{
  "resourceType": "StructureDefinition",
  "meta": {
    "lastUpdated": "2024-05-22T18:10:54.8568467+00:00"
  },
  "language": "pt-BR",
  "url": "http://www.saude.gov.br/fhir/r4/StructureDefinition/BRProblemaDiagnostico",
  "version": "1.0",
  "name": "BRProblemaDiagnostico",
  "title": "ProblemaDiagnóstico",
  "status": "draft",
  "date": "2023-03-30T00:00:00+00:00",
  "publisher": "Ministério da Saúde do Brasil",
  "contact": [
    {
      "name": "COPIS - Coordenação de Padrões e Interoperabilidade em Saúde",
      "telecom": [
        {
          "system": "url",
          "value": "https://webatendimento.saude.gov.br/faq/rnds"
        }
      ]
    }
  ],
  "description": "Problema e/ou diagnóstico atribuído pelo profissional de saúde ao indivíduo no contato assistencial.",
  "fhirVersion": "4.0.1",
  "kind": "resource",
  "abstract": false,
  "type": "Condition",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Condition",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Condition",
        "path": "Condition",
        "short": "Diagnóstico ou Problema",
        "definition": "Informações sobre a condição de saúde, lesão, deficiência ou qualquer outra questão que afete o bem-estar físico, mental ou social de um indivíduo identificadas em um contato assistencial. (adaptado do conceito de Problema/Diagnóstico do Clinical Knowledge Manager/OpenEHR)",
        "mustSupport": true
      },
      {
        "id": "Condition.identifier",
        "path": "Condition.identifier",
        "max": "0"
      },
      {
        "id": "Condition.clinicalStatus",
        "path": "Condition.clinicalStatus",
        "short": "Estado da Resolução",
        "definition": "Situação que o Diagnóstico/Problema se encontra no momento da informação.\r\nresolved: Resolvido\r\nactive: Resolvendo\r\nactive: Não resolvido\r\nnull: Indeterminado",
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "description": "Estado da Resolução do Diagnóstico/Problema",
          "valueSet": "http://www.saude.gov.br/fhir/r4/ValueSet/BREstadoResolucaoDiagnosticoProblema-1.0"
        }
      },
      {
        "id": "Condition.clinicalStatus.coding",
        "path": "Condition.clinicalStatus.coding",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Condition.clinicalStatus.coding.system",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Condition.clinicalStatus.coding.system",
        "min": 1
      },
      {
        "id": "Condition.clinicalStatus.coding.code",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Condition.clinicalStatus.coding.code",
        "min": 1
      },
      {
        "id": "Condition.clinicalStatus.coding.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Condition.clinicalStatus.coding.display",
        "max": "0"
      },
      {
        "id": "Condition.clinicalStatus.coding.userSelected",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Condition.clinicalStatus.coding.userSelected",
        "max": "0"
      },
      {
        "id": "Condition.clinicalStatus.text",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Condition.clinicalStatus.text",
        "max": "0"
      },
      {
        "id": "Condition.verificationStatus",
        "path": "Condition.verificationStatus",
        "max": "0"
      },
      {
        "id": "Condition.category",
        "path": "Condition.category",
        "max": "1",
        "binding": {
          "strength": "required",
          "description": "Categoria da condição.",
          "valueSet": "http://www.saude.gov.br/fhir/r4/ValueSet/BRCategoriaCondicao"
        }
      },
      {
        "id": "Condition.severity",
        "path": "Condition.severity",
        "max": "0"
      },
      {
        "id": "Condition.code",
        "path": "Condition.code",
        "short": "Diagnóstico ou Problema",
        "definition": "Diagnóstico ou problema avaliado no indivíduo durante o contato assistencial.",
        "min": 1,
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "description": "Identificação do problema/diagnóstico",
          "valueSet": "http://www.saude.gov.br/fhir/r4/ValueSet/BRProblemaDiagnostico"
        }
      },
      {
        "id": "Condition.code.id",
        "path": "Condition.code.id",
        "max": "0"
      },
      {
        "id": "Condition.code.coding",
        "path": "Condition.code.coding",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Condition.code.coding.id",
        "path": "Condition.code.coding.id",
        "max": "0"
      },
      {
        "id": "Condition.code.coding.system",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Condition.code.coding.system",
        "min": 1
      },
      {
        "id": "Condition.code.coding.code",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Condition.code.coding.code",
        "min": 1
      },
      {
        "id": "Condition.code.coding.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Condition.code.coding.display",
        "max": "0"
      },
      {
        "id": "Condition.code.coding.userSelected",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Condition.code.coding.userSelected",
        "max": "0"
      },
      {
        "id": "Condition.code.text",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Condition.code.text"
      },
      {
        "id": "Condition.bodySite",
        "path": "Condition.bodySite",
        "max": "0"
      },
      {
        "id": "Condition.subject",
        "path": "Condition.subject",
        "short": "Indivíduo",
        "definition": "Indica o indivíduo ao qual o CID-10 se refere.",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuo-1.0"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Condition.subject.extension",
        "path": "Condition.subject.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Condition.subject.extension:unidentifiedPatient",
        "path": "Condition.subject.extension",
        "sliceName": "unidentifiedPatient",
        "short": "Dados do Indivíduo Não Identificado",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuoNaoIdentificado-1.0"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Condition.subject.extension:unidentifiedPatient.extension",
        "path": "Condition.subject.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        },
        "min": 4
      },
      {
        "id": "Condition.subject.extension:unidentifiedPatient.extension:gender",
        "path": "Condition.subject.extension.extension",
        "sliceName": "gender",
        "mustSupport": true
      },
      {
        "id": "Condition.subject.extension:unidentifiedPatient.extension:birthYear",
        "path": "Condition.subject.extension.extension",
        "sliceName": "birthYear",
        "mustSupport": true
      },
      {
        "id": "Condition.subject.extension:unidentifiedPatient.extension:reason",
        "path": "Condition.subject.extension.extension",
        "sliceName": "reason",
        "mustSupport": true
      },
      {
        "id": "Condition.subject.extension:unidentifiedPatient.extension:operator",
        "path": "Condition.subject.extension.extension",
        "sliceName": "operator",
        "mustSupport": true
      },
      {
        "id": "Condition.subject.extension:unidentifiedPatient.url",
        "path": "Condition.subject.extension.url",
        "fixedUri": "http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuoNaoIdentificado-1.0"
      },
      {
        "id": "Condition.subject.reference",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Condition.subject.reference",
        "max": "0"
      },
      {
        "id": "Condition.subject.type",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Condition.subject.type",
        "max": "0",
        "fixedUri": "Patient"
      },
      {
        "id": "Condition.subject.identifier",
        "path": "Condition.subject.identifier",
        "max": "1"
      },
      {
        "id": "Condition.subject.identifier.use",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Condition.subject.identifier.use",
        "max": "0"
      },
      {
        "id": "Condition.subject.identifier.type",
        "path": "Condition.subject.identifier.type",
        "max": "0"
      },
      {
        "id": "Condition.subject.identifier.system",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Condition.subject.identifier.system",
        "min": 1
      },
      {
        "id": "Condition.subject.identifier.value",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Condition.subject.identifier.value",
        "min": 1
      },
      {
        "id": "Condition.subject.identifier.period",
        "path": "Condition.subject.identifier.period",
        "max": "0"
      },
      {
        "id": "Condition.subject.identifier.assigner",
        "path": "Condition.subject.identifier.assigner",
        "max": "0"
      },
      {
        "id": "Condition.subject.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Condition.subject.display",
        "max": "0"
      },
      {
        "id": "Condition.encounter",
        "path": "Condition.encounter",
        "max": "0"
      },
      {
        "id": "Condition.onset[x]",
        "path": "Condition.onset[x]",
        "max": "0"
      },
      {
        "id": "Condition.abatement[x]",
        "path": "Condition.abatement[x]",
        "max": "0"
      },
      {
        "id": "Condition.recordedDate",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Condition.recordedDate",
        "max": "0"
      },
      {
        "id": "Condition.recorder",
        "path": "Condition.recorder",
        "max": "0"
      },
      {
        "id": "Condition.asserter",
        "path": "Condition.asserter",
        "max": "0"
      },
      {
        "id": "Condition.stage",
        "path": "Condition.stage",
        "max": "0"
      },
      {
        "id": "Condition.evidence",
        "path": "Condition.evidence",
        "max": "0"
      },
      {
        "id": "Condition.note",
        "path": "Condition.note",
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Condition.note.author[x]",
        "path": "Condition.note.author[x]",
        "max": "0"
      },
      {
        "id": "Condition.note.time",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Condition.note.time",
        "max": "0"
      },
      {
        "id": "Condition.note.text",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Condition.note.text",
        "short": "Nota",
        "definition": "Informações complementares textuais acerca problema/diagnostico.",
        "mustSupport": true
      }
    ]
  }
}