Arbeitsgruppe WeST
Version 1.0.0-kommentierung - ci-build

Resource Profile: KBV_PR_WEST_Condition

Official URL: https://fhir.kbv.de/StructureDefinition/KBV_PR_WEST_Condition Version: 1.0.0-kommentierung
Draft as of 2026-03-11 Computable Name: KBV_PR_WEST_Condition

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 können alle Informationen angegeben werden, die im Zusammenhang mit einer Diagnosestellung stehen.

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..* KBV_PR_Base_Condition_Diagnosis(1.8.0) Diagnose
Constraints: con-3, con-4, con-5, Rec1
... id Σ 1..1 id Logical id of this artifact
... meta SΣ 1..1 Meta Metadata about the resource
.... Slices for profile SΣ 1..* canonical(StructureDefinition) Profiles this resource claims to conform to
Slice: Unordered, Open by value:$this
..... profile:mioProfile SΣ 1..1 canonical(StructureDefinition) Profiles this resource claims to conform to

Fixed Value: https://fhir.kbv.de/StructureDefinition/KBV_PR_WEST_Condition|1.0.0-kommentierung
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
.... extension:Feststellungsdatum S 0..1 (Complex) Date the condition was first asserted
URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
..... extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/condition-assertedDate"
..... value[x] S 1..1 dateTime Value of extension
.... extension:diagnoseausnahmetatbestand S 0..1 (Complex) Diagnoseausnahmetatbestand
URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_Base_Additional_Comment
..... extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
..... url 1..1 uri "https://fhir.kbv.de/StructureDefinition/KBV_EX_Base_Additional_Comment"
..... Slices for value[x] 1..1 string Value of extension
Slice: Unordered, Closed by type:$this
...... value[x]:valueString S 1..1 string Value of extension
.... extension:istDauerdiagnose S 0..1 (Complex) istDauerdiagnose
URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_WEST_Diagnose_istDauerdiagnose
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "https://fhir.kbv.de/StructureDefinition/KBV_EX_WEST_Diagnose_istDauerdiagnose"
..... Slices for value[x] 1..1 boolean Value of extension
Slice: Unordered, Closed by type:$this
...... value[x]:valueBoolean S 1..1 boolean Value of extension
.... extension:istAbrechnungsrelevant S 1..1 (Complex) istAbrechnungsrelevant
URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_WEST_istAbrechnungsrelevant
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "https://fhir.kbv.de/StructureDefinition/KBV_EX_WEST_istAbrechnungsrelevant"
..... Slices for value[x] 1..1 boolean Value of extension
Slice: Unordered, Closed by type:$this
...... value[x]:valueBoolean S 1..1 boolean Value of extension
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... clinicalStatus ?!SΣC 0..1 CodeableConcept active | recurrence | relapse | inactive | remission | resolved
Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
.... coding SΣ 0..* Coding Code defined by a terminology system
..... system SΣ 1..1 uri Identity of the terminology system
..... 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
... verificationStatus ?!SΣC 0..1 CodeableConcept unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
.... coding SΣ 0..* Coding Code defined by a terminology system
..... system SΣ 1..1 uri Identity of the terminology system
..... 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
... Slices for category S 0..2 CodeableConcept Diagnosekategorie
Slice: Unordered, Closed by value:coding.system
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
.... category:diagnosekategorie S 0..1 CodeableConcept ​problem-list-item | encounter-diagnosis
Binding: https://fhir.kbv.de/ValueSet/KBV_VS_WEST_Diagnosekategorie (required): Diagnosekategorie
..... coding SΣ 1..1 Coding Code defined by a terminology system
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: https://fhir.kbv.de/CodeSystem/KBV_CS_WEST_Diagnosekategorie
...... code SΣ 1..1 code Symbol in syntax defined by the system
.... category:diagnoseart S 0..1 CodeableConcept ​Diagnoseart
Binding: https://fhir.kbv.de/ValueSet/KBV_VS_WEST_Diagnoseart (required): Diagnoseart
..... coding SΣ 1..1 Coding Code defined by a terminology system
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: https://fhir.kbv.de/CodeSystem/KBV_CS_WEST_Diagnoseart
...... code SΣ 1..1 code Symbol in syntax defined by the system
... severity S 0..1 CodeableConcept Schweregrad der Diagnose
Binding: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.
.... Slices for coding SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:$this
..... coding:snomed SΣ 0..1 Coding Code defined by a terminology system
Binding: Condition/DiagnosisSeverity (required)

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... version 0..1 string Version of the system - if relevant
...... code 0..1 code Symbol in syntax defined by the system
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
...... system SΣ 1..1 uri Identity of the terminology system
...... version Σ 1..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display Σ 1..1 string Representation defined by the system
.... text SΣ 0..1 string Plain text representation of the concept
... 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 Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:ICD-10-GM SΣ 0..1 CodingICD10GM A reference to a code defined by a terminology system
...... Slices for extension 0..* Extension Extension
Slice: Unordered, Closed by value:url
....... extension:Mehrfachcodierungs-Kennzeichen S 0..1 Coding Optional Extensions Element
URL: http://fhir.de/StructureDefinition/icd-10-gm-mehrfachcodierungs-kennzeichen
Binding: Mehrfachkodierungs-Kennzeichen ICD10GM ValueSet (required)
....... extension:Seitenlokalisation S 0..1 Coding ​Optional Extensions Element
URL: http://fhir.de/StructureDefinition/seitenlokalisation
Binding: https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_ICD_SEITENLOKALISATION (required)
....... extension:Diagnosesicherheit S 0..1 Coding ​Optional Extensions Element
URL: http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit
Binding: https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_ICD_DIAGNOSESICHERHEIT (required)
...... system SΣ 1..1 uri Canonische CodeSystem URL für ICD-10-GM
Fixed Value: http://fhir.de/CodeSystem/bfarm/icd-10-gm
...... version SΣ 1..1 string Die Jahresversion von ICD-10-GM. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017")
...... code SΣC 1..1 code Der ICD-10-Code
Constraints: icd-regex
Example Einfacher ICD-Code: F17.4
..... coding:alphaId SΣ 0..1 CodingAlphaID A reference to a 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
..... 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 Σ 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
...... code SΣ 1..1 code Symbol in syntax defined by the system
.... text SΣ 0..1 string Diagnoseerläuterung
... bodySite SΣ 0..* CodeableConcept Körperstelle
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
.... Slices for coding SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:$this
..... coding:snomed SΣ 0..1 Coding Code defined by a terminology system
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... version 0..1 string Version of the system - if relevant
...... code 0..1 code Symbol in syntax defined by the system
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
...... system SΣ 1..1 uri Identity of the terminology system
...... version Σ 1..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display Σ 1..1 string Representation defined by the system
.... text SΣ 0..1 string Plain text representation of the concept
... subject SΣ 1..1 Reference(KBV_PR_WEST_Patient(1.0.0-kommentierung)) Who has the condition?
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
... Slices for onset[x] SΣ 0..1 Klinisch relevanter Zeitraum Anfang
Slice: Unordered, Closed by type:$this
.... onsetDateTime dateTime
.... onsetAge Age
.... onsetPeriod Period
.... onsetRange Range
.... onset[x]:onsetPeriod SΣ 0..1 Period Estimated or actual date, date-time, or age
.... onset[x]:onsetRange SΣ 0..1 Range Lebensphase-von
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Closed by value:url
...... extension:lebensphase-von S 0..1 (Complex) Optional Extensions Element
URL: http://fhir.de/StructureDefinition/lebensphase
....... extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
....... url 1..1 uri "http://fhir.de/StructureDefinition/lebensphase"
....... value[x] S 1..1 CodeableConcept Value of extension
........ coding Σ 1..1 Coding Code defined by a terminology system
Binding: LebensphaseDe ValueSet (required): Lebensphase
......... system Σ 1..1 uri Identity of the terminology system
......... code Σ 1..1 code Symbol in syntax defined by the system
.... onset[x]:onsetDateTime SΣ 0..1 dateTime Datum Anfang
.... onset[x]:onsetAge SΣ 0..1 Age Alter
..... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
... Slices for abatement[x] SC 0..1 Klinischer Zeitraum Ende
Slice: Unordered, Closed by type:$this
.... abatementDateTime dateTime
.... abatementAge Age
.... abatementPeriod Period
.... abatementRange Range
.... abatement[x]:abatementPeriod SC 0..1 Period When in resolution/remission
.... abatement[x]:abatementRange SC 0..1 Range When in resolution/remission
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Closed by value:url
...... extension:lebensphase-bis S 0..1 (Complex) Optional Extensions Element
URL: http://fhir.de/StructureDefinition/lebensphase
....... extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
....... url 1..1 uri "http://fhir.de/StructureDefinition/lebensphase"
....... value[x] S 1..1 CodeableConcept Value of extension
........ coding Σ 1..1 Coding Code defined by a terminology system
Binding: LebensphaseDe ValueSet (required): Lebensphase
......... system Σ 1..1 uri Identity of the terminology system
......... code Σ 1..1 code Symbol in syntax defined by the system
.... abatement[x]:abatementDateTime SC 0..1 dateTime Datum bis
.... abatement[x]:abatementAge SC 0..1 Age Lebenphase bis
..... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
... recordedDate SΣ 0..1 dateTime Dokumentationsdatum
... asserter SΣ 0..1 Reference(KBV_PR_WEST_Practitioner(1.0.0-kommentierung) | KBV_PR_WEST_PractitionerRole(1.0.0-kommentierung)) Person who asserts this condition
.... reference SΣC 0..1 string Literal reference, Relative, internal or absolute URL
... note S 0..1 Annotation Freitextbeschreibung
.... Slices for author[x] SΣ 0..1 Individual responsible for the annotation
Slice: Unordered, Closed by type:$this
..... authorReference Reference(Practitioner | Patient | RelatedPerson | Organization)
..... authorString string
..... author[x]:authorReference SΣ 0..1 Reference(Practitioner | Patient | RelatedPerson | Organization | KBV_PR_Base_Practitioner(1.8.0) | KBV_PR_Base_Patient(1.8.0) | KBV_PR_Base_RelatedPerson(1.8.0) | KBV_PR_Base_Organization(1.8.0)) Individual responsible for the annotation
..... author[x]:authorString SΣ 0..1 string Individual responsible for the annotation
.... time SΣ 0..1 dateTime When the annotation was made
.... text SΣ 1..1 markdown The annotation - text content (as markdown)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Condition.clinicalStatus Base required Condition Clinical Status Codes 📍4.0.1 FHIR Std.
Condition.verificationStatus Base required ConditionVerificationStatus 📍4.0.1 FHIR Std.
Condition.category Base extensible Condition Category Codes 📦4.0.1 FHIR Std.
Condition.category:diagnosekategorie Base required ​ https://fhir.kbv.de/ValueSet/KBV_VS_WEST_Diagnosekategorie Not State Unknown
Condition.category:diagnoseart Base required ​ https://fhir.kbv.de/ValueSet/KBV_VS_WEST_Diagnoseart Not State Unknown
Condition.severity Base preferred Condition/Diagnosis Severity 📦4.0.1 FHIR Std.
Condition.severity.coding:snomed Base required Condition/Diagnosis Severity 📦4.0.1 FHIR Std.
Condition.code Base example Condition/Problem/Diagnosis Codes 📦4.0.1 FHIR Std.
Condition.code.coding:snomed Base required Diagnose SNOMED CT® 📦1.8.0 kbv.basis v1.8
Condition.bodySite Base example SNOMED CT Body Structures 📦4.0.1 FHIR Std.
Condition.bodySite.coding:snomed Base example SNOMED CT Body Structures 📦4.0.1 FHIR Std.
Condition.onset[x]:onsetRange.​extension:lebensphase-von.​value[x].coding Base required LebensphaseDe ValueSet 📦1.5.4 de.basisprofil.r4 v1.5
Condition.onset[x]:onsetAge.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Condition.abatement[x]:abatementRange.​extension:lebensphase-bis.​value[x].coding Base required LebensphaseDe ValueSet 📦1.5.4 de.basisprofil.r4 v1.5
Condition.abatement[x]:abatementAge.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
Rec1 warning Condition Das Dokumentationsdatum soll mindestens mit MM.JJJJ angegeben werden. recordedDate.exists() implies recordedDate.toString().length()>=7
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-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 KBV_PR_Base_Condition_Diagnosis

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Condition 0..* KBV_PR_Base_Condition_Diagnosis(1.8.0) Diagnose
... id 1..1 id Logical id of this artifact
... meta S 1..1 Meta Metadata about the resource
.... versionId 0..0 Version specific identifier
.... lastUpdated 0..0 When the resource version last changed
.... source 0..0 Identifies where the resource comes from
.... Slices for profile S 1..* canonical(StructureDefinition) Profiles this resource claims to conform to
Slice: Unordered, Open by value:$this
..... profile:mioProfile S 1..1 canonical(StructureDefinition) Profiles this resource claims to conform to
Fixed Value: https://fhir.kbv.de/StructureDefinition/KBV_PR_WEST_Condition|1.0.0-kommentierung
... text 0..0 Text summary of the resource, for human interpretation
.... extension:Feststellungsdatum S 0..1 ConditionAssertedDate(5.2.0) Date the condition was first asserted
..... value[x] S 1..1 dateTime Value of extension
.... extension:diagnoseausnahmetatbestand S 0..1 (Complex) Diagnoseausnahmetatbestand
URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_Base_Additional_Comment
..... Slices for value[x] Content/Rules for all slices
...... value[x]:valueString S 1..1 string Value of extension
.... extension:istDauerdiagnose S 0..1 (Complex) istDauerdiagnose
URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_WEST_Diagnose_istDauerdiagnose
..... Slices for value[x] Content/Rules for all slices
...... value[x]:valueBoolean S 1..1 boolean Value of extension
.... extension:istAbrechnungsrelevant S 1..1 (Complex) istAbrechnungsrelevant
URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_WEST_istAbrechnungsrelevant
..... Slices for value[x] Content/Rules for all slices
...... value[x]:valueBoolean S 1..1 boolean Value of extension
... identifier 0..0 External Ids for this condition
... clinicalStatus S 0..1 CodeableConcept active | recurrence | relapse | inactive | remission | resolved
.... coding S 0..* Coding Code defined by a terminology system
..... system S 1..1 uri Identity of the terminology system
..... 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
.... text 0..0 Plain text representation of the concept
... verificationStatus S 0..1 CodeableConcept unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
.... coding S 0..* Coding Code defined by a terminology system
..... system S 1..1 uri Identity of the terminology system
..... 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
.... text 0..0 Plain text representation of the concept
... Slices for category S 0..2 CodeableConcept Diagnosekategorie
Slice: Unordered, Closed by value:coding.system
.... category:diagnosekategorie S 0..1 CodeableConcept ​problem-list-item | encounter-diagnosis
Binding: https://fhir.kbv.de/ValueSet/KBV_VS_WEST_Diagnosekategorie (required): Diagnosekategorie
..... coding S 1..1 Coding Code defined by a terminology system
...... system S 1..1 uri Identity of the terminology system
Fixed Value: https://fhir.kbv.de/CodeSystem/KBV_CS_WEST_Diagnosekategorie
...... version 0..0 Version of the system - if relevant
...... code S 1..1 code Symbol in syntax defined by the system
...... display 0..0 Representation defined by the system
...... userSelected 0..0 If this coding was chosen directly by the user
..... text 0..0 Plain text representation of the concept
.... category:diagnoseart S 0..1 CodeableConcept ​Diagnoseart
Binding: https://fhir.kbv.de/ValueSet/KBV_VS_WEST_Diagnoseart (required): Diagnoseart
..... coding S 1..1 Coding Code defined by a terminology system
...... system S 1..1 uri Identity of the terminology system
Fixed Value: https://fhir.kbv.de/CodeSystem/KBV_CS_WEST_Diagnoseart
...... version 0..0 Version of the system - if relevant
...... code S 1..1 code Symbol in syntax defined by the system
...... display 0..0 Representation defined by the system
...... userSelected 0..0 If this coding was chosen directly by the user
..... text 0..0 Plain text representation of the concept
... severity S 0..1 CodeableConcept Schweregrad der Diagnose
.... coding S 0..* Coding Code defined by a terminology system
.... Slices for coding Content/Rules for all slices
..... coding:snomed S 0..1 Coding Code defined by a terminology system
...... system S 1..1 uri Identity of the terminology system
...... code S 1..1 code Symbol in syntax defined by the system
...... userSelected 0..0 If this coding was chosen directly by the user
.... text S 0..1 string Plain text representation of the concept
... code S 1..1 CodeableConcept Identification of the condition, problem or diagnosis
.... Slices for coding Content/Rules for all slices
..... coding:ICD-10-GM S 0..1 CodingICD10GM A reference to a code defined by a terminology system
...... Slices for extension 0..* Extension Extension
Slice: Unordered, Closed by value:url
....... extension:Mehrfachcodierungs-Kennzeichen S 0..1 ExtensionMehrfachcodierungKennzeichen Optional Extensions Element
....... extension:Seitenlokalisation S 0..1 ExtensionSeitenlokalisation Optional Extensions Element
....... extension:Diagnosesicherheit S 0..1 ExtensionICD10GMDiagnosesicherheit Optional Extensions Element
...... 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
...... userSelected 0..0 If this coding was chosen directly by the user
..... coding:alphaId S 0..1 CodingAlphaID A reference to a 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
...... userSelected 0..0 If this coding was chosen directly by the user
..... coding:snomed S 0..1 Coding Code defined by a terminology system
...... system S 1..1 uri Identity of the terminology system
...... version S 1..1 string Version of the system - if relevant
...... code S 1..1 code Symbol in syntax 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
...... code S 1..1 code Symbol in syntax defined by the system
...... userSelected 0..0 If this coding was chosen directly by the user
.... text S 0..1 string Diagnoseerläuterung
... bodySite S 0..* CodeableConcept Körperstelle
.... coding S 0..* Coding Code defined by a terminology system
.... Slices for coding Content/Rules for all slices
..... coding:snomed S 0..1 Coding Code defined by a terminology system
...... system S 1..1 uri Identity of the terminology system
...... code S 1..1 code Symbol in syntax defined by the system
.... text S 0..1 string Plain text representation of the concept
... subject S 1..1 Reference(KBV_PR_WEST_Patient(1.0.0-kommentierung)) Who has the condition?
.... reference S 1..1 string Literal reference, Relative, internal or absolute URL
.... type 0..0 Type the reference refers to (e.g. "Patient")
.... identifier 0..0 Logical reference, when literal reference is not known
.... display 0..0 Text alternative for the resource
... encounter 0..0 Encounter created as part of
... onset[x] S 0..1 dateTime, Age, Period, Range Klinisch relevanter Zeitraum Anfang
... Slices for onset[x] Content/Rules for all slices
.... onset[x]:onsetPeriod S 0..1 Period Estimated or actual date, date-time, or age
.... onset[x]:onsetRange S 0..1 Range Lebensphase-von
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Closed by value:url
...... extension:lebensphase-von S 0..1 ExtensionLebensphase Optional Extensions Element
....... value[x] S 1..1 CodeableConcept Value of extension
.... onset[x]:onsetDateTime S 0..1 dateTime Datum Anfang
.... onset[x]:onsetAge S 0..1 Age Alter
.... onset[x]:onsetString 0..0 Klinisch relevanter Zeitraum Anfang
... abatement[x] S 0..1 dateTime, Age, Period, Range Klinischer Zeitraum Ende
... Slices for abatement[x] Content/Rules for all slices
.... abatement[x]:abatementPeriod S 0..1 Period When in resolution/remission
.... abatement[x]:abatementRange S 0..1 Range When in resolution/remission
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Closed by value:url
...... extension:lebensphase-bis S 0..1 ExtensionLebensphase Optional Extensions Element
....... value[x] S 1..1 CodeableConcept Value of extension
.... abatement[x]:abatementDateTime S 0..1 dateTime Datum bis
.... abatement[x]:abatementAge S 0..1 Age Lebenphase bis
.... abatement[x]:abatementString 0..0 Klinischer Zeitraum Ende
... recordedDate S 0..1 dateTime Dokumentationsdatum
... recorder 0..0 Who recorded the condition
... asserter S 0..1 Reference(KBV_PR_WEST_Practitioner(1.0.0-kommentierung) | KBV_PR_WEST_PractitionerRole(1.0.0-kommentierung)) Person who asserts this condition
.... reference S 0..1 string Literal reference, Relative, internal or absolute URL
.... type 0..0 Type the reference refers to (e.g. "Patient")
.... identifier 0..0 Logical reference, when literal reference is not known
.... display 0..0 Text alternative for the resource
... stage 0..0 Stage/grade, usually assessed formally
... evidence 0..0 Supporting evidence
... note S 0..1 Annotation Freitextbeschreibung
.... Slices for author[x] S 0..1 Reference(Practitioner | Patient | RelatedPerson | Organization), string Individual responsible for the annotation
Slice: Unordered, Closed by type:$this
..... author[x]:authorReference S 0..1 Reference(Practitioner | Patient | RelatedPerson | Organization | KBV_PR_Base_Practitioner(1.8.0) | KBV_PR_Base_Patient(1.8.0) | KBV_PR_Base_RelatedPerson(1.8.0) | KBV_PR_Base_Organization(1.8.0)) Individual responsible for the annotation
..... author[x]:authorString S 0..1 string Individual responsible for the annotation
.... time S 0..1 dateTime When the annotation was made
.... text S 1..1 markdown The annotation - text content (as markdown)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Condition.category:diagnosekategorie Base required ​ https://fhir.kbv.de/ValueSet/KBV_VS_WEST_Diagnosekategorie Not State Unknown
Condition.category:diagnoseart Base required ​ https://fhir.kbv.de/ValueSet/KBV_VS_WEST_Diagnoseart Not State Unknown
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Condition C 0..* KBV_PR_Base_Condition_Diagnosis(1.8.0) Diagnose
Constraints: con-3, con-4, con-5, Rec1
... id Σ 1..1 id Logical id of this artifact
... meta SΣ 1..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for profile SΣ 1..* canonical(StructureDefinition) Profiles this resource claims to conform to
Slice: Unordered, Open by value:$this
..... profile:mioProfile SΣ 1..1 canonical(StructureDefinition) Profiles this resource claims to conform to

Fixed Value: https://fhir.kbv.de/StructureDefinition/KBV_PR_WEST_Condition|1.0.0-kommentierung
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... contained 0..* Resource Contained, inline Resources
... Slices for extension 1..* Extension Extension
Slice: Unordered, Closed by value:url
.... extension:Feststellungsdatum S 0..1 (Complex) Date the condition was first asserted
URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/condition-assertedDate"
..... value[x] S 1..1 dateTime Value of extension
.... extension:diagnoseausnahmetatbestand S 0..1 (Complex) Diagnoseausnahmetatbestand
URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_Base_Additional_Comment
..... 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 "https://fhir.kbv.de/StructureDefinition/KBV_EX_Base_Additional_Comment"
..... Slices for value[x] 1..1 string Value of extension
Slice: Unordered, Closed by type:$this
...... value[x]:valueString S 1..1 string Value of extension
.... extension:istDauerdiagnose S 0..1 (Complex) istDauerdiagnose
URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_WEST_Diagnose_istDauerdiagnose
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "https://fhir.kbv.de/StructureDefinition/KBV_EX_WEST_Diagnose_istDauerdiagnose"
..... Slices for value[x] 1..1 boolean Value of extension
Slice: Unordered, Closed by type:$this
...... value[x]:valueBoolean S 1..1 boolean Value of extension
.... extension:istAbrechnungsrelevant S 1..1 (Complex) istAbrechnungsrelevant
URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_WEST_istAbrechnungsrelevant
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "https://fhir.kbv.de/StructureDefinition/KBV_EX_WEST_istAbrechnungsrelevant"
..... Slices for value[x] 1..1 boolean Value of extension
Slice: Unordered, Closed by type:$this
...... value[x]:valueBoolean S 1..1 boolean Value of extension
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... clinicalStatus ?!SΣC 0..1 CodeableConcept active | recurrence | relapse | inactive | remission | resolved
Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding SΣ 0..* Coding Code defined by a terminology system
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... system SΣ 1..1 uri Identity of the terminology system
..... 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
... verificationStatus ?!SΣC 0..1 CodeableConcept unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding SΣ 0..* Coding Code defined by a terminology system
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... system SΣ 1..1 uri Identity of the terminology system
..... 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
... Slices for category S 0..2 CodeableConcept Diagnosekategorie
Slice: Unordered, Closed by value:coding.system
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
.... category:diagnosekategorie S 0..1 CodeableConcept ​problem-list-item | encounter-diagnosis
Binding: https://fhir.kbv.de/ValueSet/KBV_VS_WEST_Diagnosekategorie (required): Diagnosekategorie
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... coding SΣ 1..1 Coding Code defined by a terminology system
...... 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: https://fhir.kbv.de/CodeSystem/KBV_CS_WEST_Diagnosekategorie
...... code SΣ 1..1 code Symbol in syntax defined by the system
.... category:diagnoseart S 0..1 CodeableConcept ​Diagnoseart
Binding: https://fhir.kbv.de/ValueSet/KBV_VS_WEST_Diagnoseart (required): Diagnoseart
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... coding SΣ 1..1 Coding Code defined by a terminology system
...... 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: https://fhir.kbv.de/CodeSystem/KBV_CS_WEST_Diagnoseart
...... code SΣ 1..1 code Symbol in syntax defined by the system
... severity S 0..1 CodeableConcept Schweregrad der Diagnose
Binding: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.
.... 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:$this
..... coding:snomed SΣ 0..1 Coding Code defined by a terminology system
Binding: Condition/DiagnosisSeverity (required)

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... version 0..1 string Version of the system - if relevant
...... code 0..1 code Symbol in syntax defined by the system
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
...... version Σ 1..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display Σ 1..1 string Representation defined by the system
.... text SΣ 0..1 string Plain text representation of the concept
... 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 Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:ICD-10-GM SΣ 0..1 CodingICD10GM A reference to a code defined by a terminology system
...... id 0..1 string Unique id for inter-element referencing
...... Slices for extension 0..* Extension Extension
Slice: Unordered, Closed by value:url
....... extension:Mehrfachcodierungs-Kennzeichen S 0..1 Coding Optional Extensions Element
URL: http://fhir.de/StructureDefinition/icd-10-gm-mehrfachcodierungs-kennzeichen
Binding: Mehrfachkodierungs-Kennzeichen ICD10GM ValueSet (required)
....... extension:Seitenlokalisation S 0..1 Coding ​Optional Extensions Element
URL: http://fhir.de/StructureDefinition/seitenlokalisation
Binding: https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_ICD_SEITENLOKALISATION (required)
....... extension:Diagnosesicherheit S 0..1 Coding ​Optional Extensions Element
URL: http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit
Binding: https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_ICD_DIAGNOSESICHERHEIT (required)
...... system SΣ 1..1 uri Canonische CodeSystem URL für ICD-10-GM
Fixed Value: http://fhir.de/CodeSystem/bfarm/icd-10-gm
...... version SΣ 1..1 string Die Jahresversion von ICD-10-GM. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017")
...... code SΣC 1..1 code Der ICD-10-Code
Constraints: icd-regex
Example Einfacher ICD-Code: F17.4
...... display Σ 0..1 string Representation defined by the system
..... coding:alphaId SΣ 0..1 CodingAlphaID A reference to a 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 Σ 0..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 Σ 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 Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
.... text SΣ 0..1 string Diagnoseerläuterung
... bodySite SΣ 0..* CodeableConcept Körperstelle
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
.... id 0..1 string Unique id for inter-element referencing
.... 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:$this
..... coding:snomed SΣ 0..1 Coding Code defined by a terminology system
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... version 0..1 string Version of the system - if relevant
...... code 0..1 code Symbol in syntax defined by the system
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
...... version Σ 1..1 string Version of the system - if relevant
...... code SΣ 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
.... text SΣ 0..1 string Plain text representation of the concept
... subject SΣ 1..1 Reference(KBV_PR_WEST_Patient(1.0.0-kommentierung)) Who has the condition?
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
... Slices for onset[x] SΣ 0..1 Klinisch relevanter Zeitraum Anfang
Slice: Unordered, Closed by type:$this
.... onsetDateTime dateTime
.... onsetAge Age
.... onsetPeriod Period
.... onsetRange Range
.... onset[x]:onsetPeriod SΣ 0..1 Period Estimated or actual date, date-time, or age
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... start ΣC 0..1 dateTime Starting time with inclusive boundary
..... end ΣC 0..1 dateTime End time with inclusive boundary, if not ongoing
.... onset[x]:onsetRange SΣ 0..1 Range Lebensphase-von
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Closed by value:url
...... extension:lebensphase-von S 0..1 (Complex) Optional Extensions Element
URL: http://fhir.de/StructureDefinition/lebensphase
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
....... url 1..1 uri "http://fhir.de/StructureDefinition/lebensphase"
....... value[x] S 1..1 CodeableConcept Value of extension
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ coding Σ 1..1 Coding Code defined by a terminology system
Binding: LebensphaseDe ValueSet (required): Lebensphase
......... id 0..1 string Unique id for inter-element referencing
......... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
......... system 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 0..1 string Representation defined by the system
......... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
........ text Σ 0..1 string Plain text representation of the concept
..... low Σ 0..1 SimpleQuantity Low limit
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... value Σ 0..1 decimal Numerical value (with implicit precision)
...... unit Σ 0..1 string Unit representation
...... system ΣC 0..1 uri System that defines coded unit form
...... code Σ 0..1 code Coded form of the unit
..... high Σ 0..1 SimpleQuantity High limit
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... value Σ 0..1 decimal Numerical value (with implicit precision)
...... unit Σ 0..1 string Unit representation
...... system ΣC 0..1 uri System that defines coded unit form
...... code Σ 0..1 code Coded form of the unit
.... onset[x]:onsetDateTime SΣ 0..1 dateTime Datum Anfang
.... onset[x]:onsetAge SΣ 0..1 Age Alter
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... value Σ 0..1 decimal Numerical value (with implicit precision)
..... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
..... unit Σ 0..1 string Unit representation
..... system ΣC 0..1 uri System that defines coded unit form
..... code Σ 0..1 code Coded form of the unit
... Slices for abatement[x] SC 0..1 Klinischer Zeitraum Ende
Slice: Unordered, Closed by type:$this
.... abatementDateTime dateTime
.... abatementAge Age
.... abatementPeriod Period
.... abatementRange Range
.... abatement[x]:abatementPeriod SC 0..1 Period When in resolution/remission
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... start ΣC 0..1 dateTime Starting time with inclusive boundary
..... end ΣC 0..1 dateTime End time with inclusive boundary, if not ongoing
.... abatement[x]:abatementRange SC 0..1 Range When in resolution/remission
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Closed by value:url
...... extension:lebensphase-bis S 0..1 (Complex) Optional Extensions Element
URL: http://fhir.de/StructureDefinition/lebensphase
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
....... url 1..1 uri "http://fhir.de/StructureDefinition/lebensphase"
....... value[x] S 1..1 CodeableConcept Value of extension
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ coding Σ 1..1 Coding Code defined by a terminology system
Binding: LebensphaseDe ValueSet (required): Lebensphase
......... id 0..1 string Unique id for inter-element referencing
......... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
......... system 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 0..1 string Representation defined by the system
......... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
........ text Σ 0..1 string Plain text representation of the concept
..... low Σ 0..1 SimpleQuantity Low limit
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... value Σ 0..1 decimal Numerical value (with implicit precision)
...... unit Σ 0..1 string Unit representation
...... system ΣC 0..1 uri System that defines coded unit form
...... code Σ 0..1 code Coded form of the unit
..... high Σ 0..1 SimpleQuantity High limit
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... value Σ 0..1 decimal Numerical value (with implicit precision)
...... unit Σ 0..1 string Unit representation
...... system ΣC 0..1 uri System that defines coded unit form
...... code Σ 0..1 code Coded form of the unit
.... abatement[x]:abatementDateTime SC 0..1 dateTime Datum bis
.... abatement[x]:abatementAge SC 0..1 Age Lebenphase bis
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... value Σ 0..1 decimal Numerical value (with implicit precision)
..... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
..... unit Σ 0..1 string Unit representation
..... system ΣC 0..1 uri System that defines coded unit form
..... code Σ 0..1 code Coded form of the unit
... recordedDate SΣ 0..1 dateTime Dokumentationsdatum
... asserter SΣ 0..1 Reference(KBV_PR_WEST_Practitioner(1.0.0-kommentierung) | KBV_PR_WEST_PractitionerRole(1.0.0-kommentierung)) Person who asserts this condition
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 0..1 string Literal reference, Relative, internal or absolute URL
... note S 0..1 Annotation Freitextbeschreibung
.... 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 author[x] SΣ 0..1 Individual responsible for the annotation
Slice: Unordered, Closed by type:$this
..... authorReference Reference(Practitioner | Patient | RelatedPerson | Organization)
..... authorString string
..... author[x]:authorReference SΣ 0..1 Reference(Practitioner | Patient | RelatedPerson | Organization | KBV_PR_Base_Practitioner(1.8.0) | KBV_PR_Base_Patient(1.8.0) | KBV_PR_Base_RelatedPerson(1.8.0) | KBV_PR_Base_Organization(1.8.0)) Individual responsible for the annotation
..... author[x]:authorString SΣ 0..1 string Individual responsible for the annotation
.... time SΣ 0..1 dateTime When the annotation was made
.... text SΣ 1..1 markdown The annotation - text content (as markdown)

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.language Base preferred Common Languages 📦4.0.1 FHIR Std.
Condition.clinicalStatus Base required Condition Clinical Status Codes 📍4.0.1 FHIR Std.
Condition.verificationStatus Base required ConditionVerificationStatus 📍4.0.1 FHIR Std.
Condition.category Base extensible Condition Category Codes 📦4.0.1 FHIR Std.
Condition.category:diagnosekategorie Base required ​ https://fhir.kbv.de/ValueSet/KBV_VS_WEST_Diagnosekategorie Not State Unknown
Condition.category:diagnoseart Base required ​ https://fhir.kbv.de/ValueSet/KBV_VS_WEST_Diagnoseart Not State Unknown
Condition.severity Base preferred Condition/Diagnosis Severity 📦4.0.1 FHIR Std.
Condition.severity.coding:snomed Base required Condition/Diagnosis Severity 📦4.0.1 FHIR Std.
Condition.code Base example Condition/Problem/Diagnosis Codes 📦4.0.1 FHIR Std.
Condition.code.coding:snomed Base required Diagnose SNOMED CT® 📦1.8.0 kbv.basis v1.8
Condition.bodySite Base example SNOMED CT Body Structures 📦4.0.1 FHIR Std.
Condition.bodySite.coding:snomed Base example SNOMED CT Body Structures 📦4.0.1 FHIR Std.
Condition.onset[x]:onsetRange.​extension:lebensphase-von.​value[x].coding Base required LebensphaseDe ValueSet 📦1.5.4 de.basisprofil.r4 v1.5
Condition.onset[x]:onsetAge.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Condition.abatement[x]:abatementRange.​extension:lebensphase-bis.​value[x].coding Base required LebensphaseDe ValueSet 📦1.5.4 de.basisprofil.r4 v1.5
Condition.abatement[x]:abatementAge.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Condition.stage.summary Base example Condition Stage 📦4.0.1 FHIR Std.
Condition.stage.type Base example Condition Stage Type 📦4.0.1 FHIR Std.
Condition.evidence.code Base example Manifestation and Symptom Codes 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
Rec1 warning Condition Das Dokumentationsdatum soll mindestens mit MM.JJJJ angegeben werden. recordedDate.exists() implies recordedDate.toString().length()>=7
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-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 KBV_PR_Base_Condition_Diagnosis

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Condition C 0..* KBV_PR_Base_Condition_Diagnosis(1.8.0) Diagnose
Constraints: con-3, con-4, con-5, Rec1
... id Σ 1..1 id Logical id of this artifact
... meta SΣ 1..1 Meta Metadata about the resource
.... Slices for profile SΣ 1..* canonical(StructureDefinition) Profiles this resource claims to conform to
Slice: Unordered, Open by value:$this
..... profile:mioProfile SΣ 1..1 canonical(StructureDefinition) Profiles this resource claims to conform to

Fixed Value: https://fhir.kbv.de/StructureDefinition/KBV_PR_WEST_Condition|1.0.0-kommentierung
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
.... extension:Feststellungsdatum S 0..1 (Complex) Date the condition was first asserted
URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
..... extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/condition-assertedDate"
..... value[x] S 1..1 dateTime Value of extension
.... extension:diagnoseausnahmetatbestand S 0..1 (Complex) Diagnoseausnahmetatbestand
URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_Base_Additional_Comment
..... extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
..... url 1..1 uri "https://fhir.kbv.de/StructureDefinition/KBV_EX_Base_Additional_Comment"
..... Slices for value[x] 1..1 string Value of extension
Slice: Unordered, Closed by type:$this
...... value[x]:valueString S 1..1 string Value of extension
.... extension:istDauerdiagnose S 0..1 (Complex) istDauerdiagnose
URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_WEST_Diagnose_istDauerdiagnose
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "https://fhir.kbv.de/StructureDefinition/KBV_EX_WEST_Diagnose_istDauerdiagnose"
..... Slices for value[x] 1..1 boolean Value of extension
Slice: Unordered, Closed by type:$this
...... value[x]:valueBoolean S 1..1 boolean Value of extension
.... extension:istAbrechnungsrelevant S 1..1 (Complex) istAbrechnungsrelevant
URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_WEST_istAbrechnungsrelevant
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "https://fhir.kbv.de/StructureDefinition/KBV_EX_WEST_istAbrechnungsrelevant"
..... Slices for value[x] 1..1 boolean Value of extension
Slice: Unordered, Closed by type:$this
...... value[x]:valueBoolean S 1..1 boolean Value of extension
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... clinicalStatus ?!SΣC 0..1 CodeableConcept active | recurrence | relapse | inactive | remission | resolved
Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
.... coding SΣ 0..* Coding Code defined by a terminology system
..... system SΣ 1..1 uri Identity of the terminology system
..... 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
... verificationStatus ?!SΣC 0..1 CodeableConcept unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
.... coding SΣ 0..* Coding Code defined by a terminology system
..... system SΣ 1..1 uri Identity of the terminology system
..... 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
... Slices for category S 0..2 CodeableConcept Diagnosekategorie
Slice: Unordered, Closed by value:coding.system
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
.... category:diagnosekategorie S 0..1 CodeableConcept ​problem-list-item | encounter-diagnosis
Binding: https://fhir.kbv.de/ValueSet/KBV_VS_WEST_Diagnosekategorie (required): Diagnosekategorie
..... coding SΣ 1..1 Coding Code defined by a terminology system
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: https://fhir.kbv.de/CodeSystem/KBV_CS_WEST_Diagnosekategorie
...... code SΣ 1..1 code Symbol in syntax defined by the system
.... category:diagnoseart S 0..1 CodeableConcept ​Diagnoseart
Binding: https://fhir.kbv.de/ValueSet/KBV_VS_WEST_Diagnoseart (required): Diagnoseart
..... coding SΣ 1..1 Coding Code defined by a terminology system
...... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: https://fhir.kbv.de/CodeSystem/KBV_CS_WEST_Diagnoseart
...... code SΣ 1..1 code Symbol in syntax defined by the system
... severity S 0..1 CodeableConcept Schweregrad der Diagnose
Binding: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.
.... Slices for coding SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:$this
..... coding:snomed SΣ 0..1 Coding Code defined by a terminology system
Binding: Condition/DiagnosisSeverity (required)

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... version 0..1 string Version of the system - if relevant
...... code 0..1 code Symbol in syntax defined by the system
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
...... system SΣ 1..1 uri Identity of the terminology system
...... version Σ 1..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display Σ 1..1 string Representation defined by the system
.... text SΣ 0..1 string Plain text representation of the concept
... 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 Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:ICD-10-GM SΣ 0..1 CodingICD10GM A reference to a code defined by a terminology system
...... Slices for extension 0..* Extension Extension
Slice: Unordered, Closed by value:url
....... extension:Mehrfachcodierungs-Kennzeichen S 0..1 Coding Optional Extensions Element
URL: http://fhir.de/StructureDefinition/icd-10-gm-mehrfachcodierungs-kennzeichen
Binding: Mehrfachkodierungs-Kennzeichen ICD10GM ValueSet (required)
....... extension:Seitenlokalisation S 0..1 Coding ​Optional Extensions Element
URL: http://fhir.de/StructureDefinition/seitenlokalisation
Binding: https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_ICD_SEITENLOKALISATION (required)
....... extension:Diagnosesicherheit S 0..1 Coding ​Optional Extensions Element
URL: http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit
Binding: https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_ICD_DIAGNOSESICHERHEIT (required)
...... system SΣ 1..1 uri Canonische CodeSystem URL für ICD-10-GM
Fixed Value: http://fhir.de/CodeSystem/bfarm/icd-10-gm
...... version SΣ 1..1 string Die Jahresversion von ICD-10-GM. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017")
...... code SΣC 1..1 code Der ICD-10-Code
Constraints: icd-regex
Example Einfacher ICD-Code: F17.4
..... coding:alphaId SΣ 0..1 CodingAlphaID A reference to a 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
..... 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 Σ 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
...... code SΣ 1..1 code Symbol in syntax defined by the system
.... text SΣ 0..1 string Diagnoseerläuterung
... bodySite SΣ 0..* CodeableConcept Körperstelle
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
.... Slices for coding SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:$this
..... coding:snomed SΣ 0..1 Coding Code defined by a terminology system
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... version 0..1 string Version of the system - if relevant
...... code 0..1 code Symbol in syntax defined by the system
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
...... system SΣ 1..1 uri Identity of the terminology system
...... version Σ 1..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display Σ 1..1 string Representation defined by the system
.... text SΣ 0..1 string Plain text representation of the concept
... subject SΣ 1..1 Reference(KBV_PR_WEST_Patient(1.0.0-kommentierung)) Who has the condition?
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
... Slices for onset[x] SΣ 0..1 Klinisch relevanter Zeitraum Anfang
Slice: Unordered, Closed by type:$this
.... onsetDateTime dateTime
.... onsetAge Age
.... onsetPeriod Period
.... onsetRange Range
.... onset[x]:onsetPeriod SΣ 0..1 Period Estimated or actual date, date-time, or age
.... onset[x]:onsetRange SΣ 0..1 Range Lebensphase-von
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Closed by value:url
...... extension:lebensphase-von S 0..1 (Complex) Optional Extensions Element
URL: http://fhir.de/StructureDefinition/lebensphase
....... extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
....... url 1..1 uri "http://fhir.de/StructureDefinition/lebensphase"
....... value[x] S 1..1 CodeableConcept Value of extension
........ coding Σ 1..1 Coding Code defined by a terminology system
Binding: LebensphaseDe ValueSet (required): Lebensphase
......... system Σ 1..1 uri Identity of the terminology system
......... code Σ 1..1 code Symbol in syntax defined by the system
.... onset[x]:onsetDateTime SΣ 0..1 dateTime Datum Anfang
.... onset[x]:onsetAge SΣ 0..1 Age Alter
..... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
... Slices for abatement[x] SC 0..1 Klinischer Zeitraum Ende
Slice: Unordered, Closed by type:$this
.... abatementDateTime dateTime
.... abatementAge Age
.... abatementPeriod Period
.... abatementRange Range
.... abatement[x]:abatementPeriod SC 0..1 Period When in resolution/remission
.... abatement[x]:abatementRange SC 0..1 Range When in resolution/remission
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Closed by value:url
...... extension:lebensphase-bis S 0..1 (Complex) Optional Extensions Element
URL: http://fhir.de/StructureDefinition/lebensphase
....... extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
....... url 1..1 uri "http://fhir.de/StructureDefinition/lebensphase"
....... value[x] S 1..1 CodeableConcept Value of extension
........ coding Σ 1..1 Coding Code defined by a terminology system
Binding: LebensphaseDe ValueSet (required): Lebensphase
......... system Σ 1..1 uri Identity of the terminology system
......... code Σ 1..1 code Symbol in syntax defined by the system
.... abatement[x]:abatementDateTime SC 0..1 dateTime Datum bis
.... abatement[x]:abatementAge SC 0..1 Age Lebenphase bis
..... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
... recordedDate SΣ 0..1 dateTime Dokumentationsdatum
... asserter SΣ 0..1 Reference(KBV_PR_WEST_Practitioner(1.0.0-kommentierung) | KBV_PR_WEST_PractitionerRole(1.0.0-kommentierung)) Person who asserts this condition
.... reference SΣC 0..1 string Literal reference, Relative, internal or absolute URL
... note S 0..1 Annotation Freitextbeschreibung
.... Slices for author[x] SΣ 0..1 Individual responsible for the annotation
Slice: Unordered, Closed by type:$this
..... authorReference Reference(Practitioner | Patient | RelatedPerson | Organization)
..... authorString string
..... author[x]:authorReference SΣ 0..1 Reference(Practitioner | Patient | RelatedPerson | Organization | KBV_PR_Base_Practitioner(1.8.0) | KBV_PR_Base_Patient(1.8.0) | KBV_PR_Base_RelatedPerson(1.8.0) | KBV_PR_Base_Organization(1.8.0)) Individual responsible for the annotation
..... author[x]:authorString SΣ 0..1 string Individual responsible for the annotation
.... time SΣ 0..1 dateTime When the annotation was made
.... text SΣ 1..1 markdown The annotation - text content (as markdown)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Condition.clinicalStatus Base required Condition Clinical Status Codes 📍4.0.1 FHIR Std.
Condition.verificationStatus Base required ConditionVerificationStatus 📍4.0.1 FHIR Std.
Condition.category Base extensible Condition Category Codes 📦4.0.1 FHIR Std.
Condition.category:diagnosekategorie Base required ​ https://fhir.kbv.de/ValueSet/KBV_VS_WEST_Diagnosekategorie Not State Unknown
Condition.category:diagnoseart Base required ​ https://fhir.kbv.de/ValueSet/KBV_VS_WEST_Diagnoseart Not State Unknown
Condition.severity Base preferred Condition/Diagnosis Severity 📦4.0.1 FHIR Std.
Condition.severity.coding:snomed Base required Condition/Diagnosis Severity 📦4.0.1 FHIR Std.
Condition.code Base example Condition/Problem/Diagnosis Codes 📦4.0.1 FHIR Std.
Condition.code.coding:snomed Base required Diagnose SNOMED CT® 📦1.8.0 kbv.basis v1.8
Condition.bodySite Base example SNOMED CT Body Structures 📦4.0.1 FHIR Std.
Condition.bodySite.coding:snomed Base example SNOMED CT Body Structures 📦4.0.1 FHIR Std.
Condition.onset[x]:onsetRange.​extension:lebensphase-von.​value[x].coding Base required LebensphaseDe ValueSet 📦1.5.4 de.basisprofil.r4 v1.5
Condition.onset[x]:onsetAge.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Condition.abatement[x]:abatementRange.​extension:lebensphase-bis.​value[x].coding Base required LebensphaseDe ValueSet 📦1.5.4 de.basisprofil.r4 v1.5
Condition.abatement[x]:abatementAge.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
Rec1 warning Condition Das Dokumentationsdatum soll mindestens mit MM.JJJJ angegeben werden. recordedDate.exists() implies recordedDate.toString().length()>=7
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-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 KBV_PR_Base_Condition_Diagnosis

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Condition 0..* KBV_PR_Base_Condition_Diagnosis(1.8.0) Diagnose
... id 1..1 id Logical id of this artifact
... meta S 1..1 Meta Metadata about the resource
.... versionId 0..0 Version specific identifier
.... lastUpdated 0..0 When the resource version last changed
.... source 0..0 Identifies where the resource comes from
.... Slices for profile S 1..* canonical(StructureDefinition) Profiles this resource claims to conform to
Slice: Unordered, Open by value:$this
..... profile:mioProfile S 1..1 canonical(StructureDefinition) Profiles this resource claims to conform to
Fixed Value: https://fhir.kbv.de/StructureDefinition/KBV_PR_WEST_Condition|1.0.0-kommentierung
... text 0..0 Text summary of the resource, for human interpretation
.... extension:Feststellungsdatum S 0..1 ConditionAssertedDate(5.2.0) Date the condition was first asserted
..... value[x] S 1..1 dateTime Value of extension
.... extension:diagnoseausnahmetatbestand S 0..1 (Complex) Diagnoseausnahmetatbestand
URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_Base_Additional_Comment
..... Slices for value[x] Content/Rules for all slices
...... value[x]:valueString S 1..1 string Value of extension
.... extension:istDauerdiagnose S 0..1 (Complex) istDauerdiagnose
URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_WEST_Diagnose_istDauerdiagnose
..... Slices for value[x] Content/Rules for all slices
...... value[x]:valueBoolean S 1..1 boolean Value of extension
.... extension:istAbrechnungsrelevant S 1..1 (Complex) istAbrechnungsrelevant
URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_WEST_istAbrechnungsrelevant
..... Slices for value[x] Content/Rules for all slices
...... value[x]:valueBoolean S 1..1 boolean Value of extension
... identifier 0..0 External Ids for this condition
... clinicalStatus S 0..1 CodeableConcept active | recurrence | relapse | inactive | remission | resolved
.... coding S 0..* Coding Code defined by a terminology system
..... system S 1..1 uri Identity of the terminology system
..... 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
.... text 0..0 Plain text representation of the concept
... verificationStatus S 0..1 CodeableConcept unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
.... coding S 0..* Coding Code defined by a terminology system
..... system S 1..1 uri Identity of the terminology system
..... 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
.... text 0..0 Plain text representation of the concept
... Slices for category S 0..2 CodeableConcept Diagnosekategorie
Slice: Unordered, Closed by value:coding.system
.... category:diagnosekategorie S 0..1 CodeableConcept ​problem-list-item | encounter-diagnosis
Binding: https://fhir.kbv.de/ValueSet/KBV_VS_WEST_Diagnosekategorie (required): Diagnosekategorie
..... coding S 1..1 Coding Code defined by a terminology system
...... system S 1..1 uri Identity of the terminology system
Fixed Value: https://fhir.kbv.de/CodeSystem/KBV_CS_WEST_Diagnosekategorie
...... version 0..0 Version of the system - if relevant
...... code S 1..1 code Symbol in syntax defined by the system
...... display 0..0 Representation defined by the system
...... userSelected 0..0 If this coding was chosen directly by the user
..... text 0..0 Plain text representation of the concept
.... category:diagnoseart S 0..1 CodeableConcept ​Diagnoseart
Binding: https://fhir.kbv.de/ValueSet/KBV_VS_WEST_Diagnoseart (required): Diagnoseart
..... coding S 1..1 Coding Code defined by a terminology system
...... system S 1..1 uri Identity of the terminology system
Fixed Value: https://fhir.kbv.de/CodeSystem/KBV_CS_WEST_Diagnoseart
...... version 0..0 Version of the system - if relevant
...... code S 1..1 code Symbol in syntax defined by the system
...... display 0..0 Representation defined by the system
...... userSelected 0..0 If this coding was chosen directly by the user
..... text 0..0 Plain text representation of the concept
... severity S 0..1 CodeableConcept Schweregrad der Diagnose
.... coding S 0..* Coding Code defined by a terminology system
.... Slices for coding Content/Rules for all slices
..... coding:snomed S 0..1 Coding Code defined by a terminology system
...... system S 1..1 uri Identity of the terminology system
...... code S 1..1 code Symbol in syntax defined by the system
...... userSelected 0..0 If this coding was chosen directly by the user
.... text S 0..1 string Plain text representation of the concept
... code S 1..1 CodeableConcept Identification of the condition, problem or diagnosis
.... Slices for coding Content/Rules for all slices
..... coding:ICD-10-GM S 0..1 CodingICD10GM A reference to a code defined by a terminology system
...... Slices for extension 0..* Extension Extension
Slice: Unordered, Closed by value:url
....... extension:Mehrfachcodierungs-Kennzeichen S 0..1 ExtensionMehrfachcodierungKennzeichen Optional Extensions Element
....... extension:Seitenlokalisation S 0..1 ExtensionSeitenlokalisation Optional Extensions Element
....... extension:Diagnosesicherheit S 0..1 ExtensionICD10GMDiagnosesicherheit Optional Extensions Element
...... 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
...... userSelected 0..0 If this coding was chosen directly by the user
..... coding:alphaId S 0..1 CodingAlphaID A reference to a 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
...... userSelected 0..0 If this coding was chosen directly by the user
..... coding:snomed S 0..1 Coding Code defined by a terminology system
...... system S 1..1 uri Identity of the terminology system
...... version S 1..1 string Version of the system - if relevant
...... code S 1..1 code Symbol in syntax 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
...... code S 1..1 code Symbol in syntax defined by the system
...... userSelected 0..0 If this coding was chosen directly by the user
.... text S 0..1 string Diagnoseerläuterung
... bodySite S 0..* CodeableConcept Körperstelle
.... coding S 0..* Coding Code defined by a terminology system
.... Slices for coding Content/Rules for all slices
..... coding:snomed S 0..1 Coding Code defined by a terminology system
...... system S 1..1 uri Identity of the terminology system
...... code S 1..1 code Symbol in syntax defined by the system
.... text S 0..1 string Plain text representation of the concept
... subject S 1..1 Reference(KBV_PR_WEST_Patient(1.0.0-kommentierung)) Who has the condition?
.... reference S 1..1 string Literal reference, Relative, internal or absolute URL
.... type 0..0 Type the reference refers to (e.g. "Patient")
.... identifier 0..0 Logical reference, when literal reference is not known
.... display 0..0 Text alternative for the resource
... encounter 0..0 Encounter created as part of
... onset[x] S 0..1 dateTime, Age, Period, Range Klinisch relevanter Zeitraum Anfang
... Slices for onset[x] Content/Rules for all slices
.... onset[x]:onsetPeriod S 0..1 Period Estimated or actual date, date-time, or age
.... onset[x]:onsetRange S 0..1 Range Lebensphase-von
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Closed by value:url
...... extension:lebensphase-von S 0..1 ExtensionLebensphase Optional Extensions Element
....... value[x] S 1..1 CodeableConcept Value of extension
.... onset[x]:onsetDateTime S 0..1 dateTime Datum Anfang
.... onset[x]:onsetAge S 0..1 Age Alter
.... onset[x]:onsetString 0..0 Klinisch relevanter Zeitraum Anfang
... abatement[x] S 0..1 dateTime, Age, Period, Range Klinischer Zeitraum Ende
... Slices for abatement[x] Content/Rules for all slices
.... abatement[x]:abatementPeriod S 0..1 Period When in resolution/remission
.... abatement[x]:abatementRange S 0..1 Range When in resolution/remission
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Closed by value:url
...... extension:lebensphase-bis S 0..1 ExtensionLebensphase Optional Extensions Element
....... value[x] S 1..1 CodeableConcept Value of extension
.... abatement[x]:abatementDateTime S 0..1 dateTime Datum bis
.... abatement[x]:abatementAge S 0..1 Age Lebenphase bis
.... abatement[x]:abatementString 0..0 Klinischer Zeitraum Ende
... recordedDate S 0..1 dateTime Dokumentationsdatum
... recorder 0..0 Who recorded the condition
... asserter S 0..1 Reference(KBV_PR_WEST_Practitioner(1.0.0-kommentierung) | KBV_PR_WEST_PractitionerRole(1.0.0-kommentierung)) Person who asserts this condition
.... reference S 0..1 string Literal reference, Relative, internal or absolute URL
.... type 0..0 Type the reference refers to (e.g. "Patient")
.... identifier 0..0 Logical reference, when literal reference is not known
.... display 0..0 Text alternative for the resource
... stage 0..0 Stage/grade, usually assessed formally
... evidence 0..0 Supporting evidence
... note S 0..1 Annotation Freitextbeschreibung
.... Slices for author[x] S 0..1 Reference(Practitioner | Patient | RelatedPerson | Organization), string Individual responsible for the annotation
Slice: Unordered, Closed by type:$this
..... author[x]:authorReference S 0..1 Reference(Practitioner | Patient | RelatedPerson | Organization | KBV_PR_Base_Practitioner(1.8.0) | KBV_PR_Base_Patient(1.8.0) | KBV_PR_Base_RelatedPerson(1.8.0) | KBV_PR_Base_Organization(1.8.0)) Individual responsible for the annotation
..... author[x]:authorString S 0..1 string Individual responsible for the annotation
.... time S 0..1 dateTime When the annotation was made
.... text S 1..1 markdown The annotation - text content (as markdown)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Condition.category:diagnosekategorie Base required ​ https://fhir.kbv.de/ValueSet/KBV_VS_WEST_Diagnosekategorie Not State Unknown
Condition.category:diagnoseart Base required ​ https://fhir.kbv.de/ValueSet/KBV_VS_WEST_Diagnoseart Not State Unknown

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Condition C 0..* KBV_PR_Base_Condition_Diagnosis(1.8.0) Diagnose
Constraints: con-3, con-4, con-5, Rec1
... id Σ 1..1 id Logical id of this artifact
... meta SΣ 1..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for profile SΣ 1..* canonical(StructureDefinition) Profiles this resource claims to conform to
Slice: Unordered, Open by value:$this
..... profile:mioProfile SΣ 1..1 canonical(StructureDefinition) Profiles this resource claims to conform to

Fixed Value: https://fhir.kbv.de/StructureDefinition/KBV_PR_WEST_Condition|1.0.0-kommentierung
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... contained 0..* Resource Contained, inline Resources
... Slices for extension 1..* Extension Extension
Slice: Unordered, Closed by value:url
.... extension:Feststellungsdatum S 0..1 (Complex) Date the condition was first asserted
URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/condition-assertedDate"
..... value[x] S 1..1 dateTime Value of extension
.... extension:diagnoseausnahmetatbestand S 0..1 (Complex) Diagnoseausnahmetatbestand
URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_Base_Additional_Comment
..... 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 "https://fhir.kbv.de/StructureDefinition/KBV_EX_Base_Additional_Comment"
..... Slices for value[x] 1..1 string Value of extension
Slice: Unordered, Closed by type:$this
...... value[x]:valueString S 1..1 string Value of extension
.... extension:istDauerdiagnose S 0..1 (Complex) istDauerdiagnose
URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_WEST_Diagnose_istDauerdiagnose
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "https://fhir.kbv.de/StructureDefinition/KBV_EX_WEST_Diagnose_istDauerdiagnose"
..... Slices for value[x] 1..1 boolean Value of extension
Slice: Unordered, Closed by type:$this
...... value[x]:valueBoolean S 1..1 boolean Value of extension
.... extension:istAbrechnungsrelevant S 1..1 (Complex) istAbrechnungsrelevant
URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_WEST_istAbrechnungsrelevant
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "https://fhir.kbv.de/StructureDefinition/KBV_EX_WEST_istAbrechnungsrelevant"
..... Slices for value[x] 1..1 boolean Value of extension
Slice: Unordered, Closed by type:$this
...... value[x]:valueBoolean S 1..1 boolean Value of extension
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... clinicalStatus ?!SΣC 0..1 CodeableConcept active | recurrence | relapse | inactive | remission | resolved
Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding SΣ 0..* Coding Code defined by a terminology system
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... system SΣ 1..1 uri Identity of the terminology system
..... 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
... verificationStatus ?!SΣC 0..1 CodeableConcept unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding SΣ 0..* Coding Code defined by a terminology system
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... system SΣ 1..1 uri Identity of the terminology system
..... 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
... Slices for category S 0..2 CodeableConcept Diagnosekategorie
Slice: Unordered, Closed by value:coding.system
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
.... category:diagnosekategorie S 0..1 CodeableConcept ​problem-list-item | encounter-diagnosis
Binding: https://fhir.kbv.de/ValueSet/KBV_VS_WEST_Diagnosekategorie (required): Diagnosekategorie
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... coding SΣ 1..1 Coding Code defined by a terminology system
...... 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: https://fhir.kbv.de/CodeSystem/KBV_CS_WEST_Diagnosekategorie
...... code SΣ 1..1 code Symbol in syntax defined by the system
.... category:diagnoseart S 0..1 CodeableConcept ​Diagnoseart
Binding: https://fhir.kbv.de/ValueSet/KBV_VS_WEST_Diagnoseart (required): Diagnoseart
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... coding SΣ 1..1 Coding Code defined by a terminology system
...... 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: https://fhir.kbv.de/CodeSystem/KBV_CS_WEST_Diagnoseart
...... code SΣ 1..1 code Symbol in syntax defined by the system
... severity S 0..1 CodeableConcept Schweregrad der Diagnose
Binding: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.
.... 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:$this
..... coding:snomed SΣ 0..1 Coding Code defined by a terminology system
Binding: Condition/DiagnosisSeverity (required)

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... version 0..1 string Version of the system - if relevant
...... code 0..1 code Symbol in syntax defined by the system
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
...... version Σ 1..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display Σ 1..1 string Representation defined by the system
.... text SΣ 0..1 string Plain text representation of the concept
... 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 Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:ICD-10-GM SΣ 0..1 CodingICD10GM A reference to a code defined by a terminology system
...... id 0..1 string Unique id for inter-element referencing
...... Slices for extension 0..* Extension Extension
Slice: Unordered, Closed by value:url
....... extension:Mehrfachcodierungs-Kennzeichen S 0..1 Coding Optional Extensions Element
URL: http://fhir.de/StructureDefinition/icd-10-gm-mehrfachcodierungs-kennzeichen
Binding: Mehrfachkodierungs-Kennzeichen ICD10GM ValueSet (required)
....... extension:Seitenlokalisation S 0..1 Coding ​Optional Extensions Element
URL: http://fhir.de/StructureDefinition/seitenlokalisation
Binding: https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_ICD_SEITENLOKALISATION (required)
....... extension:Diagnosesicherheit S 0..1 Coding ​Optional Extensions Element
URL: http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit
Binding: https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_ICD_DIAGNOSESICHERHEIT (required)
...... system SΣ 1..1 uri Canonische CodeSystem URL für ICD-10-GM
Fixed Value: http://fhir.de/CodeSystem/bfarm/icd-10-gm
...... version SΣ 1..1 string Die Jahresversion von ICD-10-GM. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017")
...... code SΣC 1..1 code Der ICD-10-Code
Constraints: icd-regex
Example Einfacher ICD-Code: F17.4
...... display Σ 0..1 string Representation defined by the system
..... coding:alphaId SΣ 0..1 CodingAlphaID A reference to a 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 Σ 0..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 Σ 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 Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
.... text SΣ 0..1 string Diagnoseerläuterung
... bodySite SΣ 0..* CodeableConcept Körperstelle
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
.... id 0..1 string Unique id for inter-element referencing
.... 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:$this
..... coding:snomed SΣ 0..1 Coding Code defined by a terminology system
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... version 0..1 string Version of the system - if relevant
...... code 0..1 code Symbol in syntax defined by the system
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system SΣ 1..1 uri Identity of the terminology system
...... version Σ 1..1 string Version of the system - if relevant
...... code SΣ 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
.... text SΣ 0..1 string Plain text representation of the concept
... subject SΣ 1..1 Reference(KBV_PR_WEST_Patient(1.0.0-kommentierung)) Who has the condition?
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
... Slices for onset[x] SΣ 0..1 Klinisch relevanter Zeitraum Anfang
Slice: Unordered, Closed by type:$this
.... onsetDateTime dateTime
.... onsetAge Age
.... onsetPeriod Period
.... onsetRange Range
.... onset[x]:onsetPeriod SΣ 0..1 Period Estimated or actual date, date-time, or age
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... start ΣC 0..1 dateTime Starting time with inclusive boundary
..... end ΣC 0..1 dateTime End time with inclusive boundary, if not ongoing
.... onset[x]:onsetRange SΣ 0..1 Range Lebensphase-von
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Closed by value:url
...... extension:lebensphase-von S 0..1 (Complex) Optional Extensions Element
URL: http://fhir.de/StructureDefinition/lebensphase
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
....... url 1..1 uri "http://fhir.de/StructureDefinition/lebensphase"
....... value[x] S 1..1 CodeableConcept Value of extension
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ coding Σ 1..1 Coding Code defined by a terminology system
Binding: LebensphaseDe ValueSet (required): Lebensphase
......... id 0..1 string Unique id for inter-element referencing
......... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
......... system 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 0..1 string Representation defined by the system
......... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
........ text Σ 0..1 string Plain text representation of the concept
..... low Σ 0..1 SimpleQuantity Low limit
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... value Σ 0..1 decimal Numerical value (with implicit precision)
...... unit Σ 0..1 string Unit representation
...... system ΣC 0..1 uri System that defines coded unit form
...... code Σ 0..1 code Coded form of the unit
..... high Σ 0..1 SimpleQuantity High limit
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... value Σ 0..1 decimal Numerical value (with implicit precision)
...... unit Σ 0..1 string Unit representation
...... system ΣC 0..1 uri System that defines coded unit form
...... code Σ 0..1 code Coded form of the unit
.... onset[x]:onsetDateTime SΣ 0..1 dateTime Datum Anfang
.... onset[x]:onsetAge SΣ 0..1 Age Alter
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... value Σ 0..1 decimal Numerical value (with implicit precision)
..... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
..... unit Σ 0..1 string Unit representation
..... system ΣC 0..1 uri System that defines coded unit form
..... code Σ 0..1 code Coded form of the unit
... Slices for abatement[x] SC 0..1 Klinischer Zeitraum Ende
Slice: Unordered, Closed by type:$this
.... abatementDateTime dateTime
.... abatementAge Age
.... abatementPeriod Period
.... abatementRange Range
.... abatement[x]:abatementPeriod SC 0..1 Period When in resolution/remission
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... start ΣC 0..1 dateTime Starting time with inclusive boundary
..... end ΣC 0..1 dateTime End time with inclusive boundary, if not ongoing
.... abatement[x]:abatementRange SC 0..1 Range When in resolution/remission
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Closed by value:url
...... extension:lebensphase-bis S 0..1 (Complex) Optional Extensions Element
URL: http://fhir.de/StructureDefinition/lebensphase
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0 Additional content defined by implementations
Slice: Unordered, Open by value:url
....... url 1..1 uri "http://fhir.de/StructureDefinition/lebensphase"
....... value[x] S 1..1 CodeableConcept Value of extension
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ coding Σ 1..1 Coding Code defined by a terminology system
Binding: LebensphaseDe ValueSet (required): Lebensphase
......... id 0..1 string Unique id for inter-element referencing
......... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
......... system 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 0..1 string Representation defined by the system
......... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
........ text Σ 0..1 string Plain text representation of the concept
..... low Σ 0..1 SimpleQuantity Low limit
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... value Σ 0..1 decimal Numerical value (with implicit precision)
...... unit Σ 0..1 string Unit representation
...... system ΣC 0..1 uri System that defines coded unit form
...... code Σ 0..1 code Coded form of the unit
..... high Σ 0..1 SimpleQuantity High limit
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... value Σ 0..1 decimal Numerical value (with implicit precision)
...... unit Σ 0..1 string Unit representation
...... system ΣC 0..1 uri System that defines coded unit form
...... code Σ 0..1 code Coded form of the unit
.... abatement[x]:abatementDateTime SC 0..1 dateTime Datum bis
.... abatement[x]:abatementAge SC 0..1 Age Lebenphase bis
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... value Σ 0..1 decimal Numerical value (with implicit precision)
..... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
..... unit Σ 0..1 string Unit representation
..... system ΣC 0..1 uri System that defines coded unit form
..... code Σ 0..1 code Coded form of the unit
... recordedDate SΣ 0..1 dateTime Dokumentationsdatum
... asserter SΣ 0..1 Reference(KBV_PR_WEST_Practitioner(1.0.0-kommentierung) | KBV_PR_WEST_PractitionerRole(1.0.0-kommentierung)) Person who asserts this condition
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 0..1 string Literal reference, Relative, internal or absolute URL
... note S 0..1 Annotation Freitextbeschreibung
.... 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 author[x] SΣ 0..1 Individual responsible for the annotation
Slice: Unordered, Closed by type:$this
..... authorReference Reference(Practitioner | Patient | RelatedPerson | Organization)
..... authorString string
..... author[x]:authorReference SΣ 0..1 Reference(Practitioner | Patient | RelatedPerson | Organization | KBV_PR_Base_Practitioner(1.8.0) | KBV_PR_Base_Patient(1.8.0) | KBV_PR_Base_RelatedPerson(1.8.0) | KBV_PR_Base_Organization(1.8.0)) Individual responsible for the annotation
..... author[x]:authorString SΣ 0..1 string Individual responsible for the annotation
.... time SΣ 0..1 dateTime When the annotation was made
.... text SΣ 1..1 markdown The annotation - text content (as markdown)

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.language Base preferred Common Languages 📦4.0.1 FHIR Std.
Condition.clinicalStatus Base required Condition Clinical Status Codes 📍4.0.1 FHIR Std.
Condition.verificationStatus Base required ConditionVerificationStatus 📍4.0.1 FHIR Std.
Condition.category Base extensible Condition Category Codes 📦4.0.1 FHIR Std.
Condition.category:diagnosekategorie Base required ​ https://fhir.kbv.de/ValueSet/KBV_VS_WEST_Diagnosekategorie Not State Unknown
Condition.category:diagnoseart Base required ​ https://fhir.kbv.de/ValueSet/KBV_VS_WEST_Diagnoseart Not State Unknown
Condition.severity Base preferred Condition/Diagnosis Severity 📦4.0.1 FHIR Std.
Condition.severity.coding:snomed Base required Condition/Diagnosis Severity 📦4.0.1 FHIR Std.
Condition.code Base example Condition/Problem/Diagnosis Codes 📦4.0.1 FHIR Std.
Condition.code.coding:snomed Base required Diagnose SNOMED CT® 📦1.8.0 kbv.basis v1.8
Condition.bodySite Base example SNOMED CT Body Structures 📦4.0.1 FHIR Std.
Condition.bodySite.coding:snomed Base example SNOMED CT Body Structures 📦4.0.1 FHIR Std.
Condition.onset[x]:onsetRange.​extension:lebensphase-von.​value[x].coding Base required LebensphaseDe ValueSet 📦1.5.4 de.basisprofil.r4 v1.5
Condition.onset[x]:onsetAge.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Condition.abatement[x]:abatementRange.​extension:lebensphase-bis.​value[x].coding Base required LebensphaseDe ValueSet 📦1.5.4 de.basisprofil.r4 v1.5
Condition.abatement[x]:abatementAge.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Condition.stage.summary Base example Condition Stage 📦4.0.1 FHIR Std.
Condition.stage.type Base example Condition Stage Type 📦4.0.1 FHIR Std.
Condition.evidence.code Base example Manifestation and Symptom Codes 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
Rec1 warning Condition Das Dokumentationsdatum soll mindestens mit MM.JJJJ angegeben werden. recordedDate.exists() implies recordedDate.toString().length()>=7
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-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 KBV_PR_Base_Condition_Diagnosis

 

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