | Condition Stage Type | 📍4.0.1 | FHIR Std.
Condition.evidence.code | Base | example | Manifestation and Symptom Codes | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
con-1 | error | Condition.stage | Stage SHALL have summary or assessment | `summary.exists() or assessment.exists()`
con-2 | error | Condition.evidence | evidence SHALL have code or details | `code.exists() or detail.exists()`
con-3 | best practice | Condition | Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item | `clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()`
con-4 | error | Condition | If condition is abated, then clinicalStatus must be either inactive, resolved, or remission | `abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()`
con-5 | error | Condition | Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error | `verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()`
dom-2 | error | Condition | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Condition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Condition | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
icd-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: 85 elements

Structures

This structure refers to these other structures:

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

Extensions

This structure refers to these extensions:

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

Slices

This structure defines the following Slices:

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

Schlüsselelemente-Ansicht

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Condition | C | 0..* | Condition | Detailed information about conditions, problems or diagnoses Constraints: con-3, con-4, con-5
id | S Σ | 0..1 | id | Logical id of this artifact
meta | S Σ | 0..1 | Meta | Metadata about the resource
source | S Σ | 0..1 | uri | Identifies where the resource comes from
profile | S Σ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:ReferenzPrimaerdiagnose | S | 0..1 | (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 | ?!S Σ C | 0..1 | CodeableConcept | Klinischer Status Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
coding | S Σ | 0..* | Coding | Code defined by a terminology system
system | S Σ | 0..1 | uri | Identity of the terminology system
code | S Σ | 0..1 | code | Symbol in syntax defined by the system
verificationStatus | ?!S Σ C | 0..1 | CodeableConcept | Verifizierungsstatus Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
coding | S Σ | 0..* | Coding | Code defined by a terminology system
system | S Σ | 0..1 | uri | Identity of the terminology system
code | S Σ | 0..1 | code | Symbol in syntax defined by the system
code | S Σ | 1..1 | CodeableConcept | Code Binding: Condition/Problem/DiagnosisCodes (example): Identification of the condition or diagnosis.
Slices for coding | S Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:All Slices |  |  |  | Content/Rules for all slices
code | Σ | 0..1 | code | Symbol in syntax defined by the system
coding:icd10-gm | S Σ | 0..1 | CodingICD10GM | ICD-10-GM Code Binding: MII VS Diagnose ICD-10-GM (required) Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
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 | S Σ | 1..1 | uri | Identity of the terminology system
code | S Σ | 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 | S Σ | 1..1 | uri | Identity of the terminology system
code | S Σ | 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] | S C | 1..1 | Coding | Value of extension Binding: KBV_VS_SFHIR_ICD_DIAGNOSESICHERHEIT (required) Constraints: icd-4, icd-5, icd-6, icd-7
system | S Σ | 0..1 | uri | Identity of the terminology system
code | S Σ | 0..1 | code | Symbol in syntax defined by the system
system | S Σ | 1..1 | uri | Canonische CodeSystem URL für ICD-10-GM Fixed Value: http://fhir.de/CodeSystem/bfarm/icd-10-gm
version | S Σ | 1..1 | string | Die Jahresversion von ICD-10-GM. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017")
code | S Σ C | 1..1 | code | Der ICD-10-Code Constraints: icd-regex Example Einfacher ICD-Code: F17.4
coding:alpha-id | S Σ | 0..1 | CodingAlphaID | Alpha-ID Code Binding: MII VS Diagnose Alpha-ID (required) Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
system | S Σ | 1..1 | uri | Canonische CodeSystem URL für Alpha-ID Fixed Value: http://fhir.de/CodeSystem/bfarm/alpha-id
version | S Σ | 1..1 | string | Die Jahresversion von Alpha-ID. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017")
code | S Σ | 1..1 | code | Der Alpha-ID-Code
coding:sct | S Σ | 0..1 | Coding | SNOMED CT Code Binding: MII VS Diagnose Diagnose-Codes SNOMED (required) Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
system | S Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct
version | S Σ | 0..1 | string | Version of the system - if relevant
code | S Σ | 1..1 | code | Symbol in syntax defined by the system
coding:orphanet | S Σ | 0..1 | Coding | ORPHAcode Binding: MII VS Diagnose Orphanet (required) Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
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 | S Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://www.orpha.net
code | S Σ | 1..1 | code | Symbol in syntax defined by the system
text | Σ | 0..1 | string | Plain text representation of the concept
bodySite | S Σ | 0..* | CodeableConcept | Körperstelle Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
Slices for coding | S Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:system
coding:snomed-ct | S Σ | 0..1 | Coding | SNOMED CT Code Binding: MII VS Diagnose BodyStructure SNOMED (required)
system | S Σ | 1..1 | uri | Identity of the terminology system Required Pattern: http://snomed.info/sct
version | S Σ | 0..1 | string | Version of the system - if relevant
code | S Σ | 1..1 | code | Symbol in syntax defined by the system
subject | S Σ | 1..1 | Reference(Patient | Group) | Who has the condition?
reference | S Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
encounter | S Σ | 0..1 | Reference(Encounter) | Kontakt (Aufenthaltsbezug)
reference | S Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
Slices for onset[x] | S Σ | 0..1 |  | Beginn Slice: Unordered, Closed by type:$this
onsetDateTime |  |  | dateTime |
onsetAge |  |  | Age |
onsetPeriod |  |  | Period |
onset[x]:onsetPeriod | S Σ | 0..1 | Period | Beginn Zeitraum
start | S Σ C | 0..1 | dateTime | Starting time with inclusive boundary
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
Slices for extension |  |  |  | Content/Rules for all slices
extension:lebensphase-von | S | 0..1 | (Complex) | Optional Extensions Element URL: http://fhir.de/StructureDefinition/lebensphase Constraints: ext-1
extension |  | 0..0 |  | Additional content defined by implementations Slice: Unordered, Open by value:url
url | S | 1..1 | uri | "http://fhir.de/StructureDefinition/lebensphase"
value[x] | S | 1..1 | CodeableConcept | Value of extension
coding | S Σ | 1..1 | Coding | Code defined by a terminology system Binding: LebensphaseDe ValueSet (required): Lebensphase
system | S Σ | 1..1 | uri | Identity of the terminology system
code | S Σ | 1..1 | code | Symbol in syntax defined by the system
end | S Σ C | 0..1 | dateTime | End time with inclusive boundary, if not ongoing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
Slices for extension |  |  |  | Content/Rules for all slices
extension:lebensphase-bis | S | 0..1 | (Complex) | Optional Extensions Element URL: http://fhir.de/StructureDefinition/lebensphase Constraints: ext-1
extension |  | 0..0 |  | Additional content defined by implementations Slice: Unordered, Open by value:url
url | S | 1..1 | uri | "http://fhir.de/StructureDefinition/lebensphase"
value[x] | S | 1..1 | CodeableConcept | Value of extension
coding | S Σ | 1..1 | Coding | Code defined by a terminology system Binding: LebensphaseDe ValueSet (required): Lebensphase
system | S Σ | 1..1 | uri | Identity of the terminology system
code | S Σ | 1..1 | code | Symbol in syntax defined by the system
onset[x]:onsetDateTime | S Σ | 0..1 | dateTime | Beginn Datum
onset[x]:onsetAge | S Σ | 0..1 | Age | Erkrankungsbeginn als Alter
Slices for extension |  |  |  | Content/Rules for all slices
extension:Lebensphase-Beginn |  | 0..1 | (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 | S Σ | 1..1 | Coding | Code defined by a terminology system Binding: LebensphaseDe ValueSet (required): Lebensphase
system | S Σ | 1..1 | uri | Identity of the terminology system
code | S Σ | 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 | S Σ | 1..1 | dateTime | Aufzeichnungsdatum
note | S | 0..* | Annotation | Hinweis
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Condition.clinicalStatus | Base | required | Condition Clinical Status Codes | 📍4.0.1 | FHIR Std.
Condition.verificationStatus | Base | required | ConditionVerificationStatus | 📍4.0.1 | FHIR Std.
Condition.code | Base | example | Condition/Problem/Diagnosis Codes | 📍4.0.1 | FHIR Std.
Condition.code.coding:icd10-gm | Base | required | MII VS Diagnose ICD-10-GM | 📦2026.0.1 | This IG
Condition.code.coding:icd10-gm.​extension:Mehrfachcodierungs-Kennzeichen.​value[x] | Base | required | Mehrfachkodierungs-Kennzeichen ICD10GM ValueSet | 📦1.5.4 | de.basisprofil.r4 v1.5
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 | 📦2026.0.1 | This IG
Condition.code.coding:sct | Base | required | MII VS Diagnose Diagnose-Codes SNOMED | 📦2026.0.1 | This IG
Condition.code.coding:orphanet | Base | required | MII VS Diagnose Orphanet | 📦2026.0.1 | This IG
Condition.bodySite | Base | example | SNOMED CT Body Structures | 📍4.0.1 | FHIR Std.
Condition.bodySite.coding:snomed-ct | Base | required | MII VS Diagnose BodyStructure SNOMED | 📦2026.0.1 | This IG
Condition.onset[x]:onsetPeriod.​start.extension:lebensphase-von.​value[x].coding | Base | required | LebensphaseDe ValueSet | 📦1.5.4 | de.basisprofil.r4 v1.5
Condition.onset[x]:onsetPeriod.​end.extension:lebensphase-bis.​value[x].coding | Base | required | LebensphaseDe ValueSet | 📦1.5.4 | de.basisprofil.r4 v1.5
Condition.onset[x]:onsetAge.​extension:Lebensphase-Beginn.​value[x].coding | Base | required | LebensphaseDe ValueSet | 📦1.5.4 | de.basisprofil.r4 v1.5
Condition.onset[x]:onsetAge.​comparator | Base | required | QuantityComparator | 📍4.0.1 | FHIR Std.

#### Constraints

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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Condition |  | 0..* | Condition | Detailed information about conditions, problems or diagnoses
id | S | 0..1 | id | Logical id of this artifact
meta | S | 0..1 | Meta | Metadata about the resource
source | S | 0..1 | uri | Identifies where the resource comes from
profile | S | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:ReferenzPrimaerdiagnose | S | 0..1 | (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
clinicalStatus | S | 0..1 | CodeableConcept | Klinischer Status
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 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]:onsetPeriod | S | 0..1 | Period | Beginn Zeitraum
start | S | 0..1 | dateTime | Starting time with inclusive boundary
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
Slices for extension |  |  |  | Content/Rules for all slices
extension:lebensphase-von | S | 0..1 | (Complex) | Optional Extensions Element 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
end | S | 0..1 | dateTime | End time with inclusive boundary, if not ongoing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
Slices for extension |  |  |  | Content/Rules for all slices
extension:lebensphase-bis | S | 0..1 | (Complex) | Optional Extensions Element 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
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
recordedDate | S | 1..1 | dateTime | Aufzeichnungsdatum
note | S | 0..* | Annotation | Hinweis
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
Condition.code.coding:icd10-gm | Base | required | MII VS Diagnose ICD-10-GM | 📦2026.0.1 | This IG
Condition.code.coding:alpha-id | Base | required | MII VS Diagnose Alpha-ID | 📦2026.0.1 | This IG
Condition.code.coding:sct | Base | required | MII VS Diagnose Diagnose-Codes SNOMED | 📦2026.0.1 | This IG
Condition.code.coding:orphanet | Base | required | MII VS Diagnose Orphanet | 📦2026.0.1 | This IG
Condition.bodySite.coding:snomed-ct | Base | required | MII VS Diagnose BodyStructure SNOMED | 📦2026.0.1 | This IG

Snapshot-AnsichtView

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Condition | C | 0..* | Condition | Detailed information about conditions, problems or diagnoses Constraints: con-3, con-4, con-5
id | S Σ | 0..1 | id | Logical id of this artifact
meta | S Σ | 0..1 | Meta | Metadata about the resource
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
versionId | Σ | 0..1 | id | Version specific identifier
lastUpdated | Σ | 0..1 | instant | When the resource version last changed
source | S Σ | 0..1 | uri | Identifies where the resource comes from
profile | S Σ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to
security | Σ | 0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag | Σ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:ReferenzPrimaerdiagnose | S | 0..1 | (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 | ?!S Σ C | 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 | S Σ | 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 | S Σ | 0..1 | uri | Identity of the terminology system
version | Σ | 0..1 | string | Version of the system - if relevant
code | S 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
text | Σ | 0..1 | string | Plain text representation of the concept
verificationStatus | ?!S Σ C | 0..1 | CodeableConcept | Verifizierungsstatus Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
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 | S Σ | 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 | S Σ | 0..1 | uri | Identity of the terminology system
version | Σ | 0..1 | string | Version of the system - if relevant
code | S 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
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 | S Σ | 1..1 | CodeableConcept | Code Binding: Condition/Problem/DiagnosisCodes (example): Identification of the condition or diagnosis.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding | S Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:All Slices |  |  |  | Content/Rules for all slices
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | Σ | 0..1 | uri | Identity of the terminology system
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 0..1 | code | Symbol in syntax defined by the system
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
coding:icd10-gm | S Σ | 0..1 | CodingICD10GM | ICD-10-GM Code Binding: MII VS Diagnose ICD-10-GM (required) Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
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 | S Σ | 1..1 | uri | Identity of the terminology system
version | Σ | 0..1 | string | Version of the system - if relevant
code | S Σ | 1..1 | code | Symbol in syntax defined by the system
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
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 | S Σ | 1..1 | uri | Identity of the terminology system
version | Σ | 0..1 | string | Version of the system - if relevant
code | S Σ | 1..1 | code | Symbol in syntax defined by the system
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
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] | S C | 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 | S Σ | 0..1 | uri | Identity of the terminology system
version | Σ | 0..1 | string | Version of the system - if relevant
code | S 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
system | S Σ | 1..1 | uri | Canonische CodeSystem URL für ICD-10-GM Fixed Value: http://fhir.de/CodeSystem/bfarm/icd-10-gm
version | S Σ | 1..1 | string | Die Jahresversion von ICD-10-GM. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017")
code | S Σ C | 1..1 | code | Der ICD-10-Code Constraints: icd-regex Example Einfacher ICD-Code: F17.4
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
coding:alpha-id | S Σ | 0..1 | CodingAlphaID | Alpha-ID Code Binding: MII VS Diagnose Alpha-ID (required) Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | S Σ | 1..1 | uri | Canonische CodeSystem URL für Alpha-ID Fixed Value: http://fhir.de/CodeSystem/bfarm/alpha-id
version | S Σ | 1..1 | string | Die Jahresversion von Alpha-ID. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017")
code | S Σ | 1..1 | code | Der Alpha-ID-Code
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
coding:sct | S Σ | 0..1 | Coding | SNOMED CT Code Binding: MII VS Diagnose Diagnose-Codes SNOMED (required) Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | S Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct
version | S Σ | 0..1 | string | Version of the system - if relevant
code | S Σ | 1..1 | code | Symbol in syntax defined by the system
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
coding:orphanet | S Σ | 0..1 | Coding | ORPHAcode Binding: MII VS Diagnose Orphanet (required) Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | S Σ | 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 | S Σ | 1..1 | code | Symbol in syntax defined by the system
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Plain text representation of the concept
bodySite | S Σ | 0..* | CodeableConcept | Körperstelle Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding | S Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:system
coding:snomed-ct | S Σ | 0..1 | Coding | SNOMED CT Code Binding: MII VS Diagnose BodyStructure SNOMED (required)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | S Σ | 1..1 | uri | Identity of the terminology system Required Pattern: http://snomed.info/sct
version | S Σ | 0..1 | string | Version of the system - if relevant
code | S Σ | 1..1 | code | Symbol in syntax defined by the system
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Plain text representation of the concept
subject | S Σ | 1..1 | Reference(Patient | Group) | Who has the condition?
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 | S Σ C | 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 | S Σ | 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 | S Σ C | 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] | S Σ | 0..1 |  | Beginn Slice: Unordered, Closed by type:$this
onsetDateTime |  |  | dateTime |
onsetAge |  |  | Age |
onsetPeriod |  |  | Period |
onset[x]:onsetPeriod | S Σ | 0..1 | Period | Beginn Zeitraum
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
start | S Σ C | 0..1 | dateTime | Starting time with inclusive boundary
id |  | 0..1 | string | xml:id (or equivalent in JSON)
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
Slices for extension |  |  |  | Content/Rules for all slices
extension:lebensphase-von | S | 0..1 | (Complex) | Optional Extensions Element URL: http://fhir.de/StructureDefinition/lebensphase Constraints: ext-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Additional content defined by implementations Slice: Unordered, Open by value:url
url | 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 | S Σ | 1..1 | Coding | Code defined by a terminology system Binding: LebensphaseDe ValueSet (required): Lebensphase
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | S Σ | 1..1 | uri | Identity of the terminology system
version | Σ | 0..1 | string | Version of the system - if relevant
code | S Σ | 1..1 | code | Symbol in syntax defined by the system
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Plain text representation of the concept
value |  | 0..1 | dateTime | Primitive value for dateTime
end | S Σ C | 0..1 | dateTime | End time with inclusive boundary, if not ongoing
id |  | 0..1 | string | xml:id (or equivalent in JSON)
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
Slices for extension |  |  |  | Content/Rules for all slices
extension:lebensphase-bis | S | 0..1 | (Complex) | Optional Extensions Element URL: http://fhir.de/StructureDefinition/lebensphase Constraints: ext-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Additional content defined by implementations Slice: Unordered, Open by value:url
url | 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 | S Σ | 1..1 | Coding | Code defined by a terminology system Binding: LebensphaseDe ValueSet (required): Lebensphase
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | S Σ | 1..1 | uri | Identity of the terminology system
version | Σ | 0..1 | string | Version of the system - if relevant
code | S Σ | 1..1 | code | Symbol in syntax defined by the system
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Plain text representation of the concept
value |  | 0..1 | dateTime | Primitive value for dateTime
onset[x]:onsetDateTime | S Σ | 0..1 | dateTime | Beginn Datum
onset[x]:onsetAge | S Σ | 0..1 | Age | Erkrankungsbeginn als Alter
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
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 | S Σ | 1..1 | Coding | Code defined by a terminology system Binding: LebensphaseDe ValueSet (required): Lebensphase
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | S Σ | 1..1 | uri | Identity of the terminology system
version | Σ | 0..1 | string | Version of the system - if relevant
code | S Σ | 1..1 | code | Symbol in syntax defined by the system
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Plain text representation of the concept
value | Σ | 0..1 | decimal | Numerical value (with implicit precision)
comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit | Σ | 0..1 | string | Unit representation
system | Σ C | 0..1 | uri | System that defines coded unit form
code | Σ | 0..1 | code | Coded form of the unit
abatement[x] | C | 0..1 |  | When in resolution/remission
abatementDateTime |  |  | dateTime |
abatementAge |  |  | Age |
abatementPeriod |  |  | Period |
abatementRange |  |  | Range |
abatementString |  |  | string |
recordedDate | S Σ | 1..1 | dateTime | Aufzeichnungsdatum
recorder | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Who recorded the condition
asserter | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Person who asserts this condition
stage | C | 0..* | BackboneElement | Stage/grade, usually assessed formally Constraints: con-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
summary | C | 0..1 | CodeableConcept | Simple summary (disease specific) Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).
assessment | C | 0..* | Reference(ClinicalImpression | DiagnosticReport | Observation) | Formal record of assessment
type |  | 0..1 | CodeableConcept | Kind of staging Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).
evidence | C | 0..* | BackboneElement | Supporting evidence Constraints: con-2
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | Σ C | 0..* | CodeableConcept | Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.
detail | Σ C | 0..* | Reference(Resource) | Supporting information found elsewhere
note | S | 0..* | Annotation | Hinweis
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Condition.meta.security | Base | extensible | SecurityLabels | 📍4.0.1 | FHIR Std.
Condition.meta.tag | Base | example | Common Tags | 📍4.0.1 | FHIR Std.
Condition.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
Condition.clinicalStatus | Base | required | Condition Clinical Status Codes | 📍4.0.1 | FHIR Std.
Condition.verificationStatus | Base | required | ConditionVerificationStatus | 📍4.0.1 | FHIR Std.
Condition.category | Base | extensible | Condition Category Codes | 📍4.0.1 | FHIR Std.
Condition.severity | Base | preferred | Condition/Diagnosis Severity | 📍4.0.1 | FHIR Std.
Condition.code | Base | example | Condition/Problem/Diagnosis Codes | 📍4.0.1 | FHIR Std.
Condition.code.coding:icd10-gm | Base | required | MII VS Diagnose ICD-10-GM | 📦2026.0.1 | This IG
Condition.code.coding:icd10-gm.​extension:Mehrfachcodierungs-Kennzeichen.​value[x] | Base | required | Mehrfachkodierungs-Kennzeichen ICD10GM ValueSet | 📦1.5.4 | de.basisprofil.r4 v1.5
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 | 📦2026.0.1 | This IG
Condition.code.coding:sct | Base | required | MII VS Diagnose Diagnose-Codes SNOMED | 📦2026.0.1 | This IG
Condition.code.coding:orphanet | Base | required | MII VS Diagnose Orphanet | 📦2026.0.1 | This IG
Condition.bodySite | Base | example | SNOMED CT Body Structures | 📍4.0.1 | FHIR Std.
Condition.bodySite.coding:snomed-ct | Base | required | MII VS Diagnose BodyStructure SNOMED | 📦2026.0.1 | 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]:onsetPeriod.​start.extension:lebensphase-von.​value[x].coding | Base | required | LebensphaseDe ValueSet | 📦1.5.4 | de.basisprofil.r4 v1.5
Condition.onset[x]:onsetPeriod.​end.extension:lebensphase-bis.​value[x].coding | Base | required | LebensphaseDe ValueSet | 📦1.5.4 | de.basisprofil.r4 v1.5
Condition.onset[x]:onsetAge.​extension:Lebensphase-Beginn.​value[x].coding | Base | required | LebensphaseDe ValueSet | 📦1.5.4 | de.basisprofil.r4 v1.5
Condition.onset[x]:onsetAge.​comparator | Base | required | QuantityComparator | 📍4.0.1 | FHIR Std.
Condition.stage.summary | Base | example | Condition Stage | 📍4.0.1 | FHIR Std.
Condition.stage.type | Base | example | Condition Stage Type | 📍4.0.1 | FHIR Std.
Condition.evidence.code | Base | example | Manifestation and Symptom Codes | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
con-1 | error | Condition.stage | Stage SHALL have summary or assessment | `summary.exists() or assessment.exists()`
con-2 | error | Condition.evidence | evidence SHALL have code or details | `code.exists() or detail.exists()`
con-3 | best practice | Condition | Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item | `clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()`
con-4 | error | Condition | If condition is abated, then clinicalStatus must be either inactive, resolved, or remission | `abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()`
con-5 | error | Condition | Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error | `verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()`
dom-2 | error | Condition | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Condition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Condition | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
icd-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: 85 elements

Structures

This structure refers to these other structures:

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

Extensions

This structure refers to these extensions:

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

Slices

This structure defines the following Slices:

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

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