MII IG Symptom DE v2024

Condition

MII_PR_Symptom_Condition

Klinische Zustände, Probleme, Diagnosen oder andere Ereignisse und Situationen. Conditions können als Beschreibung von Krankheiten von Health Professionals dokumentiert sein. Conditions können im Rahmen einer Anamnese vom Patienten selber geäußert werden (Symptom).

Diagnosesicherheit

Das Vorhandensein oder die Abwesenheit eines klinischen Zustandes oder einer Diagnose kann über die Elemente Condition.clinicalStatus und Condition.verificationStatus festgehalten werden.

Folgende Kombinationen aus clinicalStatus und verificationStatus sind notwendig, um die vier Ausprägungen für Diagnosesicherheit äquivalent abzubilden:

A (ausgeschlossen) => clinicalStatus = leer, verificationStatus="refuted"
G (gesicherte Diagnose) => clinicalStatus = "active", verificationStatus="confirmed"
V (Verdacht auf / zum Ausschluss von) => clinicalStatus = "active", verificationStatus="provisional" oder "differential"
Z (Zustand nach) => clinicalStatus = "resolved", verificationStatus="confirmed"

Siehe dazu auch Diagnosesicherheit in den FHIR Basisprofilen und im MII Modul Diagnose.

Name	Status	Version	Canonical	Basis
MII_PR_Symptom_Condition	active	2024.0.0-ballot	https://www.medizininformatik-initiative.de/fhir/ext/modul-symptom/StructureDefinition/finding-condition	http://hl7.org/fhir/StructureDefinition/Condition

Inhalt

Condition	I		Condition	There are no (further) constraints on this element Element Id Condition Short description Detailed information about conditions, problems or diagnoses Definition A clinical condition, problem, diagnosis, or other event, situation, issue, or clinical concept that has risen to a level of concern. Data Type Condition Constraints dom-2:If the resource is contained in another resource, it SHALL NOT contain nested Resources `contained.contained.empty()` dom-4: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-3: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-6:A resource should have narrative for robust management text.`div`.exists() dom-5:If a resource is contained in another resource, it SHALL NOT have a security label `contained.meta.security.empty()` con-5: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()` con-4: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-3: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()` Mappings rim:Entity. Role, or Act workflow:Event sct-concept:< 243796009 \|Situation with explicit context\| : 246090004 \|Associated finding\| = ( ( < 404684003 \|Clinical finding\| MINUS ( << 420134006 \|Propensity to adverse reactions\| OR << 473010000 \|Hypersensitivity condition\| OR << 79899007 \|Drug interaction\| OR << 69449002 \|Drug action\| OR << 441742003 \|Evaluation finding\| OR << 307824009 \|Administrative status\| OR << 385356007 \|Tumor stage finding\|)) OR < 272379006 \|Event\|) v2:PPR message rim:Observation[classCode=OBS, moodCode=EVN, code=ASSERTION, value<Diagnosis]
extension	I	0..*	Extension	There are no (further) constraints on this element Element Id Condition.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data Type Extension Sliced: Unordered, Open, by url(Value) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
assertedDate	S I	0..1	Extension(dateTime)	Element Id Condition.extension:assertedDate Short description Date the condition was first asserted Alternate names extensions, user content Definition The date on which the existence of the Condition was first asserted or acknowledged. Comments The assertedDate is in the context of the recording practitioner and might not be the same as the recordedDate. Data Type Extension(dateTime) Extension URL http://hl7.org/fhir/StructureDefinition/condition-assertedDate Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
identifier	S Σ	0..*	Identifier	There are no (further) constraints on this element Element Id Condition.identifier Short description External Ids for this condition Definition Business identifiers assigned to this condition by the performer or other systems which remain constant as the resource is updated and propagates from server to server. Requirements Allows identification of the condition as it is known by various participating systems and in a way that remains consistent across servers. Comments This is a business identifier, not a resource identifier (see discussion). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number. Data Type Identifier Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CX / EI (occasionally, more often EI maps to a resource id or a URL) rim:II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd:Identifier workflow:Event.identifier w5:FiveWs.identifier rim:.id
clinicalStatus	S Σ ?! I	0..1	CodeableConceptBinding	There are no (further) constraints on this element Element Id Condition.clinicalStatus Short description active \| recurrence \| relapse \| inactive \| remission \| resolved Definition The clinical status of the condition. Comments The data type is CodeableConcept because clinicalStatus has some clinical judgment involved, such that there might need to be more specificity than the required FHIR value set allows. For example, a SNOMED coding might allow for additional specificity. Data Type CodeableConcept Binding The clinical status of the condition or diagnosis. ConditionClinicalStatusCodes (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD workflow:Event.status w5:FiveWs.status sct-concept:< 303105007 \|Disease phases\| v2:PRB-14 rim:Observation ACT .inboundRelationship[typeCode=COMP].source[classCode=OBS, code="clinicalStatus", moodCode=EVN].value
verificationStatus	S Σ ?! I	0..1	CodeableConceptBinding	There are no (further) constraints on this element Element Id Condition.verificationStatus Short description unconfirmed \| provisional \| differential \| confirmed \| refuted \| entered-in-error Definition The verification status to support the clinical status of the condition. Comments verificationStatus is not required. For example, when a patient has abdominal pain in the ED, there is not likely going to be a verification status. The data type is CodeableConcept because verificationStatus has some clinical judgment involved, such that there might need to be more specificity than the required FHIR value set allows. For example, a SNOMED coding might allow for additional specificity. Data Type CodeableConcept Binding The verification status to support or decline the clinical status of the condition or diagnosis. ConditionVerificationStatus (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD workflow:Event.status w5:FiveWs.status sct-concept:< 410514004 \|Finding context value\| v2:PRB-13 rim:Observation ACT .inboundRelationship[typeCode=COMP].source[classCode=OBS, code="verificationStatus", moodCode=EVN].value sct-attr:408729009
category	S	0..*	CodeableConceptBinding	There are no (further) constraints on this element Element Id Condition.category Short description problem-list-item \| encounter-diagnosis Definition A category assigned to the condition. Comments The categorization is often highly contextual and may appear poorly differentiated or not very useful in other contexts. Data Type CodeableConcept Binding A category assigned to the condition. ConditionCategoryCodes (extensible) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD w5:FiveWs.class sct-concept:< 404684003 \|Clinical finding\| v2:'problem' if from PRB-3. 'diagnosis' if from DG1 segment in PV1 message rim:.code
severity	S	0..1	CodeableConceptBinding	There are no (further) constraints on this element Element Id Condition.severity Short description Subjective severity of condition Definition A subjective assessment of the severity of the condition as evaluated by the clinician. Comments Coding of the severity with a terminology is preferred, where possible. Data Type CodeableConcept Binding A subjective assessment of the severity of the condition as evaluated by the clinician. Condition/DiagnosisSeverity (preferred) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD w5:FiveWs.grade sct-concept:< 272141005 \|Severities\| v2:PRB-26 / ABS-3 rim:Can be pre/post-coordinated into value. Or ./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="severity"].value sct-attr:246112005
code	S Σ	0..1	CodeableConcept	There are no (further) constraints on this element Element Id Condition.code Short description Identification of the condition, problem or diagnosis Alternate names type Definition Identification of the condition, problem or diagnosis. Requirements 0..1 to account for primarily narrative only resources. Comments Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Data Type CodeableConcept Binding Identification of the condition or diagnosis. Condition/Problem/DiagnosisCodes (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD workflow:Event.code w5:FiveWs.what[x] sct-concept:code 246090004 \|Associated finding\| (< 404684003 \|Clinical finding\| MINUS << 420134006 \|Propensity to adverse reactions\| MINUS << 473010000 \|Hypersensitivity condition\| MINUS << 79899007 \|Drug interaction\| MINUS << 69449002 \|Drug action\| MINUS << 441742003 \|Evaluation finding\| MINUS << 307824009 \|Administrative status\| MINUS << 385356007 \|Tumor stage finding\|) OR < 413350009 \|Finding with explicit context\| OR < 272379006 \|Event\| v2:PRB-3 rim:.value sct-attr:246090004
bodySite	S Σ	0..*	CodeableConcept	There are no (further) constraints on this element Element Id Condition.bodySite Short description Anatomical location, if relevant Definition The anatomical location where this condition manifests itself. Comments Only used if not implicit in code found in Condition.code. If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension bodySite. May be a summary code, or a reference to a very precise definition of the location, or both. Data Type CodeableConcept Binding Codes describing anatomical locations. May include laterality. SNOMEDCTBodyStructures (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD sct-concept:< 442083009 \|Anatomical or acquired body structure\| rim:.targetBodySiteCode sct-attr:363698007
subject	S Σ I	1..1	Reference(Patient \| Group)	There are no (further) constraints on this element Element Id Condition.subject Short description Who has the condition? Alternate names patient Definition Indicates the patient or group who the condition record is associated with. Requirements Group is typically used for veterinary or public health use cases. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data Type Reference(Patient \| Group) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: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'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow:Event.subject w5:FiveWs.subject[x] v2:PID-3 rim:.participation[typeCode=SBJ].role[classCode=PAT] w5:FiveWs.subject
encounter	S Σ I	0..1	Reference(Encounter)	There are no (further) constraints on this element Element Id Condition.encounter Short description Encounter created as part of Definition The Encounter during which this Condition was created or to which the creation of this record is tightly associated. Comments This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter. This record indicates the encounter this particular record is associated with. In the case of a "new" diagnosis reflecting ongoing/revised information about the condition, this might be distinct from the first encounter in which the underlying condition was first "known". Data Type Reference(Encounter) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: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'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow:Event.context w5:FiveWs.context v2:PV1-19 (+PV1-54) rim:.inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]
onset[x]	S Σ	0..1		Element Id Condition.onset[x] Short description Estimated or actual date, date-time, or age Definition Estimated or actual date or date-time the condition began, in the opinion of the clinician. Comments Age is generally used when the patient reports an age at which the Condition began to occur. Sliced: Unordered, Open, by $this(Type) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a workflow:Event.occurrence[x] w5:FiveWs.init v2:PRB-16 rim:.effectiveTime.low or .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="age at onset"].value
onsetDateTime			dateTime	There are no (further) constraints on this element Data Type dateTime
onsetAge			Age	There are no (further) constraints on this element Data Type Age
onsetRange			Range	There are no (further) constraints on this element Data Type Range
onsetString			string	There are no (further) constraints on this element Data Type string
onsetPeriod	S Σ	0..1	Period	Element Id Condition.onset[x]:onsetPeriod Short description Estimated or actual date, date-time, or age Definition Estimated or actual date or date-time the condition began, in the opinion of the clinician. Comments Age is generally used when the patient reports an age at which the Condition began to occur. Data Type Period Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a workflow:Event.occurrence[x] w5:FiveWs.init v2:PRB-16 rim:.effectiveTime.low or .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="age at onset"].value
start	Σ I	0..1	dateTime	There are no (further) constraints on this element Element Id Condition.onset[x]:onsetPeriod.start Short description Starting time with inclusive boundary Definition The start of the period. The boundary is inclusive. Comments If the low element is missing, the meaning is that the low boundary is not known. Data Type dateTime Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:DR.1 rim:./low
extension	I	0..*	Extension	There are no (further) constraints on this element Element Id Condition.onset[x]:onsetPeriod.start.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data Type Extension Sliced: Unordered, Open, by url(Value) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
lebensphase-von	S I	0..1	Extension(CodeableConcept)	Element Id Condition.onset[x]:onsetPeriod.start.extension:lebensphase-von Short description Optional Extensions Element Alternate names extensions, user content Definition Optional Extension Element - found in all resources. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data Type Extension(CodeableConcept) Extension URL http://fhir.de/StructureDefinition/lebensphase Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
end	Σ I	0..1	dateTime	There are no (further) constraints on this element Element Id Condition.onset[x]:onsetPeriod.end Short description End time with inclusive boundary, if not ongoing Definition The end of the period. If the end of the period is missing, it means no end was known or planned at the time the instance was created. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time. Comments The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03. Meaning When Missing If the end of the period is missing, it means that the period is ongoing Data Type dateTime Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:DR.2 rim:./high
extension	I	0..*	Extension	There are no (further) constraints on this element Element Id Condition.onset[x]:onsetPeriod.end.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data Type Extension Sliced: Unordered, Open, by url(Value) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
lebensphase-bis	S I	0..1	Extension(CodeableConcept)	Element Id Condition.onset[x]:onsetPeriod.end.extension:lebensphase-bis Short description Optional Extensions Element Alternate names extensions, user content Definition Optional Extension Element - found in all resources. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data Type Extension(CodeableConcept) Extension URL http://fhir.de/StructureDefinition/lebensphase Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
abatement[x]	I	0..1		There are no (further) constraints on this element Element Id Condition.abatement[x] Short description When in resolution/remission Definition The date or estimated date that the condition resolved or went into remission. This is called "abatement" because of the many overloaded connotations associated with "remission" or "resolution" - Conditions are never really resolved, but they can abate. Comments There is no explicit distinction between resolution and remission because in many cases the distinction is not clear. Age is generally used when the patient reports an age at which the Condition abated. If there is no abatement element, it is unknown whether the condition has resolved or entered remission; applications and users should generally assume that the condition is still valid. When abatementString exists, it implies the condition is abated. Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a w5:FiveWs.done[x] rim:.effectiveTime.high or .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="age at remission"].value or .inboundRelationship[typeCode=SUBJ]source[classCode=CONC, moodCode=EVN].status=completed
abatementDateTime			dateTime	There are no (further) constraints on this element Data Type dateTime
abatementAge			Age	There are no (further) constraints on this element Data Type Age
abatementPeriod			Period	There are no (further) constraints on this element Data Type Period
abatementRange			Range	There are no (further) constraints on this element Data Type Range
abatementString			string	There are no (further) constraints on this element Data Type string
recordedDate	S Σ	0..1	dateTime	There are no (further) constraints on this element Element Id Condition.recordedDate Short description Date record was first recorded Definition The recordedDate represents when this particular Condition record was created in the system, which is often a system-generated date. Data Type dateTime Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a w5:FiveWs.recorded v2:REL-11 rim:.participation[typeCode=AUT].time
recorder	Σ I	0..1	Reference(Practitioner \| PractitionerRole \| Patient \| RelatedPerson)	There are no (further) constraints on this element Element Id Condition.recorder Short description Who recorded the condition Definition Individual who recorded the record and takes responsibility for its content. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data Type Reference(Practitioner \| PractitionerRole \| Patient \| RelatedPerson) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: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'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) w5:FiveWs.author rim:.participation[typeCode=AUT].role
asserter	Σ I	0..1	Reference(Practitioner \| PractitionerRole \| Patient \| RelatedPerson)	There are no (further) constraints on this element Element Id Condition.asserter Short description Person who asserts this condition Definition Individual who is making the condition statement. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data Type Reference(Practitioner \| PractitionerRole \| Patient \| RelatedPerson) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: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'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) w5:FiveWs.source v2:REL-7.1 identifier + REL-7.12 type code rim:.participation[typeCode=INF].role
stage	S I	0..*	BackboneElement	There are no (further) constraints on this element Element Id Condition.stage Short description Stage/grade, usually assessed formally Definition Clinical stage or grade of a condition. May include formal severity assessments. Data Type BackboneElement Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` con-1:Stage SHALL have summary or assessment `summary.exists() or assessment.exists()` Mappings rim:n/a rim:./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="stage/grade"]
summary	S I	0..1	CodeableConcept	There are no (further) constraints on this element Element Id Condition.stage.summary Short description Simple summary (disease specific) Definition A simple summary of the stage such as "Stage 3". The determination of the stage is disease-specific. Comments Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Data Type CodeableConcept Binding Codes describing condition stages (e.g. Cancer stages). ConditionStage (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD sct-concept:< 254291000 \|Staging and scales\| v2:PRB-14 rim:.value
assessment	S I	0..*	Reference(ClinicalImpression \| DiagnosticReport \| Observation)	There are no (further) constraints on this element Element Id Condition.stage.assessment Short description Formal record of assessment Definition Reference to a formal record of the evidence on which the staging assessment is based. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data Type Reference(ClinicalImpression \| DiagnosticReport \| Observation) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: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'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) rim:.self
type	S	0..1	CodeableConcept	There are no (further) constraints on this element Element Id Condition.stage.type Short description Kind of staging Definition The kind of staging, such as pathological or clinical staging. Comments Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Data Type CodeableConcept Binding Codes describing the kind of condition staging (e.g. clinical or pathological). ConditionStageType (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD rim:./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="stage type"]
evidence	S I	0..*	BackboneElement	There are no (further) constraints on this element Element Id Condition.evidence Short description Supporting evidence Definition Supporting evidence / manifestations that are the basis of the Condition's verification status, such as evidence that confirmed or refuted the condition. Comments The evidence may be a simple list of coded symptoms/manifestations, or references to observations or formal assessments, or both. Data Type BackboneElement Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` con-2:evidence SHALL have code or details `code.exists() or detail.exists()` Mappings rim:n/a rim:.outboundRelationship[typeCode=SPRT].target[classCode=OBS, moodCode=EVN]
code	S Σ I	0..*	CodeableConcept	There are no (further) constraints on this element Element Id Condition.evidence.code Short description Manifestation/symptom Definition A manifestation or symptom that led to the recording of this condition. Comments Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Data Type CodeableConcept Binding Codes that describe the manifestation or symptoms of a condition. ManifestationAndSymptomCodes (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD workflow:Event.reasonCode w5:FiveWs.why[x] sct-concept:< 404684003 \|Clinical finding\| rim:[code="diagnosis"].value
detail	S Σ I	0..*	Reference(Resource)	There are no (further) constraints on this element Element Id Condition.evidence.detail Short description Supporting information found elsewhere Definition Links to other relevant information, including pathology reports. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data Type Reference(Resource) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: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'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) w5:FiveWs.why[x] rim:.self
note		0..*	Annotation	There are no (further) constraints on this element Element Id Condition.note Short description Additional information about the Condition Definition Additional information about the Condition. This is a general notes/comments entry for description of the Condition, its diagnosis and prognosis. Comments For systems that do not have structured annotations, they can simply communicate a single annotation with no author or time. This element may need to be included in narrative because of the potential for modifying information. Annotations SHOULD NOT be used to communicate "modifying" information that could be computable. (This is a SHOULD because enforcing user behavior is nearly impossible). Data Type Annotation Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:N/A rim:Act workflow:Event.note v2:NTE child of PRB rim:.inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="annotation"].value

Feldname
Condition.extension:assertedDate
Condition.identifier
Condition.clinicalStatus
Condition.verificationStatus
Condition.category
Condition.severity
Condition.code
Condition.bodySite
Condition.subject
Condition.encounter
Condition.onset[x]
Condition.onset[x]:onsetPeriod
Condition.onset[x]:onsetPeriod.start.extension:lebensphase-von
Condition.onset[x]:onsetPeriod.end.extension:lebensphase-bis
Condition.recordedDate
Condition.stage
Condition.stage.summary
Condition.stage.assessment
Condition.stage.type
Condition.evidence
Condition.evidence.code
Condition.evidence.detail

<StructureDefinition xmlns="http://hl7.org/fhir">
    <id value="mii-pr-symptom-condition" />
    <url value="https://www.medizininformatik-initiative.de/fhir/ext/modul-symptom/StructureDefinition/finding-condition" />
    <version value="2024.0.0-ballot" />
    <name value="MII_PR_Symptom_Condition" />
    <status value="active" />
    <publisher value="Medizininformatik Initiative" />
    <contact>
        <telecom>
            <system value="url" />
            <value value="https://www.medizininformatik-initiative.de" />
        </telecom>
    </contact>
    <description value="Klinische Zust&#228;nde, Probleme, Diagnosen oder andere Ereignisse und Situationen. Conditions k&#246;nnen als Beschreibung von Krankheiten von Health Professionals dokumentiert sein. Conditions k&#246;nnen im Rahmen einer Anamnese vom Patienten selber ge&#228;u&#223;ert werden (Symptom)." />
    <fhirVersion value="4.0.1" />
    <mapping>
        <identity value="workflow" />
        <uri value="http://hl7.org/fhir/workflow" />
        <name value="Workflow Pattern" />
    </mapping>
    <mapping>
        <identity value="sct-concept" />
        <uri value="http://snomed.info/conceptdomain" />
        <name value="SNOMED CT Concept Domain Binding" />
    </mapping>
    <mapping>
        <identity value="v2" />
        <uri value="http://hl7.org/v2" />
        <name value="HL7 v2 Mapping" />
    </mapping>
    <mapping>
        <identity value="rim" />
        <uri value="http://hl7.org/v3" />
        <name value="RIM Mapping" />
    </mapping>
    <mapping>
        <identity value="w5" />
        <uri value="http://hl7.org/fhir/fivews" />
        <name value="FiveWs Pattern Mapping" />
    </mapping>
    <mapping>
        <identity value="sct-attr" />
        <uri value="http://snomed.org/attributebinding" />
        <name value="SNOMED CT Attribute Binding" />
    </mapping>
    <kind value="resource" />
    <abstract value="false" />
    <type value="Condition" />
    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Condition" />
    <derivation value="constraint" />
    <differential>
        <element id="Condition.extension:assertedDate">
            <path value="Condition.extension" />
            <sliceName value="assertedDate" />
            <min value="0" />
            <max value="1" />
            <type>
                <code value="Extension" />
                <profile value="http://hl7.org/fhir/StructureDefinition/condition-assertedDate" />
            </type>
            <mustSupport value="true" />
        </element>
        <element id="Condition.identifier">
            <path value="Condition.identifier" />
            <mustSupport value="true" />
        </element>
        <element id="Condition.clinicalStatus">
            <path value="Condition.clinicalStatus" />
            <mustSupport value="true" />
        </element>
        <element id="Condition.verificationStatus">
            <path value="Condition.verificationStatus" />
            <mustSupport value="true" />
        </element>
        <element id="Condition.category">
            <path value="Condition.category" />
            <mustSupport value="true" />
        </element>
        <element id="Condition.severity">
            <path value="Condition.severity" />
            <mustSupport value="true" />
        </element>
        <element id="Condition.code">
            <path value="Condition.code" />
            <mustSupport value="true" />
        </element>
        <element id="Condition.bodySite">
            <path value="Condition.bodySite" />
            <mustSupport value="true" />
        </element>
        <element id="Condition.subject">
            <path value="Condition.subject" />
            <mustSupport value="true" />
        </element>
        <element id="Condition.encounter">
            <path value="Condition.encounter" />
            <mustSupport value="true" />
        </element>
        <element id="Condition.onset[x]">
            <path value="Condition.onset[x]" />
            <slicing>
                <discriminator>
                    <type value="type" />
                    <path value="$this" />
                </discriminator>
                <ordered value="false" />
                <rules value="open" />
            </slicing>
            <mustSupport value="true" />
        </element>
        <element id="Condition.onset[x]:onsetPeriod">
            <path value="Condition.onset[x]" />
            <sliceName value="onsetPeriod" />
            <min value="0" />
            <max value="1" />
            <type>
                <code value="Period" />
            </type>
            <mustSupport value="true" />
        </element>
        <element id="Condition.onset[x]:onsetPeriod.start.extension:lebensphase-von">
            <path value="Condition.onset[x].start.extension" />
            <sliceName value="lebensphase-von" />
            <min value="0" />
            <max value="1" />
            <type>
                <code value="Extension" />
                <profile value="http://fhir.de/StructureDefinition/lebensphase" />
            </type>
            <mustSupport value="true" />
        </element>
        <element id="Condition.onset[x]:onsetPeriod.end.extension:lebensphase-bis">
            <path value="Condition.onset[x].end.extension" />
            <sliceName value="lebensphase-bis" />
            <min value="0" />
            <max value="1" />
            <type>
                <code value="Extension" />
                <profile value="http://fhir.de/StructureDefinition/lebensphase" />
            </type>
            <mustSupport value="true" />
        </element>
        <element id="Condition.recordedDate">
            <path value="Condition.recordedDate" />
            <mustSupport value="true" />
        </element>
        <element id="Condition.stage">
            <path value="Condition.stage" />
            <mustSupport value="true" />
        </element>
        <element id="Condition.stage.summary">
            <path value="Condition.stage.summary" />
            <mustSupport value="true" />
        </element>
        <element id="Condition.stage.assessment">
            <path value="Condition.stage.assessment" />
            <mustSupport value="true" />
        </element>
        <element id="Condition.stage.type">
            <path value="Condition.stage.type" />
            <mustSupport value="true" />
        </element>
        <element id="Condition.evidence">
            <path value="Condition.evidence" />
            <mustSupport value="true" />
        </element>
        <element id="Condition.evidence.code">
            <path value="Condition.evidence.code" />
            <mustSupport value="true" />
        </element>
        <element id="Condition.evidence.detail">
            <path value="Condition.evidence.detail" />
            <mustSupport value="true" />
        </element>
    </differential>
</StructureDefinition>

{
    "resourceType": "StructureDefinition",
    "id": "mii-pr-symptom-condition",
    "url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-symptom/StructureDefinition/finding-condition",
    "version": "2024.0.0-ballot",
    "name": "MII_PR_Symptom_Condition",
    "status": "active",
    "publisher": "Medizininformatik Initiative",
    "contact":  [
        {
            "telecom":  [
                {
                    "system": "url",
                    "value": "https://www.medizininformatik-initiative.de"
                }
            ]
        }
    ],
    "description": "Klinische Zustände, Probleme, Diagnosen oder andere Ereignisse und Situationen. Conditions können als Beschreibung von Krankheiten von Health Professionals dokumentiert sein. Conditions können im Rahmen einer Anamnese vom Patienten selber geäußert werden (Symptom).",
    "fhirVersion": "4.0.1",
    "mapping":  [
        {
            "identity": "workflow",
            "uri": "http://hl7.org/fhir/workflow",
            "name": "Workflow Pattern"
        },
        {
            "identity": "sct-concept",
            "uri": "http://snomed.info/conceptdomain",
            "name": "SNOMED CT Concept Domain Binding"
        },
        {
            "identity": "v2",
            "uri": "http://hl7.org/v2",
            "name": "HL7 v2 Mapping"
        },
        {
            "identity": "rim",
            "uri": "http://hl7.org/v3",
            "name": "RIM Mapping"
        },
        {
            "identity": "w5",
            "uri": "http://hl7.org/fhir/fivews",
            "name": "FiveWs Pattern Mapping"
        },
        {
            "identity": "sct-attr",
            "uri": "http://snomed.org/attributebinding",
            "name": "SNOMED CT Attribute Binding"
        }
    ],
    "kind": "resource",
    "abstract": false,
    "type": "Condition",
    "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Condition",
    "derivation": "constraint",
    "differential": {
        "element":  [
            {
                "id": "Condition.extension:assertedDate",
                "path": "Condition.extension",
                "sliceName": "assertedDate",
                "min": 0,
                "max": "1",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "http://hl7.org/fhir/StructureDefinition/condition-assertedDate"
                        ]
                    }
                ],
                "mustSupport": true
            },
            {
                "id": "Condition.identifier",
                "path": "Condition.identifier",
                "mustSupport": true
            },
            {
                "id": "Condition.clinicalStatus",
                "path": "Condition.clinicalStatus",
                "mustSupport": true
            },
            {
                "id": "Condition.verificationStatus",
                "path": "Condition.verificationStatus",
                "mustSupport": true
            },
            {
                "id": "Condition.category",
                "path": "Condition.category",
                "mustSupport": true
            },
            {
                "id": "Condition.severity",
                "path": "Condition.severity",
                "mustSupport": true
            },
            {
                "id": "Condition.code",
                "path": "Condition.code",
                "mustSupport": true
            },
            {
                "id": "Condition.bodySite",
                "path": "Condition.bodySite",
                "mustSupport": true
            },
            {
                "id": "Condition.subject",
                "path": "Condition.subject",
                "mustSupport": true
            },
            {
                "id": "Condition.encounter",
                "path": "Condition.encounter",
                "mustSupport": true
            },
            {
                "id": "Condition.onset[x]",
                "path": "Condition.onset[x]",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "type",
                            "path": "$this"
                        }
                    ],
                    "ordered": false,
                    "rules": "open"
                },
                "mustSupport": true
            },
            {
                "id": "Condition.onset[x]:onsetPeriod",
                "path": "Condition.onset[x]",
                "sliceName": "onsetPeriod",
                "min": 0,
                "max": "1",
                "type":  [
                    {
                        "code": "Period"
                    }
                ],
                "mustSupport": true
            },
            {
                "id": "Condition.onset[x]:onsetPeriod.start.extension:lebensphase-von",
                "path": "Condition.onset[x].start.extension",
                "sliceName": "lebensphase-von",
                "min": 0,
                "max": "1",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "http://fhir.de/StructureDefinition/lebensphase"
                        ]
                    }
                ],
                "mustSupport": true
            },
            {
                "id": "Condition.onset[x]:onsetPeriod.end.extension:lebensphase-bis",
                "path": "Condition.onset[x].end.extension",
                "sliceName": "lebensphase-bis",
                "min": 0,
                "max": "1",
                "type":  [
                    {
                        "code": "Extension",
                        "profile":  [
                            "http://fhir.de/StructureDefinition/lebensphase"
                        ]
                    }
                ],
                "mustSupport": true
            },
            {
                "id": "Condition.recordedDate",
                "path": "Condition.recordedDate",
                "mustSupport": true
            },
            {
                "id": "Condition.stage",
                "path": "Condition.stage",
                "mustSupport": true
            },
            {
                "id": "Condition.stage.summary",
                "path": "Condition.stage.summary",
                "mustSupport": true
            },
            {
                "id": "Condition.stage.assessment",
                "path": "Condition.stage.assessment",
                "mustSupport": true
            },
            {
                "id": "Condition.stage.type",
                "path": "Condition.stage.type",
                "mustSupport": true
            },
            {
                "id": "Condition.evidence",
                "path": "Condition.evidence",
                "mustSupport": true
            },
            {
                "id": "Condition.evidence.code",
                "path": "Condition.evidence.code",
                "mustSupport": true
            },
            {
                "id": "Condition.evidence.detail",
                "path": "Condition.evidence.detail",
                "mustSupport": true
            }
        ]
    }
}

MII_PR_Symptom_Condition

FHIR	Datensatz	Erklaerung
Condition	Symptom.Condition	Im Sinne einer FHIR Condition: klinische Zustände, Probleme, Diagnosen oder andere Ereignisse und Situationen. Conditions können als Beschreibung von Krankheiten von Health Professionals dokumentiert sein. Conditions können im Rahmen einer Anamnese vom Patienten selber geäußert werden (Symptom).
Condition.code	Symptom.Condition.Code	Code für ein Symptom, Phänomen, Erkrankung, Disposition: SNOMED CT (Findings), ICD-10, OrphaCodes, HPO, MedDRA
Condition.identifier	Symptom.Condition.Identifikator	Externer Identifikator für die Condition
Condition.code.coding.display	Symptom.Condition.Bezeichnung	Natürlichsprachige Bezeichnung für ein Symptom, Diagnose, Erkrankung, Phänotyp, Disposition
Condition.code.text	Symptom.Condition.Beschreibung	Natürlichsprachige Beschreibung für ein Symptom, eine Erkrankung, eine Diagnose oder eine Disposition.
Condition.category	Symptom.Condition.Kategorie	Kategorien der Condition (z.B. problem-list-item \| encounter-diagnosis)
Conditon.bodySite	Symptom.Condition.Lokalisation	Lokalisation eines Symptoms etc. Körperstellen (Lokalisationen) werden SNOMED CT kodiert.
Conditon.onset[x]	Symptom.Condition.KlinischRelevanterZeitraum	Zeitspanne des Vorhandenseins des Symptoms, der Erkrankung, der Diagnose, der Disposition, des Phänotyps
Conditon.onsetPeriod	Symptom.Condition.KlinischRelevanterZeitraum.Zeitraum	Klinisch relevanter Zeitraum als Zeitintervall mit von/am und bis.
Conditon.onsetPeriod.start	Symptom.Condition.KlinischRelevanterZeitraum.Zeitraum.vonAm	Startzeitpunkt: Zeitpunkt des Beginns des Symptoms, der Erkrankung, der Diagnose, der Disposition, des Phänotyps
Conditon.onsetPeriod.end	Symptom.Condition.KlinischRelevanterZeitraum.Zeitraum.bis	Endzeitpunkt: Zeitpunkt des Verschwindens des Symptoms, der Erkrankung, der Diagnose, der Disposition, des Phänotyps
Condition.onsetPeriod.start.extension.where(url='http://fhir.de/StructureDefinition/lebensphase')	Symptom.Condition.KlinischRelevanterZeitraum.Lebensphase	Zusätzlich zu einem Zeitraum ist die Angabe der Lebensphase, zu der eine Krankheit vorlag/vorliegt, möglich. Hiermit lässt sich beispielsweise angeben, dass eine Person eine Krankheit bereits als Säugling gehabt hat. Das entsprechende ValueSet ist derzeit noch in Arbeit.
Condition.onsetPeriod.start.extension.where(url='http://fhir.de/StructureDefinition/lebensphase').valueCodeableConcept	Symptom.Condition.KlinischRelevanterZeitraum.Lebensphase.von	Lebensphase Start
Condition.onsetPeriod.end.extension.where(url='http://fhir.de/StructureDefinition/lebensphase').valueCodeableConcept	Symptom.Condition.KlinischRelevanterZeitraum.Lebensphase.bis	Lebensphase Ende
Conditon.extension.where(url='http://hl7.org/fhir/StructureDefinition/condition-assertedDate')	Symptom.Condition.Beobachtungszeitpunkt	Zeitpunkt der Beobachtung/Feststellung des Symptoms, Erkrankung, Diagnose, Disposition.
Condition.recordedDate	Symptom.Condition.Dokumentationszeitpunkt	Zeitpunkt der Dokumentation das Symptoms, Erkrankung, Diagnose, Disposition
Condition.clinicalStatus	Symptom.Condition.Status	Status des Symptoms, Erkrankung, Diagnose, Disposition: "Aktiv", "Zustand nach", "in Remission", "beseitigt/geheilt"). Codiert z. B. mit ValueSet aus FHIR oder SNOMED CT.
Condition.severity	Symptom.Condition.Schweregrad	Schweregrad des Symptoms, Erkrankung, Diagnose, Disposition. Codesystem: SNOMED CT.
Condition.verificationStatus	Symptom.Condition.Verifikationsstatus	Empirische, epistemologische, algorithmische, diagnostische Gewissheit des Symptoms, Erkrankung, Diagnose, Disposition. Codesystem: SNOMED CT.
Condition.evidence	Symptom.Condition.ZugrundeliegendeBeobachtungEvidenz	Die dem Symptom, Erkrankung, Diagnose, Disposition zugrundeliegend Beobachtung
Condition.evidence.code.text	Symptom.Condition.ZugrundeliegendeBeobachtungEvidenz.BeschreibungZugrundeliegendeBeobachtung	Natürlichsprachige Beschreibung einer dem Symptom zugrundeliegenden Beobachtung, Symptoms, Erkrankung, Diagnose, Disposition
Condition.evidence.code	Symptom.Condition.ZugrundeliegendeBeobachtungEvidenz.CodeZugrundeliegendeBeobachtung	Code der zugrundeliegenden Beobachtung des Symptoms, Erkrankung, Diagnose, Disposition: SNOMED CT, LOINC
Condition.evidence.detail	Symptom.Condition.ZugrundeliegendeBeobachtungEvidenz.LinkAufZugrundeliegendeBeobachtung	Link auf die dem Symptom zugrundeliegenden Beobachtung für das Symptoms, Erkrankung, Diagnose, Disposition
Condition.stage	Symptom.Condition.Stadium	Stadium der Condition
Condition.stage.summary	Symptom.Condition.Stadium.Zusammenfassung	Einfache Zusammenfassung des Stadiums
Condition.stage.assessment	Symptom.Condition.Stadium.Einschaetzung	Referenz auf eine formale Einschätzung des Stadiums (ClinicalImpression, DiagnosticReport, Observation)
Condition.stage.type	Symptom.Condition.Stadium.ArtDerStadieneinteilung	Art der Stadieneinteilung
Condition.subject	Symptom.Condition.Patient	Link auf Patient
Condition.encounter	Symptom.Condition.Fall	Link auf Behandlungsfall

Beispiele

Beispiel einer Condition-Ressource:

{
    "resourceType": "Condition",
    "id": "mii-exa-symptom-vitreoretinochoroidopathy",
    "meta": {
        "profile":  [
            "https://www.medizininformatik-initiative.de/fhir/ext/modul-symptom/StructureDefinition/finding-condition"
        ]
    },
    "extension":  [
        {
            "url": "http://hl7.org/fhir/StructureDefinition/condition-assertedDate",
            "valueDateTime": "2023-10-30"
        }
    ],
    "clinicalStatus": {
        "coding":  [
            {
                "code": "active",
                "system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
                "display": "Active"
            }
        ]
    },
    "verificationStatus": {
        "coding":  [
            {
                "code": "confirmed",
                "system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
                "display": "Confirmed"
            }
        ]
    },
    "code": {
        "coding":  [
            {
                "code": "711162004",
                "system": "http://snomed.info/sct",
                "display": "Autosomal dominant vitreoretinochoroidopathy (disorder)"
            }
        ]
    },
    "subject": {
        "reference": "Patient/example-patient"
    }
}