description: Dieses Profil beschreibt eine Diagnose der Medizininformatik Initiative package_name: de.medizininformatikinitiative.kerndatensatz.base derivation: constraint name: MII_PR_Diagnose_Condition type: Condition elements: onset: extensions: {} elements: extension: elements: value: mustSupport: true choices: [] index: 103 clinicalStatus: short: Klinischer Status _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: 13 elements: coding: mustSupport: true index: 14 elements: system: {mustSupport: true, index: 15} code: {mustSupport: true, index: 16} meta: mustSupport: true index: 1 elements: source: {mustSupport: true, index: 2} profile: {mustSupport: true, index: 3} onsetAge: short: Erkrankungsbeginn als Alter type: Age mustSupport: true choiceOf: onset index: 99 slicing: slices: onsetAge: match: {} schema: {short: Erkrankungsbeginn als Alter, type: Age, mustSupport: true, choiceOf: onset, index: 99} min: 0 max: 1 encounter: short: Kontakt (Aufenthaltsbezug) _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: 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: 'Kontakt, während dem die Diagnose erstellt wurde oder mit dem die Diagnose in Zusammenhang steht.'} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: The Encounter during which this Condition was created or to which the creation of this record is tightly associated.} mustSupport: true index: 66 elements: reference: {mustSupport: true, index: 67} onsetPeriod: short: Beginn Zeitraum type: Period mustSupport: true choiceOf: onset index: 75 slicing: slices: onsetPeriod: match: {} schema: {short: Beginn Zeitraum, type: Period, mustSupport: true, choiceOf: onset, index: 75} min: 0 max: 1 note: short: Hinweis _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: 108 extension: index: 4 slicing: rules: open ordered: false discriminator: - {path: url, type: value} min: null slices: ReferenzPrimaerdiagnose: match: {url: null} schema: type: Extension mustSupport: true url: http://hl7.org/fhir/StructureDefinition/condition-related index: 5 elements: url: {mustSupport: true, index: 6} value: mustSupport: true choices: [] index: 8 Feststellungsdatum: match: {url: null} schema: short: Feststellungsdatum _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: 9 elements: url: {mustSupport: true, index: 10} value: mustSupport: true choices: [] index: 12 recordedDate: short: Aufzeichnungsdatum _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 _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} index: 107 id: {mustSupport: true, index: 0} code: short: 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: 21 elements: coding: mustSupport: true index: 22 elements: code: {index: 23} slicing: rules: open discriminator: - {path: $this, type: pattern} min: 1 slices: icd10-gm: match: {system: 'http://fhir.de/CodeSystem/bfarm/icd-10-gm'} schema: short: ICD-10-GM Code index: 24 _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Ein Verweis auf einen von der ICD-10-GM definierten Code} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: A reference to a code defined by the ICD-10-GM} type: Coding mustSupport: true _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: ICD-10-GM Code} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: ICD-10-GM code} elements: extension: mustSupport: true index: 25 slicing: slices: Mehrfachcodierungs-Kennzeichen: match: {} schema: mustSupport: true index: 25 elements: url: {mustSupport: true, index: 26} value: mustSupport: true choices: [] index: 28 value[x]: elements: system: {mustSupport: true, index: 29} code: {mustSupport: true, index: 30} Seitenlokalisation: match: {} schema: mustSupport: true index: 31 elements: url: {mustSupport: true, index: 32} value: mustSupport: true choices: [] index: 34 value[x]: elements: system: {mustSupport: true, index: 35} code: {mustSupport: true, index: 36} Diagnosesicherheit: match: {} schema: mustSupport: true index: 37 elements: url: {mustSupport: true, index: 38} value: mustSupport: true choices: [] index: 40 value[x]: elements: system: {mustSupport: true, index: 41} code: {mustSupport: true, index: 42} system: {mustSupport: true, index: 43} version: {mustSupport: true, index: 44} code: {mustSupport: true, index: 45} binding: {strength: required, valueSet: 'https://www.medizininformatik-initiative.de/fhir/core/modul-diagnose/ValueSet/mii-vs-diagnose-icd10gm'} extensions: Mehrfachcodierungs-Kennzeichen: url: null mustSupport: true index: 25 elements: url: {mustSupport: true, index: 26} value: mustSupport: true choices: [] index: 28 value[x]: elements: system: {mustSupport: true, index: 29} code: {mustSupport: true, index: 30} Seitenlokalisation: url: null mustSupport: true index: 31 elements: url: {mustSupport: true, index: 32} value: mustSupport: true choices: [] index: 34 value[x]: elements: system: {mustSupport: true, index: 35} code: {mustSupport: true, index: 36} Diagnosesicherheit: url: null mustSupport: true index: 37 elements: url: {mustSupport: true, index: 38} value: mustSupport: true choices: [] index: 40 value[x]: elements: system: {mustSupport: true, index: 41} code: {mustSupport: true, index: 42} pattern: type: Coding value: {system: 'http://fhir.de/CodeSystem/bfarm/icd-10-gm'} alpha-id: match: {system: 'http://fhir.de/CodeSystem/bfarm/alpha-id'} schema: short: Alpha-ID Code index: 46 _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Ein Verweis auf einen von der Alpha-ID definierten Code} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: A reference to a code defined by the Alpha-ID} type: Coding mustSupport: true _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Alpha-ID Code} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: Alpha-ID code} elements: system: {mustSupport: true, index: 47} version: {mustSupport: true, index: 48} code: {mustSupport: true, index: 49} binding: {strength: required, valueSet: 'https://www.medizininformatik-initiative.de/fhir/core/modul-diagnose/ValueSet/mii-vs-diagnose-alphaid'} pattern: type: Coding value: {system: 'http://fhir.de/CodeSystem/bfarm/alpha-id'} sct: match: {system: 'http://snomed.info/sct'} schema: short: SNOMED CT Code index: 50 _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Ein Verweis auf einen von SNOMED CT definierten Code} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: A reference to a code defined by SNOMED CT} mustSupport: true _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: SNOMED CT Code} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: SNOMED CT code} elements: system: {mustSupport: true, index: 51} version: {mustSupport: true, index: 52} code: {mustSupport: true, index: 53} binding: {strength: required, valueSet: 'https://www.medizininformatik-initiative.de/fhir/core/modul-diagnose/ValueSet/diagnoses-sct'} required: [system, code] pattern: type: Coding value: {system: 'http://snomed.info/sct'} orphanet: match: {system: 'http://www.orpha.net'} schema: short: ORPHAcode index: 54 _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Ein Verweis auf einen von der Orphanet Nomenklatur der Seltenen Krankheiten definierten Code} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: A reference to a code defined by the Orphanet nomenclature of rare diseases} mustSupport: true _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: ORPHAcode} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: ORPHAcode} elements: system: {mustSupport: true, index: 55} code: {mustSupport: true, index: 56} binding: {strength: required, valueSet: 'https://www.medizininformatik-initiative.de/fhir/core/modul-diagnose/ValueSet/mii-vs-diagnose-orphanet'} required: [system, code] pattern: type: Coding value: {system: 'http://www.orpha.net'} text: {index: 57} required: [coding] onsetDateTime: short: Beginn Datum type: dateTime mustSupport: true choiceOf: onset index: 96 slicing: slices: onsetDateTime: match: {} schema: {short: Beginn Datum, type: dateTime, mustSupport: true, choiceOf: onset, index: 96} min: 0 max: 1 bodySite: short: Körperstelle _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: 58 elements: coding: mustSupport: true index: 59 slicing: rules: open discriminator: - {path: system, type: pattern} min: null slices: snomed-ct: match: {system: 'http://snomed.info/sct'} schema: short: SNOMED CT Code _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Ein Verweis auf einen von SNOMED CT definierten Code} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: A reference to a code defined by SNOMED CT} mustSupport: true _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: SNOMED CT Code} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: SNOMED CT code} binding: {strength: required, valueSet: 'https://www.medizininformatik-initiative.de/fhir/core/modul-diagnose/ValueSet/mii-vs-diagnose-bodystructure-snomed'} index: 60 elements: system: pattern: {type: Uri, value: 'http://snomed.info/sct'} mustSupport: true index: 61 version: {mustSupport: true, index: 62} code: {mustSupport: true, index: 63} required: [system, code] onset[x]: extensions: {} elements: extension: elements: value[x]: elements: coding: mustSupport: true index: 104 elements: system: {mustSupport: true, index: 105} code: {mustSupport: true, index: 106} verificationStatus: short: Verifizierungsstatus _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} mustSupport: true index: 17 elements: coding: mustSupport: true index: 18 elements: system: {mustSupport: true, index: 19} code: {mustSupport: true, index: 20} subject: mustSupport: true index: 64 elements: reference: {mustSupport: true, index: 65} package_version: 2026.0.1 extensions: ReferenzPrimaerdiagnose: url: http://hl7.org/fhir/StructureDefinition/condition-related type: Extension mustSupport: true index: 5 elements: url: {mustSupport: true, index: 6} value: mustSupport: true choices: [] index: 8 Feststellungsdatum: url: http://hl7.org/fhir/StructureDefinition/condition-assertedDate short: Feststellungsdatum _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: 9 elements: url: {mustSupport: true, index: 10} value: mustSupport: true choices: [] index: 12 class: profile kind: resource url: https://www.medizininformatik-initiative.de/fhir/core/modul-diagnose/StructureDefinition/Diagnose base: http://hl7.org/fhir/StructureDefinition/Condition version: 2026.0.1 required: [recordedDate, code]