description: Dieses Profil beschreibt eine Diagnose der Medizininformatik Initiative package_name: de.medizininformatikinitiative.kerndatensatz.diagnose derivation: constraint name: MII_PR_Diagnose_Condition type: Condition elements: onset: elements: end: extensions: {} elements: extension: elements: value: choices: [] index: 48 slicing: slices: onsetDateTime: match: {} schema: mustSupport: true choices: [onsetDateTime] index: 50 min: 0 max: 1 clinicalStatus: _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Klinischer Status} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: Clinical status} _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: aktiv | Rezidiv | Rückfall | inaktiv | Remission | abgeklungen} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: active | recurrence | relapse | inactive | remission | resolved} mustSupport: true index: 6 meta: mustSupport: true index: 1 elements: source: {mustSupport: true, index: 2} profile: {mustSupport: true, index: 3} encounter: _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Fall oder Kontakt} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: Encounter} _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: 'Fall oder Kontakt, bei dem die Diagnose festgestellt wurde.'} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: Encounter during which the diagnosis was determined.} mustSupport: true index: 33 onsetPeriod: type: Period mustSupport: true choiceOf: onset index: 40 slicing: slices: onsetPeriod: match: {} schema: {type: Period, mustSupport: true, choiceOf: onset, index: 40} min: 0 max: 1 note: _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Hinweis} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: Note} _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Zusätzliche Informationen zur Diagnose als Freitext.} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: Additional information about the diagnosis as free text.} mustSupport: true index: 53 extension: type: Extension mustSupport: true url: http://hl7.org/fhir/StructureDefinition/condition-related index: 4 slicing: slices: ReferenzPrimaerdiagnose: match: {} schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/StructureDefinition/condition-related', index: 4} min: 0 max: 1 Feststellungsdatum: match: {} schema: _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: 'Datum, an dem die Diagnose erstmals festgestellt wurde'} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: Date the condition was first asserted} type: Extension mustSupport: true _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Feststellungsdatum} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: Asserted date} url: http://hl7.org/fhir/StructureDefinition/condition-assertedDate index: 5 min: 0 max: 1 recordedDate: _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Aufzeichnungsdatum} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: Recorded date} _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: 'Datum, an dem die Diagnose erstmals dokumentiert wurde.'} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: Date when the diagnosis was first recorded.} mustSupport: true index: 52 id: {mustSupport: true, index: 0} code: _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Code} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: Code} _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: 'Ein ICD-10-, Alpha-ID-, SNOMED-, Orpha- oder anderer Code, der die Diagnose identifiziert.'} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: 'An ICD-10-, Alpha-ID-, SNOMED-, Orpha- or other code that identifies the diagnosis.'} mustSupport: true index: 8 elements: coding: mustSupport: true index: 9 elements: code: {index: 10} slicing: rules: open discriminator: - {path: $this, type: pattern} min: 1 slices: icd10-gm: match: {system: 'http://fhir.de/CodeSystem/bfarm/icd-10-gm'} schema: type: Coding mustSupport: true binding: {strength: required, valueSet: 'http://fhir.de/ValueSet/bfarm/icd-10-gm'} pattern: type: Coding value: {system: 'http://fhir.de/CodeSystem/bfarm/icd-10-gm'} index: 11 elements: system: {mustSupport: true, index: 12} version: {mustSupport: true, index: 13} code: {mustSupport: true, index: 14} alpha-id: match: {system: 'http://fhir.de/CodeSystem/bfarm/alpha-id'} schema: type: Coding mustSupport: true binding: {strength: required, valueSet: 'http://fhir.de/ValueSet/bfarm/alpha-id'} pattern: type: Coding value: {system: 'http://fhir.de/CodeSystem/bfarm/alpha-id'} index: 15 elements: system: {mustSupport: true, index: 16} code: {mustSupport: true, index: 17} sct: match: {system: 'http://snomed.info/sct'} schema: mustSupport: true binding: {strength: required, valueSet: 'https://www.medizininformatik-initiative.de/fhir/core/modul-diagnose/ValueSet/diagnoses-sct'} pattern: type: Coding value: {system: 'http://snomed.info/sct'} index: 18 elements: system: {mustSupport: true, index: 19} version: {mustSupport: true, index: 20} code: {mustSupport: true, index: 21} required: [system, code] orphanet: match: {system: 'http://www.orpha.net'} schema: mustSupport: true binding: {strength: required, valueSet: 'https://www.medizininformatik-initiative.de/fhir/core/modul-diagnose/ValueSet/mii-vs-diagnose-orphanet'} pattern: type: Coding value: {system: 'http://www.orpha.net'} index: 22 elements: system: {mustSupport: true, index: 23} code: {mustSupport: true, index: 24} required: [system, code] text: {index: 25} required: [coding] onsetDateTime: type: dateTime mustSupport: true choiceOf: onset index: 51 slicing: slices: onsetDateTime: match: {} schema: {type: dateTime, mustSupport: true, choiceOf: onset, index: 51} min: 0 max: 1 bodySite: _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Körperstelle} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: Body site} _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Körperstelle der Diagnose mittels SNOMED oder anderem Code.} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: The body site of the diagnosis using SNOMED or other systems.} mustSupport: true index: 26 elements: coding: mustSupport: true index: 27 slicing: rules: open discriminator: - {path: system, type: pattern} min: 1 slices: snomed-ct: match: {system: 'http://snomed.info/sct'} schema: binding: {strength: required, valueSet: 'https://www.medizininformatik-initiative.de/fhir/core/modul-diagnose/ValueSet/mii-vs-diagnose-bodystructure-snomed'} mustSupport: true _required: true index: 28 elements: system: pattern: {type: Uri, value: 'http://snomed.info/sct'} mustSupport: true index: 29 version: {mustSupport: true, index: 30} code: {mustSupport: true, index: 31} required: [system, code] required: [coding] onset[x]: elements: end: mustSupport: true index: 45 extensions: lebensphase-bis: {url: 'http://fhir.de/StructureDefinition/lebensphase', min: 0, max: 1, type: Extension, mustSupport: true, index: 46} elements: extension: type: Extension mustSupport: true url: http://fhir.de/StructureDefinition/lebensphase index: 46 slicing: slices: lebensphase-bis: match: {} schema: {type: Extension, mustSupport: true, url: 'http://fhir.de/StructureDefinition/lebensphase', index: 46} min: 0 max: 1 verificationStatus: _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Verifizierungsstatus} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: Verification status} _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: unbestätigt | vorläufig | differential | bestätigt | widerlegt | fehlerhafte Eingabe} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: unconfirmed | provisional | differential | confirmed | refuted | entered-in-error} index: 7 subject: {mustSupport: true, index: 32} package_version: 2025.0.0-alpha1 extensions: ReferenzPrimaerdiagnose: {url: 'http://hl7.org/fhir/StructureDefinition/condition-related', min: 0, max: 1, type: Extension, mustSupport: true, index: 4} Feststellungsdatum: url: http://hl7.org/fhir/StructureDefinition/condition-assertedDate min: 0 max: 1 _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: 'Datum, an dem die Diagnose erstmals festgestellt wurde'} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: Date the condition was first asserted} type: Extension mustSupport: true _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Feststellungsdatum} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: Asserted date} index: 5 class: profile kind: resource url: https://www.medizininformatik-initiative.de/fhir/core/modul-diagnose/StructureDefinition/Diagnose base: http://hl7.org/fhir/StructureDefinition/Condition version: 2025.0.0 required: [recordedDate, code]