{
"description": "Dieses Profil beschreibt eine Diagnose der Medizininformatik Initiative",
"_filename": "StructureDefinition-mii-pr-diagnose-condition.json",
"package_name": "de.medizininformatikinitiative.kerndatensatz.diagnose",
"date": "2024-10-18",
"derivation": "constraint",
"publisher": "Medizininformatik Initiative",
"fhirVersion": "4.0.1",
"name": "MII_PR_Diagnose_Condition",
"mapping": [ {
"name": "FHIR-Profil zu LogicalModel Mapping",
"identity": "LogicalModel"
} ],
"abstract": false,
"type": "Condition",
"experimental": null,
"resourceType": "StructureDefinition",
"title": "MII PR Diagnose Condition",
"_description": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "de-DE"
}, {
"url": "content",
"valueString": "Eine klinische Diagnose der Patientin oder des Patienten."
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "en-US"
}, {
"url": "content",
"valueString": "A clinical diagnosis of a patient."
} ]
} ]
},
"package_version": "2025.0.0-alpha1",
"status": "active",
"id": "a7431409-33f3-4e32-aff6-5218c8da9537",
"kind": "resource",
"url": "https://www.medizininformatik-initiative.de/fhir/core/modul-diagnose/StructureDefinition/Diagnose",
"_title": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "de-DE"
}, {
"url": "content",
"valueString": "Diagnose"
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "en-US"
}, {
"url": "content",
"valueString": "Diagnosis"
} ]
} ]
},
"version": "2025.0.0",
"differential": {
"element": [ {
"id": "Condition.id",
"path": "Condition.id",
"mustSupport": true
}, {
"id": "Condition.meta",
"path": "Condition.meta",
"mustSupport": true
}, {
"id": "Condition.meta.source",
"path": "Condition.meta.source",
"mustSupport": true
}, {
"id": "Condition.meta.profile",
"path": "Condition.meta.profile",
"mustSupport": true
}, {
"id": "Condition.extension:ReferenzPrimaerdiagnose",
"max": "1",
"min": 0,
"path": "Condition.extension",
"type": [ {
"code": "Extension",
"profile": [ "http://hl7.org/fhir/StructureDefinition/condition-related" ]
} ],
"sliceName": "ReferenzPrimaerdiagnose",
"mustSupport": true
}, {
"path": "Condition.extension",
"min": 0,
"_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"
} ]
} ]
},
"mapping": [ {
"map": "Feststellungsdatum",
"identity": "LogicalModel"
} ],
"type": [ {
"code": "Extension",
"profile": [ "http://hl7.org/fhir/StructureDefinition/condition-assertedDate" ]
} ],
"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"
} ]
} ]
},
"sliceName": "Feststellungsdatum",
"max": "1",
"id": "Condition.extension:Feststellungsdatum"
}, {
"id": "Condition.clinicalStatus",
"path": "Condition.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"
} ]
} ]
},
"mapping": [ {
"map": "KlinischerStatus",
"identity": "LogicalModel"
} ],
"_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
}, {
"id": "Condition.verificationStatus",
"path": "Condition.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"
} ]
} ]
}
}, {
"id": "Condition.code",
"min": 1,
"path": "Condition.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
}, {
"id": "Condition.code.coding",
"min": 1,
"path": "Condition.code.coding",
"mapping": [ {
"map": "WeitereKodiersysteme",
"identity": "LogicalModel"
} ],
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "$this",
"type": "pattern"
} ]
},
"mustSupport": true
}, {
"id": "Condition.code.coding.code",
"path": "Condition.code.coding.code",
"mapping": [ {
"map": "WeitereKodiersysteme.Diagnosecode",
"identity": "LogicalModel"
} ]
}, {
"path": "Condition.code.coding",
"min": 0,
"mapping": [ {
"map": "ICD10GMDiagnoseKodiert",
"identity": "LogicalModel"
} ],
"type": [ {
"code": "Coding",
"profile": [ "http://fhir.de/StructureDefinition/CodingICD10GM" ]
} ],
"mustSupport": true,
"sliceName": "icd10-gm",
"binding": {
"strength": "required",
"valueSet": "http://fhir.de/ValueSet/bfarm/icd-10-gm"
},
"max": "1",
"id": "Condition.code.coding:icd10-gm",
"patternCoding": {
"system": "http://fhir.de/CodeSystem/bfarm/icd-10-gm"
}
}, {
"id": "Condition.code.coding:icd10-gm.system",
"path": "Condition.code.coding.system",
"mustSupport": true
}, {
"id": "Condition.code.coding:icd10-gm.version",
"path": "Condition.code.coding.version",
"mustSupport": true
}, {
"id": "Condition.code.coding:icd10-gm.code",
"path": "Condition.code.coding.code",
"mapping": [ {
"map": "ICD10GMDiagnoseKodiert.Diagnosecode",
"identity": "LogicalModel"
} ],
"mustSupport": true
}, {
"path": "Condition.code.coding",
"min": 0,
"mapping": [ {
"map": "ALPHAIDKodiert",
"identity": "LogicalModel"
} ],
"type": [ {
"code": "Coding",
"profile": [ "http://fhir.de/StructureDefinition/CodingAlphaID" ]
} ],
"mustSupport": true,
"sliceName": "alpha-id",
"binding": {
"strength": "required",
"valueSet": "http://fhir.de/ValueSet/bfarm/alpha-id"
},
"max": "1",
"id": "Condition.code.coding:alpha-id",
"patternCoding": {
"system": "http://fhir.de/CodeSystem/bfarm/alpha-id"
}
}, {
"id": "Condition.code.coding:alpha-id.system",
"path": "Condition.code.coding.system",
"mustSupport": true
}, {
"id": "Condition.code.coding:alpha-id.code",
"path": "Condition.code.coding.code",
"mapping": [ {
"map": "ALPHAIDKodiert.Diagnosecode",
"identity": "LogicalModel"
} ],
"mustSupport": true
}, {
"path": "Condition.code.coding",
"min": 0,
"mapping": [ {
"map": "SNOMEDDiagnoseKodiert",
"identity": "LogicalModel"
} ],
"mustSupport": true,
"sliceName": "sct",
"binding": {
"strength": "required",
"valueSet": "https://www.medizininformatik-initiative.de/fhir/core/modul-diagnose/ValueSet/diagnoses-sct"
},
"max": "1",
"id": "Condition.code.coding:sct",
"patternCoding": {
"system": "http://snomed.info/sct"
}
}, {
"id": "Condition.code.coding:sct.system",
"min": 1,
"path": "Condition.code.coding.system",
"mustSupport": true
}, {
"id": "Condition.code.coding:sct.version",
"path": "Condition.code.coding.version",
"mustSupport": true
}, {
"id": "Condition.code.coding:sct.code",
"min": 1,
"path": "Condition.code.coding.code",
"mapping": [ {
"map": "SNOMEDDiagnoseKodiert.Diagnosecode",
"identity": "LogicalModel"
} ],
"mustSupport": true
}, {
"path": "Condition.code.coding",
"min": 0,
"mapping": [ {
"map": "ORPHANETDiagnoseKodiert",
"identity": "LogicalModel"
} ],
"mustSupport": true,
"sliceName": "orphanet",
"binding": {
"strength": "required",
"valueSet": "https://www.medizininformatik-initiative.de/fhir/core/modul-diagnose/ValueSet/mii-vs-diagnose-orphanet"
},
"max": "1",
"id": "Condition.code.coding:orphanet",
"patternCoding": {
"system": "http://www.orpha.net"
}
}, {
"id": "Condition.code.coding:orphanet.system",
"min": 1,
"path": "Condition.code.coding.system",
"mustSupport": true
}, {
"id": "Condition.code.coding:orphanet.code",
"min": 1,
"path": "Condition.code.coding.code",
"mapping": [ {
"map": "ORPHANETDiagnoseKodiert.Diagnosecode",
"identity": "LogicalModel"
} ],
"mustSupport": true
}, {
"id": "Condition.code.text",
"path": "Condition.code.text",
"mapping": [ {
"map": "Freitextbeschreibung",
"identity": "LogicalModel"
} ]
}, {
"id": "Condition.bodySite",
"path": "Condition.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"
} ]
} ]
},
"mapping": [ {
"map": "Koerperstelle",
"identity": "LogicalModel"
} ],
"_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
}, {
"id": "Condition.bodySite.coding",
"min": 1,
"path": "Condition.bodySite.coding",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "system",
"type": "pattern"
} ]
},
"mustSupport": true
}, {
"id": "Condition.bodySite.coding:snomed-ct",
"max": "1",
"min": 1,
"path": "Condition.bodySite.coding",
"binding": {
"strength": "required",
"valueSet": "https://www.medizininformatik-initiative.de/fhir/core/modul-diagnose/ValueSet/mii-vs-diagnose-bodystructure-snomed"
},
"sliceName": "snomed-ct",
"mustSupport": true
}, {
"id": "Condition.bodySite.coding:snomed-ct.system",
"min": 1,
"path": "Condition.bodySite.coding.system",
"patternUri": "http://snomed.info/sct",
"mustSupport": true
}, {
"id": "Condition.bodySite.coding:snomed-ct.version",
"path": "Condition.bodySite.coding.version",
"mustSupport": true
}, {
"id": "Condition.bodySite.coding:snomed-ct.code",
"min": 1,
"path": "Condition.bodySite.coding.code",
"mustSupport": true
}, {
"id": "Condition.subject",
"path": "Condition.subject",
"mustSupport": true
}, {
"id": "Condition.encounter",
"path": "Condition.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
}, {
"id": "Condition.onset[x]",
"path": "Condition.onset[x]",
"type": [ {
"code": "dateTime"
}, {
"code": "Period"
} ],
"_short": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "de-DE"
}, {
"url": "content",
"valueString": "Beginn"
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "en-US"
}, {
"url": "content",
"valueString": "Onset"
} ]
} ]
},
"mapping": [ {
"map": "KlinischRelevanterZeitraum",
"identity": "LogicalModel"
} ],
"slicing": {
"rules": "open",
"ordered": false,
"discriminator": [ {
"path": "$this",
"type": "type"
} ]
},
"_definition": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "de-DE"
}, {
"url": "content",
"valueString": "Geschätztes oder tatsächliches Datum oder Zeitraum, an dem die Erkrankung begonnen hat, nach Meinung des Klinikers."
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "en-US"
}, {
"url": "content",
"valueString": "Estimated or actual date or date-time the condition began, in the opinion of the clinician."
} ]
} ]
},
"mustSupport": true
}, {
"id": "Condition.onset[x]:onsetPeriod",
"max": "1",
"min": 0,
"path": "Condition.onset[x]",
"type": [ {
"code": "Period"
} ],
"mapping": [ {
"map": "KlinischRelevanterZeitraum.Zeitraum",
"identity": "LogicalModel"
} ],
"sliceName": "onsetPeriod",
"mustSupport": true
}, {
"id": "Condition.onset[x]:onsetPeriod.start",
"path": "Condition.onset[x].start",
"mapping": [ {
"map": "KlinischRelevanterZeitraum.Zeitraum.von",
"identity": "LogicalModel"
} ],
"mustSupport": true
}, {
"id": "Condition.onset[x]:onsetPeriod.start.extension:lebensphase-von",
"max": "1",
"min": 0,
"path": "Condition.onset[x].start.extension",
"type": [ {
"code": "Extension",
"profile": [ "http://fhir.de/StructureDefinition/lebensphase" ]
} ],
"sliceName": "lebensphase-von",
"mustSupport": true
}, {
"id": "Condition.onset[x]:onsetPeriod.start.extension:lebensphase-von.value[x]",
"path": "Condition.onset[x].start.extension.value[x]",
"mapping": [ {
"map": "KlinischRelevanterZeitraum.Lebensphase.von",
"identity": "LogicalModel"
} ]
}, {
"id": "Condition.onset[x]:onsetPeriod.end",
"path": "Condition.onset[x].end",
"mapping": [ {
"map": "KlinischRelevanterZeitraum.Zeitraum.bis",
"identity": "LogicalModel"
} ],
"mustSupport": true
}, {
"id": "Condition.onset[x]:onsetPeriod.end.extension:lebensphase-bis",
"max": "1",
"min": 0,
"path": "Condition.onset[x].end.extension",
"type": [ {
"code": "Extension",
"profile": [ "http://fhir.de/StructureDefinition/lebensphase" ]
} ],
"sliceName": "lebensphase-bis",
"mustSupport": true
}, {
"id": "Condition.onset[x]:onsetPeriod.end.extension:lebensphase-bis.value[x]",
"path": "Condition.onset[x].end.extension.value[x]",
"mapping": [ {
"map": "KlinischRelevanterZeitraum.Lebensphase.bis",
"identity": "LogicalModel"
} ]
}, {
"id": "Condition.onset[x]:onsetDateTime",
"max": "1",
"min": 0,
"path": "Condition.onset[x]",
"type": [ {
"code": "dateTime"
} ],
"sliceName": "onsetDateTime",
"mustSupport": true
}, {
"id": "Condition.recordedDate",
"min": 1,
"path": "Condition.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"
} ]
} ]
},
"mapping": [ {
"map": "Dokumentationsdatum",
"identity": "LogicalModel"
} ],
"_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
}, {
"id": "Condition.note",
"path": "Condition.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"
} ]
} ]
},
"mapping": [ {
"map": "Diagnoseerlaeuterung",
"identity": "LogicalModel"
} ],
"_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
} ]
},
"contact": [ {
"telecom": [ {
"value": "https://www.medizininformatik-initiative.de",
"system": "url"
} ]
} ],
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Condition"
}