{
  "description": "Dieses Profil ermöglicht die Nutzung von Diagnosen in ISiK Szenarien.",
  "_filename": "StructureDefinition-ISiKDiagnose.json",
  "package_name": "de.gematik.isik-basismodul",
  "date": "2024-04-30",
  "derivation": "constraint",
  "publisher": "gematik GmbH",
  "fhirVersion": "4.0.1",
  "name": "ISiKDiagnose",
  "abstract": false,
  "type": "Condition",
  "experimental": "false",
  "resourceType": "StructureDefinition",
  "title": null,
  "package_version": "3.0.5",
  "status": "active",
  "id": "30f9ef1d-1c41-4a71-a6d2-9610aa11e1c3",
  "kind": "resource",
  "url": "https://gematik.de/fhir/isik/v3/Basismodul/StructureDefinition/ISiKDiagnose",
  "version": "3.0.5",
  "differential": {
    "element": [ {
      "id": "Condition",
      "path": "Condition",
      "constraint": [ {
        "key": "isik-con1",
        "human": "Falls eine kodierte Diagnose vorliegt muss angegeben werden durch welchen Kontakt diese Dokumentation erfolgte.",
        "source": "https://gematik.de/fhir/isik/v3/Basismodul/StructureDefinition/ISiKDiagnose",
        "severity": "error",
        "expression": "code.coding.exists() implies encounter.exists()"
      } ]
    }, {
      "id": "Condition.id",
      "path": "Condition.id",
      "mustSupport": true
    }, {
      "id": "Condition.extension",
      "path": "Condition.extension",
      "mustSupport": true
    }, {
      "id": "Condition.extension:related",
      "max": "1",
      "min": 0,
      "path": "Condition.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://hl7.org/fhir/StructureDefinition/condition-related" ]
      } ],
      "sliceName": "related",
      "mustSupport": true
    }, {
      "id": "Condition.clinicalStatus",
      "path": "Condition.clinicalStatus",
      "mustSupport": true
    }, {
      "id": "Condition.code",
      "min": 1,
      "path": "Condition.code",
      "constraint": [ {
        "key": "icd-text-1",
        "human": "Entweder MUSS eine kodierte Diagnose vorliegen oder eine textuelle Beschreibung. Stattdessen nur Extensions hinzuzufügen (vgl. https://www.hl7.org/fhir/element.html - ele-1), ist explizit nicht erlaubt.",
        "source": "https://gematik.de/fhir/isik/v3/Basismodul/StructureDefinition/ISiKDiagnose",
        "severity": "error",
        "expression": "coding.exists().not() implies text.exists()"
      } ],
      "mustSupport": true
    }, {
      "id": "Condition.code.coding",
      "path": "Condition.code.coding",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "$this",
          "type": "pattern"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "Condition.code.coding:ICD-10-GM",
      "max": "1",
      "min": 0,
      "path": "Condition.code.coding",
      "type": [ {
        "code": "Coding",
        "profile": [ "http://fhir.de/StructureDefinition/CodingICD10GM" ]
      } ],
      "sliceName": "ICD-10-GM",
      "mustSupport": true,
      "patternCoding": {
        "system": "http://fhir.de/CodeSystem/bfarm/icd-10-gm"
      }
    }, {
      "id": "Condition.code.coding:ICD-10-GM.extension:Mehrfachcodierungs-Kennzeichen",
      "path": "Condition.code.coding.extension",
      "sliceName": "Mehrfachcodierungs-Kennzeichen",
      "mustSupport": true
    }, {
      "id": "Condition.code.coding:ICD-10-GM.extension:Seitenlokalisation",
      "path": "Condition.code.coding.extension",
      "sliceName": "Seitenlokalisation",
      "mustSupport": true
    }, {
      "id": "Condition.code.coding:ICD-10-GM.extension:Diagnosesicherheit",
      "path": "Condition.code.coding.extension",
      "sliceName": "Diagnosesicherheit",
      "mustSupport": true
    }, {
      "id": "Condition.code.coding:Alpha-ID",
      "max": "1",
      "min": 0,
      "path": "Condition.code.coding",
      "type": [ {
        "code": "Coding",
        "profile": [ "http://fhir.de/StructureDefinition/CodingAlphaID" ]
      } ],
      "sliceName": "Alpha-ID",
      "mustSupport": true,
      "patternCoding": {
        "system": "http://fhir.de/CodeSystem/alpha-id"
      }
    }, {
      "id": "Condition.code.coding:Alpha-ID.system",
      "path": "Condition.code.coding.system",
      "mustSupport": true
    }, {
      "id": "Condition.code.coding:Alpha-ID.code",
      "path": "Condition.code.coding.code",
      "mustSupport": true
    }, {
      "id": "Condition.code.coding:SNOMED-CT",
      "max": "1",
      "min": 0,
      "path": "Condition.code.coding",
      "binding": {
        "strength": "required",
        "valueSet": "https://gematik.de/fhir/isik/v3/Basismodul/ValueSet/DiagnosesSCT"
      },
      "sliceName": "SNOMED-CT",
      "mustSupport": true,
      "patternCoding": {
        "system": "http://snomed.info/sct"
      }
    }, {
      "id": "Condition.code.coding:SNOMED-CT.system",
      "min": 1,
      "path": "Condition.code.coding.system",
      "mustSupport": true
    }, {
      "id": "Condition.code.coding:SNOMED-CT.code",
      "min": 1,
      "path": "Condition.code.coding.code",
      "mustSupport": true
    }, {
      "id": "Condition.code.coding:Orphanet",
      "max": "1",
      "min": 0,
      "path": "Condition.code.coding",
      "sliceName": "Orphanet",
      "mustSupport": true,
      "patternCoding": {
        "system": "http://www.orpha.net"
      }
    }, {
      "id": "Condition.code.coding:Orphanet.system",
      "min": 1,
      "path": "Condition.code.coding.system",
      "mustSupport": true
    }, {
      "id": "Condition.code.coding:Orphanet.code",
      "min": 1,
      "path": "Condition.code.coding.code"
    }, {
      "id": "Condition.subject",
      "path": "Condition.subject",
      "mustSupport": true
    }, {
      "id": "Condition.subject.reference",
      "min": 1,
      "path": "Condition.subject.reference",
      "mustSupport": true
    }, {
      "id": "Condition.encounter",
      "path": "Condition.encounter",
      "mustSupport": true
    }, {
      "id": "Condition.onset[x]",
      "path": "Condition.onset[x]",
      "type": [ {
        "code": "dateTime"
      }, {
        "code": "Period"
      } ],
      "slicing": {
        "rules": "closed",
        "discriminator": [ {
          "path": "$this",
          "type": "type"
        } ]
      }
    }, {
      "id": "Condition.onset[x]:onsetPeriod",
      "max": "1",
      "min": 0,
      "path": "Condition.onset[x]",
      "type": [ {
        "code": "Period"
      } ],
      "sliceName": "onsetPeriod"
    }, {
      "id": "Condition.onset[x]:onsetPeriod.start.extension:Lebensphase-Start",
      "max": "1",
      "min": 0,
      "path": "Condition.onset[x].start.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://fhir.de/StructureDefinition/lebensphase" ]
      } ],
      "sliceName": "Lebensphase-Start"
    }, {
      "id": "Condition.onset[x]:onsetPeriod.end.extension:Lebensphase-Ende",
      "max": "1",
      "min": 0,
      "path": "Condition.onset[x].end.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://fhir.de/StructureDefinition/lebensphase" ]
      } ],
      "sliceName": "Lebensphase-Ende"
    }, {
      "id": "Condition.onset[x]:onsetDateTime",
      "max": "1",
      "min": 0,
      "path": "Condition.onset[x]",
      "type": [ {
        "code": "dateTime"
      } ],
      "sliceName": "onsetDateTime"
    }, {
      "id": "Condition.recordedDate",
      "min": 1,
      "path": "Condition.recordedDate",
      "mustSupport": true
    }, {
      "id": "Condition.note",
      "path": "Condition.note",
      "mustSupport": true
    } ]
  },
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Condition"
}