description: Dieses Profil bildet das anamnestische Nichtvorliegen einer Diagnose, bzw. Prozedur, oder Unklarheit darüber ab.
package_name: de.medizininformatikinitiative.kerndatensatz.kardiologie
derivation: constraint
name: MII_PR_Kardio_Diagnose_Prozedur_Nein_Unbekannt
type: Observation
elements:
  category:
    binding: {strength: required, valueSet: 'http://hl7.org/fhir/ValueSet/observation-category'}
    index: 0
  value:
    mustSupport: true
    choices: [valueCodeableConcept]
    index: 19
  effectiveDateTime: {type: dateTime, mustSupport: true, choiceOf: effective, index: 15}
  effective:
    mustSupport: true
    choices: [effectiveDateTime, effectivePeriod, effectiveInstant]
    index: 14
  code:
    mustSupport: true
    index: 1
    elements:
      coding:
        mustSupport: true
        index: 2
        elements:
          system: {mustSupport: true, index: 3}
          version: {mustSupport: true, index: 4}
          code: {mustSupport: true, index: 5}
        required: [version, system, code]
        slicing:
          rules: closed
          discriminator:
          - {path: $this, type: value}
          min: 1
          slices:
            icd10-gm:
              match: {system: 'http://fhir.de/CodeSystem/bfarm/icd-10-gm'}
              schema:
                type: Coding
                mustSupport: true
                binding: {strength: required, valueSet: 'http://fhir.de/ValueSet/bfarm/icd-10-gm'}
                pattern:
                  type: Coding
                  value: {system: 'http://fhir.de/CodeSystem/bfarm/icd-10-gm'}
                index: 6
              min: 0
              max: 1
            diagnoseSnomed:
              match: {system: 'http://snomed.info/sct'}
              schema:
                binding: {strength: required, valueSet: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-kardio/ValueSet/mii-vs-kardio-extended-mii-diagnosecodes-snomed'}
                mustSupport: true
                pattern:
                  type: Coding
                  value: {system: 'http://snomed.info/sct'}
                index: 7
              min: 0
              max: 1
            prozedurSnomed:
              match: {system: 'http://snomed.info/sct'}
              schema:
                binding: {strength: required, valueSet: 'https://www.medizininformatik-initiative.de/fhir/core/modul-prozedur/ValueSet/procedures-sct'}
                mustSupport: true
                pattern:
                  type: Coding
                  value: {system: 'http://snomed.info/sct'}
                index: 8
              min: 0
              max: 1
            alpha-id:
              match: {system: 'http://fhir.de/CodeSystem/bfarm/alpha-id'}
              schema:
                type: Coding
                mustSupport: true
                binding: {strength: required, valueSet: 'http://fhir.de/ValueSet/bfarm/alpha-id'}
                pattern:
                  type: Coding
                  value: {system: 'http://fhir.de/CodeSystem/bfarm/alpha-id'}
                index: 9
              min: 0
              max: 1
            orphanet:
              match: {system: 'http://www.orpha.net'}
              schema:
                binding: {strength: required, valueSet: 'https://www.medizininformatik-initiative.de/fhir/core/modul-diagnose/ValueSet/mii-vs-diagnose-orphanet'}
                mustSupport: true
                pattern:
                  type: Coding
                  value: {system: 'http://www.orpha.net'}
                index: 10
              min: 0
              max: 1
            kardio:
              match: {code: eg-cv, system: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-kardio/CodeSystem/mii-cs-kardio-atherosklerotisches-ereignis'}
              schema:
                mustSupport: true
                pattern:
                  type: Coding
                  value: {code: eg-cv, system: 'https://www.medizininformatik-initiative.de/fhir/ext/modul-kardio/CodeSystem/mii-cs-kardio-atherosklerotisches-ereignis'}
                index: 11
              min: 0
              max: 1
    required: [coding]
  valueCodeableConcept: {type: CodeableConcept, mustSupport: true, choiceOf: value, index: 20}
  effectiveInstant: {type: instant, mustSupport: true, choiceOf: effective, index: 17}
  subject:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/StructureDefinition/Patient']
    index: 12
  effectivePeriod: {type: Period, mustSupport: true, choiceOf: effective, index: 16}
package_version: 2026.0.0-alpha.3
class: profile
kind: resource
url: https://www.medizininformatik-initiative.de/fhir/ext/modul-kardio/StructureDefinition/mii-pr-kardio-diagnose-prozedur-nein-unbekannt
base: http://hl7.org/fhir/StructureDefinition/Observation
version: 2026.0.0-alpha.3
required: [effectiveDateTime, effectivePeriod, effectiveInstant, subject, effective]