Name	Flags	Card.	Type	Description & Constraints
Condition			ISiKDiagnose
code
coding:icd-o-3-m	S	0..1	Coding	Code defined by a terminology system Binding: http://fhir.de/onkologie/ValueSet/icd-o-3-morphologie (required) Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/icd-o-3
diagnosesicherung	S	0..1	CodeableConcept	Diagnosesicherung ICD O URL: https://www.vision-zero-oncology.de/fhir/StructureDefinition/diagnosesicherung-icd-o Binding: https://www.vision-zero-oncology.de/fhir/ValueSet/vs-diagnosesicherung-icdo3 (required)
system	S	1..1	uri	Identity of the terminology system
code	S	1..1	code	Symbol in syntax defined by the system
text	S	0..1	string	Plain text representation of the concept
bodySite	S	0..*	CodeableConcept	Anatomical location, if relevant
Slices for coding		1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:snomed-ct	S	0..1	Coding	Code defined by a terminology system Binding: ValueSet - SNOMED CT Body Strutures (required)
system	S	1..1	uri	Identity of the terminology system
code	S	1..1	code	Symbol in syntax defined by the system
display	S	0..1	string	Representation defined by the system
coding:icdo3-t	S	1..1	Coding	Code defined by a terminology system Binding: http://fhir.de/onkologie/ValueSet/icd-o-3-topologie (required)
system	S	1..1	uri	Identity of the terminology system
version	S	1..1	string	Version of the system - if relevant
code	S	1..1	code	Symbol in syntax defined by the system
display	S	0..1	string	Representation defined by the system
onset[x]	S	0..1	dateTime, Period	Estimated or actual date, date-time, or age
abatement[x]	S	0..1	dateTime	When in resolution/remission
Slices for stage	S	0..*	BackboneElement	Stage/grade, usually assessed formally Slice: Unordered, Open by pattern:type
stage:staging		0..*	BackboneElement	Stage/grade, usually assessed formally
assessment	S	0..*	Reference(Profile UICC TNM)	Formal record of assessment
type	S	1..1	CodeableConcept	Kind of staging Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 258234001
stage:grading	S	0..*	BackboneElement	Stage/grade, usually assessed formally
assessment	S	0..*	Reference(Profile Histopathological Tumor Grading WHO)	Formal record of assessment
type	S	1..1	CodeableConcept	Kind of staging Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 258244004
evidence	S	0..*	BackboneElement	Supporting evidence
detail	S	0..*	Reference(Resource)	Supporting information found elsewhere
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet / Code
Condition.code.coding:icd-o-3-m	required	Pattern: null
Condition.bodySite.coding:snomed-ct	required	ValueSetSCTBodyStructures
Condition.bodySite.coding:icdo3-t	required	http://fhir.de/onkologie/ValueSet/icd-o-3-topologie

Name	Flags	Card.	Type	Description & Constraints
Condition	C	0..*	ISiKDiagnose	Detailed information about conditions, problems or diagnoses
id	SΣ	0..1	id	Logical id of this artifact
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension	SN	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
related	SN	0..1	Reference(Condition)	Conditions associated with this condition URL: http://hl7.org/fhir/StructureDefinition/condition-related
modifierExtension	?!N	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
clinicalStatus	?!SΣC	0..1	CodeableConcept	active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
verificationStatus	?!ΣC	0..1	CodeableConcept	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
code	SΣC	1..1	CodeableConcept	Identification of the condition, problem or diagnosis Binding: Condition/Problem/DiagnosisCodes (example): Identification of the condition or diagnosis.
Slices for coding	SΣN	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:ICD-10-GM	SΣN	0..1	CodingICD10GM	A reference to a code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/bfarm/icd-10-gm
Mehrfachcodierungs-Kennzeichen	SN	0..1	Coding	Optional Extensions Element URL: http://fhir.de/StructureDefinition/icd-10-gm-mehrfachcodierungs-kennzeichen Binding: MehrfachkodierungsKennzeichen (required)
Seitenlokalisation	SN	0..1	Coding	Optional Extensions Element URL: http://fhir.de/StructureDefinition/seitenlokalisation Binding: https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_ICD_SEITENLOKALISATION (required)
Diagnosesicherheit	SN	0..1	Coding	Optional Extensions Element URL: http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit Binding: https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_ICD_DIAGNOSESICHERHEIT (required)
system	ΣN	1..1	uri	Canonische CodeSystem URL für ICD-10-GM Fixed Value: http://fhir.de/CodeSystem/bfarm/icd-10-gm
version	ΣN	1..1	string	Die Jahresversion von ICD-10-GM. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017")
code	ΣCN	1..1	code	Der ICD-10-Code Example Einfacher ICD-Code: F17.4
coding:Alpha-ID	SΣN	0..1	Coding	Code defined by a terminology system Binding: AlphaId (required) Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/alpha-id
system	SΣN	1..1	uri	Identity of the terminology system
code	SΣN	1..1	code	Symbol in syntax defined by the system
coding:SNOMED-CT	SΣN	0..1	Coding	Code defined by a terminology system Binding: DiagnosesSCT (required) Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
system	SΣN	1..1	uri	Identity of the terminology system
code	SΣN	1..1	code	Symbol in syntax defined by the system
coding:Orphanet	SΣN	0..1	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://www.orpha.net
system	SΣN	1..1	uri	Identity of the terminology system
code	ΣN	1..1	code	Symbol in syntax defined by the system
coding:icd-o-3-m	SΣ	0..1	Coding	Code defined by a terminology system Binding: http://fhir.de/onkologie/ValueSet/icd-o-3-morphologie (required) Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/icd-o-3
diagnosesicherung	S	0..1	CodeableConcept	Diagnosesicherung ICD O URL: https://www.vision-zero-oncology.de/fhir/StructureDefinition/diagnosesicherung-icd-o Binding: https://www.vision-zero-oncology.de/fhir/ValueSet/vs-diagnosesicherung-icdo3 (required)
system	SΣ	1..1	uri	Identity of the terminology system
code	SΣ	1..1	code	Symbol in syntax defined by the system
text	SΣ	0..1	string	Plain text representation of the concept
bodySite	SΣ	0..*	CodeableConcept	Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:snomed-ct	SΣ	0..1	Coding	Code defined by a terminology system Binding: ValueSet - SNOMED CT Body Strutures (required)
system	SΣ	1..1	uri	Identity of the terminology system
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
coding:icdo3-t	SΣ	1..1	Coding	Code defined by a terminology system Binding: http://fhir.de/onkologie/ValueSet/icd-o-3-topologie (required)
system	SΣ	1..1	uri	Identity of the terminology system
version	SΣ	1..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
subject	SΣC	1..1	Reference(Patient | Group)	Who has the condition?
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
encounter	SΣC	0..1	Reference(Encounter)	Encounter created as part of
Slices for onset[x]	SΣ	0..1		Estimated or actual date, date-time, or age Slice: Unordered, Closed by type:$this
onsetDateTime			dateTime
onsetPeriod			Period
onset[x]:onsetPeriod	Σ	0..1	Period	Estimated or actual date, date-time, or age
start	ΣC	0..1	dateTime	Starting time with inclusive boundary
Lebensphase-Start	N	0..1	CodeableConcept	Optional Extensions Element URL: http://fhir.de/StructureDefinition/lebensphase
end	ΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing
Lebensphase-Ende	N	0..1	CodeableConcept	Optional Extensions Element URL: http://fhir.de/StructureDefinition/lebensphase
onset[x]:onsetDateTime	Σ	0..1	dateTime	Estimated or actual date, date-time, or age
abatement[x]	SC	0..1	dateTime	When in resolution/remission
recordedDate	SΣ	1..1	dateTime	Date record was first recorded
Slices for stage	SC	0..*	BackboneElement	Stage/grade, usually assessed formally Slice: Unordered, Open by pattern:type
stage:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
summary	C	0..1	CodeableConcept	Simple summary (disease specific) Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).
assessment	C	0..*	Reference(ClinicalImpression | DiagnosticReport | Observation)	Formal record of assessment
stage:staging	C	0..*	BackboneElement	Stage/grade, usually assessed formally
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
summary	C	0..1	CodeableConcept	Simple summary (disease specific) Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).
assessment	SC	0..*	Reference(Profile UICC TNM)	Formal record of assessment
type	S	1..1	CodeableConcept	Kind of staging Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological). Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 258234001
stage:grading	SC	0..*	BackboneElement	Stage/grade, usually assessed formally
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
summary	C	0..1	CodeableConcept	Simple summary (disease specific) Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).
assessment	SC	0..*	Reference(Profile Histopathological Tumor Grading WHO)	Formal record of assessment
type	S	1..1	CodeableConcept	Kind of staging Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological). Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 258244004
evidence	SC	0..*	BackboneElement	Supporting evidence
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	ΣC	0..*	CodeableConcept	Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.
detail	SΣC	0..*	Reference(Resource)	Supporting information found elsewhere
note	S	0..*	Annotation	Additional information about the Condition
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
Condition.clinicalStatus	required	ConditionClinicalStatusCodes
Condition.verificationStatus	required	ConditionVerificationStatus
Condition.code	example	Condition/Problem/DiagnosisCodes
Condition.code.coding:Alpha-ID	required	Pattern: null
Condition.code.coding:SNOMED-CT	required	Pattern: SNOMED CT code null
Condition.code.coding:icd-o-3-m	required	Pattern: null
Condition.bodySite	example	SNOMEDCTBodyStructures
Condition.bodySite.coding:snomed-ct	required	ValueSetSCTBodyStructures
Condition.bodySite.coding:icdo3-t	required	http://fhir.de/onkologie/ValueSet/icd-o-3-topologie
Condition.stage.summary	example	ConditionStage
Condition.stage:staging.summary	example	ConditionStage
Condition.stage:staging.type	example	Pattern: SNOMED CT code 258234001
Condition.stage:grading.summary	example	ConditionStage
Condition.stage:grading.type	example	Pattern: SNOMED CT code 258244004
Condition.evidence.code	example	ManifestationAndSymptomCodes

Constraints

Id	Grade	Path(s)	Details	Requirements
con-1	error	Condition.stage, Condition.stage:staging, Condition.stage:grading	Stage SHALL have summary or assessment : summary.exists() or assessment.exists()
con-2	error	Condition.evidence	evidence SHALL have code or details : code.exists() or detail.exists()
con-3	best practice	Condition	Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item : clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
con-4	error	Condition	If condition is abated, then clinicalStatus must be either inactive, resolved, or remission : abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
con-5	error	Condition	Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
dom-2	error	Condition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Condition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Condition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Condition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Condition	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** elements	Must have either extensions or value[x], not both : extension.exists() != value.exists()
icd-regex	warning	Condition.code.coding:ICD-10-GM.code	In code sind nur gültige ICD-10-Codes ohne Zusätze erlaubt : matches('^[A-Z][0-9][A-Z0-9](\\.?[A-Z0-9]{0,4})?$')
icd-text-1	error	Condition.code	Entweder MUSS eine kodierte Diagnose vorliegen oder eine textuelle Beschreibung. Stattdessen nur Extensions hinzuzufügen (vgl. https://www.hl7.org/fhir/element.html - ele-1), ist explizit nicht erlaubt. : coding.exists().not() implies text.exists()
isik-con1	error	Condition	Falls eine kodierte Diagnose vorliegt muss angegeben werden durch welchen Kontakt diese Dokumentation erfolgte. : code.coding.exists() implies encounter.exists()
ref-1	error	Condition.subject, Condition.encounter, Condition.stage.assessment, Condition.stage:staging.assessment, Condition.stage:grading.assessment, Condition.evidence.detail	SHALL have a contained resource if a local reference is provided : reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))

Name	Flags	Card.	Type	Description & Constraints
Condition	C	0..*	ISiKDiagnose	Detailed information about conditions, problems or diagnoses
id	SΣ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension	SN	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
related	SN	0..1	Reference(Condition)	Conditions associated with this condition URL: http://hl7.org/fhir/StructureDefinition/condition-related
modifierExtension	?!N	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
identifier	Σ	0..*	Identifier	External Ids for this condition
clinicalStatus	?!SΣC	0..1	CodeableConcept	active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
verificationStatus	?!ΣC	0..1	CodeableConcept	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
category		0..*	CodeableConcept	problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
severity		0..1	CodeableConcept	Subjective severity of condition Binding: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.
code	SΣC	1..1	CodeableConcept	Identification of the condition, problem or diagnosis Binding: Condition/Problem/DiagnosisCodes (example): Identification of the condition or diagnosis.
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	SΣN	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:ICD-10-GM	SΣN	0..1	CodingICD10GM	A reference to a code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/bfarm/icd-10-gm
version		0..1	string	Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
id		0..1	string	Unique id for inter-element referencing
Slices for extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Mehrfachcodierungs-Kennzeichen	SN	0..1	Coding	Optional Extensions Element URL: http://fhir.de/StructureDefinition/icd-10-gm-mehrfachcodierungs-kennzeichen Binding: MehrfachkodierungsKennzeichen (required)
Seitenlokalisation	SN	0..1	Coding	Optional Extensions Element URL: http://fhir.de/StructureDefinition/seitenlokalisation Binding: https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_ICD_SEITENLOKALISATION (required)
Diagnosesicherheit	SN	0..1	Coding	Optional Extensions Element URL: http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit Binding: https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_ICD_DIAGNOSESICHERHEIT (required)
system	ΣN	1..1	uri	Canonische CodeSystem URL für ICD-10-GM Fixed Value: http://fhir.de/CodeSystem/bfarm/icd-10-gm
version	ΣN	1..1	string	Die Jahresversion von ICD-10-GM. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017")
code	ΣCN	1..1	code	Der ICD-10-Code Example Einfacher ICD-Code: F17.4
display	ΣN	0..1	string	Representation defined by the system
userSelected	ΣN	0..1	boolean	If this coding was chosen directly by the user
coding:Alpha-ID	SΣN	0..1	Coding	Code defined by a terminology system Binding: AlphaId (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/alpha-id
version		0..1	string	Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣN	1..1	uri	Identity of the terminology system
version	ΣN	0..1	string	Version of the system - if relevant
code	SΣN	1..1	code	Symbol in syntax defined by the system
display	ΣN	0..1	string	Representation defined by the system
userSelected	ΣN	0..1	boolean	If this coding was chosen directly by the user
coding:SNOMED-CT	SΣN	0..1	Coding	Code defined by a terminology system Binding: DiagnosesSCT (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣN	1..1	uri	Identity of the terminology system
version	ΣN	0..1	string	Version of the system - if relevant
code	SΣN	1..1	code	Symbol in syntax defined by the system
display	ΣN	0..1	string	Representation defined by the system
userSelected	ΣN	0..1	boolean	If this coding was chosen directly by the user
coding:Orphanet	SΣN	0..1	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://www.orpha.net
version		0..1	string	Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣN	1..1	uri	Identity of the terminology system
version	ΣN	0..1	string	Version of the system - if relevant
code	ΣN	1..1	code	Symbol in syntax defined by the system
display	ΣN	0..1	string	Representation defined by the system
userSelected	ΣN	0..1	boolean	If this coding was chosen directly by the user
coding:icd-o-3-m	SΣ	0..1	Coding	Code defined by a terminology system Binding: http://fhir.de/onkologie/ValueSet/icd-o-3-morphologie (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/icd-o-3
version		0..1	string	Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
diagnosesicherung	S	0..1	CodeableConcept	Diagnosesicherung ICD O URL: https://www.vision-zero-oncology.de/fhir/StructureDefinition/diagnosesicherung-icd-o Binding: https://www.vision-zero-oncology.de/fhir/ValueSet/vs-diagnosesicherung-icdo3 (required)
system	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	SΣ	0..1	string	Plain text representation of the concept
bodySite	SΣ	0..*	CodeableConcept	Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:snomed-ct	SΣ	0..1	Coding	Code defined by a terminology system Binding: ValueSet - SNOMED CT Body Strutures (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:icdo3-t	SΣ	1..1	Coding	Code defined by a terminology system Binding: http://fhir.de/onkologie/ValueSet/icd-o-3-topologie (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system
version	SΣ	1..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
subject	SΣC	1..1	Reference(Patient | Group)	Who has the condition?
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
encounter	SΣC	0..1	Reference(Encounter)	Encounter created as part of
Slices for onset[x]	SΣ	0..1		Estimated or actual date, date-time, or age Slice: Unordered, Closed by type:$this
onsetDateTime			dateTime
onsetPeriod			Period
onset[x]:onsetPeriod	Σ	0..1	Period	Estimated or actual date, date-time, or age
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	ΣC	0..1	dateTime	Starting time with inclusive boundary
id		0..1	string	Unique id for inter-element referencing
Slices for extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Lebensphase-Start	N	0..1	CodeableConcept	Optional Extensions Element URL: http://fhir.de/StructureDefinition/lebensphase
value		0..1	dateTime	Primitive value for dateTime
end	ΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing
id		0..1	string	Unique id for inter-element referencing
Slices for extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Lebensphase-Ende	N	0..1	CodeableConcept	Optional Extensions Element URL: http://fhir.de/StructureDefinition/lebensphase
value		0..1	dateTime	Primitive value for dateTime
onset[x]:onsetDateTime	Σ	0..1	dateTime	Estimated or actual date, date-time, or age
abatement[x]	SC	0..1	dateTime	When in resolution/remission
recordedDate	SΣ	1..1	dateTime	Date record was first recorded
recorder	ΣC	0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Who recorded the condition
asserter	ΣC	0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Person who asserts this condition
Slices for stage	SC	0..*	BackboneElement	Stage/grade, usually assessed formally Slice: Unordered, Open by pattern:type
stage:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
summary	C	0..1	CodeableConcept	Simple summary (disease specific) Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).
assessment	C	0..*	Reference(ClinicalImpression | DiagnosticReport | Observation)	Formal record of assessment
type		0..1	CodeableConcept	Kind of staging Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).
stage:staging	C	0..*	BackboneElement	Stage/grade, usually assessed formally
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
summary	C	0..1	CodeableConcept	Simple summary (disease specific) Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).
assessment	SC	0..*	Reference(Profile UICC TNM)	Formal record of assessment
type	S	1..1	CodeableConcept	Kind of staging Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological). Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 258234001
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
stage:grading	SC	0..*	BackboneElement	Stage/grade, usually assessed formally
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
summary	C	0..1	CodeableConcept	Simple summary (disease specific) Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).
assessment	SC	0..*	Reference(Profile Histopathological Tumor Grading WHO)	Formal record of assessment
type	S	1..1	CodeableConcept	Kind of staging Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological). Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 258244004
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
evidence	SC	0..*	BackboneElement	Supporting evidence
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	ΣC	0..*	CodeableConcept	Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.
detail	SΣC	0..*	Reference(Resource)	Supporting information found elsewhere
note	S	0..*	Annotation	Additional information about the Condition
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
Condition.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
Condition.clinicalStatus	required	ConditionClinicalStatusCodes
Condition.verificationStatus	required	ConditionVerificationStatus
Condition.category	extensible	ConditionCategoryCodes
Condition.severity	preferred	Condition/DiagnosisSeverity
Condition.code	example	Condition/Problem/DiagnosisCodes
Condition.code.coding:Alpha-ID	required	Pattern: null
Condition.code.coding:SNOMED-CT	required	Pattern: SNOMED CT code null
Condition.code.coding:icd-o-3-m	required	Pattern: null
Condition.bodySite	example	SNOMEDCTBodyStructures
Condition.bodySite.coding:snomed-ct	required	ValueSetSCTBodyStructures
Condition.bodySite.coding:icdo3-t	required	http://fhir.de/onkologie/ValueSet/icd-o-3-topologie
Condition.subject.type	extensible	ResourceType
Condition.stage.summary	example	ConditionStage
Condition.stage.type	example	ConditionStageType
Condition.stage:staging.summary	example	ConditionStage
Condition.stage:staging.type	example	Pattern: SNOMED CT code 258234001
Condition.stage:grading.summary	example	ConditionStage
Condition.stage:grading.type	example	Pattern: SNOMED CT code 258244004
Condition.evidence.code	example	ManifestationAndSymptomCodes

Constraints

Id	Grade	Path(s)	Details	Requirements
con-1	error	Condition.stage, Condition.stage:staging, Condition.stage:grading	Stage SHALL have summary or assessment : summary.exists() or assessment.exists()
con-2	error	Condition.evidence	evidence SHALL have code or details : code.exists() or detail.exists()
con-3	best practice	Condition	Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item : clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
con-4	error	Condition	If condition is abated, then clinicalStatus must be either inactive, resolved, or remission : abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
con-5	error	Condition	Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
dom-2	error	Condition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Condition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Condition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Condition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Condition	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** elements	Must have either extensions or value[x], not both : extension.exists() != value.exists()
icd-regex	warning	Condition.code.coding:ICD-10-GM.code	In code sind nur gültige ICD-10-Codes ohne Zusätze erlaubt : matches('^[A-Z][0-9][A-Z0-9](\\.?[A-Z0-9]{0,4})?$')
icd-text-1	error	Condition.code	Entweder MUSS eine kodierte Diagnose vorliegen oder eine textuelle Beschreibung. Stattdessen nur Extensions hinzuzufügen (vgl. https://www.hl7.org/fhir/element.html - ele-1), ist explizit nicht erlaubt. : coding.exists().not() implies text.exists()
isik-con1	error	Condition	Falls eine kodierte Diagnose vorliegt muss angegeben werden durch welchen Kontakt diese Dokumentation erfolgte. : code.coding.exists() implies encounter.exists()
ref-1	error	Condition.subject, Condition.encounter, Condition.recorder, Condition.asserter, Condition.stage.assessment, Condition.stage:staging.assessment, Condition.stage:grading.assessment, Condition.evidence.detail	SHALL have a contained resource if a local reference is provided : reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))

Summary

Mandatory: 0 element (11 nested mandatory elements)
Must-Support: 25 elements

Structures

This structure refers to these other structures:

• Profile UICC TNM (https://www.vision-zero-oncology.de/fhir/StructureDefinition/uicc-tnm)
• Profile Histopathological Tumor Grading WHO (https://www.vision-zero-oncology.de/fhir/StructureDefinition/histopathological-grading-who)

Extensions

This structure refers to these extensions:

• https://www.vision-zero-oncology.de/fhir/StructureDefinition/diagnosesicherung-icd-o

Slices

This structure defines the following Slices:

• The element Condition.bodySite.coding is sliced based on the value of pattern:$this
• The element Condition.stage is sliced based on the value of pattern:type

Name	Flags	Card.	Type	Description & Constraints
Condition			ISiKDiagnose
code
coding:icd-o-3-m	S	0..1	Coding	Code defined by a terminology system Binding: http://fhir.de/onkologie/ValueSet/icd-o-3-morphologie (required) Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/icd-o-3
diagnosesicherung	S	0..1	CodeableConcept	Diagnosesicherung ICD O URL: https://www.vision-zero-oncology.de/fhir/StructureDefinition/diagnosesicherung-icd-o Binding: https://www.vision-zero-oncology.de/fhir/ValueSet/vs-diagnosesicherung-icdo3 (required)
system	S	1..1	uri	Identity of the terminology system
code	S	1..1	code	Symbol in syntax defined by the system
text	S	0..1	string	Plain text representation of the concept
bodySite	S	0..*	CodeableConcept	Anatomical location, if relevant
Slices for coding		1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:snomed-ct	S	0..1	Coding	Code defined by a terminology system Binding: ValueSet - SNOMED CT Body Strutures (required)
system	S	1..1	uri	Identity of the terminology system
code	S	1..1	code	Symbol in syntax defined by the system
display	S	0..1	string	Representation defined by the system
coding:icdo3-t	S	1..1	Coding	Code defined by a terminology system Binding: http://fhir.de/onkologie/ValueSet/icd-o-3-topologie (required)
system	S	1..1	uri	Identity of the terminology system
version	S	1..1	string	Version of the system - if relevant
code	S	1..1	code	Symbol in syntax defined by the system
display	S	0..1	string	Representation defined by the system
onset[x]	S	0..1	dateTime, Period	Estimated or actual date, date-time, or age
abatement[x]	S	0..1	dateTime	When in resolution/remission
Slices for stage	S	0..*	BackboneElement	Stage/grade, usually assessed formally Slice: Unordered, Open by pattern:type
stage:staging		0..*	BackboneElement	Stage/grade, usually assessed formally
assessment	S	0..*	Reference(Profile UICC TNM)	Formal record of assessment
type	S	1..1	CodeableConcept	Kind of staging Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 258234001
stage:grading	S	0..*	BackboneElement	Stage/grade, usually assessed formally
assessment	S	0..*	Reference(Profile Histopathological Tumor Grading WHO)	Formal record of assessment
type	S	1..1	CodeableConcept	Kind of staging Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 258244004
evidence	S	0..*	BackboneElement	Supporting evidence
detail	S	0..*	Reference(Resource)	Supporting information found elsewhere
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet / Code
Condition.code.coding:icd-o-3-m	required	Pattern: null
Condition.bodySite.coding:snomed-ct	required	ValueSetSCTBodyStructures
Condition.bodySite.coding:icdo3-t	required	http://fhir.de/onkologie/ValueSet/icd-o-3-topologie

Name	Flags	Card.	Type	Description & Constraints
Condition	C	0..*	ISiKDiagnose	Detailed information about conditions, problems or diagnoses
id	SΣ	0..1	id	Logical id of this artifact
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension	SN	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
related	SN	0..1	Reference(Condition)	Conditions associated with this condition URL: http://hl7.org/fhir/StructureDefinition/condition-related
modifierExtension	?!N	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
clinicalStatus	?!SΣC	0..1	CodeableConcept	active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
verificationStatus	?!ΣC	0..1	CodeableConcept	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
code	SΣC	1..1	CodeableConcept	Identification of the condition, problem or diagnosis Binding: Condition/Problem/DiagnosisCodes (example): Identification of the condition or diagnosis.
Slices for coding	SΣN	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:ICD-10-GM	SΣN	0..1	CodingICD10GM	A reference to a code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/bfarm/icd-10-gm
Mehrfachcodierungs-Kennzeichen	SN	0..1	Coding	Optional Extensions Element URL: http://fhir.de/StructureDefinition/icd-10-gm-mehrfachcodierungs-kennzeichen Binding: MehrfachkodierungsKennzeichen (required)
Seitenlokalisation	SN	0..1	Coding	Optional Extensions Element URL: http://fhir.de/StructureDefinition/seitenlokalisation Binding: https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_ICD_SEITENLOKALISATION (required)
Diagnosesicherheit	SN	0..1	Coding	Optional Extensions Element URL: http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit Binding: https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_ICD_DIAGNOSESICHERHEIT (required)
system	ΣN	1..1	uri	Canonische CodeSystem URL für ICD-10-GM Fixed Value: http://fhir.de/CodeSystem/bfarm/icd-10-gm
version	ΣN	1..1	string	Die Jahresversion von ICD-10-GM. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017")
code	ΣCN	1..1	code	Der ICD-10-Code Example Einfacher ICD-Code: F17.4
coding:Alpha-ID	SΣN	0..1	Coding	Code defined by a terminology system Binding: AlphaId (required) Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/alpha-id
system	SΣN	1..1	uri	Identity of the terminology system
code	SΣN	1..1	code	Symbol in syntax defined by the system
coding:SNOMED-CT	SΣN	0..1	Coding	Code defined by a terminology system Binding: DiagnosesSCT (required) Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
system	SΣN	1..1	uri	Identity of the terminology system
code	SΣN	1..1	code	Symbol in syntax defined by the system
coding:Orphanet	SΣN	0..1	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://www.orpha.net
system	SΣN	1..1	uri	Identity of the terminology system
code	ΣN	1..1	code	Symbol in syntax defined by the system
coding:icd-o-3-m	SΣ	0..1	Coding	Code defined by a terminology system Binding: http://fhir.de/onkologie/ValueSet/icd-o-3-morphologie (required) Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/icd-o-3
diagnosesicherung	S	0..1	CodeableConcept	Diagnosesicherung ICD O URL: https://www.vision-zero-oncology.de/fhir/StructureDefinition/diagnosesicherung-icd-o Binding: https://www.vision-zero-oncology.de/fhir/ValueSet/vs-diagnosesicherung-icdo3 (required)
system	SΣ	1..1	uri	Identity of the terminology system
code	SΣ	1..1	code	Symbol in syntax defined by the system
text	SΣ	0..1	string	Plain text representation of the concept
bodySite	SΣ	0..*	CodeableConcept	Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:snomed-ct	SΣ	0..1	Coding	Code defined by a terminology system Binding: ValueSet - SNOMED CT Body Strutures (required)
system	SΣ	1..1	uri	Identity of the terminology system
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
coding:icdo3-t	SΣ	1..1	Coding	Code defined by a terminology system Binding: http://fhir.de/onkologie/ValueSet/icd-o-3-topologie (required)
system	SΣ	1..1	uri	Identity of the terminology system
version	SΣ	1..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
subject	SΣC	1..1	Reference(Patient | Group)	Who has the condition?
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
encounter	SΣC	0..1	Reference(Encounter)	Encounter created as part of
Slices for onset[x]	SΣ	0..1		Estimated or actual date, date-time, or age Slice: Unordered, Closed by type:$this
onsetDateTime			dateTime
onsetPeriod			Period
onset[x]:onsetPeriod	Σ	0..1	Period	Estimated or actual date, date-time, or age
start	ΣC	0..1	dateTime	Starting time with inclusive boundary
Lebensphase-Start	N	0..1	CodeableConcept	Optional Extensions Element URL: http://fhir.de/StructureDefinition/lebensphase
end	ΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing
Lebensphase-Ende	N	0..1	CodeableConcept	Optional Extensions Element URL: http://fhir.de/StructureDefinition/lebensphase
onset[x]:onsetDateTime	Σ	0..1	dateTime	Estimated or actual date, date-time, or age
abatement[x]	SC	0..1	dateTime	When in resolution/remission
recordedDate	SΣ	1..1	dateTime	Date record was first recorded
Slices for stage	SC	0..*	BackboneElement	Stage/grade, usually assessed formally Slice: Unordered, Open by pattern:type
stage:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
summary	C	0..1	CodeableConcept	Simple summary (disease specific) Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).
assessment	C	0..*	Reference(ClinicalImpression | DiagnosticReport | Observation)	Formal record of assessment
stage:staging	C	0..*	BackboneElement	Stage/grade, usually assessed formally
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
summary	C	0..1	CodeableConcept	Simple summary (disease specific) Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).
assessment	SC	0..*	Reference(Profile UICC TNM)	Formal record of assessment
type	S	1..1	CodeableConcept	Kind of staging Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological). Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 258234001
stage:grading	SC	0..*	BackboneElement	Stage/grade, usually assessed formally
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
summary	C	0..1	CodeableConcept	Simple summary (disease specific) Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).
assessment	SC	0..*	Reference(Profile Histopathological Tumor Grading WHO)	Formal record of assessment
type	S	1..1	CodeableConcept	Kind of staging Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological). Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 258244004
evidence	SC	0..*	BackboneElement	Supporting evidence
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	ΣC	0..*	CodeableConcept	Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.
detail	SΣC	0..*	Reference(Resource)	Supporting information found elsewhere
note	S	0..*	Annotation	Additional information about the Condition
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
Condition.clinicalStatus	required	ConditionClinicalStatusCodes
Condition.verificationStatus	required	ConditionVerificationStatus
Condition.code	example	Condition/Problem/DiagnosisCodes
Condition.code.coding:Alpha-ID	required	Pattern: null
Condition.code.coding:SNOMED-CT	required	Pattern: SNOMED CT code null
Condition.code.coding:icd-o-3-m	required	Pattern: null
Condition.bodySite	example	SNOMEDCTBodyStructures
Condition.bodySite.coding:snomed-ct	required	ValueSetSCTBodyStructures
Condition.bodySite.coding:icdo3-t	required	http://fhir.de/onkologie/ValueSet/icd-o-3-topologie
Condition.stage.summary	example	ConditionStage
Condition.stage:staging.summary	example	ConditionStage
Condition.stage:staging.type	example	Pattern: SNOMED CT code 258234001
Condition.stage:grading.summary	example	ConditionStage
Condition.stage:grading.type	example	Pattern: SNOMED CT code 258244004
Condition.evidence.code	example	ManifestationAndSymptomCodes

Constraints

Id	Grade	Path(s)	Details	Requirements
con-1	error	Condition.stage, Condition.stage:staging, Condition.stage:grading	Stage SHALL have summary or assessment : summary.exists() or assessment.exists()
con-2	error	Condition.evidence	evidence SHALL have code or details : code.exists() or detail.exists()
con-3	best practice	Condition	Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item : clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
con-4	error	Condition	If condition is abated, then clinicalStatus must be either inactive, resolved, or remission : abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
con-5	error	Condition	Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
dom-2	error	Condition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Condition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Condition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Condition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Condition	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** elements	Must have either extensions or value[x], not both : extension.exists() != value.exists()
icd-regex	warning	Condition.code.coding:ICD-10-GM.code	In code sind nur gültige ICD-10-Codes ohne Zusätze erlaubt : matches('^[A-Z][0-9][A-Z0-9](\\.?[A-Z0-9]{0,4})?$')
icd-text-1	error	Condition.code	Entweder MUSS eine kodierte Diagnose vorliegen oder eine textuelle Beschreibung. Stattdessen nur Extensions hinzuzufügen (vgl. https://www.hl7.org/fhir/element.html - ele-1), ist explizit nicht erlaubt. : coding.exists().not() implies text.exists()
isik-con1	error	Condition	Falls eine kodierte Diagnose vorliegt muss angegeben werden durch welchen Kontakt diese Dokumentation erfolgte. : code.coding.exists() implies encounter.exists()
ref-1	error	Condition.subject, Condition.encounter, Condition.stage.assessment, Condition.stage:staging.assessment, Condition.stage:grading.assessment, Condition.evidence.detail	SHALL have a contained resource if a local reference is provided : reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))