MIO Laborbefund
Version 1.0.0-update - ci-build

Resource Profile: KBV_PR_MIO_LAB_Condition_Diagnosis

Official URL: https://fhir.kbv.de/StructureDefinition/KBV_PR_MIO_LAB_Condition_Diagnosis Version: 1.0.0-update
Draft as of 2026-06-11 Computable Name: KBV_PR_MIO_LAB_Condition_Diagnosis

Copyright/Legal: Im folgenden Profil können Codes aus den Code-Systemen SNOMED CT®, LOINC, Ucum, ATC, ICD-10-GM, ICD-10-WHO, OPS, Alpha-ID/Alpha-ID-SE und ICF enthalten sein, die dem folgenden Urheberrecht unterliegen: This material includes SNOMED CT® Clinical Terms® (SNOMED CT® CT®) which is used by permission of SNOMED CT® International. All rights reserved. SNOMED CT® CT®, was originally created by The College of American Pathologists. SNOMED CT® and SNOMED CT® CT are registered trademarks of SNOMED CT® International. Implementers of these artefacts must have the appropriate SNOMED CT® CT Affiliate license. This material contains content from LOINC (http://LOINC.org). LOINC is copyright © 1995-2020, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and is available at no cost under the license at http://LOINC.org/license. LOINC® is a registered United States trademark of Regenstrief Institute, Inc. This product includes all or a portion of the UCUM table, UCUM codes, and UCUM definitions or is derived from it, subject to a license from Regenstrief Institute, Inc. and The UCUM Organization. Your use of the UCUM table, UCUM codes, UCUM definitions also is subject to this license, a copy of which is available at http://unitsofmeasure.org. The current complete UCUM table, UCUM Specification are available for download at http://unitsofmeasure.org. The UCUM table and UCUM codes are copyright © 1995-2009, Regenstrief Institute, Inc. and the Unified Codes for Units of Measures (UCUM) Organization. All rights reserved. THE UCUM TABLE (IN ALL FORMATS), UCUM DEFINITIONS, AND SPECIFICATION ARE PROVIDED ‘AS IS.’ ANY EXPRESS OR IMPLIED WARRANTIES ARE DISCLAIMED, INCLUDING, BUT NOT LIMITED TO, THE IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE. Dieses Material enthält Inhalte aus ATC. Die Erstellung erfolgte unter Verwendung der Datenträger der amtlichen Fassung der ATC-Klassifikation mit DDD des Bundesinstituts für Arzneimittel und Medizinprodukte (BfArM). Dieses Material enthält Inhalte aus ICD-10-GM, ICD-10-WHO, OPS Alpha-ID ans Alpha-ID-SE. Die Erstellung erfolgt unter Verwendung der maschinenlesbaren Fassung des Bundesinstituts für Arzneimittel und Medizinprodukte (BfArM). Dieses Material enthält Inhalte aus ICF. Die Erstellung erfolgt unter Verwendung der maschinenlesbaren Fassung des Deutschen Instituts für Medizinische Dokumentation und Information (DIMDI). ICF-Kodes, -Begriffe und -Texte © Weltgesundheitsorganisation, übersetzt und herausgegeben durch das Deutsche Institut für Medizinische Dokumentation und Information von der International classification of functioning, disability and health - ICF, herausgegeben durch die Weltgesundheitsorganisation.

Hier wird eine Diagnose im Kontext des Laborauftrages abgebildet.

In den Angaben zum LDT-Mapping findet man Beispiele für Inhalte, die in diese Datenstruktur hineinpassen könnten bzw. auch übernommen werden könnten. Angaben zur Auftragsdiagnose können beispielsweise in Muster 10 vorkommen oder über den Labordatentransfer übermittelt werden.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Condition C 0..* Condition Detailed information about conditions, problems or diagnoses
Constraints: con-3, con-4, con-5
... meta SΣ 0..1 Meta Metadata about the resource
.... versionId SΣ 0..1 id Version specific identifier
.... lastUpdated SΣ 0..1 instant When the resource version last changed
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... code SΣ 1..1 CodeableConcept Identification of the condition, problem or diagnosis
Binding: Condition/Problem/DiagnosisCodes (example): Identification of the condition or diagnosis.
.... Slices for coding SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:All Slices Content/Rules for all slices
...... system Σ 1..1 uri Identity of the terminology system
...... code Σ 1..1 code Symbol in syntax defined by the system
...... display Σ 1..1 string Representation defined by the system
..... coding:ICD-10-GM SΣ 0..1 CodingICD10GM Code defined by a terminology system
...... Slices for extension Content/Rules for all slices
....... extension:Mehrfachcodierungs-Kennzeichen S 0..1 (Complex) Optional Extensions Element
URL: http://fhir.de/StructureDefinition/icd-10-gm-mehrfachcodierungs-kennzeichen
........ extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
........ url 1..1 uri "http://fhir.de/StructureDefinition/icd-10-gm-mehrfachcodierungs-kennzeichen"
........ value[x] S 1..1 Coding Value of extension
Binding: Mehrfachkodierungs-Kennzeichen ICD10GM ValueSet (required)
......... system SΣ 1..1 uri Identity of the terminology system
......... version SΣ 0..1 string Version of the system - if relevant
......... code SΣ 1..1 code Symbol in syntax defined by the system
......... display SΣ 1..1 string Representation defined by the system
....... extension:Seitenlokalisation S 0..1 (Complex) Optional Extensions Element
URL: http://fhir.de/StructureDefinition/seitenlokalisation
........ extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
........ url 1..1 uri "http://fhir.de/StructureDefinition/seitenlokalisation"
........ value[x] S 1..1 Coding Value of extension
Binding: KBV_VS_SFHIR_ICD_SEITENLOKALISATION (required)
......... system SΣ 1..1 uri Identity of the terminology system
......... version SΣ 0..1 string Version of the system - if relevant
......... code SΣ 1..1 code Symbol in syntax defined by the system
......... display SΣ 1..1 string Representation defined by the system
....... extension:Diagnosesicherheit S 0..1 (Complex) Optional Extensions Element
URL: http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit
........ extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
........ url 1..1 uri "http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit"
........ value[x] SC 1..1 Coding Value of extension
Binding: KBV_VS_SFHIR_ICD_DIAGNOSESICHERHEIT (required)
Constraints: icd-4, icd-5, icd-6, icd-7
......... system SΣ 1..1 uri Identity of the terminology system
......... version SΣ 0..1 string Version of the system - if relevant
......... code SΣ 1..1 code Symbol in syntax defined by the system
......... display SΣ 1..1 string Representation defined by the system
...... system SΣ 1..1 uri Canonische CodeSystem URL für ICD-10-GM
Fixed Value: http://fhir.de/CodeSystem/bfarm/icd-10-gm
...... version SΣ 1..1 string Die Jahresversion von ICD-10-GM. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017")
...... code SΣC 1..1 code Der ICD-10-Code
Constraints: icd-regex
Example Einfacher ICD-Code: F17.4
...... display SΣ 1..1 string Representation defined by the system
..... coding:alphaId SΣ 0..1 CodingAlphaID Code defined by a terminology system
...... system SΣ 1..1 uri Canonische CodeSystem URL für Alpha-ID
Fixed Value: http://fhir.de/CodeSystem/bfarm/alpha-id
...... version SΣ 1..1 string Die Jahresversion von Alpha-ID. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017")
...... code SΣ 1..1 code Der Alpha-ID-Code
...... display SΣ 1..1 string Representation defined by the system
..... coding:snomed SΣ 0..1 Coding Code defined by a terminology system
Binding: Diagnose SNOMED CT® (required)
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... version SΣ 1..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display SΣ 1..1 string Representation defined by the system
..... coding:orphanet SΣ 0..1 Coding Code defined by a terminology system
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://www.orpha.net
...... version SΣ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display SΣ 1..1 string Representation defined by the system
.... text SΣ 0..1 string Diagnoseerläuterung
.... identifier SΣ 1..1 IdentifierKvid10 Logical reference, when literal reference is not known

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Condition.code Base example Condition/Problem/Diagnosis Codes 📍4.0.1 FHIR Std.
Condition.code.coding:ICD-10-GM.​extension:Mehrfachcodierungs-Kennzeichen.​value[x] Base required Mehrfachkodierungs-Kennzeichen ICD10GM ValueSet 📦1.5.4 de.basisprofil.r4 v1.5
Condition.code.coding:ICD-10-GM.​extension:Seitenlokalisation.​value[x] Base required KBV_VS_SFHIR_ICD_SEITENLOKALISATION 📦1.00 kbv.all.st v1.24
Condition.code.coding:ICD-10-GM.​extension:Diagnosesicherheit.​value[x] Base required KBV_VS_SFHIR_ICD_DIAGNOSESICHERHEIT 📦1.00 kbv.all.st v1.24
Condition.code.coding:snomed Base required Diagnose SNOMED CT® 📦1.8.0 kbv.basis v1.8

Constraints

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

This structure is derived from Condition

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Condition 0..* Condition Detailed information about conditions, problems or diagnoses
... meta S 0..1 Meta Metadata about the resource
.... id 0..0 Unique id for inter-element referencing
.... versionId S 0..1 id Version specific identifier
.... lastUpdated S 0..1 instant When the resource version last changed
.... source 0..0 Identifies where the resource comes from
... implicitRules 0..0 A set of rules under which this content was created
... language 0..0 Language of the resource content
.... status 1..1 code generated | extensions | additional | empty
Required Pattern: extensions
... contained 0..0 Contained, inline Resources
... extension 0..0 Extension
... identifier 0..0 External Ids for this condition
... clinicalStatus 0..0 active | recurrence | relapse | inactive | remission | resolved
... verificationStatus 0..0 unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
... category 0..0 problem-list-item | encounter-diagnosis
... severity 0..0 Subjective severity of condition
... code S 1..1 CodeableConcept Identification of the condition, problem or diagnosis
.... Slices for coding S 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:All Slices Content/Rules for all slices
...... system 1..1 uri Identity of the terminology system
...... code 1..1 code Symbol in syntax defined by the system
...... display 1..1 string Representation defined by the system
..... coding:ICD-10-GM S 0..1 CodingICD10GM Code defined by a terminology system
...... Slices for extension Content/Rules for all slices
....... extension:Mehrfachcodierungs-Kennzeichen S 0..1 ExtensionMehrfachcodierungKennzeichen Optional Extensions Element
........ value[x] S 1..1 Coding Value of extension
......... system S 1..1 uri Identity of the terminology system
......... version S 0..1 string Version of the system - if relevant
......... code S 1..1 code Symbol in syntax defined by the system
......... display S 1..1 string Representation defined by the system
......... userSelected 0..0 If this coding was chosen directly by the user
....... extension:Seitenlokalisation S 0..1 ExtensionSeitenlokalisation Optional Extensions Element
........ value[x] S 1..1 Coding Value of extension
......... system S 1..1 uri Identity of the terminology system
......... version S 0..1 string Version of the system - if relevant
......... code S 1..1 code Symbol in syntax defined by the system
......... display S 1..1 string Representation defined by the system
......... userSelected 0..0 If this coding was chosen directly by the user
....... extension:Diagnosesicherheit S 0..1 ExtensionICD10GMDiagnosesicherheit Optional Extensions Element
........ value[x] S 1..1 Coding Value of extension
......... system S 1..1 uri Identity of the terminology system
......... version S 0..1 string Version of the system - if relevant
......... code S 1..1 code Symbol in syntax defined by the system
......... display S 1..1 string Representation defined by the system
......... userSelected 0..0 If this coding was chosen directly by the user
...... system S 1..1 uri Canonische CodeSystem URL für ICD-10-GM
...... version S 1..1 string Die Jahresversion von ICD-10-GM. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017")
...... code S 1..1 code Der ICD-10-Code
...... display S 1..1 string Representation defined by the system
...... userSelected 0..0 If this coding was chosen directly by the user
..... coding:alphaId S 0..1 CodingAlphaID Code defined by a terminology system
...... system S 1..1 uri Canonische CodeSystem URL für Alpha-ID
...... version S 1..1 string Die Jahresversion von Alpha-ID. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017")
...... code S 1..1 code Der Alpha-ID-Code
...... display S 1..1 string Representation defined by the system
...... userSelected 0..0 If this coding was chosen directly by the user
..... coding:snomed S 0..1 Coding Code defined by a terminology system
Binding: Diagnose SNOMED CT® (required)
...... system S 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... version S 1..1 string Version of the system - if relevant
...... code S 1..1 code Symbol in syntax defined by the system
...... display S 1..1 string Representation defined by the system
...... userSelected 0..0 If this coding was chosen directly by the user
..... coding:orphanet S 0..1 Coding Code defined by a terminology system
...... system S 1..1 uri Identity of the terminology system
Fixed Value: http://www.orpha.net
...... version S 0..1 string Version of the system - if relevant
...... code S 1..1 code Symbol in syntax defined by the system
...... display S 1..1 string Representation defined by the system
...... userSelected 0..0 If this coding was chosen directly by the user
.... text S 0..1 string Diagnoseerläuterung
... bodySite 0..0 Anatomical location, if relevant
... subject S 1..1 Reference(KBV_PR_MIO_LAB_Patient(1.0.0-update)) Zu behandelnde Person
.... identifier S 1..1 IdentifierKvid10 Logical reference, when literal reference is not known
... encounter 0..0 Encounter created as part of
... Slices for onset[x] 0..0 Estimated or actual date, date-time, or age
Slice: Unordered, Open by type:$this
.... onset[x]:onsetPeriod 0..0 Estimated or actual date, date-time, or age
.... onset[x]:onsetRange 0..0 Estimated or actual date, date-time, or age
.... onset[x]:onsetDateTime 0..0 Estimated or actual date, date-time, or age
.... onset[x]:onsetAge 0..0 Estimated or actual date, date-time, or age
... Slices for abatement[x] 0..0 When in resolution/remission
Slice: Unordered, Open by type:$this
.... abatement[x]:abatementPeriod 0..0 When in resolution/remission
.... abatement[x]:abatementRange 0..0 When in resolution/remission
.... abatement[x]:abatementDateTime 0..0 When in resolution/remission
.... abatement[x]:abatementAge 0..0 When in resolution/remission
... recordedDate 0..0 Date record was first recorded
... recorder 0..0 Who recorded the condition
... asserter 0..0 Person who asserts this condition
... stage 0..0 Stage/grade, usually assessed formally
... evidence 0..0 Supporting evidence
... note 0..0 Additional information about the Condition

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Condition.code.coding:snomed Base required Diagnose SNOMED CT® 📦1.8.0 kbv.basis v1.8
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Condition C 0..* Condition Detailed information about conditions, problems or diagnoses
Constraints: con-3, con-4, con-5
... id Σ 0..1 id Logical id of this artifact
... meta SΣ 0..1 Meta Metadata about the resource
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId SΣ 0..1 id Version specific identifier
.... lastUpdated SΣ 0..1 instant When the resource version last changed
.... profile Σ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... status 1..1 code generated | extensions | additional | empty
Binding: NarrativeStatus (required): The status of a resource narrative.
Required Pattern: extensions
.... div C 1..1 xhtml Limited xhtml content
Constraints: txt-1, txt-2
... code SΣ 1..1 CodeableConcept Identification of the condition, problem or diagnosis
Binding: Condition/Problem/DiagnosisCodes (example): Identification of the condition or diagnosis.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:All Slices Content/Rules for all slices
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 1..1 code Symbol in syntax defined by the system
...... display Σ 1..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:ICD-10-GM SΣ 0..1 CodingICD10GM Code defined by a terminology system
...... id 0..1 string Unique id for inter-element referencing
...... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... Slices for extension Content/Rules for all slices
....... extension:Mehrfachcodierungs-Kennzeichen S 0..1 (Complex) Optional Extensions Element
URL: http://fhir.de/StructureDefinition/icd-10-gm-mehrfachcodierungs-kennzeichen
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
........ url 1..1 uri "http://fhir.de/StructureDefinition/icd-10-gm-mehrfachcodierungs-kennzeichen"
........ value[x] S 1..1 Coding Value of extension
Binding: Mehrfachkodierungs-Kennzeichen ICD10GM ValueSet (required)
......... id 0..1 string Unique id for inter-element referencing
......... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
......... system SΣ 1..1 uri Identity of the terminology system
......... version SΣ 0..1 string Version of the system - if relevant
......... code SΣ 1..1 code Symbol in syntax defined by the system
......... display SΣ 1..1 string Representation defined by the system
....... extension:Seitenlokalisation S 0..1 (Complex) Optional Extensions Element
URL: http://fhir.de/StructureDefinition/seitenlokalisation
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
........ url 1..1 uri "http://fhir.de/StructureDefinition/seitenlokalisation"
........ value[x] S 1..1 Coding Value of extension
Binding: KBV_VS_SFHIR_ICD_SEITENLOKALISATION (required)
......... id 0..1 string Unique id for inter-element referencing
......... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
......... system SΣ 1..1 uri Identity of the terminology system
......... version SΣ 0..1 string Version of the system - if relevant
......... code SΣ 1..1 code Symbol in syntax defined by the system
......... display SΣ 1..1 string Representation defined by the system
....... extension:Diagnosesicherheit S 0..1 (Complex) Optional Extensions Element
URL: http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
........ url 1..1 uri "http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit"
........ value[x] SC 1..1 Coding Value of extension
Binding: KBV_VS_SFHIR_ICD_DIAGNOSESICHERHEIT (required)
Constraints: icd-4, icd-5, icd-6, icd-7
......... id 0..1 string Unique id for inter-element referencing
......... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
......... system SΣ 1..1 uri Identity of the terminology system
......... version SΣ 0..1 string Version of the system - if relevant
......... code SΣ 1..1 code Symbol in syntax defined by the system
......... display SΣ 1..1 string Representation defined by the system
...... system SΣ 1..1 uri Canonische CodeSystem URL für ICD-10-GM
Fixed Value: http://fhir.de/CodeSystem/bfarm/icd-10-gm
...... version SΣ 1..1 string Die Jahresversion von ICD-10-GM. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017")
...... code SΣC 1..1 code Der ICD-10-Code
Constraints: icd-regex
Example Einfacher ICD-Code: F17.4
...... display SΣ 1..1 string Representation defined by the system
..... coding:alphaId SΣ 0..1 CodingAlphaID Code defined by a terminology system
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Canonische CodeSystem URL für Alpha-ID
Fixed Value: http://fhir.de/CodeSystem/bfarm/alpha-id
...... version SΣ 1..1 string Die Jahresversion von Alpha-ID. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017")
...... code SΣ 1..1 code Der Alpha-ID-Code
...... display SΣ 1..1 string Representation defined by the system
..... coding:snomed SΣ 0..1 Coding Code defined by a terminology system
Binding: Diagnose SNOMED CT® (required)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... version SΣ 1..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display SΣ 1..1 string Representation defined by the system
..... coding:orphanet SΣ 0..1 Coding Code defined by a terminology system
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://www.orpha.net
...... version SΣ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display SΣ 1..1 string Representation defined by the system
.... text SΣ 0..1 string Diagnoseerläuterung
... subject SΣ 1..1 Reference(KBV_PR_MIO_LAB_Patient(1.0.0-update)) Zu behandelnde Person
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier SΣ 1..1 IdentifierKvid10 Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Condition.meta.security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
Condition.meta.tag Base example Common Tags 📍4.0.1 FHIR Std.
Condition.text.status Base required NarrativeStatus 📍4.0.1 FHIR Std.
Condition.code Base example Condition/Problem/Diagnosis Codes 📍4.0.1 FHIR Std.
Condition.code.coding:ICD-10-GM.​extension:Mehrfachcodierungs-Kennzeichen.​value[x] Base required Mehrfachkodierungs-Kennzeichen ICD10GM ValueSet 📦1.5.4 de.basisprofil.r4 v1.5
Condition.code.coding:ICD-10-GM.​extension:Seitenlokalisation.​value[x] Base required KBV_VS_SFHIR_ICD_SEITENLOKALISATION 📦1.00 kbv.all.st v1.24
Condition.code.coding:ICD-10-GM.​extension:Diagnosesicherheit.​value[x] Base required KBV_VS_SFHIR_ICD_DIAGNOSESICHERHEIT 📦1.00 kbv.all.st v1.24
Condition.code.coding:snomed Base required Diagnose SNOMED CT® 📦1.8.0 kbv.basis v1.8
Condition.subject.type Base extensible ResourceType 📍4.0.1 FHIR Std.
Condition.stage.summary Base example Condition Stage 📍4.0.1 FHIR Std.
Condition.stage.type Base example Condition Stage Type 📍4.0.1 FHIR Std.
Condition.evidence.code Base example Manifestation and Symptom Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
con-3 best practice Condition Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
con-4 error Condition If condition is abated, then clinicalStatus must be either inactive, resolved, or remission abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
con-5 error Condition Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
dom-2 error Condition If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Condition If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Condition If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Condition If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Condition A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
icd-4 warning Condition.code.coding:ICD-10-GM.extension:Diagnosesicherheit.value[x] Wenn die Diagnosesicherheit "A (Ausschluss)" verwendet wird, dann muss clinicalStatus leer bleiben und verificationStaus auf "refuted" gesetzt werden. code!='A' or (%resource.verificationStatus.coding.where(code='refuted').exists() and %resource.clinicalStatus.empty())
icd-5 warning Condition.code.coding:ICD-10-GM.extension:Diagnosesicherheit.value[x] Wenn die Diagnosesicherheit "G (Gesichert)" verwendet wird, dann muss clinicalStatus auf "active" und verificationStatus auf "confirmed" gesetzt werden. code!='G' or (%resource.clinicalStatus.coding.where(code='active').exists() and %resource.verificationStatus.coding.where(code='confirmed').exists())
icd-6 warning Condition.code.coding:ICD-10-GM.extension:Diagnosesicherheit.value[x] Wenn die Diagnosesicherheit "V (Verdacht auf)" verwendet wird, dann muss clinicalStatus auf "active" und verificationStatus auf "provisional" oder "differential" gesetzt werden. code!='V' or (%resource.clinicalStatus.coding.where(code='active').exists() and (%resource.verificationStatus.coding.where(code='provisional').exists() or %resource.verificationStatus.coding.where(code='differential').exists()))
icd-7 warning Condition.code.coding:ICD-10-GM.extension:Diagnosesicherheit.value[x] Wenn die Diagnosesicherheit "Z (Zustand nach)" verwendet wird, dann muss clinicalStatus auf "resolved" und verificationStatus auf "confirmed" gesetzt werden. code!='Z' or (%resource.clinicalStatus.coding.where(code='resolved').exists() and %resource.verificationStatus.coding.where(code='confirmed').exists())
icd-regex warning Condition.code.coding:ICD-10-GM.code In code sind nur gültige ICD-10-Codes ohne Zusätze erlaubt matches('^[A-Z][0-9][A-Z0-9](\\.?[A-Z0-9]{0,4})?$')
txt-1 error Condition.text.div The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes htmlChecks()
txt-2 error Condition.text.div The narrative SHALL have some non-whitespace content htmlChecks()

This structure is derived from Condition

Summary

Mandatory: 2 elements(17 nested mandatory elements)
Must-Support: 46 elements
Fixed: 2 elements
Prohibited: 36 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

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

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Condition C 0..* Condition Detailed information about conditions, problems or diagnoses
Constraints: con-3, con-4, con-5
... meta SΣ 0..1 Meta Metadata about the resource
.... versionId SΣ 0..1 id Version specific identifier
.... lastUpdated SΣ 0..1 instant When the resource version last changed
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... code SΣ 1..1 CodeableConcept Identification of the condition, problem or diagnosis
Binding: Condition/Problem/DiagnosisCodes (example): Identification of the condition or diagnosis.
.... Slices for coding SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:All Slices Content/Rules for all slices
...... system Σ 1..1 uri Identity of the terminology system
...... code Σ 1..1 code Symbol in syntax defined by the system
...... display Σ 1..1 string Representation defined by the system
..... coding:ICD-10-GM SΣ 0..1 CodingICD10GM Code defined by a terminology system
...... Slices for extension Content/Rules for all slices
....... extension:Mehrfachcodierungs-Kennzeichen S 0..1 (Complex) Optional Extensions Element
URL: http://fhir.de/StructureDefinition/icd-10-gm-mehrfachcodierungs-kennzeichen
........ extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
........ url 1..1 uri "http://fhir.de/StructureDefinition/icd-10-gm-mehrfachcodierungs-kennzeichen"
........ value[x] S 1..1 Coding Value of extension
Binding: Mehrfachkodierungs-Kennzeichen ICD10GM ValueSet (required)
......... system SΣ 1..1 uri Identity of the terminology system
......... version SΣ 0..1 string Version of the system - if relevant
......... code SΣ 1..1 code Symbol in syntax defined by the system
......... display SΣ 1..1 string Representation defined by the system
....... extension:Seitenlokalisation S 0..1 (Complex) Optional Extensions Element
URL: http://fhir.de/StructureDefinition/seitenlokalisation
........ extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
........ url 1..1 uri "http://fhir.de/StructureDefinition/seitenlokalisation"
........ value[x] S 1..1 Coding Value of extension
Binding: KBV_VS_SFHIR_ICD_SEITENLOKALISATION (required)
......... system SΣ 1..1 uri Identity of the terminology system
......... version SΣ 0..1 string Version of the system - if relevant
......... code SΣ 1..1 code Symbol in syntax defined by the system
......... display SΣ 1..1 string Representation defined by the system
....... extension:Diagnosesicherheit S 0..1 (Complex) Optional Extensions Element
URL: http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit
........ extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
........ url 1..1 uri "http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit"
........ value[x] SC 1..1 Coding Value of extension
Binding: KBV_VS_SFHIR_ICD_DIAGNOSESICHERHEIT (required)
Constraints: icd-4, icd-5, icd-6, icd-7
......... system SΣ 1..1 uri Identity of the terminology system
......... version SΣ 0..1 string Version of the system - if relevant
......... code SΣ 1..1 code Symbol in syntax defined by the system
......... display SΣ 1..1 string Representation defined by the system
...... system SΣ 1..1 uri Canonische CodeSystem URL für ICD-10-GM
Fixed Value: http://fhir.de/CodeSystem/bfarm/icd-10-gm
...... version SΣ 1..1 string Die Jahresversion von ICD-10-GM. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017")
...... code SΣC 1..1 code Der ICD-10-Code
Constraints: icd-regex
Example Einfacher ICD-Code: F17.4
...... display SΣ 1..1 string Representation defined by the system
..... coding:alphaId SΣ 0..1 CodingAlphaID Code defined by a terminology system
...... system SΣ 1..1 uri Canonische CodeSystem URL für Alpha-ID
Fixed Value: http://fhir.de/CodeSystem/bfarm/alpha-id
...... version SΣ 1..1 string Die Jahresversion von Alpha-ID. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017")
...... code SΣ 1..1 code Der Alpha-ID-Code
...... display SΣ 1..1 string Representation defined by the system
..... coding:snomed SΣ 0..1 Coding Code defined by a terminology system
Binding: Diagnose SNOMED CT® (required)
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... version SΣ 1..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display SΣ 1..1 string Representation defined by the system
..... coding:orphanet SΣ 0..1 Coding Code defined by a terminology system
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://www.orpha.net
...... version SΣ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display SΣ 1..1 string Representation defined by the system
.... text SΣ 0..1 string Diagnoseerläuterung
.... identifier SΣ 1..1 IdentifierKvid10 Logical reference, when literal reference is not known

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Condition.code Base example Condition/Problem/Diagnosis Codes 📍4.0.1 FHIR Std.
Condition.code.coding:ICD-10-GM.​extension:Mehrfachcodierungs-Kennzeichen.​value[x] Base required Mehrfachkodierungs-Kennzeichen ICD10GM ValueSet 📦1.5.4 de.basisprofil.r4 v1.5
Condition.code.coding:ICD-10-GM.​extension:Seitenlokalisation.​value[x] Base required KBV_VS_SFHIR_ICD_SEITENLOKALISATION 📦1.00 kbv.all.st v1.24
Condition.code.coding:ICD-10-GM.​extension:Diagnosesicherheit.​value[x] Base required KBV_VS_SFHIR_ICD_DIAGNOSESICHERHEIT 📦1.00 kbv.all.st v1.24
Condition.code.coding:snomed Base required Diagnose SNOMED CT® 📦1.8.0 kbv.basis v1.8

Constraints

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

Differential View

This structure is derived from Condition

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Condition 0..* Condition Detailed information about conditions, problems or diagnoses
... meta S 0..1 Meta Metadata about the resource
.... id 0..0 Unique id for inter-element referencing
.... versionId S 0..1 id Version specific identifier
.... lastUpdated S 0..1 instant When the resource version last changed
.... source 0..0 Identifies where the resource comes from
... implicitRules 0..0 A set of rules under which this content was created
... language 0..0 Language of the resource content
.... status 1..1 code generated | extensions | additional | empty
Required Pattern: extensions
... contained 0..0 Contained, inline Resources
... extension 0..0 Extension
... identifier 0..0 External Ids for this condition
... clinicalStatus 0..0 active | recurrence | relapse | inactive | remission | resolved
... verificationStatus 0..0 unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
... category 0..0 problem-list-item | encounter-diagnosis
... severity 0..0 Subjective severity of condition
... code S 1..1 CodeableConcept Identification of the condition, problem or diagnosis
.... Slices for coding S 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:All Slices Content/Rules for all slices
...... system 1..1 uri Identity of the terminology system
...... code 1..1 code Symbol in syntax defined by the system
...... display 1..1 string Representation defined by the system
..... coding:ICD-10-GM S 0..1 CodingICD10GM Code defined by a terminology system
...... Slices for extension Content/Rules for all slices
....... extension:Mehrfachcodierungs-Kennzeichen S 0..1 ExtensionMehrfachcodierungKennzeichen Optional Extensions Element
........ value[x] S 1..1 Coding Value of extension
......... system S 1..1 uri Identity of the terminology system
......... version S 0..1 string Version of the system - if relevant
......... code S 1..1 code Symbol in syntax defined by the system
......... display S 1..1 string Representation defined by the system
......... userSelected 0..0 If this coding was chosen directly by the user
....... extension:Seitenlokalisation S 0..1 ExtensionSeitenlokalisation Optional Extensions Element
........ value[x] S 1..1 Coding Value of extension
......... system S 1..1 uri Identity of the terminology system
......... version S 0..1 string Version of the system - if relevant
......... code S 1..1 code Symbol in syntax defined by the system
......... display S 1..1 string Representation defined by the system
......... userSelected 0..0 If this coding was chosen directly by the user
....... extension:Diagnosesicherheit S 0..1 ExtensionICD10GMDiagnosesicherheit Optional Extensions Element
........ value[x] S 1..1 Coding Value of extension
......... system S 1..1 uri Identity of the terminology system
......... version S 0..1 string Version of the system - if relevant
......... code S 1..1 code Symbol in syntax defined by the system
......... display S 1..1 string Representation defined by the system
......... userSelected 0..0 If this coding was chosen directly by the user
...... system S 1..1 uri Canonische CodeSystem URL für ICD-10-GM
...... version S 1..1 string Die Jahresversion von ICD-10-GM. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017")
...... code S 1..1 code Der ICD-10-Code
...... display S 1..1 string Representation defined by the system
...... userSelected 0..0 If this coding was chosen directly by the user
..... coding:alphaId S 0..1 CodingAlphaID Code defined by a terminology system
...... system S 1..1 uri Canonische CodeSystem URL für Alpha-ID
...... version S 1..1 string Die Jahresversion von Alpha-ID. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017")
...... code S 1..1 code Der Alpha-ID-Code
...... display S 1..1 string Representation defined by the system
...... userSelected 0..0 If this coding was chosen directly by the user
..... coding:snomed S 0..1 Coding Code defined by a terminology system
Binding: Diagnose SNOMED CT® (required)
...... system S 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... version S 1..1 string Version of the system - if relevant
...... code S 1..1 code Symbol in syntax defined by the system
...... display S 1..1 string Representation defined by the system
...... userSelected 0..0 If this coding was chosen directly by the user
..... coding:orphanet S 0..1 Coding Code defined by a terminology system
...... system S 1..1 uri Identity of the terminology system
Fixed Value: http://www.orpha.net
...... version S 0..1 string Version of the system - if relevant
...... code S 1..1 code Symbol in syntax defined by the system
...... display S 1..1 string Representation defined by the system
...... userSelected 0..0 If this coding was chosen directly by the user
.... text S 0..1 string Diagnoseerläuterung
... bodySite 0..0 Anatomical location, if relevant
... subject S 1..1 Reference(KBV_PR_MIO_LAB_Patient(1.0.0-update)) Zu behandelnde Person
.... identifier S 1..1 IdentifierKvid10 Logical reference, when literal reference is not known
... encounter 0..0 Encounter created as part of
... Slices for onset[x] 0..0 Estimated or actual date, date-time, or age
Slice: Unordered, Open by type:$this
.... onset[x]:onsetPeriod 0..0 Estimated or actual date, date-time, or age
.... onset[x]:onsetRange 0..0 Estimated or actual date, date-time, or age
.... onset[x]:onsetDateTime 0..0 Estimated or actual date, date-time, or age
.... onset[x]:onsetAge 0..0 Estimated or actual date, date-time, or age
... Slices for abatement[x] 0..0 When in resolution/remission
Slice: Unordered, Open by type:$this
.... abatement[x]:abatementPeriod 0..0 When in resolution/remission
.... abatement[x]:abatementRange 0..0 When in resolution/remission
.... abatement[x]:abatementDateTime 0..0 When in resolution/remission
.... abatement[x]:abatementAge 0..0 When in resolution/remission
... recordedDate 0..0 Date record was first recorded
... recorder 0..0 Who recorded the condition
... asserter 0..0 Person who asserts this condition
... stage 0..0 Stage/grade, usually assessed formally
... evidence 0..0 Supporting evidence
... note 0..0 Additional information about the Condition

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Condition.code.coding:snomed Base required Diagnose SNOMED CT® 📦1.8.0 kbv.basis v1.8

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Condition C 0..* Condition Detailed information about conditions, problems or diagnoses
Constraints: con-3, con-4, con-5
... id Σ 0..1 id Logical id of this artifact
... meta SΣ 0..1 Meta Metadata about the resource
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId SΣ 0..1 id Version specific identifier
.... lastUpdated SΣ 0..1 instant When the resource version last changed
.... profile Σ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... status 1..1 code generated | extensions | additional | empty
Binding: NarrativeStatus (required): The status of a resource narrative.
Required Pattern: extensions
.... div C 1..1 xhtml Limited xhtml content
Constraints: txt-1, txt-2
... code SΣ 1..1 CodeableConcept Identification of the condition, problem or diagnosis
Binding: Condition/Problem/DiagnosisCodes (example): Identification of the condition or diagnosis.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:All Slices Content/Rules for all slices
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 1..1 code Symbol in syntax defined by the system
...... display Σ 1..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:ICD-10-GM SΣ 0..1 CodingICD10GM Code defined by a terminology system
...... id 0..1 string Unique id for inter-element referencing
...... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... Slices for extension Content/Rules for all slices
....... extension:Mehrfachcodierungs-Kennzeichen S 0..1 (Complex) Optional Extensions Element
URL: http://fhir.de/StructureDefinition/icd-10-gm-mehrfachcodierungs-kennzeichen
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
........ url 1..1 uri "http://fhir.de/StructureDefinition/icd-10-gm-mehrfachcodierungs-kennzeichen"
........ value[x] S 1..1 Coding Value of extension
Binding: Mehrfachkodierungs-Kennzeichen ICD10GM ValueSet (required)
......... id 0..1 string Unique id for inter-element referencing
......... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
......... system SΣ 1..1 uri Identity of the terminology system
......... version SΣ 0..1 string Version of the system - if relevant
......... code SΣ 1..1 code Symbol in syntax defined by the system
......... display SΣ 1..1 string Representation defined by the system
....... extension:Seitenlokalisation S 0..1 (Complex) Optional Extensions Element
URL: http://fhir.de/StructureDefinition/seitenlokalisation
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
........ url 1..1 uri "http://fhir.de/StructureDefinition/seitenlokalisation"
........ value[x] S 1..1 Coding Value of extension
Binding: KBV_VS_SFHIR_ICD_SEITENLOKALISATION (required)
......... id 0..1 string Unique id for inter-element referencing
......... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
......... system SΣ 1..1 uri Identity of the terminology system
......... version SΣ 0..1 string Version of the system - if relevant
......... code SΣ 1..1 code Symbol in syntax defined by the system
......... display SΣ 1..1 string Representation defined by the system
....... extension:Diagnosesicherheit S 0..1 (Complex) Optional Extensions Element
URL: http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
........ url 1..1 uri "http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit"
........ value[x] SC 1..1 Coding Value of extension
Binding: KBV_VS_SFHIR_ICD_DIAGNOSESICHERHEIT (required)
Constraints: icd-4, icd-5, icd-6, icd-7
......... id 0..1 string Unique id for inter-element referencing
......... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
......... system SΣ 1..1 uri Identity of the terminology system
......... version SΣ 0..1 string Version of the system - if relevant
......... code SΣ 1..1 code Symbol in syntax defined by the system
......... display SΣ 1..1 string Representation defined by the system
...... system SΣ 1..1 uri Canonische CodeSystem URL für ICD-10-GM
Fixed Value: http://fhir.de/CodeSystem/bfarm/icd-10-gm
...... version SΣ 1..1 string Die Jahresversion von ICD-10-GM. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017")
...... code SΣC 1..1 code Der ICD-10-Code
Constraints: icd-regex
Example Einfacher ICD-Code: F17.4
...... display SΣ 1..1 string Representation defined by the system
..... coding:alphaId SΣ 0..1 CodingAlphaID Code defined by a terminology system
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Canonische CodeSystem URL für Alpha-ID
Fixed Value: http://fhir.de/CodeSystem/bfarm/alpha-id
...... version SΣ 1..1 string Die Jahresversion von Alpha-ID. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017")
...... code SΣ 1..1 code Der Alpha-ID-Code
...... display SΣ 1..1 string Representation defined by the system
..... coding:snomed SΣ 0..1 Coding Code defined by a terminology system
Binding: Diagnose SNOMED CT® (required)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... version SΣ 1..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display SΣ 1..1 string Representation defined by the system
..... coding:orphanet SΣ 0..1 Coding Code defined by a terminology system
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://www.orpha.net
...... version SΣ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display SΣ 1..1 string Representation defined by the system
.... text SΣ 0..1 string Diagnoseerläuterung
... subject SΣ 1..1 Reference(KBV_PR_MIO_LAB_Patient(1.0.0-update)) Zu behandelnde Person
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier SΣ 1..1 IdentifierKvid10 Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Condition.meta.security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
Condition.meta.tag Base example Common Tags 📍4.0.1 FHIR Std.
Condition.text.status Base required NarrativeStatus 📍4.0.1 FHIR Std.
Condition.code Base example Condition/Problem/Diagnosis Codes 📍4.0.1 FHIR Std.
Condition.code.coding:ICD-10-GM.​extension:Mehrfachcodierungs-Kennzeichen.​value[x] Base required Mehrfachkodierungs-Kennzeichen ICD10GM ValueSet 📦1.5.4 de.basisprofil.r4 v1.5
Condition.code.coding:ICD-10-GM.​extension:Seitenlokalisation.​value[x] Base required KBV_VS_SFHIR_ICD_SEITENLOKALISATION 📦1.00 kbv.all.st v1.24
Condition.code.coding:ICD-10-GM.​extension:Diagnosesicherheit.​value[x] Base required KBV_VS_SFHIR_ICD_DIAGNOSESICHERHEIT 📦1.00 kbv.all.st v1.24
Condition.code.coding:snomed Base required Diagnose SNOMED CT® 📦1.8.0 kbv.basis v1.8
Condition.subject.type Base extensible ResourceType 📍4.0.1 FHIR Std.
Condition.stage.summary Base example Condition Stage 📍4.0.1 FHIR Std.
Condition.stage.type Base example Condition Stage Type 📍4.0.1 FHIR Std.
Condition.evidence.code Base example Manifestation and Symptom Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
con-3 best practice Condition Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
con-4 error Condition If condition is abated, then clinicalStatus must be either inactive, resolved, or remission abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
con-5 error Condition Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
dom-2 error Condition If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Condition If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Condition If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Condition If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Condition A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
icd-4 warning Condition.code.coding:ICD-10-GM.extension:Diagnosesicherheit.value[x] Wenn die Diagnosesicherheit "A (Ausschluss)" verwendet wird, dann muss clinicalStatus leer bleiben und verificationStaus auf "refuted" gesetzt werden. code!='A' or (%resource.verificationStatus.coding.where(code='refuted').exists() and %resource.clinicalStatus.empty())
icd-5 warning Condition.code.coding:ICD-10-GM.extension:Diagnosesicherheit.value[x] Wenn die Diagnosesicherheit "G (Gesichert)" verwendet wird, dann muss clinicalStatus auf "active" und verificationStatus auf "confirmed" gesetzt werden. code!='G' or (%resource.clinicalStatus.coding.where(code='active').exists() and %resource.verificationStatus.coding.where(code='confirmed').exists())
icd-6 warning Condition.code.coding:ICD-10-GM.extension:Diagnosesicherheit.value[x] Wenn die Diagnosesicherheit "V (Verdacht auf)" verwendet wird, dann muss clinicalStatus auf "active" und verificationStatus auf "provisional" oder "differential" gesetzt werden. code!='V' or (%resource.clinicalStatus.coding.where(code='active').exists() and (%resource.verificationStatus.coding.where(code='provisional').exists() or %resource.verificationStatus.coding.where(code='differential').exists()))
icd-7 warning Condition.code.coding:ICD-10-GM.extension:Diagnosesicherheit.value[x] Wenn die Diagnosesicherheit "Z (Zustand nach)" verwendet wird, dann muss clinicalStatus auf "resolved" und verificationStatus auf "confirmed" gesetzt werden. code!='Z' or (%resource.clinicalStatus.coding.where(code='resolved').exists() and %resource.verificationStatus.coding.where(code='confirmed').exists())
icd-regex warning Condition.code.coding:ICD-10-GM.code In code sind nur gültige ICD-10-Codes ohne Zusätze erlaubt matches('^[A-Z][0-9][A-Z0-9](\\.?[A-Z0-9]{0,4})?$')
txt-1 error Condition.text.div The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes htmlChecks()
txt-2 error Condition.text.div The narrative SHALL have some non-whitespace content htmlChecks()

This structure is derived from Condition

Summary

Mandatory: 2 elements(17 nested mandatory elements)
Must-Support: 46 elements
Fixed: 2 elements
Prohibited: 36 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

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

 

Other representations of profile: CSV, Excel, Schematron