{
  "resourceType": "StructureDefinition",
  "id": "Diagnose",
  "url": "http://StructureDefinition.hl7fhir.cn/Diagnose",
  "name": "Diagnose",
  "title": "诊断信息",
  "status": "draft",
  "description": "诊断信息，从医学角度对人们的精神和体质状态作出的判断。对正常人的健康状态、劳动能力和某一特定的生理过程的判断；司法部门判定血缘关系和伤害性质也属诊断。用来认识疾病的诊断最广泛，是治疗、预后、预防的前提。",
  "fhirVersion": "4.0.0",
  "mapping": [
    {
      "identity": "workflow",
      "uri": "http://hl7.org/fhir/workflow",
      "name": "Workflow Pattern"
    },
    {
      "identity": "sct-concept",
      "uri": "http://snomed.info/conceptdomain",
      "name": "SNOMED CT Concept Domain Binding"
    },
    {
      "identity": "v2",
      "uri": "http://hl7.org/v2",
      "name": "HL7 v2 Mapping"
    },
    {
      "identity": "rim",
      "uri": "http://hl7.org/v3",
      "name": "RIM Mapping"
    },
    {
      "identity": "w5",
      "uri": "http://hl7.org/fhir/fivews",
      "name": "FiveWs Pattern Mapping"
    },
    {
      "identity": "sct-attr",
      "uri": "http://snomed.org/attributebinding",
      "name": "SNOMED CT Attribute Binding"
    }
  ],
  "kind": "resource",
  "abstract": false,
  "type": "Condition",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Condition",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Condition",
        "path": "Condition",
        "short": "诊断信息",
        "definition": "从医学角度对人们的精神和体质状态作出的判断。对正常人的健康状态、劳动能力和某一特定的生理过程的判断；司法部门判定血缘关系和伤害性质也属诊断。用来认识疾病的诊断最广泛，是治疗、预后、预防的前提。"
      },
      {
        "id": "Condition.identifier",
        "path": "Condition.identifier",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "type"
            }
          ],
          "rules": "open"
        },
        "short": "业务ID",
        "definition": "描述该信息的的业务ID，整个生命周期中保持不变。",
        "type": [
          {
            "code": "Identifier",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/Identifier"
            ]
          }
        ]
      },
      {
        "id": "Condition.identifier:DiagnoseCode",
        "path": "Condition.identifier",
        "sliceName": "DiagnoseCode",
        "short": "诊断业务编码",
        "definition": "诊断业务编码",
        "max": "1"
      },
      {
        "id": "Condition.identifier:otherIdentifier",
        "path": "Condition.identifier",
        "sliceName": "otherIdentifier",
        "short": "其他业务代码",
        "definition": "其他业务代码"
      },
      {
        "id": "Condition.clinicalStatus",
        "path": "Condition.clinicalStatus",
        "short": "诊断状态",
        "definition": "用编码形式表示此状况的当前状态，如   当前状态、复发、缓解、治疗好等。",
        "type": [
          {
            "code": "CodeableConcept",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/CodeableConcept"
            ]
          }
        ]
      },
      {
        "id": "Condition.clinicalStatus.extension",
        "path": "Condition.clinicalStatus.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Condition.clinicalStatus.extension:clinicalStatus",
        "path": "Condition.clinicalStatus.extension",
        "sliceName": "clinicalStatus",
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/resource-status"
            ]
          }
        ],
        "binding": {
          "strength": "required",
          "description": "诊断状态",
          "valueSet": "http://ValueSet.hl7fhir.cn/condition-status-vs"
        }
      },
      {
        "id": "Condition.verificationStatus",
        "path": "Condition.verificationStatus",
        "short": "验证状态",
        "definition": "表示验证状态，如：初诊、暂时存在、确诊、错误的等。",
        "type": [
          {
            "code": "CodeableConcept",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/CodeableConcept"
            ]
          }
        ]
      },
      {
        "id": "Condition.verificationStatus.extension",
        "path": "Condition.verificationStatus.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Condition.verificationStatus.extension:verificationStatus",
        "path": "Condition.verificationStatus.extension",
        "sliceName": "verificationStatus",
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/resource-status"
            ]
          }
        ],
        "binding": {
          "strength": "required",
          "description": "验证状态",
          "valueSet": "http://ValueSet.hl7fhir.cn/condition-ver-status-vs"
        }
      },
      {
        "id": "Condition.category",
        "path": "Condition.category",
        "short": "类别",
        "definition": "类别，描述该资源的类别，可以是临床诊断也可以是 列表问题（描述患者出现的若干症状）problem-list-item | encounter-diagnosis \r\n该出固定为 临床诊断",
        "max": "0"
      },
      {
        "id": "Condition.category.coding.code",
        "path": "Condition.category.coding.code",
        "fixedCode": "problem-list-item"
      },
      {
        "id": "Condition.severity",
        "path": "Condition.severity",
        "short": "严重程度",
        "definition": "临床医生对病情严重程度的主观评估。",
        "comment": "在可能的情况下，最好使用术语对严重性进行编码。",
        "type": [
          {
            "code": "CodeableConcept",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/CodeableConcept"
            ]
          }
        ],
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "ConditionSeverity"
            }
          ],
          "strength": "preferred",
          "description": "由临床医生对病情严重程度的主观评估。",
          "valueSet": "http://ValueSet.hl7fhir.cn/condition-severity-vs"
        }
      },
      {
        "id": "Condition.code",
        "path": "Condition.code",
        "short": "诊断编码",
        "definition": "ICD-10 诊断编码",
        "min": 1,
        "type": [
          {
            "code": "CodeableConcept",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/CodeableConcept"
            ]
          }
        ],
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "ConditionKind"
            }
          ],
          "strength": "example",
          "description": "诊断疾病或诊断的鉴别。",
          "valueSet": "http://ValueSet.hl7fhir.cn/condition-code-vs"
        }
      },
      {
        "id": "Condition.bodySite",
        "path": "Condition.bodySite",
        "short": "部位",
        "definition": "症状出现的部位 ，",
        "type": [
          {
            "code": "CodeableConcept",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/CodeableConcept"
            ]
          }
        ],
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "BodySite"
            }
          ],
          "strength": "example",
          "description": "描述解剖位置的代码",
          "valueSet": "http://ValueSet.hl7fhir.cn/body-site-vs"
        }
      },
      {
        "id": "Condition.subject",
        "path": "Condition.subject",
        "short": "患者",
        "definition": "指示与状态记录相关联的患者或组。",
        "type": [
          {
            "code": "Reference",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/Reference"
            ]
          }
        ]
      },
      {
        "id": "Condition.encounter",
        "path": "Condition.encounter",
        "short": "相关就诊活动",
        "definition": "创建此诊断/主诉/体征/症状的过程中或与此记录的创建紧密相关的医疗事件。",
        "type": [
          {
            "code": "Reference",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/Reference"
            ]
          }
        ]
      },
      {
        "id": "Condition.onset[x]",
        "path": "Condition.onset[x]",
        "max": "0"
      },
      {
        "id": "Condition.abatement[x]",
        "path": "Condition.abatement[x]",
        "max": "0"
      },
      {
        "id": "Condition.recordedDate",
        "path": "Condition.recordedDate",
        "short": "记录诊断的日期",
        "definition": "描述该诊断资源被详细记录的日期"
      },
      {
        "id": "Condition.recorder",
        "path": "Condition.recorder",
        "short": "记录者",
        "definition": "描述记录该资源的人员信息，在这里一般指医生和医生角色。",
        "type": [
          {
            "code": "Reference",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/Reference"
            ],
            "targetProfile": [
              "http://StructureDefinition.hl7fhir.cn/Patient",
              "http://StructureDefinition.hl7fhir.cn/Practitioner",
              "http://StructureDefinition.hl7fhir.cn/PractitionerRole",
              "http://StructureDefinition.hl7fhir.cn/RelatedPerson",
              "http://StructureDefinition.hl7fhir.cn/Practitioner"
            ]
          }
        ]
      },
      {
        "id": "Condition.asserter",
        "path": "Condition.asserter",
        "short": "确定诊断者",
        "definition": "下达诊断的医生",
        "type": [
          {
            "code": "Reference",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/Reference"
            ],
            "targetProfile": [
              "http://StructureDefinition.hl7fhir.cn/Practitioner",
              "http://StructureDefinition.hl7fhir.cn/PractitionerRole"
            ]
          }
        ]
      },
      {
        "id": "Condition.stage",
        "path": "Condition.stage",
        "short": "阶段评估",
        "definition": "临床阶段或状况的评估，为该种诊断/主诉/体征/症状提供论据"
      },
      {
        "id": "Condition.stage.summary",
        "path": "Condition.stage.summary",
        "short": "阶段",
        "definition": "对阶段的简单总结，如“第三阶段”。阶段的确定是疾病特异性的。",
        "type": [
          {
            "code": "CodeableConcept",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/CodeableConcept"
            ]
          }
        ],
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "ConditionStage"
            }
          ],
          "strength": "example",
          "description": "描述疾病分期的代码(如癌症分期)。",
          "valueSet": "http://ValueSet.hl7fhir.cn/condition-stage-vs"
        }
      },
      {
        "id": "Condition.stage.assessment",
        "path": "Condition.stage.assessment",
        "definition": "指进行分期评估所依据的证据的正式记录。可以是一份观测、可以是一个报告或者是临床反映。",
        "type": [
          {
            "code": "Reference",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/Reference"
            ]
          }
        ]
      },
      {
        "id": "Condition.stage.type",
        "path": "Condition.stage.type",
        "short": "分期种类",
        "definition": "分期的种类，如病理分期或临床分期。",
        "type": [
          {
            "code": "CodeableConcept",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/CodeableConcept"
            ]
          }
        ],
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "ConditionStageType"
            }
          ],
          "strength": "example",
          "description": "描述疾病分期类型的代码(如临床或病理)。",
          "valueSet": "http://ValueSet.hl7fhir.cn/condition-stage-type-vs"
        }
      },
      {
        "id": "Condition.evidence",
        "path": "Condition.evidence",
        "short": "理论依据",
        "definition": "作为病情验证状态基础的支持性证据/表现，如证实或驳斥病情的证据。\r\n作为该判断的理论依据，证据可以是编码的症状/表现的简单列表，或者是对观察结果或正式评估的引用，或者两者都有。\r\ncode 或者detail 可以都存在也可以只存在一个，或者都不填。",
        "comment": "证据可以是一个简单的编码症状/表现列表，或参考观察或正式评估，或两者兼之。"
      },
      {
        "id": "Condition.evidence.code",
        "path": "Condition.evidence.code",
        "short": "编码症状",
        "definition": "导致这种情况被记录下来的一种表现或症状。以编码集值的形式记录。",
        "type": [
          {
            "code": "CodeableConcept",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/CodeableConcept"
            ]
          }
        ],
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "ManifestationOrSymptom"
            }
          ],
          "strength": "example",
          "description": "描述一种情况的表现或症状的代码。",
          "valueSet": "http://ValueSet.hl7fhir.cn/manifestation-or-symptom-vs"
        }
      },
      {
        "id": "Condition.evidence.detail",
        "path": "Condition.evidence.detail",
        "type": [
          {
            "code": "Reference",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/Reference"
            ]
          }
        ]
      },
      {
        "id": "Condition.note",
        "path": "Condition.note",
        "short": "备注",
        "definition": "关于病情的附加信息。这是一个描述病情、诊断和预后的一般注释/注释条目。",
        "comment": "关于病情的附加信息。对于没有结构化注释的系统，它们可以在没有作者或时间的情况下简单地传递单个注释。这个元素可能需要包含在叙述中，因为它可能会修改信息，这是一个描述病情、诊断和预后的一般注释/注释条目。",
        "type": [
          {
            "code": "Annotation",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/Annotation"
            ]
          }
        ]
      }
    ]
  }
}