{
  "resourceType": "StructureDefinition",
  "id": "cyehr-sd-diagnosis-r4",
  "url": "http://ig.ehealth4u.eu/fhir/StructureDefinition/cyehr-sd-diagnosis-r4",
  "name": "CYEHRSDDiagnosis",
  "title": "Cyprus EHR Diagnosis profile",
  "status": "draft",
  "publisher": "eHealth4U",
  "contact": [
    {
      "name": "eHealth Lab (University of Cyprus)",
      "telecom": [
        {
          "system": "email",
          "value": "ehealthl@ucy.ac.cy",
          "use": "work"
        }
      ]
    }
  ],
  "description": "Reprsents any diagnosis that is made for a patient in the context of an encounter in the CYEHR system. This might be a diagnosed problem (entered to the CYEHR system as the diagnosis made for a patient after the assessment of the patient during the encounter) or a differential diagnosis (entered to the CYEHR system as a potential diagnosis based on the medical history, clinical examination and laboratory and imaging results information).",
  "fhirVersion": "4.0.1",
  "kind": "resource",
  "abstract": false,
  "type": "Condition",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Condition",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Condition.meta",
        "path": "Condition.meta"
      },
      {
        "id": "Condition.meta.profile",
        "path": "Condition.meta.profile",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "$this"
            }
          ],
          "rules": "open"
        },
        "min": 1
      },
      {
        "id": "Condition.meta.profile:CyprusEHRProfile",
        "path": "Condition.meta.profile",
        "sliceName": "CyprusEHRProfile",
        "min": 1,
        "max": "1",
        "fixedCanonical": "http://ig.ehealth4u.eu/fhir/StructureDefinition/cyehr-sd-diagnosis-r4"
      },
      {
        "id": "Condition.identifier.type",
        "path": "Condition.identifier.type",
        "type": [
          {
            "code": "CodeableConcept",
            "profile": [
              "http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips"
            ]
          }
        ]
      },
      {
        "id": "Condition.identifier.type.coding.system",
        "path": "Condition.identifier.type.coding.system",
        "min": 1
      },
      {
        "id": "Condition.identifier.type.coding.code",
        "path": "Condition.identifier.type.coding.code",
        "min": 1
      },
      {
        "id": "Condition.identifier.type.coding.display",
        "path": "Condition.identifier.type.coding.display",
        "min": 1
      },
      {
        "id": "Condition.clinicalStatus",
        "path": "Condition.clinicalStatus",
        "comment": "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.\r\n\r\nCyprusEHR: Clinical status must be used when this profile records a diagnosed problem.",
        "type": [
          {
            "code": "CodeableConcept",
            "profile": [
              "http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Condition.clinicalStatus.coding.system",
        "path": "Condition.clinicalStatus.coding.system",
        "min": 1
      },
      {
        "id": "Condition.clinicalStatus.coding.code",
        "path": "Condition.clinicalStatus.coding.code",
        "min": 1
      },
      {
        "id": "Condition.clinicalStatus.coding.display",
        "path": "Condition.clinicalStatus.coding.display",
        "min": 1
      },
      {
        "id": "Condition.verificationStatus",
        "path": "Condition.verificationStatus",
        "type": [
          {
            "code": "CodeableConcept",
            "profile": [
              "http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips"
            ]
          }
        ]
      },
      {
        "id": "Condition.verificationStatus.coding.system",
        "path": "Condition.verificationStatus.coding.system",
        "min": 1
      },
      {
        "id": "Condition.verificationStatus.coding.code",
        "path": "Condition.verificationStatus.coding.code",
        "min": 1
      },
      {
        "id": "Condition.verificationStatus.coding.display",
        "path": "Condition.verificationStatus.coding.display",
        "min": 1
      },
      {
        "id": "Condition.category",
        "path": "Condition.category",
        "slicing": {
          "discriminator": [
            {
              "type": "pattern",
              "path": "$this"
            }
          ],
          "rules": "open"
        },
        "type": [
          {
            "code": "CodeableConcept",
            "profile": [
              "http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips"
            ]
          }
        ],
        "patternCodeableConcept": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/condition-category",
              "code": "encounter-diagnosis"
            }
          ]
        },
        "mustSupport": true
      },
      {
        "id": "Condition.category.coding.system",
        "path": "Condition.category.coding.system",
        "min": 1
      },
      {
        "id": "Condition.category.coding.code",
        "path": "Condition.category.coding.code",
        "min": 1
      },
      {
        "id": "Condition.category.coding.display",
        "path": "Condition.category.coding.display",
        "min": 1
      },
      {
        "id": "Condition.category:diagnosedProblem",
        "path": "Condition.category",
        "sliceName": "diagnosedProblem",
        "short": "CY EHR diagnosis extra categories",
        "comment": "The categorization is often highly contextual and may appear poorly differentiated or not very useful in other contexts.\r\n\r\nCyprusEHR: Use this category to record a diagnosed problem in the \"First Impression\" EHR section.",
        "patternCodeableConcept": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/condition-category",
              "code": "encounter-diagnosis"
            },
            {
              "system": "http://terminology.hl7.org/CodeSystem/condition-category",
              "code": "problem-list-item"
            }
          ]
        },
        "binding": {
          "strength": "extensible",
          "valueSet": "http://ig.ehealth4u.eu/fhir/ValueSet/cyehr-vs-diagnosiscategory"
        }
      },
      {
        "id": "Condition.category:differentialDiagnosis",
        "path": "Condition.category",
        "sliceName": "differentialDiagnosis",
        "short": "CY EHR diagnosis extra categories",
        "comment": "The categorization is often highly contextual and may appear poorly differentiated or not very useful in other contexts.\r\n\r\nCyprusEHR: Use this category to record a differential problem in the \"First Impression\" EHR section.",
        "patternCodeableConcept": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "92238-5"
            },
            {
              "system": "http://terminology.hl7.org/CodeSystem/condition-category",
              "code": "encounter-diagnosis"
            }
          ]
        },
        "binding": {
          "strength": "extensible",
          "valueSet": "http://ig.ehealth4u.eu/fhir/ValueSet/cyehr-vs-diagnosiscategory"
        }
      },
      {
        "id": "Condition.severity",
        "path": "Condition.severity",
        "type": [
          {
            "code": "CodeableConcept",
            "profile": [
              "http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips"
            ]
          }
        ],
        "mustSupport": true,
        "binding": {
          "strength": "preferred",
          "valueSet": "http://ig.ehealth4u.eu/fhir/ValueSet/cyehr-vs-ehdsiseverity"
        }
      },
      {
        "id": "Condition.severity.coding.system",
        "path": "Condition.severity.coding.system",
        "min": 1
      },
      {
        "id": "Condition.severity.coding.code",
        "path": "Condition.severity.coding.code",
        "min": 1
      },
      {
        "id": "Condition.severity.coding.display",
        "path": "Condition.severity.coding.display",
        "min": 1
      },
      {
        "id": "Condition.code",
        "path": "Condition.code",
        "min": 1,
        "type": [
          {
            "code": "CodeableConcept",
            "profile": [
              "http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips"
            ]
          }
        ],
        "mustSupport": true,
        "binding": {
          "strength": "extensible",
          "valueSet": "http://ig.ehealth4u.eu/fhir/ValueSet/cyehr-vs-ehdsiillnessanddisorder"
        }
      },
      {
        "id": "Condition.code.coding.system",
        "path": "Condition.code.coding.system",
        "min": 1
      },
      {
        "id": "Condition.code.coding.code",
        "path": "Condition.code.coding.code",
        "min": 1
      },
      {
        "id": "Condition.code.coding.display",
        "path": "Condition.code.coding.display",
        "min": 1
      },
      {
        "id": "Condition.bodySite",
        "path": "Condition.bodySite",
        "type": [
          {
            "code": "CodeableConcept",
            "profile": [
              "http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips"
            ]
          }
        ]
      },
      {
        "id": "Condition.bodySite.coding.system",
        "path": "Condition.bodySite.coding.system",
        "min": 1
      },
      {
        "id": "Condition.bodySite.coding.code",
        "path": "Condition.bodySite.coding.code",
        "min": 1
      },
      {
        "id": "Condition.bodySite.coding.display",
        "path": "Condition.bodySite.coding.display",
        "min": 1
      },
      {
        "id": "Condition.subject",
        "path": "Condition.subject",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Patient",
              "http://hl7.org/fhir/StructureDefinition/Group",
              "http://ig.ehealth4u.eu/fhir/StructureDefinition/cyehr-sd-patient"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Condition.subject.identifier.type",
        "path": "Condition.subject.identifier.type",
        "type": [
          {
            "code": "CodeableConcept",
            "profile": [
              "http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips"
            ]
          }
        ]
      },
      {
        "id": "Condition.subject.identifier.type.coding.system",
        "path": "Condition.subject.identifier.type.coding.system",
        "min": 1
      },
      {
        "id": "Condition.subject.identifier.type.coding.code",
        "path": "Condition.subject.identifier.type.coding.code",
        "min": 1
      },
      {
        "id": "Condition.subject.identifier.type.coding.display",
        "path": "Condition.subject.identifier.type.coding.display",
        "min": 1
      },
      {
        "id": "Condition.encounter",
        "path": "Condition.encounter",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Condition.encounter.reference",
        "path": "Condition.encounter.reference",
        "min": 1
      },
      {
        "id": "Condition.encounter.identifier.type",
        "path": "Condition.encounter.identifier.type",
        "type": [
          {
            "code": "CodeableConcept",
            "profile": [
              "http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips"
            ]
          }
        ]
      },
      {
        "id": "Condition.encounter.identifier.type.coding.system",
        "path": "Condition.encounter.identifier.type.coding.system",
        "min": 1
      },
      {
        "id": "Condition.encounter.identifier.type.coding.code",
        "path": "Condition.encounter.identifier.type.coding.code",
        "min": 1
      },
      {
        "id": "Condition.encounter.identifier.type.coding.display",
        "path": "Condition.encounter.identifier.type.coding.display",
        "min": 1
      },
      {
        "id": "Condition.onset[x]",
        "path": "Condition.onset[x]",
        "type": [
          {
            "code": "Period"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Condition.recorder.identifier.type",
        "path": "Condition.recorder.identifier.type",
        "type": [
          {
            "code": "CodeableConcept",
            "profile": [
              "http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips"
            ]
          }
        ]
      },
      {
        "id": "Condition.asserter.identifier.type",
        "path": "Condition.asserter.identifier.type",
        "type": [
          {
            "code": "CodeableConcept",
            "profile": [
              "http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips"
            ]
          }
        ]
      },
      {
        "id": "Condition.stage.summary",
        "path": "Condition.stage.summary",
        "type": [
          {
            "code": "CodeableConcept",
            "profile": [
              "http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips"
            ]
          }
        ]
      },
      {
        "id": "Condition.stage.assessment.identifier.type",
        "path": "Condition.stage.assessment.identifier.type",
        "type": [
          {
            "code": "CodeableConcept",
            "profile": [
              "http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips"
            ]
          }
        ]
      },
      {
        "id": "Condition.stage.assessment.identifier.type.coding.system",
        "path": "Condition.stage.assessment.identifier.type.coding.system",
        "min": 1
      },
      {
        "id": "Condition.stage.assessment.identifier.type.coding.code",
        "path": "Condition.stage.assessment.identifier.type.coding.code",
        "min": 1
      },
      {
        "id": "Condition.stage.assessment.identifier.type.coding.display",
        "path": "Condition.stage.assessment.identifier.type.coding.display",
        "min": 1
      },
      {
        "id": "Condition.stage.type",
        "path": "Condition.stage.type",
        "type": [
          {
            "code": "CodeableConcept",
            "profile": [
              "http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips"
            ]
          }
        ]
      },
      {
        "id": "Condition.stage.type.coding.system",
        "path": "Condition.stage.type.coding.system",
        "min": 1
      },
      {
        "id": "Condition.stage.type.coding.code",
        "path": "Condition.stage.type.coding.code",
        "min": 1
      },
      {
        "id": "Condition.stage.type.coding.display",
        "path": "Condition.stage.type.coding.display",
        "min": 1
      },
      {
        "id": "Condition.evidence.code",
        "path": "Condition.evidence.code",
        "type": [
          {
            "code": "CodeableConcept",
            "profile": [
              "http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips"
            ]
          }
        ]
      },
      {
        "id": "Condition.evidence.detail.identifier.type",
        "path": "Condition.evidence.detail.identifier.type",
        "type": [
          {
            "code": "CodeableConcept",
            "profile": [
              "http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips"
            ]
          }
        ]
      },
      {
        "id": "Condition.evidence.detail.identifier.type.coding.system",
        "path": "Condition.evidence.detail.identifier.type.coding.system",
        "min": 1
      },
      {
        "id": "Condition.evidence.detail.identifier.type.coding.code",
        "path": "Condition.evidence.detail.identifier.type.coding.code",
        "min": 1
      },
      {
        "id": "Condition.evidence.detail.identifier.type.coding.display",
        "path": "Condition.evidence.detail.identifier.type.coding.display",
        "min": 1
      }
    ]
  }
}