Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Condition	C	0..*	ConditionEuCore	Detailed information about conditions, problems or diagnoses Constraints: dom-2, dom-3, dom-4, dom-5, dom-6, con-5, con-4, con-3
meta	SΣ	0..1	Meta	Metadata about the resource
versionId	SΣ	0..1	id	Version specific identifier
lastUpdated	SΣ	0..1	instant	When the resource version last changed
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension				Content/Rules for all slices
extension:assertedDate	N	0..1	(Complex)	Date the condition was first asserted URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
extension		0..0		Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/condition-assertedDate"
value[x]		1..1	dateTime	Date and time of the diagnosis assertion
extension:relatedArtifact		0..*	RelatedArtifact	Additional documentation, citations, etc. URL: http://hl7.org/fhir/StructureDefinition/artifact-relatedArtifact
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
clinicalStatus	?!SΣC	0..1	CodeableConcept	active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
verificationStatus	?!SΣC	0..1	CodeableConcept	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
code	SΣ	1..1	CodeableConcept	Identification of the condition, problem or diagnosis Binding: Problems - IPS (preferred): Valueset to describe the actual problem experienced by the patient Additional Bindings Purpose Documentation http://terminology.ehdsi.eu/ValueSet/eHDSIIllnessandDisorder Preferred For cross border data exchange
Slices for coding	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:ICD-10-GM	SΣ	0..1	CodingICD10GM	Code defined by a terminology system
Slices for extension				Content/Rules for all slices
extension:Mehrfachcodierungs-Kennzeichen	S	0..1	(Complex)	Optional Extensions Element URL: http://fhir.de/StructureDefinition/icd-10-gm-mehrfachcodierungs-kennzeichen
extension		0..0		Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://fhir.de/StructureDefinition/icd-10-gm-mehrfachcodierungs-kennzeichen"
value[x]	S	1..1	Coding	Value of extension Binding: Mehrfachkodierungs-Kennzeichen ICD10GM ValueSet (required)
system	SΣ	1..1	uri	Identity of the terminology system
version	SΣ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
extension:Seitenlokalisation	S	0..1	(Complex)	Optional Extensions Element URL: http://fhir.de/StructureDefinition/seitenlokalisation
extension		0..0		Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://fhir.de/StructureDefinition/seitenlokalisation"
value[x]	S	1..1	Coding	Value of extension Binding: https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_ICD_SEITENLOKALISATION (required)
system	SΣ	1..1	uri	Identity of the terminology system
version	SΣ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
extension:Diagnosesicherheit	S	0..1	(Complex)	Optional Extensions Element URL: http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit
extension		0..0		Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit"
value[x]	SC	1..1	Coding	Value of extension Binding: https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_ICD_DIAGNOSESICHERHEIT (required) Constraints: icd-4, icd-5, icd-6, icd-7
system	SΣ	0..1	uri	Identity of the terminology system
version	SΣ	0..1	string	Version of the system - if relevant
code	SΣ	0..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
system	SΣ	1..1	uri	Canonische CodeSystem URL für ICD-10-GM Fixed Value: http://fhir.de/CodeSystem/bfarm/icd-10-gm
version	SΣ	1..1	string	Die Jahresversion von ICD-10-GM. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017")
code	SΣC	1..1	code	Der ICD-10-Code Constraints: icd-regex Example Einfacher ICD-Code: F17.4
display	SΣ	0..1	string	Representation defined by the system
coding:alphaId	SΣ	0..1	CodingAlphaID	Code defined by a terminology system
system	SΣ	1..1	uri	Canonische CodeSystem URL für Alpha-ID Fixed Value: http://fhir.de/CodeSystem/bfarm/alpha-id
version	SΣ	1..1	string	Die Jahresversion von Alpha-ID. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017")
code	SΣ	1..1	code	Der Alpha-ID-Code
display	SΣ	0..1	string	Representation defined by the system
coding:snomed	SΣ	0..1	Coding	Code defined by a terminology system Binding: https://gematik.de/fhir/terminology/ValueSet/diagnosis-snomed-ct (required)
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	SΣ	1..1	string	Version of the system - if relevant
code	SΣ	0..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
coding:orphanet	SΣ	0..1	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://www.orpha.net
version	SΣ	0..1	string	Version of the system - if relevant
code	SΣ	0..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
text	SΣ	0..1	string	Plain text representation of the concept
subject	SΣC	1..1	Reference(TI Patient)	Who has the condition? Constraints: ref-1
reference	SΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	SΣ	0..1	Identifier	Logical reference, when literal reference is not known
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	SΣ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	0..1	string	The value that is unique Example General: 123456
display	SΣ	0..1	string	Text alternative for the resource
Slices for onset[x]	ΣN	0..1		Estimated or actual date, date-time, or age Slice: Unordered, Open by type:$this
onsetDateTime			dateTime
onsetAge			Age
onsetPeriod			Period
onsetRange			Range
onsetString			string
onset[x]:onsetDateTime	ΣN	0..1	dateTime	Estimated or actual date, date-time, or age
Slices for abatement[x]	CN	0..1		When in resolution/remission Slice: Unordered, Open by type:$this
abatementDateTime			dateTime
abatementAge			Age
abatementPeriod			Period
abatementRange			Range
abatementString			string
abatement[x]:abatementDateTime	CN	0..1	dateTime	When in resolution/remission
recorder	ΣC	0..1	Reference(TI PractitionerRole | TI Practitioner | TI Patient | RelatedPerson)	Who recorded the condition Constraints: ref-1
reference	SΣC	0..1	string	Literal reference, Relative, internal or absolute URL
display	SΣ	0..1	string	Text alternative for the resource
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	preferred	Problems - IPS	📦2.0.1	This IG
Condition.code.coding:ICD-10-GM.​extension:Mehrfachcodierungs-Kennzeichen.​value[x]	Base	required	Mehrfachkodierungs-Kennzeichen ICD10GM ValueSet	📦1.6.0	de.basisprofil.r4 v1.6
Condition.code.coding:ICD-10-GM.​extension:Seitenlokalisation.​value[x]	Base	required	https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_ICD_SEITENLOKALISATION	Not State	Unknown
Condition.code.coding:ICD-10-GM.​extension:Diagnosesicherheit.​value[x]	Base	required	https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_ICD_DIAGNOSESICHERHEIT	Not State	Unknown
Condition.code.coding:snomed	Base	required	https://gematik.de/fhir/terminology/ValueSet/diagnosis-snomed-ct	Not State	Unknown
Condition.subject.identifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
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-4	warning	Condition.code.coding:ICD-10-GM.extension:Diagnosesicherheit.value[x]	Wenn die Diagnosesicherheit "A (Ausschluss)" verwendet wird, dann muss clinicalStatus leer bleiben und verificationStaus auf "refuted" gesetzt werden.	code!='A' or (%resource.verificationStatus.coding.where(code='refuted').exists() and %resource.clinicalStatus.empty())
icd-5	warning	Condition.code.coding:ICD-10-GM.extension:Diagnosesicherheit.value[x]	Wenn die Diagnosesicherheit "G (Gesichert)" verwendet wird, dann muss clinicalStatus auf "active" und verificationStatus auf "confirmed" gesetzt werden.	code!='G' or (%resource.clinicalStatus.coding.where(code='active').exists() and %resource.verificationStatus.coding.where(code='confirmed').exists())
icd-6	warning	Condition.code.coding:ICD-10-GM.extension:Diagnosesicherheit.value[x]	Wenn die Diagnosesicherheit "V (Verdacht auf)" verwendet wird, dann muss clinicalStatus auf "active" und verificationStatus auf "provisional" oder "differential" gesetzt werden.	code!='V' or (%resource.clinicalStatus.coding.where(code='active').exists() and (%resource.verificationStatus.coding.where(code='provisional').exists() or %resource.verificationStatus.coding.where(code='differential').exists()))
icd-7	warning	Condition.code.coding:ICD-10-GM.extension:Diagnosesicherheit.value[x]	Wenn die Diagnosesicherheit "Z (Zustand nach)" verwendet wird, dann muss clinicalStatus auf "resolved" und verificationStatus auf "confirmed" gesetzt werden.	code!='Z' or (%resource.clinicalStatus.coding.where(code='resolved').exists() and %resource.verificationStatus.coding.where(code='confirmed').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})?$')
ref-1	error	Condition.subject, Condition.recorder	SHALL have a contained resource if a local reference is provided	reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Condition		0..*	ConditionEuCore	Detailed information about conditions, problems or diagnoses
meta	S	0..1	Meta	Metadata about the resource
versionId	S	0..1	id	Version specific identifier
lastUpdated	S	0..1	instant	When the resource version last changed
clinicalStatus	S	0..1	CodeableConcept	active | recurrence | relapse | inactive | remission | resolved
verificationStatus	S	0..1	CodeableConcept	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
code	S	1..1	CodeableConcept	Identification of the condition, problem or diagnosis
Slices for coding	S	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:ICD-10-GM	S	0..1	CodingICD10GM	Code defined by a terminology system
Slices for extension				Content/Rules for all slices
extension:Mehrfachcodierungs-Kennzeichen	S	0..1	ExtensionMehrfachcodierungKennzeichen	Optional Extensions Element
value[x]	S	1..1	Coding	Value of extension
system	S	1..1	uri	Identity of the terminology system
version	S	0..1	string	Version of the system - if relevant
code	S	1..1	code	Symbol in syntax defined by the system
display	S	0..1	string	Representation defined by the system
extension:Seitenlokalisation	S	0..1	ExtensionSeitenlokalisation	Optional Extensions Element
value[x]	S	1..1	Coding	Value of extension
system	S	1..1	uri	Identity of the terminology system
version	S	0..1	string	Version of the system - if relevant
code	S	1..1	code	Symbol in syntax defined by the system
display	S	0..1	string	Representation defined by the system
extension:Diagnosesicherheit	S	0..1	ExtensionICD10GMDiagnosesicherheit	Optional Extensions Element
value[x]	S	1..1	Coding	Value of extension
system	S	0..1	uri	Identity of the terminology system
version	S	0..1	string	Version of the system - if relevant
code	S	0..1	code	Symbol in syntax defined by the system
display	S	0..1	string	Representation defined by the system
system	S	1..1	uri	Canonische CodeSystem URL für ICD-10-GM
version	S	1..1	string	Die Jahresversion von ICD-10-GM. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017")
code	S	1..1	code	Der ICD-10-Code
display	S	0..1	string	Representation defined by the system
coding:alphaId	S	0..1	CodingAlphaID	Code defined by a terminology system
system	S	1..1	uri	Canonische CodeSystem URL für Alpha-ID
version	S	1..1	string	Die Jahresversion von Alpha-ID. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017")
code	S	1..1	code	Der Alpha-ID-Code
display	S	0..1	string	Representation defined by the system
coding:snomed	S	0..1	Coding	Code defined by a terminology system Binding: https://gematik.de/fhir/terminology/ValueSet/diagnosis-snomed-ct (required)
system	S	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	S	1..1	string	Version of the system - if relevant
code	S	0..1	code	Symbol in syntax defined by the system
display	S	0..1	string	Representation defined by the system
coding:orphanet	S	0..1	Coding	Code defined by a terminology system
system	S	1..1	uri	Identity of the terminology system Fixed Value: http://www.orpha.net
version	S	0..1	string	Version of the system - if relevant
code	S	0..1	code	Symbol in syntax defined by the system
display	S	0..1	string	Representation defined by the system
text	S	0..1	string	Plain text representation of the concept
subject	S	1..1	Reference(TI Patient)	Who has the condition?
reference	S	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	S	0..1	Identifier	Logical reference, when literal reference is not known
system	S	0..1	uri	The namespace for the identifier value
value	S	0..1	string	The value that is unique
display	S	0..1	string	Text alternative for the resource
recorder		0..1	Reference(TI PractitionerRole | TI Practitioner | TI Patient | RelatedPerson)	Who recorded the condition
reference	S	0..1	string	Literal reference, Relative, internal or absolute URL
display	S	0..1	string	Text alternative for the resource
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Condition.code.coding:snomed	Base	required	https://gematik.de/fhir/terminology/ValueSet/diagnosis-snomed-ct	Not State	Unknown

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Condition	C	0..*	ConditionEuCore	Detailed information about conditions, problems or diagnoses Constraints: dom-2, dom-3, dom-4, dom-5, dom-6, con-5, con-4, con-3
id	Σ	0..1	id	Logical id of this artifact
meta	SΣ	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	SΣ	0..1	id	Version specific identifier
lastUpdated	SΣ	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.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the condition content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation 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	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:assertedDate	N	0..1	(Complex)	Date the condition was first asserted URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/condition-assertedDate"
value[x]		1..1	dateTime	Date and time of the diagnosis assertion
extension:relatedArtifact		0..*	RelatedArtifact	Additional documentation, citations, etc. URL: http://hl7.org/fhir/StructureDefinition/artifact-relatedArtifact
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
identifier	Σ	0..*	Identifier	External Ids for this condition
clinicalStatus	?!SΣC	0..1	CodeableConcept	active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
verificationStatus	?!SΣC	0..1	CodeableConcept	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
category		0..*	CodeableConcept	Category Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
severity		0..1	CodeableConcept	Subjective severity of condition Binding: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.
code	SΣ	1..1	CodeableConcept	Identification of the condition, problem or diagnosis Binding: Problems - IPS (preferred): Valueset to describe the actual problem experienced by the patient Additional Bindings Purpose Documentation http://terminology.ehdsi.eu/ValueSet/eHDSIIllnessandDisorder Preferred For cross border data exchange
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	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:ICD-10-GM	SΣ	0..1	CodingICD10GM	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
Slices for extension				Content/Rules for all slices
extension:Mehrfachcodierungs-Kennzeichen	S	0..1	(Complex)	Optional Extensions Element URL: http://fhir.de/StructureDefinition/icd-10-gm-mehrfachcodierungs-kennzeichen
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://fhir.de/StructureDefinition/icd-10-gm-mehrfachcodierungs-kennzeichen"
value[x]	S	1..1	Coding	Value of extension Binding: Mehrfachkodierungs-Kennzeichen ICD10GM ValueSet (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system
version	SΣ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
extension:Seitenlokalisation	S	0..1	(Complex)	Optional Extensions Element URL: http://fhir.de/StructureDefinition/seitenlokalisation
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://fhir.de/StructureDefinition/seitenlokalisation"
value[x]	S	1..1	Coding	Value of extension Binding: https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_ICD_SEITENLOKALISATION (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system
version	SΣ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
extension:Diagnosesicherheit	S	0..1	(Complex)	Optional Extensions Element URL: http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit"
value[x]	SC	1..1	Coding	Value of extension Binding: https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_ICD_DIAGNOSESICHERHEIT (required) Constraints: icd-4, icd-5, icd-6, icd-7
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	Identity of the terminology system
version	SΣ	0..1	string	Version of the system - if relevant
code	SΣ	0..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
system	SΣ	1..1	uri	Canonische CodeSystem URL für ICD-10-GM Fixed Value: http://fhir.de/CodeSystem/bfarm/icd-10-gm
version	SΣ	1..1	string	Die Jahresversion von ICD-10-GM. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017")
code	SΣC	1..1	code	Der ICD-10-Code Constraints: icd-regex Example Einfacher ICD-Code: F17.4
display	SΣ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:alphaId	SΣ	0..1	CodingAlphaID	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	SΣ	1..1	uri	Canonische CodeSystem URL für Alpha-ID Fixed Value: http://fhir.de/CodeSystem/bfarm/alpha-id
version	SΣ	1..1	string	Die Jahresversion von Alpha-ID. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017")
code	SΣ	1..1	code	Der Alpha-ID-Code
display	SΣ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:snomed	SΣ	0..1	Coding	Code defined by a terminology system Binding: https://gematik.de/fhir/terminology/ValueSet/diagnosis-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	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	SΣ	1..1	string	Version of the system - if relevant
code	SΣ	0..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:orphanet	SΣ	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	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://www.orpha.net
version	SΣ	0..1	string	Version of the system - if relevant
code	SΣ	0..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	SΣ	0..1	string	Plain text representation of the concept
bodySite	ΣC	0..*	CodeableConcept	Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (preferred): Codes describing anatomical locations. May include laterality. Constraints: eu-bodysite-1
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:bodySite	N	0..1	(Complex)	Target anatomic location or structure URL: http://hl7.org/fhir/StructureDefinition/bodySite
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/bodySite"
value[x]		1..1	Reference(BodyStructure (EU core))	Value of extension
coding	Σ	0..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
subject	SΣC	1..1	Reference(TI Patient)	Who has the condition? Constraints: ref-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	SΣ	0..1	Identifier	Logical reference, when literal reference is not known
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	0..1	string	The value that is unique Example General: 123456
period	ΣC	0..1	Period	Time period when id is/was valid for use Constraints: per-1
assigner	ΣC	0..1	Reference(Organization)	Organization that issued id (may be just text) Constraints: ref-1
display	SΣ	0..1	string	Text alternative for the resource
encounter	ΣC	0..1	Reference(Encounter)	Encounter created as part of Constraints: ref-1
Slices for onset[x]	ΣN	0..1		Estimated or actual date, date-time, or age Slice: Unordered, Open by type:$this
onsetDateTime			dateTime
onsetAge			Age
onsetPeriod			Period
onsetRange			Range
onsetString			string
onset[x]:onsetDateTime	ΣN	0..1	dateTime	Estimated or actual date, date-time, or age
Slices for abatement[x]	CN	0..1		When in resolution/remission Slice: Unordered, Open by type:$this
abatementDateTime			dateTime
abatementAge			Age
abatementPeriod			Period
abatementRange			Range
abatementString			string
abatement[x]:abatementDateTime	CN	0..1	dateTime	When in resolution/remission
recordedDate	Σ	0..1	dateTime	Date when the condition record was created
recorder	ΣC	0..1	Reference(TI PractitionerRole | TI Practitioner | TI Patient | RelatedPerson)	Who recorded the condition Constraints: ref-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	SΣ	0..1	string	Text alternative for the resource
asserter	ΣC	0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Who asserted the condition Constraints: ref-1
stage	C	0..*	BackboneElement	Stage/grade Constraints: con-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
summary	C	0..1	CodeableConcept	Most recent Stage Group Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).
assessment	C	0..*	Reference(ClinicalImpression | DiagnosticReport | Observation)	Formal record of assessment Constraints: ref-1
type		0..1	CodeableConcept	Staging system used. Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).
evidence	C	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 Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	ΣC	0..*	CodeableConcept	Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.
detail	ΣC	0..*	Reference(Resource)	Supporting information found elsewhere Constraints: ref-1
note		0..*	Annotation	Additional information about the Condition
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.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.severity	Base	preferred	Condition/Diagnosis Severity	📦4.0.1	FHIR Std.
Condition.code	Base	preferred	Problems - IPS	📦2.0.1	This IG
Condition.code.coding:ICD-10-GM.​extension:Mehrfachcodierungs-Kennzeichen.​value[x]	Base	required	Mehrfachkodierungs-Kennzeichen ICD10GM ValueSet	📦1.6.0	de.basisprofil.r4 v1.6
Condition.code.coding:ICD-10-GM.​extension:Seitenlokalisation.​value[x]	Base	required	https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_ICD_SEITENLOKALISATION	Not State	Unknown
Condition.code.coding:ICD-10-GM.​extension:Diagnosesicherheit.​value[x]	Base	required	https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_ICD_DIAGNOSESICHERHEIT	Not State	Unknown
Condition.code.coding:snomed	Base	required	https://gematik.de/fhir/terminology/ValueSet/diagnosis-snomed-ct	Not State	Unknown
Condition.bodySite	Base	preferred	SNOMED CT Body Structures	📦4.0.1	FHIR Std.
Condition.subject.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Condition.subject.identifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Condition.subject.identifier.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Condition.recorder.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
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-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())
eu-bodysite-1	error	Condition.bodySite	Either a body site code or a reference to a BodyStructure resource SHALL be used, but not both.	(coding.empty() and text.empty()) or extension('http://hl7.org/fhir/StructureDefinition/bodySite').empty()
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
icd-4	warning	Condition.code.coding:ICD-10-GM.extension:Diagnosesicherheit.value[x]	Wenn die Diagnosesicherheit "A (Ausschluss)" verwendet wird, dann muss clinicalStatus leer bleiben und verificationStaus auf "refuted" gesetzt werden.	code!='A' or (%resource.verificationStatus.coding.where(code='refuted').exists() and %resource.clinicalStatus.empty())
icd-5	warning	Condition.code.coding:ICD-10-GM.extension:Diagnosesicherheit.value[x]	Wenn die Diagnosesicherheit "G (Gesichert)" verwendet wird, dann muss clinicalStatus auf "active" und verificationStatus auf "confirmed" gesetzt werden.	code!='G' or (%resource.clinicalStatus.coding.where(code='active').exists() and %resource.verificationStatus.coding.where(code='confirmed').exists())
icd-6	warning	Condition.code.coding:ICD-10-GM.extension:Diagnosesicherheit.value[x]	Wenn die Diagnosesicherheit "V (Verdacht auf)" verwendet wird, dann muss clinicalStatus auf "active" und verificationStatus auf "provisional" oder "differential" gesetzt werden.	code!='V' or (%resource.clinicalStatus.coding.where(code='active').exists() and (%resource.verificationStatus.coding.where(code='provisional').exists() or %resource.verificationStatus.coding.where(code='differential').exists()))
icd-7	warning	Condition.code.coding:ICD-10-GM.extension:Diagnosesicherheit.value[x]	Wenn die Diagnosesicherheit "Z (Zustand nach)" verwendet wird, dann muss clinicalStatus auf "resolved" und verificationStatus auf "confirmed" gesetzt werden.	code!='Z' or (%resource.clinicalStatus.coding.where(code='resolved').exists() and %resource.verificationStatus.coding.where(code='confirmed').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})?$')
per-1	error	Condition.subject.identifier.period	If present, start SHALL have a lower value than end	start.hasValue().not() or end.hasValue().not() or (start <= end)
ref-1	error	Condition.subject, Condition.subject.identifier.assigner, Condition.encounter, Condition.recorder, Condition.asserter, Condition.stage.assessment, Condition.evidence.detail	SHALL have a contained resource if a local reference is provided	reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))

Summary

Mandatory: 0 element(3 nested mandatory elements)
Must-Support: 54 elements
Fixed: 2 elements

Structures

This structure refers to these other structures:

• Coding-Profil für ICD-10-GM (http://fhir.de/StructureDefinition/CodingICD10GM)
• Coding-Profil für Alpha-ID (http://fhir.de/StructureDefinition/CodingAlphaID)
• TI Patient (https://gematik.de/fhir/ti/StructureDefinition/ti-patient)
• TI PractitionerRole (https://gematik.de/fhir/ti/StructureDefinition/ti-practitioner-role)
• TI Practitioner (https://gematik.de/fhir/ti/StructureDefinition/ti-practitioner)

Slices

This structure defines the following Slices:

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Condition	C	0..*	ConditionEuCore	Detailed information about conditions, problems or diagnoses Constraints: dom-2, dom-3, dom-4, dom-5, dom-6, con-5, con-4, con-3
meta	SΣ	0..1	Meta	Metadata about the resource
versionId	SΣ	0..1	id	Version specific identifier
lastUpdated	SΣ	0..1	instant	When the resource version last changed
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension				Content/Rules for all slices
extension:assertedDate	N	0..1	(Complex)	Date the condition was first asserted URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
extension		0..0		Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/condition-assertedDate"
value[x]		1..1	dateTime	Date and time of the diagnosis assertion
extension:relatedArtifact		0..*	RelatedArtifact	Additional documentation, citations, etc. URL: http://hl7.org/fhir/StructureDefinition/artifact-relatedArtifact
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
clinicalStatus	?!SΣC	0..1	CodeableConcept	active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
verificationStatus	?!SΣC	0..1	CodeableConcept	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
code	SΣ	1..1	CodeableConcept	Identification of the condition, problem or diagnosis Binding: Problems - IPS (preferred): Valueset to describe the actual problem experienced by the patient Additional Bindings Purpose Documentation http://terminology.ehdsi.eu/ValueSet/eHDSIIllnessandDisorder Preferred For cross border data exchange
Slices for coding	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:ICD-10-GM	SΣ	0..1	CodingICD10GM	Code defined by a terminology system
Slices for extension				Content/Rules for all slices
extension:Mehrfachcodierungs-Kennzeichen	S	0..1	(Complex)	Optional Extensions Element URL: http://fhir.de/StructureDefinition/icd-10-gm-mehrfachcodierungs-kennzeichen
extension		0..0		Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://fhir.de/StructureDefinition/icd-10-gm-mehrfachcodierungs-kennzeichen"
value[x]	S	1..1	Coding	Value of extension Binding: Mehrfachkodierungs-Kennzeichen ICD10GM ValueSet (required)
system	SΣ	1..1	uri	Identity of the terminology system
version	SΣ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
extension:Seitenlokalisation	S	0..1	(Complex)	Optional Extensions Element URL: http://fhir.de/StructureDefinition/seitenlokalisation
extension		0..0		Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://fhir.de/StructureDefinition/seitenlokalisation"
value[x]	S	1..1	Coding	Value of extension Binding: https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_ICD_SEITENLOKALISATION (required)
system	SΣ	1..1	uri	Identity of the terminology system
version	SΣ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
extension:Diagnosesicherheit	S	0..1	(Complex)	Optional Extensions Element URL: http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit
extension		0..0		Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit"
value[x]	SC	1..1	Coding	Value of extension Binding: https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_ICD_DIAGNOSESICHERHEIT (required) Constraints: icd-4, icd-5, icd-6, icd-7
system	SΣ	0..1	uri	Identity of the terminology system
version	SΣ	0..1	string	Version of the system - if relevant
code	SΣ	0..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
system	SΣ	1..1	uri	Canonische CodeSystem URL für ICD-10-GM Fixed Value: http://fhir.de/CodeSystem/bfarm/icd-10-gm
version	SΣ	1..1	string	Die Jahresversion von ICD-10-GM. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017")
code	SΣC	1..1	code	Der ICD-10-Code Constraints: icd-regex Example Einfacher ICD-Code: F17.4
display	SΣ	0..1	string	Representation defined by the system
coding:alphaId	SΣ	0..1	CodingAlphaID	Code defined by a terminology system
system	SΣ	1..1	uri	Canonische CodeSystem URL für Alpha-ID Fixed Value: http://fhir.de/CodeSystem/bfarm/alpha-id
version	SΣ	1..1	string	Die Jahresversion von Alpha-ID. Angegeben wird immer die vierstellige Jahreszahl (z.B. "2017")
code	SΣ	1..1	code	Der Alpha-ID-Code
display	SΣ	0..1	string	Representation defined by the system
coding:snomed	SΣ	0..1	Coding	Code defined by a terminology system Binding: https://gematik.de/fhir/terminology/ValueSet/diagnosis-snomed-ct (required)
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	SΣ	1..1	string	Version of the system - if relevant
code	SΣ	0..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
coding:orphanet	SΣ	0..1	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://www.orpha.net
version	SΣ	0..1	string	Version of the system - if relevant
code	SΣ	0..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
text	SΣ	0..1	string	Plain text representation of the concept
subject	SΣC	1..1	Reference(TI Patient)	Who has the condition? Constraints: ref-1
reference	SΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	SΣ	0..1	Identifier	Logical reference, when literal reference is not known
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	SΣ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	0..1	string	The value that is unique Example General: 123456
display	SΣ	0..1	string	Text alternative for the resource
Slices for onset[x]	ΣN	0..1		Estimated or actual date, date-time, or age Slice: Unordered, Open by type:$this
onsetDateTime			dateTime
onsetAge			Age
onsetPeriod			Period
onsetRange			Range
onsetString			string
onset[x]:onsetDateTime	ΣN	0..1	dateTime	Estimated or actual date, date-time, or age
Slices for abatement[x]	CN	0..1		When in resolution/remission Slice: Unordered, Open by type:$this
abatementDateTime			dateTime
abatementAge			Age
abatementPeriod			Period
abatementRange			Range
abatementString			string
abatement[x]:abatementDateTime	CN	0..1	dateTime	When in resolution/remission
recorder	ΣC	0..1	Reference(TI PractitionerRole | TI Practitioner | TI Patient | RelatedPerson)	Who recorded the condition Constraints: ref-1
reference	SΣC	0..1	string	Literal reference, Relative, internal or absolute URL
display	SΣ	0..1	string	Text alternative for the resource
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	preferred	Problems - IPS	📦2.0.1	This IG
Condition.code.coding:ICD-10-GM.​extension:Mehrfachcodierungs-Kennzeichen.​value[x]	Base	required	Mehrfachkodierungs-Kennzeichen ICD10GM ValueSet	📦1.6.0	de.basisprofil.r4 v1.6
Condition.code.coding:ICD-10-GM.​extension:Seitenlokalisation.​value[x]	Base	required	https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_ICD_SEITENLOKALISATION	Not State	Unknown
Condition.code.coding:ICD-10-GM.​extension:Diagnosesicherheit.​value[x]	Base	required	https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_ICD_DIAGNOSESICHERHEIT	Not State	Unknown
Condition.code.coding:snomed	Base	required	https://gematik.de/fhir/terminology/ValueSet/diagnosis-snomed-ct	Not State	Unknown
Condition.subject.identifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
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-4	warning	Condition.code.coding:ICD-10-GM.extension:Diagnosesicherheit.value[x]	Wenn die Diagnosesicherheit "A (Ausschluss)" verwendet wird, dann muss clinicalStatus leer bleiben und verificationStaus auf "refuted" gesetzt werden.	code!='A' or (%resource.verificationStatus.coding.where(code='refuted').exists() and %resource.clinicalStatus.empty())
icd-5	warning	Condition.code.coding:ICD-10-GM.extension:Diagnosesicherheit.value[x]	Wenn die Diagnosesicherheit "G (Gesichert)" verwendet wird, dann muss clinicalStatus auf "active" und verificationStatus auf "confirmed" gesetzt werden.	code!='G' or (%resource.clinicalStatus.coding.where(code='active').exists() and %resource.verificationStatus.coding.where(code='confirmed').exists())
icd-6	warning	Condition.code.coding:ICD-10-GM.extension:Diagnosesicherheit.value[x]	Wenn die Diagnosesicherheit "V (Verdacht auf)" verwendet wird, dann muss clinicalStatus auf "active" und verificationStatus auf "provisional" oder "differential" gesetzt werden.	code!='V' or (%resource.clinicalStatus.coding.where(code='active').exists() and (%resource.verificationStatus.coding.where(code='provisional').exists() or %resource.verificationStatus.coding.where(code='differential').exists()))
icd-7	warning	Condition.code.coding:ICD-10-GM.extension:Diagnosesicherheit.value[x]	Wenn die Diagnosesicherheit "Z (Zustand nach)" verwendet wird, dann muss clinicalStatus auf "resolved" und verificationStatus auf "confirmed" gesetzt werden.	code!='Z' or (%resource.clinicalStatus.coding.where(code='resolved').exists() and %resource.verificationStatus.coding.where(code='confirmed').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})?$')
ref-1	error	Condition.subject, Condition.recorder	SHALL have a contained resource if a local reference is provided	reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))