<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="49ed3ca8-0c5c-400d-882e-ac4e790ad0a7" />
  <meta>
    <lastUpdated value="2020-11-13T19:28:16.450+00:00" />
  </meta>
  <url value="http://esus.recife.pe.gov.br/StructureDefinition/Problem" />
  <name value="Problem" />
  <title value="Problem" />
  <status value="active" />
  <date value="2020-11-13T19:28:15.0312621+00:00" />
  <purpose value="Uma condição que é descrita na estrutura Subjetivo-Objetivo-Avaliação e Plano (SOAP)" />
  <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.identifier">
      <path value="Condition.identifier" />
      <max value="0" />
    </element>
    <element id="Condition.clinicalStatus">
      <path value="Condition.clinicalStatus" />
      <definition value="Situação que o Diagnóstico/Problema se encontra no momento da informação. resolved: Resolvido active: Resolvendo active: Não resolvido null: Indeterminado" />
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ConditionClinicalStatus" />
        </extension>
        <strength value="required" />
        <description value="Estado da resolução de um diagnóstico ou problema." />
        <valueSet value="http://www.saude.gov.br/fhir/r4/ValueSet/BREstaadoResolucaoDiagnosticoProblema-1.0" />
      </binding>
    </element>
    <element id="Condition.clinicalStatus.coding">
      <path value="Condition.clinicalStatus.coding" />
      <short value="Código definido por um sistema de terminologia" />
      <definition value="Referência a um código definido por um sistema de terminologia." />
    </element>
    <element id="Condition.clinicalStatus.coding.code">
      <path value="Condition.clinicalStatus.coding.code" />
      <short value="Símbolo ou código de acordo com a terminologia" />
      <definition value="Símbolo ou código de acordo com a terminologia&#xD;&#xA;Referência -&#xD;&#xA; http://www.saude.gov.br/fhir/r4/ValueSet/BREstadoResolucaoDiagnosticoProblema-1.0" />
    </element>
    <element id="Condition.clinicalStatus.text">
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
        <valueBoolean value="true" />
      </extension>
      <path value="Condition.clinicalStatus.text" />
      <max value="0" />
    </element>
    <element id="Condition.verificationStatus">
      <path value="Condition.verificationStatus" />
      <max value="0" />
    </element>
    <element id="Condition.category">
      <path value="Condition.category" />
      <max value="0" />
    </element>
    <element id="Condition.category.coding.system">
      <path value="Condition.category.coding.system" />
      <fixedUri value="http://terminology.hl7.org/CodeSystem/condition-category" />
    </element>
    <element id="Condition.category.coding.code">
      <path value="Condition.category.coding.code" />
      <fixedCode value="problem-list-item" />
    </element>
    <element id="Condition.category.coding.display">
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
        <valueBoolean value="true" />
      </extension>
      <path value="Condition.category.coding.display" />
      <max value="0" />
    </element>
    <element id="Condition.category.coding.userSelected">
      <path value="Condition.category.coding.userSelected" />
      <max value="0" />
    </element>
    <element id="Condition.category.text">
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
        <valueBoolean value="true" />
      </extension>
      <path value="Condition.category.text" />
      <max value="0" />
    </element>
    <element id="Condition.severity">
      <path value="Condition.severity" />
      <max value="0" />
    </element>
    <element id="Condition.code">
      <path value="Condition.code" />
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ConditionKind" />
        </extension>
        <strength value="example" />
        <valueSet value="http://www.saude.gov.br/fhir/r4/ValueSet/BRCIAP2-1.0" />
      </binding>
    </element>
    <element id="Condition.bodySite">
      <path value="Condition.bodySite" />
      <max value="0" />
    </element>
    <element id="Condition.subject">
      <path value="Condition.subject" />
      <short value="Quem tem esta condição?" />
      <definition value="Identifica o paciente portador da condição" />
      <type>
        <code value="Reference" />
        <targetProfile value="http://esus.recife.pe.gov.br/StructureDefinition/Patient" />
      </type>
    </element>
    <element id="Condition.subject.type">
      <path value="Condition.subject.type" />
      <max value="0" />
    </element>
    <element id="Condition.subject.identifier">
      <path value="Condition.subject.identifier" />
      <definition value="Identificação do paciente. No caso da RNDS por CNS ou CPF." />
    </element>
    <element id="Condition.subject.identifier.use">
      <path value="Condition.subject.identifier.use" />
      <definition value="utilizar official para CNS ou CPF." />
      <fixedCode value="official" />
    </element>
    <element id="Condition.subject.identifier.type">
      <path value="Condition.subject.identifier.type" />
      <comment value="Identifica o tipo de documento conforme www.saude.gov.br/fhir/r4/ValueSet/BRTipoDocumentoIndividuo-1.0" />
      <requirements value="Necessario informar o tipo de documento utilizado" />
    </element>
    <element id="Condition.subject.identifier.type.coding">
      <path value="Condition.subject.identifier.type.coding" />
      <min value="1" />
      <max value="1" />
    </element>
    <element id="Condition.subject.identifier.type.coding.system">
      <path value="Condition.subject.identifier.type.coding.system" />
      <short value="Identificação do sistema terminológico" />
      <definition value="Identificação do sistema terminológico conforme RNDS." />
      <comment value="Referência http://www.saude.gov.br/fhir/r4/ValueSet/BRTipoDocumentoIndividuo-1.0" />
      <min value="1" />
      <fixedUri value="http://www.saude.gov.br/fhir/r4/ValueSet/BRTipoDocumentoIndividuo-1.0" />
    </element>
    <element id="Condition.subject.identifier.type.coding.code">
      <path value="Condition.subject.identifier.type.coding.code" />
      <short value="Código conforme terminologia" />
      <definition value="HC = CNS; TAX=CPF" />
      <requirements value="Necessidade de informar qual o identifcador que está sendo utilizado" />
      <min value="1" />
    </element>
    <element id="Condition.subject.identifier.type.coding.display">
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
        <valueBoolean value="true" />
      </extension>
      <path value="Condition.subject.identifier.type.coding.display" />
      <max value="0" />
    </element>
    <element id="Condition.subject.identifier.type.coding.userSelected">
      <path value="Condition.subject.identifier.type.coding.userSelected" />
      <max value="0" />
    </element>
    <element id="Condition.subject.identifier.system">
      <path value="Condition.subject.identifier.system" />
      <max value="0" />
    </element>
    <element id="Condition.subject.identifier.period">
      <path value="Condition.subject.identifier.period" />
      <max value="0" />
    </element>
    <element id="Condition.subject.identifier.assigner">
      <path value="Condition.subject.identifier.assigner" />
      <max value="0" />
    </element>
    <element id="Condition.subject.display">
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
        <valueBoolean value="true" />
      </extension>
      <path value="Condition.subject.display" />
      <max value="0" />
    </element>
    <element id="Condition.encounter">
      <path value="Condition.encounter" />
      <short value="Encounter que detectou a condição" />
      <definition value="Referência ao Encounter que detectou a condição" />
      <min value="1" />
      <type>
        <code value="Reference" />
        <targetProfile value="http://esus.recife.pe.gov.br/StructureDefinition/Encounter" />
      </type>
    </element>
    <element id="Condition.encounter.type">
      <path value="Condition.encounter.type" />
      <max value="0" />
    </element>
    <element id="Condition.encounter.identifier">
      <path value="Condition.encounter.identifier" />
      <max value="0" />
    </element>
    <element id="Condition.encounter.display">
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
        <valueBoolean value="true" />
      </extension>
      <path value="Condition.encounter.display" />
      <max value="0" />
    </element>
    <element id="Condition.onset[x]">
      <path value="Condition.onset[x]" />
      <max value="0" />
    </element>
    <element id="Condition.abatement[x]">
      <path value="Condition.abatement[x]" />
      <max value="0" />
    </element>
    <element id="Condition.recordedDate">
      <path value="Condition.recordedDate" />
      <max value="0" />
    </element>
    <element id="Condition.recorder">
      <path value="Condition.recorder" />
      <max value="0" />
    </element>
    <element id="Condition.asserter">
      <path value="Condition.asserter" />
      <max value="0" />
    </element>
    <element id="Condition.stage">
      <path value="Condition.stage" />
      <short value="Estadiamento ou grau da doença" />
      <definition value="estágio clínico de uma doença - inclui avaliações de diferentes tipos." />
    </element>
    <element id="Condition.stage.summary">
      <path value="Condition.stage.summary" />
      <max value="0" />
    </element>
    <element id="Condition.stage.assessment">
      <path value="Condition.stage.assessment" />
      <short value="Registro formal da avaliação" />
      <definition value="Registro da avaliação do problema/diagnóstico. Faz referência a outros recursos que contém o registro - ClinicalImpression, Observation, DiagnosticReport e CarePlan. A estrutura SOAP - Observation utilizado para encaminhar S, O. ClinicalImpression para enviar A (Avaliação) e CarePlan para enviar o P (Plano)." />
      <type>
        <code value="Reference" />
        <targetProfile value="http://esus.recife.pe.gov.br/StructureDefinition/Observation" />
        <targetProfile value="http://esus.recife.pe.gov.br/StructureDefinition/ClinicalImpression" />
        <targetProfile value="http://esus.recife.pe.gov.br/StructureDefinition/CarePlan" />
      </type>
    </element>
    <element id="Condition.stage.assessment.type">
      <path value="Condition.stage.assessment.type" />
      <max value="0" />
    </element>
    <element id="Condition.stage.assessment.identifier">
      <path value="Condition.stage.assessment.identifier" />
      <max value="0" />
    </element>
    <element id="Condition.stage.assessment.display">
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
        <valueBoolean value="true" />
      </extension>
      <path value="Condition.stage.assessment.display" />
      <max value="0" />
    </element>
    <element id="Condition.stage.type">
      <path value="Condition.stage.type" />
      <max value="0" />
    </element>
    <element id="Condition.evidence">
      <path value="Condition.evidence" />
      <max value="0" />
    </element>
    <element id="Condition.note">
      <path value="Condition.note" />
      <max value="0" />
    </element>
  </differential>
</StructureDefinition>