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FHIR IG Statistics: StructureDefinition/icd-10-gm-diagnosesicherheit

Packagede.basisprofil.r4
Resource TypeStructureDefinition
Idicd-10-gm-diagnosesicherheit
FHIR VersionR4
Sourcehttps://simplifier.net/resolve?scope=de.basisprofil.r4@1.5.4&canonical=http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit
URLhttp://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit
Version1.5.4
Statusactive
Date2025-06-16
NameExtensionICD10GMDiagnosesicherheit
TitleExtension zur Erfassung der Diagnosesicherheit gemäß KBV-Kodierrichtlinien
Authorityhl7
CopyrightHL7 Deutschland e.V.
TypeExtension
Kindcomplex-type

Resources that use this resource

StructureDefinition
KBV_PR_MIO_NFD_ConditionKBV_PR_MIO_NFD_Condition
KBV_PR_Base_DiagnosisKBV_PR_Base_Diagnosis
CodingICD10GMCoding-Profil für ICD-10-GM
KrebsDiagnoseKrebsdiagnose
PR_OSC_ICD10PR_OSC_ICD10

Resources that this resource uses

ValueSet
KBV_VS_SFHIR_ICD_DIAGNOSESICHERHEITKBV_VS_SFHIR_ICD_DIAGNOSESICHERHEIT

Examples of Use for Extension

No extension usage examples found


Narrative

No narrative content found in resource


Source

{
  "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": [
      {
        "id": "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": "Extension",
        "short": "Optional Extensions Element",
        "definition": "Optional Extension Element - found in all resources.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Extension",
          "min": 0,
          "max": "*"
        },
        "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')])"
          }
        ],
        "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.",
        "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"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension",
        "path": "Extension.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": "0",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "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": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.url",
        "path": "Extension.url",
        "representation": [
          "xmlAttr"
        ],
        "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": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "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"
        },
        "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"
          }
        ]
      }
    ]
  },
  "differential": {
    "element": [
      {
        "id": "Extension.extension",
        "path": "Extension.extension",
        "max": "0"
      },
      {
        "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"
        }
      }
    ]
  }
}