description: Diagnose (ICD-10-GM), die als Behandlungsanlass (reason) eines eMP-MedicationRequest dient. Die Ressource wird als eigenständige Condition geführt und über MedicationRequest.reasonReference referenziert; sie ist über die Query API abrufbar und in den eMP-Einstell-Operationen explizit einstellbar. Sie folgt den Vorgaben der Deutschen Basisprofile für die ICD-10-GM-Kodierung von Diagnosen (Condition). Da die Deutschen Basisprofile kein Condition-Profil herausgeben, wird die Kodierung hier use-case-spezifisch festgelegt.
package_name: de.gematik.epa
derivation: constraint
name: EMPReasonCondition
type: Condition
elements:
  onset:
    choices: []
    index: 24
    slicing:
      slices:
        onsetDateTime:
          match: {}
          schema:
            choices: [onsetDateTime]
            index: 26
          max: 0
  category: {index: 10}
  stage: {index: 36}
  encounter: {index: 22}
  evidence: {index: 37}
  abatement:
    choices: []
    index: 29
    slicing:
      slices:
        abatementDateTime:
          match: {}
          schema:
            choices: [abatementDateTime]
            index: 31
          max: 0
  asserter: {index: 35}
  note: {index: 38}
  extension:
    short: Verweis von der Sekundär- auf die assoziierte Primärdiagnose
    type: Extension
    mustSupport: true
    url: http://hl7.org/fhir/StructureDefinition/condition-related
    index: 0
    slicing:
      slices:
        related:
          match: {}
          schema:
            short: Verweis von der Sekundär- auf die assoziierte Primärdiagnose
            type: Extension
            mustSupport: true
            url: http://hl7.org/fhir/StructureDefinition/condition-related
            index: 0
            elements:
              value:
                choices: [valueReference]
                index: 2
              valueReference:
                type: Reference
                choiceOf: value
                refers: ['https://gematik.de/fhir/epa-medication/StructureDefinition/emp-reason-condition']
                index: 3
              value[x]:
                elements:
                  reference: {mustSupport: true, index: 4}
                  identifier:
                    mustSupport: true
                    index: 5
                    elements:
                      system: {mustSupport: true, index: 6}
                      value: {mustSupport: true, index: 7}
                  display: {mustSupport: true, index: 8}
  recordedDate: {index: 33}
  recorder: {index: 34}
  severity: {index: 11}
  code:
    elements:
      coding:
        index: 12
        slicing:
          slices:
            ICD-10-GM:
              match: {}
              schema:
                index: 12
                extensions:
                  Diagnosesicherheit:
                    url: null
                    index: 13
                    elements:
                      value:
                        constraint:
                          emp-icd-4: {human: 'Diagnosesicherheit ''A'' (ausgeschlossen): verificationStatus muss ''refuted'' sein und clinicalStatus leer.', source: 'https://gematik.de/fhir/epa-medication/StructureDefinition/emp-reason-condition', severity: error, expression: code!='A' or (%resource.verificationStatus.coding.where(code='refuted').exists() and %resource.clinicalStatus.empty())}
                          emp-icd-5: {human: 'Diagnosesicherheit ''G'' (gesicherte Diagnose): clinicalStatus muss ''active'' und verificationStatus ''confirmed'' sein.', source: 'https://gematik.de/fhir/epa-medication/StructureDefinition/emp-reason-condition', severity: error, expression: code!='G' or (%resource.clinicalStatus.coding.where(code='active').exists() and %resource.verificationStatus.coding.where(code='confirmed').exists())}
                          emp-icd-6: {human: 'Diagnosesicherheit ''V'' (Verdacht auf / zum Ausschluss von): clinicalStatus muss ''active'' und verificationStatus ''provisional'' oder ''differential'' sein.', source: 'https://gematik.de/fhir/epa-medication/StructureDefinition/emp-reason-condition', severity: error, expression: code!='V' or (%resource.clinicalStatus.coding.where(code='active').exists() and (%resource.verificationStatus.coding.where(code='provisional').exists() or %resource.verificationStatus.coding.where(code='differential').exists()))}
                          emp-icd-7: {human: 'Diagnosesicherheit ''Z'' (Zustand nach): clinicalStatus muss ''resolved'' und verificationStatus ''confirmed'' sein.', source: 'https://gematik.de/fhir/epa-medication/StructureDefinition/emp-reason-condition', severity: error, expression: code!='Z' or (%resource.clinicalStatus.coding.where(code='resolved').exists() and %resource.verificationStatus.coding.where(code='confirmed').exists())}
                        choices: []
                        index: 15
                elements:
                  extension:
                    index: 13
                    slicing:
                      slices:
                        Diagnosesicherheit:
                          match: {}
                          schema:
                            index: 13
                            elements:
                              value:
                                constraint:
                                  emp-icd-4: {human: 'Diagnosesicherheit ''A'' (ausgeschlossen): verificationStatus muss ''refuted'' sein und clinicalStatus leer.', source: 'https://gematik.de/fhir/epa-medication/StructureDefinition/emp-reason-condition', severity: error, expression: code!='A' or (%resource.verificationStatus.coding.where(code='refuted').exists() and %resource.clinicalStatus.empty())}
                                  emp-icd-5: {human: 'Diagnosesicherheit ''G'' (gesicherte Diagnose): clinicalStatus muss ''active'' und verificationStatus ''confirmed'' sein.', source: 'https://gematik.de/fhir/epa-medication/StructureDefinition/emp-reason-condition', severity: error, expression: code!='G' or (%resource.clinicalStatus.coding.where(code='active').exists() and %resource.verificationStatus.coding.where(code='confirmed').exists())}
                                  emp-icd-6: {human: 'Diagnosesicherheit ''V'' (Verdacht auf / zum Ausschluss von): clinicalStatus muss ''active'' und verificationStatus ''provisional'' oder ''differential'' sein.', source: 'https://gematik.de/fhir/epa-medication/StructureDefinition/emp-reason-condition', severity: error, expression: code!='V' or (%resource.clinicalStatus.coding.where(code='active').exists() and (%resource.verificationStatus.coding.where(code='provisional').exists() or %resource.verificationStatus.coding.where(code='differential').exists()))}
                                  emp-icd-7: {human: 'Diagnosesicherheit ''Z'' (Zustand nach): clinicalStatus muss ''resolved'' und verificationStatus ''confirmed'' sein.', source: 'https://gematik.de/fhir/epa-medication/StructureDefinition/emp-reason-condition', severity: error, expression: code!='Z' or (%resource.clinicalStatus.coding.where(code='resolved').exists() and %resource.verificationStatus.coding.where(code='confirmed').exists())}
                                choices: []
                                index: 15
                  display: {index: 16}
                required: [display]
            alphaId:
              match: {}
              schema: {index: 17}
              max: 0
            snomed:
              match: {}
              schema: {index: 18}
              max: 0
            orphanet:
              match: {}
              schema: {index: 19}
              max: 0
  identifier: {index: 9}
  onsetDateTime:
    type: dateTime
    choiceOf: onset
    index: 27
    slicing:
      slices:
        onsetDateTime:
          match: {}
          schema: {type: dateTime, choiceOf: onset, index: 27}
          max: 0
  bodySite: {index: 20}
  abatementDateTime:
    type: dateTime
    choiceOf: abatement
    index: 32
    slicing:
      slices:
        abatementDateTime:
          match: {}
          schema: {type: dateTime, choiceOf: abatement, index: 32}
          max: 0
  subject:
    elements:
      identifier: {type: Identifier, index: 21}
    required: [identifier]
package_version: 1.4.0-ballot.1
extensions:
  related:
    url: http://hl7.org/fhir/StructureDefinition/condition-related
    short: Verweis von der Sekundär- auf die assoziierte Primärdiagnose
    type: Extension
    mustSupport: true
    index: 0
    elements:
      value:
        choices: [valueReference]
        index: 2
      valueReference:
        type: Reference
        choiceOf: value
        refers: ['https://gematik.de/fhir/epa-medication/StructureDefinition/emp-reason-condition']
        index: 3
      value[x]:
        elements:
          reference: {mustSupport: true, index: 4}
          identifier:
            mustSupport: true
            index: 5
            elements:
              system: {mustSupport: true, index: 6}
              value: {mustSupport: true, index: 7}
          display: {mustSupport: true, index: 8}
class: profile
kind: resource
url: https://gematik.de/fhir/epa-medication/StructureDefinition/emp-reason-condition
base: https://gematik.de/fhir/ti/StructureDefinition/ti-condition-diagnosis
version: 1.4.0