{
  "description": null,
  "_filename": "KBVPRBaseDiagnosis.json",
  "package_name": "KBV.Basis",
  "date": null,
  "derivation": "constraint",
  "publisher": null,
  "fhirVersion": "4.0.1",
  "name": "KBV_PR_Base_Diagnosis",
  "mapping": [ {
    "uri": "http://hl7.org/fhir/workflow",
    "name": "Workflow Pattern",
    "identity": "workflow"
  }, {
    "uri": "http://snomed.info/conceptdomain",
    "name": "SNOMED CT Concept Domain Binding",
    "identity": "sct-concept"
  }, {
    "uri": "http://hl7.org/v2",
    "name": "HL7 v2 Mapping",
    "identity": "v2"
  }, {
    "uri": "http://hl7.org/v3",
    "name": "RIM Mapping",
    "identity": "rim"
  }, {
    "uri": "http://hl7.org/fhir/fivews",
    "name": "FiveWs Pattern Mapping",
    "identity": "w5"
  }, {
    "uri": "http://snomed.org/attributebinding",
    "name": "SNOMED CT Attribute Binding",
    "identity": "sct-attr"
  } ],
  "abstract": false,
  "type": "Condition",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": null,
  "package_version": "1.1.1",
  "status": "active",
  "id": "4f0d6bed-b0ad-4c19-8f76-b4dc32ccae0f",
  "kind": "resource",
  "url": "https://fhir.kbv.de/StructureDefinition/KBV_PR_Base_Diagnosis",
  "version": "1.1.1",
  "differential": {
    "element": [ {
      "id": "Condition",
      "path": "Condition",
      "constraint": [ {
        "key": "Rec1",
        "human": "Das Dokumentationsdatum soll mindestens mit MM.JJJJ angegeben werden.",
        "source": "https://fhir.kbv.de/StructureDefinition/KBV_PR_Base_Diagnosis",
        "severity": "warning",
        "expression": "recordedDate.exists() implies recordedDate.toString().length()>=7"
      } ]
    }, {
      "id": "Condition.clinicalStatus",
      "path": "Condition.clinicalStatus",
      "definition": "Beschreibt den klinischen Status im Sinne der Aktivität einer Erkrankung."
    }, {
      "id": "Condition.severity.coding",
      "path": "Condition.severity.coding",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "system",
          "type": "value"
        } ]
      }
    }, {
      "id": "Condition.severity.coding:snomed-ct",
      "max": "1",
      "path": "Condition.severity.coding",
      "binding": {
        "strength": "preferred",
        "valueSet": "http://hl7.org/fhir/ValueSet/condition-severity"
      },
      "sliceName": "snomed-ct"
    }, {
      "id": "Condition.severity.coding:snomed-ct.system",
      "min": 1,
      "path": "Condition.severity.coding.system",
      "fixedUri": "http://snomed.info/sct"
    }, {
      "id": "Condition.severity.coding:snomed-ct.version",
      "min": 1,
      "path": "Condition.severity.coding.version"
    }, {
      "id": "Condition.severity.coding:snomed-ct.code",
      "min": 1,
      "path": "Condition.severity.coding.code"
    }, {
      "id": "Condition.severity.coding:snomed-ct.display",
      "min": 1,
      "path": "Condition.severity.coding.display"
    }, {
      "id": "Condition.severity.coding:snomed-ct.display.extension",
      "path": "Condition.severity.coding.display.extension",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "Condition.severity.coding:snomed-ct.display.extension:anzeigenameCode",
      "path": "Condition.severity.coding.display.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://fhir.kbv.de/StructureDefinition/KBV_EX_Base_Terminology_German" ]
      } ],
      "sliceName": "anzeigenameCode"
    }, {
      "id": "Condition.severity.coding:snomed-ct.display.extension:anzeigenameCode.extension",
      "path": "Condition.severity.coding.display.extension.extension",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "Condition.severity.coding:snomed-ct.display.extension:anzeigenameCode.extension:content",
      "path": "Condition.severity.coding.display.extension.extension",
      "sliceName": "content"
    }, {
      "id": "Condition.severity.coding:snomed-ct.display.extension:anzeigenameCode.extension:content.value[x]:valueString",
      "path": "Condition.severity.coding.display.extension.extension.value[x]",
      "sliceName": "valueString",
      "definition": "In diesem Attribut sollen die entsprechende deutsche Bezeichnung des Loinc oder Snomed-Codes aus der Conceptmap eingetragen werden. Die entsprechende ConceptMap ist vom ableitetenden Profil anzugeben. Empfohlen wird KBV_CM_Base_Diagnosis_Severity_German"
    }, {
      "id": "Condition.code",
      "min": 1,
      "path": "Condition.code",
      "definition": "In diesem Element wird der Diagnosecode aufgeführt. Dieser kann aus verschiedenen Codiersystem stammen. Jede Diagnose muss mindestens einen Diagnosecode besitzen. Hierbei können die vorgeschlagenen Codiersysteme (ICD, Alpha-ID, SNOMED, ORPHANET) verwendet werden."
    }, {
      "id": "Condition.code.coding",
      "min": 1,
      "path": "Condition.code.coding",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "system",
          "type": "value"
        } ]
      }
    }, {
      "id": "Condition.code.coding:ICD-10-GM",
      "max": "1",
      "path": "Condition.code.coding",
      "type": [ {
        "code": "Coding",
        "profile": [ "http://fhir.de/StructureDefinition/CodingICD10GM|0.9.12" ]
      } ],
      "sliceName": "ICD-10-GM"
    }, {
      "id": "Condition.code.coding:ICD-10-GM.extension",
      "path": "Condition.code.coding.extension",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "Condition.code.coding:ICD-10-GM.extension:Primaercode",
      "max": "1",
      "path": "Condition.code.coding.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://fhir.de/StructureDefinition/icd-10-gm-primaercode|0.9.12" ]
      } ],
      "sliceName": "Primaercode"
    }, {
      "id": "Condition.code.coding:ICD-10-GM.extension:Manifestationscode",
      "path": "Condition.code.coding.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://fhir.de/StructureDefinition/icd-10-gm-manifestationscode|0.9.12" ]
      } ],
      "sliceName": "Manifestationscode"
    }, {
      "id": "Condition.code.coding:ICD-10-GM.extension:AusrufezeichenCode",
      "path": "Condition.code.coding.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://fhir.de/StructureDefinition/icd-10-gm-ausrufezeichen|0.9.12" ]
      } ],
      "sliceName": "AusrufezeichenCode"
    }, {
      "id": "Condition.code.coding:ICD-10-GM.extension:Diagnosesicherheit",
      "max": "1",
      "path": "Condition.code.coding.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit|0.9.12" ]
      } ],
      "sliceName": "Diagnosesicherheit"
    }, {
      "id": "Condition.code.coding:ICD-10-GM.extension:Seitenlokalisation",
      "max": "1",
      "path": "Condition.code.coding.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://fhir.de/StructureDefinition/seitenlokalisation|0.9.12" ]
      } ],
      "sliceName": "Seitenlokalisation"
    }, {
      "id": "Condition.code.coding:alpha-id",
      "max": "1",
      "path": "Condition.code.coding",
      "sliceName": "alpha-id"
    }, {
      "id": "Condition.code.coding:alpha-id.system",
      "min": 1,
      "path": "Condition.code.coding.system",
      "fixedUri": "http://fhir.de/CodeSystem/dimdi/alpha-id"
    }, {
      "id": "Condition.code.coding:alpha-id.version",
      "min": 1,
      "path": "Condition.code.coding.version"
    }, {
      "id": "Condition.code.coding:alpha-id.code",
      "min": 1,
      "path": "Condition.code.coding.code"
    }, {
      "id": "Condition.code.coding:snomed-ct",
      "max": "1",
      "path": "Condition.code.coding",
      "binding": {
        "strength": "required",
        "valueSet": "https://fhir.kbv.de/ValueSet/KBV_VS_Base_Diagnose_Snomed_CT"
      },
      "sliceName": "snomed-ct"
    }, {
      "id": "Condition.code.coding:snomed-ct.system",
      "min": 1,
      "path": "Condition.code.coding.system",
      "fixedUri": "http://snomed.info/sct"
    }, {
      "id": "Condition.code.coding:snomed-ct.version",
      "min": 1,
      "path": "Condition.code.coding.version"
    }, {
      "id": "Condition.code.coding:snomed-ct.code",
      "min": 1,
      "path": "Condition.code.coding.code"
    }, {
      "id": "Condition.code.coding:snomed-ct.display",
      "min": 1,
      "path": "Condition.code.coding.display"
    }, {
      "id": "Condition.code.coding:snomed-ct.display.extension",
      "path": "Condition.code.coding.display.extension",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "Condition.code.coding:snomed-ct.display.extension:anzeigenameCode",
      "max": "1",
      "path": "Condition.code.coding.display.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://fhir.kbv.de/StructureDefinition/KBV_EX_Base_Terminology_German" ]
      } ],
      "sliceName": "anzeigenameCode"
    }, {
      "id": "Condition.code.coding:snomed-ct.display.extension:anzeigenameCode.extension",
      "path": "Condition.code.coding.display.extension.extension",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "Condition.code.coding:snomed-ct.display.extension:anzeigenameCode.extension:content",
      "path": "Condition.code.coding.display.extension.extension",
      "sliceName": "content"
    }, {
      "id": "Condition.code.coding:snomed-ct.display.extension:anzeigenameCode.extension:content.value[x]:valueString",
      "path": "Condition.code.coding.display.extension.extension.value[x]",
      "sliceName": "valueString",
      "definition": "In diesem Attribut sollen die entsprechende deutsche Bezeichnung des Loinc oder Snomed-Codes aus der Conceptmap eingetragen werden. Die entsprechende ConceptMap ist vom ableitetenden Profil anzugeben."
    }, {
      "id": "Condition.code.coding:orphanet",
      "max": "1",
      "path": "Condition.code.coding",
      "sliceName": "orphanet"
    }, {
      "id": "Condition.code.coding:orphanet.system",
      "min": 1,
      "path": "Condition.code.coding.system",
      "fixedUri": "http://www.orpha.net"
    }, {
      "id": "Condition.code.coding:orphanet.version",
      "min": 1,
      "path": "Condition.code.coding.version"
    }, {
      "id": "Condition.code.coding:orphanet.code",
      "min": 1,
      "path": "Condition.code.coding.code"
    }, {
      "id": "Condition.code.text",
      "path": "Condition.code.text",
      "short": "Diagnoseerläuterung",
      "definition": "Dieses Element ermöglicht die Angabe von näheren Ausführungen oder zusätzlichen Anmerkungen zu einer Diagnose in Form von Freitext."
    }, {
      "id": "Condition.bodySite",
      "path": "Condition.bodySite",
      "definition": "Über die Körperstelle kann angegeben werden, in welchem Bereich des Körpers eine Krankheit diagnostiziert wurde (topographische Information)."
    }, {
      "id": "Condition.bodySite.coding",
      "min": 1,
      "path": "Condition.bodySite.coding",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "system",
          "type": "pattern"
        } ]
      }
    }, {
      "id": "Condition.bodySite.coding:snomed-ct",
      "max": "1",
      "min": 1,
      "path": "Condition.bodySite.coding",
      "binding": {
        "strength": "example",
        "valueSet": "http://hl7.org/fhir/ValueSet/body-site",
        "description": "Codes describing anatomical locations. May include laterality."
      },
      "sliceName": "snomed-ct"
    }, {
      "id": "Condition.bodySite.coding:snomed-ct.system",
      "min": 1,
      "path": "Condition.bodySite.coding.system",
      "patternUri": "http://snomed.info/sct"
    }, {
      "id": "Condition.bodySite.coding:snomed-ct.version",
      "min": 1,
      "path": "Condition.bodySite.coding.version"
    }, {
      "id": "Condition.bodySite.coding:snomed-ct.code",
      "min": 1,
      "path": "Condition.bodySite.coding.code"
    }, {
      "id": "Condition.onset[x]",
      "path": "Condition.onset[x]",
      "type": [ {
        "code": "Period"
      } ],
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "$this",
          "type": "type"
        } ]
      }
    }, {
      "id": "Condition.onset[x]:onsetPeriod",
      "path": "Condition.onset[x]",
      "type": [ {
        "code": "Period"
      } ],
      "sliceName": "onsetPeriod"
    }, {
      "id": "Condition.onset[x]:onsetPeriod.start.extension",
      "path": "Condition.onset[x].start.extension",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "Condition.onset[x]:onsetPeriod.start.extension:lebensphase-von",
      "max": "1",
      "path": "Condition.onset[x].start.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://fhir.kbv.de/StructureDefinition/KBV_EX_Base_Stage_Life" ]
      } ],
      "sliceName": "lebensphase-von"
    }, {
      "id": "Condition.onset[x]:onsetPeriod.end.extension",
      "path": "Condition.onset[x].end.extension",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "Condition.onset[x]:onsetPeriod.end.extension:lebensphase-bis",
      "max": "1",
      "path": "Condition.onset[x].end.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://fhir.kbv.de/StructureDefinition/KBV_EX_Base_Stage_Life" ]
      } ],
      "sliceName": "lebensphase-bis"
    }, {
      "id": "Condition.onset[x]:onsetDateTime",
      "path": "Condition.onset[x]",
      "type": [ {
        "code": "dateTime"
      } ],
      "short": "Feststellungsdatum",
      "sliceName": "onsetDateTime",
      "definition": "Zeitpunkt, an dem die Diagnose bzw. die Erkrankung z.B. durch eine ärztlich tätige Person festgestellt wurde."
    }, {
      "id": "Condition.recordedDate",
      "path": "Condition.recordedDate",
      "short": "DOKUMENTATIONSDATUM",
      "definition": "Zeitpunkt, an dem eine Krankheit z. B. durch eine ärztlich tätige Person in diesem Eintrag dokumentiert wurde. Hinweis: Wenn zwischen Feststellung der Diagnose und Dokumentationsdatum nicht unterschieden werden muss, ist das Datum der Feststellung der Diagnose (Diagnosedatum) anzugeben."
    }, {
      "id": "Condition.note",
      "path": "Condition.note",
      "short": "FREITEXTBESCHREIBUNG",
      "definition": "Diagnose im Klartext. Im Bereich der medizinischen Dokumentation sollte die Textbeschreibung obligatorisch sein.  Bei der sekundären Übernahme einer kodierten Diagnose aus der Primärdokumentation kann eine Freitextbeschreibung fehlen."
    } ]
  },
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Condition"
}