Package | de.medizininformatikinitiative.kerndatensatz.diagnose |
Type | StructureDefinition |
Id | Id |
FHIR Version | R4 |
Source | https://www.medizininformatik-initiative.de/fhir/core/modul-diagnose/ImplementationGuide/mii-ig-diagnose/https://simplifier.net/resolve?scope=de.medizininformatikinitiative.kerndatensatz.diagnose@2025.0.0&canonical=https://www.medizininformatik-initiative.de/fhir/core/modul-diagnose/StructureDefinition/LogicalModel/Diagnose |
Url | https://www.medizininformatik-initiative.de/fhir/core/modul-diagnose/StructureDefinition/LogicalModel/Diagnose |
Version | 2025.0.0 |
Status | active |
Date | 2024-12-09 |
Name | MII_LM_Diagnose |
Title | MII LM Diagnose |
Experimental | False |
Realm | de |
Description | Logische Repräsentation des Basismoduls Diagnose |
Type | https://www.medizininformatik-initiative.de/fhir/core/modul-diagnose/StructureDefinition/LogicalModel/Diagnose |
Kind | logical |
No resources found
No resources found
{
"resourceType" : "StructureDefinition",
"id" : "mii-lm-diagnose",
"extension" : [
{
"url" : "https://www.medizininformatik-initiative.de/fhir/modul-meta/StructureDefinition/mii-ex-meta-license-codeable",
"valueCodeableConcept" : {
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{
"system" : "http://hl7.org/fhir/spdx-license",
"code" : "CC-BY-4.0",
"display" : "Creative Commons Attribution 4.0 International"
}
]
}
}
],
"url" : "https://www.medizininformatik-initiative.de/fhir/core/modul-diagnose/StructureDefinition/LogicalModel/Diagnose",
"version" : "2025.0.0",
"name" : "MII_LM_Diagnose",
"title" : "MII LM Diagnose",
"status" : "active",
"date" : "2024-12-09",
"publisher" : "Medizininformatik Initiative",
"contact" : [
{
"telecom" : [
{
"system" : "url",
"value" : "https://www.medizininformatik-initiative.de"
}
]
}
],
"description" : "Logische Repräsentation des Basismoduls Diagnose",
"fhirVersion" : "4.0.1",
"mapping" : [
{
"identity" : "FHIR",
"name" : "Diagnose LogicalModel FHIR Mapping"
}
],
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"abstract" : false,
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"baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Element",
"derivation" : "specialization",
"snapshot" : {
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{
"id" : "Diagnose",
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{
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"valueCode" : "4.0.0"
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],
"path" : "Diagnose",
"short" : "Das Basismodul Diagnosen enthält Diagnosen als Behandlungsbegründungen und abrechnungsbasiertes Gliederungsmerkmal, z.B. als Hauptdiagnose, Nebendiagnose, Quartalsdiagnose etc.",
"definition" : "Logische Repräsentation des Basismoduls Diagnose",
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"base" : {
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{
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{
"id" : "Diagnose.id",
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"short" : "Unique id for inter-element referencing",
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"min" : 0,
"max" : "1",
"base" : {
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"type" : [
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{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
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],
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"mapping" : [
{
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{
"id" : "Diagnose.extension",
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{
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"valueCode" : "normative"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode" : "4.0.0"
}
],
"path" : "Diagnose.extension",
"slicing" : {
"discriminator" : [
{
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"path" : "url"
}
],
"description" : "Extensions are always sliced by (at least) url",
"rules" : "open"
},
"short" : "Additional content defined by implementations",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias" : [
"extensions",
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"min" : 0,
"max" : "*",
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{
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},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}
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{
"identity" : "rim",
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{
"identity" : "rim",
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{
"id" : "Diagnose.ICD10GMDiagnoseKodiert",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode" : "normative"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode" : "4.0.0"
}
],
"path" : "Diagnose.ICD10GMDiagnoseKodiert",
"short" : "Im Bereich der administrativen und statistischen Auswertung wird die Diagnose mit Hilfe von Codiersystemen verschlüsselt. So wird z.B. bei der Abrechnung nach §301 und §295 SGB V die Codierung von Diagnosen mittels ICD-10-GM gesetzlich vorgeschrieben. Weitere Codiersysteme sind z.B. die Alpha-ID oder SNOMED CT. Die Kodierung einer Diagnose mittels verschiedener Codesysteme sollte möglich sein.",
"definition" : "Im Bereich der administrativen und statistischen Auswertung wird die Diagnose mit Hilfe von Codiersystemen verschlüsselt. So wird z.B. bei der Abrechnung nach §301 und §295 SGB V die Codierung von Diagnosen mittels ICD-10-GM gesetzlich vorgeschrieben. Weitere Codiersysteme sind z.B. die Alpha-ID oder SNOMED CT. Die Kodierung einer Diagnose mittels verschiedener Codesysteme sollte möglich sein.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Diagnose.ICD10GMDiagnoseKodiert",
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"type" : [
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{
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{
"id" : "Diagnose.ICD10GMDiagnoseKodiert.id",
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"xmlAttr"
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"min" : 0,
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"code" : "http://hl7.org/fhirpath/System.String"
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"mapping" : [
{
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{
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{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode" : "4.0.0"
}
],
"path" : "Diagnose.ICD10GMDiagnoseKodiert.extension",
"slicing" : {
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],
"description" : "Extensions are always sliced by (at least) url",
"rules" : "open"
},
"short" : "Additional content defined by implementations",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
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"alias" : [
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"base" : {
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"type" : [
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{
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],
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{
"identity" : "rim",
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"id" : "Diagnose.ICD10GMDiagnoseKodiert.modifierExtension",
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"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
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},
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode" : "4.0.0"
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],
"path" : "Diagnose.ICD10GMDiagnoseKodiert.modifierExtension",
"short" : "Extensions that cannot be ignored even if unrecognized",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
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"user content",
"modifiers"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "BackboneElement.modifierExtension",
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"max" : "*"
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"type" : [
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],
"condition" : [
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"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
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{
"key" : "ext-1",
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"expression" : "extension.exists() != value.exists()",
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}
],
"isModifier" : true,
"isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
},
{
"identity" : "rim",
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}
]
},
{
"id" : "Diagnose.ICD10GMDiagnoseKodiert.Diagnosecode",
"path" : "Diagnose.ICD10GMDiagnoseKodiert.Diagnosecode",
"short" : "Diagnosecode ICD-10-GM",
"definition" : "Code ohne Zusatzkennzeichen",
"comment" : "Note that FHIR strings SHALL NOT exceed 1MB in size",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Diagnose.ICD10GMDiagnoseKodiert.Diagnosecode",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "code"
}
],
"condition" : [
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"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
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],
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{
"identity" : "rim",
"map" : "n/a"
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{
"identity" : "FHIR",
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},
{
"id" : "Diagnose.ICD10GMDiagnoseKodiert.Mehrfachkodierungskennzeichen",
"path" : "Diagnose.ICD10GMDiagnoseKodiert.Mehrfachkodierungskennzeichen",
"short" : "Mehrfachkodierungskennzeichen",
"definition" : "Mehrfachkodierungskennzeichen Kreuz-Stern-System und Ausrufezeichen (\"*\", \"â \", \"!\").",
"comment" : "Note that FHIR strings SHALL NOT exceed 1MB in size",
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"max" : "1",
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"code" : "code"
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"condition" : [
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"key" : "ele-1",
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"definition" : "Die Diagnosensicherheit, d.h. wie sicher die Diagnose im Einzelfall zu werten ist, kann unterschiedlich angegeben werden. Für Abrechnungszwecke in der ambulanten Versorgung muss obligatorisch ein Zusatzkennzeichen für die Diagnosensicherheit (A, G, V oder Z) angegeben werden, d. h. die Angabe ist obligatorisch. In der stationären Versorgung sind diese Zusatzkennzeichen für die Angabe der Diagnosensicherheit für Abrechnungszwecke dagegen nicht zulässig.",
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{
"id" : "Diagnose.ICD10GMDiagnoseKodiert.Seitenlokalisation",
"path" : "Diagnose.ICD10GMDiagnoseKodiert.Seitenlokalisation",
"short" : "Zusatzkennzeichen Seite einer Erkrankung",
"definition" : "Zusatzkennzeichen der ICD-10 für die Seitigkeit einer Diagnose (R, L, B)",
"comment" : "Note that FHIR strings SHALL NOT exceed 1MB in size",
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"max" : "1",
"base" : {
"path" : "Diagnose.ICD10GMDiagnoseKodiert.Seitenlokalisation",
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"condition" : [
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"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
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}
]
},
{
"id" : "Diagnose.ALPHAIDKodiert",
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{
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},
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode" : "4.0.0"
}
],
"path" : "Diagnose.ALPHAIDKodiert",
"short" : "Kodierung einer Diagnose mit Alpha-ID",
"definition" : "Kodierung einer Diagnose mit Alpha-ID",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Diagnose.ALPHAIDKodiert",
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"max" : "1"
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],
"condition" : [
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"human" : "All FHIR elements must have a @value or children",
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}
],
"mapping" : [
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{
"identity" : "FHIR",
"map" : "Condition.code.coding.where(system='http://fhir.de/CodeSystem/bfarm/alpha-id')"
}
]
},
{
"id" : "Diagnose.ALPHAIDKodiert.id",
"path" : "Diagnose.ALPHAIDKodiert.id",
"representation" : [
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"short" : "Unique id for inter-element referencing",
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],
"code" : "http://hl7.org/fhirpath/System.String"
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{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode" : "4.0.0"
}
],
"path" : "Diagnose.ALPHAIDKodiert.extension",
"slicing" : {
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],
"description" : "Extensions are always sliced by (at least) url",
"rules" : "open"
},
"short" : "Additional content defined by implementations",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias" : [
"extensions",
"user content"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"condition" : [
"ele-1"
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
},
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "Diagnose.ALPHAIDKodiert.modifierExtension",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode" : "normative"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode" : "4.0.0"
}
],
"path" : "Diagnose.ALPHAIDKodiert.modifierExtension",
"short" : "Extensions that cannot be ignored even if unrecognized",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
"alias" : [
"extensions",
"user content",
"modifiers"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "BackboneElement.modifierExtension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"condition" : [
"ele-1"
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier" : true,
"isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
},
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "Diagnose.ALPHAIDKodiert.Diagnosecode",
"path" : "Diagnose.ALPHAIDKodiert.Diagnosecode",
"short" : "Alpha-ID-Code",
"definition" : "Alpha-ID-Code",
"comment" : "Note that FHIR strings SHALL NOT exceed 1MB in size",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Diagnose.ALPHAIDKodiert.Diagnosecode",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "code"
}
],
"condition" : [
"ele-1"
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
},
{
"identity" : "FHIR",
"map" : "Condition.code.coding.where(system='http://fhir.de/CodeSystem/bfarm/alpha-id').code"
}
]
},
{
"id" : "Diagnose.ORPHANETDiagnoseKodiert",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode" : "normative"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode" : "4.0.0"
}
],
"path" : "Diagnose.ORPHANETDiagnoseKodiert",
"short" : "Für die Kodierung von Seltenen Krankheiten ist die Orpha-Kennnummer erforderlich.",
"definition" : "Für die Kodierung von Seltenen Krankheiten ist die Orpha-Kennnummer erforderlich.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Diagnose.ORPHANETDiagnoseKodiert",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "BackboneElement"
}
],
"condition" : [
"ele-1"
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
},
{
"identity" : "FHIR",
"map" : "Condition.code.coding.where(system='http://www.orpha.net')"
}
]
},
{
"id" : "Diagnose.ORPHANETDiagnoseKodiert.id",
"path" : "Diagnose.ORPHANETDiagnoseKodiert.id",
"representation" : [
"xmlAttr"
],
"short" : "Unique id for inter-element referencing",
"definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "1"
},
"type" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl" : "string"
}
],
"code" : "http://hl7.org/fhirpath/System.String"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "Diagnose.ORPHANETDiagnoseKodiert.extension",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode" : "normative"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode" : "4.0.0"
}
],
"path" : "Diagnose.ORPHANETDiagnoseKodiert.extension",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "url"
}
],
"description" : "Extensions are always sliced by (at least) url",
"rules" : "open"
},
"short" : "Additional content defined by implementations",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias" : [
"extensions",
"user content"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"condition" : [
"ele-1"
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
},
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "Diagnose.ORPHANETDiagnoseKodiert.modifierExtension",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode" : "normative"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode" : "4.0.0"
}
],
"path" : "Diagnose.ORPHANETDiagnoseKodiert.modifierExtension",
"short" : "Extensions that cannot be ignored even if unrecognized",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
"alias" : [
"extensions",
"user content",
"modifiers"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "BackboneElement.modifierExtension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"condition" : [
"ele-1"
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier" : true,
"isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
},
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "Diagnose.ORPHANETDiagnoseKodiert.Diagnosecode",
"path" : "Diagnose.ORPHANETDiagnoseKodiert.Diagnosecode",
"short" : "Orpha-Kennnummer",
"definition" : "Orpha-Kennnummer",
"comment" : "Note that FHIR strings SHALL NOT exceed 1MB in size",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Diagnose.ORPHANETDiagnoseKodiert.Diagnosecode",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "code"
}
],
"condition" : [
"ele-1"
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
},
{
"identity" : "FHIR",
"map" : "Condition.code.coding.where(system='http://www.orpha.net').code"
}
]
},
{
"id" : "Diagnose.SNOMEDDiagnoseKodiert",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode" : "normative"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode" : "4.0.0"
}
],
"path" : "Diagnose.SNOMEDDiagnoseKodiert",
"short" : "Ermöglicht die Kodierung einer Diagnose mit SNOMED-CT",
"definition" : "Ermöglicht die Kodierung einer Diagnose mit SNOMED-CT",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Diagnose.SNOMEDDiagnoseKodiert",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "BackboneElement"
}
],
"condition" : [
"ele-1"
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
},
{
"identity" : "FHIR",
"map" : "Condition.code.coding.where(system='http://snomed.info/sct')"
}
]
},
{
"id" : "Diagnose.SNOMEDDiagnoseKodiert.id",
"path" : "Diagnose.SNOMEDDiagnoseKodiert.id",
"representation" : [
"xmlAttr"
],
"short" : "Unique id for inter-element referencing",
"definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "1"
},
"type" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl" : "string"
}
],
"code" : "http://hl7.org/fhirpath/System.String"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "Diagnose.SNOMEDDiagnoseKodiert.extension",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode" : "normative"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode" : "4.0.0"
}
],
"path" : "Diagnose.SNOMEDDiagnoseKodiert.extension",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "url"
}
],
"description" : "Extensions are always sliced by (at least) url",
"rules" : "open"
},
"short" : "Additional content defined by implementations",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias" : [
"extensions",
"user content"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"condition" : [
"ele-1"
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
},
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "Diagnose.SNOMEDDiagnoseKodiert.modifierExtension",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode" : "normative"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode" : "4.0.0"
}
],
"path" : "Diagnose.SNOMEDDiagnoseKodiert.modifierExtension",
"short" : "Extensions that cannot be ignored even if unrecognized",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
"alias" : [
"extensions",
"user content",
"modifiers"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "BackboneElement.modifierExtension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"condition" : [
"ele-1"
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier" : true,
"isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
},
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "Diagnose.SNOMEDDiagnoseKodiert.Diagnosecode",
"path" : "Diagnose.SNOMEDDiagnoseKodiert.Diagnosecode",
"short" : "SNOMED-CT Code",
"definition" : "SNOMED-CT Code",
"comment" : "Note that FHIR strings SHALL NOT exceed 1MB in size",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Diagnose.SNOMEDDiagnoseKodiert.Diagnosecode",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "code"
}
],
"condition" : [
"ele-1"
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
},
{
"identity" : "FHIR",
"map" : "Condition.code.coding.where(system='http://snomed.info/sct').code"
}
]
},
{
"id" : "Diagnose.WeitereKodiersysteme",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode" : "normative"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode" : "4.0.0"
}
],
"path" : "Diagnose.WeitereKodiersysteme",
"short" : "Bei Bedarf ist die Aufnahme weiterer Klassifikationen und Terminologien möglich.",
"definition" : "Bei Bedarf ist die Aufnahme weiterer Klassifikationen und Terminologien möglich.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Diagnose.WeitereKodiersysteme",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "BackboneElement"
}
],
"condition" : [
"ele-1"
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
},
{
"identity" : "FHIR",
"map" : "Condition.code.coding"
}
]
},
{
"id" : "Diagnose.WeitereKodiersysteme.id",
"path" : "Diagnose.WeitereKodiersysteme.id",
"representation" : [
"xmlAttr"
],
"short" : "Unique id for inter-element referencing",
"definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "1"
},
"type" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl" : "string"
}
],
"code" : "http://hl7.org/fhirpath/System.String"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "Diagnose.WeitereKodiersysteme.extension",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode" : "normative"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode" : "4.0.0"
}
],
"path" : "Diagnose.WeitereKodiersysteme.extension",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "url"
}
],
"description" : "Extensions are always sliced by (at least) url",
"rules" : "open"
},
"short" : "Additional content defined by implementations",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias" : [
"extensions",
"user content"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"condition" : [
"ele-1"
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
},
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "Diagnose.WeitereKodiersysteme.modifierExtension",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode" : "normative"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode" : "4.0.0"
}
],
"path" : "Diagnose.WeitereKodiersysteme.modifierExtension",
"short" : "Extensions that cannot be ignored even if unrecognized",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
"alias" : [
"extensions",
"user content",
"modifiers"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "BackboneElement.modifierExtension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"condition" : [
"ele-1"
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier" : true,
"isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
},
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "Diagnose.WeitereKodiersysteme.Diagnosecode",
"path" : "Diagnose.WeitereKodiersysteme.Diagnosecode",
"short" : "Code aus weiterem Kodiersystem",
"definition" : "Angabe des Codes aus weiterem Kodiersystem",
"comment" : "Note that FHIR strings SHALL NOT exceed 1MB in size",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Diagnose.WeitereKodiersysteme.Diagnosecode",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "code"
}
],
"condition" : [
"ele-1"
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
},
{
"identity" : "FHIR",
"map" : "Condition.code.coding.code"
}
]
},
{
"id" : "Diagnose.Koerperstelle",
"path" : "Diagnose.Koerperstelle",
"short" : "Körperstelle",
"definition" : "Ãber die Körperstelle kann angegeben werden, in welchem Bereich des Körpers eine Krankheit diagnostiziert wurde (Topografische Informatiomn)",
"comment" : "Note that FHIR strings SHALL NOT exceed 1MB in size",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Diagnose.Koerperstelle",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "code"
}
],
"condition" : [
"ele-1"
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
},
{
"identity" : "FHIR",
"map" : "Condition.bodySite"
}
]
},
{
"id" : "Diagnose.Freitextbeschreibung",
"path" : "Diagnose.Freitextbeschreibung",
"short" : "Diagnose im Klartext",
"definition" : "Diagnose im Klartext. Im Bereich der medizinischen Dokumentation sollte die Textbeschreibung obligatorisch sein. Bei der sekundären Ãbernahme einer kodierten Diagonse aus der Primärdokumentation kann eine Freitextbeschreibung fehlen.",
"comment" : "Note that FHIR strings SHALL NOT exceed 1MB in size",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Diagnose.Freitextbeschreibung",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
],
"condition" : [
"ele-1"
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
},
{
"identity" : "FHIR",
"map" : "Condition.code.text"
}
]
},
{
"id" : "Diagnose.Diagnoseerlaeuterung",
"path" : "Diagnose.Diagnoseerlaeuterung",
"short" : "Diagnoseerläuterung",
"definition" : "Damit soll dem Arzt die Möglichkeit gegeben werden, umfangreichere Angaben zusätzlich zu einer Diagnose abzufassen.",
"comment" : "Note that FHIR strings SHALL NOT exceed 1MB in size",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Diagnose.Diagnoseerlaeuterung",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "string"
}
],
"condition" : [
"ele-1"
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
},
{
"identity" : "FHIR",
"map" : "Condition.note"
}
]
},
{
"id" : "Diagnose.KlinischerStatus",
"path" : "Diagnose.KlinischerStatus",
"short" : "Klinischer Status",
"definition" : "aktiv, Rezidiv, Rückfall, inaktiv, Remission, geheilt",
"comment" : "Note that FHIR strings SHALL NOT exceed 1MB in size",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Diagnose.KlinischerStatus",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code"
}
],
"condition" : [
"ele-1"
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
},
{
"identity" : "FHIR",
"map" : "Condition.clinicalStatus"
}
]
},
{
"id" : "Diagnose.KlinischRelevanterZeitraum",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode" : "normative"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode" : "4.0.0"
}
],
"path" : "Diagnose.KlinischRelevanterZeitraum",
"short" : "Klinisch relevanter Zeitraum",
"definition" : "Hier kann der Klinisch Relevante Zeitraum beziehungsweise die Lebensphase einer Erkrankung angegeben werden. Datumsangaben zu Diagnosen können in unterschiedlicher Präzision vorhanden sein.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Diagnose.KlinischRelevanterZeitraum",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "BackboneElement"
}
],
"condition" : [
"ele-1"
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
},
{
"identity" : "FHIR",
"map" : "Condition.onset[x]"
}
]
},
{
"id" : "Diagnose.KlinischRelevanterZeitraum.id",
"path" : "Diagnose.KlinischRelevanterZeitraum.id",
"representation" : [
"xmlAttr"
],
"short" : "Unique id for inter-element referencing",
"definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "1"
},
"type" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl" : "string"
}
],
"code" : "http://hl7.org/fhirpath/System.String"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "Diagnose.KlinischRelevanterZeitraum.extension",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode" : "normative"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode" : "4.0.0"
}
],
"path" : "Diagnose.KlinischRelevanterZeitraum.extension",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "url"
}
],
"description" : "Extensions are always sliced by (at least) url",
"rules" : "open"
},
"short" : "Additional content defined by implementations",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias" : [
"extensions",
"user content"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"condition" : [
"ele-1"
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
},
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "Diagnose.KlinischRelevanterZeitraum.modifierExtension",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode" : "normative"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode" : "4.0.0"
}
],
"path" : "Diagnose.KlinischRelevanterZeitraum.modifierExtension",
"short" : "Extensions that cannot be ignored even if unrecognized",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
"alias" : [
"extensions",
"user content",
"modifiers"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "BackboneElement.modifierExtension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"condition" : [
"ele-1"
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier" : true,
"isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
},
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "Diagnose.KlinischRelevanterZeitraum.Zeitraum",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode" : "normative"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode" : "4.0.0"
}
],
"path" : "Diagnose.KlinischRelevanterZeitraum.Zeitraum",
"short" : "klinisch relevanter Zeitraum",
"definition" : "Der Zeitraum wird durch zwei Datumsangaben beschrieben, das heiÃt, von wann bis wann ein Patient an der diagnostizierten Krankheit litt. Ãber den Zeitraum kann auch ausgedrückt werden, seit wann ein Patient an einer Krankheit leidet, indem nur das Startdatum des Zeitraums angegeben wird. Das Startdatum des Zeitraums kann abweichen von dem Diagnosedatum. Datumsangaben zu Diagnosen können in unterschiedlicher Präzision vorhanden sein.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Diagnose.KlinischRelevanterZeitraum.Zeitraum",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "BackboneElement"
}
],
"condition" : [
"ele-1"
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
},
{
"identity" : "FHIR",
"map" : "Condition.onsetPeriod"
}
]
},
{
"id" : "Diagnose.KlinischRelevanterZeitraum.Zeitraum.id",
"path" : "Diagnose.KlinischRelevanterZeitraum.Zeitraum.id",
"representation" : [
"xmlAttr"
],
"short" : "Unique id for inter-element referencing",
"definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "1"
},
"type" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl" : "string"
}
],
"code" : "http://hl7.org/fhirpath/System.String"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "Diagnose.KlinischRelevanterZeitraum.Zeitraum.extension",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode" : "normative"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode" : "4.0.0"
}
],
"path" : "Diagnose.KlinischRelevanterZeitraum.Zeitraum.extension",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "url"
}
],
"description" : "Extensions are always sliced by (at least) url",
"rules" : "open"
},
"short" : "Additional content defined by implementations",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias" : [
"extensions",
"user content"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"condition" : [
"ele-1"
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
},
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "Diagnose.KlinischRelevanterZeitraum.Zeitraum.modifierExtension",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode" : "normative"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode" : "4.0.0"
}
],
"path" : "Diagnose.KlinischRelevanterZeitraum.Zeitraum.modifierExtension",
"short" : "Extensions that cannot be ignored even if unrecognized",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
"alias" : [
"extensions",
"user content",
"modifiers"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "BackboneElement.modifierExtension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"condition" : [
"ele-1"
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier" : true,
"isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
},
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "Diagnose.KlinischRelevanterZeitraum.Zeitraum.von",
"path" : "Diagnose.KlinischRelevanterZeitraum.Zeitraum.von",
"short" : "Startdatum",
"definition" : "Startdatum",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Diagnose.KlinischRelevanterZeitraum.Zeitraum.von",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "dateTime"
}
],
"condition" : [
"ele-1"
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
},
{
"identity" : "FHIR",
"map" : "Condition.onsetPeriod.start"
}
]
},
{
"id" : "Diagnose.KlinischRelevanterZeitraum.Zeitraum.bis",
"path" : "Diagnose.KlinischRelevanterZeitraum.Zeitraum.bis",
"short" : "Enddatum",
"definition" : "Enddatum",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Diagnose.KlinischRelevanterZeitraum.Zeitraum.bis",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "dateTime"
}
],
"condition" : [
"ele-1"
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
},
{
"identity" : "FHIR",
"map" : "Condition.onsetPeriod.end"
}
]
},
{
"id" : "Diagnose.KlinischRelevanterZeitraum.Lebensphase",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode" : "normative"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode" : "4.0.0"
}
],
"path" : "Diagnose.KlinischRelevanterZeitraum.Lebensphase",
"short" : "Lebensphase",
"definition" : "Lebensphase, in der die Erkrankung aufgetreten ist",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Diagnose.KlinischRelevanterZeitraum.Lebensphase",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "BackboneElement"
}
],
"condition" : [
"ele-1"
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "Diagnose.KlinischRelevanterZeitraum.Lebensphase.id",
"path" : "Diagnose.KlinischRelevanterZeitraum.Lebensphase.id",
"representation" : [
"xmlAttr"
],
"short" : "Unique id for inter-element referencing",
"definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "1"
},
"type" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl" : "string"
}
],
"code" : "http://hl7.org/fhirpath/System.String"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
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]
},
{
"id" : "Diagnose.KlinischRelevanterZeitraum.Lebensphase.extension",
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{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode" : "normative"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode" : "4.0.0"
}
],
"path" : "Diagnose.KlinischRelevanterZeitraum.Lebensphase.extension",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "url"
}
],
"description" : "Extensions are always sliced by (at least) url",
"rules" : "open"
},
"short" : "Additional content defined by implementations",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias" : [
"extensions",
"user content"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"condition" : [
"ele-1"
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
},
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "Diagnose.KlinischRelevanterZeitraum.Lebensphase.modifierExtension",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode" : "normative"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode" : "4.0.0"
}
],
"path" : "Diagnose.KlinischRelevanterZeitraum.Lebensphase.modifierExtension",
"short" : "Extensions that cannot be ignored even if unrecognized",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
"alias" : [
"extensions",
"user content",
"modifiers"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "BackboneElement.modifierExtension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"condition" : [
"ele-1"
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity"