FHIR IG Statistics: StructureDefinition/icd-10-gm-diagnosesicherheit
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{
"resourceType": "StructureDefinition",
"id": "icd-10-gm-diagnosesicherheit",
"url": "http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit",
"version": "1.5.4",
"name": "ExtensionICD10GMDiagnosesicherheit",
"title": "Extension zur Erfassung der Diagnosesicherheit gemäß KBV-Kodierrichtlinien",
"status": "active",
"experimental": false,
"date": "2025-06-16",
"publisher": "HL7 Deutschland e.V. (Technisches Komitee FHIR)",
"contact": [
{
"telecom": [
{
"system": "url",
"value": "http://hl7.de/technische-komitees/fhir/"
}
]
}
],
"copyright": "HL7 Deutschland e.V.",
"fhirVersion": "4.0.1",
"kind": "complex-type",
"abstract": false,
"context": [
{
"type": "element",
"expression": "Condition.code.coding"
}
],
"type": "Extension",
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension",
"derivation": "constraint",
"snapshot": {
"element": [
{
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"extension": [
{
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"valueCode": "normative"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
"valueCode": "4.0.0"
}
],
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"short": "Optional Extensions Element",
"definition": "Optional Extension Element - found in all resources.",
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"base": {
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"max": "*"
},
"condition": [
"ele-1"
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{
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"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"
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{
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"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')])"
}
],
"isModifier": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Extension.id",
"path": "Extension.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.",
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"base": {
"path": "Element.id",
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"type": [
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"valueUrl": "string"
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"code": "http://hl7.org/fhirpath/System.String"
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"isSummary": false,
"mapping": [
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{
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{
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"path": "url"
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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"
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"max": "0",
"base": {
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"type": [
{
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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())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
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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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"isModifier": false,
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"mapping": [
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{
"id": "Extension.url",
"path": "Extension.url",
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"short": "identifies the meaning of the extension",
"definition": "Source of the definition for the extension code - a logical name or a URL.",
"comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
"min": 1,
"max": "1",
"base": {
"path": "Extension.url",
"min": 1,
"max": "1"
},
"type": [
{
"extension": [
{
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"valueUrl": "uri"
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"code": "http://hl7.org/fhirpath/System.String"
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],
"fixedUri": "http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit",
"isModifier": false,
"isSummary": false,
"mapping": [
{
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{
"id": "Extension.value[x]",
"path": "Extension.value[x]",
"short": "Value of extension",
"definition": "Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list).",
"min": 1,
"max": "1",
"base": {
"path": "Extension.value[x]",
"min": 0,
"max": "1"
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"type": [
{
"code": "Coding"
}
],
"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": "icd-4",
"severity": "warning",
"human": "Wenn die Diagnosesicherheit \"A (Ausschluss)\" verwendet wird, dann muss clinicalStatus leer bleiben und verificationStaus auf \"refuted\" gesetzt werden.",
"expression": "code!='A' or (%resource.verificationStatus.coding.where(code='refuted').exists() and %resource.clinicalStatus.empty())",
"source": "http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit"
},
{
"key": "icd-5",
"severity": "warning",
"human": "Wenn die Diagnosesicherheit \"G (Gesichert)\" verwendet wird, dann muss clinicalStatus auf \"active\" und verificationStatus auf \"confirmed\" gesetzt werden.",
"expression": "code!='G' or (%resource.clinicalStatus.coding.where(code='active').exists() and %resource.verificationStatus.coding.where(code='confirmed').exists())",
"source": "http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit"
},
{
"key": "icd-6",
"severity": "warning",
"human": "Wenn die Diagnosesicherheit \"V (Verdacht auf)\" verwendet wird, dann muss clinicalStatus auf \"active\" und verificationStatus auf \"provisional\" oder \"differential\" gesetzt werden.",
"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()))",
"source": "http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit"
},
{
"key": "icd-7",
"severity": "warning",
"human": "Wenn die Diagnosesicherheit \"Z (Zustand nach)\" verwendet wird, dann muss clinicalStatus auf \"resolved\" und verificationStatus auf \"confirmed\" gesetzt werden.",
"expression": "code!='Z' or (%resource.clinicalStatus.coding.where(code='resolved').exists() and %resource.verificationStatus.coding.where(code='confirmed').exists())",
"source": "http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit"
}
],
"isModifier": false,
"isSummary": false,
"binding": {
"strength": "required",
"valueSet": "https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_ICD_DIAGNOSESICHERHEIT"
},
"mapping": [
{
"identity": "rim",
"map": "N/A"
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},
"differential": {
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{
"id": "Extension.url",
"path": "Extension.url",
"fixedUri": "http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit"
},
{
"id": "Extension.value[x]",
"path": "Extension.value[x]",
"min": 1,
"type": [
{
"code": "Coding"
}
],
"constraint": [
{
"key": "icd-4",
"severity": "warning",
"human": "Wenn die Diagnosesicherheit \"A (Ausschluss)\" verwendet wird, dann muss clinicalStatus leer bleiben und verificationStaus auf \"refuted\" gesetzt werden.",
"expression": "code!='A' or (%resource.verificationStatus.coding.where(code='refuted').exists() and %resource.clinicalStatus.empty())",
"source": "http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit"
},
{
"key": "icd-5",
"severity": "warning",
"human": "Wenn die Diagnosesicherheit \"G (Gesichert)\" verwendet wird, dann muss clinicalStatus auf \"active\" und verificationStatus auf \"confirmed\" gesetzt werden.",
"expression": "code!='G' or (%resource.clinicalStatus.coding.where(code='active').exists() and %resource.verificationStatus.coding.where(code='confirmed').exists())",
"source": "http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit"
},
{
"key": "icd-6",
"severity": "warning",
"human": "Wenn die Diagnosesicherheit \"V (Verdacht auf)\" verwendet wird, dann muss clinicalStatus auf \"active\" und verificationStatus auf \"provisional\" oder \"differential\" gesetzt werden.",
"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()))",
"source": "http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit"
},
{
"key": "icd-7",
"severity": "warning",
"human": "Wenn die Diagnosesicherheit \"Z (Zustand nach)\" verwendet wird, dann muss clinicalStatus auf \"resolved\" und verificationStatus auf \"confirmed\" gesetzt werden.",
"expression": "code!='Z' or (%resource.clinicalStatus.coding.where(code='resolved').exists() and %resource.verificationStatus.coding.where(code='confirmed').exists())",
"source": "http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit"
}
],
"binding": {
"strength": "required",
"valueSet": "https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_ICD_DIAGNOSESICHERHEIT"
}
}
]
}
}
FHIR