{
  "resourceType": "StructureDefinition",
  "id": "spark1659",
  "meta": {
    "versionId": "spark2032",
    "lastUpdated": "2015-11-20T12:54:05.635+00:00"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger": 0
    }
  ],
  "url": "http://nictiz.fhir.nl/fhir/StructureDefinition/counseling-22-peri20-Zwangerschap",
  "name": "counseling-22-peri20-Zwangerschap",
  "display": "Zwangerschap",
  "status": "draft",
  "date": "2015-09-22T10:02:49+00:00",
  "description": "Base StructureDefinition for Condition Resource",
  "fhirVersion": "1.0.1",
  "mapping": [
    {
      "identity": "decor-nictiz-nl",
      "name": "Data element in NICTIZ Decor"
    }
  ],
  "kind": "resource",
  "constrainedType": "Condition",
  "abstract": false,
  "base": "http://hl7.org/fhir/StructureDefinition/Condition",
  "differential": {
    "element": [
      {
        "path": "Condition",
        "short": "Detailed information about conditions, problems or diagnoses",
        "definition": "Use to record detailed information about conditions, problems or diagnoses recognized by a clinician. There are many uses including: recording a diagnosis during an encounter; populating a problem list or a summary statement, such as a discharge summary.",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "Condition"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "v2",
            "map": "PPR message"
          },
          {
            "identity": "rim",
            "map": "Observation[classCode=OBS, moodCode=EVN, code=ASSERTION, value<Diagnosis]"
          },
          {
            "identity": "w5",
            "map": "clinical.general"
          }
        ]
      },
      {
        "path": "Condition.extension",
        "slicing": {
          "discriminator": [
            "url"
          ],
          "rules": "openAtEnd"
        }
      },
      {
        "path": "Condition.extension",
        "name": "graviditeit",
        "definition": "Optional Extensions Element - found in all resources.",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://nictiz.fhir.nl/fhir/StructureDefinition/counseling-22-peri20-GraviditeitExtension.xml"
            ]
          }
        ]
      },
      {
        "path": "Condition.extension",
        "name": "pariteit",
        "definition": "Optional Extensions Element - found in all resources.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://nictiz.fhir.nl/fhir/StructureDefinition/counseling-22-peri20-PariteitExtension.xml"
            ]
          }
        ]
      },
      {
        "path": "Condition.identifier",
        "short": "External Ids for this condition",
        "definition": "This records identifiers associated with this condition that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate (e.g. in CDA documents, or in written / printed documentation).",
        "requirements": "Need to allow connection to a wider workflow.",
        "min": 0,
        "max": "0",
        "type": [
          {
            "code": "Identifier"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": ".id"
          },
          {
            "identity": "w5",
            "map": "id"
          }
        ]
      },
      {
        "path": "Condition.patient",
        "short": "Who has the condition?",
        "definition": "Indicates the patient who the condition record is associated with.",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "profile": [
              "http://nictiz.fhir.nl/fhir/StructureDefinition/counseling-22-peri20-Vrouw"
            ]
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "v2",
            "map": "PID-3"
          },
          {
            "identity": "rim",
            "map": ".participation[typeCode=SBJ].role[classCode=PAT]"
          },
          {
            "identity": "w5",
            "map": "who.focus"
          }
        ]
      },
      {
        "path": "Condition.encounter",
        "short": "Encounter when condition first asserted",
        "definition": "Encounter during which the condition was first asserted.",
        "comments": "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\".",
        "min": 0,
        "max": "0",
        "type": [
          {
            "code": "Reference",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/Encounter"
            ]
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "v2",
            "map": "PV1-19 (+PV1-54)"
          },
          {
            "identity": "rim",
            "map": ".inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]"
          },
          {
            "identity": "w5",
            "map": "context"
          }
        ]
      },
      {
        "path": "Condition.asserter",
        "short": "Person who asserts this condition",
        "definition": "Individual who is making the condition statement.",
        "min": 0,
        "max": "0",
        "type": [
          {
            "code": "Reference",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/Practitioner"
            ]
          },
          {
            "code": "Reference",
            "profile": [
              "http://nictiz.fhir.nl/fhir/StructureDefinition/counseling-22-peri20-Vrouw"
            ]
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "v2",
            "map": "REL-7.1 identifier + REL-7.12 type code"
          },
          {
            "identity": "rim",
            "map": ".participation[typeCode=AUT].role"
          },
          {
            "identity": "w5",
            "map": "who.author"
          }
        ]
      },
      {
        "path": "Condition.dateRecorded",
        "short": "When first entered",
        "definition": "A date, when  the Condition statement was documented.",
        "comments": "The Date Recorded represents the date when this particular Condition record was created in the EHR, not the date of the most recent update in terms of when severity, abatement, etc. were specified.  The date of the last record modification can be retrieved from the resource metadata.",
        "min": 0,
        "max": "0",
        "type": [
          {
            "code": "date"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "v2",
            "map": "REL-11"
          },
          {
            "identity": "rim",
            "map": ".participation[typeCode=AUT].time"
          },
          {
            "identity": "w5",
            "map": "when.recorded"
          }
        ]
      },
      {
        "path": "Condition.code",
        "short": "Identification of the condition, problem or diagnosis",
        "definition": "Identification of the condition, problem or diagnosis.",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "isSummary": true,
        "binding": {
          "strength": "example",
          "description": "Identification of the condition or diagnosis.",
          "valueSetReference": {
            "reference": "http://hl7.org/fhir/ValueSet/condition-code"
          }
        },
        "mapping": [
          {
            "identity": "v2",
            "map": "PRB-3"
          },
          {
            "identity": "rim",
            "map": ".value"
          },
          {
            "identity": "w5",
            "map": "what"
          },
          {
            "identity": "decor-nictiz-nl",
            "map": "zwangerschap-element-hjkhk"
          }
        ]
      },
      {
        "path": "Condition.code.coding.system",
        "short": "Identity of the terminology system",
        "definition": "The identification of the code system that defines the meaning of the symbol in the code.",
        "comments": "The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.",
        "requirements": "Need to be unambiguous about the source of the definition of the symbol.",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "uri"
          }
        ],
        "fixedUri": "http://snomed.info/sct",
        "isSummary": true,
        "mapping": [
          {
            "identity": "v2",
            "map": "C*E.3"
          },
          {
            "identity": "rim",
            "map": "./codeSystem"
          },
          {
            "identity": "orim",
            "map": "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem"
          }
        ]
      },
      {
        "path": "Condition.code.coding.version",
        "short": "Version of the system - if relevant",
        "definition": "The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.",
        "comments": "Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.",
        "min": 0,
        "max": "0",
        "type": [
          {
            "code": "string"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "v2",
            "map": "C*E.7"
          },
          {
            "identity": "rim",
            "map": "./codeSystemVersion"
          },
          {
            "identity": "orim",
            "map": "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion"
          }
        ]
      },
      {
        "path": "Condition.code.coding.code",
        "short": "Symbol in syntax defined by the system",
        "definition": "A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).",
        "requirements": "Need to refer to a particular code in the system.",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "code"
          }
        ],
        "fixedCode": "364320009",
        "isSummary": true,
        "mapping": [
          {
            "identity": "v2",
            "map": "C*E.1"
          },
          {
            "identity": "rim",
            "map": "./code"
          },
          {
            "identity": "orim",
            "map": "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code"
          }
        ]
      },
      {
        "path": "Condition.code.coding.display",
        "short": "Representation defined by the system",
        "definition": "A representation of the meaning of the code in the system, following the rules of the system.",
        "requirements": "Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "string"
          }
        ],
        "fixedString": "Zwangerschap",
        "isSummary": true,
        "mapping": [
          {
            "identity": "v2",
            "map": "C*E.2 - but note this is not well followed"
          },
          {
            "identity": "rim",
            "map": "CV.displayName"
          },
          {
            "identity": "orim",
            "map": "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName"
          }
        ]
      },
      {
        "path": "Condition.category",
        "short": "complaint | symptom | finding | 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.",
        "min": 0,
        "max": "0",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "isSummary": true,
        "binding": {
          "strength": "preferred",
          "description": "A category assigned to the condition.",
          "valueSetReference": {
            "reference": "http://hl7.org/fhir/ValueSet/condition-category"
          }
        },
        "mapping": [
          {
            "identity": "v2",
            "map": "'problem' if from PRB-3. 'diagnosis' if from DG1 segment in PV1 message"
          },
          {
            "identity": "rim",
            "map": ".code"
          },
          {
            "identity": "w5",
            "map": "class"
          }
        ]
      },
      {
        "path": "Condition.clinicalStatus",
        "short": "active | relapse | remission | resolved",
        "definition": "The clinical status of the condition.",
        "min": 0,
        "max": "0",
        "type": [
          {
            "code": "code"
          }
        ],
        "isModifier": true,
        "isSummary": true,
        "binding": {
          "strength": "preferred",
          "description": "The clinical status of the condition or diagnosis.",
          "valueSetReference": {
            "reference": "http://hl7.org/fhir/ValueSet/condition-clinical"
          }
        },
        "mapping": [
          {
            "identity": "v2",
            "map": "PRB-14 / DG1-6"
          },
          {
            "identity": "w5",
            "map": "status"
          }
        ]
      },
      {
        "path": "Condition.verificationStatus",
        "short": "provisional | differential | confirmed | refuted | entered-in-error | unknown",
        "definition": "The verification status to support the clinical status of the condition.",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "code"
          }
        ],
        "fixedCode": "confirmed",
        "isModifier": true,
        "isSummary": true,
        "binding": {
          "strength": "required",
          "description": "The verification status to support or decline the clinical status of the condition or diagnosis.",
          "valueSetReference": {
            "reference": "http://hl7.org/fhir/ValueSet/condition-ver-status"
          }
        },
        "mapping": [
          {
            "identity": "v2",
            "map": "PRB-13"
          },
          {
            "identity": "rim",
            "map": ".code (pre or post-coordinated in)  Can use valueNegationInd for refuted"
          },
          {
            "identity": "w5",
            "map": "status"
          }
        ]
      },
      {
        "path": "Condition.severity",
        "short": "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.",
        "min": 0,
        "max": "0",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "isSummary": true,
        "binding": {
          "strength": "preferred",
          "description": "A subjective assessment of the severity of the condition as evaluated by the clinician.",
          "valueSetReference": {
            "reference": "http://hl7.org/fhir/ValueSet/condition-severity"
          }
        },
        "mapping": [
          {
            "identity": "v2",
            "map": "PRB-26 / ABS-3"
          },
          {
            "identity": "rim",
            "map": "Can be pre/post-coordinated into value.  Or ./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"severity\"].value"
          },
          {
            "identity": "w5",
            "map": "grade"
          }
        ]
      },
      {
        "path": "Condition.onset[x]",
        "short": "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.",
        "min": 0,
        "max": "0",
        "type": [
          {
            "code": "dateTime"
          },
          {
            "code": "Quantity",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/Age"
            ]
          },
          {
            "code": "Period"
          },
          {
            "code": "Range"
          },
          {
            "code": "string"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "v2",
            "map": "PRB-16"
          },
          {
            "identity": "rim",
            "map": ".effectiveTime.low or .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"age at onset\"].value"
          },
          {
            "identity": "w5",
            "map": "when.init"
          }
        ]
      },
      {
        "path": "Condition.abatement[x]",
        "short": "If/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.",
        "min": 0,
        "max": "0",
        "type": [
          {
            "code": "dateTime"
          },
          {
            "code": "Quantity",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/Age"
            ]
          },
          {
            "code": "boolean"
          },
          {
            "code": "Period"
          },
          {
            "code": "Range"
          },
          {
            "code": "string"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": ".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"
          },
          {
            "identity": "w5",
            "map": "when.done"
          }
        ]
      },
      {
        "path": "Condition.stage",
        "short": "Stage/grade, usually assessed formally",
        "definition": "Clinical stage or grade of a condition. May include formal severity assessments.",
        "min": 0,
        "max": "0",
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"stage/grade\"]"
          }
        ]
      },
      {
        "path": "Condition.stage.assessment",
        "short": "Formal record of assessment",
        "definition": "Reference to a formal record of the evidence on which the staging assessment is based.",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "Reference",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/ClinicalImpression"
            ]
          },
          {
            "code": "Reference",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/DiagnosticReport"
            ]
          }
        ],
        "condition": [
          "con-1"
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": ".self"
          }
        ]
      },
      {
        "path": "Condition.evidence",
        "short": "Supporting evidence",
        "definition": "Supporting Evidence / manifestations that are the basis on which this condition is suspected or confirmed.",
        "comments": "The evidence may be a simple list of coded symptoms/manifestations, or references to observations or formal assessments, or both.",
        "min": 0,
        "max": "0",
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=SPRT].target[classCode=OBS, moodCode=EVN]"
          }
        ]
      },
      {
        "path": "Condition.bodySite",
        "short": "Anatomical location, if relevant",
        "definition": "The anatomical location where this condition manifests itself.",
        "comments": "May be a summary code, or a reference to a very precise definition of the location, or both.",
        "min": 0,
        "max": "0",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "isSummary": true,
        "binding": {
          "strength": "example",
          "description": "Codes describing anatomical locations. May include laterality.",
          "valueSetReference": {
            "reference": "http://hl7.org/fhir/ValueSet/body-site"
          }
        },
        "mapping": [
          {
            "identity": "rim",
            "map": ".targetBodySiteCode"
          }
        ]
      },
      {
        "path": "Condition.notes",
        "short": "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.",
        "min": 0,
        "max": "0",
        "type": [
          {
            "code": "string"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "v2",
            "map": "NTE child of PRB"
          },
          {
            "identity": "rim",
            "map": ".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"annotation\"].value"
          }
        ]
      }
    ]
  }
}