MII IG Symptom
2027.0.0-ballot - Germany

MII IG Symptom - Downloaded Version 2027.0.0-ballot See the Directory of published versions

Logical Model: MII LM Symptom - Detailed Descriptions

Active as of 2026-09-11

Definitions for the mii-lm-symptom logical model

Guidance on how to interpret the contents of this table can be foundhere

0. mii-lm-symptom
Definition

Logische Repräsentation des Basismoduls Symptom/klinischer Phänotyp


Base definition for all elements in a resource.

ShortMII LM SymptomBase for all elements
Control0..*
This element is affected by the following invariants: ele-1
Is Modifierfalse
Logical ModelInstances of this logical model are not marked to be the target of a Reference
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
2. mii-lm-symptom.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

ShortUnique id for inter-element referencing
Control0..1
Typestring
Is Modifierfalse
XML FormatIn the XML format, this property is represented as an attribute.
Summaryfalse
4. mii-lm-symptom.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

ShortAdditional content defined by implementations
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on mii-lm-symptom.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ url
  • 6. mii-lm-symptom.Condition
    Definition

    Im Sinne einer FHIR Condition: klinische Zustände, Probleme, Diagnosen oder andere Ereignisse und Situationen. Conditions können als Beschreibung von Krankheiten von Health Professionals dokumentiert sein. Conditions können im Rahmen einer Anamnese vom Patienten selber geäußert werden (Symptom).

    ShortIm Sinne einer FHIR Condition: klinische Zustände, Probleme, Diagnosen oder andere Ereignisse und Situationen. Conditions können als Beschreibung von Krankheiten von Health Professionals dokumentiert sein. Conditions können im Rahmen einer Anamnese vom Patienten selber geäußert werden (Symptom).
    Control0..*
    TypeBackboneElement
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    8. mii-lm-symptom.Condition.id
    Definition

    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

    ShortUnique id for inter-element referencing
    Control0..1
    Typestring
    Is Modifierfalse
    XML FormatIn the XML format, this property is represented as an attribute.
    Summaryfalse
    10. mii-lm-symptom.Condition.extension
    Definition

    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

    ShortAdditional content defined by implementations
    Comments

    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

    Control0..*
    TypeExtension
    Is Modifierfalse
    Summaryfalse
    Alternate Namesextensions, user content
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    SlicingThis element introduces a set of slices on mii-lm-symptom.Condition.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ url
    • 12. mii-lm-symptom.Condition.modifierExtension
      Definition

      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

      ShortExtensions that cannot be ignored even if unrecognized
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
      Summarytrue
      Requirements

      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

      Alternate Namesextensions, user content, modifiers
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      14. mii-lm-symptom.Condition.Code
      Definition

      Code für ein Symptom, Phänomen, Erkrankung, Disposition: SNOMED CT (Findings), ICD-10, OrphaCodes, HPO, MedDRA

      ShortCode für ein Symptom, Phänomen, Erkrankung, Disposition: SNOMED CT (Findings), ICD-10, OrphaCodes, HPO, MedDRA
      Control0..1
      TypeCodeableConcept
      16. mii-lm-symptom.Condition.Identifikator
      Definition

      Externer Identifikator für die Condition

      ShortExterner Identifikator für die Condition
      Control0..*
      TypeIdentifier
      18. mii-lm-symptom.Condition.Bezeichnung
      Definition

      Natürlichsprachige Bezeichnung für ein Symptom, Diagnose, Erkrankung, Phänotyp, Disposition

      ShortNatürlichsprachige Bezeichnung für ein Symptom, Diagnose, Erkrankung, Phänotyp, Disposition
      Control0..1
      Typestring
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      20. mii-lm-symptom.Condition.Beschreibung
      Definition

      Natürlichsprachige Beschreibung für ein Symptom, eine Erkrankung, eine Diagnose oder eine Disposition.

      ShortNatürlichsprachige Beschreibung für ein Symptom, eine Erkrankung, eine Diagnose oder eine Disposition.
      Control0..1
      Typestring
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      22. mii-lm-symptom.Condition.Kategorie
      Definition

      Kategorien der Condition (z.B. problem-list-item | encounter-diagnosis)

      ShortKategorien der Condition (z.B. problem-list-item | encounter-diagnosis)
      Control0..*
      TypeCodeableConcept
      24. mii-lm-symptom.Condition.Lokalisation
      Definition

      Lokalisation eines Symptoms etc. Körperstellen (Lokalisationen) werden SNOMED CT kodiert.

      ShortLokalisation eines Symptoms etc. Körperstellen (Lokalisationen) werden SNOMED CT kodiert.
      Control0..*
      TypeCodeableConcept
      26. mii-lm-symptom.Condition.KlinischRelevanterZeitraum
      Definition

      Zeitspanne des Vorhandenseins des Symptoms, der Erkrankung, der Diagnose, der Disposition, des Phänotyps

      ShortZeitspanne des Vorhandenseins des Symptoms, der Erkrankung, der Diagnose, der Disposition, des Phänotyps
      Control0..1
      TypeBackboneElement
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      28. mii-lm-symptom.Condition.KlinischRelevanterZeitraum.id
      Definition

      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

      ShortUnique id for inter-element referencing
      Control0..1
      Typestring
      Is Modifierfalse
      XML FormatIn the XML format, this property is represented as an attribute.
      Summaryfalse
      30. mii-lm-symptom.Condition.KlinischRelevanterZeitraum.extension
      Definition

      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

      ShortAdditional content defined by implementations
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is Modifierfalse
      Summaryfalse
      Alternate Namesextensions, user content
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      SlicingThis element introduces a set of slices on mii-lm-symptom.Condition.KlinischRelevanterZeitraum.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • value @ url
      • 32. mii-lm-symptom.Condition.KlinischRelevanterZeitraum.modifierExtension
        Definition

        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

        ShortExtensions that cannot be ignored even if unrecognized
        Comments

        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

        Control0..*
        TypeExtension
        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
        Summarytrue
        Requirements

        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

        Alternate Namesextensions, user content, modifiers
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        34. mii-lm-symptom.Condition.KlinischRelevanterZeitraum.Zeitraum
        Definition

        Klinisch relevanter Zeitraum als Zeitintervall mit von/am und bis.

        ShortKlinisch relevanter Zeitraum als Zeitintervall mit von/am und bis.
        Control0..1
        TypePeriod
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        per-1: If present, start SHALL have a lower value than end (start.hasValue().not() or end.hasValue().not() or (start <= end))
        36. mii-lm-symptom.Condition.KlinischRelevanterZeitraum.Zeitraum.id
        Definition

        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

        ShortUnique id for inter-element referencing
        Control0..1
        Typestring
        Is Modifierfalse
        XML FormatIn the XML format, this property is represented as an attribute.
        Summaryfalse
        38. mii-lm-symptom.Condition.KlinischRelevanterZeitraum.Zeitraum.extension
        Definition

        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

        ShortAdditional content defined by implementations
        Comments

        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

        Control0..*
        TypeExtension
        Is Modifierfalse
        Summaryfalse
        Alternate Namesextensions, user content
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        SlicingThis element introduces a set of slices on mii-lm-symptom.Condition.KlinischRelevanterZeitraum.Zeitraum.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • value @ url
        • 40. mii-lm-symptom.Condition.KlinischRelevanterZeitraum.Zeitraum.start
          Definition

          Startzeitpunkt: Zeitpunkt des Beginns des Symptoms, der Erkrankung, der Diagnose, der Disposition, des Phänotyps


          The start of the period. The boundary is inclusive.

          ShortStartzeitpunkt: Zeitpunkt des Beginns des Symptoms, der Erkrankung, der Diagnose, der Disposition, des PhänotypsStarting time with inclusive boundary
          Comments

          If the low element is missing, the meaning is that the low boundary is not known.

          Control0..1
          This element is affected by the following invariants: per-1
          TypedateTime
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          42. mii-lm-symptom.Condition.KlinischRelevanterZeitraum.Zeitraum.end
          Definition

          Endzeitpunkt: Zeitpunkt des Verschwindens des Symptoms, der Erkrankung, der Diagnose, der Disposition, des Phänotyps


          The end of the period. If the end of the period is missing, it means no end was known or planned at the time the instance was created. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time.

          Short Endzeitpunkt: Zeitpunkt des Verschwindens des Symptoms, der Erkrankung, der Diagnose, der Disposition, des PhänotypsEnd time with inclusive boundary, if not ongoing
          Comments

          The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03.

          Control0..1
          This element is affected by the following invariants: per-1
          TypedateTime
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Meaning if MissingIf the end of the period is missing, it means that the period is ongoing
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          44. mii-lm-symptom.Condition.KlinischRelevanterZeitraum.Lebensphase
          Definition

          Zusätzlich zu einem Zeitraum ist die Angabe der Lebensphase, zu der eine Krankheit vorlag/vorliegt, möglich. Hiermit lässt sich beispielsweise angeben, dass eine Person eine Krankheit bereits als Säugling gehabt hat. Das entsprechende ValueSet ist derzeit noch in Arbeit.

          ShortZusätzlich zu einem Zeitraum ist die Angabe der Lebensphase, zu der eine Krankheit vorlag/vorliegt, möglich. Hiermit lässt sich beispielsweise angeben, dass eine Person eine Krankheit bereits als Säugling gehabt hat. Das entsprechende ValueSet ist derzeit noch in Arbeit.
          Control0..1
          TypeBackboneElement
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          46. mii-lm-symptom.Condition.KlinischRelevanterZeitraum.Lebensphase.id
          Definition

          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

          ShortUnique id for inter-element referencing
          Control0..1
          Typestring
          Is Modifierfalse
          XML FormatIn the XML format, this property is represented as an attribute.
          Summaryfalse
          48. mii-lm-symptom.Condition.KlinischRelevanterZeitraum.Lebensphase.extension
          Definition

          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

          ShortAdditional content defined by implementations
          Comments

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Control0..*
          TypeExtension
          Is Modifierfalse
          Summaryfalse
          Alternate Namesextensions, user content
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          SlicingThis element introduces a set of slices on mii-lm-symptom.Condition.KlinischRelevanterZeitraum.Lebensphase.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
          • value @ url
          • 50. mii-lm-symptom.Condition.KlinischRelevanterZeitraum.Lebensphase.modifierExtension
            Definition

            May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

            ShortExtensions that cannot be ignored even if unrecognized
            Comments

            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

            Control0..*
            TypeExtension
            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
            Summarytrue
            Requirements

            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

            Alternate Namesextensions, user content, modifiers
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            52. mii-lm-symptom.Condition.KlinischRelevanterZeitraum.Lebensphase.von
            Definition

            Lebensphase Start

            ShortLebensphase Start
            Control0..1
            TypeCodeableConcept
            54. mii-lm-symptom.Condition.KlinischRelevanterZeitraum.Lebensphase.bis
            Definition

            Lebensphase Ende

            ShortLebensphase Ende
            Control0..1
            TypeCodeableConcept
            56. mii-lm-symptom.Condition.Beobachtungszeitpunkt
            Definition

            Zeitpunkt der Beobachtung/Feststellung des Symptoms, Erkrankung, Diagnose, Disposition.

            ShortZeitpunkt der Beobachtung/Feststellung des Symptoms, Erkrankung, Diagnose, Disposition.
            Control0..1
            TypedateTime
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            58. mii-lm-symptom.Condition.Dokumentationszeitpunkt
            Definition

            Zeitpunkt der Dokumentation das Symptoms, Erkrankung, Diagnose, Disposition

            ShortZeitpunkt der Dokumentation das Symptoms, Erkrankung, Diagnose, Disposition
            Control0..1
            TypedateTime
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            60. mii-lm-symptom.Condition.Status
            Definition

            Status des Symptoms, Erkrankung, Diagnose, Disposition: "Aktiv", "Zustand nach", "in Remission", "beseitigt/geheilt"). Codiert z. B. mit ValueSet aus FHIR oder SNOMED CT.

            ShortStatus des Symptoms, Erkrankung, Diagnose, Disposition: "Aktiv", "Zustand nach", "in Remission", "beseitigt/geheilt"). Codiert z. B. mit ValueSet aus FHIR oder SNOMED CT.
            Control1..1
            TypeCodeableConcept
            62. mii-lm-symptom.Condition.Schweregrad
            Definition

            Schweregrad des Symptoms, Erkrankung, Diagnose, Disposition. Codesystem: SNOMED CT.

            ShortSchweregrad des Symptoms, Erkrankung, Diagnose, Disposition. Codesystem: SNOMED CT.
            Control0..1
            TypeCodeableConcept
            64. mii-lm-symptom.Condition.Verifikationsstatus
            Definition

            Empirische, epistemologische, algorithmische, diagnostische Gewissheit des Symptoms, Erkrankung, Diagnose, Disposition. Codesystem: SNOMED CT.

            ShortEmpirische, epistemologische, algorithmische, diagnostische Gewissheit des Symptoms, Erkrankung, Diagnose, Disposition. Codesystem: SNOMED CT.
            Control0..1
            TypeCodeableConcept
            66. mii-lm-symptom.Condition.ZugrundeliegendeBeobachtungEvidenz
            Definition

            Die dem Symptom, Erkrankung, Diagnose, Disposition zugrundeliegend Beobachtung

            ShortDie dem Symptom, Erkrankung, Diagnose, Disposition zugrundeliegend Beobachtung
            Control0..*
            TypeBackboneElement
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            68. mii-lm-symptom.Condition.ZugrundeliegendeBeobachtungEvidenz.id
            Definition

            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

            ShortUnique id for inter-element referencing
            Control0..1
            Typestring
            Is Modifierfalse
            XML FormatIn the XML format, this property is represented as an attribute.
            Summaryfalse
            70. mii-lm-symptom.Condition.ZugrundeliegendeBeobachtungEvidenz.extension
            Definition

            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

            ShortAdditional content defined by implementations
            Comments

            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

            Control0..*
            TypeExtension
            Is Modifierfalse
            Summaryfalse
            Alternate Namesextensions, user content
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            SlicingThis element introduces a set of slices on mii-lm-symptom.Condition.ZugrundeliegendeBeobachtungEvidenz.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
            • value @ url
            • 72. mii-lm-symptom.Condition.ZugrundeliegendeBeobachtungEvidenz.modifierExtension
              Definition

              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

              ShortExtensions that cannot be ignored even if unrecognized
              Comments

              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

              Control0..*
              TypeExtension
              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
              Summarytrue
              Requirements

              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

              Alternate Namesextensions, user content, modifiers
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              74. mii-lm-symptom.Condition.ZugrundeliegendeBeobachtungEvidenz.BeschreibungZugrundeliegendeBeobachtung
              Definition

              Natürlichsprachige Beschreibung einer dem Symptom zugrundeliegenden Beobachtung, Symptoms, Erkrankung, Diagnose, Disposition

              ShortNatürlichsprachige Beschreibung einer dem Symptom zugrundeliegenden Beobachtung, Symptoms, Erkrankung, Diagnose, Disposition
              Control0..1
              Typestring
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              76. mii-lm-symptom.Condition.ZugrundeliegendeBeobachtungEvidenz.CodeZugrundeliegendeBeobachtung
              Definition

              Code der zugrundeliegenden Beobachtung des Symptoms, Erkrankung, Diagnose, Disposition: SNOMED CT, LOINC

              ShortCode der zugrundeliegenden Beobachtung des Symptoms, Erkrankung, Diagnose, Disposition: SNOMED CT, LOINC
              Control0..*
              TypeCodeableConcept
              78. mii-lm-symptom.Condition.ZugrundeliegendeBeobachtungEvidenz.LinkAufZugrundeliegendeBeobachtung
              Definition

              Link auf die dem Symptom zugrundeliegenden Beobachtung für das Symptoms, Erkrankung, Diagnose, Disposition

              ShortLink auf die dem Symptom zugrundeliegenden Beobachtung für das Symptoms, Erkrankung, Diagnose, Disposition
              Control0..*
              TypeReference
              80. mii-lm-symptom.Condition.Stadium
              Definition

              Stadium der Condition

              ShortStadium der Condition
              Control0..*
              TypeBackboneElement
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              82. mii-lm-symptom.Condition.Stadium.id
              Definition

              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

              ShortUnique id for inter-element referencing
              Control0..1
              Typestring
              Is Modifierfalse
              XML FormatIn the XML format, this property is represented as an attribute.
              Summaryfalse
              84. mii-lm-symptom.Condition.Stadium.extension
              Definition

              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

              ShortAdditional content defined by implementations
              Comments

              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

              Control0..*
              TypeExtension
              Is Modifierfalse
              Summaryfalse
              Alternate Namesextensions, user content
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              SlicingThis element introduces a set of slices on mii-lm-symptom.Condition.Stadium.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
              • value @ url
              • 86. mii-lm-symptom.Condition.Stadium.modifierExtension
                Definition

                May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                ShortExtensions that cannot be ignored even if unrecognized
                Comments

                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                Control0..*
                TypeExtension
                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                Summarytrue
                Requirements

                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                Alternate Namesextensions, user content, modifiers
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                88. mii-lm-symptom.Condition.Stadium.Zusammenfassung
                Definition

                Einfache Zusammenfassung des Stadiums

                ShortEinfache Zusammenfassung des Stadiums
                Control0..1
                TypeCodeableConcept
                90. mii-lm-symptom.Condition.Stadium.Einschaetzung
                Definition

                Referenz auf eine formale Einschätzung des Stadiums (ClinicalImpression, DiagnosticReport, Observation)

                ShortReferenz auf eine formale Einschätzung des Stadiums (ClinicalImpression, DiagnosticReport, Observation)
                Control0..*
                TypeReference
                92. mii-lm-symptom.Condition.Stadium.ArtDerStadieneinteilung
                Definition

                Art der Stadieneinteilung

                ShortArt der Stadieneinteilung
                Control0..1
                TypeCodeableConcept
                94. mii-lm-symptom.Condition.Patient
                Definition

                Link auf Patient

                ShortLink auf Patient
                Control1..1
                TypeReference
                96. mii-lm-symptom.Condition.Fall
                Definition

                Link auf Behandlungsfall

                ShortLink auf Behandlungsfall
                Control0..1
                TypeReference
                98. mii-lm-symptom.Observation
                Definition

                Observation i. S. einer FHIR Observation: Messungen oder Zuweisungen zu einem Patienten. Die meisten Beobachtungen sind einfache Entity/Value Paare, sie können aber auch komplex hierarchisch aufgebaut sein.

                ShortObservation i. S. einer FHIR Observation: Messungen oder Zuweisungen zu einem Patienten. Die meisten Beobachtungen sind einfache Entity/Value Paare, sie können aber auch komplex hierarchisch aufgebaut sein.
                Control0..*
                TypeBackboneElement
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                100. mii-lm-symptom.Observation.id
                Definition

                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                ShortUnique id for inter-element referencing
                Control0..1
                Typestring
                Is Modifierfalse
                XML FormatIn the XML format, this property is represented as an attribute.
                Summaryfalse
                102. mii-lm-symptom.Observation.extension
                Definition

                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                ShortAdditional content defined by implementations
                Comments

                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                Control0..*
                TypeExtension
                Is Modifierfalse
                Summaryfalse
                Alternate Namesextensions, user content
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                SlicingThis element introduces a set of slices on mii-lm-symptom.Observation.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                • value @ url
                • 104. mii-lm-symptom.Observation.modifierExtension
                  Definition

                  May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                  Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                  ShortExtensions that cannot be ignored even if unrecognized
                  Comments

                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                  Control0..*
                  TypeExtension
                  Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                  Summarytrue
                  Requirements

                  Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                  Alternate Namesextensions, user content, modifiers
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  106. mii-lm-symptom.Observation.Identifikator
                  Definition

                  Eindeutiger Identifier der Observation

                  ShortEindeutiger Identifier der Observation
                  Control0..*
                  TypeIdentifier
                  108. mii-lm-symptom.Observation.Bezeichnung
                  Definition

                  Natürlichsprachige Bezeichnung der Observation

                  ShortNatürlichsprachige Bezeichnung der Observation
                  Control0..1
                  Typestring
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  110. mii-lm-symptom.Observation.Beschreibung
                  Definition

                  Natürlichsprachige Beschreibung der Beobachtung

                  ShortNatürlichsprachige Beschreibung der Beobachtung
                  Control0..1
                  Typestring
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  112. mii-lm-symptom.Observation.Kategorie
                  Definition

                  Kategorie der Observation

                  ShortKategorie der Observation
                  Control0..*
                  TypeCodeableConcept
                  114. mii-lm-symptom.Observation.Status
                  Definition

                  Status der Observation

                  ShortStatus der Observation
                  Control1..1
                  Typecode
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  116. mii-lm-symptom.Observation.Code
                  Definition

                  Code der Observation: z. B. LOINC, SNOMED CT, HPO

                  ShortCode der Observation: z. B. LOINC, SNOMED CT, HPO
                  Control1..1
                  TypeCodeableConcept
                  118. mii-lm-symptom.Observation.Zeitspanne
                  Definition

                  Klinisch relevante Zeitpunkte/Zeitspanne

                  ShortKlinisch relevante Zeitpunkte/Zeitspanne
                  Control0..1
                  TypePeriod
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  per-1: If present, start SHALL have a lower value than end (start.hasValue().not() or end.hasValue().not() or (start <= end))
                  120. mii-lm-symptom.Observation.Zeitspanne.id
                  Definition

                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                  ShortUnique id for inter-element referencing
                  Control0..1
                  Typestring
                  Is Modifierfalse
                  XML FormatIn the XML format, this property is represented as an attribute.
                  Summaryfalse
                  122. mii-lm-symptom.Observation.Zeitspanne.extension
                  Definition

                  May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                  ShortAdditional content defined by implementations
                  Comments

                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                  Control0..*
                  TypeExtension
                  Is Modifierfalse
                  Summaryfalse
                  Alternate Namesextensions, user content
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  SlicingThis element introduces a set of slices on mii-lm-symptom.Observation.Zeitspanne.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                  • value @ url
                  • 124. mii-lm-symptom.Observation.Zeitspanne.start
                    Definition

                    Klinisch relevanter (Start-)Zeitpunkt einer Observation


                    The start of the period. The boundary is inclusive.

                    ShortKlinisch relevanter (Start-)Zeitpunkt einer ObservationStarting time with inclusive boundary
                    Comments

                    If the low element is missing, the meaning is that the low boundary is not known.

                    Control0..1
                    This element is affected by the following invariants: per-1
                    TypedateTime
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Summarytrue
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    126. mii-lm-symptom.Observation.Zeitspanne.end
                    Definition

                    Klinisch relevanter Endzeitpunkt einer Observation


                    The end of the period. If the end of the period is missing, it means no end was known or planned at the time the instance was created. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time.

                    ShortKlinisch relevanter Endzeitpunkt einer ObservationEnd time with inclusive boundary, if not ongoing
                    Comments

                    The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03.

                    Control0..1
                    This element is affected by the following invariants: per-1
                    TypedateTime
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Summarytrue
                    Meaning if MissingIf the end of the period is missing, it means that the period is ongoing
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    128. mii-lm-symptom.Observation.Dokumentationsdatum
                    Definition

                    Zeitpunkt der Dokumentation der Observation.

                    ShortZeitpunkt der Dokumentation der Observation.
                    Control0..1
                    Typeinstant
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    130. mii-lm-symptom.Observation.Wert[x]
                    Definition

                    Wert der Observation

                    ShortWert der Observation
                    Control0..1
                    TypeChoice of: Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period
                    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    132. mii-lm-symptom.Observation.ReferenzIntervall
                    Definition

                    Referenz-Intervall entsprechend des eingebetteten komplexen Typs (Observation.referenceRange)

                    ShortReferenz-Intervall entsprechend des eingebetteten komplexen Typs (Observation.referenceRange)
                    Control0..*
                    TypeBackboneElement
                    134. mii-lm-symptom.Observation.GrundNichtVorhandenerDaten
                    Definition

                    Grund für nicht vorhandene Daten der Observation

                    ShortGrund für nicht vorhandene Daten der Observation
                    Control0..1
                    TypeCodeableConcept
                    136. mii-lm-symptom.Observation.Interpretation
                    Definition

                    Interpretation einer Observation

                    ShortInterpretation einer Observation
                    Control0..*
                    TypeCodeableConcept
                    138. mii-lm-symptom.Observation.Kommentar
                    Definition

                    Natürlichsprachiger Kommentar zur Observation.

                    ShortNatürlichsprachiger Kommentar zur Observation.
                    Control0..*
                    TypeAnnotation
                    140. mii-lm-symptom.Observation.Lokalisation
                    Definition

                    Lokalisation der Observation als SNOMED CT Body Structure codiert.

                    ShortLokalisation der Observation als SNOMED CT Body Structure codiert.
                    Control0..1
                    TypeCodeableConcept
                    142. mii-lm-symptom.Observation.Patient
                    Definition

                    Link auf Patient

                    ShortLink auf Patient
                    Control0..1
                    TypeReference
                    144. mii-lm-symptom.Observation.Fall
                    Definition

                    Fall der Observation

                    ShortFall der Observation
                    Control0..1
                    TypeReference
                    146. mii-lm-symptom.Observation.Probe
                    Definition

                    Referenz auf die Probe, auf der die Observation basiert

                    ShortReferenz auf die Probe, auf der die Observation basiert
                    Control0..1
                    TypeReference
                    148. mii-lm-symptom.Observation.Messgeraet
                    Definition

                    Referenz auf das verwendete Mess-/Untersuchungsgerät

                    ShortReferenz auf das verwendete Mess-/Untersuchungsgerät
                    Control0..1
                    TypeReference
                    150. mii-lm-symptom.Observation.Methode
                    Definition

                    Methode der Untersuchung

                    ShortMethode der Untersuchung
                    Control0..1
                    TypeCodeableConcept
                    152. mii-lm-symptom.Observation.BezugZuHatTeil
                    Definition

                    Bezug zu Ressourcen, die zu dieser Observation gehören (Observation, QuestionnaireResponse, MolecularSequence)

                    ShortBezug zu Ressourcen, die zu dieser Observation gehören (Observation, QuestionnaireResponse, MolecularSequence)
                    Control0..*
                    TypeReference
                    154. mii-lm-symptom.Observation.BezugVonIstTeilVon
                    Definition

                    Referenz auf Messunger/Beobachtungen, aus denen diese Observation hervorgeht.

                    ShortReferenz auf Messunger/Beobachtungen, aus denen diese Observation hervorgeht.
                    Control0..*
                    TypeReference
                    156. mii-lm-symptom.Observation.Komponente
                    Definition

                    Komponente einer Observation mit mehreren Komponenten (z. B. Blutdruck) entsprechend des komplexen Typs (Observation.component) mit .code, .value, .dataAbsentReason, .interpretation, .referenceRange (alle wie oben beschrieben)

                    ShortKomponente einer Observation mit mehreren Komponenten (z. B. Blutdruck) entsprechend des komplexen Typs (Observation.component) mit .code, .value, .dataAbsentReason, .interpretation, .referenceRange (alle wie oben beschrieben)
                    Control0..*
                    TypeBackboneElement

                    Guidance on how to interpret the contents of this table can be foundhere

                    0. mii-lm-symptom
                    Definition

                    Logische Repräsentation des Basismoduls Symptom/klinischer Phänotyp

                    ShortMII LM Symptom
                    Logical ModelInstances of this logical model are not marked to be the target of a Reference
                    2. mii-lm-symptom.Condition
                    Definition

                    Im Sinne einer FHIR Condition: klinische Zustände, Probleme, Diagnosen oder andere Ereignisse und Situationen. Conditions können als Beschreibung von Krankheiten von Health Professionals dokumentiert sein. Conditions können im Rahmen einer Anamnese vom Patienten selber geäußert werden (Symptom).

                    ShortIm Sinne einer FHIR Condition: klinische Zustände, Probleme, Diagnosen oder andere Ereignisse und Situationen. Conditions können als Beschreibung von Krankheiten von Health Professionals dokumentiert sein. Conditions können im Rahmen einer Anamnese vom Patienten selber geäußert werden (Symptom).
                    Control0..*
                    TypeBackboneElement
                    4. mii-lm-symptom.Condition.Code
                    Definition

                    Code für ein Symptom, Phänomen, Erkrankung, Disposition: SNOMED CT (Findings), ICD-10, OrphaCodes, HPO, MedDRA

                    ShortCode für ein Symptom, Phänomen, Erkrankung, Disposition: SNOMED CT (Findings), ICD-10, OrphaCodes, HPO, MedDRA
                    Control0..1
                    TypeCodeableConcept
                    6. mii-lm-symptom.Condition.Identifikator
                    Definition

                    Externer Identifikator für die Condition

                    ShortExterner Identifikator für die Condition
                    Control0..*
                    TypeIdentifier
                    8. mii-lm-symptom.Condition.Bezeichnung
                    Definition

                    Natürlichsprachige Bezeichnung für ein Symptom, Diagnose, Erkrankung, Phänotyp, Disposition

                    ShortNatürlichsprachige Bezeichnung für ein Symptom, Diagnose, Erkrankung, Phänotyp, Disposition
                    Control0..1
                    Typestring
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    10. mii-lm-symptom.Condition.Beschreibung
                    Definition

                    Natürlichsprachige Beschreibung für ein Symptom, eine Erkrankung, eine Diagnose oder eine Disposition.

                    ShortNatürlichsprachige Beschreibung für ein Symptom, eine Erkrankung, eine Diagnose oder eine Disposition.
                    Control0..1
                    Typestring
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    12. mii-lm-symptom.Condition.Kategorie
                    Definition

                    Kategorien der Condition (z.B. problem-list-item | encounter-diagnosis)

                    ShortKategorien der Condition (z.B. problem-list-item | encounter-diagnosis)
                    Control0..*
                    TypeCodeableConcept
                    14. mii-lm-symptom.Condition.Lokalisation
                    Definition

                    Lokalisation eines Symptoms etc. Körperstellen (Lokalisationen) werden SNOMED CT kodiert.

                    ShortLokalisation eines Symptoms etc. Körperstellen (Lokalisationen) werden SNOMED CT kodiert.
                    Control0..*
                    TypeCodeableConcept
                    16. mii-lm-symptom.Condition.KlinischRelevanterZeitraum
                    Definition

                    Zeitspanne des Vorhandenseins des Symptoms, der Erkrankung, der Diagnose, der Disposition, des Phänotyps

                    ShortZeitspanne des Vorhandenseins des Symptoms, der Erkrankung, der Diagnose, der Disposition, des Phänotyps
                    Control0..1
                    TypeBackboneElement
                    18. mii-lm-symptom.Condition.KlinischRelevanterZeitraum.Zeitraum
                    Definition

                    Klinisch relevanter Zeitraum als Zeitintervall mit von/am und bis.

                    ShortKlinisch relevanter Zeitraum als Zeitintervall mit von/am und bis.
                    Control0..1
                    TypePeriod
                    20. mii-lm-symptom.Condition.KlinischRelevanterZeitraum.Zeitraum.start
                    Definition

                    Startzeitpunkt: Zeitpunkt des Beginns des Symptoms, der Erkrankung, der Diagnose, der Disposition, des Phänotyps

                    ShortStartzeitpunkt: Zeitpunkt des Beginns des Symptoms, der Erkrankung, der Diagnose, der Disposition, des Phänotyps
                    Control0..1
                    TypedateTime
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    22. mii-lm-symptom.Condition.KlinischRelevanterZeitraum.Zeitraum.end
                    Definition

                    Endzeitpunkt: Zeitpunkt des Verschwindens des Symptoms, der Erkrankung, der Diagnose, der Disposition, des Phänotyps

                    Short Endzeitpunkt: Zeitpunkt des Verschwindens des Symptoms, der Erkrankung, der Diagnose, der Disposition, des Phänotyps
                    Control0..1
                    TypedateTime
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    24. mii-lm-symptom.Condition.KlinischRelevanterZeitraum.Lebensphase
                    Definition

                    Zusätzlich zu einem Zeitraum ist die Angabe der Lebensphase, zu der eine Krankheit vorlag/vorliegt, möglich. Hiermit lässt sich beispielsweise angeben, dass eine Person eine Krankheit bereits als Säugling gehabt hat. Das entsprechende ValueSet ist derzeit noch in Arbeit.

                    ShortZusätzlich zu einem Zeitraum ist die Angabe der Lebensphase, zu der eine Krankheit vorlag/vorliegt, möglich. Hiermit lässt sich beispielsweise angeben, dass eine Person eine Krankheit bereits als Säugling gehabt hat. Das entsprechende ValueSet ist derzeit noch in Arbeit.
                    Control0..1
                    TypeBackboneElement
                    26. mii-lm-symptom.Condition.KlinischRelevanterZeitraum.Lebensphase.von
                    Definition

                    Lebensphase Start

                    ShortLebensphase Start
                    Control0..1
                    TypeCodeableConcept
                    28. mii-lm-symptom.Condition.KlinischRelevanterZeitraum.Lebensphase.bis
                    Definition

                    Lebensphase Ende

                    ShortLebensphase Ende
                    Control0..1
                    TypeCodeableConcept
                    30. mii-lm-symptom.Condition.Beobachtungszeitpunkt
                    Definition

                    Zeitpunkt der Beobachtung/Feststellung des Symptoms, Erkrankung, Diagnose, Disposition.

                    ShortZeitpunkt der Beobachtung/Feststellung des Symptoms, Erkrankung, Diagnose, Disposition.
                    Control0..1
                    TypedateTime
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    32. mii-lm-symptom.Condition.Dokumentationszeitpunkt
                    Definition

                    Zeitpunkt der Dokumentation das Symptoms, Erkrankung, Diagnose, Disposition

                    ShortZeitpunkt der Dokumentation das Symptoms, Erkrankung, Diagnose, Disposition
                    Control0..1
                    TypedateTime
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    34. mii-lm-symptom.Condition.Status
                    Definition

                    Status des Symptoms, Erkrankung, Diagnose, Disposition: "Aktiv", "Zustand nach", "in Remission", "beseitigt/geheilt"). Codiert z. B. mit ValueSet aus FHIR oder SNOMED CT.

                    ShortStatus des Symptoms, Erkrankung, Diagnose, Disposition: "Aktiv", "Zustand nach", "in Remission", "beseitigt/geheilt"). Codiert z. B. mit ValueSet aus FHIR oder SNOMED CT.
                    Control1..1
                    TypeCodeableConcept
                    36. mii-lm-symptom.Condition.Schweregrad
                    Definition

                    Schweregrad des Symptoms, Erkrankung, Diagnose, Disposition. Codesystem: SNOMED CT.

                    ShortSchweregrad des Symptoms, Erkrankung, Diagnose, Disposition. Codesystem: SNOMED CT.
                    Control0..1
                    TypeCodeableConcept
                    38. mii-lm-symptom.Condition.Verifikationsstatus
                    Definition

                    Empirische, epistemologische, algorithmische, diagnostische Gewissheit des Symptoms, Erkrankung, Diagnose, Disposition. Codesystem: SNOMED CT.

                    ShortEmpirische, epistemologische, algorithmische, diagnostische Gewissheit des Symptoms, Erkrankung, Diagnose, Disposition. Codesystem: SNOMED CT.
                    Control0..1
                    TypeCodeableConcept
                    40. mii-lm-symptom.Condition.ZugrundeliegendeBeobachtungEvidenz
                    Definition

                    Die dem Symptom, Erkrankung, Diagnose, Disposition zugrundeliegend Beobachtung

                    ShortDie dem Symptom, Erkrankung, Diagnose, Disposition zugrundeliegend Beobachtung
                    Control0..*
                    TypeBackboneElement
                    42. mii-lm-symptom.Condition.ZugrundeliegendeBeobachtungEvidenz.BeschreibungZugrundeliegendeBeobachtung
                    Definition

                    Natürlichsprachige Beschreibung einer dem Symptom zugrundeliegenden Beobachtung, Symptoms, Erkrankung, Diagnose, Disposition

                    ShortNatürlichsprachige Beschreibung einer dem Symptom zugrundeliegenden Beobachtung, Symptoms, Erkrankung, Diagnose, Disposition
                    Control0..1
                    Typestring
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    44. mii-lm-symptom.Condition.ZugrundeliegendeBeobachtungEvidenz.CodeZugrundeliegendeBeobachtung
                    Definition

                    Code der zugrundeliegenden Beobachtung des Symptoms, Erkrankung, Diagnose, Disposition: SNOMED CT, LOINC

                    ShortCode der zugrundeliegenden Beobachtung des Symptoms, Erkrankung, Diagnose, Disposition: SNOMED CT, LOINC
                    Control0..*
                    TypeCodeableConcept
                    46. mii-lm-symptom.Condition.ZugrundeliegendeBeobachtungEvidenz.LinkAufZugrundeliegendeBeobachtung
                    Definition

                    Link auf die dem Symptom zugrundeliegenden Beobachtung für das Symptoms, Erkrankung, Diagnose, Disposition

                    ShortLink auf die dem Symptom zugrundeliegenden Beobachtung für das Symptoms, Erkrankung, Diagnose, Disposition
                    Control0..*
                    TypeReference
                    48. mii-lm-symptom.Condition.Stadium
                    Definition

                    Stadium der Condition

                    ShortStadium der Condition
                    Control0..*
                    TypeBackboneElement
                    50. mii-lm-symptom.Condition.Stadium.Zusammenfassung
                    Definition

                    Einfache Zusammenfassung des Stadiums

                    ShortEinfache Zusammenfassung des Stadiums
                    Control0..1
                    TypeCodeableConcept
                    52. mii-lm-symptom.Condition.Stadium.Einschaetzung
                    Definition

                    Referenz auf eine formale Einschätzung des Stadiums (ClinicalImpression, DiagnosticReport, Observation)

                    ShortReferenz auf eine formale Einschätzung des Stadiums (ClinicalImpression, DiagnosticReport, Observation)
                    Control0..*
                    TypeReference
                    54. mii-lm-symptom.Condition.Stadium.ArtDerStadieneinteilung
                    Definition

                    Art der Stadieneinteilung

                    ShortArt der Stadieneinteilung
                    Control0..1
                    TypeCodeableConcept
                    56. mii-lm-symptom.Condition.Patient
                    Definition

                    Link auf Patient

                    ShortLink auf Patient
                    Control1..1
                    TypeReference
                    58. mii-lm-symptom.Condition.Fall
                    Definition

                    Link auf Behandlungsfall

                    ShortLink auf Behandlungsfall
                    Control0..1
                    TypeReference
                    60. mii-lm-symptom.Observation
                    Definition

                    Observation i. S. einer FHIR Observation: Messungen oder Zuweisungen zu einem Patienten. Die meisten Beobachtungen sind einfache Entity/Value Paare, sie können aber auch komplex hierarchisch aufgebaut sein.

                    ShortObservation i. S. einer FHIR Observation: Messungen oder Zuweisungen zu einem Patienten. Die meisten Beobachtungen sind einfache Entity/Value Paare, sie können aber auch komplex hierarchisch aufgebaut sein.
                    Control0..*
                    TypeBackboneElement
                    62. mii-lm-symptom.Observation.Identifikator
                    Definition

                    Eindeutiger Identifier der Observation

                    ShortEindeutiger Identifier der Observation
                    Control0..*
                    TypeIdentifier
                    64. mii-lm-symptom.Observation.Bezeichnung
                    Definition

                    Natürlichsprachige Bezeichnung der Observation

                    ShortNatürlichsprachige Bezeichnung der Observation
                    Control0..1
                    Typestring
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    66. mii-lm-symptom.Observation.Beschreibung
                    Definition

                    Natürlichsprachige Beschreibung der Beobachtung

                    ShortNatürlichsprachige Beschreibung der Beobachtung
                    Control0..1
                    Typestring
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    68. mii-lm-symptom.Observation.Kategorie
                    Definition

                    Kategorie der Observation

                    ShortKategorie der Observation
                    Control0..*
                    TypeCodeableConcept
                    70. mii-lm-symptom.Observation.Status
                    Definition

                    Status der Observation

                    ShortStatus der Observation
                    Control1..1
                    Typecode
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    72. mii-lm-symptom.Observation.Code
                    Definition

                    Code der Observation: z. B. LOINC, SNOMED CT, HPO

                    ShortCode der Observation: z. B. LOINC, SNOMED CT, HPO
                    Control1..1
                    TypeCodeableConcept
                    74. mii-lm-symptom.Observation.Zeitspanne
                    Definition

                    Klinisch relevante Zeitpunkte/Zeitspanne

                    ShortKlinisch relevante Zeitpunkte/Zeitspanne
                    Control0..1
                    TypePeriod
                    76. mii-lm-symptom.Observation.Zeitspanne.start
                    Definition

                    Klinisch relevanter (Start-)Zeitpunkt einer Observation

                    ShortKlinisch relevanter (Start-)Zeitpunkt einer Observation
                    Control0..1
                    TypedateTime
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    78. mii-lm-symptom.Observation.Zeitspanne.end
                    Definition

                    Klinisch relevanter Endzeitpunkt einer Observation

                    ShortKlinisch relevanter Endzeitpunkt einer Observation
                    Control0..1
                    TypedateTime
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    80. mii-lm-symptom.Observation.Dokumentationsdatum
                    Definition

                    Zeitpunkt der Dokumentation der Observation.

                    ShortZeitpunkt der Dokumentation der Observation.
                    Control0..1
                    Typeinstant
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    82. mii-lm-symptom.Observation.Wert[x]
                    Definition

                    Wert der Observation

                    ShortWert der Observation
                    Control0..1
                    TypeChoice of: Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period
                    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    84. mii-lm-symptom.Observation.ReferenzIntervall
                    Definition

                    Referenz-Intervall entsprechend des eingebetteten komplexen Typs (Observation.referenceRange)

                    ShortReferenz-Intervall entsprechend des eingebetteten komplexen Typs (Observation.referenceRange)
                    Control0..*
                    TypeBackboneElement
                    86. mii-lm-symptom.Observation.GrundNichtVorhandenerDaten
                    Definition

                    Grund für nicht vorhandene Daten der Observation

                    ShortGrund für nicht vorhandene Daten der Observation
                    Control0..1
                    TypeCodeableConcept
                    88. mii-lm-symptom.Observation.Interpretation
                    Definition

                    Interpretation einer Observation

                    ShortInterpretation einer Observation
                    Control0..*
                    TypeCodeableConcept
                    90. mii-lm-symptom.Observation.Kommentar
                    Definition

                    Natürlichsprachiger Kommentar zur Observation.

                    ShortNatürlichsprachiger Kommentar zur Observation.
                    Control0..*
                    TypeAnnotation
                    92. mii-lm-symptom.Observation.Lokalisation
                    Definition

                    Lokalisation der Observation als SNOMED CT Body Structure codiert.

                    ShortLokalisation der Observation als SNOMED CT Body Structure codiert.
                    Control0..1
                    TypeCodeableConcept
                    94. mii-lm-symptom.Observation.Patient
                    Definition

                    Link auf Patient

                    ShortLink auf Patient
                    Control0..1
                    TypeReference
                    96. mii-lm-symptom.Observation.Fall
                    Definition

                    Fall der Observation

                    ShortFall der Observation
                    Control0..1
                    TypeReference
                    98. mii-lm-symptom.Observation.Probe
                    Definition

                    Referenz auf die Probe, auf der die Observation basiert

                    ShortReferenz auf die Probe, auf der die Observation basiert
                    Control0..1
                    TypeReference
                    100. mii-lm-symptom.Observation.Messgeraet
                    Definition

                    Referenz auf das verwendete Mess-/Untersuchungsgerät

                    ShortReferenz auf das verwendete Mess-/Untersuchungsgerät
                    Control0..1
                    TypeReference
                    102. mii-lm-symptom.Observation.Methode
                    Definition

                    Methode der Untersuchung

                    ShortMethode der Untersuchung
                    Control0..1
                    TypeCodeableConcept
                    104. mii-lm-symptom.Observation.BezugZuHatTeil
                    Definition

                    Bezug zu Ressourcen, die zu dieser Observation gehören (Observation, QuestionnaireResponse, MolecularSequence)

                    ShortBezug zu Ressourcen, die zu dieser Observation gehören (Observation, QuestionnaireResponse, MolecularSequence)
                    Control0..*
                    TypeReference
                    106. mii-lm-symptom.Observation.BezugVonIstTeilVon
                    Definition

                    Referenz auf Messunger/Beobachtungen, aus denen diese Observation hervorgeht.

                    ShortReferenz auf Messunger/Beobachtungen, aus denen diese Observation hervorgeht.
                    Control0..*
                    TypeReference
                    108. mii-lm-symptom.Observation.Komponente
                    Definition

                    Komponente einer Observation mit mehreren Komponenten (z. B. Blutdruck) entsprechend des komplexen Typs (Observation.component) mit .code, .value, .dataAbsentReason, .interpretation, .referenceRange (alle wie oben beschrieben)

                    ShortKomponente einer Observation mit mehreren Komponenten (z. B. Blutdruck) entsprechend des komplexen Typs (Observation.component) mit .code, .value, .dataAbsentReason, .interpretation, .referenceRange (alle wie oben beschrieben)
                    Control0..*
                    TypeBackboneElement

                    Guidance on how to interpret the contents of this table can be foundhere

                    0. mii-lm-symptom
                    Definition

                    Logische Repräsentation des Basismoduls Symptom/klinischer Phänotyp

                    ShortMII LM Symptom
                    Control0..*
                    This element is affected by the following invariants: ele-1
                    Is Modifierfalse
                    Logical ModelInstances of this logical model are not marked to be the target of a Reference
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    2. mii-lm-symptom.id
                    Definition

                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                    ShortUnique id for inter-element referencing
                    Control0..1
                    Typestring
                    Is Modifierfalse
                    XML FormatIn the XML format, this property is represented as an attribute.
                    Summaryfalse
                    4. mii-lm-symptom.extension
                    Definition

                    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                    ShortAdditional content defined by implementations
                    Comments

                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                    Control0..*
                    TypeExtension
                    Is Modifierfalse
                    Summaryfalse
                    Alternate Namesextensions, user content
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    SlicingThis element introduces a set of slices on mii-lm-symptom.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                    • value @ url
                    • 6. mii-lm-symptom.Condition
                      Definition

                      Im Sinne einer FHIR Condition: klinische Zustände, Probleme, Diagnosen oder andere Ereignisse und Situationen. Conditions können als Beschreibung von Krankheiten von Health Professionals dokumentiert sein. Conditions können im Rahmen einer Anamnese vom Patienten selber geäußert werden (Symptom).

                      ShortIm Sinne einer FHIR Condition: klinische Zustände, Probleme, Diagnosen oder andere Ereignisse und Situationen. Conditions können als Beschreibung von Krankheiten von Health Professionals dokumentiert sein. Conditions können im Rahmen einer Anamnese vom Patienten selber geäußert werden (Symptom).
                      Control0..*
                      TypeBackboneElement
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      8. mii-lm-symptom.Condition.id
                      Definition

                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                      ShortUnique id for inter-element referencing
                      Control0..1
                      Typestring
                      Is Modifierfalse
                      XML FormatIn the XML format, this property is represented as an attribute.
                      Summaryfalse
                      10. mii-lm-symptom.Condition.extension
                      Definition

                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                      ShortAdditional content defined by implementations
                      Comments

                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                      Control0..*
                      TypeExtension
                      Is Modifierfalse
                      Summaryfalse
                      Alternate Namesextensions, user content
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      SlicingThis element introduces a set of slices on mii-lm-symptom.Condition.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                      • value @ url
                      • 12. mii-lm-symptom.Condition.modifierExtension
                        Definition

                        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                        ShortExtensions that cannot be ignored even if unrecognized
                        Comments

                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                        Control0..*
                        TypeExtension
                        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                        Summarytrue
                        Requirements

                        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                        Alternate Namesextensions, user content, modifiers
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                        14. mii-lm-symptom.Condition.Code
                        Definition

                        Code für ein Symptom, Phänomen, Erkrankung, Disposition: SNOMED CT (Findings), ICD-10, OrphaCodes, HPO, MedDRA

                        ShortCode für ein Symptom, Phänomen, Erkrankung, Disposition: SNOMED CT (Findings), ICD-10, OrphaCodes, HPO, MedDRA
                        Control0..1
                        TypeCodeableConcept
                        16. mii-lm-symptom.Condition.Identifikator
                        Definition

                        Externer Identifikator für die Condition

                        ShortExterner Identifikator für die Condition
                        Control0..*
                        TypeIdentifier
                        18. mii-lm-symptom.Condition.Bezeichnung
                        Definition

                        Natürlichsprachige Bezeichnung für ein Symptom, Diagnose, Erkrankung, Phänotyp, Disposition

                        ShortNatürlichsprachige Bezeichnung für ein Symptom, Diagnose, Erkrankung, Phänotyp, Disposition
                        Control0..1
                        Typestring
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        20. mii-lm-symptom.Condition.Beschreibung
                        Definition

                        Natürlichsprachige Beschreibung für ein Symptom, eine Erkrankung, eine Diagnose oder eine Disposition.

                        ShortNatürlichsprachige Beschreibung für ein Symptom, eine Erkrankung, eine Diagnose oder eine Disposition.
                        Control0..1
                        Typestring
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        22. mii-lm-symptom.Condition.Kategorie
                        Definition

                        Kategorien der Condition (z.B. problem-list-item | encounter-diagnosis)

                        ShortKategorien der Condition (z.B. problem-list-item | encounter-diagnosis)
                        Control0..*
                        TypeCodeableConcept
                        24. mii-lm-symptom.Condition.Lokalisation
                        Definition

                        Lokalisation eines Symptoms etc. Körperstellen (Lokalisationen) werden SNOMED CT kodiert.

                        ShortLokalisation eines Symptoms etc. Körperstellen (Lokalisationen) werden SNOMED CT kodiert.
                        Control0..*
                        TypeCodeableConcept
                        26. mii-lm-symptom.Condition.KlinischRelevanterZeitraum
                        Definition

                        Zeitspanne des Vorhandenseins des Symptoms, der Erkrankung, der Diagnose, der Disposition, des Phänotyps

                        ShortZeitspanne des Vorhandenseins des Symptoms, der Erkrankung, der Diagnose, der Disposition, des Phänotyps
                        Control0..1
                        TypeBackboneElement
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        28. mii-lm-symptom.Condition.KlinischRelevanterZeitraum.id
                        Definition

                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                        ShortUnique id for inter-element referencing
                        Control0..1
                        Typestring
                        Is Modifierfalse
                        XML FormatIn the XML format, this property is represented as an attribute.
                        Summaryfalse
                        30. mii-lm-symptom.Condition.KlinischRelevanterZeitraum.extension
                        Definition

                        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                        ShortAdditional content defined by implementations
                        Comments

                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                        Control0..*
                        TypeExtension
                        Is Modifierfalse
                        Summaryfalse
                        Alternate Namesextensions, user content
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                        SlicingThis element introduces a set of slices on mii-lm-symptom.Condition.KlinischRelevanterZeitraum.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                        • value @ url
                        • 32. mii-lm-symptom.Condition.KlinischRelevanterZeitraum.modifierExtension
                          Definition

                          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                          ShortExtensions that cannot be ignored even if unrecognized
                          Comments

                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                          Control0..*
                          TypeExtension
                          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                          Summarytrue
                          Requirements

                          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                          Alternate Namesextensions, user content, modifiers
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          34. mii-lm-symptom.Condition.KlinischRelevanterZeitraum.Zeitraum
                          Definition

                          Klinisch relevanter Zeitraum als Zeitintervall mit von/am und bis.

                          ShortKlinisch relevanter Zeitraum als Zeitintervall mit von/am und bis.
                          Control0..1
                          TypePeriod
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          per-1: If present, start SHALL have a lower value than end (start.hasValue().not() or end.hasValue().not() or (start <= end))
                          36. mii-lm-symptom.Condition.KlinischRelevanterZeitraum.Zeitraum.id
                          Definition

                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                          ShortUnique id for inter-element referencing
                          Control0..1
                          Typestring
                          Is Modifierfalse
                          XML FormatIn the XML format, this property is represented as an attribute.
                          Summaryfalse
                          38. mii-lm-symptom.Condition.KlinischRelevanterZeitraum.Zeitraum.extension
                          Definition

                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                          ShortAdditional content defined by implementations
                          Comments

                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                          Control0..*
                          TypeExtension
                          Is Modifierfalse
                          Summaryfalse
                          Alternate Namesextensions, user content
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          SlicingThis element introduces a set of slices on mii-lm-symptom.Condition.KlinischRelevanterZeitraum.Zeitraum.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                          • value @ url
                          • 40. mii-lm-symptom.Condition.KlinischRelevanterZeitraum.Zeitraum.start
                            Definition

                            Startzeitpunkt: Zeitpunkt des Beginns des Symptoms, der Erkrankung, der Diagnose, der Disposition, des Phänotyps

                            ShortStartzeitpunkt: Zeitpunkt des Beginns des Symptoms, der Erkrankung, der Diagnose, der Disposition, des Phänotyps
                            Comments

                            If the low element is missing, the meaning is that the low boundary is not known.

                            Control0..1
                            This element is affected by the following invariants: per-1
                            TypedateTime
                            Is Modifierfalse
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            Summarytrue
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            42. mii-lm-symptom.Condition.KlinischRelevanterZeitraum.Zeitraum.end
                            Definition

                            Endzeitpunkt: Zeitpunkt des Verschwindens des Symptoms, der Erkrankung, der Diagnose, der Disposition, des Phänotyps

                            Short Endzeitpunkt: Zeitpunkt des Verschwindens des Symptoms, der Erkrankung, der Diagnose, der Disposition, des Phänotyps
                            Comments

                            The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03.

                            Control0..1
                            This element is affected by the following invariants: per-1
                            TypedateTime
                            Is Modifierfalse
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            Summarytrue
                            Meaning if MissingIf the end of the period is missing, it means that the period is ongoing
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            44. mii-lm-symptom.Condition.KlinischRelevanterZeitraum.Lebensphase
                            Definition

                            Zusätzlich zu einem Zeitraum ist die Angabe der Lebensphase, zu der eine Krankheit vorlag/vorliegt, möglich. Hiermit lässt sich beispielsweise angeben, dass eine Person eine Krankheit bereits als Säugling gehabt hat. Das entsprechende ValueSet ist derzeit noch in Arbeit.

                            ShortZusätzlich zu einem Zeitraum ist die Angabe der Lebensphase, zu der eine Krankheit vorlag/vorliegt, möglich. Hiermit lässt sich beispielsweise angeben, dass eine Person eine Krankheit bereits als Säugling gehabt hat. Das entsprechende ValueSet ist derzeit noch in Arbeit.
                            Control0..1
                            TypeBackboneElement
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            46. mii-lm-symptom.Condition.KlinischRelevanterZeitraum.Lebensphase.id
                            Definition

                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                            ShortUnique id for inter-element referencing
                            Control0..1
                            Typestring
                            Is Modifierfalse
                            XML FormatIn the XML format, this property is represented as an attribute.
                            Summaryfalse
                            48. mii-lm-symptom.Condition.KlinischRelevanterZeitraum.Lebensphase.extension
                            Definition

                            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                            ShortAdditional content defined by implementations
                            Comments

                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                            Control0..*
                            TypeExtension
                            Is Modifierfalse
                            Summaryfalse
                            Alternate Namesextensions, user content
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                            SlicingThis element introduces a set of slices on mii-lm-symptom.Condition.KlinischRelevanterZeitraum.Lebensphase.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                            • value @ url
                            • 50. mii-lm-symptom.Condition.KlinischRelevanterZeitraum.Lebensphase.modifierExtension
                              Definition

                              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                              ShortExtensions that cannot be ignored even if unrecognized
                              Comments

                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                              Control0..*
                              TypeExtension
                              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                              Summarytrue
                              Requirements

                              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                              Alternate Namesextensions, user content, modifiers
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                              52. mii-lm-symptom.Condition.KlinischRelevanterZeitraum.Lebensphase.von
                              Definition

                              Lebensphase Start

                              ShortLebensphase Start
                              Control0..1
                              TypeCodeableConcept
                              54. mii-lm-symptom.Condition.KlinischRelevanterZeitraum.Lebensphase.bis
                              Definition

                              Lebensphase Ende

                              ShortLebensphase Ende
                              Control0..1
                              TypeCodeableConcept
                              56. mii-lm-symptom.Condition.Beobachtungszeitpunkt
                              Definition

                              Zeitpunkt der Beobachtung/Feststellung des Symptoms, Erkrankung, Diagnose, Disposition.

                              ShortZeitpunkt der Beobachtung/Feststellung des Symptoms, Erkrankung, Diagnose, Disposition.
                              Control0..1
                              TypedateTime
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              58. mii-lm-symptom.Condition.Dokumentationszeitpunkt
                              Definition

                              Zeitpunkt der Dokumentation das Symptoms, Erkrankung, Diagnose, Disposition

                              ShortZeitpunkt der Dokumentation das Symptoms, Erkrankung, Diagnose, Disposition
                              Control0..1
                              TypedateTime
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              60. mii-lm-symptom.Condition.Status
                              Definition

                              Status des Symptoms, Erkrankung, Diagnose, Disposition: "Aktiv", "Zustand nach", "in Remission", "beseitigt/geheilt"). Codiert z. B. mit ValueSet aus FHIR oder SNOMED CT.

                              ShortStatus des Symptoms, Erkrankung, Diagnose, Disposition: "Aktiv", "Zustand nach", "in Remission", "beseitigt/geheilt"). Codiert z. B. mit ValueSet aus FHIR oder SNOMED CT.
                              Control1..1
                              TypeCodeableConcept
                              62. mii-lm-symptom.Condition.Schweregrad
                              Definition

                              Schweregrad des Symptoms, Erkrankung, Diagnose, Disposition. Codesystem: SNOMED CT.

                              ShortSchweregrad des Symptoms, Erkrankung, Diagnose, Disposition. Codesystem: SNOMED CT.
                              Control0..1
                              TypeCodeableConcept
                              64. mii-lm-symptom.Condition.Verifikationsstatus
                              Definition

                              Empirische, epistemologische, algorithmische, diagnostische Gewissheit des Symptoms, Erkrankung, Diagnose, Disposition. Codesystem: SNOMED CT.

                              ShortEmpirische, epistemologische, algorithmische, diagnostische Gewissheit des Symptoms, Erkrankung, Diagnose, Disposition. Codesystem: SNOMED CT.
                              Control0..1
                              TypeCodeableConcept
                              66. mii-lm-symptom.Condition.ZugrundeliegendeBeobachtungEvidenz
                              Definition

                              Die dem Symptom, Erkrankung, Diagnose, Disposition zugrundeliegend Beobachtung

                              ShortDie dem Symptom, Erkrankung, Diagnose, Disposition zugrundeliegend Beobachtung
                              Control0..*
                              TypeBackboneElement
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              68. mii-lm-symptom.Condition.ZugrundeliegendeBeobachtungEvidenz.id
                              Definition

                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                              ShortUnique id for inter-element referencing
                              Control0..1
                              Typestring
                              Is Modifierfalse
                              XML FormatIn the XML format, this property is represented as an attribute.
                              Summaryfalse
                              70. mii-lm-symptom.Condition.ZugrundeliegendeBeobachtungEvidenz.extension
                              Definition

                              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                              ShortAdditional content defined by implementations
                              Comments

                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                              Control0..*
                              TypeExtension
                              Is Modifierfalse
                              Summaryfalse
                              Alternate Namesextensions, user content
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                              SlicingThis element introduces a set of slices on mii-lm-symptom.Condition.ZugrundeliegendeBeobachtungEvidenz.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                              • value @ url
                              • 72. mii-lm-symptom.Condition.ZugrundeliegendeBeobachtungEvidenz.modifierExtension
                                Definition

                                May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                ShortExtensions that cannot be ignored even if unrecognized
                                Comments

                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                Control0..*
                                TypeExtension
                                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                Summarytrue
                                Requirements

                                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                Alternate Namesextensions, user content, modifiers
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                74. mii-lm-symptom.Condition.ZugrundeliegendeBeobachtungEvidenz.BeschreibungZugrundeliegendeBeobachtung
                                Definition

                                Natürlichsprachige Beschreibung einer dem Symptom zugrundeliegenden Beobachtung, Symptoms, Erkrankung, Diagnose, Disposition

                                ShortNatürlichsprachige Beschreibung einer dem Symptom zugrundeliegenden Beobachtung, Symptoms, Erkrankung, Diagnose, Disposition
                                Control0..1
                                Typestring
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                76. mii-lm-symptom.Condition.ZugrundeliegendeBeobachtungEvidenz.CodeZugrundeliegendeBeobachtung
                                Definition

                                Code der zugrundeliegenden Beobachtung des Symptoms, Erkrankung, Diagnose, Disposition: SNOMED CT, LOINC

                                ShortCode der zugrundeliegenden Beobachtung des Symptoms, Erkrankung, Diagnose, Disposition: SNOMED CT, LOINC
                                Control0..*
                                TypeCodeableConcept
                                78. mii-lm-symptom.Condition.ZugrundeliegendeBeobachtungEvidenz.LinkAufZugrundeliegendeBeobachtung
                                Definition

                                Link auf die dem Symptom zugrundeliegenden Beobachtung für das Symptoms, Erkrankung, Diagnose, Disposition

                                ShortLink auf die dem Symptom zugrundeliegenden Beobachtung für das Symptoms, Erkrankung, Diagnose, Disposition
                                Control0..*
                                TypeReference
                                80. mii-lm-symptom.Condition.Stadium
                                Definition

                                Stadium der Condition

                                ShortStadium der Condition
                                Control0..*
                                TypeBackboneElement
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                82. mii-lm-symptom.Condition.Stadium.id
                                Definition

                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                ShortUnique id for inter-element referencing
                                Control0..1
                                Typestring
                                Is Modifierfalse
                                XML FormatIn the XML format, this property is represented as an attribute.
                                Summaryfalse
                                84. mii-lm-symptom.Condition.Stadium.extension
                                Definition

                                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                ShortAdditional content defined by implementations
                                Comments

                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                Control0..*
                                TypeExtension
                                Is Modifierfalse
                                Summaryfalse
                                Alternate Namesextensions, user content
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                SlicingThis element introduces a set of slices on mii-lm-symptom.Condition.Stadium.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                • value @ url
                                • 86. mii-lm-symptom.Condition.Stadium.modifierExtension
                                  Definition

                                  May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                  Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                  ShortExtensions that cannot be ignored even if unrecognized
                                  Comments

                                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                  Control0..*
                                  TypeExtension
                                  Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                  Summarytrue
                                  Requirements

                                  Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                  Alternate Namesextensions, user content, modifiers
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                  88. mii-lm-symptom.Condition.Stadium.Zusammenfassung
                                  Definition

                                  Einfache Zusammenfassung des Stadiums

                                  ShortEinfache Zusammenfassung des Stadiums
                                  Control0..1
                                  TypeCodeableConcept
                                  90. mii-lm-symptom.Condition.Stadium.Einschaetzung
                                  Definition

                                  Referenz auf eine formale Einschätzung des Stadiums (ClinicalImpression, DiagnosticReport, Observation)

                                  ShortReferenz auf eine formale Einschätzung des Stadiums (ClinicalImpression, DiagnosticReport, Observation)
                                  Control0..*
                                  TypeReference
                                  92. mii-lm-symptom.Condition.Stadium.ArtDerStadieneinteilung
                                  Definition

                                  Art der Stadieneinteilung

                                  ShortArt der Stadieneinteilung
                                  Control0..1
                                  TypeCodeableConcept
                                  94. mii-lm-symptom.Condition.Patient
                                  Definition

                                  Link auf Patient

                                  ShortLink auf Patient
                                  Control1..1
                                  TypeReference
                                  96. mii-lm-symptom.Condition.Fall
                                  Definition

                                  Link auf Behandlungsfall

                                  ShortLink auf Behandlungsfall
                                  Control0..1
                                  TypeReference
                                  98. mii-lm-symptom.Observation
                                  Definition

                                  Observation i. S. einer FHIR Observation: Messungen oder Zuweisungen zu einem Patienten. Die meisten Beobachtungen sind einfache Entity/Value Paare, sie können aber auch komplex hierarchisch aufgebaut sein.

                                  ShortObservation i. S. einer FHIR Observation: Messungen oder Zuweisungen zu einem Patienten. Die meisten Beobachtungen sind einfache Entity/Value Paare, sie können aber auch komplex hierarchisch aufgebaut sein.
                                  Control0..*
                                  TypeBackboneElement
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  100. mii-lm-symptom.Observation.id
                                  Definition

                                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                  ShortUnique id for inter-element referencing
                                  Control0..1
                                  Typestring
                                  Is Modifierfalse
                                  XML FormatIn the XML format, this property is represented as an attribute.
                                  Summaryfalse
                                  102. mii-lm-symptom.Observation.extension
                                  Definition

                                  May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                  ShortAdditional content defined by implementations
                                  Comments

                                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                  Control0..*
                                  TypeExtension
                                  Is Modifierfalse
                                  Summaryfalse
                                  Alternate Namesextensions, user content
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                  SlicingThis element introduces a set of slices on mii-lm-symptom.Observation.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                  • value @ url
                                  • 104. mii-lm-symptom.Observation.modifierExtension
                                    Definition

                                    May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                    ShortExtensions that cannot be ignored even if unrecognized
                                    Comments

                                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                    Control0..*
                                    TypeExtension
                                    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                    Summarytrue
                                    Requirements

                                    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                    Alternate Namesextensions, user content, modifiers
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                    106. mii-lm-symptom.Observation.Identifikator
                                    Definition

                                    Eindeutiger Identifier der Observation

                                    ShortEindeutiger Identifier der Observation
                                    Control0..*
                                    TypeIdentifier
                                    108. mii-lm-symptom.Observation.Bezeichnung
                                    Definition

                                    Natürlichsprachige Bezeichnung der Observation

                                    ShortNatürlichsprachige Bezeichnung der Observation
                                    Control0..1
                                    Typestring
                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                    110. mii-lm-symptom.Observation.Beschreibung
                                    Definition

                                    Natürlichsprachige Beschreibung der Beobachtung

                                    ShortNatürlichsprachige Beschreibung der Beobachtung
                                    Control0..1
                                    Typestring
                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                    112. mii-lm-symptom.Observation.Kategorie
                                    Definition

                                    Kategorie der Observation

                                    ShortKategorie der Observation
                                    Control0..*
                                    TypeCodeableConcept
                                    114. mii-lm-symptom.Observation.Status
                                    Definition

                                    Status der Observation

                                    ShortStatus der Observation
                                    Control1..1
                                    Typecode
                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                    116. mii-lm-symptom.Observation.Code
                                    Definition

                                    Code der Observation: z. B. LOINC, SNOMED CT, HPO

                                    ShortCode der Observation: z. B. LOINC, SNOMED CT, HPO
                                    Control1..1
                                    TypeCodeableConcept
                                    118. mii-lm-symptom.Observation.Zeitspanne
                                    Definition

                                    Klinisch relevante Zeitpunkte/Zeitspanne

                                    ShortKlinisch relevante Zeitpunkte/Zeitspanne
                                    Control0..1
                                    TypePeriod
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    per-1: If present, start SHALL have a lower value than end (start.hasValue().not() or end.hasValue().not() or (start <= end))
                                    120. mii-lm-symptom.Observation.Zeitspanne.id
                                    Definition

                                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                    ShortUnique id for inter-element referencing
                                    Control0..1
                                    Typestring
                                    Is Modifierfalse
                                    XML FormatIn the XML format, this property is represented as an attribute.
                                    Summaryfalse
                                    122. mii-lm-symptom.Observation.Zeitspanne.extension
                                    Definition

                                    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                    ShortAdditional content defined by implementations
                                    Comments

                                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                    Control0..*
                                    TypeExtension
                                    Is Modifierfalse
                                    Summaryfalse
                                    Alternate Namesextensions, user content
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                    SlicingThis element introduces a set of slices on mii-lm-symptom.Observation.Zeitspanne.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                    • value @ url
                                    • 124. mii-lm-symptom.Observation.Zeitspanne.start
                                      Definition

                                      Klinisch relevanter (Start-)Zeitpunkt einer Observation

                                      ShortKlinisch relevanter (Start-)Zeitpunkt einer Observation
                                      Comments

                                      If the low element is missing, the meaning is that the low boundary is not known.

                                      Control0..1
                                      This element is affected by the following invariants: per-1
                                      TypedateTime
                                      Is Modifierfalse
                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                      Summarytrue
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      126. mii-lm-symptom.Observation.Zeitspanne.end
                                      Definition

                                      Klinisch relevanter Endzeitpunkt einer Observation

                                      ShortKlinisch relevanter Endzeitpunkt einer Observation
                                      Comments

                                      The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03.

                                      Control0..1
                                      This element is affected by the following invariants: per-1
                                      TypedateTime
                                      Is Modifierfalse
                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                      Summarytrue
                                      Meaning if MissingIf the end of the period is missing, it means that the period is ongoing
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      128. mii-lm-symptom.Observation.Dokumentationsdatum
                                      Definition

                                      Zeitpunkt der Dokumentation der Observation.

                                      ShortZeitpunkt der Dokumentation der Observation.
                                      Control0..1
                                      Typeinstant
                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                      130. mii-lm-symptom.Observation.Wert[x]
                                      Definition

                                      Wert der Observation

                                      ShortWert der Observation
                                      Control0..1
                                      TypeChoice of: Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period
                                      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                      132. mii-lm-symptom.Observation.ReferenzIntervall
                                      Definition

                                      Referenz-Intervall entsprechend des eingebetteten komplexen Typs (Observation.referenceRange)

                                      ShortReferenz-Intervall entsprechend des eingebetteten komplexen Typs (Observation.referenceRange)
                                      Control0..*
                                      TypeBackboneElement
                                      134. mii-lm-symptom.Observation.GrundNichtVorhandenerDaten
                                      Definition

                                      Grund für nicht vorhandene Daten der Observation

                                      ShortGrund für nicht vorhandene Daten der Observation
                                      Control0..1
                                      TypeCodeableConcept
                                      136. mii-lm-symptom.Observation.Interpretation
                                      Definition

                                      Interpretation einer Observation

                                      ShortInterpretation einer Observation
                                      Control0..*
                                      TypeCodeableConcept
                                      138. mii-lm-symptom.Observation.Kommentar
                                      Definition

                                      Natürlichsprachiger Kommentar zur Observation.

                                      ShortNatürlichsprachiger Kommentar zur Observation.
                                      Control0..*
                                      TypeAnnotation
                                      140. mii-lm-symptom.Observation.Lokalisation
                                      Definition

                                      Lokalisation der Observation als SNOMED CT Body Structure codiert.

                                      ShortLokalisation der Observation als SNOMED CT Body Structure codiert.
                                      Control0..1
                                      TypeCodeableConcept
                                      142. mii-lm-symptom.Observation.Patient
                                      Definition

                                      Link auf Patient

                                      ShortLink auf Patient
                                      Control0..1
                                      TypeReference
                                      144. mii-lm-symptom.Observation.Fall
                                      Definition

                                      Fall der Observation

                                      ShortFall der Observation
                                      Control0..1
                                      TypeReference
                                      146. mii-lm-symptom.Observation.Probe
                                      Definition

                                      Referenz auf die Probe, auf der die Observation basiert

                                      ShortReferenz auf die Probe, auf der die Observation basiert
                                      Control0..1
                                      TypeReference
                                      148. mii-lm-symptom.Observation.Messgeraet
                                      Definition

                                      Referenz auf das verwendete Mess-/Untersuchungsgerät

                                      ShortReferenz auf das verwendete Mess-/Untersuchungsgerät
                                      Control0..1
                                      TypeReference
                                      150. mii-lm-symptom.Observation.Methode
                                      Definition

                                      Methode der Untersuchung

                                      ShortMethode der Untersuchung
                                      Control0..1
                                      TypeCodeableConcept
                                      152. mii-lm-symptom.Observation.BezugZuHatTeil
                                      Definition

                                      Bezug zu Ressourcen, die zu dieser Observation gehören (Observation, QuestionnaireResponse, MolecularSequence)

                                      ShortBezug zu Ressourcen, die zu dieser Observation gehören (Observation, QuestionnaireResponse, MolecularSequence)
                                      Control0..*
                                      TypeReference
                                      154. mii-lm-symptom.Observation.BezugVonIstTeilVon
                                      Definition

                                      Referenz auf Messunger/Beobachtungen, aus denen diese Observation hervorgeht.

                                      ShortReferenz auf Messunger/Beobachtungen, aus denen diese Observation hervorgeht.
                                      Control0..*
                                      TypeReference
                                      156. mii-lm-symptom.Observation.Komponente
                                      Definition

                                      Komponente einer Observation mit mehreren Komponenten (z. B. Blutdruck) entsprechend des komplexen Typs (Observation.component) mit .code, .value, .dataAbsentReason, .interpretation, .referenceRange (alle wie oben beschrieben)

                                      ShortKomponente einer Observation mit mehreren Komponenten (z. B. Blutdruck) entsprechend des komplexen Typs (Observation.component) mit .code, .value, .dataAbsentReason, .interpretation, .referenceRange (alle wie oben beschrieben)
                                      Control0..*
                                      TypeBackboneElement