Resumen de Historia Clínica del Paciente (IPS) - Argentina

Entrada : Perfil FHIR

Condition_uv_ips (Condition)	S		http://hl7.org/fhir/StructureDefinition/Condition	There are no (further) constraints on this element Element id Condition Short description Documentation of a health problem of the patient Data type http://hl7.org/fhir/StructureDefinition/Condition
id	S			There are no (further) constraints on this element Element id Condition.id
meta	S			There are no (further) constraints on this element Element id Condition.meta
profile	S			There are no (further) constraints on this element Element id Condition.meta.profile
clinicalStatus	S	1..	Codeable Concept (IPS)	There are no (further) constraints on this element Element id Condition.clinicalStatus Data type Codeable Concept (IPS)
verificationStatus	S		Codeable Concept (IPS)	There are no (further) constraints on this element Element id Condition.verificationStatus Comments This element is labeled as a modifier because the status contains the code refuted and entered-in-error that mark the Condition as not currently valid. Data type Codeable Concept (IPS)
category	S	..1	Codeable Concept (IPS)Binding	There are no (further) constraints on this element Element id Condition.category Definition A category assigned to the condition. In this profile, a health problem of the patient, therefore a 'problem-list-item'. Comments In this profile, Condition represents a health problem of the patient. Therefore the code is fixed to the value problem-list-item. Data type Codeable Concept (IPS) Binding IPSProblemType (required)
severity	S		Codeable Concept (IPS)Binding	There are no (further) constraints on this element Element id Condition.severity Data type Codeable Concept (IPS) Binding IPSProblemSeverity (preferred)
code	S	1..1	Codeable Concept (IPS)Binding	There are no (further) constraints on this element Element id Condition.code Definition Identification of the condition, problem or diagnosis or recording of "problem absent" or of "problems unknown". Data type Codeable Concept (IPS) Slicing Unordered, Open, by coding.system(Value) Discriminated by code system Binding Identification of the problem Core_problem_list_disorders_uv_ips (preferred)
absentOrUnknownProblem	S	..1	Codeable Concept (IPS)Binding	There are no (further) constraints on this element Element id Condition.code:absentOrUnknownProblem Short description Code for absent problem or for unknown problem Definition Code representing the statement "absent problem" or the statement "problems unknown" Data type Codeable Concept (IPS) Binding Absent problem or unknown problem IPSNoProbsInfos (required)
coding	S	1..1		There are no (further) constraints on this element Element id Condition.code:absentOrUnknownProblem.coding
system	S	1..1	Fixed Value	There are no (further) constraints on this element Element id Condition.code:absentOrUnknownProblem.coding.system Fixed value http://hl7.org/fhir/uv/ips/CodeSystem/absent-unknown-uv-ips
subject	S		Reference(Patient (IPS))	There are no (further) constraints on this element Element id Condition.subject Data type Reference(Patient (IPS))
reference	S	1..		There are no (further) constraints on this element Element id Condition.subject.reference
onsetDateTime	S		dateTime	There are no (further) constraints on this element Element id Condition.onsetDateTime:onsetDateTime Data type dateTime
abatement[x]	S			There are no (further) constraints on this element Element id Condition.abatement[x]
asserter	S			There are no (further) constraints on this element Element id Condition.asserter Definition Individual who is making the condition statement. Information source.

Problemas

Para cada problema registrado, generar una entry en el bundle con un recurso Condition (se detallan solo los elementos obligatorios)

Condition	Descripción
text[1]	Texto vacío o copia del texto de la sección, derivado en forma legible del contenido de sus elementos
clinicalStatus[1]/coding[1]/system[1]	http://terminology.hl7.org/CodeSystem/condition-clinical\|
clinicalStatus[1]/coding[1]/code[1]	"active" -inactive
verificationStatus[1]/coding[1]/system[1]	http://terminology.hl7.org/CodeSystem/condition-ver-status
verificationStatus[1]/coding[1]/code[1]	"unconfirmed" - "confirmed"
category[1]/coding[1]/system[1]	Valor Fijo "http://loinc.org"
category[1]/coding[1]/code[1]	Valor Fijo "75326-9"
category[1]/coding[1]/display[1]	Valor Fijo "Problem"
severity[1]/coding[1]/system[1]	Valor Fijo "http://loinc.org"
severity[1]/coding[1]/code[1]	LA6752-5 , LA6751-7 ,LA6750-9
severity[1]/coding[1]/display[1]	"Mild","Moderate","Severe"
code[1]/coding[1]/system[1]	Valor Fijo: "http://snomed.info/sct "
code[1]/coding[1]/code[1]	Un código proveniente de http://hl7.org/fhir/uv/ips/ValueSet/core-problem-list-disorders-uv-ips
code[1]/coding[1]/display[1]	La descripción del problema
subject[1]/reference[1]	Referencia a la entry que contiene el recurso correspondiente al paciente
onsetDateTime[1]	Fecha de Comienzo del Problema
recordedDate[1]	Fecha de Registro del Problema