{
  "description": "Profile for symptom-based conditions in the context of rare diseases. This profile captures symptomatic conditions with temporal characteristics, complementing the HPO Assessment Observation profile.",
  "_filename": "StructureDefinition-mii-pr-seltene-symptom-condition.json",
  "package_name": "de.medizininformatikinitiative.kerndatensatz.seltene",
  "date": null,
  "derivation": "constraint",
  "publisher": "Medizininformatik Initiative",
  "fhirVersion": "4.0.1",
  "name": "MII_PR_Seltene_Symptom_Condition",
  "mapping": [ {
    "uri": "https://www.medizininformatik-initiative.de/fhir/ext/modul-seltene/StructureDefinition/LogicalModel/Seltene",
    "name": "Mapping FHIR zu Seltene Erkrankungen Logical Model",
    "identity": "SE-LogicalModel"
  } ],
  "abstract": false,
  "type": "Condition",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": "MII Profile SE Symptom Condition",
  "package_version": "2026.0.0-ballot",
  "status": "draft",
  "id": "12453a65-4aa4-4644-828d-f80415414cd1",
  "kind": "resource",
  "url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-seltene/StructureDefinition/mii-pr-seltene-symptom-condition",
  "version": "2026.0.0-ballot",
  "differential": {
    "element": [ {
      "id": "Condition",
      "path": "Condition",
      "mapping": [ {
        "map": "AnamneseUndDiagnostik.Phaenotypisierung",
        "comment": "Phänotypisierung als Condition",
        "identity": "SE-LogicalModel"
      } ]
    }, {
      "id": "Condition.id",
      "path": "Condition.id",
      "mustSupport": true
    }, {
      "id": "Condition.meta",
      "path": "Condition.meta",
      "mustSupport": true
    }, {
      "id": "Condition.identifier",
      "path": "Condition.identifier",
      "mustSupport": true
    }, {
      "id": "Condition.clinicalStatus",
      "path": "Condition.clinicalStatus",
      "short": "Klinischer Status der Symptom-Erkrankung",
      "binding": {
        "strength": "required",
        "valueSet": "http://hl7.org/fhir/ValueSet/condition-clinical"
      },
      "mustSupport": true
    }, {
      "id": "Condition.verificationStatus",
      "path": "Condition.verificationStatus",
      "short": "Verifikationsstatus der Symptom-Erkrankung",
      "binding": {
        "strength": "required",
        "valueSet": "http://hl7.org/fhir/ValueSet/condition-ver-status"
      },
      "mustSupport": true
    }, {
      "id": "Condition.category",
      "min": 1,
      "path": "Condition.category",
      "short": "Kategorie der Erkrankung - muss Symptom-Kategorie enthalten",
      "definition": "Kategoriecodes, die die Erkrankung klassifizieren, mit besonderem Fokus auf symptombezogene Kategorien",
      "mustSupport": true
    }, {
      "id": "Condition.severity",
      "path": "Condition.severity",
      "short": "Schweregrad der Symptom-Erkrankung",
      "binding": {
        "strength": "extensible",
        "valueSet": "https://www.medizininformatik-initiative.de/fhir/ext/modul-seltene/ValueSet/mii-vs-seltene-hpo-severity-values"
      },
      "mapping": [ {
        "map": "AnamneseUndDiagnostik.Phaenotypisierung.VerlaufSymptom",
        "comment": "Schweregrad/Verlauf",
        "identity": "SE-LogicalModel"
      } ],
      "definition": "Schweregradbewertung der Symptom-Erkrankung unter Verwendung von HPO-Schweregrad-Werten",
      "mustSupport": true
    }, {
      "id": "Condition.code",
      "min": 1,
      "path": "Condition.code",
      "short": "HPO-basierter Symptom-Erkrankungs-Code",
      "binding": {
        "strength": "extensible",
        "valueSet": "https://www.medizininformatik-initiative.de/fhir/ext/modul-seltene/ValueSet/mii-vs-seltene-hpo-phenotypic-observation-codes"
      },
      "definition": "Code zur Identifikation der Symptom-Erkrankung, vorzugsweise unter Verwendung von Human Phenotype Ontology (HPO) Codes",
      "mustSupport": true
    }, {
      "id": "Condition.code.coding",
      "path": "Condition.code.coding",
      "slicing": {
        "rules": "open",
        "ordered": false,
        "description": "Slicing für verschiedene Codesysteme zur Symptom-Codierung",
        "discriminator": [ {
          "path": "$this",
          "type": "pattern"
        } ]
      },
      "mustSupport": true
    }, {
      "path": "Condition.code.coding",
      "min": 0,
      "definition": "Human Phenotype Ontology Code zur Beschreibung des phänotypischen Symptoms",
      "short": "HPO Code für das Symptom",
      "mapping": [ {
        "map": "AnamneseUndDiagnostik.Phaenotypisierung.HPOTerm",
        "comment": "HPO-Term des Symptoms",
        "identity": "SE-LogicalModel"
      } ],
      "mustSupport": true,
      "sliceName": "hpoCoding",
      "max": "1",
      "id": "Condition.code.coding:hpoCoding",
      "patternCoding": {
        "system": "http://purl.obolibrary.org/obo/hp.owl"
      }
    }, {
      "id": "Condition.code.coding:hpoCoding.system",
      "min": 1,
      "path": "Condition.code.coding.system"
    }, {
      "id": "Condition.code.coding:hpoCoding.code",
      "min": 1,
      "path": "Condition.code.coding.code"
    }, {
      "id": "Condition.code.coding:hpoCoding.display",
      "path": "Condition.code.coding.display",
      "mustSupport": true
    }, {
      "path": "Condition.code.coding",
      "min": 0,
      "definition": "SNOMED CT Code zur klinischen Beschreibung des Symptoms",
      "short": "SNOMED CT Code für das Symptom",
      "mapping": [ {
        "map": "AnamneseUndDiagnostik.Phaenotypisierung",
        "comment": "SNOMED CT Symptom",
        "identity": "SE-LogicalModel"
      } ],
      "mustSupport": true,
      "sliceName": "snomedCoding",
      "max": "1",
      "id": "Condition.code.coding:snomedCoding",
      "patternCoding": {
        "system": "http://snomed.info/sct"
      }
    }, {
      "id": "Condition.code.coding:snomedCoding.system",
      "min": 1,
      "path": "Condition.code.coding.system"
    }, {
      "id": "Condition.code.coding:snomedCoding.code",
      "min": 1,
      "path": "Condition.code.coding.code"
    }, {
      "id": "Condition.code.coding:snomedCoding.display",
      "path": "Condition.code.coding.display",
      "mustSupport": true
    }, {
      "path": "Condition.code.coding",
      "min": 0,
      "definition": "ICD-10 German Modification Code für die Symptom-Klassifikation",
      "short": "ICD-10-GM Code für das Symptom",
      "mapping": [ {
        "map": "AnamneseUndDiagnostik.Phaenotypisierung",
        "comment": "ICD-10-GM Symptom",
        "identity": "SE-LogicalModel"
      } ],
      "mustSupport": true,
      "sliceName": "icd10GMCoding",
      "max": "1",
      "id": "Condition.code.coding:icd10GMCoding",
      "patternCoding": {
        "system": "http://fhir.de/CodeSystem/bfarm/icd-10-gm"
      }
    }, {
      "id": "Condition.code.coding:icd10GMCoding.system",
      "min": 1,
      "path": "Condition.code.coding.system"
    }, {
      "id": "Condition.code.coding:icd10GMCoding.code",
      "min": 1,
      "path": "Condition.code.coding.code"
    }, {
      "id": "Condition.code.coding:icd10GMCoding.display",
      "path": "Condition.code.coding.display",
      "mustSupport": true
    }, {
      "id": "Condition.bodySite",
      "path": "Condition.bodySite",
      "short": "Anatomische Lokalisation des Symptoms",
      "definition": "Die anatomische Lokalisation, wo sich das Symptom manifestiert",
      "mustSupport": true
    }, {
      "id": "Condition.subject",
      "path": "Condition.subject",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Patient" ]
      } ],
      "short": "Patient mit der Symptom-Erkrankung",
      "mapping": [ {
        "map": "Patient",
        "comment": "Patient/Indexpatient",
        "identity": "SE-LogicalModel"
      } ],
      "definition": "Referenz auf den Patienten, der diese Symptom-Erkrankung hat",
      "mustSupport": true
    }, {
      "id": "Condition.encounter",
      "path": "Condition.encounter",
      "mapping": [ {
        "map": "AnamneseUndDiagnostik.Untersuchungsdatum",
        "comment": "Untersuchungskontakt",
        "identity": "SE-LogicalModel"
      } ],
      "mustSupport": true
    }, {
      "id": "Condition.onset[x]",
      "path": "Condition.onset[x]",
      "short": "Beginn der Symptom-Erkrankung",
      "slicing": {
        "rules": "open",
        "ordered": false,
        "discriminator": [ {
          "path": "$this",
          "type": "type"
        } ]
      },
      "definition": "Geschätztes oder tatsächliches Datum, Alter, Zeitraum oder zeitliche Beschreibung, wann die Symptom-Erkrankung begann",
      "mustSupport": true
    }, {
      "id": "Condition.onset[x]:onsetDateTime",
      "max": "1",
      "min": 0,
      "path": "Condition.onset[x]",
      "type": [ {
        "code": "dateTime"
      } ],
      "mapping": [ {
        "map": "AnamneseUndDiagnostik.Phaenotypisierung.ZeitraumSymptom.ZeitraumSymptom",
        "comment": "Startdatum des Symptoms",
        "identity": "SE-LogicalModel"
      } ],
      "sliceName": "onsetDateTime"
    }, {
      "id": "Condition.onset[x]:onsetPeriod",
      "max": "1",
      "min": 0,
      "path": "Condition.onset[x]",
      "type": [ {
        "code": "Period"
      } ],
      "sliceName": "onsetPeriod"
    }, {
      "id": "Condition.onset[x]:onsetPeriod.start",
      "path": "Condition.onset[x].start",
      "mapping": [ {
        "map": "AnamneseUndDiagnostik.Phaenotypisierung.ZeitraumSymptom.ZeitraumSymptom",
        "comment": "Beginn Symptomzeitraum",
        "identity": "SE-LogicalModel"
      } ]
    }, {
      "id": "Condition.onset[x]:onsetPeriod.end",
      "path": "Condition.onset[x].end",
      "mapping": [ {
        "map": "AnamneseUndDiagnostik.Phaenotypisierung.ZeitraumSymptom.ZeitraumSymptom",
        "comment": "Ende Symptomzeitraum",
        "identity": "SE-LogicalModel"
      } ]
    }, {
      "id": "Condition.onset[x]:onsetAge",
      "max": "1",
      "min": 0,
      "path": "Condition.onset[x]",
      "type": [ {
        "code": "Age"
      } ],
      "mapping": [ {
        "map": "AnamneseUndDiagnostik.Phaenotypisierung.ZeitraumSymptom.AlterSymptom",
        "comment": "Alter bei Symptombeginn",
        "identity": "SE-LogicalModel"
      } ],
      "sliceName": "onsetAge"
    }, {
      "id": "Condition.onset[x]:onsetString",
      "max": "1",
      "min": 0,
      "path": "Condition.onset[x]",
      "type": [ {
        "code": "string"
      } ],
      "mapping": [ {
        "map": "AnamneseUndDiagnostik.Phaenotypisierung.ZeitraumSymptom.Lebensphase",
        "comment": "Lebensphase Symptom",
        "identity": "SE-LogicalModel"
      } ],
      "sliceName": "onsetString"
    }, {
      "id": "Condition.abatement[x]",
      "path": "Condition.abatement[x]",
      "short": "Auflösung der Symptom-Erkrankung",
      "slicing": {
        "rules": "open",
        "ordered": false,
        "discriminator": [ {
          "path": "$this",
          "type": "type"
        } ]
      },
      "definition": "Datum, Alter, Zeitraum oder zeitliche Beschreibung, wann die Symptom-Erkrankung abgeklungen ist oder in Remission ging",
      "mustSupport": true
    }, {
      "id": "Condition.abatement[x]:abatementDateTime",
      "max": "1",
      "min": 0,
      "path": "Condition.abatement[x]",
      "type": [ {
        "code": "dateTime"
      } ],
      "mapping": [ {
        "map": "Ende des Symptoms",
        "comment": "Enddatum des Symptoms",
        "identity": "SE-LogicalModel"
      } ],
      "sliceName": "abatementDateTime"
    }, {
      "id": "Condition.recordedDate",
      "path": "Condition.recordedDate",
      "mapping": [ {
        "map": "AnamneseUndDiagnostik.Untersuchungsdatum",
        "comment": "Dokumentationsdatum",
        "identity": "SE-LogicalModel"
      } ],
      "mustSupport": true
    }, {
      "id": "Condition.stage",
      "path": "Condition.stage",
      "short": "Stadium oder Progression der Symptom-Erkrankung",
      "mustSupport": true
    }, {
      "id": "Condition.stage.summary",
      "path": "Condition.stage.summary",
      "binding": {
        "strength": "extensible",
        "valueSet": "https://www.medizininformatik-initiative.de/fhir/ext/modul-seltene/ValueSet/mii-vs-seltene-hpo-severity-values"
      }
    }, {
      "id": "Condition.stage.assessment",
      "path": "Condition.stage.assessment",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Observation", "http://hl7.org/fhir/StructureDefinition/DiagnosticReport" ]
      } ]
    }, {
      "id": "Condition.evidence",
      "path": "Condition.evidence",
      "short": "Unterstützende Evidenz für die Symptom-Erkrankung",
      "mustSupport": true
    }, {
      "id": "Condition.evidence.code",
      "path": "Condition.evidence.code",
      "binding": {
        "strength": "extensible",
        "valueSet": "https://www.medizininformatik-initiative.de/fhir/ext/modul-seltene/ValueSet/mii-vs-seltene-hpo-phenotypic-observation-codes"
      },
      "mapping": [ {
        "map": "AnamneseUndDiagnostik.Phaenotypisierung.HPOTerm",
        "comment": "Unterstützende HPO-Symptome",
        "identity": "SE-LogicalModel"
      } ]
    }, {
      "id": "Condition.evidence.detail",
      "path": "Condition.evidence.detail",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Observation", "http://hl7.org/fhir/StructureDefinition/DocumentReference", "http://hl7.org/fhir/StructureDefinition/DiagnosticReport" ]
      } ],
      "short": "Unterstützende Beobachtungen oder Dokumente",
      "mapping": [ {
        "map": "AnamneseUndDiagnostik.Phaenotypisierung",
        "comment": "Verweis auf Beobachtungen",
        "identity": "SE-LogicalModel"
      } ]
    }, {
      "id": "Condition.note",
      "path": "Condition.note",
      "short": "Zusätzliche Anmerkungen zur Symptom-Erkrankung",
      "definition": "Zusätzliche Beschreibung der Symptom-Erkrankung, die in anderen Feldern nicht erfasst ist",
      "mustSupport": true
    } ]
  },
  "contact": [ {
    "telecom": [ {
      "value": "https://www.medizininformatik-initiative.de",
      "system": "url"
    } ]
  } ],
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Condition"
}