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

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Resource Profile: MII PR SE Genetic Diagnosis

Profile for genetically confirmed diagnosis of rare diseases with OMIM codes and links to MolGen variant/diagnostic implication resources. This profile is used when a rare disease diagnosis has been confirmed through genetic testing.

Usages:

• Examples for this Profile: Condition/mii-exa-seltene-condition-marfan-genetic, Condition/mii-exa-seltene-condition-pku-diagnosis, Condition/mii-exa-seltene-condition-sma-genetic, Condition/mii-exa-seltene-example-brca1-genetic-diagnosis... Show 6 more, Condition/mii-exa-seltene-example-cf-excluded-after-screening, Condition/mii-exa-seltene-example-cf-genetic, Condition/mii-exa-seltene-example-dmd-excluded-bmd-confirmed, Condition/mii-exa-seltene-example-dmd-genetic-diagnosis, Condition/mii-exa-seltene-example-sma-excluded-genetic and Condition/mii-exa-seltene-example-sma-genetic-diagnosis
• CapabilityStatements using this Profile: MII CPS Seltene Erkrankungen CapabilityStatement

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots, and their representations.

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Condition	C	0..*	MII_PR_Diagnose_Condition	Detailed information about conditions, problems or diagnoses Constraints: con-3, con-4, con-5
id	SΣ	0..1	id	Logical id of this artifact
meta	SΣ	0..1	Meta	Metadata about the resource
source	SΣ	0..1	uri	Identifies where the resource comes from
profile	SΣ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension				Content/Rules for all slices
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)	Date the condition was first asserted 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
extension:penetrance	S	0..1	CodeableConcept	Penetranz der genetischen Variante URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-seltene/StructureDefinition/mii-ex-seltene-penetrance Binding: MII VS SE Penetrance (extensible)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
clinicalStatus	?!SΣC	0..1	CodeableConcept	Klinischer Status Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
coding	SΣ	0..*	Coding	Code defined by a terminology system
system	SΣ	0..1	uri	Identity of the terminology system
code	SΣ	0..1	code	Symbol in syntax defined by the system
verificationStatus	?!SΣC	0..1	CodeableConcept	Verifizierungsstatus Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
coding	SΣ	0..*	Coding	Code defined by a terminology system
system	SΣ	0..1	uri	Identity of the terminology system
code	SΣ	0..1	code	Symbol in syntax defined by the system
category	S	1..*	CodeableConcept	Kategorisierung als genetische Erkrankung Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 782964007
display		1..1	string	Representation defined by the system Fixed Value: Genetic disease
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
severity	S	0..1	CodeableConcept	Subjective severity of condition Binding: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.
code	SΣ	1..1	CodeableConcept	Code Binding: Condition/Problem/DiagnosisCodes (example): Identification of the condition or diagnosis.
Slices for coding	SΣ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:icd10-gm	SΣ	0..1	CodingICD10GM	ICD-10-GM Code Binding: MII VS Diagnose ICD-10-GM (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
Slices for extension				Content/Rules for all slices
extension:Mehrfachcodierungs-Kennzeichen	S	0..1	(Complex)	Optional Extensions Element URL: http://fhir.de/StructureDefinition/icd-10-gm-mehrfachcodierungs-kennzeichen
extension		0..0		Additional content defined by implementations Slice: Unordered, Open by value:url
url	S	1..1	uri	"http://fhir.de/StructureDefinition/icd-10-gm-mehrfachcodierungs-kennzeichen"
value[x]	S	1..1	Coding	Value of extension Binding: Mehrfachkodierungs-Kennzeichen ICD10GM ValueSet (required)
system	SΣ	1..1	uri	Identity of the terminology system
code	SΣ	1..1	code	Symbol in syntax defined by the system
extension:Seitenlokalisation	S	0..1	(Complex)	Optional Extensions Element URL: http://fhir.de/StructureDefinition/seitenlokalisation
extension		0..0		Additional content defined by implementations Slice: Unordered, Open by value:url
url	S	1..1	uri	"http://fhir.de/StructureDefinition/seitenlokalisation"
value[x]	S	1..1	Coding	Value of extension Binding: KBV_VS_SFHIR_ICD_SEITENLOKALISATION (required)
system	SΣ	1..1	uri	Identity of the terminology system
code	SΣ	1..1	code	Symbol in syntax defined by the system
extension:Diagnosesicherheit	S	0..1	(Complex)	Optional Extensions Element URL: http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit
extension		0..0		Additional content defined by implementations Slice: Unordered, Open by value:url
url	S	1..1	uri	"http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit"
value[x]	SC	1..1	Coding	Value of extension Binding: KBV_VS_SFHIR_ICD_DIAGNOSESICHERHEIT (required) Constraints: icd-4, icd-5, icd-6, icd-7
system	SΣ	0..1	uri	Identity of the terminology system
code	SΣ	0..1	code	Symbol in syntax defined by the system
system	SΣ	1..1	uri	Canonische CodeSystem URL für ICD-10-GM Fixed Value: http://fhir.de/CodeSystem/bfarm/icd-10-gm
version	SΣ	1..1	string	Die Jahresversion von ICD-10-GM. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017")
code	SΣC	1..1	code	Der ICD-10-Code Constraints: icd-regex Example Einfacher ICD-Code: F17.4
coding:alpha-id	SΣ	0..1	CodingAlphaID	Alpha-ID Code Binding: MII VS Diagnose Alpha-ID (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
system	SΣ	1..1	uri	Canonische CodeSystem URL für Alpha-ID Fixed Value: http://fhir.de/CodeSystem/bfarm/alpha-id
version	SΣ	1..1	string	Die Jahresversion von Alpha-ID. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017")
code	SΣ	1..1	code	Der Alpha-ID-Code
coding:sct	SΣ	0..1	Coding	SNOMED CT Code Binding: MII VS Diagnose Diagnose-Codes SNOMED (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	SΣ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
coding:orphanet	SΣ	0..1	Coding	ORPHAcode Binding: MII VS Diagnose Orphanet (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
version		0..1	string	Version of the system - if relevant
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://www.orpha.net
code	SΣ	1..1	code	Symbol in syntax defined by the system
coding:omim	SΣ	0..*	Coding	OMIM disease code 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
userSelected		0..1	boolean	If this coding was chosen directly by the user
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://omim.org
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
bodySite	SΣ	0..*	CodeableConcept	Körperstelle Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
Slices for extension				Content/Rules for all slices
extension:bodySite		0..1	Reference(BodyStructure)	Target anatomic location or structure URL: http://hl7.org/fhir/StructureDefinition/bodySite
Slices for coding	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:system
coding:snomed-ct	SΣ	0..1	Coding	SNOMED CT Code Binding: MII VS Diagnose BodyStructure SNOMED (required)
system	SΣ	1..1	uri	Identity of the terminology system Required Pattern: http://snomed.info/sct
version	SΣ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
subject	SΣ	1..1	Reference(Patient | Group)	Who has the condition?
reference	SΣC	0..1	string	Literal reference, Relative, internal or absolute URL
encounter	SΣ	0..1	Reference(Encounter)	Kontakt (Aufenthaltsbezug)
reference	SΣC	0..1	string	Literal reference, Relative, internal or absolute URL
Slices for onset[x]	SΣ	0..1		Beginn Slice: Unordered, Closed by type:$this
onsetDateTime			dateTime
onsetAge			Age
onsetPeriod			Period
onset[x]:onsetDateTime	SΣ	0..1	dateTime	Beginn Datum
onset[x]:onsetAge	SΣ	0..1	Age	Erkrankungsbeginn als Alter
Slices for extension				Content/Rules for all slices
extension:Lebensphase-Beginn		0..1	(Complex)	Lebensphase des Erkrankungsbeginns URL: http://fhir.de/StructureDefinition/lebensphase
extension		0..0		Additional content defined by implementations Slice: Unordered, Open by value:url
url	S	1..1	uri	"http://fhir.de/StructureDefinition/lebensphase"
value[x]	S	1..1	CodeableConcept	Value of extension
coding	SΣ	1..1	Coding	Code defined by a terminology system Binding: LebensphaseDe ValueSet (required): Lebensphase
system	SΣ	1..1	uri	Identity of the terminology system
code	SΣ	1..1	code	Symbol in syntax defined by the system
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
Slices for abatement[x]	SC	0..1		Ende Slice: Unordered, Open by type:$this
abatementDateTime			dateTime
abatementAge			Age
abatementPeriod			Period
abatement[x]:abatementDateTime	SC	0..1	dateTime	Ende Datum
abatement[x]:abatementAge	SC	0..1	Age	Erkrankungsende als Alter
Slices for extension				Content/Rules for all slices
extension:Lebensphase-Ende		0..1	(Complex)	Lebensphase des Erkrankungsendes URL: http://fhir.de/StructureDefinition/lebensphase
extension		0..0		Additional content defined by implementations Slice: Unordered, Open by value:url
url	S	1..1	uri	"http://fhir.de/StructureDefinition/lebensphase"
value[x]	S	1..1	CodeableConcept	Value of extension
coding	SΣ	1..1	Coding	Code defined by a terminology system Binding: LebensphaseDe ValueSet (required): Lebensphase
system	SΣ	1..1	uri	Identity of the terminology system
code	SΣ	1..1	code	Symbol in syntax defined by the system
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
recordedDate	SΣ	1..1	dateTime	Aufzeichnungsdatum
recorder	SΣ	0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Who recorded the condition
asserter	SΣ	0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Person who asserts this condition
stage	SC	0..*	BackboneElement	Stage/grade, usually assessed formally Constraints: con-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
evidence	SC	1..*	BackboneElement	Genetic evidence supporting the diagnosis Constraints: con-2
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣC	0..*	CodeableConcept	Type of genetic evidence Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:geneticEvidence	SΣ	0..1	Coding	Indicates genetic evidence Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 106221001
display		1..1	string	Representation defined by the system Fixed Value: Genetic finding
userSelected		0..1	boolean	If this coding was chosen directly by the user
detail	SΣC	1..*	Reference(Observation | DiagnosticReport)	Reference to MolGen Variant or Diagnostic Implication
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.category	Base	extensible	Condition Category Codes	📍4.0.1	FHIR Std.
Condition.severity	Base	preferred	Condition/Diagnosis Severity	📍4.0.1	FHIR Std.
Condition.code	Base	example	Condition/Problem/Diagnosis Codes	📍4.0.1	FHIR Std.
Condition.code.coding:icd10-gm	Base	required	MII VS Diagnose ICD-10-GM	📦2027.0.0-ballot	MII Implementation Guide Core Dataset Base v2027.0
Condition.code.coding:icd10-gm.​extension:Mehrfachcodierungs-Kennzeichen.​value[x]	Base	required	Mehrfachkodierungs-Kennzeichen ICD10GM ValueSet	📦1.6.0	de.basisprofil.r4 v1.6
Condition.code.coding:icd10-gm.​extension:Seitenlokalisation.​value[x]	Base	required	KBV_VS_SFHIR_ICD_SEITENLOKALISATION	⏿1.00	127.0.0.1
Condition.code.coding:icd10-gm.​extension:Diagnosesicherheit.​value[x]	Base	required	KBV_VS_SFHIR_ICD_DIAGNOSESICHERHEIT	⏿1.00	127.0.0.1
Condition.code.coding:alpha-id	Base	required	MII VS Diagnose Alpha-ID	📦2027.0.0-ballot	MII Implementation Guide Core Dataset Base v2027.0
Condition.code.coding:sct	Base	required	MII VS Diagnose Diagnose-Codes SNOMED	📦2027.0.0-ballot	MII Implementation Guide Core Dataset Base v2027.0
Condition.code.coding:orphanet	Base	required	MII VS Diagnose Orphanet	📦2027.0.0-ballot	MII Implementation Guide Core Dataset Base v2027.0
Condition.bodySite	Base	example	SNOMED CT Body Structures	📍4.0.1	FHIR Std.
Condition.bodySite.coding:snomed-ct	Base	required	MII VS Diagnose BodyStructure SNOMED	📦2027.0.0-ballot	MII Implementation Guide Core Dataset Base v2027.0
Condition.onset[x]:onsetAge.​extension:Lebensphase-Beginn.​value[x].coding	Base	required	LebensphaseDe ValueSet	📦1.6.0	de.basisprofil.r4 v1.6
Condition.onset[x]:onsetAge.​comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Condition.abatement[x]:abatementAge.​extension:Lebensphase-Ende.​value[x].coding	Base	required	LebensphaseDe ValueSet	📦1.6.0	de.basisprofil.r4 v1.6
Condition.abatement[x]:abatementAge.​comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Condition.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})?$')

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Condition		0..*	MII_PR_Diagnose_Condition	Detailed information about conditions, problems or diagnoses
Slices for extension				Content/Rules for all slices
extension:Feststellungsdatum		0..1	ConditionAssertedDate(5.3.0)	Date the condition was first asserted
value[x]		1..1	dateTime	Value of extension
extension:penetrance	S	0..1	CodeableConcept	Penetranz der genetischen Variante URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-seltene/StructureDefinition/mii-ex-seltene-penetrance Binding: MII VS SE Penetrance (extensible)
verificationStatus		0..1	CodeableConcept	Verifizierungsstatus
category	S	1..*	CodeableConcept	Kategorisierung als genetische Erkrankung Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 782964007
display		1..1	string	Representation defined by the system Fixed Value: Genetic disease
severity	S	0..1	CodeableConcept	Subjective severity of condition
code
Slices for coding				Content/Rules for all slices
coding:icd10-gm		0..1	CodingICD10GM	ICD-10-GM Code
coding:orphanet		0..1	Coding	ORPHAcode
coding:omim	S	0..*	Coding	OMIM disease code Required Pattern: At least the following
system	S	1..1	uri	Identity of the terminology system Fixed Value: http://omim.org
code	S	1..1	code	Symbol in syntax defined by the system
display	S	0..1	string	Representation defined by the system
subject		1..1	Reference(Patient | Group)	Who has the condition?
encounter		0..1	Reference(Encounter)	Kontakt (Aufenthaltsbezug)
onset[x]		0..1	dateTime, Age, Period	Beginn
Slices for onset[x]				Content/Rules for all slices
onset[x]:onsetDateTime		0..1	dateTime	Beginn Datum
recorder	S	0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Who recorded the condition
asserter	S	0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Person who asserts this condition
stage	S	0..*	BackboneElement	Stage/grade, usually assessed formally
evidence	S	1..*	BackboneElement	Genetic evidence supporting the diagnosis
code	S	0..*	CodeableConcept	Type of genetic evidence
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:geneticEvidence	S	0..1	Coding	Indicates genetic evidence Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 106221001
display		1..1	string	Representation defined by the system Fixed Value: Genetic finding
detail	S	1..*	Reference(Observation | DiagnosticReport)	Reference to MolGen Variant or Diagnostic Implication
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Condition	C	0..*	MII_PR_Diagnose_Condition	Detailed information about conditions, problems or diagnoses Constraints: con-3, con-4, con-5
id	SΣ	0..1	id	Logical id of this artifact
meta	SΣ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	SΣ	0..1	uri	Identifies where the resource comes from
profile	SΣ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
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)	Date the condition was first asserted 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
extension:penetrance	S	0..1	CodeableConcept	Penetranz der genetischen Variante URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-seltene/StructureDefinition/mii-ex-seltene-penetrance Binding: MII VS SE Penetrance (extensible)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Ids for this condition
clinicalStatus	?!SΣC	0..1	CodeableConcept	Klinischer Status Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
verificationStatus	?!SΣC	0..1	CodeableConcept	Verifizierungsstatus Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
category	S	1..*	CodeableConcept	Kategorisierung als genetische Erkrankung Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 782964007
display		1..1	string	Representation defined by the system Fixed Value: Genetic disease
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
severity	S	0..1	CodeableConcept	Subjective severity of condition Binding: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.
code	SΣ	1..1	CodeableConcept	Code Binding: Condition/Problem/DiagnosisCodes (example): Identification of the condition or diagnosis.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	SΣ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:icd10-gm	SΣ	0..1	CodingICD10GM	ICD-10-GM Code Binding: MII VS Diagnose ICD-10-GM (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for extension				Content/Rules for all slices
extension:Mehrfachcodierungs-Kennzeichen	S	0..1	(Complex)	Optional Extensions Element URL: http://fhir.de/StructureDefinition/icd-10-gm-mehrfachcodierungs-kennzeichen
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Additional content defined by implementations Slice: Unordered, Open by value:url
url	S	1..1	uri	"http://fhir.de/StructureDefinition/icd-10-gm-mehrfachcodierungs-kennzeichen"
value[x]	S	1..1	Coding	Value of extension Binding: Mehrfachkodierungs-Kennzeichen ICD10GM ValueSet (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
extension:Seitenlokalisation	S	0..1	(Complex)	Optional Extensions Element URL: http://fhir.de/StructureDefinition/seitenlokalisation
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Additional content defined by implementations Slice: Unordered, Open by value:url
url	S	1..1	uri	"http://fhir.de/StructureDefinition/seitenlokalisation"
value[x]	S	1..1	Coding	Value of extension Binding: KBV_VS_SFHIR_ICD_SEITENLOKALISATION (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
extension:Diagnosesicherheit	S	0..1	(Complex)	Optional Extensions Element URL: http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Additional content defined by implementations Slice: Unordered, Open by value:url
url	S	1..1	uri	"http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit"
value[x]	SC	1..1	Coding	Value of extension Binding: KBV_VS_SFHIR_ICD_DIAGNOSESICHERHEIT (required) Constraints: icd-4, icd-5, icd-6, icd-7
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
system	SΣ	1..1	uri	Canonische CodeSystem URL für ICD-10-GM Fixed Value: http://fhir.de/CodeSystem/bfarm/icd-10-gm
version	SΣ	1..1	string	Die Jahresversion von ICD-10-GM. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017")
code	SΣC	1..1	code	Der ICD-10-Code Constraints: icd-regex Example Einfacher ICD-Code: F17.4
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:alpha-id	SΣ	0..1	CodingAlphaID	Alpha-ID Code Binding: MII VS Diagnose Alpha-ID (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Canonische CodeSystem URL für Alpha-ID Fixed Value: http://fhir.de/CodeSystem/bfarm/alpha-id
version	SΣ	1..1	string	Die Jahresversion von Alpha-ID. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017")
code	SΣ	1..1	code	Der Alpha-ID-Code
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:sct	SΣ	0..1	Coding	SNOMED CT Code Binding: MII VS Diagnose Diagnose-Codes SNOMED (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	SΣ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:orphanet	SΣ	0..1	Coding	ORPHAcode Binding: MII VS Diagnose Orphanet (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://www.orpha.net
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:omim	SΣ	0..*	Coding	OMIM disease code Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://omim.org
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
bodySite	SΣ	0..*	CodeableConcept	Körperstelle Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:bodySite		0..1	Reference(BodyStructure)	Target anatomic location or structure URL: http://hl7.org/fhir/StructureDefinition/bodySite
Slices for coding	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:system
coding:snomed-ct	SΣ	0..1	Coding	SNOMED CT Code Binding: MII VS Diagnose BodyStructure SNOMED (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system Required Pattern: http://snomed.info/sct
version	SΣ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
subject	SΣ	1..1	Reference(Patient | Group)	Who has the condition?
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
encounter	SΣ	0..1	Reference(Encounter)	Kontakt (Aufenthaltsbezug)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
Slices for onset[x]	SΣ	0..1		Beginn Slice: Unordered, Closed by type:$this
onsetDateTime			dateTime
onsetAge			Age
onsetPeriod			Period
onset[x]:onsetDateTime	SΣ	0..1	dateTime	Beginn Datum
onset[x]:onsetAge	SΣ	0..1	Age	Erkrankungsbeginn als Alter
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for extension				Content/Rules for all slices
extension:Lebensphase-Beginn		0..1	(Complex)	Lebensphase des Erkrankungsbeginns URL: http://fhir.de/StructureDefinition/lebensphase
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Additional content defined by implementations Slice: Unordered, Open by value:url
url	S	1..1	uri	"http://fhir.de/StructureDefinition/lebensphase"
value[x]	S	1..1	CodeableConcept	Value of extension
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..1	Coding	Code defined by a terminology system Binding: LebensphaseDe ValueSet (required): Lebensphase
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
value	Σ	0..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	Σ	0..1	string	Unit representation
system	ΣC	0..1	uri	System that defines coded unit form
code	Σ	0..1	code	Coded form of the unit
Slices for abatement[x]	SC	0..1		Ende Slice: Unordered, Open by type:$this
abatementDateTime			dateTime
abatementAge			Age
abatementPeriod			Period
abatement[x]:abatementDateTime	SC	0..1	dateTime	Ende Datum
abatement[x]:abatementAge	SC	0..1	Age	Erkrankungsende als Alter
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for extension				Content/Rules for all slices
extension:Lebensphase-Ende		0..1	(Complex)	Lebensphase des Erkrankungsendes URL: http://fhir.de/StructureDefinition/lebensphase
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Additional content defined by implementations Slice: Unordered, Open by value:url
url	S	1..1	uri	"http://fhir.de/StructureDefinition/lebensphase"
value[x]	S	1..1	CodeableConcept	Value of extension
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..1	Coding	Code defined by a terminology system Binding: LebensphaseDe ValueSet (required): Lebensphase
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
value	Σ	0..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	Σ	0..1	string	Unit representation
system	ΣC	0..1	uri	System that defines coded unit form
code	Σ	0..1	code	Coded form of the unit
recordedDate	SΣ	1..1	dateTime	Aufzeichnungsdatum
recorder	SΣ	0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Who recorded the condition
asserter	SΣ	0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Person who asserts this condition
stage	SC	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	SC	1..*	BackboneElement	Genetic evidence supporting the diagnosis 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	SΣC	0..*	CodeableConcept	Type of genetic evidence Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a 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
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:geneticEvidence	SΣ	0..1	Coding	Indicates genetic evidence Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 106221001
display		1..1	string	Representation defined by the system Fixed Value: Genetic finding
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
detail	SΣC	1..*	Reference(Observation | DiagnosticReport)	Reference to MolGen Variant or Diagnostic Implication
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	📦2027.0.0-ballot	MII Implementation Guide Core Dataset Base v2027.0
Condition.code.coding:icd10-gm.​extension:Mehrfachcodierungs-Kennzeichen.​value[x]	Base	required	Mehrfachkodierungs-Kennzeichen ICD10GM ValueSet	📦1.6.0	de.basisprofil.r4 v1.6
Condition.code.coding:icd10-gm.​extension:Seitenlokalisation.​value[x]	Base	required	KBV_VS_SFHIR_ICD_SEITENLOKALISATION	⏿1.00	127.0.0.1
Condition.code.coding:icd10-gm.​extension:Diagnosesicherheit.​value[x]	Base	required	KBV_VS_SFHIR_ICD_DIAGNOSESICHERHEIT	⏿1.00	127.0.0.1
Condition.code.coding:alpha-id	Base	required	MII VS Diagnose Alpha-ID	📦2027.0.0-ballot	MII Implementation Guide Core Dataset Base v2027.0
Condition.code.coding:sct	Base	required	MII VS Diagnose Diagnose-Codes SNOMED	📦2027.0.0-ballot	MII Implementation Guide Core Dataset Base v2027.0
Condition.code.coding:orphanet	Base	required	MII VS Diagnose Orphanet	📦2027.0.0-ballot	MII Implementation Guide Core Dataset Base v2027.0
Condition.bodySite	Base	example	SNOMED CT Body Structures	📍4.0.1	FHIR Std.
Condition.bodySite.coding:snomed-ct	Base	required	MII VS Diagnose BodyStructure SNOMED	📦2027.0.0-ballot	MII Implementation Guide Core Dataset Base v2027.0
Condition.subject.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Condition.encounter.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Condition.onset[x]:onsetAge.​extension:Lebensphase-Beginn.​value[x].coding	Base	required	LebensphaseDe ValueSet	📦1.6.0	de.basisprofil.r4 v1.6
Condition.onset[x]:onsetAge.​comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Condition.abatement[x]:abatementAge.​extension:Lebensphase-Ende.​value[x].coding	Base	required	LebensphaseDe ValueSet	📦1.6.0	de.basisprofil.r4 v1.6
Condition.abatement[x]:abatementAge.​comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Condition.stage.summary	Base	example	Condition Stage	📍4.0.1	FHIR Std.
Condition.stage.type	Base	example	Condition Stage Type	📍4.0.1	FHIR Std.
Condition.evidence.code	Base	example	Manifestation and Symptom Codes	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
con-1	error	Condition.stage	Stage SHALL have summary or assessment	summary.exists() or assessment.exists()
con-2	error	Condition.evidence	evidence SHALL have code or details	code.exists() or detail.exists()
con-3	best practice	Condition	Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item	clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
con-4	error	Condition	If condition is abated, then clinicalStatus must be either inactive, resolved, or remission	abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
con-5	error	Condition	Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error	verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
dom-2	error	Condition	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Condition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Condition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Condition	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Condition	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
icd-4	warning	Condition.code.coding:icd10-gm.extension:Diagnosesicherheit.value[x]	Wenn die Diagnosesicherheit "A (Ausschluss)" verwendet wird, dann muss clinicalStatus leer bleiben und verificationStaus auf "refuted" gesetzt werden.	code!='A' or (%resource.verificationStatus.coding.where(code='refuted').exists() and %resource.clinicalStatus.empty())
icd-5	warning	Condition.code.coding:icd10-gm.extension:Diagnosesicherheit.value[x]	Wenn die Diagnosesicherheit "G (Gesichert)" verwendet wird, dann muss clinicalStatus auf "active" und verificationStatus auf "confirmed" gesetzt werden.	code!='G' or (%resource.clinicalStatus.coding.where(code='active').exists() and %resource.verificationStatus.coding.where(code='confirmed').exists())
icd-6	warning	Condition.code.coding:icd10-gm.extension:Diagnosesicherheit.value[x]	Wenn die Diagnosesicherheit "V (Verdacht auf)" verwendet wird, dann muss clinicalStatus auf "active" und verificationStatus auf "provisional" oder "differential" gesetzt werden.	code!='V' or (%resource.clinicalStatus.coding.where(code='active').exists() and (%resource.verificationStatus.coding.where(code='provisional').exists() or %resource.verificationStatus.coding.where(code='differential').exists()))
icd-7	warning	Condition.code.coding:icd10-gm.extension:Diagnosesicherheit.value[x]	Wenn die Diagnosesicherheit "Z (Zustand nach)" verwendet wird, dann muss clinicalStatus auf "resolved" und verificationStatus auf "confirmed" gesetzt werden.	code!='Z' or (%resource.clinicalStatus.coding.where(code='resolved').exists() and %resource.verificationStatus.coding.where(code='confirmed').exists())
icd-regex	warning	Condition.code.coding:icd10-gm.code	In code sind nur gültige ICD-10-Codes ohne Zusätze erlaubt	matches('^[A-Z][0-9][A-Z0-9](\\.?[A-Z0-9]{0,4})?$')

Summary

Mandatory: 3 elements(2 nested mandatory elements)
Must-Support: 14 elements

Extensions

This structure refers to these extensions:

• https://www.medizininformatik-initiative.de/fhir/ext/modul-seltene/StructureDefinition/mii-ex-seltene-penetrance

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Condition.evidence.code.coding

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Condition	C	0..*	MII_PR_Diagnose_Condition	Detailed information about conditions, problems or diagnoses Constraints: con-3, con-4, con-5
id	SΣ	0..1	id	Logical id of this artifact
meta	SΣ	0..1	Meta	Metadata about the resource
source	SΣ	0..1	uri	Identifies where the resource comes from
profile	SΣ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension				Content/Rules for all slices
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)	Date the condition was first asserted 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
extension:penetrance	S	0..1	CodeableConcept	Penetranz der genetischen Variante URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-seltene/StructureDefinition/mii-ex-seltene-penetrance Binding: MII VS SE Penetrance (extensible)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
clinicalStatus	?!SΣC	0..1	CodeableConcept	Klinischer Status Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
coding	SΣ	0..*	Coding	Code defined by a terminology system
system	SΣ	0..1	uri	Identity of the terminology system
code	SΣ	0..1	code	Symbol in syntax defined by the system
verificationStatus	?!SΣC	0..1	CodeableConcept	Verifizierungsstatus Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
coding	SΣ	0..*	Coding	Code defined by a terminology system
system	SΣ	0..1	uri	Identity of the terminology system
code	SΣ	0..1	code	Symbol in syntax defined by the system
category	S	1..*	CodeableConcept	Kategorisierung als genetische Erkrankung Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 782964007
display		1..1	string	Representation defined by the system Fixed Value: Genetic disease
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
severity	S	0..1	CodeableConcept	Subjective severity of condition Binding: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.
code	SΣ	1..1	CodeableConcept	Code Binding: Condition/Problem/DiagnosisCodes (example): Identification of the condition or diagnosis.
Slices for coding	SΣ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:icd10-gm	SΣ	0..1	CodingICD10GM	ICD-10-GM Code Binding: MII VS Diagnose ICD-10-GM (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
Slices for extension				Content/Rules for all slices
extension:Mehrfachcodierungs-Kennzeichen	S	0..1	(Complex)	Optional Extensions Element URL: http://fhir.de/StructureDefinition/icd-10-gm-mehrfachcodierungs-kennzeichen
extension		0..0		Additional content defined by implementations Slice: Unordered, Open by value:url
url	S	1..1	uri	"http://fhir.de/StructureDefinition/icd-10-gm-mehrfachcodierungs-kennzeichen"
value[x]	S	1..1	Coding	Value of extension Binding: Mehrfachkodierungs-Kennzeichen ICD10GM ValueSet (required)
system	SΣ	1..1	uri	Identity of the terminology system
code	SΣ	1..1	code	Symbol in syntax defined by the system
extension:Seitenlokalisation	S	0..1	(Complex)	Optional Extensions Element URL: http://fhir.de/StructureDefinition/seitenlokalisation
extension		0..0		Additional content defined by implementations Slice: Unordered, Open by value:url
url	S	1..1	uri	"http://fhir.de/StructureDefinition/seitenlokalisation"
value[x]	S	1..1	Coding	Value of extension Binding: KBV_VS_SFHIR_ICD_SEITENLOKALISATION (required)
system	SΣ	1..1	uri	Identity of the terminology system
code	SΣ	1..1	code	Symbol in syntax defined by the system
extension:Diagnosesicherheit	S	0..1	(Complex)	Optional Extensions Element URL: http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit
extension		0..0		Additional content defined by implementations Slice: Unordered, Open by value:url
url	S	1..1	uri	"http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit"
value[x]	SC	1..1	Coding	Value of extension Binding: KBV_VS_SFHIR_ICD_DIAGNOSESICHERHEIT (required) Constraints: icd-4, icd-5, icd-6, icd-7
system	SΣ	0..1	uri	Identity of the terminology system
code	SΣ	0..1	code	Symbol in syntax defined by the system
system	SΣ	1..1	uri	Canonische CodeSystem URL für ICD-10-GM Fixed Value: http://fhir.de/CodeSystem/bfarm/icd-10-gm
version	SΣ	1..1	string	Die Jahresversion von ICD-10-GM. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017")
code	SΣC	1..1	code	Der ICD-10-Code Constraints: icd-regex Example Einfacher ICD-Code: F17.4
coding:alpha-id	SΣ	0..1	CodingAlphaID	Alpha-ID Code Binding: MII VS Diagnose Alpha-ID (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
system	SΣ	1..1	uri	Canonische CodeSystem URL für Alpha-ID Fixed Value: http://fhir.de/CodeSystem/bfarm/alpha-id
version	SΣ	1..1	string	Die Jahresversion von Alpha-ID. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017")
code	SΣ	1..1	code	Der Alpha-ID-Code
coding:sct	SΣ	0..1	Coding	SNOMED CT Code Binding: MII VS Diagnose Diagnose-Codes SNOMED (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	SΣ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
coding:orphanet	SΣ	0..1	Coding	ORPHAcode Binding: MII VS Diagnose Orphanet (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
version		0..1	string	Version of the system - if relevant
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://www.orpha.net
code	SΣ	1..1	code	Symbol in syntax defined by the system
coding:omim	SΣ	0..*	Coding	OMIM disease code 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
userSelected		0..1	boolean	If this coding was chosen directly by the user
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://omim.org
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
bodySite	SΣ	0..*	CodeableConcept	Körperstelle Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
Slices for extension				Content/Rules for all slices
extension:bodySite		0..1	Reference(BodyStructure)	Target anatomic location or structure URL: http://hl7.org/fhir/StructureDefinition/bodySite
Slices for coding	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:system
coding:snomed-ct	SΣ	0..1	Coding	SNOMED CT Code Binding: MII VS Diagnose BodyStructure SNOMED (required)
system	SΣ	1..1	uri	Identity of the terminology system Required Pattern: http://snomed.info/sct
version	SΣ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
subject	SΣ	1..1	Reference(Patient | Group)	Who has the condition?
reference	SΣC	0..1	string	Literal reference, Relative, internal or absolute URL
encounter	SΣ	0..1	Reference(Encounter)	Kontakt (Aufenthaltsbezug)
reference	SΣC	0..1	string	Literal reference, Relative, internal or absolute URL
Slices for onset[x]	SΣ	0..1		Beginn Slice: Unordered, Closed by type:$this
onsetDateTime			dateTime
onsetAge			Age
onsetPeriod			Period
onset[x]:onsetDateTime	SΣ	0..1	dateTime	Beginn Datum
onset[x]:onsetAge	SΣ	0..1	Age	Erkrankungsbeginn als Alter
Slices for extension				Content/Rules for all slices
extension:Lebensphase-Beginn		0..1	(Complex)	Lebensphase des Erkrankungsbeginns URL: http://fhir.de/StructureDefinition/lebensphase
extension		0..0		Additional content defined by implementations Slice: Unordered, Open by value:url
url	S	1..1	uri	"http://fhir.de/StructureDefinition/lebensphase"
value[x]	S	1..1	CodeableConcept	Value of extension
coding	SΣ	1..1	Coding	Code defined by a terminology system Binding: LebensphaseDe ValueSet (required): Lebensphase
system	SΣ	1..1	uri	Identity of the terminology system
code	SΣ	1..1	code	Symbol in syntax defined by the system
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
Slices for abatement[x]	SC	0..1		Ende Slice: Unordered, Open by type:$this
abatementDateTime			dateTime
abatementAge			Age
abatementPeriod			Period
abatement[x]:abatementDateTime	SC	0..1	dateTime	Ende Datum
abatement[x]:abatementAge	SC	0..1	Age	Erkrankungsende als Alter
Slices for extension				Content/Rules for all slices
extension:Lebensphase-Ende		0..1	(Complex)	Lebensphase des Erkrankungsendes URL: http://fhir.de/StructureDefinition/lebensphase
extension		0..0		Additional content defined by implementations Slice: Unordered, Open by value:url
url	S	1..1	uri	"http://fhir.de/StructureDefinition/lebensphase"
value[x]	S	1..1	CodeableConcept	Value of extension
coding	SΣ	1..1	Coding	Code defined by a terminology system Binding: LebensphaseDe ValueSet (required): Lebensphase
system	SΣ	1..1	uri	Identity of the terminology system
code	SΣ	1..1	code	Symbol in syntax defined by the system
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
recordedDate	SΣ	1..1	dateTime	Aufzeichnungsdatum
recorder	SΣ	0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Who recorded the condition
asserter	SΣ	0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Person who asserts this condition
stage	SC	0..*	BackboneElement	Stage/grade, usually assessed formally Constraints: con-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
evidence	SC	1..*	BackboneElement	Genetic evidence supporting the diagnosis Constraints: con-2
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣC	0..*	CodeableConcept	Type of genetic evidence Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:geneticEvidence	SΣ	0..1	Coding	Indicates genetic evidence Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 106221001
display		1..1	string	Representation defined by the system Fixed Value: Genetic finding
userSelected		0..1	boolean	If this coding was chosen directly by the user
detail	SΣC	1..*	Reference(Observation | DiagnosticReport)	Reference to MolGen Variant or Diagnostic Implication
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.category	Base	extensible	Condition Category Codes	📍4.0.1	FHIR Std.
Condition.severity	Base	preferred	Condition/Diagnosis Severity	📍4.0.1	FHIR Std.
Condition.code	Base	example	Condition/Problem/Diagnosis Codes	📍4.0.1	FHIR Std.
Condition.code.coding:icd10-gm	Base	required	MII VS Diagnose ICD-10-GM	📦2027.0.0-ballot	MII Implementation Guide Core Dataset Base v2027.0
Condition.code.coding:icd10-gm.​extension:Mehrfachcodierungs-Kennzeichen.​value[x]	Base	required	Mehrfachkodierungs-Kennzeichen ICD10GM ValueSet	📦1.6.0	de.basisprofil.r4 v1.6
Condition.code.coding:icd10-gm.​extension:Seitenlokalisation.​value[x]	Base	required	KBV_VS_SFHIR_ICD_SEITENLOKALISATION	⏿1.00	127.0.0.1
Condition.code.coding:icd10-gm.​extension:Diagnosesicherheit.​value[x]	Base	required	KBV_VS_SFHIR_ICD_DIAGNOSESICHERHEIT	⏿1.00	127.0.0.1
Condition.code.coding:alpha-id	Base	required	MII VS Diagnose Alpha-ID	📦2027.0.0-ballot	MII Implementation Guide Core Dataset Base v2027.0
Condition.code.coding:sct	Base	required	MII VS Diagnose Diagnose-Codes SNOMED	📦2027.0.0-ballot	MII Implementation Guide Core Dataset Base v2027.0
Condition.code.coding:orphanet	Base	required	MII VS Diagnose Orphanet	📦2027.0.0-ballot	MII Implementation Guide Core Dataset Base v2027.0
Condition.bodySite	Base	example	SNOMED CT Body Structures	📍4.0.1	FHIR Std.
Condition.bodySite.coding:snomed-ct	Base	required	MII VS Diagnose BodyStructure SNOMED	📦2027.0.0-ballot	MII Implementation Guide Core Dataset Base v2027.0
Condition.onset[x]:onsetAge.​extension:Lebensphase-Beginn.​value[x].coding	Base	required	LebensphaseDe ValueSet	📦1.6.0	de.basisprofil.r4 v1.6
Condition.onset[x]:onsetAge.​comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Condition.abatement[x]:abatementAge.​extension:Lebensphase-Ende.​value[x].coding	Base	required	LebensphaseDe ValueSet	📦1.6.0	de.basisprofil.r4 v1.6
Condition.abatement[x]:abatementAge.​comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Condition.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})?$')

Differential View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Condition		0..*	MII_PR_Diagnose_Condition	Detailed information about conditions, problems or diagnoses
Slices for extension				Content/Rules for all slices
extension:Feststellungsdatum		0..1	ConditionAssertedDate(5.3.0)	Date the condition was first asserted
value[x]		1..1	dateTime	Value of extension
extension:penetrance	S	0..1	CodeableConcept	Penetranz der genetischen Variante URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-seltene/StructureDefinition/mii-ex-seltene-penetrance Binding: MII VS SE Penetrance (extensible)
verificationStatus		0..1	CodeableConcept	Verifizierungsstatus
category	S	1..*	CodeableConcept	Kategorisierung als genetische Erkrankung Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 782964007
display		1..1	string	Representation defined by the system Fixed Value: Genetic disease
severity	S	0..1	CodeableConcept	Subjective severity of condition
code
Slices for coding				Content/Rules for all slices
coding:icd10-gm		0..1	CodingICD10GM	ICD-10-GM Code
coding:orphanet		0..1	Coding	ORPHAcode
coding:omim	S	0..*	Coding	OMIM disease code Required Pattern: At least the following
system	S	1..1	uri	Identity of the terminology system Fixed Value: http://omim.org
code	S	1..1	code	Symbol in syntax defined by the system
display	S	0..1	string	Representation defined by the system
subject		1..1	Reference(Patient | Group)	Who has the condition?
encounter		0..1	Reference(Encounter)	Kontakt (Aufenthaltsbezug)
onset[x]		0..1	dateTime, Age, Period	Beginn
Slices for onset[x]				Content/Rules for all slices
onset[x]:onsetDateTime		0..1	dateTime	Beginn Datum
recorder	S	0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Who recorded the condition
asserter	S	0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Person who asserts this condition
stage	S	0..*	BackboneElement	Stage/grade, usually assessed formally
evidence	S	1..*	BackboneElement	Genetic evidence supporting the diagnosis
code	S	0..*	CodeableConcept	Type of genetic evidence
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:geneticEvidence	S	0..1	Coding	Indicates genetic evidence Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 106221001
display		1..1	string	Representation defined by the system Fixed Value: Genetic finding
detail	S	1..*	Reference(Observation | DiagnosticReport)	Reference to MolGen Variant or Diagnostic Implication
Documentation for this format

Snapshot ViewView

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Condition	C	0..*	MII_PR_Diagnose_Condition	Detailed information about conditions, problems or diagnoses Constraints: con-3, con-4, con-5
id	SΣ	0..1	id	Logical id of this artifact
meta	SΣ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	SΣ	0..1	uri	Identifies where the resource comes from
profile	SΣ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
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)	Date the condition was first asserted 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
extension:penetrance	S	0..1	CodeableConcept	Penetranz der genetischen Variante URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-seltene/StructureDefinition/mii-ex-seltene-penetrance Binding: MII VS SE Penetrance (extensible)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Ids for this condition
clinicalStatus	?!SΣC	0..1	CodeableConcept	Klinischer Status Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
verificationStatus	?!SΣC	0..1	CodeableConcept	Verifizierungsstatus Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
category	S	1..*	CodeableConcept	Kategorisierung als genetische Erkrankung Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 782964007
display		1..1	string	Representation defined by the system Fixed Value: Genetic disease
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
severity	S	0..1	CodeableConcept	Subjective severity of condition Binding: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.
code	SΣ	1..1	CodeableConcept	Code Binding: Condition/Problem/DiagnosisCodes (example): Identification of the condition or diagnosis.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	SΣ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:icd10-gm	SΣ	0..1	CodingICD10GM	ICD-10-GM Code Binding: MII VS Diagnose ICD-10-GM (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for extension				Content/Rules for all slices
extension:Mehrfachcodierungs-Kennzeichen	S	0..1	(Complex)	Optional Extensions Element URL: http://fhir.de/StructureDefinition/icd-10-gm-mehrfachcodierungs-kennzeichen
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Additional content defined by implementations Slice: Unordered, Open by value:url
url	S	1..1	uri	"http://fhir.de/StructureDefinition/icd-10-gm-mehrfachcodierungs-kennzeichen"
value[x]	S	1..1	Coding	Value of extension Binding: Mehrfachkodierungs-Kennzeichen ICD10GM ValueSet (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
extension:Seitenlokalisation	S	0..1	(Complex)	Optional Extensions Element URL: http://fhir.de/StructureDefinition/seitenlokalisation
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Additional content defined by implementations Slice: Unordered, Open by value:url
url	S	1..1	uri	"http://fhir.de/StructureDefinition/seitenlokalisation"
value[x]	S	1..1	Coding	Value of extension Binding: KBV_VS_SFHIR_ICD_SEITENLOKALISATION (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
extension:Diagnosesicherheit	S	0..1	(Complex)	Optional Extensions Element URL: http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Additional content defined by implementations Slice: Unordered, Open by value:url
url	S	1..1	uri	"http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit"
value[x]	SC	1..1	Coding	Value of extension Binding: KBV_VS_SFHIR_ICD_DIAGNOSESICHERHEIT (required) Constraints: icd-4, icd-5, icd-6, icd-7
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
system	SΣ	1..1	uri	Canonische CodeSystem URL für ICD-10-GM Fixed Value: http://fhir.de/CodeSystem/bfarm/icd-10-gm
version	SΣ	1..1	string	Die Jahresversion von ICD-10-GM. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017")
code	SΣC	1..1	code	Der ICD-10-Code Constraints: icd-regex Example Einfacher ICD-Code: F17.4
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:alpha-id	SΣ	0..1	CodingAlphaID	Alpha-ID Code Binding: MII VS Diagnose Alpha-ID (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Canonische CodeSystem URL für Alpha-ID Fixed Value: http://fhir.de/CodeSystem/bfarm/alpha-id
version	SΣ	1..1	string	Die Jahresversion von Alpha-ID. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017")
code	SΣ	1..1	code	Der Alpha-ID-Code
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:sct	SΣ	0..1	Coding	SNOMED CT Code Binding: MII VS Diagnose Diagnose-Codes SNOMED (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	SΣ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:orphanet	SΣ	0..1	Coding	ORPHAcode Binding: MII VS Diagnose Orphanet (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://www.orpha.net
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:omim	SΣ	0..*	Coding	OMIM disease code Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://omim.org
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
bodySite	SΣ	0..*	CodeableConcept	Körperstelle Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:bodySite		0..1	Reference(BodyStructure)	Target anatomic location or structure URL: http://hl7.org/fhir/StructureDefinition/bodySite
Slices for coding	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:system
coding:snomed-ct	SΣ	0..1	Coding	SNOMED CT Code Binding: MII VS Diagnose BodyStructure SNOMED (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system Required Pattern: http://snomed.info/sct
version	SΣ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
subject	SΣ	1..1	Reference(Patient | Group)	Who has the condition?
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
encounter	SΣ	0..1	Reference(Encounter)	Kontakt (Aufenthaltsbezug)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
Slices for onset[x]	SΣ	0..1		Beginn Slice: Unordered, Closed by type:$this
onsetDateTime			dateTime
onsetAge			Age
onsetPeriod			Period
onset[x]:onsetDateTime	SΣ	0..1	dateTime	Beginn Datum
onset[x]:onsetAge	SΣ	0..1	Age	Erkrankungsbeginn als Alter
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for extension				Content/Rules for all slices
extension:Lebensphase-Beginn		0..1	(Complex)	Lebensphase des Erkrankungsbeginns URL: http://fhir.de/StructureDefinition/lebensphase
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Additional content defined by implementations Slice: Unordered, Open by value:url
url	S	1..1	uri	"http://fhir.de/StructureDefinition/lebensphase"
value[x]	S	1..1	CodeableConcept	Value of extension
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..1	Coding	Code defined by a terminology system Binding: LebensphaseDe ValueSet (required): Lebensphase
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
value	Σ	0..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	Σ	0..1	string	Unit representation
system	ΣC	0..1	uri	System that defines coded unit form
code	Σ	0..1	code	Coded form of the unit
Slices for abatement[x]	SC	0..1		Ende Slice: Unordered, Open by type:$this
abatementDateTime			dateTime
abatementAge			Age
abatementPeriod			Period
abatement[x]:abatementDateTime	SC	0..1	dateTime	Ende Datum
abatement[x]:abatementAge	SC	0..1	Age	Erkrankungsende als Alter
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for extension				Content/Rules for all slices
extension:Lebensphase-Ende		0..1	(Complex)	Lebensphase des Erkrankungsendes URL: http://fhir.de/StructureDefinition/lebensphase
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Additional content defined by implementations Slice: Unordered, Open by value:url
url	S	1..1	uri	"http://fhir.de/StructureDefinition/lebensphase"
value[x]	S	1..1	CodeableConcept	Value of extension
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..1	Coding	Code defined by a terminology system Binding: LebensphaseDe ValueSet (required): Lebensphase
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
value	Σ	0..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	Σ	0..1	string	Unit representation
system	ΣC	0..1	uri	System that defines coded unit form
code	Σ	0..1	code	Coded form of the unit
recordedDate	SΣ	1..1	dateTime	Aufzeichnungsdatum
recorder	SΣ	0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Who recorded the condition
asserter	SΣ	0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Person who asserts this condition
stage	SC	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	SC	1..*	BackboneElement	Genetic evidence supporting the diagnosis 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	SΣC	0..*	CodeableConcept	Type of genetic evidence Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a 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
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:geneticEvidence	SΣ	0..1	Coding	Indicates genetic evidence Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 106221001
display		1..1	string	Representation defined by the system Fixed Value: Genetic finding
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
detail	SΣC	1..*	Reference(Observation | DiagnosticReport)	Reference to MolGen Variant or Diagnostic Implication
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	📦2027.0.0-ballot	MII Implementation Guide Core Dataset Base v2027.0
Condition.code.coding:icd10-gm.​extension:Mehrfachcodierungs-Kennzeichen.​value[x]	Base	required	Mehrfachkodierungs-Kennzeichen ICD10GM ValueSet	📦1.6.0	de.basisprofil.r4 v1.6
Condition.code.coding:icd10-gm.​extension:Seitenlokalisation.​value[x]	Base	required	KBV_VS_SFHIR_ICD_SEITENLOKALISATION	⏿1.00	127.0.0.1
Condition.code.coding:icd10-gm.​extension:Diagnosesicherheit.​value[x]	Base	required	KBV_VS_SFHIR_ICD_DIAGNOSESICHERHEIT	⏿1.00	127.0.0.1
Condition.code.coding:alpha-id	Base	required	MII VS Diagnose Alpha-ID	📦2027.0.0-ballot	MII Implementation Guide Core Dataset Base v2027.0
Condition.code.coding:sct	Base	required	MII VS Diagnose Diagnose-Codes SNOMED	📦2027.0.0-ballot	MII Implementation Guide Core Dataset Base v2027.0
Condition.code.coding:orphanet	Base	required	MII VS Diagnose Orphanet	📦2027.0.0-ballot	MII Implementation Guide Core Dataset Base v2027.0
Condition.bodySite	Base	example	SNOMED CT Body Structures	📍4.0.1	FHIR Std.
Condition.bodySite.coding:snomed-ct	Base	required	MII VS Diagnose BodyStructure SNOMED	📦2027.0.0-ballot	MII Implementation Guide Core Dataset Base v2027.0
Condition.subject.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Condition.encounter.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Condition.onset[x]:onsetAge.​extension:Lebensphase-Beginn.​value[x].coding	Base	required	LebensphaseDe ValueSet	📦1.6.0	de.basisprofil.r4 v1.6
Condition.onset[x]:onsetAge.​comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Condition.abatement[x]:abatementAge.​extension:Lebensphase-Ende.​value[x].coding	Base	required	LebensphaseDe ValueSet	📦1.6.0	de.basisprofil.r4 v1.6
Condition.abatement[x]:abatementAge.​comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Condition.stage.summary	Base	example	Condition Stage	📍4.0.1	FHIR Std.
Condition.stage.type	Base	example	Condition Stage Type	📍4.0.1	FHIR Std.
Condition.evidence.code	Base	example	Manifestation and Symptom Codes	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
con-1	error	Condition.stage	Stage SHALL have summary or assessment	summary.exists() or assessment.exists()
con-2	error	Condition.evidence	evidence SHALL have code or details	code.exists() or detail.exists()
con-3	best practice	Condition	Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item	clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
con-4	error	Condition	If condition is abated, then clinicalStatus must be either inactive, resolved, or remission	abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
con-5	error	Condition	Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error	verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
dom-2	error	Condition	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Condition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Condition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Condition	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Condition	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
icd-4	warning	Condition.code.coding:icd10-gm.extension:Diagnosesicherheit.value[x]	Wenn die Diagnosesicherheit "A (Ausschluss)" verwendet wird, dann muss clinicalStatus leer bleiben und verificationStaus auf "refuted" gesetzt werden.	code!='A' or (%resource.verificationStatus.coding.where(code='refuted').exists() and %resource.clinicalStatus.empty())
icd-5	warning	Condition.code.coding:icd10-gm.extension:Diagnosesicherheit.value[x]	Wenn die Diagnosesicherheit "G (Gesichert)" verwendet wird, dann muss clinicalStatus auf "active" und verificationStatus auf "confirmed" gesetzt werden.	code!='G' or (%resource.clinicalStatus.coding.where(code='active').exists() and %resource.verificationStatus.coding.where(code='confirmed').exists())
icd-6	warning	Condition.code.coding:icd10-gm.extension:Diagnosesicherheit.value[x]	Wenn die Diagnosesicherheit "V (Verdacht auf)" verwendet wird, dann muss clinicalStatus auf "active" und verificationStatus auf "provisional" oder "differential" gesetzt werden.	code!='V' or (%resource.clinicalStatus.coding.where(code='active').exists() and (%resource.verificationStatus.coding.where(code='provisional').exists() or %resource.verificationStatus.coding.where(code='differential').exists()))
icd-7	warning	Condition.code.coding:icd10-gm.extension:Diagnosesicherheit.value[x]	Wenn die Diagnosesicherheit "Z (Zustand nach)" verwendet wird, dann muss clinicalStatus auf "resolved" und verificationStatus auf "confirmed" gesetzt werden.	code!='Z' or (%resource.clinicalStatus.coding.where(code='resolved').exists() and %resource.verificationStatus.coding.where(code='confirmed').exists())
icd-regex	warning	Condition.code.coding:icd10-gm.code	In code sind nur gültige ICD-10-Codes ohne Zusätze erlaubt	matches('^[A-Z][0-9][A-Z0-9](\\.?[A-Z0-9]{0,4})?$')

Summary

Mandatory: 3 elements(2 nested mandatory elements)
Must-Support: 14 elements

Extensions

This structure refers to these extensions:

• https://www.medizininformatik-initiative.de/fhir/ext/modul-seltene/StructureDefinition/mii-ex-seltene-penetrance

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Condition.evidence.code.coding