FHIR IG Statistics: StructureDefinition/KBVPRBaseDiagnosis
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{
"resourceType": "StructureDefinition",
"url": "https://fhir.kbv.de/StructureDefinition/KBV_PR_Base_Diagnosis",
"version": "1.1.3",
"name": "KBV_PR_Base_Diagnosis",
"status": "active",
"fhirVersion": "4.0.1",
"mapping": [
{
"identity": "workflow",
"uri": "http://hl7.org/fhir/workflow",
"name": "Workflow Pattern"
},
{
"identity": "sct-concept",
"uri": "http://snomed.info/conceptdomain",
"name": "SNOMED CT Concept Domain Binding"
},
{
"identity": "v2",
"uri": "http://hl7.org/v2",
"name": "HL7 v2 Mapping"
},
{
"identity": "rim",
"uri": "http://hl7.org/v3",
"name": "RIM Mapping"
},
{
"identity": "w5",
"uri": "http://hl7.org/fhir/fivews",
"name": "FiveWs Pattern Mapping"
},
{
"identity": "sct-attr",
"uri": "http://snomed.org/attributebinding",
"name": "SNOMED CT Attribute Binding"
}
],
"kind": "resource",
"abstract": false,
"type": "Condition",
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Condition",
"derivation": "constraint",
"differential": {
"element": [
{
"id": "Condition",
"path": "Condition",
"constraint": [
{
"key": "Rec1",
"severity": "warning",
"human": "Das Dokumentationsdatum soll mindestens mit MM.JJJJ angegeben werden.",
"expression": "recordedDate.exists() implies recordedDate.toString().length()>=7",
"source": "https://fhir.kbv.de/StructureDefinition/KBV_PR_Base_Diagnosis"
}
]
},
{
"id": "Condition.clinicalStatus",
"path": "Condition.clinicalStatus",
"definition": "Beschreibt den klinischen Status im Sinne der Aktivität einer Erkrankung."
},
{
"id": "Condition.severity.coding",
"path": "Condition.severity.coding",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "system"
}
],
"rules": "open"
}
},
{
"id": "Condition.severity.coding:snomed-ct",
"path": "Condition.severity.coding",
"sliceName": "snomed-ct",
"max": "1",
"binding": {
"strength": "preferred",
"valueSet": "http://hl7.org/fhir/ValueSet/condition-severity"
}
},
{
"id": "Condition.severity.coding:snomed-ct.system",
"path": "Condition.severity.coding.system",
"min": 1,
"fixedUri": "http://snomed.info/sct"
},
{
"id": "Condition.severity.coding:snomed-ct.version",
"path": "Condition.severity.coding.version",
"min": 1
},
{
"id": "Condition.severity.coding:snomed-ct.code",
"path": "Condition.severity.coding.code",
"min": 1
},
{
"id": "Condition.severity.coding:snomed-ct.display",
"path": "Condition.severity.coding.display",
"min": 1
},
{
"id": "Condition.severity.coding:snomed-ct.display.extension",
"path": "Condition.severity.coding.display.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"rules": "open"
}
},
{
"id": "Condition.severity.coding:snomed-ct.display.extension:anzeigenameCode",
"path": "Condition.severity.coding.display.extension",
"sliceName": "anzeigenameCode",
"type": [
{
"code": "Extension",
"profile": [
"https://fhir.kbv.de/StructureDefinition/KBV_EX_Base_Terminology_German"
]
}
]
},
{
"id": "Condition.severity.coding:snomed-ct.display.extension:anzeigenameCode.extension",
"path": "Condition.severity.coding.display.extension.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"rules": "open"
}
},
{
"id": "Condition.severity.coding:snomed-ct.display.extension:anzeigenameCode.extension:content",
"path": "Condition.severity.coding.display.extension.extension",
"sliceName": "content"
},
{
"id": "Condition.severity.coding:snomed-ct.display.extension:anzeigenameCode.extension:content.value[x]:valueString",
"path": "Condition.severity.coding.display.extension.extension.value[x]",
"sliceName": "valueString",
"definition": "In diesem Attribut sollen die entsprechende deutsche Bezeichnung des Loinc oder Snomed-Codes aus der Conceptmap eingetragen werden. Die entsprechende ConceptMap ist vom ableitetenden Profil anzugeben. Empfohlen wird KBV_CM_Base_Diagnosis_Severity_German"
},
{
"id": "Condition.code",
"path": "Condition.code",
"definition": "In diesem Element wird der Diagnosecode aufgeführt. Dieser kann aus verschiedenen Codiersystem stammen. Jede Diagnose muss mindestens einen Diagnosecode besitzen. Hierbei können die vorgeschlagenen Codiersysteme (ICD, Alpha-ID, SNOMED, ORPHANET) verwendet werden.",
"min": 1
},
{
"id": "Condition.code.coding",
"path": "Condition.code.coding",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "system"
}
],
"rules": "open"
},
"min": 1
},
{
"id": "Condition.code.coding:ICD-10-GM",
"path": "Condition.code.coding",
"sliceName": "ICD-10-GM",
"max": "1",
"type": [
{
"code": "Coding",
"profile": [
"http://fhir.de/StructureDefinition/CodingICD10GM|0.9.13"
]
}
]
},
{
"id": "Condition.code.coding:ICD-10-GM.extension",
"path": "Condition.code.coding.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"rules": "open"
}
},
{
"id": "Condition.code.coding:ICD-10-GM.extension:Primaercode",
"path": "Condition.code.coding.extension",
"sliceName": "Primaercode",
"max": "1",
"type": [
{
"code": "Extension",
"profile": [
"http://fhir.de/StructureDefinition/icd-10-gm-primaercode|0.9.13"
]
}
]
},
{
"id": "Condition.code.coding:ICD-10-GM.extension:Manifestationscode",
"path": "Condition.code.coding.extension",
"sliceName": "Manifestationscode",
"type": [
{
"code": "Extension",
"profile": [
"http://fhir.de/StructureDefinition/icd-10-gm-manifestationscode|0.9.13"
]
}
]
},
{
"id": "Condition.code.coding:ICD-10-GM.extension:AusrufezeichenCode",
"path": "Condition.code.coding.extension",
"sliceName": "AusrufezeichenCode",
"type": [
{
"code": "Extension",
"profile": [
"http://fhir.de/StructureDefinition/icd-10-gm-ausrufezeichen|0.9.13"
]
}
]
},
{
"id": "Condition.code.coding:ICD-10-GM.extension:Diagnosesicherheit",
"path": "Condition.code.coding.extension",
"sliceName": "Diagnosesicherheit",
"max": "1",
"type": [
{
"code": "Extension",
"profile": [
"http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit|0.9.13"
]
}
]
},
{
"id": "Condition.code.coding:ICD-10-GM.extension:Seitenlokalisation",
"path": "Condition.code.coding.extension",
"sliceName": "Seitenlokalisation",
"max": "1",
"type": [
{
"code": "Extension",
"profile": [
"http://fhir.de/StructureDefinition/seitenlokalisation|0.9.13"
]
}
]
},
{
"id": "Condition.code.coding:alpha-id",
"path": "Condition.code.coding",
"sliceName": "alpha-id",
"max": "1"
},
{
"id": "Condition.code.coding:alpha-id.system",
"path": "Condition.code.coding.system",
"min": 1,
"fixedUri": "http://fhir.de/CodeSystem/dimdi/alpha-id"
},
{
"id": "Condition.code.coding:alpha-id.version",
"path": "Condition.code.coding.version",
"min": 1
},
{
"id": "Condition.code.coding:alpha-id.code",
"path": "Condition.code.coding.code",
"min": 1
},
{
"id": "Condition.code.coding:snomed-ct",
"path": "Condition.code.coding",
"sliceName": "snomed-ct",
"max": "1",
"binding": {
"strength": "required",
"valueSet": "https://fhir.kbv.de/ValueSet/KBV_VS_Base_Diagnose_Snomed_CT"
}
},
{
"id": "Condition.code.coding:snomed-ct.system",
"path": "Condition.code.coding.system",
"min": 1,
"fixedUri": "http://snomed.info/sct"
},
{
"id": "Condition.code.coding:snomed-ct.version",
"path": "Condition.code.coding.version",
"min": 1
},
{
"id": "Condition.code.coding:snomed-ct.code",
"path": "Condition.code.coding.code",
"min": 1
},
{
"id": "Condition.code.coding:snomed-ct.display",
"path": "Condition.code.coding.display",
"min": 1
},
{
"id": "Condition.code.coding:snomed-ct.display.extension",
"path": "Condition.code.coding.display.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"rules": "open"
}
},
{
"id": "Condition.code.coding:snomed-ct.display.extension:anzeigenameCode",
"path": "Condition.code.coding.display.extension",
"sliceName": "anzeigenameCode",
"max": "1",
"type": [
{
"code": "Extension",
"profile": [
"https://fhir.kbv.de/StructureDefinition/KBV_EX_Base_Terminology_German"
]
}
]
},
{
"id": "Condition.code.coding:snomed-ct.display.extension:anzeigenameCode.extension",
"path": "Condition.code.coding.display.extension.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"rules": "open"
}
},
{
"id": "Condition.code.coding:snomed-ct.display.extension:anzeigenameCode.extension:content",
"path": "Condition.code.coding.display.extension.extension",
"sliceName": "content"
},
{
"id": "Condition.code.coding:snomed-ct.display.extension:anzeigenameCode.extension:content.value[x]:valueString",
"path": "Condition.code.coding.display.extension.extension.value[x]",
"sliceName": "valueString",
"definition": "In diesem Attribut sollen die entsprechende deutsche Bezeichnung des Loinc oder Snomed-Codes aus der Conceptmap eingetragen werden. Die entsprechende ConceptMap ist vom ableitetenden Profil anzugeben."
},
{
"id": "Condition.code.coding:orphanet",
"path": "Condition.code.coding",
"sliceName": "orphanet",
"max": "1"
},
{
"id": "Condition.code.coding:orphanet.system",
"path": "Condition.code.coding.system",
"min": 1,
"fixedUri": "http://www.orpha.net"
},
{
"id": "Condition.code.coding:orphanet.version",
"path": "Condition.code.coding.version",
"min": 1
},
{
"id": "Condition.code.coding:orphanet.code",
"path": "Condition.code.coding.code",
"min": 1
},
{
"id": "Condition.code.text",
"path": "Condition.code.text",
"short": "Diagnoseerläuterung",
"definition": "Dieses Element ermöglicht die Angabe von näheren Ausführungen oder zusätzlichen Anmerkungen zu einer Diagnose in Form von Freitext."
},
{
"id": "Condition.bodySite",
"path": "Condition.bodySite",
"definition": "Über die Körperstelle kann angegeben werden, in welchem Bereich des Körpers eine Krankheit diagnostiziert wurde (topographische Information)."
},
{
"id": "Condition.bodySite.coding",
"path": "Condition.bodySite.coding",
"slicing": {
"discriminator": [
{
"type": "pattern",
"path": "system"
}
],
"rules": "open"
},
"min": 1
},
{
"id": "Condition.bodySite.coding:snomed-ct",
"path": "Condition.bodySite.coding",
"sliceName": "snomed-ct",
"min": 1,
"max": "1",
"binding": {
"strength": "example",
"description": "Codes describing anatomical locations. May include laterality.",
"valueSet": "http://hl7.org/fhir/ValueSet/body-site"
}
},
{
"id": "Condition.bodySite.coding:snomed-ct.system",
"path": "Condition.bodySite.coding.system",
"min": 1,
"patternUri": "http://snomed.info/sct"
},
{
"id": "Condition.bodySite.coding:snomed-ct.version",
"path": "Condition.bodySite.coding.version",
"min": 1
},
{
"id": "Condition.bodySite.coding:snomed-ct.code",
"path": "Condition.bodySite.coding.code",
"min": 1
},
{
"id": "Condition.onset[x]",
"path": "Condition.onset[x]",
"slicing": {
"discriminator": [
{
"type": "type",
"path": "$this"
}
],
"rules": "open"
},
"type": [
{
"code": "Period"
}
]
},
{
"id": "Condition.onset[x]:onsetPeriod",
"path": "Condition.onset[x]",
"sliceName": "onsetPeriod",
"type": [
{
"code": "Period"
}
]
},
{
"id": "Condition.onset[x]:onsetPeriod.start.extension",
"path": "Condition.onset[x].start.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"rules": "open"
}
},
{
"id": "Condition.onset[x]:onsetPeriod.start.extension:lebensphase-von",
"path": "Condition.onset[x].start.extension",
"sliceName": "lebensphase-von",
"max": "1",
"type": [
{
"code": "Extension",
"profile": [
"https://fhir.kbv.de/StructureDefinition/KBV_EX_Base_Stage_Life"
]
}
]
},
{
"id": "Condition.onset[x]:onsetPeriod.end.extension",
"path": "Condition.onset[x].end.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"rules": "open"
}
},
{
"id": "Condition.onset[x]:onsetPeriod.end.extension:lebensphase-bis",
"path": "Condition.onset[x].end.extension",
"sliceName": "lebensphase-bis",
"max": "1",
"type": [
{
"code": "Extension",
"profile": [
"https://fhir.kbv.de/StructureDefinition/KBV_EX_Base_Stage_Life"
]
}
]
},
{
"id": "Condition.onset[x]:onsetDateTime",
"path": "Condition.onset[x]",
"sliceName": "onsetDateTime",
"short": "Feststellungsdatum",
"definition": "Zeitpunkt, an dem die Diagnose bzw. die Erkrankung z.B. durch eine ärztlich tätige Person festgestellt wurde.",
"type": [
{
"code": "dateTime"
}
]
},
{
"id": "Condition.recordedDate",
"path": "Condition.recordedDate",
"short": "DOKUMENTATIONSDATUM",
"definition": "Zeitpunkt, an dem eine Krankheit z. B. durch eine ärztlich tätige Person in diesem Eintrag dokumentiert wurde. Hinweis: Wenn zwischen Feststellung der Diagnose und Dokumentationsdatum nicht unterschieden werden muss, ist das Datum der Feststellung der Diagnose (Diagnosedatum) anzugeben."
},
{
"id": "Condition.note",
"path": "Condition.note",
"short": "FREITEXTBESCHREIBUNG",
"definition": "Diagnose im Klartext. Im Bereich der medizinischen Dokumentation sollte die Textbeschreibung obligatorisch sein. Bei der sekundären Übernahme einer kodierten Diagnose aus der Primärdokumentation kann eine Freitextbeschreibung fehlen."
}
]
}
}
FHIR