{
"description": "Logische Repräsentation des Basismoduls Diagnose",
"_filename": "StructureDefinition-mii-lm-diagnose.json",
"package_name": "de.medizininformatikinitiative.kerndatensatz.diagnose",
"date": "2024-12-09",
"derivation": "specialization",
"publisher": "Medizininformatik Initiative",
"fhirVersion": "4.0.1",
"name": "MII_LM_Diagnose",
"mapping": [ {
"name": "Diagnose LogicalModel FHIR Mapping",
"identity": "FHIR"
} ],
"abstract": false,
"type": "https://www.medizininformatik-initiative.de/fhir/core/modul-diagnose/StructureDefinition/LogicalModel/Diagnose",
"experimental": null,
"resourceType": "StructureDefinition",
"title": "MII LM Diagnose",
"package_version": "2025.0.0",
"extension": [ {
"url": "https://www.medizininformatik-initiative.de/fhir/modul-meta/StructureDefinition/mii-ex-meta-license-codeable",
"valueCodeableConcept": {
"coding": [ {
"code": "CC-BY-4.0",
"system": "http://hl7.org/fhir/spdx-license",
"display": "Creative Commons Attribution 4.0 International"
} ]
}
} ],
"snapshot": {
"element": [ {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Diagnose",
"min": 0,
"definition": "Logische Repräsentation des Basismoduls Diagnose",
"short": "Das Basismodul Diagnosen enthält Diagnosen als Behandlungsbegründungen und abrechnungsbasiertes Gliederungsmerkmal, z.B. als Hauptdiagnose, Nebendiagnose, Quartalsdiagnose etc.",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ],
"max": "*",
"id": "Diagnose",
"condition": [ "ele-1" ],
"base": {
"max": "*",
"min": 0,
"path": "Diagnose"
}
}, {
"path": "Diagnose.id",
"min": 0,
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "Unique id for inter-element referencing",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Diagnose.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Diagnose.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"short": "Additional content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Diagnose.extension",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Diagnose.ICD10GMDiagnoseKodiert",
"min": 0,
"definition": "Im Bereich der administrativen und statistischen Auswertung wird die Diagnose mit Hilfe von Codiersystemen verschlüsselt. So wird z.B. bei der Abrechnung nach §301 und §295 SGB V die Codierung von Diagnosen mittels ICD-10-GM gesetzlich vorgeschrieben. Weitere Codiersysteme sind z.B. die Alpha-ID oder SNOMED CT. Die Kodierung einer Diagnose mittels verschiedener Codesysteme sollte möglich sein.",
"short": "Im Bereich der administrativen und statistischen Auswertung wird die Diagnose mit Hilfe von Codiersystemen verschlüsselt. So wird z.B. bei der Abrechnung nach §301 und §295 SGB V die Codierung von Diagnosen mittels ICD-10-GM gesetzlich vorgeschrieben. Weitere Codiersysteme sind z.B. die Alpha-ID oder SNOMED CT. Die Kodierung einer Diagnose mittels verschiedener Codesysteme sollte möglich sein.",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "Condition.code.coding.where(system='http://fhir.de/CodeSystem/bfarm/icd-10-gm')",
"identity": "FHIR"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ],
"max": "1",
"id": "Diagnose.ICD10GMDiagnoseKodiert",
"condition": [ "ele-1" ],
"base": {
"max": "1",
"min": 0,
"path": "Diagnose.ICD10GMDiagnoseKodiert"
}
}, {
"path": "Diagnose.ICD10GMDiagnoseKodiert.id",
"min": 0,
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "Unique id for inter-element referencing",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Diagnose.ICD10GMDiagnoseKodiert.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Diagnose.ICD10GMDiagnoseKodiert.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"short": "Additional content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Diagnose.ICD10GMDiagnoseKodiert.extension",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Diagnose.ICD10GMDiagnoseKodiert.modifierExtension",
"requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"isModifier": true,
"short": "Extensions that cannot be ignored even if unrecognized",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "Diagnose.ICD10GMDiagnoseKodiert.modifierExtension",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Diagnose.ICD10GMDiagnoseKodiert.Diagnosecode",
"min": 1,
"definition": "Code ohne Zusatzkennzeichen",
"short": "Diagnosecode ICD-10-GM",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "Condition.code.coding.where(system='http://fhir.de/CodeSystem/bfarm/icd-10-gm').code",
"identity": "FHIR"
} ],
"type": [ {
"code": "code"
} ],
"max": "1",
"id": "Diagnose.ICD10GMDiagnoseKodiert.Diagnosecode",
"condition": [ "ele-1" ],
"comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
"base": {
"max": "1",
"min": 1,
"path": "Diagnose.ICD10GMDiagnoseKodiert.Diagnosecode"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Diagnose.ICD10GMDiagnoseKodiert.Mehrfachkodierungskennzeichen",
"min": 0,
"definition": "Mehrfachkodierungskennzeichen Kreuz-Stern-System und Ausrufezeichen (\"*\", \"†\", \"!\").",
"short": "Mehrfachkodierungskennzeichen",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "Condition.code.coding.where(system='http://fhir.de/CodeSystem/bfarm/icd-10-gm').extension('http://fhir.de/StructureDefinition/icd-10-gm-mehrfachcodierungs-kennzeichen').valueCoding.code",
"identity": "FHIR"
} ],
"type": [ {
"code": "code"
} ],
"max": "1",
"id": "Diagnose.ICD10GMDiagnoseKodiert.Mehrfachkodierungskennzeichen",
"condition": [ "ele-1" ],
"comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
"base": {
"max": "1",
"min": 0,
"path": "Diagnose.ICD10GMDiagnoseKodiert.Mehrfachkodierungskennzeichen"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Diagnose.ICD10GMDiagnoseKodiert.Diagnosesicherheit",
"min": 0,
"definition": "Die Diagnosensicherheit, d.h. wie sicher die Diagnose im Einzelfall zu werten ist, kann unterschiedlich angegeben werden. Für Abrechnungszwecke in der ambulanten Versorgung muss obligatorisch ein Zusatzkennzeichen für die Diagnosensicherheit (A, G, V oder Z) angegeben werden, d. h. die Angabe ist obligatorisch. In der stationären Versorgung sind diese Zusatzkennzeichen für die Angabe der Diagnosensicherheit für Abrechnungszwecke dagegen nicht zulässig.",
"short": "Zusatzkennzeichen für die Diagnosensicherhe",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "Condition.code.coding.where(system='http://fhir.de/CodeSystem/bfarm/icd-10-gm').extension('http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit').valueCoding.code",
"identity": "FHIR"
} ],
"type": [ {
"code": "code"
} ],
"max": "1",
"id": "Diagnose.ICD10GMDiagnoseKodiert.Diagnosesicherheit",
"condition": [ "ele-1" ],
"comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
"base": {
"max": "1",
"min": 0,
"path": "Diagnose.ICD10GMDiagnoseKodiert.Diagnosesicherheit"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Diagnose.ICD10GMDiagnoseKodiert.Seitenlokalisation",
"min": 0,
"definition": "Zusatzkennzeichen der ICD-10 für die Seitigkeit einer Diagnose (R, L, B)",
"short": "Zusatzkennzeichen Seite einer Erkrankung",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "Condition.code.coding.where(system='http://fhir.de/CodeSystem/bfarm/icd-10-gm').extension('http://fhir.de/StructureDefinition/seitenlokalisation').valueCoding.code",
"identity": "FHIR"
} ],
"type": [ {
"code": "code"
} ],
"max": "1",
"id": "Diagnose.ICD10GMDiagnoseKodiert.Seitenlokalisation",
"condition": [ "ele-1" ],
"comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
"base": {
"max": "1",
"min": 0,
"path": "Diagnose.ICD10GMDiagnoseKodiert.Seitenlokalisation"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Diagnose.ALPHAIDKodiert",
"min": 0,
"definition": "Kodierung einer Diagnose mit Alpha-ID",
"short": "Kodierung einer Diagnose mit Alpha-ID",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "Condition.code.coding.where(system='http://fhir.de/CodeSystem/bfarm/alpha-id')",
"identity": "FHIR"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ],
"max": "1",
"id": "Diagnose.ALPHAIDKodiert",
"condition": [ "ele-1" ],
"base": {
"max": "1",
"min": 0,
"path": "Diagnose.ALPHAIDKodiert"
}
}, {
"path": "Diagnose.ALPHAIDKodiert.id",
"min": 0,
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "Unique id for inter-element referencing",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Diagnose.ALPHAIDKodiert.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Diagnose.ALPHAIDKodiert.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"short": "Additional content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Diagnose.ALPHAIDKodiert.extension",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Diagnose.ALPHAIDKodiert.modifierExtension",
"requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"isModifier": true,
"short": "Extensions that cannot be ignored even if unrecognized",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "Diagnose.ALPHAIDKodiert.modifierExtension",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Diagnose.ALPHAIDKodiert.Diagnosecode",
"min": 1,
"definition": "Alpha-ID-Code",
"short": "Alpha-ID-Code",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "Condition.code.coding.where(system='http://fhir.de/CodeSystem/bfarm/alpha-id').code",
"identity": "FHIR"
} ],
"type": [ {
"code": "code"
} ],
"max": "1",
"id": "Diagnose.ALPHAIDKodiert.Diagnosecode",
"condition": [ "ele-1" ],
"comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
"base": {
"max": "1",
"min": 1,
"path": "Diagnose.ALPHAIDKodiert.Diagnosecode"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Diagnose.ORPHANETDiagnoseKodiert",
"min": 0,
"definition": "Für die Kodierung von Seltenen Krankheiten ist die Orpha-Kennnummer erforderlich.",
"short": "Für die Kodierung von Seltenen Krankheiten ist die Orpha-Kennnummer erforderlich.",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "Condition.code.coding.where(system='http://www.orpha.net')",
"identity": "FHIR"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ],
"max": "1",
"id": "Diagnose.ORPHANETDiagnoseKodiert",
"condition": [ "ele-1" ],
"base": {
"max": "1",
"min": 0,
"path": "Diagnose.ORPHANETDiagnoseKodiert"
}
}, {
"path": "Diagnose.ORPHANETDiagnoseKodiert.id",
"min": 0,
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "Unique id for inter-element referencing",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Diagnose.ORPHANETDiagnoseKodiert.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Diagnose.ORPHANETDiagnoseKodiert.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"short": "Additional content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Diagnose.ORPHANETDiagnoseKodiert.extension",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Diagnose.ORPHANETDiagnoseKodiert.modifierExtension",
"requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"isModifier": true,
"short": "Extensions that cannot be ignored even if unrecognized",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "Diagnose.ORPHANETDiagnoseKodiert.modifierExtension",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Diagnose.ORPHANETDiagnoseKodiert.Diagnosecode",
"min": 1,
"definition": "Orpha-Kennnummer",
"short": "Orpha-Kennnummer",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "Condition.code.coding.where(system='http://www.orpha.net').code",
"identity": "FHIR"
} ],
"type": [ {
"code": "code"
} ],
"max": "1",
"id": "Diagnose.ORPHANETDiagnoseKodiert.Diagnosecode",
"condition": [ "ele-1" ],
"comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
"base": {
"max": "1",
"min": 1,
"path": "Diagnose.ORPHANETDiagnoseKodiert.Diagnosecode"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Diagnose.SNOMEDDiagnoseKodiert",
"min": 0,
"definition": "Ermöglicht die Kodierung einer Diagnose mit SNOMED-CT",
"short": "Ermöglicht die Kodierung einer Diagnose mit SNOMED-CT",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "Condition.code.coding.where(system='http://snomed.info/sct')",
"identity": "FHIR"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ],
"max": "1",
"id": "Diagnose.SNOMEDDiagnoseKodiert",
"condition": [ "ele-1" ],
"base": {
"max": "1",
"min": 0,
"path": "Diagnose.SNOMEDDiagnoseKodiert"
}
}, {
"path": "Diagnose.SNOMEDDiagnoseKodiert.id",
"min": 0,
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "Unique id for inter-element referencing",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Diagnose.SNOMEDDiagnoseKodiert.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Diagnose.SNOMEDDiagnoseKodiert.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"short": "Additional content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Diagnose.SNOMEDDiagnoseKodiert.extension",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Diagnose.SNOMEDDiagnoseKodiert.modifierExtension",
"requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"isModifier": true,
"short": "Extensions that cannot be ignored even if unrecognized",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "Diagnose.SNOMEDDiagnoseKodiert.modifierExtension",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Diagnose.SNOMEDDiagnoseKodiert.Diagnosecode",
"min": 1,
"definition": "SNOMED-CT Code",
"short": "SNOMED-CT Code",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "Condition.code.coding.where(system='http://snomed.info/sct').code",
"identity": "FHIR"
} ],
"type": [ {
"code": "code"
} ],
"max": "1",
"id": "Diagnose.SNOMEDDiagnoseKodiert.Diagnosecode",
"condition": [ "ele-1" ],
"comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
"base": {
"max": "1",
"min": 1,
"path": "Diagnose.SNOMEDDiagnoseKodiert.Diagnosecode"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Diagnose.WeitereKodiersysteme",
"min": 0,
"definition": "Bei Bedarf ist die Aufnahme weiterer Klassifikationen und Terminologien möglich.",
"short": "Bei Bedarf ist die Aufnahme weiterer Klassifikationen und Terminologien möglich.",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "Condition.code.coding",
"identity": "FHIR"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ],
"max": "*",
"id": "Diagnose.WeitereKodiersysteme",
"condition": [ "ele-1" ],
"base": {
"max": "*",
"min": 0,
"path": "Diagnose.WeitereKodiersysteme"
}
}, {
"path": "Diagnose.WeitereKodiersysteme.id",
"min": 0,
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "Unique id for inter-element referencing",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Diagnose.WeitereKodiersysteme.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Diagnose.WeitereKodiersysteme.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"short": "Additional content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Diagnose.WeitereKodiersysteme.extension",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Diagnose.WeitereKodiersysteme.modifierExtension",
"requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"isModifier": true,
"short": "Extensions that cannot be ignored even if unrecognized",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "Diagnose.WeitereKodiersysteme.modifierExtension",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Diagnose.WeitereKodiersysteme.Diagnosecode",
"min": 1,
"definition": "Angabe des Codes aus weiterem Kodiersystem",
"short": "Code aus weiterem Kodiersystem",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "Condition.code.coding.code",
"identity": "FHIR"
} ],
"type": [ {
"code": "code"
} ],
"max": "1",
"id": "Diagnose.WeitereKodiersysteme.Diagnosecode",
"condition": [ "ele-1" ],
"comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
"base": {
"max": "1",
"min": 1,
"path": "Diagnose.WeitereKodiersysteme.Diagnosecode"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Diagnose.Koerperstelle",
"min": 0,
"definition": "Über die Körperstelle kann angegeben werden, in welchem Bereich des Körpers eine Krankheit diagnostiziert wurde (Topografische Informatiomn)",
"short": "Körperstelle",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "Condition.bodySite",
"identity": "FHIR"
} ],
"type": [ {
"code": "code"
} ],
"max": "*",
"id": "Diagnose.Koerperstelle",
"condition": [ "ele-1" ],
"comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
"base": {
"max": "*",
"min": 0,
"path": "Diagnose.Koerperstelle"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Diagnose.Freitextbeschreibung",
"min": 0,
"definition": "Diagnose im Klartext. Im Bereich der medizinischen Dokumentation sollte die Textbeschreibung obligatorisch sein. Bei der sekundären Übernahme einer kodierten Diagonse aus der Primärdokumentation kann eine Freitextbeschreibung fehlen.",
"short": "Diagnose im Klartext",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "Condition.code.text",
"identity": "FHIR"
} ],
"type": [ {
"code": "string"
} ],
"max": "1",
"id": "Diagnose.Freitextbeschreibung",
"condition": [ "ele-1" ],
"comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
"base": {
"max": "1",
"min": 0,
"path": "Diagnose.Freitextbeschreibung"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Diagnose.Diagnoseerlaeuterung",
"min": 0,
"definition": "Damit soll dem Arzt die Möglichkeit gegeben werden, umfangreichere Angaben zusätzlich zu einer Diagnose abzufassen.",
"short": "Diagnoseerläuterung",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "Condition.note",
"identity": "FHIR"
} ],
"type": [ {
"code": "string"
} ],
"max": "*",
"id": "Diagnose.Diagnoseerlaeuterung",
"condition": [ "ele-1" ],
"comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
"base": {
"max": "*",
"min": 0,
"path": "Diagnose.Diagnoseerlaeuterung"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Diagnose.KlinischerStatus",
"min": 0,
"definition": "aktiv, Rezidiv, Rückfall, inaktiv, Remission, geheilt",
"short": "Klinischer Status",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "Condition.clinicalStatus",
"identity": "FHIR"
} ],
"type": [ {
"code": "code"
} ],
"max": "1",
"id": "Diagnose.KlinischerStatus",
"condition": [ "ele-1" ],
"comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
"base": {
"max": "1",
"min": 0,
"path": "Diagnose.KlinischerStatus"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Diagnose.KlinischRelevanterZeitraum",
"min": 0,
"definition": "Hier kann der Klinisch Relevante Zeitraum beziehungsweise die Lebensphase einer Erkrankung angegeben werden. Datumsangaben zu Diagnosen können in unterschiedlicher Präzision vorhanden sein.",
"short": "Klinisch relevanter Zeitraum",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "Condition.onset[x]",
"identity": "FHIR"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ],
"max": "1",
"id": "Diagnose.KlinischRelevanterZeitraum",
"condition": [ "ele-1" ],
"base": {
"max": "1",
"min": 0,
"path": "Diagnose.KlinischRelevanterZeitraum"
}
}, {
"path": "Diagnose.KlinischRelevanterZeitraum.id",
"min": 0,
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "Unique id for inter-element referencing",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Diagnose.KlinischRelevanterZeitraum.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Diagnose.KlinischRelevanterZeitraum.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"short": "Additional content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Diagnose.KlinischRelevanterZeitraum.extension",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Diagnose.KlinischRelevanterZeitraum.modifierExtension",
"requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"isModifier": true,
"short": "Extensions that cannot be ignored even if unrecognized",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "Diagnose.KlinischRelevanterZeitraum.modifierExtension",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Diagnose.KlinischRelevanterZeitraum.Zeitraum",
"min": 0,
"definition": "Der Zeitraum wird durch zwei Datumsangaben beschrieben, das heißt, von wann bis wann ein Patient an der diagnostizierten Krankheit litt. Über den Zeitraum kann auch ausgedrückt werden, seit wann ein Patient an einer Krankheit leidet, indem nur das Startdatum des Zeitraums angegeben wird. Das Startdatum des Zeitraums kann abweichen von dem Diagnosedatum. Datumsangaben zu Diagnosen können in unterschiedlicher Präzision vorhanden sein.",
"short": "klinisch relevanter Zeitraum",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "Condition.onsetPeriod",
"identity": "FHIR"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ],
"max": "1",
"id": "Diagnose.KlinischRelevanterZeitraum.Zeitraum",
"condition": [ "ele-1" ],
"base": {
"max": "1",
"min": 0,
"path": "Diagnose.KlinischRelevanterZeitraum.Zeitraum"
}
}, {
"path": "Diagnose.KlinischRelevanterZeitraum.Zeitraum.id",
"min": 0,
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "Unique id for inter-element referencing",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Diagnose.KlinischRelevanterZeitraum.Zeitraum.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Diagnose.KlinischRelevanterZeitraum.Zeitraum.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"short": "Additional content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Diagnose.KlinischRelevanterZeitraum.Zeitraum.extension",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Diagnose.KlinischRelevanterZeitraum.Zeitraum.modifierExtension",
"requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"isModifier": true,
"short": "Extensions that cannot be ignored even if unrecognized",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "Diagnose.KlinischRelevanterZeitraum.Zeitraum.modifierExtension",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Diagnose.KlinischRelevanterZeitraum.Zeitraum.von",
"min": 0,
"definition": "Startdatum",
"short": "Startdatum",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "Condition.onsetPeriod.start",
"identity": "FHIR"
} ],
"type": [ {
"code": "dateTime"
} ],
"max": "1",
"id": "Diagnose.KlinischRelevanterZeitraum.Zeitraum.von",
"condition": [ "ele-1" ],
"base": {
"max": "1",
"min": 0,
"path": "Diagnose.KlinischRelevanterZeitraum.Zeitraum.von"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Diagnose.KlinischRelevanterZeitraum.Zeitraum.bis",
"min": 0,
"definition": "Enddatum",
"short": "Enddatum",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "Condition.onsetPeriod.end",
"identity": "FHIR"
} ],
"type": [ {
"code": "dateTime"
} ],
"max": "1",
"id": "Diagnose.KlinischRelevanterZeitraum.Zeitraum.bis",
"condition": [ "ele-1" ],
"base": {
"max": "1",
"min": 0,
"path": "Diagnose.KlinischRelevanterZeitraum.Zeitraum.bis"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Diagnose.KlinischRelevanterZeitraum.Lebensphase",
"min": 0,
"definition": "Lebensphase, in der die Erkrankung aufgetreten ist",
"short": "Lebensphase",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ],
"max": "*",
"id": "Diagnose.KlinischRelevanterZeitraum.Lebensphase",
"condition": [ "ele-1" ],
"base": {
"max": "*",
"min": 0,
"path": "Diagnose.KlinischRelevanterZeitraum.Lebensphase"
}
}, {
"path": "Diagnose.KlinischRelevanterZeitraum.Lebensphase.id",
"min": 0,
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "Unique id for inter-element referencing",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "http://hl7.org/fhirpath/System.String",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Diagnose.KlinischRelevanterZeitraum.Lebensphase.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Diagnose.KlinischRelevanterZeitraum.Lebensphase.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"short": "Additional content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "Diagnose.KlinischRelevanterZeitraum.Lebensphase.extension",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Diagnose.KlinischRelevanterZeitraum.Lebensphase.modifierExtension",
"requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"isModifier": true,
"short": "Extensions that cannot be ignored even if unrecognized",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "normative"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "Diagnose.KlinischRelevanterZeitraum.Lebensphase.modifierExtension",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Diagnose.KlinischRelevanterZeitraum.Lebensphase.von",
"min": 0,
"definition": "In welcher Lebensphase die Krankheit began",
"short": "In welcher Lebensphase die Krankheit began",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "Condition.onsetPeriod.start.extension('http://fhir.de/StructureDefinition/lebensphase').valueCodeableConcept",
"identity": "FHIR"
} ],
"type": [ {
"code": "code"
} ],
"max": "1",
"id": "Diagnose.KlinischRelevanterZeitraum.Lebensphase.von",
"condition": [ "ele-1" ],
"comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
"base": {
"max": "1",
"min": 0,
"path": "Diagnose.KlinischRelevanterZeitraum.Lebensphase.von"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Diagnose.KlinischRelevanterZeitraum.Lebensphase.bis",
"min": 0,
"definition": "In welcher Lebensphase die Krankheit endete",
"short": "In welcher Lebensphase die Krankheit endete",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "Condition.onsetPeriod.end.extension('http://fhir.de/StructureDefinition/lebensphase').valueCodeableConcept",
"identity": "FHIR"
} ],
"type": [ {
"code": "code"
} ],
"max": "1",
"id": "Diagnose.KlinischRelevanterZeitraum.Lebensphase.bis",
"condition": [ "ele-1" ],
"comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
"base": {
"max": "1",
"min": 0,
"path": "Diagnose.KlinischRelevanterZeitraum.Lebensphase.bis"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Diagnose.Feststellungsdatum",
"min": 0,
"definition": "Das Datum ist der Zeitpunkt, an dem eine Krankheit z. B. durch einen Arzt festgestellt wurde. Dies wird im Folgenden mit Diagnosedatum bezeichnet.",
"short": "Feststellungsdatum / Diagnosedatum",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "Condition.extension('http://hl7.org/fhir/StructureDefinition/condition-assertedDate').valueDateTime",
"identity": "FHIR"
} ],
"type": [ {
"code": "date"
} ],
"max": "1",
"id": "Diagnose.Feststellungsdatum",
"condition": [ "ele-1" ],
"base": {
"max": "1",
"min": 0,
"path": "Diagnose.Feststellungsdatum"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() or (children().count() > id.count())"
} ],
"path": "Diagnose.Dokumentationsdatum",
"min": 1,
"definition": "Das Datum ist der Zeitpunkt, an dem eine Krankheit z. B. durch einen Arzt dokumentiert wurde. Hinweis: Wenn zwischen Feststellung der Diagnose und Dokumentationsdatum nicht unterschieden werden muss, ist das Datum der Feststellung der Diagnose (Diagnosedatum) anzugeben.",
"short": "Dokumentationsdatum",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "Condition.recordedDate",
"identity": "FHIR"
} ],
"type": [ {
"code": "date"
} ],
"max": "1",
"id": "Diagnose.Dokumentationsdatum",
"condition": [ "ele-1" ],
"base": {
"max": "1",
"min": 1,
"path": "Diagnose.Dokumentationsdatum"
}
} ]
},
"status": "active",
"id": "3d0bb828-ac50-4010-8269-fe1da7bec339",
"kind": "logical",
"url": "https://www.medizininformatik-initiative.de/fhir/core/modul-diagnose/StructureDefinition/LogicalModel/Diagnose",
"version": "2025.0.0",
"differential": {
"element": [ {
"id": "Diagnose",
"path": "Diagnose",
"short": "Das Basismodul Diagnosen enthält Diagnosen als Behandlungsbegründungen und abrechnungsbasiertes Gliederungsmerkmal, z.B. als Hauptdiagnose, Nebendiagnose, Quartalsdiagnose etc.",
"definition": "Logische Repräsentation des Basismoduls Diagnose"
}, {
"id": "Diagnose.ICD10GMDiagnoseKodiert",
"max": "1",
"min": 0,
"path": "Diagnose.ICD10GMDiagnoseKodiert",
"type": [ {
"code": "BackboneElement"
} ],
"short": "Im Bereich der administrativen und statistischen Auswertung wird die Diagnose mit Hilfe von Codiersystemen verschlüsselt. So wird z.B. bei der Abrechnung nach §301 und §295 SGB V die Codierung von Diagnosen mittels ICD-10-GM gesetzlich vorgeschrieben. Weitere Codiersysteme sind z.B. die Alpha-ID oder SNOMED CT. Die Kodierung einer Diagnose mittels verschiedener Codesysteme sollte möglich sein.",
"mapping": [ {
"map": "Condition.code.coding.where(system='http://fhir.de/CodeSystem/bfarm/icd-10-gm')",
"identity": "FHIR"
} ],
"definition": "Im Bereich der administrativen und statistischen Auswertung wird die Diagnose mit Hilfe von Codiersystemen verschlüsselt. So wird z.B. bei der Abrechnung nach §301 und §295 SGB V die Codierung von Diagnosen mittels ICD-10-GM gesetzlich vorgeschrieben. Weitere Codiersysteme sind z.B. die Alpha-ID oder SNOMED CT. Die Kodierung einer Diagnose mittels verschiedener Codesysteme sollte möglich sein."
}, {
"id": "Diagnose.ICD10GMDiagnoseKodiert.Diagnosecode",
"max": "1",
"min": 1,
"path": "Diagnose.ICD10GMDiagnoseKodiert.Diagnosecode",
"type": [ {
"code": "code"
} ],
"short": "Diagnosecode ICD-10-GM",
"mapping": [ {
"map": "Condition.code.coding.where(system='http://fhir.de/CodeSystem/bfarm/icd-10-gm').code",
"identity": "FHIR"
} ],
"definition": "Code ohne Zusatzkennzeichen"
}, {
"id": "Diagnose.ICD10GMDiagnoseKodiert.Mehrfachkodierungskennzeichen",
"max": "1",
"min": 0,
"path": "Diagnose.ICD10GMDiagnoseKodiert.Mehrfachkodierungskennzeichen",
"type": [ {
"code": "code"
} ],
"short": "Mehrfachkodierungskennzeichen",
"mapping": [ {
"map": "Condition.code.coding.where(system='http://fhir.de/CodeSystem/bfarm/icd-10-gm').extension('http://fhir.de/StructureDefinition/icd-10-gm-mehrfachcodierungs-kennzeichen').valueCoding.code",
"identity": "FHIR"
} ],
"definition": "Mehrfachkodierungskennzeichen Kreuz-Stern-System und Ausrufezeichen (\"*\", \"†\", \"!\")."
}, {
"id": "Diagnose.ICD10GMDiagnoseKodiert.Diagnosesicherheit",
"max": "1",
"min": 0,
"path": "Diagnose.ICD10GMDiagnoseKodiert.Diagnosesicherheit",
"type": [ {
"code": "code"
} ],
"short": "Zusatzkennzeichen für die Diagnosensicherhe",
"mapping": [ {
"map": "Condition.code.coding.where(system='http://fhir.de/CodeSystem/bfarm/icd-10-gm').extension('http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit').valueCoding.code",
"identity": "FHIR"
} ],
"definition": "Die Diagnosensicherheit, d.h. wie sicher die Diagnose im Einzelfall zu werten ist, kann unterschiedlich angegeben werden. Für Abrechnungszwecke in der ambulanten Versorgung muss obligatorisch ein Zusatzkennzeichen für die Diagnosensicherheit (A, G, V oder Z) angegeben werden, d. h. die Angabe ist obligatorisch. In der stationären Versorgung sind diese Zusatzkennzeichen für die Angabe der Diagnosensicherheit für Abrechnungszwecke dagegen nicht zulässig."
}, {
"id": "Diagnose.ICD10GMDiagnoseKodiert.Seitenlokalisation",
"max": "1",
"min": 0,
"path": "Diagnose.ICD10GMDiagnoseKodiert.Seitenlokalisation",
"type": [ {
"code": "code"
} ],
"short": "Zusatzkennzeichen Seite einer Erkrankung",
"mapping": [ {
"map": "Condition.code.coding.where(system='http://fhir.de/CodeSystem/bfarm/icd-10-gm').extension('http://fhir.de/StructureDefinition/seitenlokalisation').valueCoding.code",
"identity": "FHIR"
} ],
"definition": "Zusatzkennzeichen der ICD-10 für die Seitigkeit einer Diagnose (R, L, B)"
}, {
"id": "Diagnose.ALPHAIDKodiert",
"max": "1",
"min": 0,
"path": "Diagnose.ALPHAIDKodiert",
"type": [ {
"code": "BackboneElement"
} ],
"short": "Kodierung einer Diagnose mit Alpha-ID",
"mapping": [ {
"map": "Condition.code.coding.where(system='http://fhir.de/CodeSystem/bfarm/alpha-id')",
"identity": "FHIR"
} ],
"definition": "Kodierung einer Diagnose mit Alpha-ID"
}, {
"id": "Diagnose.ALPHAIDKodiert.Diagnosecode",
"max": "1",
"min": 1,
"path": "Diagnose.ALPHAIDKodiert.Diagnosecode",
"type": [ {
"code": "code"
} ],
"short": "Alpha-ID-Code",
"mapping": [ {
"map": "Condition.code.coding.where(system='http://fhir.de/CodeSystem/bfarm/alpha-id').code",
"identity": "FHIR"
} ],
"definition": "Alpha-ID-Code"
}, {
"id": "Diagnose.ORPHANETDiagnoseKodiert",
"max": "1",
"min": 0,
"path": "Diagnose.ORPHANETDiagnoseKodiert",
"type": [ {
"code": "BackboneElement"
} ],
"short": "Für die Kodierung von Seltenen Krankheiten ist die Orpha-Kennnummer erforderlich.",
"mapping": [ {
"map": "Condition.code.coding.where(system='http://www.orpha.net')",
"identity": "FHIR"
} ],
"definition": "Für die Kodierung von Seltenen Krankheiten ist die Orpha-Kennnummer erforderlich."
}, {
"id": "Diagnose.ORPHANETDiagnoseKodiert.Diagnosecode",
"max": "1",
"min": 1,
"path": "Diagnose.ORPHANETDiagnoseKodiert.Diagnosecode",
"type": [ {
"code": "code"
} ],
"short": "Orpha-Kennnummer",
"mapping": [ {
"map": "Condition.code.coding.where(system='http://www.orpha.net').code",
"identity": "FHIR"
} ],
"definition": "Orpha-Kennnummer"
}, {
"id": "Diagnose.SNOMEDDiagnoseKodiert",
"max": "1",
"min": 0,
"path": "Diagnose.SNOMEDDiagnoseKodiert",
"type": [ {
"code": "BackboneElement"
} ],
"short": "Ermöglicht die Kodierung einer Diagnose mit SNOMED-CT",
"mapping": [ {
"map": "Condition.code.coding.where(system='http://snomed.info/sct')",
"identity": "FHIR"
} ],
"definition": "Ermöglicht die Kodierung einer Diagnose mit SNOMED-CT"
}, {
"id": "Diagnose.SNOMEDDiagnoseKodiert.Diagnosecode",
"max": "1",
"min": 1,
"path": "Diagnose.SNOMEDDiagnoseKodiert.Diagnosecode",
"type": [ {
"code": "code"
} ],
"short": "SNOMED-CT Code",
"mapping": [ {
"map": "Condition.code.coding.where(system='http://snomed.info/sct').code",
"identity": "FHIR"
} ],
"definition": "SNOMED-CT Code"
}, {
"id": "Diagnose.WeitereKodiersysteme",
"max": "*",
"min": 0,
"path": "Diagnose.WeitereKodiersysteme",
"type": [ {
"code": "BackboneElement"
} ],
"short": "Bei Bedarf ist die Aufnahme weiterer Klassifikationen und Terminologien möglich.",
"mapping": [ {
"map": "Condition.code.coding",
"identity": "FHIR"
} ],
"definition": "Bei Bedarf ist die Aufnahme weiterer Klassifikationen und Terminologien möglich."
}, {
"id": "Diagnose.WeitereKodiersysteme.Diagnosecode",
"max": "1",
"min": 1,
"path": "Diagnose.WeitereKodiersysteme.Diagnosecode",
"type": [ {
"code": "code"
} ],
"short": "Code aus weiterem Kodiersystem",
"mapping": [ {
"map": "Condition.code.coding.code",
"identity": "FHIR"
} ],
"definition": "Angabe des Codes aus weiterem Kodiersystem"
}, {
"id": "Diagnose.Koerperstelle",
"max": "*",
"min": 0,
"path": "Diagnose.Koerperstelle",
"type": [ {
"code": "code"
} ],
"short": "Körperstelle",
"mapping": [ {
"map": "Condition.bodySite",
"identity": "FHIR"
} ],
"definition": "Über die Körperstelle kann angegeben werden, in welchem Bereich des Körpers eine Krankheit diagnostiziert wurde (Topografische Informatiomn)"
}, {
"id": "Diagnose.Freitextbeschreibung",
"max": "1",
"min": 0,
"path": "Diagnose.Freitextbeschreibung",
"type": [ {
"code": "string"
} ],
"short": "Diagnose im Klartext",
"mapping": [ {
"map": "Condition.code.text",
"identity": "FHIR"
} ],
"definition": "Diagnose im Klartext. Im Bereich der medizinischen Dokumentation sollte die Textbeschreibung obligatorisch sein. Bei der sekundären Übernahme einer kodierten Diagonse aus der Primärdokumentation kann eine Freitextbeschreibung fehlen."
}, {
"id": "Diagnose.Diagnoseerlaeuterung",
"max": "*",
"min": 0,
"path": "Diagnose.Diagnoseerlaeuterung",
"type": [ {
"code": "string"
} ],
"short": "Diagnoseerläuterung",
"mapping": [ {
"map": "Condition.note",
"identity": "FHIR"
} ],
"definition": "Damit soll dem Arzt die Möglichkeit gegeben werden, umfangreichere Angaben zusätzlich zu einer Diagnose abzufassen."
}, {
"id": "Diagnose.KlinischerStatus",
"max": "1",
"min": 0,
"path": "Diagnose.KlinischerStatus",
"type": [ {
"code": "code"
} ],
"short": "Klinischer Status",
"mapping": [ {
"map": "Condition.clinicalStatus",
"identity": "FHIR"
} ],
"definition": "aktiv, Rezidiv, Rückfall, inaktiv, Remission, geheilt"
}, {
"id": "Diagnose.KlinischRelevanterZeitraum",
"max": "1",
"min": 0,
"path": "Diagnose.KlinischRelevanterZeitraum",
"type": [ {
"code": "BackboneElement"
} ],
"short": "Klinisch relevanter Zeitraum",
"mapping": [ {
"map": "Condition.onset[x]",
"identity": "FHIR"
} ],
"definition": "Hier kann der Klinisch Relevante Zeitraum beziehungsweise die Lebensphase einer Erkrankung angegeben werden. Datumsangaben zu Diagnosen können in unterschiedlicher Präzision vorhanden sein."
}, {
"id": "Diagnose.KlinischRelevanterZeitraum.Zeitraum",
"max": "1",
"min": 0,
"path": "Diagnose.KlinischRelevanterZeitraum.Zeitraum",
"type": [ {
"code": "BackboneElement"
} ],
"short": "klinisch relevanter Zeitraum",
"mapping": [ {
"map": "Condition.onsetPeriod",
"identity": "FHIR"
} ],
"definition": "Der Zeitraum wird durch zwei Datumsangaben beschrieben, das heißt, von wann bis wann ein Patient an der diagnostizierten Krankheit litt. Über den Zeitraum kann auch ausgedrückt werden, seit wann ein Patient an einer Krankheit leidet, indem nur das Startdatum des Zeitraums angegeben wird. Das Startdatum des Zeitraums kann abweichen von dem Diagnosedatum. Datumsangaben zu Diagnosen können in unterschiedlicher Präzision vorhanden sein."
}, {
"id": "Diagnose.KlinischRelevanterZeitraum.Zeitraum.von",
"max": "1",
"min": 0,
"path": "Diagnose.KlinischRelevanterZeitraum.Zeitraum.von",
"type": [ {
"code": "dateTime"
} ],
"short": "Startdatum",
"mapping": [ {
"map": "Condition.onsetPeriod.start",
"identity": "FHIR"
} ],
"definition": "Startdatum"
}, {
"id": "Diagnose.KlinischRelevanterZeitraum.Zeitraum.bis",
"max": "1",
"min": 0,
"path": "Diagnose.KlinischRelevanterZeitraum.Zeitraum.bis",
"type": [ {
"code": "dateTime"
} ],
"short": "Enddatum",
"mapping": [ {
"map": "Condition.onsetPeriod.end",
"identity": "FHIR"
} ],
"definition": "Enddatum"
}, {
"id": "Diagnose.KlinischRelevanterZeitraum.Lebensphase",
"max": "*",
"min": 0,
"path": "Diagnose.KlinischRelevanterZeitraum.Lebensphase",
"type": [ {
"code": "BackboneElement"
} ],
"short": "Lebensphase",
"definition": "Lebensphase, in der die Erkrankung aufgetreten ist"
}, {
"id": "Diagnose.KlinischRelevanterZeitraum.Lebensphase.von",
"max": "1",
"min": 0,
"path": "Diagnose.KlinischRelevanterZeitraum.Lebensphase.von",
"type": [ {
"code": "code"
} ],
"short": "In welcher Lebensphase die Krankheit began",
"mapping": [ {
"map": "Condition.onsetPeriod.start.extension('http://fhir.de/StructureDefinition/lebensphase').valueCodeableConcept",
"identity": "FHIR"
} ],
"definition": "In welcher Lebensphase die Krankheit began"
}, {
"id": "Diagnose.KlinischRelevanterZeitraum.Lebensphase.bis",
"max": "1",
"min": 0,
"path": "Diagnose.KlinischRelevanterZeitraum.Lebensphase.bis",
"type": [ {
"code": "code"
} ],
"short": "In welcher Lebensphase die Krankheit endete",
"mapping": [ {
"map": "Condition.onsetPeriod.end.extension('http://fhir.de/StructureDefinition/lebensphase').valueCodeableConcept",
"identity": "FHIR"
} ],
"definition": "In welcher Lebensphase die Krankheit endete"
}, {
"id": "Diagnose.Feststellungsdatum",
"max": "1",
"min": 0,
"path": "Diagnose.Feststellungsdatum",
"type": [ {
"code": "date"
} ],
"short": "Feststellungsdatum / Diagnosedatum",
"mapping": [ {
"map": "Condition.extension('http://hl7.org/fhir/StructureDefinition/condition-assertedDate').valueDateTime",
"identity": "FHIR"
} ],
"definition": "Das Datum ist der Zeitpunkt, an dem eine Krankheit z. B. durch einen Arzt festgestellt wurde. Dies wird im Folgenden mit Diagnosedatum bezeichnet."
}, {
"id": "Diagnose.Dokumentationsdatum",
"max": "1",
"min": 1,
"path": "Diagnose.Dokumentationsdatum",
"type": [ {
"code": "date"
} ],
"short": "Dokumentationsdatum",
"mapping": [ {
"map": "Condition.recordedDate",
"identity": "FHIR"
} ],
"definition": "Das Datum ist der Zeitpunkt, an dem eine Krankheit z. B. durch einen Arzt dokumentiert wurde. Hinweis: Wenn zwischen Feststellung der Diagnose und Dokumentationsdatum nicht unterschieden werden muss, ist das Datum der Feststellung der Diagnose (Diagnosedatum) anzugeben."
} ]
},
"contact": [ {
"telecom": [ {
"value": "https://www.medizininformatik-initiative.de",
"system": "url"
} ]
} ],
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Element"
}