ELGA e-Diagnose R4 (Draft)
0.1.0 - ci-build

ELGA e-Diagnose R4 (Draft), published by ELGA GmbH. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7Austria/ELGA-e-Diagnose-R4/ and changes regularly. See the Directory of published versions

Resource Profile: AT e-Diagnose Condition Diagnosen

Official URL: https://fhir.hl7.at/elga/ediag/r4/StructureDefinition/at-ediag-condition Version: 0.1.0
Active as of 2026-03-27 Responsible: ELGA GmbH Computable Name: AtEdiagCondition

Das AT APS-Profil für die Condition-Ressource Diagnosen berücksichtigt zum einen die österreichischen Vorgaben (z.B. Patient und zu verwendende Value-Sets) und stellt andererseits die Konformität gegenüber dem IPS-Profil sicher, indem die so genannte imposeProfile-Erweiterung verwendet wird.

Usages:

  • This Profile is not used by any profiles in this Implementation Guide

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..* AtApsCondition AT e-Diagnose Condition Diagnosen
This profile also imposes the profile Condition (IPS)
Constraints: con-3, con-4, con-5
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... clinicalStatus ?!ΣC 1..1 CodeableConcept Klinischer Status der Diagnose - Status post
Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
... code Σ 1..1 CodeableConcept Diagnosecode (Codierservice), Text verboten, Codesystem 1.SNOMED 2.Orphanet
Binding: Problems - IPS (extensible)
.... Slices for coding Σ 1..2 Coding Code defined by a terminology system
Slice: Unordered, Closed by value:system
..... coding:snomed Σ 1..1 Coding Code defined by a terminology system
...... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... code Σ 1..1 code Symbol in syntax 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/ORDO
...... code Σ 1..1 code Symbol in syntax defined by the system
... subject Σ 1..1 Reference(AT e-Diagnose Patient) Person, auf die sich die Diagnose bezieht
... onset[x] Σ 0..1 dateTime Beginn der Erkrankung/Diagnosezeitpunkt
... abatement[x] C 0..1 dateTime Ende der Erkrankung
... recordedDate Σ 1..1 dateTime Zeitpunkt der Diagnosendokumentation
... recorder Σ 1..1 Reference(AT e-Diagnose Practitioner | AT APS PractitionerRole | AT e-Diagnose Patient | RelatedPerson) Person, die die Diagnose eingetragen hat
... asserter Σ 0..1 Reference(AT e-Diagnose Practitioner | AT APS PractitionerRole | AT e-Diagnose Patient | RelatedPerson) Person (fachliche Quelle), die die Diagnose bestätigt
... evidence C 0..* BackboneElement Medizinischer Nachweis (Ergebnis, Labor, Befund)
Constraints: con-2
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
... note 0..1 Annotation Zusätzliche Informationen oder Freitext zur Diagnose.

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.code Base extensible Problems - IPS 📦2.0.0 International Patient Summary Implementation Guide v2.0

Constraints

Id Grade Path(s) Description Expression
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()

This structure is derived from AtApsCondition

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Condition 0..* AtApsCondition AT e-Diagnose Condition Diagnosen
This profile also imposes the profile Condition (IPS)
... meta
.... Slices for tag 1..* Coding Tags applied to this resource
Slice: Unordered, Open by value:$this
..... tag:diagnosisType 1..1 Coding Tags applied to this resource
Binding: AT e-Diagnose Typ (required)
... identifier 0..0 Zuordnung der Diagnose in einem internem Dokumentationssystem
... clinicalStatus 1..1 CodeableConcept Klinischer Status der Diagnose - Status post
... category 0..0 Differenzierung nach Kontext - wird meta.tag gelöst
... severity 0..0 Schweregrad der Erkrankung
... code 1..1 CodeableConcept Diagnosecode (Codierservice), Text verboten, Codesystem 1.SNOMED 2.Orphanet
.... Slices for coding 1..2 Coding Code defined by a terminology system
Slice: Unordered, Closed by value:system
..... coding:snomed 1..1 Coding Code defined by a terminology system
...... 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
..... coding:orphanet 0..1 Coding Code defined by a terminology system
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://www.orpha.net/ORDO
...... code 1..1 code Symbol in syntax defined by the system
.... text 0..0 Plain text representation of the concept
... bodySite 0..0 Zuordnung der Diagnose der Körper-Lokalisation
... subject 1..1 Reference(AT e-Diagnose Patient) Person, auf die sich die Diagnose bezieht
... encounter 0..0 Behandlungskontakt
... onset[x] 0..1 dateTime Beginn der Erkrankung/Diagnosezeitpunkt
... abatement[x] 0..1 dateTime Ende der Erkrankung
... recordedDate 1..1 dateTime Zeitpunkt der Diagnosendokumentation
... recorder 1..1 Reference(AT e-Diagnose Practitioner | AT APS PractitionerRole | AT e-Diagnose Patient | RelatedPerson) Person, die die Diagnose eingetragen hat
... asserter 0..1 Reference(AT e-Diagnose Practitioner | AT APS PractitionerRole | AT e-Diagnose Patient | RelatedPerson) Person (fachliche Quelle), die die Diagnose bestätigt
... stage 0..0 Stadium der Erkrankung
... evidence 0..* BackboneElement Medizinischer Nachweis (Ergebnis, Labor, Befund)
... note 0..1 Annotation Zusätzliche Informationen oder Freitext zur Diagnose.

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Condition.meta.tag:diagnosisType Base required AT e-Diagnose Typ 📦0.1.0 This IG
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Condition C 0..* AtApsCondition AT e-Diagnose Condition Diagnosen
This profile also imposes the profile Condition (IPS)
Constraints: con-3, con-4, con-5
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile Σ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... Slices for tag Σ 1..* Coding Tags applied to this resource
Slice: Unordered, Open by value:$this
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
..... tag:diagnosisType Σ 1..1 Coding Tags applied to this resource
Binding: AT e-Diagnose Typ (required)
... 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
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... clinicalStatus ?!ΣC 1..1 CodeableConcept Klinischer Status der Diagnose - Status post
Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
... verificationStatus ?!ΣC 1..1 CodeableConcept Status der Diagnose: vorläufig, differential,...
Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
... code Σ 1..1 CodeableConcept Diagnosecode (Codierservice), Text verboten, Codesystem 1.SNOMED 2.Orphanet
Binding: Problems - IPS (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..2 Coding Code defined by a terminology system
Slice: Unordered, Closed by value:system
..... coding:snomed Σ 1..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://snomed.info/sct
...... 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
..... 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/ORDO
...... 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
... subject Σ 1..1 Reference(AT e-Diagnose Patient) Person, auf die sich die Diagnose bezieht
... onset[x] Σ 0..1 dateTime Beginn der Erkrankung/Diagnosezeitpunkt
... abatement[x] C 0..1 dateTime Ende der Erkrankung
... recordedDate Σ 1..1 dateTime Zeitpunkt der Diagnosendokumentation
... recorder Σ 1..1 Reference(AT e-Diagnose Practitioner | AT APS PractitionerRole | AT e-Diagnose Patient | RelatedPerson) Person, die die Diagnose eingetragen hat
... asserter Σ 0..1 Reference(AT e-Diagnose Practitioner | AT APS PractitionerRole | AT e-Diagnose Patient | RelatedPerson) Person (fachliche Quelle), die die Diagnose bestätigt
... evidence C 0..* BackboneElement Medizinischer Nachweis (Ergebnis, Labor, Befund)
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 ΣC 0..* Reference(Resource) Supporting information found elsewhere
... note 0..1 Annotation Zusätzliche Informationen oder Freitext zur Diagnose.

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Condition.meta.security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
Condition.meta.tag Base example Common Tags 📍4.0.1 FHIR Std.
Condition.meta.tag:diagnosisType Base required AT e-Diagnose Typ 📦0.1.0 This IG
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.code Base extensible Problems - IPS 📦2.0.0 International Patient Summary Implementation Guide v2.0
Condition.stage.summary Base example Condition Stage 📍4.0.1 FHIR Std.
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
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()

This structure is derived from AtApsCondition

Summary

Mandatory: 9 elements(4 nested mandatory elements)
Fixed: 2 elements
Prohibited: 7 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Condition.meta.tag
  • The element 1 is sliced based on the value of Condition.code.coding (Closed)

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Condition C 0..* AtApsCondition AT e-Diagnose Condition Diagnosen
This profile also imposes the profile Condition (IPS)
Constraints: con-3, con-4, con-5
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... clinicalStatus ?!ΣC 1..1 CodeableConcept Klinischer Status der Diagnose - Status post
Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
... code Σ 1..1 CodeableConcept Diagnosecode (Codierservice), Text verboten, Codesystem 1.SNOMED 2.Orphanet
Binding: Problems - IPS (extensible)
.... Slices for coding Σ 1..2 Coding Code defined by a terminology system
Slice: Unordered, Closed by value:system
..... coding:snomed Σ 1..1 Coding Code defined by a terminology system
...... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
...... code Σ 1..1 code Symbol in syntax 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/ORDO
...... code Σ 1..1 code Symbol in syntax defined by the system
... subject Σ 1..1 Reference(AT e-Diagnose Patient) Person, auf die sich die Diagnose bezieht
... onset[x] Σ 0..1 dateTime Beginn der Erkrankung/Diagnosezeitpunkt
... abatement[x] C 0..1 dateTime Ende der Erkrankung
... recordedDate Σ 1..1 dateTime Zeitpunkt der Diagnosendokumentation
... recorder Σ 1..1 Reference(AT e-Diagnose Practitioner | AT APS PractitionerRole | AT e-Diagnose Patient | RelatedPerson) Person, die die Diagnose eingetragen hat
... asserter Σ 0..1 Reference(AT e-Diagnose Practitioner | AT APS PractitionerRole | AT e-Diagnose Patient | RelatedPerson) Person (fachliche Quelle), die die Diagnose bestätigt
... evidence C 0..* BackboneElement Medizinischer Nachweis (Ergebnis, Labor, Befund)
Constraints: con-2
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
... note 0..1 Annotation Zusätzliche Informationen oder Freitext zur Diagnose.

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.code Base extensible Problems - IPS 📦2.0.0 International Patient Summary Implementation Guide v2.0

Constraints

Id Grade Path(s) Description Expression
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()

Differential View

This structure is derived from AtApsCondition

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Condition 0..* AtApsCondition AT e-Diagnose Condition Diagnosen
This profile also imposes the profile Condition (IPS)
... meta
.... Slices for tag 1..* Coding Tags applied to this resource
Slice: Unordered, Open by value:$this
..... tag:diagnosisType 1..1 Coding Tags applied to this resource
Binding: AT e-Diagnose Typ (required)
... identifier 0..0 Zuordnung der Diagnose in einem internem Dokumentationssystem
... clinicalStatus 1..1 CodeableConcept Klinischer Status der Diagnose - Status post
... category 0..0 Differenzierung nach Kontext - wird meta.tag gelöst
... severity 0..0 Schweregrad der Erkrankung
... code 1..1 CodeableConcept Diagnosecode (Codierservice), Text verboten, Codesystem 1.SNOMED 2.Orphanet
.... Slices for coding 1..2 Coding Code defined by a terminology system
Slice: Unordered, Closed by value:system
..... coding:snomed 1..1 Coding Code defined by a terminology system
...... 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
..... coding:orphanet 0..1 Coding Code defined by a terminology system
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://www.orpha.net/ORDO
...... code 1..1 code Symbol in syntax defined by the system
.... text 0..0 Plain text representation of the concept
... bodySite 0..0 Zuordnung der Diagnose der Körper-Lokalisation
... subject 1..1 Reference(AT e-Diagnose Patient) Person, auf die sich die Diagnose bezieht
... encounter 0..0 Behandlungskontakt
... onset[x] 0..1 dateTime Beginn der Erkrankung/Diagnosezeitpunkt
... abatement[x] 0..1 dateTime Ende der Erkrankung
... recordedDate 1..1 dateTime Zeitpunkt der Diagnosendokumentation
... recorder 1..1 Reference(AT e-Diagnose Practitioner | AT APS PractitionerRole | AT e-Diagnose Patient | RelatedPerson) Person, die die Diagnose eingetragen hat
... asserter 0..1 Reference(AT e-Diagnose Practitioner | AT APS PractitionerRole | AT e-Diagnose Patient | RelatedPerson) Person (fachliche Quelle), die die Diagnose bestätigt
... stage 0..0 Stadium der Erkrankung
... evidence 0..* BackboneElement Medizinischer Nachweis (Ergebnis, Labor, Befund)
... note 0..1 Annotation Zusätzliche Informationen oder Freitext zur Diagnose.

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Condition.meta.tag:diagnosisType Base required AT e-Diagnose Typ 📦0.1.0 This IG

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Condition C 0..* AtApsCondition AT e-Diagnose Condition Diagnosen
This profile also imposes the profile Condition (IPS)
Constraints: con-3, con-4, con-5
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile Σ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... Slices for tag Σ 1..* Coding Tags applied to this resource
Slice: Unordered, Open by value:$this
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
..... tag:diagnosisType Σ 1..1 Coding Tags applied to this resource
Binding: AT e-Diagnose Typ (required)
... 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
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... clinicalStatus ?!ΣC 1..1 CodeableConcept Klinischer Status der Diagnose - Status post
Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
... verificationStatus ?!ΣC 1..1 CodeableConcept Status der Diagnose: vorläufig, differential,...
Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
... code Σ 1..1 CodeableConcept Diagnosecode (Codierservice), Text verboten, Codesystem 1.SNOMED 2.Orphanet
Binding: Problems - IPS (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..2 Coding Code defined by a terminology system
Slice: Unordered, Closed by value:system
..... coding:snomed Σ 1..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://snomed.info/sct
...... 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
..... 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/ORDO
...... 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
... subject Σ 1..1 Reference(AT e-Diagnose Patient) Person, auf die sich die Diagnose bezieht
... onset[x] Σ 0..1 dateTime Beginn der Erkrankung/Diagnosezeitpunkt
... abatement[x] C 0..1 dateTime Ende der Erkrankung
... recordedDate Σ 1..1 dateTime Zeitpunkt der Diagnosendokumentation
... recorder Σ 1..1 Reference(AT e-Diagnose Practitioner | AT APS PractitionerRole | AT e-Diagnose Patient | RelatedPerson) Person, die die Diagnose eingetragen hat
... asserter Σ 0..1 Reference(AT e-Diagnose Practitioner | AT APS PractitionerRole | AT e-Diagnose Patient | RelatedPerson) Person (fachliche Quelle), die die Diagnose bestätigt
... evidence C 0..* BackboneElement Medizinischer Nachweis (Ergebnis, Labor, Befund)
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 ΣC 0..* Reference(Resource) Supporting information found elsewhere
... note 0..1 Annotation Zusätzliche Informationen oder Freitext zur Diagnose.

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Condition.meta.security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
Condition.meta.tag Base example Common Tags 📍4.0.1 FHIR Std.
Condition.meta.tag:diagnosisType Base required AT e-Diagnose Typ 📦0.1.0 This IG
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.code Base extensible Problems - IPS 📦2.0.0 International Patient Summary Implementation Guide v2.0
Condition.stage.summary Base example Condition Stage 📍4.0.1 FHIR Std.
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
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()

This structure is derived from AtApsCondition

Summary

Mandatory: 9 elements(4 nested mandatory elements)
Fixed: 2 elements
Prohibited: 7 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Condition.meta.tag
  • The element 1 is sliced based on the value of Condition.code.coding (Closed)

 

Other representations of profile: CSV, Excel, Schematron