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{
"resourceType": "StructureDefinition",
"id": "KBV-PR-VoS-Condition",
"url": "https://fhir.kbv.de/StructureDefinition/KBV_PR_VoS_Condition",
"version": "2.2.0",
"name": "KBV_PR_VoS_Condition",
"title": "KBV_PR_VoS_Condition",
"status": "draft",
"date": "2025-10-01",
"publisher": "Kassenärztliche Bundesvereinigung",
"description": "Übergabe von Diagnosen einer behandelten Person vom PVS an die VoS.",
"fhirVersion": "4.0.1",
"kind": "resource",
"abstract": false,
"type": "Condition",
"baseDefinition": "https://fhir.kbv.de/StructureDefinition/KBV_PR_Base_Condition_Diagnosis|1.7.0",
"derivation": "constraint",
"differential": {
"element": [
{
"id": "Condition",
"path": "Condition",
"short": "Diagnosen der behandelten Person",
"definition": "Eine der behandelten Person zugeordnete Diagnose."
},
{
"id": "Condition.id",
"path": "Condition.id",
"min": 1,
"mustSupport": true
},
{
"id": "Condition.meta",
"path": "Condition.meta",
"min": 1,
"mustSupport": true
},
{
"id": "Condition.meta.source",
"path": "Condition.meta.source",
"max": "0"
},
{
"id": "Condition.meta.profile",
"path": "Condition.meta.profile",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "$this"
}
],
"rules": "open"
},
"min": 1,
"mustSupport": true
},
{
"id": "Condition.meta.profile:vosProfile",
"path": "Condition.meta.profile",
"sliceName": "vosProfile",
"min": 1,
"max": "1",
"fixedCanonical": "https://fhir.kbv.de/StructureDefinition/KBV_PR_VoS_Condition|2.2.0",
"mustSupport": true
},
{
"id": "Condition.implicitRules",
"path": "Condition.implicitRules",
"max": "0"
},
{
"id": "Condition.language",
"path": "Condition.language",
"max": "0"
},
{
"id": "Condition.contained",
"path": "Condition.contained",
"max": "0"
},
{
"id": "Condition.extension",
"path": "Condition.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "closed"
},
"min": 1
},
{
"id": "Condition.extension:Feststellungsdatum",
"path": "Condition.extension",
"sliceName": "Feststellungsdatum",
"max": "0"
},
{
"id": "Condition.extension:Dauerdiagnose",
"path": "Condition.extension",
"sliceName": "Dauerdiagnose",
"short": "Dauerdiagnosenkennzeichnung",
"definition": "Kennzeichnung, ob es sich um eine Dauerdiagnose handelt",
"min": 1,
"max": "1",
"type": [
{
"code": "Extension",
"profile": [
"https://fhir.kbv.de/StructureDefinition/KBV_EX_VoS_isPermanent"
]
}
],
"mustSupport": true,
"isModifier": false
},
{
"id": "Condition.extension:Dauerdiagnose.value[x]",
"path": "Condition.extension.value[x]",
"mustSupport": true
},
{
"id": "Condition.extension:Dauerdiagnose.value[x]:valueBoolean",
"path": "Condition.extension.value[x]",
"sliceName": "valueBoolean",
"short": "Dauerdiagnose",
"definition": "Angabe, ob die Diagnose eine Dauerdiagnose ist. true = Dauerdiagnose, false = keine Dauerdiagnose",
"type": [
{
"code": "boolean"
}
],
"mustSupport": true
},
{
"id": "Condition.extension:Kombination",
"path": "Condition.extension",
"sliceName": "Kombination",
"short": "Kombination",
"definition": "ICD-10(-GM) Codes können in mehrfachkodierter Form auftreten. \r\nAufgrund der gängigen Praxis, die es Erlaubt, dass zusammengesetzte Codes unabhängig voneinander Zusatzkennzeichen \r\nwie Diagnosesicherheit und -lokalisation zugeordnet werden können, müssen beide Codebestandteile als separate \r\nConditions aufgefasst werden, die miteinander in Beziehung stehen (Verlinkung). \r\nDie Verlinkung von Sekundär- auf die assoziierte Primärdiagnose erfolgt mit Hilfe der international \r\nabgestimmten Extension condition-related. Eine Verlinkung der Sekundärdiagnose in Richtung Primärdiagnose \r\nsollte vermieden werden, sodass keine zirkuläre Referenzierung entsteht.",
"min": 0,
"max": "1",
"type": [
{
"code": "Extension",
"profile": [
"http://hl7.org/fhir/StructureDefinition/condition-related"
]
}
],
"mustSupport": true,
"isModifier": false
},
{
"id": "Condition.extension:Kombination.value[x]",
"path": "Condition.extension.value[x]",
"type": [
{
"code": "Reference",
"targetProfile": [
"https://fhir.kbv.de/StructureDefinition/KBV_PR_VoS_Condition|2.2.0"
]
}
],
"mustSupport": true
},
{
"id": "Condition.identifier",
"path": "Condition.identifier",
"max": "0"
},
{
"id": "Condition.clinicalStatus",
"path": "Condition.clinicalStatus",
"mustSupport": true
},
{
"id": "Condition.clinicalStatus.coding",
"path": "Condition.clinicalStatus.coding",
"min": 1,
"max": "1",
"mustSupport": true
},
{
"id": "Condition.clinicalStatus.coding.system",
"path": "Condition.clinicalStatus.coding.system",
"min": 1,
"fixedUri": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"mustSupport": true
},
{
"id": "Condition.clinicalStatus.coding.version",
"path": "Condition.clinicalStatus.coding.version",
"min": 1,
"mustSupport": true
},
{
"id": "Condition.clinicalStatus.coding.code",
"path": "Condition.clinicalStatus.coding.code",
"min": 1,
"mustSupport": true
},
{
"id": "Condition.clinicalStatus.coding.display",
"path": "Condition.clinicalStatus.coding.display",
"min": 1,
"mustSupport": true
},
{
"id": "Condition.clinicalStatus.coding.userSelected",
"path": "Condition.clinicalStatus.coding.userSelected",
"max": "0"
},
{
"id": "Condition.clinicalStatus.text",
"path": "Condition.clinicalStatus.text",
"max": "0"
},
{
"id": "Condition.verificationStatus",
"path": "Condition.verificationStatus",
"mustSupport": true
},
{
"id": "Condition.verificationStatus.coding",
"path": "Condition.verificationStatus.coding",
"min": 1,
"max": "1",
"mustSupport": true
},
{
"id": "Condition.verificationStatus.coding.system",
"path": "Condition.verificationStatus.coding.system",
"min": 1,
"fixedUri": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"mustSupport": true
},
{
"id": "Condition.verificationStatus.coding.version",
"path": "Condition.verificationStatus.coding.version",
"min": 1,
"mustSupport": true
},
{
"id": "Condition.verificationStatus.coding.code",
"path": "Condition.verificationStatus.coding.code",
"min": 1,
"mustSupport": true
},
{
"id": "Condition.verificationStatus.coding.display",
"path": "Condition.verificationStatus.coding.display",
"min": 1,
"mustSupport": true
},
{
"id": "Condition.verificationStatus.coding.userSelected",
"path": "Condition.verificationStatus.coding.userSelected",
"max": "0"
},
{
"id": "Condition.verificationStatus.text",
"path": "Condition.verificationStatus.text",
"max": "0"
},
{
"id": "Condition.category",
"path": "Condition.category",
"max": "0"
},
{
"id": "Condition.severity",
"path": "Condition.severity",
"max": "0"
},
{
"id": "Condition.code",
"path": "Condition.code",
"mustSupport": true
},
{
"id": "Condition.code.coding:ICD-10-GM",
"path": "Condition.code.coding",
"sliceName": "ICD-10-GM",
"min": 1,
"mustSupport": true
},
{
"id": "Condition.code.coding:ICD-10-GM.extension:Mehrfachcodierungs-Kennzeichen",
"path": "Condition.code.coding.extension",
"sliceName": "Mehrfachcodierungs-Kennzeichen",
"mustSupport": true
},
{
"id": "Condition.code.coding:ICD-10-GM.extension:Seitenlokalisation",
"path": "Condition.code.coding.extension",
"sliceName": "Seitenlokalisation",
"mustSupport": true
},
{
"id": "Condition.code.coding:ICD-10-GM.extension:Seitenlokalisation.value[x]",
"path": "Condition.code.coding.extension.value[x]",
"mustSupport": true
},
{
"id": "Condition.code.coding:ICD-10-GM.extension:Seitenlokalisation.value[x].system",
"path": "Condition.code.coding.extension.value[x].system",
"mustSupport": true
},
{
"id": "Condition.code.coding:ICD-10-GM.extension:Seitenlokalisation.value[x].code",
"path": "Condition.code.coding.extension.value[x].code",
"mustSupport": true
},
{
"id": "Condition.code.coding:ICD-10-GM.extension:Diagnosesicherheit",
"path": "Condition.code.coding.extension",
"sliceName": "Diagnosesicherheit",
"mustSupport": true
},
{
"id": "Condition.code.coding:ICD-10-GM.extension:Diagnosesicherheit.value[x]",
"path": "Condition.code.coding.extension.value[x]",
"mustSupport": true
},
{
"id": "Condition.code.coding:ICD-10-GM.extension:Diagnosesicherheit.value[x].system",
"path": "Condition.code.coding.extension.value[x].system",
"min": 1,
"mustSupport": true
},
{
"id": "Condition.code.coding:ICD-10-GM.extension:Diagnosesicherheit.value[x].code",
"path": "Condition.code.coding.extension.value[x].code",
"min": 1,
"mustSupport": true
},
{
"id": "Condition.code.coding:ICD-10-GM.system",
"path": "Condition.code.coding.system",
"mustSupport": true
},
{
"id": "Condition.code.coding:ICD-10-GM.version",
"path": "Condition.code.coding.version",
"mustSupport": true
},
{
"id": "Condition.code.coding:ICD-10-GM.code",
"path": "Condition.code.coding.code",
"mustSupport": true
},
{
"id": "Condition.bodySite",
"path": "Condition.bodySite",
"max": "0"
},
{
"id": "Condition.subject",
"path": "Condition.subject",
"type": [
{
"code": "Reference",
"targetProfile": [
"https://fhir.kbv.de/StructureDefinition/KBV_PR_VoS_Patient|2.2.0"
]
}
],
"mustSupport": true
},
{
"id": "Condition.subject.reference",
"path": "Condition.subject.reference",
"min": 1,
"mustSupport": true
},
{
"id": "Condition.subject.type",
"path": "Condition.subject.type",
"max": "0"
},
{
"id": "Condition.subject.identifier",
"path": "Condition.subject.identifier",
"max": "0"
},
{
"id": "Condition.subject.display",
"path": "Condition.subject.display",
"max": "0"
},
{
"id": "Condition.encounter",
"path": "Condition.encounter",
"max": "0"
},
{
"id": "Condition.onset[x]",
"path": "Condition.onset[x]",
"max": "0"
},
{
"id": "Condition.onset[x]:onsetPeriod",
"path": "Condition.onset[x]",
"sliceName": "onsetPeriod",
"max": "0",
"type": [
{
"code": "Period"
}
]
},
{
"id": "Condition.onset[x]:onsetRange",
"path": "Condition.onset[x]",
"sliceName": "onsetRange",
"max": "0",
"type": [
{
"code": "Range"
}
]
},
{
"id": "Condition.onset[x]:onsetDateTime",
"path": "Condition.onset[x]",
"sliceName": "onsetDateTime",
"max": "0",
"type": [
{
"code": "dateTime"
}
]
},
{
"id": "Condition.onset[x]:onsetAge",
"path": "Condition.onset[x]",
"sliceName": "onsetAge",
"max": "0",
"type": [
{
"code": "Age"
}
]
},
{
"id": "Condition.abatement[x]",
"path": "Condition.abatement[x]",
"max": "0"
},
{
"id": "Condition.abatement[x]:abatementPeriod",
"path": "Condition.abatement[x]",
"sliceName": "abatementPeriod",
"max": "0",
"type": [
{
"code": "Period"
}
]
},
{
"id": "Condition.abatement[x]:abatementRange",
"path": "Condition.abatement[x]",
"sliceName": "abatementRange",
"max": "0",
"type": [
{
"code": "Range"
}
]
},
{
"id": "Condition.abatement[x]:abatementDateTime",
"path": "Condition.abatement[x]",
"sliceName": "abatementDateTime",
"max": "0",
"type": [
{
"code": "dateTime"
}
]
},
{
"id": "Condition.abatement[x]:abatementAge",
"path": "Condition.abatement[x]",
"sliceName": "abatementAge",
"max": "0",
"type": [
{
"code": "Age"
}
]
},
{
"id": "Condition.recordedDate",
"path": "Condition.recordedDate",
"max": "0"
},
{
"id": "Condition.recorder",
"path": "Condition.recorder",
"max": "0"
},
{
"id": "Condition.asserter",
"path": "Condition.asserter",
"max": "0"
},
{
"id": "Condition.stage",
"path": "Condition.stage",
"max": "0"
},
{
"id": "Condition.evidence",
"path": "Condition.evidence",
"max": "0"
},
{
"id": "Condition.note",
"path": "Condition.note",
"max": "0"
}
]
}
}
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