{
  "description": "Übergabe von Diagnosen einer behandelten Person vom PVS an die VoS.",
  "_filename": "StructureDefinition-KBV-PR-VoS-Condition.json",
  "package_name": "kbv.ita.vos",
  "date": "2025-10-01",
  "derivation": "constraint",
  "publisher": "Kassenärztliche Bundesvereinigung",
  "fhirVersion": "4.0.1",
  "name": "KBV_PR_VoS_Condition",
  "abstract": false,
  "type": "Condition",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": "KBV_PR_VoS_Condition",
  "package_version": "2.2.0-kommentierung",
  "status": "draft",
  "id": "514a5e7a-cc16-45c1-b4c8-c1f9fa46a0f8",
  "kind": "resource",
  "url": "https://fhir.kbv.de/StructureDefinition/KBV_PR_VoS_Condition",
  "version": "2.2.0",
  "differential": {
    "element": [ {
      "id": "Condition",
      "path": "Condition",
      "short": "Diagnosen der behandelten Person",
      "definition": "Eine der behandelten Person zugeordnete Diagnose."
    }, {
      "id": "Condition.id",
      "min": 1,
      "path": "Condition.id",
      "mustSupport": true
    }, {
      "id": "Condition.meta",
      "min": 1,
      "path": "Condition.meta",
      "mustSupport": true
    }, {
      "id": "Condition.meta.source",
      "max": "0",
      "path": "Condition.meta.source"
    }, {
      "id": "Condition.meta.profile",
      "min": 1,
      "path": "Condition.meta.profile",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "$this",
          "type": "value"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "Condition.meta.profile:vosProfile",
      "max": "1",
      "min": 1,
      "path": "Condition.meta.profile",
      "sliceName": "vosProfile",
      "mustSupport": true,
      "fixedCanonical": "https://fhir.kbv.de/StructureDefinition/KBV_PR_VoS_Condition|2.2.0"
    }, {
      "id": "Condition.implicitRules",
      "max": "0",
      "path": "Condition.implicitRules"
    }, {
      "id": "Condition.language",
      "max": "0",
      "path": "Condition.language"
    }, {
      "id": "Condition.contained",
      "max": "0",
      "path": "Condition.contained"
    }, {
      "id": "Condition.extension",
      "min": 1,
      "path": "Condition.extension",
      "slicing": {
        "rules": "closed",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "Condition.extension:Feststellungsdatum",
      "max": "0",
      "path": "Condition.extension",
      "sliceName": "Feststellungsdatum"
    }, {
      "path": "Condition.extension",
      "min": 1,
      "definition": "Kennzeichnung, ob es sich um eine Dauerdiagnose handelt",
      "isModifier": false,
      "short": "Dauerdiagnosenkennzeichnung",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://fhir.kbv.de/StructureDefinition/KBV_EX_VoS_isPermanent" ]
      } ],
      "mustSupport": true,
      "sliceName": "Dauerdiagnose",
      "max": "1",
      "id": "Condition.extension:Dauerdiagnose"
    }, {
      "id": "Condition.extension:Dauerdiagnose.value[x]",
      "path": "Condition.extension.value[x]",
      "mustSupport": true
    }, {
      "id": "Condition.extension:Dauerdiagnose.value[x]:valueBoolean",
      "path": "Condition.extension.value[x]",
      "type": [ {
        "code": "boolean"
      } ],
      "short": "Dauerdiagnose",
      "sliceName": "valueBoolean",
      "definition": "Angabe, ob die Diagnose eine Dauerdiagnose ist. true = Dauerdiagnose, false = keine Dauerdiagnose",
      "mustSupport": true
    }, {
      "path": "Condition.extension",
      "min": 0,
      "definition": "ICD-10(-GM) Codes können in mehrfachkodierter Form auftreten. \r\nAufgrund der gängigen Praxis, die es Erlaubt, dass zusammengesetzte Codes unabhängig voneinander Zusatzkennzeichen \r\nwie Diagnosesicherheit und -lokalisation zugeordnet werden können, müssen beide Codebestandteile als separate \r\nConditions aufgefasst werden, die miteinander in Beziehung stehen (Verlinkung). \r\nDie Verlinkung von Sekundär- auf die assoziierte Primärdiagnose erfolgt mit Hilfe der international \r\nabgestimmten Extension condition-related. Eine Verlinkung der Sekundärdiagnose in Richtung Primärdiagnose \r\nsollte vermieden werden, sodass keine zirkuläre Referenzierung entsteht.",
      "isModifier": false,
      "short": "Kombination",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://hl7.org/fhir/StructureDefinition/condition-related" ]
      } ],
      "mustSupport": true,
      "sliceName": "Kombination",
      "max": "1",
      "id": "Condition.extension:Kombination"
    }, {
      "id": "Condition.extension:Kombination.value[x]",
      "path": "Condition.extension.value[x]",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://fhir.kbv.de/StructureDefinition/KBV_PR_VoS_Condition|2.2.0" ]
      } ],
      "mustSupport": true
    }, {
      "id": "Condition.identifier",
      "max": "0",
      "path": "Condition.identifier"
    }, {
      "id": "Condition.clinicalStatus",
      "path": "Condition.clinicalStatus",
      "mustSupport": true
    }, {
      "id": "Condition.clinicalStatus.coding",
      "max": "1",
      "min": 1,
      "path": "Condition.clinicalStatus.coding",
      "mustSupport": true
    }, {
      "id": "Condition.clinicalStatus.coding.system",
      "min": 1,
      "path": "Condition.clinicalStatus.coding.system",
      "fixedUri": "http://terminology.hl7.org/CodeSystem/condition-clinical",
      "mustSupport": true
    }, {
      "id": "Condition.clinicalStatus.coding.version",
      "min": 1,
      "path": "Condition.clinicalStatus.coding.version",
      "mustSupport": true
    }, {
      "id": "Condition.clinicalStatus.coding.code",
      "min": 1,
      "path": "Condition.clinicalStatus.coding.code",
      "mustSupport": true
    }, {
      "id": "Condition.clinicalStatus.coding.display",
      "min": 1,
      "path": "Condition.clinicalStatus.coding.display",
      "mustSupport": true
    }, {
      "id": "Condition.clinicalStatus.coding.userSelected",
      "max": "0",
      "path": "Condition.clinicalStatus.coding.userSelected"
    }, {
      "id": "Condition.clinicalStatus.text",
      "max": "0",
      "path": "Condition.clinicalStatus.text"
    }, {
      "id": "Condition.verificationStatus",
      "path": "Condition.verificationStatus",
      "mustSupport": true
    }, {
      "id": "Condition.verificationStatus.coding",
      "max": "1",
      "min": 1,
      "path": "Condition.verificationStatus.coding",
      "mustSupport": true
    }, {
      "id": "Condition.verificationStatus.coding.system",
      "min": 1,
      "path": "Condition.verificationStatus.coding.system",
      "fixedUri": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
      "mustSupport": true
    }, {
      "id": "Condition.verificationStatus.coding.version",
      "min": 1,
      "path": "Condition.verificationStatus.coding.version",
      "mustSupport": true
    }, {
      "id": "Condition.verificationStatus.coding.code",
      "min": 1,
      "path": "Condition.verificationStatus.coding.code",
      "mustSupport": true
    }, {
      "id": "Condition.verificationStatus.coding.display",
      "min": 1,
      "path": "Condition.verificationStatus.coding.display",
      "mustSupport": true
    }, {
      "id": "Condition.verificationStatus.coding.userSelected",
      "max": "0",
      "path": "Condition.verificationStatus.coding.userSelected"
    }, {
      "id": "Condition.verificationStatus.text",
      "max": "0",
      "path": "Condition.verificationStatus.text"
    }, {
      "id": "Condition.category",
      "max": "0",
      "path": "Condition.category"
    }, {
      "id": "Condition.severity",
      "max": "0",
      "path": "Condition.severity"
    }, {
      "id": "Condition.code",
      "path": "Condition.code",
      "mustSupport": true
    }, {
      "id": "Condition.code.coding:ICD-10-GM",
      "min": 1,
      "path": "Condition.code.coding",
      "sliceName": "ICD-10-GM",
      "mustSupport": true
    }, {
      "id": "Condition.code.coding:ICD-10-GM.extension:Mehrfachcodierungs-Kennzeichen",
      "path": "Condition.code.coding.extension",
      "sliceName": "Mehrfachcodierungs-Kennzeichen",
      "mustSupport": true
    }, {
      "id": "Condition.code.coding:ICD-10-GM.extension:Seitenlokalisation",
      "path": "Condition.code.coding.extension",
      "sliceName": "Seitenlokalisation",
      "mustSupport": true
    }, {
      "id": "Condition.code.coding:ICD-10-GM.extension:Seitenlokalisation.value[x]",
      "path": "Condition.code.coding.extension.value[x]",
      "mustSupport": true
    }, {
      "id": "Condition.code.coding:ICD-10-GM.extension:Seitenlokalisation.value[x].system",
      "path": "Condition.code.coding.extension.value[x].system",
      "mustSupport": true
    }, {
      "id": "Condition.code.coding:ICD-10-GM.extension:Seitenlokalisation.value[x].code",
      "path": "Condition.code.coding.extension.value[x].code",
      "mustSupport": true
    }, {
      "id": "Condition.code.coding:ICD-10-GM.extension:Diagnosesicherheit",
      "path": "Condition.code.coding.extension",
      "sliceName": "Diagnosesicherheit",
      "mustSupport": true
    }, {
      "id": "Condition.code.coding:ICD-10-GM.extension:Diagnosesicherheit.value[x]",
      "path": "Condition.code.coding.extension.value[x]",
      "mustSupport": true
    }, {
      "id": "Condition.code.coding:ICD-10-GM.extension:Diagnosesicherheit.value[x].system",
      "min": 1,
      "path": "Condition.code.coding.extension.value[x].system",
      "mustSupport": true
    }, {
      "id": "Condition.code.coding:ICD-10-GM.extension:Diagnosesicherheit.value[x].code",
      "min": 1,
      "path": "Condition.code.coding.extension.value[x].code",
      "mustSupport": true
    }, {
      "id": "Condition.code.coding:ICD-10-GM.system",
      "path": "Condition.code.coding.system",
      "mustSupport": true
    }, {
      "id": "Condition.code.coding:ICD-10-GM.version",
      "path": "Condition.code.coding.version",
      "mustSupport": true
    }, {
      "id": "Condition.code.coding:ICD-10-GM.code",
      "path": "Condition.code.coding.code",
      "mustSupport": true
    }, {
      "id": "Condition.bodySite",
      "max": "0",
      "path": "Condition.bodySite"
    }, {
      "id": "Condition.subject",
      "path": "Condition.subject",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://fhir.kbv.de/StructureDefinition/KBV_PR_VoS_Patient|2.2.0" ]
      } ],
      "mustSupport": true
    }, {
      "id": "Condition.subject.reference",
      "min": 1,
      "path": "Condition.subject.reference",
      "mustSupport": true
    }, {
      "id": "Condition.subject.type",
      "max": "0",
      "path": "Condition.subject.type"
    }, {
      "id": "Condition.subject.identifier",
      "max": "0",
      "path": "Condition.subject.identifier"
    }, {
      "id": "Condition.subject.display",
      "max": "0",
      "path": "Condition.subject.display"
    }, {
      "id": "Condition.encounter",
      "max": "0",
      "path": "Condition.encounter"
    }, {
      "id": "Condition.onset[x]",
      "max": "0",
      "path": "Condition.onset[x]"
    }, {
      "id": "Condition.onset[x]:onsetPeriod",
      "max": "0",
      "path": "Condition.onset[x]",
      "type": [ {
        "code": "Period"
      } ],
      "sliceName": "onsetPeriod"
    }, {
      "id": "Condition.onset[x]:onsetRange",
      "max": "0",
      "path": "Condition.onset[x]",
      "type": [ {
        "code": "Range"
      } ],
      "sliceName": "onsetRange"
    }, {
      "id": "Condition.onset[x]:onsetDateTime",
      "max": "0",
      "path": "Condition.onset[x]",
      "type": [ {
        "code": "dateTime"
      } ],
      "sliceName": "onsetDateTime"
    }, {
      "id": "Condition.onset[x]:onsetAge",
      "max": "0",
      "path": "Condition.onset[x]",
      "type": [ {
        "code": "Age"
      } ],
      "sliceName": "onsetAge"
    }, {
      "id": "Condition.abatement[x]",
      "max": "0",
      "path": "Condition.abatement[x]"
    }, {
      "id": "Condition.abatement[x]:abatementPeriod",
      "max": "0",
      "path": "Condition.abatement[x]",
      "type": [ {
        "code": "Period"
      } ],
      "sliceName": "abatementPeriod"
    }, {
      "id": "Condition.abatement[x]:abatementRange",
      "max": "0",
      "path": "Condition.abatement[x]",
      "type": [ {
        "code": "Range"
      } ],
      "sliceName": "abatementRange"
    }, {
      "id": "Condition.abatement[x]:abatementDateTime",
      "max": "0",
      "path": "Condition.abatement[x]",
      "type": [ {
        "code": "dateTime"
      } ],
      "sliceName": "abatementDateTime"
    }, {
      "id": "Condition.abatement[x]:abatementAge",
      "max": "0",
      "path": "Condition.abatement[x]",
      "type": [ {
        "code": "Age"
      } ],
      "sliceName": "abatementAge"
    }, {
      "id": "Condition.recordedDate",
      "max": "0",
      "path": "Condition.recordedDate"
    }, {
      "id": "Condition.recorder",
      "max": "0",
      "path": "Condition.recorder"
    }, {
      "id": "Condition.asserter",
      "max": "0",
      "path": "Condition.asserter"
    }, {
      "id": "Condition.stage",
      "max": "0",
      "path": "Condition.stage"
    }, {
      "id": "Condition.evidence",
      "max": "0",
      "path": "Condition.evidence"
    }, {
      "id": "Condition.note",
      "max": "0",
      "path": "Condition.note"
    } ]
  },
  "baseDefinition": "https://fhir.kbv.de/StructureDefinition/KBV_PR_Base_Condition_Diagnosis|1.7.0"
}