German Dental FHIR Profiles (R4)
0.36.1 - trial-use DE

German Dental FHIR Profiles (R4) - Local Development build (v0.36.1) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: Zahnärztliche Diagnose (DE)

Official URL: https://fhir.cognovis.de/dental/StructureDefinition/dental-condition Version: 0.36.1
Active as of 2026-05-30 Computable Name: DentalConditionDE

Copyright/Legal: Copyright 2026+ cognovis GmbH. Licensed under CC-BY-4.0.

Profil für zahnärztliche Diagnosen und Befunde. Nutzt ICD-10-GM und FDI-Zahnschema. Orientiert sich am HL7 Dental Data Exchange IG DentalCondition. Kompatibel mit KBV_PR_Base_Condition_Diagnosis.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Condition C 0..* PraxisConditionDE Detailed information about conditions, problems or diagnoses
Constraints: con-3, con-4, con-5, Rec1
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension Content/Rules for all slices
.... extension:Feststellungsdatum 0..1 dateTime Feststellungsdatum
URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
.... extension:aiProvenanceApplicable S 0..1 boolean KI-Provenance anwendbar (EU AI Act)
URL: https://fhir.cognovis.de/praxis/StructureDefinition/ai-provenance-applicable
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... 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.
... Slices for category S 1..* CodeableConcept problem-list-item | encounter-diagnosis
Slice: Unordered, Open by pattern:$this
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
.... category:dental S 1..1 CodeableConcept problem-list-item | encounter-diagnosis
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.

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: https://fhir.cognovis.de/dental/CodeSystem/dental-category
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: dental
...... display 1..1 string Representation defined by the system
Fixed Value: Dental
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
... code SΣ 1..1 CodeableConcept Identification of the condition, problem or diagnosis
Binding: ICD10GMVS (1.6.0-ballot) (extensible)
.... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:ICD-10-GM Σ 0..1 CodingICD10GM(1.6.0-ballot) Code defined by a terminology system
...... Slices for extension Content/Rules for all slices
....... extension:Mehrfachcodierungs-Kennzeichen 0..1 Coding Optional Extensions Element
URL: http://fhir.de/StructureDefinition/icd-10-gm-mehrfachcodierungs-kennzeichen
Binding: Mehrfachkodierungs-Kennzeichen ICD10GM ValueSet (required)
....... extension:Seitenlokalisation 0..1 Coding Optional Extensions Element
URL: http://fhir.de/StructureDefinition/seitenlokalisation
Binding: KBV_VS_SFHIR_ICD_SEITENLOKALISATION (required)
....... extension:Diagnosesicherheit 0..1 Coding Optional Extensions Element
URL: http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit
Binding: KBV_VS_SFHIR_ICD_DIAGNOSESICHERHEIT (required)
...... system Σ 1..1 uri Canonische CodeSystem URL für ICD-10-GM
Fixed Value: http://fhir.de/CodeSystem/bfarm/icd-10-gm
...... version Σ 1..1 string Die Jahresversion von ICD-10-GM. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017")
...... code ΣC 1..1 code Der ICD-10-Code
Constraints: icd-regex
Example Einfacher ICD-Code: F17.4
..... coding:alphaId Σ 0..1 CodingAlphaID(1.6.0-ballot) Code defined by a terminology system
..... coding:snomed Σ 0..1 Coding Code defined by a terminology system
Binding: Diagnose SNOMED CT® (required)
...... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... version Σ 1..1 string Version of the system - if relevant
...... code Σ 1..1 code Symbol in syntax defined by the system
...... display Σ 1..1 string Representation defined by the system
..... coding:orphanet Σ 0..1 Coding Code defined by a terminology system
...... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://www.orpha.net
...... code Σ 1..1 code Symbol in syntax defined by the system
... bodySite SΣ 0..* CodeableConcept Körperstelle
Binding: Zahnidentifikation nach FDI/ISO 3950 (preferred)
.... Slices for coding Σ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:$this
..... coding:snomed Σ 0..1 Coding Code defined by a terminology system
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... userSelected 0..1 boolean If this coding was chosen directly by the user
...... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... version Σ 1..1 string Version of the system - if relevant
...... code Σ 1..1 code Symbol in syntax defined by the system
...... display Σ 1..1 string Representation defined by the system
... subject SΣ 1..1 Reference(Patient) Who has the condition?
... Slices for onset[x] Σ 0..1 Klinisch relevanter Zeitraum Anfang
Slice: Unordered, Open by type:$this
.... onsetDateTime dateTime
.... onsetAge Age
.... onsetPeriod Period
.... onsetRange Range
.... onsetString string
.... onset[x]:onsetPeriod Σ 0..1 Period Estimated or actual date, date-time, or age
.... onset[x]:onsetRange Σ 0..1 Range Lebensphase-von
..... Slices for extension Content/Rules for all slices
...... extension:lebensphase-von 0..1 CodeableConcept Optional Extensions Element
URL: http://fhir.de/StructureDefinition/lebensphase
.... onset[x]:onsetDateTime Σ 0..1 dateTime Datum Anfang
.... onset[x]:onsetAge Σ 0..1 Age Alter
..... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
... Slices for abatement[x] C 0..1 Klinischer Zeitraum Ende
Slice: Unordered, Open by type:$this
.... abatementDateTime dateTime
.... abatementAge Age
.... abatementPeriod Period
.... abatementRange Range
.... abatementString string
.... abatement[x]:abatementPeriod C 0..1 Period When in resolution/remission
.... abatement[x]:abatementRange C 0..1 Range When in resolution/remission
..... Slices for extension Content/Rules for all slices
...... extension:lebensphase-bis 0..1 CodeableConcept Optional Extensions Element
URL: http://fhir.de/StructureDefinition/lebensphase
.... abatement[x]:abatementDateTime C 0..1 dateTime Datum bis
.... abatement[x]:abatementAge C 0..1 Age Lebenphase bis
..... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
... asserter SΣ 0..1 Reference(KBV_PR_Base_Practitioner(1.8.0)) Diagnosesteller (Arzt/Zahnarzt-Vorbehalt -- nur qualifizierte Practitioner)
... stage SC 0..* BackboneElement Stage/grade, usually assessed formally
Constraints: con-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... summary C 0..1 CodeableConcept Befundstatus nach KZBV-Zahnschema (f, z, c, k, b, i, etc.)
Binding: Zahnärztlicher Befundstatus ValueSet (preferred)
... evidence SC 0..* BackboneElement Supporting evidence
Constraints: con-2
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... detail SΣC 0..* Reference(Observation) Klinische Belege (Observation, ImagingStudy, DiagnosticReport)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Condition.clinicalStatus Base required Condition Clinical Status Codes 📍4.0.1 FHIR Std.
Condition.verificationStatus Base required ConditionVerificationStatus 📍4.0.1 FHIR Std.
Condition.category Base extensible Condition Category Codes 📍4.0.1 FHIR Std.
Condition.category:dental Base extensible Condition Category Codes 📍4.0.1 FHIR Std.
Condition.code Base extensible ICD10GM ValueSet 📍1.6.0-ballot → 1.6.0-ballot2 de.basisprofil.r4 v1.6
Condition.code.coding:snomed Base required Diagnose SNOMED CT® 📦1.8.0 kbv.basis v1.8
Condition.bodySite Base preferred Zahnidentifikation nach FDI/ISO 3950 📦0.36.1 This IG
Condition.bodySite.coding:snomed Base example SNOMED CT Body Structures 📦4.0.1 FHIR Std.
Condition.onset[x]:onsetAge.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Condition.abatement[x]:abatementAge.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Condition.stage.summary Base preferred Zahnärztlicher Befundstatus ValueSet 📦0.36.1 This IG

Constraints

Id Grade Path(s) Description Expression
Rec1 warning Condition Das Dokumentationsdatum soll mindestens mit MM.JJJJ angegeben werden. recordedDate.exists() implies recordedDate.toString().length()>=7
con-1 error Condition.stage 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** extensions 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})?$')

This structure is derived from PraxisConditionDE

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Condition PraxisConditionDE
... Slices for category S 1..* CodeableConcept problem-list-item | encounter-diagnosis
Slice: Unordered, Open by pattern:$this
.... category:dental S 1..1 CodeableConcept problem-list-item | encounter-diagnosis
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: https://fhir.cognovis.de/dental/CodeSystem/dental-category
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: dental
...... display 1..1 string Representation defined by the system
Fixed Value: Dental
... code S 1..1 CodeableConcept Identification of the condition, problem or diagnosis
Binding: ICD10GMVS (1.6.0-ballot) (extensible)
... bodySite S 0..* CodeableConcept Körperstelle
Binding: Zahnidentifikation nach FDI/ISO 3950 (preferred)
... stage S 0..* BackboneElement Stage/grade, usually assessed formally
.... summary 0..1 CodeableConcept Befundstatus nach KZBV-Zahnschema (f, z, c, k, b, i, etc.)
Binding: Zahnärztlicher Befundstatus ValueSet (preferred)
... evidence
.... detail 0..* Reference(Observation) Klinische Belege (Observation, ImagingStudy, DiagnosticReport)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Condition.code Base extensible ICD10GM ValueSet 📍1.6.0-ballot → 1.6.0-ballot2 de.basisprofil.r4 v1.6
Condition.bodySite Base preferred Zahnidentifikation nach FDI/ISO 3950 📦0.36.1 This IG
Condition.stage.summary Base preferred Zahnärztlicher Befundstatus ValueSet 📦0.36.1 This IG
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Condition C 0..* PraxisConditionDE Detailed information about conditions, problems or diagnoses
Constraints: con-3, con-4, con-5, Rec1
... id Σ 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
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:Feststellungsdatum 0..1 dateTime Feststellungsdatum
URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
.... extension:aiProvenanceApplicable S 0..1 boolean KI-Provenance anwendbar (EU AI Act)
URL: https://fhir.cognovis.de/praxis/StructureDefinition/ai-provenance-applicable
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier External Ids for this condition
... clinicalStatus ?!ΣC 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.
... Slices for category S 1..* CodeableConcept problem-list-item | encounter-diagnosis
Slice: Unordered, Open by pattern:$this
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
.... category:dental S 1..1 CodeableConcept problem-list-item | encounter-diagnosis
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.

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: https://fhir.cognovis.de/dental/CodeSystem/dental-category
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: dental
...... display 1..1 string Representation defined by the system
Fixed Value: Dental
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
... severity 0..1 CodeableConcept Schweregrad der Diagnose
Binding: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.
.... 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 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:$this
..... coding:snomed Σ 0..1 Coding Code defined by a terminology system
Binding: Condition/DiagnosisSeverity (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
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... version Σ 1..1 string Version of the system - if relevant
...... code Σ 1..1 code Symbol in syntax defined by the system
...... display Σ 1..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
... code SΣ 1..1 CodeableConcept Identification of the condition, problem or diagnosis
Binding: ICD10GMVS (1.6.0-ballot) (extensible)
.... 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 value:system
..... coding:ICD-10-GM Σ 0..1 CodingICD10GM(1.6.0-ballot) Code defined by a terminology system
...... 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
....... extension:Mehrfachcodierungs-Kennzeichen 0..1 Coding Optional Extensions Element
URL: http://fhir.de/StructureDefinition/icd-10-gm-mehrfachcodierungs-kennzeichen
Binding: Mehrfachkodierungs-Kennzeichen ICD10GM ValueSet (required)
....... extension:Seitenlokalisation 0..1 Coding Optional Extensions Element
URL: http://fhir.de/StructureDefinition/seitenlokalisation
Binding: KBV_VS_SFHIR_ICD_SEITENLOKALISATION (required)
....... extension:Diagnosesicherheit 0..1 Coding Optional Extensions Element
URL: http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit
Binding: KBV_VS_SFHIR_ICD_DIAGNOSESICHERHEIT (required)
...... system Σ 1..1 uri Canonische CodeSystem URL für ICD-10-GM
Fixed Value: http://fhir.de/CodeSystem/bfarm/icd-10-gm
...... version Σ 1..1 string Die Jahresversion von ICD-10-GM. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017")
...... code ΣC 1..1 code Der ICD-10-Code
Constraints: icd-regex
Example Einfacher ICD-Code: F17.4
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:alphaId Σ 0..1 CodingAlphaID(1.6.0-ballot) Code defined by a terminology system
..... coding:snomed Σ 0..1 Coding Code defined by a terminology system
Binding: Diagnose SNOMED CT® (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 Σ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... version Σ 1..1 string Version of the system - if relevant
...... code Σ 1..1 code Symbol in syntax defined by the system
...... display Σ 1..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:orphanet Σ 0..1 Coding Code defined by a terminology system
...... 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 Σ 1..1 uri Identity of the terminology system
Fixed Value: http://www.orpha.net
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 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 Σ 0..1 string Diagnoseerläuterung
... bodySite SΣ 0..* CodeableConcept Körperstelle
Binding: Zahnidentifikation nach FDI/ISO 3950 (preferred)
.... 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 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:$this
..... coding:snomed Σ 0..1 Coding Code defined by a terminology system
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.

Required Pattern: At least the following
...... 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 Σ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... version Σ 1..1 string Version of the system - if relevant
...... code Σ 1..1 code Symbol in syntax defined by the system
...... display Σ 1..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 SΣ 1..1 Reference(Patient) Who has the condition?
... encounter Σ 0..1 Reference(Encounter) Encounter created as part of
... Slices for onset[x] Σ 0..1 Klinisch relevanter Zeitraum Anfang
Slice: Unordered, Open by type:$this
.... onsetDateTime dateTime
.... onsetAge Age
.... onsetPeriod Period
.... onsetRange Range
.... onsetString string
.... 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 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... start ΣC 0..1 dateTime Starting time with inclusive boundary
..... end ΣC 0..1 dateTime End time with inclusive boundary, if not ongoing
.... onset[x]:onsetRange Σ 0..1 Range Lebensphase-von
..... 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
...... extension:lebensphase-von 0..1 CodeableConcept Optional Extensions Element
URL: http://fhir.de/StructureDefinition/lebensphase
..... low Σ 0..1 SimpleQuantity(4.0.1) Low limit
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... value Σ 0..1 decimal Numerical value (with implicit precision)
...... unit Σ 0..1 string Unit representation
...... system ΣC 0..1 uri System that defines coded unit form
...... code Σ 0..1 code Coded form of the unit
..... high Σ 0..1 SimpleQuantity(4.0.1) High limit
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... value Σ 0..1 decimal Numerical value (with implicit precision)
...... unit Σ 0..1 string Unit representation
...... system ΣC 0..1 uri System that defines coded unit form
...... code Σ 0..1 code Coded form of the unit
.... onset[x]:onsetDateTime Σ 0..1 dateTime Datum Anfang
.... onset[x]:onsetAge Σ 0..1 Age Alter
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... value Σ 0..1 decimal Numerical value (with implicit precision)
..... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
..... unit Σ 0..1 string Unit representation
..... system ΣC 0..1 uri System that defines coded unit form
..... code Σ 0..1 code Coded form of the unit
... Slices for abatement[x] C 0..1 Klinischer Zeitraum Ende
Slice: Unordered, Open by type:$this
.... abatementDateTime dateTime
.... abatementAge Age
.... abatementPeriod Period
.... abatementRange Range
.... abatementString string
.... abatement[x]:abatementPeriod C 0..1 Period When in resolution/remission
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... start ΣC 0..1 dateTime Starting time with inclusive boundary
..... end ΣC 0..1 dateTime End time with inclusive boundary, if not ongoing
.... abatement[x]:abatementRange C 0..1 Range When in resolution/remission
..... 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
...... extension:lebensphase-bis 0..1 CodeableConcept Optional Extensions Element
URL: http://fhir.de/StructureDefinition/lebensphase
..... low Σ 0..1 SimpleQuantity(4.0.1) Low limit
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... value Σ 0..1 decimal Numerical value (with implicit precision)
...... unit Σ 0..1 string Unit representation
...... system ΣC 0..1 uri System that defines coded unit form
...... code Σ 0..1 code Coded form of the unit
..... high Σ 0..1 SimpleQuantity(4.0.1) High limit
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... value Σ 0..1 decimal Numerical value (with implicit precision)
...... unit Σ 0..1 string Unit representation
...... system ΣC 0..1 uri System that defines coded unit form
...... code Σ 0..1 code Coded form of the unit
.... abatement[x]:abatementDateTime C 0..1 dateTime Datum bis
.... abatement[x]:abatementAge C 0..1 Age Lebenphase bis
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... value Σ 0..1 decimal Numerical value (with implicit precision)
..... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
..... unit Σ 0..1 string Unit representation
..... system ΣC 0..1 uri System that defines coded unit form
..... code Σ 0..1 code Coded form of the unit
... recordedDate Σ 0..1 dateTime Dokumentationsdatum
... recorder Σ 0..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) Who recorded the condition
... asserter SΣ 0..1 Reference(KBV_PR_Base_Practitioner(1.8.0)) Diagnosesteller (Arzt/Zahnarzt-Vorbehalt -- nur qualifizierte Practitioner)
... stage SC 0..* BackboneElement Stage/grade, usually assessed formally
Constraints: con-1
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... summary C 0..1 CodeableConcept Befundstatus nach KZBV-Zahnschema (f, z, c, k, b, i, etc.)
Binding: Zahnärztlicher Befundstatus ValueSet (preferred)
.... 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).
... evidence SC 0..* BackboneElement Supporting evidence
Constraints: con-2
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... 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(Observation) Klinische Belege (Observation, ImagingStudy, DiagnosticReport)
... note 0..* Annotation Freitextbeschreibung
.... 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 author[x] Σ 0..1 Individual responsible for the annotation
Slice: Unordered, Closed by type:$this
..... authorReference Reference(Practitioner | Patient | RelatedPerson | Organization)
..... authorString string
..... author[x]:authorReference Σ 0..1 Reference(Practitioner | Patient | RelatedPerson | Organization | KBV_PR_Base_Practitioner(1.8.0) | KBV_PR_Base_Patient(1.8.0) | KBV_PR_Base_RelatedPerson(1.8.0) | KBV_PR_Base_Organization(1.8.0)) Individual responsible for the annotation
..... author[x]:authorString Σ 0..1 string Individual responsible for the annotation
.... time Σ 0..1 dateTime When the annotation was made
.... text Σ 1..1 markdown The annotation - text content (as markdown)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Condition.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Condition.clinicalStatus Base required Condition Clinical Status Codes 📍4.0.1 FHIR Std.
Condition.verificationStatus Base required ConditionVerificationStatus 📍4.0.1 FHIR Std.
Condition.category Base extensible Condition Category Codes 📍4.0.1 FHIR Std.
Condition.category:dental Base extensible Condition Category Codes 📍4.0.1 FHIR Std.
Condition.severity Base preferred Condition/Diagnosis Severity 📍4.0.1 FHIR Std.
Condition.severity.coding:snomed Base required Condition/Diagnosis Severity 📦4.0.1 FHIR Std.
Condition.code Base extensible ICD10GM ValueSet 📍1.6.0-ballot → 1.6.0-ballot2 de.basisprofil.r4 v1.6
Condition.code.coding:snomed Base required Diagnose SNOMED CT® 📦1.8.0 kbv.basis v1.8
Condition.bodySite Base preferred Zahnidentifikation nach FDI/ISO 3950 📦0.36.1 This IG
Condition.bodySite.coding:snomed Base example SNOMED CT Body Structures 📦4.0.1 FHIR Std.
Condition.onset[x]:onsetAge.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Condition.abatement[x]:abatementAge.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Condition.stage.summary Base preferred Zahnärztlicher Befundstatus ValueSet 📦0.36.1 This IG
Condition.stage.type Base example Condition Stage Type 📍4.0.1 FHIR Std.
Condition.evidence.code Base example Manifestation and Symptom Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
Rec1 warning Condition Das Dokumentationsdatum soll mindestens mit MM.JJJJ angegeben werden. recordedDate.exists() implies recordedDate.toString().length()>=7
con-1 error Condition.stage 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** extensions 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})?$')

This structure is derived from PraxisConditionDE

Summary

Mandatory: 2 elements
Must-Support: 6 elements

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Condition.category

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Condition C 0..* PraxisConditionDE Detailed information about conditions, problems or diagnoses
Constraints: con-3, con-4, con-5, Rec1
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension Content/Rules for all slices
.... extension:Feststellungsdatum 0..1 dateTime Feststellungsdatum
URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
.... extension:aiProvenanceApplicable S 0..1 boolean KI-Provenance anwendbar (EU AI Act)
URL: https://fhir.cognovis.de/praxis/StructureDefinition/ai-provenance-applicable
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... 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.
... Slices for category S 1..* CodeableConcept problem-list-item | encounter-diagnosis
Slice: Unordered, Open by pattern:$this
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
.... category:dental S 1..1 CodeableConcept problem-list-item | encounter-diagnosis
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.

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: https://fhir.cognovis.de/dental/CodeSystem/dental-category
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: dental
...... display 1..1 string Representation defined by the system
Fixed Value: Dental
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
... code SΣ 1..1 CodeableConcept Identification of the condition, problem or diagnosis
Binding: ICD10GMVS (1.6.0-ballot) (extensible)
.... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:ICD-10-GM Σ 0..1 CodingICD10GM(1.6.0-ballot) Code defined by a terminology system
...... Slices for extension Content/Rules for all slices
....... extension:Mehrfachcodierungs-Kennzeichen 0..1 Coding Optional Extensions Element
URL: http://fhir.de/StructureDefinition/icd-10-gm-mehrfachcodierungs-kennzeichen
Binding: Mehrfachkodierungs-Kennzeichen ICD10GM ValueSet (required)
....... extension:Seitenlokalisation 0..1 Coding Optional Extensions Element
URL: http://fhir.de/StructureDefinition/seitenlokalisation
Binding: KBV_VS_SFHIR_ICD_SEITENLOKALISATION (required)
....... extension:Diagnosesicherheit 0..1 Coding Optional Extensions Element
URL: http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit
Binding: KBV_VS_SFHIR_ICD_DIAGNOSESICHERHEIT (required)
...... system Σ 1..1 uri Canonische CodeSystem URL für ICD-10-GM
Fixed Value: http://fhir.de/CodeSystem/bfarm/icd-10-gm
...... version Σ 1..1 string Die Jahresversion von ICD-10-GM. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017")
...... code ΣC 1..1 code Der ICD-10-Code
Constraints: icd-regex
Example Einfacher ICD-Code: F17.4
..... coding:alphaId Σ 0..1 CodingAlphaID(1.6.0-ballot) Code defined by a terminology system
..... coding:snomed Σ 0..1 Coding Code defined by a terminology system
Binding: Diagnose SNOMED CT® (required)
...... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... version Σ 1..1 string Version of the system - if relevant
...... code Σ 1..1 code Symbol in syntax defined by the system
...... display Σ 1..1 string Representation defined by the system
..... coding:orphanet Σ 0..1 Coding Code defined by a terminology system
...... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://www.orpha.net
...... code Σ 1..1 code Symbol in syntax defined by the system
... bodySite SΣ 0..* CodeableConcept Körperstelle
Binding: Zahnidentifikation nach FDI/ISO 3950 (preferred)
.... Slices for coding Σ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:$this
..... coding:snomed Σ 0..1 Coding Code defined by a terminology system
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.

Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... userSelected 0..1 boolean If this coding was chosen directly by the user
...... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... version Σ 1..1 string Version of the system - if relevant
...... code Σ 1..1 code Symbol in syntax defined by the system
...... display Σ 1..1 string Representation defined by the system
... subject SΣ 1..1 Reference(Patient) Who has the condition?
... Slices for onset[x] Σ 0..1 Klinisch relevanter Zeitraum Anfang
Slice: Unordered, Open by type:$this
.... onsetDateTime dateTime
.... onsetAge Age
.... onsetPeriod Period
.... onsetRange Range
.... onsetString string
.... onset[x]:onsetPeriod Σ 0..1 Period Estimated or actual date, date-time, or age
.... onset[x]:onsetRange Σ 0..1 Range Lebensphase-von
..... Slices for extension Content/Rules for all slices
...... extension:lebensphase-von 0..1 CodeableConcept Optional Extensions Element
URL: http://fhir.de/StructureDefinition/lebensphase
.... onset[x]:onsetDateTime Σ 0..1 dateTime Datum Anfang
.... onset[x]:onsetAge Σ 0..1 Age Alter
..... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
... Slices for abatement[x] C 0..1 Klinischer Zeitraum Ende
Slice: Unordered, Open by type:$this
.... abatementDateTime dateTime
.... abatementAge Age
.... abatementPeriod Period
.... abatementRange Range
.... abatementString string
.... abatement[x]:abatementPeriod C 0..1 Period When in resolution/remission
.... abatement[x]:abatementRange C 0..1 Range When in resolution/remission
..... Slices for extension Content/Rules for all slices
...... extension:lebensphase-bis 0..1 CodeableConcept Optional Extensions Element
URL: http://fhir.de/StructureDefinition/lebensphase
.... abatement[x]:abatementDateTime C 0..1 dateTime Datum bis
.... abatement[x]:abatementAge C 0..1 Age Lebenphase bis
..... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
... asserter SΣ 0..1 Reference(KBV_PR_Base_Practitioner(1.8.0)) Diagnosesteller (Arzt/Zahnarzt-Vorbehalt -- nur qualifizierte Practitioner)
... stage SC 0..* BackboneElement Stage/grade, usually assessed formally
Constraints: con-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... summary C 0..1 CodeableConcept Befundstatus nach KZBV-Zahnschema (f, z, c, k, b, i, etc.)
Binding: Zahnärztlicher Befundstatus ValueSet (preferred)
... evidence SC 0..* BackboneElement Supporting evidence
Constraints: con-2
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... detail SΣC 0..* Reference(Observation) Klinische Belege (Observation, ImagingStudy, DiagnosticReport)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Condition.clinicalStatus Base required Condition Clinical Status Codes 📍4.0.1 FHIR Std.
Condition.verificationStatus Base required ConditionVerificationStatus 📍4.0.1 FHIR Std.
Condition.category Base extensible Condition Category Codes 📍4.0.1 FHIR Std.
Condition.category:dental Base extensible Condition Category Codes 📍4.0.1 FHIR Std.
Condition.code Base extensible ICD10GM ValueSet 📍1.6.0-ballot → 1.6.0-ballot2 de.basisprofil.r4 v1.6
Condition.code.coding:snomed Base required Diagnose SNOMED CT® 📦1.8.0 kbv.basis v1.8
Condition.bodySite Base preferred Zahnidentifikation nach FDI/ISO 3950 📦0.36.1 This IG
Condition.bodySite.coding:snomed Base example SNOMED CT Body Structures 📦4.0.1 FHIR Std.
Condition.onset[x]:onsetAge.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Condition.abatement[x]:abatementAge.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Condition.stage.summary Base preferred Zahnärztlicher Befundstatus ValueSet 📦0.36.1 This IG

Constraints

Id Grade Path(s) Description Expression
Rec1 warning Condition Das Dokumentationsdatum soll mindestens mit MM.JJJJ angegeben werden. recordedDate.exists() implies recordedDate.toString().length()>=7
con-1 error Condition.stage 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** extensions 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})?$')

Differential View

This structure is derived from PraxisConditionDE

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Condition PraxisConditionDE
... Slices for category S 1..* CodeableConcept problem-list-item | encounter-diagnosis
Slice: Unordered, Open by pattern:$this
.... category:dental S 1..1 CodeableConcept problem-list-item | encounter-diagnosis
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: https://fhir.cognovis.de/dental/CodeSystem/dental-category
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: dental
...... display 1..1 string Representation defined by the system
Fixed Value: Dental
... code S 1..1 CodeableConcept Identification of the condition, problem or diagnosis
Binding: ICD10GMVS (1.6.0-ballot) (extensible)
... bodySite S 0..* CodeableConcept Körperstelle
Binding: Zahnidentifikation nach FDI/ISO 3950 (preferred)
... stage S 0..* BackboneElement Stage/grade, usually assessed formally
.... summary 0..1 CodeableConcept Befundstatus nach KZBV-Zahnschema (f, z, c, k, b, i, etc.)
Binding: Zahnärztlicher Befundstatus ValueSet (preferred)
... evidence
.... detail 0..* Reference(Observation) Klinische Belege (Observation, ImagingStudy, DiagnosticReport)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Condition.code Base extensible ICD10GM ValueSet 📍1.6.0-ballot → 1.6.0-ballot2 de.basisprofil.r4 v1.6
Condition.bodySite Base preferred Zahnidentifikation nach FDI/ISO 3950 📦0.36.1 This IG
Condition.stage.summary Base preferred Zahnärztlicher Befundstatus ValueSet 📦0.36.1 This IG

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Condition C 0..* PraxisConditionDE Detailed information about conditions, problems or diagnoses
Constraints: con-3, con-4, con-5, Rec1
... id Σ 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
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:Feststellungsdatum 0..1 dateTime Feststellungsdatum
URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
.... extension:aiProvenanceApplicable S 0..1 boolean KI-Provenance anwendbar (EU AI Act)
URL: https://fhir.cognovis.de/praxis/StructureDefinition/ai-provenance-applicable
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier External Ids for this condition
... clinicalStatus ?!ΣC 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.
... Slices for category S 1..* CodeableConcept problem-list-item | encounter-diagnosis
Slice: Unordered, Open by pattern:$this
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
.... category:dental S 1..1 CodeableConcept problem-list-item | encounter-diagnosis
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.

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: https://fhir.cognovis.de/dental/CodeSystem/dental-category
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: dental
...... display 1..1 string Representation defined by the system
Fixed Value: Dental
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
... severity 0..1 CodeableConcept Schweregrad der Diagnose
Binding: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.
.... 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 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:$this
..... coding:snomed Σ 0..1 Coding Code defined by a terminology system
Binding: Condition/DiagnosisSeverity (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
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... version Σ 1..1 string Version of the system - if relevant
...... code Σ 1..1 code Symbol in syntax defined by the system
...... display Σ 1..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
... code SΣ 1..1 CodeableConcept Identification of the condition, problem or diagnosis
Binding: ICD10GMVS (1.6.0-ballot) (extensible)
.... 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 value:system
..... coding:ICD-10-GM Σ 0..1 CodingICD10GM(1.6.0-ballot) Code defined by a terminology system
...... 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
....... extension:Mehrfachcodierungs-Kennzeichen 0..1 Coding Optional Extensions Element
URL: http://fhir.de/StructureDefinition/icd-10-gm-mehrfachcodierungs-kennzeichen
Binding: Mehrfachkodierungs-Kennzeichen ICD10GM ValueSet (required)
....... extension:Seitenlokalisation 0..1 Coding Optional Extensions Element
URL: http://fhir.de/StructureDefinition/seitenlokalisation
Binding: KBV_VS_SFHIR_ICD_SEITENLOKALISATION (required)
....... extension:Diagnosesicherheit 0..1 Coding Optional Extensions Element
URL: http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit
Binding: KBV_VS_SFHIR_ICD_DIAGNOSESICHERHEIT (required)
...... system Σ 1..1 uri Canonische CodeSystem URL für ICD-10-GM
Fixed Value: http://fhir.de/CodeSystem/bfarm/icd-10-gm
...... version Σ 1..1 string Die Jahresversion von ICD-10-GM. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017")
...... code ΣC 1..1 code Der ICD-10-Code
Constraints: icd-regex
Example Einfacher ICD-Code: F17.4
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:alphaId Σ 0..1 CodingAlphaID(1.6.0-ballot) Code defined by a terminology system
..... coding:snomed Σ 0..1 Coding Code defined by a terminology system
Binding: Diagnose SNOMED CT® (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 Σ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... version Σ 1..1 string Version of the system - if relevant
...... code Σ 1..1 code Symbol in syntax defined by the system
...... display Σ 1..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:orphanet Σ 0..1 Coding Code defined by a terminology system
...... 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 Σ 1..1 uri Identity of the terminology system
Fixed Value: http://www.orpha.net
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 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 Σ 0..1 string Diagnoseerläuterung
... bodySite SΣ 0..* CodeableConcept Körperstelle
Binding: Zahnidentifikation nach FDI/ISO 3950 (preferred)
.... 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 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:$this
..... coding:snomed Σ 0..1 Coding Code defined by a terminology system
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.

Required Pattern: At least the following
...... 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 Σ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... version Σ 1..1 string Version of the system - if relevant
...... code Σ 1..1 code Symbol in syntax defined by the system
...... display Σ 1..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 SΣ 1..1 Reference(Patient) Who has the condition?
... encounter Σ 0..1 Reference(Encounter) Encounter created as part of
... Slices for onset[x] Σ 0..1 Klinisch relevanter Zeitraum Anfang
Slice: Unordered, Open by type:$this
.... onsetDateTime dateTime
.... onsetAge Age
.... onsetPeriod Period
.... onsetRange Range
.... onsetString string
.... 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 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... start ΣC 0..1 dateTime Starting time with inclusive boundary
..... end ΣC 0..1 dateTime End time with inclusive boundary, if not ongoing
.... onset[x]:onsetRange Σ 0..1 Range Lebensphase-von
..... 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
...... extension:lebensphase-von 0..1 CodeableConcept Optional Extensions Element
URL: http://fhir.de/StructureDefinition/lebensphase
..... low Σ 0..1 SimpleQuantity(4.0.1) Low limit
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... value Σ 0..1 decimal Numerical value (with implicit precision)
...... unit Σ 0..1 string Unit representation
...... system ΣC 0..1 uri System that defines coded unit form
...... code Σ 0..1 code Coded form of the unit
..... high Σ 0..1 SimpleQuantity(4.0.1) High limit
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... value Σ 0..1 decimal Numerical value (with implicit precision)
...... unit Σ 0..1 string Unit representation
...... system ΣC 0..1 uri System that defines coded unit form
...... code Σ 0..1 code Coded form of the unit
.... onset[x]:onsetDateTime Σ 0..1 dateTime Datum Anfang
.... onset[x]:onsetAge Σ 0..1 Age Alter
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... value Σ 0..1 decimal Numerical value (with implicit precision)
..... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
..... unit Σ 0..1 string Unit representation
..... system ΣC 0..1 uri System that defines coded unit form
..... code Σ 0..1 code Coded form of the unit
... Slices for abatement[x] C 0..1 Klinischer Zeitraum Ende
Slice: Unordered, Open by type:$this
.... abatementDateTime dateTime
.... abatementAge Age
.... abatementPeriod Period
.... abatementRange Range
.... abatementString string
.... abatement[x]:abatementPeriod C 0..1 Period When in resolution/remission
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... start ΣC 0..1 dateTime Starting time with inclusive boundary
..... end ΣC 0..1 dateTime End time with inclusive boundary, if not ongoing
.... abatement[x]:abatementRange C 0..1 Range When in resolution/remission
..... 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
...... extension:lebensphase-bis 0..1 CodeableConcept Optional Extensions Element
URL: http://fhir.de/StructureDefinition/lebensphase
..... low Σ 0..1 SimpleQuantity(4.0.1) Low limit
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... value Σ 0..1 decimal Numerical value (with implicit precision)
...... unit Σ 0..1 string Unit representation
...... system ΣC 0..1 uri System that defines coded unit form
...... code Σ 0..1 code Coded form of the unit
..... high Σ 0..1 SimpleQuantity(4.0.1) High limit
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... value Σ 0..1 decimal Numerical value (with implicit precision)
...... unit Σ 0..1 string Unit representation
...... system ΣC 0..1 uri System that defines coded unit form
...... code Σ 0..1 code Coded form of the unit
.... abatement[x]:abatementDateTime C 0..1 dateTime Datum bis
.... abatement[x]:abatementAge C 0..1 Age Lebenphase bis
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... value Σ 0..1 decimal Numerical value (with implicit precision)
..... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
..... unit Σ 0..1 string Unit representation
..... system ΣC 0..1 uri System that defines coded unit form
..... code Σ 0..1 code Coded form of the unit
... recordedDate Σ 0..1 dateTime Dokumentationsdatum
... recorder Σ 0..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) Who recorded the condition
... asserter SΣ 0..1 Reference(KBV_PR_Base_Practitioner(1.8.0)) Diagnosesteller (Arzt/Zahnarzt-Vorbehalt -- nur qualifizierte Practitioner)
... stage SC 0..* BackboneElement Stage/grade, usually assessed formally
Constraints: con-1
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... summary C 0..1 CodeableConcept Befundstatus nach KZBV-Zahnschema (f, z, c, k, b, i, etc.)
Binding: Zahnärztlicher Befundstatus ValueSet (preferred)
.... 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).
... evidence SC 0..* BackboneElement Supporting evidence
Constraints: con-2
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... 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(Observation) Klinische Belege (Observation, ImagingStudy, DiagnosticReport)
... note 0..* Annotation Freitextbeschreibung
.... 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 author[x] Σ 0..1 Individual responsible for the annotation
Slice: Unordered, Closed by type:$this
..... authorReference Reference(Practitioner | Patient | RelatedPerson | Organization)
..... authorString string
..... author[x]:authorReference Σ 0..1 Reference(Practitioner | Patient | RelatedPerson | Organization | KBV_PR_Base_Practitioner(1.8.0) | KBV_PR_Base_Patient(1.8.0) | KBV_PR_Base_RelatedPerson(1.8.0) | KBV_PR_Base_Organization(1.8.0)) Individual responsible for the annotation
..... author[x]:authorString Σ 0..1 string Individual responsible for the annotation
.... time Σ 0..1 dateTime When the annotation was made
.... text Σ 1..1 markdown The annotation - text content (as markdown)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Condition.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Condition.clinicalStatus Base required Condition Clinical Status Codes 📍4.0.1 FHIR Std.
Condition.verificationStatus Base required ConditionVerificationStatus 📍4.0.1 FHIR Std.
Condition.category Base extensible Condition Category Codes 📍4.0.1 FHIR Std.
Condition.category:dental Base extensible Condition Category Codes 📍4.0.1 FHIR Std.
Condition.severity Base preferred Condition/Diagnosis Severity 📍4.0.1 FHIR Std.
Condition.severity.coding:snomed Base required Condition/Diagnosis Severity 📦4.0.1 FHIR Std.
Condition.code Base extensible ICD10GM ValueSet 📍1.6.0-ballot → 1.6.0-ballot2 de.basisprofil.r4 v1.6
Condition.code.coding:snomed Base required Diagnose SNOMED CT® 📦1.8.0 kbv.basis v1.8
Condition.bodySite Base preferred Zahnidentifikation nach FDI/ISO 3950 📦0.36.1 This IG
Condition.bodySite.coding:snomed Base example SNOMED CT Body Structures 📦4.0.1 FHIR Std.
Condition.onset[x]:onsetAge.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Condition.abatement[x]:abatementAge.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Condition.stage.summary Base preferred Zahnärztlicher Befundstatus ValueSet 📦0.36.1 This IG
Condition.stage.type Base example Condition Stage Type 📍4.0.1 FHIR Std.
Condition.evidence.code Base example Manifestation and Symptom Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
Rec1 warning Condition Das Dokumentationsdatum soll mindestens mit MM.JJJJ angegeben werden. recordedDate.exists() implies recordedDate.toString().length()>=7
con-1 error Condition.stage 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** extensions 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})?$')

This structure is derived from PraxisConditionDE

Summary

Mandatory: 2 elements
Must-Support: 6 elements

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Condition.category

 

Other representations of profile: CSV, Excel, Schematron