{ "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", "snapshot": { "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。", "min": 0, "max": "*", "base": { "path": "Condition", "min": 0, "max": "*" }, "constraint": [ { "key": "dom-2", "severity": "error", "human": "If the resource is contained in another resource, it SHALL NOT contain nested Resources", "expression": "contained.contained.empty()", "xpath": "not(parent::f:contained and f:contained)", "source": "http://hl7.org/fhir/StructureDefinition/DomainResource" }, { "key": "dom-4", "severity": "error", "human": "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated", "expression": "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()", "xpath": "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))", "source": "http://hl7.org/fhir/StructureDefinition/DomainResource" }, { "key": "dom-3", "severity": "error", "human": "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource", "expression": "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()", "xpath": "not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))", "source": "http://hl7.org/fhir/StructureDefinition/DomainResource" }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice", "valueBoolean": true }, { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation", "valueMarkdown": "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time." } ], "key": "dom-6", "severity": "warning", "human": "A resource should have narrative for robust management", "expression": "text.`div`.exists()", "xpath": "exists(f:text/h:div)", "source": "http://hl7.org/fhir/StructureDefinition/DomainResource" }, { "key": "dom-5", "severity": "error", "human": "If a resource is contained in another resource, it SHALL NOT have a security label", "expression": "contained.meta.security.empty()", "xpath": "not(exists(f:contained/*/f:meta/f:security))", "source": "http://hl7.org/fhir/StructureDefinition/DomainResource" }, { "key": "con-5", "severity": "error", "human": "Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error", "expression": "verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()", "xpath": "not(exists(f:verificationStatus/f:coding[f:system/@value='http://terminology.hl7.org/CodeSystem/condition-ver-status' and f:code/@value='entered-in-error'])) or not(exists(f:clinicalStatus))", "source": "http://hl7.org/fhir/StructureDefinition/Condition" }, { "key": "con-4", "severity": "error", "human": "If condition is abated, then clinicalStatus must be either inactive, resolved, or remission", "expression": "abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()", "xpath": "not(exists(*[starts-with(local-name(.), 'abatement')])) or exists(f:clinicalStatus/f:coding[f:system/@value='http://terminology.hl7.org/CodeSystem/condition-clinical' and f:code/@value=('resolved', 'remission', 'inactive')])", "source": "http://hl7.org/fhir/StructureDefinition/Condition" }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice", "valueBoolean": true }, { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation", "valueMarkdown": "Most systems will expect a clinicalStatus to be valued for problem-list-items that are managed over time, but might not need a clinicalStatus for point in time encounter-diagnosis." } ], "key": "con-3", "severity": "warning", "human": "Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item", "expression": "clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()", "xpath": "exists(f:clinicalStatus) or exists(f:verificationStatus/f:coding/f:code/@value='entered-in-error') or not(exists(category[@value='problem-list-item']))", "source": "http://hl7.org/fhir/StructureDefinition/Condition" } ], "mapping": [ { "identity": "rim", "map": "Entity. Role, or Act" }, { "identity": "workflow", "map": "Event" }, { "identity": "sct-concept", "map": "< 243796009 |Situation with explicit context| : 246090004 |Associated finding| = ( ( < 404684003 |Clinical finding| MINUS ( << 420134006 |Propensity to adverse reactions| OR << 473010000 |Hypersensitivity condition| OR << 79899007 |Drug interaction| OR << 69449002 |Drug action| OR << 441742003 |Evaluation finding| OR << 307824009 |Administrative status| OR << 385356007 |Tumor stage finding|)) OR < 272379006 |Event|)" }, { "identity": "v2", "map": "PPR message" }, { "identity": "rim", "map": "Observation[classCode=OBS, moodCode=EVN, code=ASSERTION, value id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Condition.meta", "path": "Condition.meta", "short": "Metadata about the resource", "definition": "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.", "min": 0, "max": "1", "base": { "path": "Resource.meta", "min": 0, "max": "1" }, "type": [ { "code": "Meta" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Condition.implicitRules", "path": "Condition.implicitRules", "short": "A set of rules under which this content was created", "definition": "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.", "comment": "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.", "min": 0, "max": "1", "base": { "path": "Resource.implicitRules", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier": true, "isModifierReason": "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation", "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Condition.language", "path": "Condition.language", "short": "Language of the resource content", "definition": "The base language in which the resource is written.", "comment": "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).", "min": 0, "max": "1", "base": { "path": "Resource.language", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet", "valueCanonical": "http://hl7.org/fhir/ValueSet/all-languages" }, { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "Language" } ], "strength": "preferred", "description": "A human language.", "valueSet": "http://hl7.org/fhir/ValueSet/languages" }, "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Condition.text", "path": "Condition.text", "short": "Text summary of the resource, for human interpretation", "definition": "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.", "comment": "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.", "alias": [ "narrative", "html", "xhtml", "display" ], "min": 0, "max": "1", "base": { "path": "DomainResource.text", "min": 0, "max": "1" }, "type": [ { "code": "Narrative" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" }, { "identity": "rim", "map": "Act.text?" } ] }, { "id": "Condition.contained", "path": "Condition.contained", "short": "Contained, inline Resources", "definition": "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.", "comment": "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.", "alias": [ "inline resources", "anonymous resources", "contained resources" ], "min": 0, "max": "*", "base": { "path": "DomainResource.contained", "min": 0, "max": "*" }, "type": [ { "code": "Resource" } ], "mapping": [ { "identity": "rim", "map": "Entity. Role, or Act" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Condition.extension", "path": "Condition.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "DomainResource.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Condition.modifierExtension", "path": "Condition.modifierExtension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Extensions that cannot be ignored", "definition": "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "DomainResource.modifierExtension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "isModifier": true, "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them", "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "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。", "comment": "业务ID不是资源服务器上的逻辑ID（非标识主键）", "requirements": "Allows identification of the condition as it is known by various participating systems and in a way that remains consistent across servers.", "min": 0, "max": "*", "base": { "path": "Condition.identifier", "min": 0, "max": "*" }, "type": [ { "code": "Identifier", "profile": [ "http://StructureDefinition.hl7fhir.cn/Identifier" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX / EI (occasionally, more often EI maps to a resource id or a URL)" }, { "identity": "rim", "map": "II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]" }, { "identity": "servd", "map": "Identifier" }, { "identity": "workflow", "map": "Event.identifier" }, { "identity": "w5", "map": "FiveWs.identifier" }, { "identity": "rim", "map": ".id" } ] }, { "id": "Condition.identifier:DiagnoseCode", "path": "Condition.identifier", "sliceName": "DiagnoseCode", "short": "诊断业务编码", "definition": "诊断业务编码", "comment": "This is a business identifier, not a resource identifier (see [discussion](resource.html#identifiers)). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number.", "requirements": "Allows identification of the condition as it is known by various participating systems and in a way that remains consistent across servers.", "min": 0, "max": "1", "base": { "path": "Condition.identifier", "min": 0, "max": "*" }, "type": [ { "code": "Identifier" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX / EI (occasionally, more often EI maps to a resource id or a URL)" }, { "identity": "rim", "map": "II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]" }, { "identity": "servd", "map": "Identifier" }, { "identity": "workflow", "map": "Event.identifier" }, { "identity": "w5", "map": "FiveWs.identifier" }, { "identity": "rim", "map": ".id" } ] }, { "id": "Condition.identifier:otherIdentifier", "path": "Condition.identifier", "sliceName": "otherIdentifier", "short": "其他业务代码", "definition": "其他业务代码", "comment": "This is a business identifier, not a resource identifier (see [discussion](resource.html#identifiers)). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number.", "requirements": "Allows identification of the condition as it is known by various participating systems and in a way that remains consistent across servers.", "min": 0, "max": "*", "base": { "path": "Condition.identifier", "min": 0, "max": "*" }, "type": [ { "code": "Identifier" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX / EI (occasionally, more often EI maps to a resource id or a URL)" }, { "identity": "rim", "map": "II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]" }, { "identity": "servd", "map": "Identifier" }, { "identity": "workflow", "map": "Event.identifier" }, { "identity": "w5", "map": "FiveWs.identifier" }, { "identity": "rim", "map": ".id" } ] }, { "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。", "comment": "这是表示术语的常用模型，但并不适用于所有的术语。在某些情况下，会直接使用编码，并使用自己的结构来管理描述文本、编码、翻译、元素之间的关系、前协调（预置映射规则）和后协调（映射后置处理）。", "min": 0, "max": "1", "base": { "path": "Condition.clinicalStatus", "min": 0, "max": "1" }, "type": [ { "code": "CodeableConcept", "profile": [ "http://StructureDefinition.hl7fhir.cn/CodeableConcept" ] } ], "condition": [ "ele-1", "con-3", "con-4", "con-5" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier": true, "isModifierReason": "This element is labeled as a modifier because the status contains codes that mark the condition as no longer active.", "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "ConditionClinicalStatus" } ], "strength": "required", "description": "The clinical status of the condition or diagnosis.", "valueSet": "http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity": "workflow", "map": "Event.status" }, { "identity": "w5", "map": "FiveWs.status" }, { "identity": "sct-concept", "map": "< 303105007 |Disease phases|" }, { "identity": "v2", "map": "PRB-14" }, { "identity": "rim", "map": "Observation ACT\n.inboundRelationship[typeCode=COMP].source[classCode=OBS, code=\"clinicalStatus\", moodCode=EVN].value" } ] }, { "id": "Condition.clinicalStatus.id", "path": "Condition.clinicalStatus.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Condition.clinicalStatus.extension", "path": "Condition.clinicalStatus.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Condition.clinicalStatus.extension:clinicalStatus", "path": "Condition.clinicalStatus.extension", "sliceName": "clinicalStatus", "short": "资源状态", "definition": "描述资源的各种状态", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content" ], "min": 0, "max": "1", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension", "profile": [ "http://StructureDefinition.hl7fhir.cn/resource-status" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "binding": { "strength": "required", "description": "诊断状态", "valueSet": "http://ValueSet.hl7fhir.cn/condition-status-vs" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Condition.clinicalStatus.coding", "path": "Condition.clinicalStatus.coding", "label": "编码概念", "short": "由术语系统定义的编码", "definition": "一个引用自术语系统定义的编码。", "comment": "编码可以使用枚举值或编码列表非常随意地定义。也可以非常正式的定义，如SNOMED CT。请参阅HL7 v3核心原则。 此类型并未定义编码的顺序，并不得用于推断含义。通常，最多只有一个Coding的UserSelected属性被标记为true。", "requirements": "允许在代码系统中使用备用编码，并支持转换为其他代码系统。", "min": 0, "max": "*", "base": { "path": "CodeableConcept.coding", "min": 0, "max": "*" }, "type": [ { "code": "Coding", "profile": [ "http://StructureDefinition.hl7fhir.cn/Coding" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6" }, { "identity": "rim", "map": "CV" }, { "identity": "orim", "map": "fhir:Coding rdfs:subClassOf dt:CDCoding" }, { "identity": "v2", "map": "C*E.1-8, C*E.10-22" }, { "identity": "rim", "map": "union(., ./translation)" }, { "identity": "orim", "map": "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" } ] }, { "id": "Condition.clinicalStatus.text", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "Condition.clinicalStatus.text", "label": "概念描述", "short": "自然语言表示的概念", "definition": "自然语言表示的概念，它是由输入数据的用户看到、选择、说出，并代表着用户意图。", "comment": "通常此元素的文本与此资源中某一个coding元素的display属性值相同", "requirements": "术语中的代码并不总能精确的表达其所有细微差别的含义，或者有时根本没有合适的代码。在这些情况下，文本可用于表达编码的全部含义。", "min": 0, "max": "1", "base": { "path": "CodeableConcept.text", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.9. But note many systems use C*E.2 for this" }, { "identity": "rim", "map": "./originalText[mediaType/code=\"text/plain\"]/data" }, { "identity": "orim", "map": "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText" } ] }, { "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。", "comment": "这是表示术语的常用模型，但并不适用于所有的术语。在某些情况下，会直接使用编码，并使用自己的结构来管理描述文本、编码、翻译、元素之间的关系、前协调（预置映射规则）和后协调（映射后置处理）。", "min": 0, "max": "1", "base": { "path": "Condition.verificationStatus", "min": 0, "max": "1" }, "type": [ { "code": "CodeableConcept", "profile": [ "http://StructureDefinition.hl7fhir.cn/CodeableConcept" ] } ], "condition": [ "ele-1", "con-3", "con-5" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier": true, "isModifierReason": "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.", "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "ConditionVerificationStatus" } ], "strength": "required", "description": "The verification status to support or decline the clinical status of the condition or diagnosis.", "valueSet": "http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity": "workflow", "map": "Event.status" }, { "identity": "w5", "map": "FiveWs.status" }, { "identity": "sct-concept", "map": "< 410514004 |Finding context value|" }, { "identity": "v2", "map": "PRB-13" }, { "identity": "rim", "map": "Observation ACT\n.inboundRelationship[typeCode=COMP].source[classCode=OBS, code=\"verificationStatus\", moodCode=EVN].value" }, { "identity": "sct-attr", "map": "408729009" } ] }, { "id": "Condition.verificationStatus.id", "path": "Condition.verificationStatus.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Condition.verificationStatus.extension", "path": "Condition.verificationStatus.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Condition.verificationStatus.extension:verificationStatus", "path": "Condition.verificationStatus.extension", "sliceName": "verificationStatus", "short": "资源状态", "definition": "描述资源的各种状态", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content" ], "min": 0, "max": "1", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension", "profile": [ "http://StructureDefinition.hl7fhir.cn/resource-status" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "binding": { "strength": "required", "description": "验证状态", "valueSet": "http://ValueSet.hl7fhir.cn/condition-ver-status-vs" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Condition.verificationStatus.coding", "path": "Condition.verificationStatus.coding", "label": "编码概念", "short": "由术语系统定义的编码", "definition": "一个引用自术语系统定义的编码。", "comment": "编码可以使用枚举值或编码列表非常随意地定义。也可以非常正式的定义，如SNOMED CT。请参阅HL7 v3核心原则。 此类型并未定义编码的顺序，并不得用于推断含义。通常，最多只有一个Coding的UserSelected属性被标记为true。", "requirements": "允许在代码系统中使用备用编码，并支持转换为其他代码系统。", "min": 0, "max": "*", "base": { "path": "CodeableConcept.coding", "min": 0, "max": "*" }, "type": [ { "code": "Coding", "profile": [ "http://StructureDefinition.hl7fhir.cn/Coding" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6" }, { "identity": "rim", "map": "CV" }, { "identity": "orim", "map": "fhir:Coding rdfs:subClassOf dt:CDCoding" }, { "identity": "v2", "map": "C*E.1-8, C*E.10-22" }, { "identity": "rim", "map": "union(., ./translation)" }, { "identity": "orim", "map": "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" } ] }, { "id": "Condition.verificationStatus.text", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "Condition.verificationStatus.text", "label": "概念描述", "short": "自然语言表示的概念", "definition": "自然语言表示的概念，它是由输入数据的用户看到、选择、说出，并代表着用户意图。", "comment": "通常此元素的文本与此资源中某一个coding元素的display属性值相同", "requirements": "术语中的代码并不总能精确的表达其所有细微差别的含义，或者有时根本没有合适的代码。在这些情况下，文本可用于表达编码的全部含义。", "min": 0, "max": "1", "base": { "path": "CodeableConcept.text", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.9. But note many systems use C*E.2 for this" }, { "identity": "rim", "map": "./originalText[mediaType/code=\"text/plain\"]/data" }, { "identity": "orim", "map": "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText" } ] }, { "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", "comment": "The categorization is often highly contextual and may appear poorly differentiated or not very useful in other contexts.", "min": 0, "max": "0", "base": { "path": "Condition.category", "min": 0, "max": "*" }, "type": [ { "code": "CodeableConcept" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "ConditionCategory" } ], "strength": "extensible", "description": "A category assigned to the condition.", "valueSet": "http://hl7.org/fhir/ValueSet/condition-category" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity": "w5", "map": "FiveWs.class" }, { "identity": "sct-concept", "map": "< 404684003 |Clinical finding|" }, { "identity": "v2", "map": "'problem' if from PRB-3. 'diagnosis' if from DG1 segment in PV1 message" }, { "identity": "rim", "map": ".code" } ] }, { "id": "Condition.category.id", "path": "Condition.category.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Condition.category.extension", "path": "Condition.category.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Condition.category.coding", "path": "Condition.category.coding", "short": "Code defined by a terminology system", "definition": "A reference to a code defined by a terminology system.", "comment": "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.", "requirements": "Allows for alternative encodings within a code system, and translations to other code systems.", "min": 0, "max": "*", "base": { "path": "CodeableConcept.coding", "min": 0, "max": "*" }, "type": [ { "code": "Coding" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6" }, { "identity": "rim", "map": "CV" }, { "identity": "orim", "map": "fhir:Coding rdfs:subClassOf dt:CDCoding" }, { "identity": "v2", "map": "C*E.1-8, C*E.10-22" }, { "identity": "rim", "map": "union(., ./translation)" }, { "identity": "orim", "map": "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" } ] }, { "id": "Condition.category.coding.id", "path": "Condition.category.coding.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Condition.category.coding.extension", "path": "Condition.category.coding.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Condition.category.coding.system", "path": "Condition.category.coding.system", "short": "Identity of the terminology system", "definition": "The identification of the code system that defines the meaning of the symbol in the code.", "comment": "The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.", "requirements": "Need to be unambiguous about the source of the definition of the symbol.", "min": 0, "max": "1", "base": { "path": "Coding.system", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.3" }, { "identity": "rim", "map": "./codeSystem" }, { "identity": "orim", "map": "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" } ] }, { "id": "Condition.category.coding.version", "path": "Condition.category.coding.version", "short": "Version of the system - if relevant", "definition": "The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.", "comment": "Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.", "min": 0, "max": "1", "base": { "path": "Coding.version", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.7" }, { "identity": "rim", "map": "./codeSystemVersion" }, { "identity": "orim", "map": "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" } ] }, { "id": "Condition.category.coding.code", "path": "Condition.category.coding.code", "short": "Symbol in syntax defined by the system", "definition": "A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).", "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size", "requirements": "Need to refer to a particular code in the system.", "min": 0, "max": "1", "base": { "path": "Coding.code", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "fixedCode": "problem-list-item", "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.1" }, { "identity": "rim", "map": "./code" }, { "identity": "orim", "map": "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" } ] }, { "id": "Condition.category.coding.display", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "Condition.category.coding.display", "short": "Representation defined by the system", "definition": "A representation of the meaning of the code in the system, following the rules of the system.", "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size", "requirements": "Need to be able to carry a human-readable meaning of the code for readers that do not know the system.", "min": 0, "max": "1", "base": { "path": "Coding.display", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.2 - but note this is not well followed" }, { "identity": "rim", "map": "CV.displayName" }, { "identity": "orim", "map": "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName" } ] }, { "id": "Condition.category.coding.userSelected", "path": "Condition.category.coding.userSelected", "short": "If this coding was chosen directly by the user", "definition": "Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).", "comment": "Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.", "requirements": "This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.", "min": 0, "max": "1", "base": { "path": "Coding.userSelected", "min": 0, "max": "1" }, "type": [ { "code": "boolean" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "Sometimes implied by being first" }, { "identity": "rim", "map": "CD.codingRationale" }, { "identity": "orim", "map": "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [ fhir:source \"true\"; fhir:target dt:CDCoding.codingRationale\\#O ]" } ] }, { "id": "Condition.category.text", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "Condition.category.text", "short": "Plain text representation of the concept", "definition": "A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.", "comment": "Very often the text is the same as a displayName of one of the codings.", "requirements": "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.", "min": 0, "max": "1", "base": { "path": "CodeableConcept.text", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.9. But note many systems use C*E.2 for this" }, { "identity": "rim", "map": "./originalText[mediaType/code=\"text/plain\"]/data" }, { "identity": "orim", "map": "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText" } ] }, { "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。", "min": 0, "max": "1", "base": { "path": "Condition.severity", "min": 0, "max": "1" }, "type": [ { "code": "CodeableConcept", "profile": [ "http://StructureDefinition.hl7fhir.cn/CodeableConcept" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "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" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity": "w5", "map": "FiveWs.grade" }, { "identity": "sct-concept", "map": "< 272141005 |Severities|" }, { "identity": "v2", "map": "PRB-26 / ABS-3" }, { "identity": "rim", "map": "Can be pre/post-coordinated into value. Or ./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"severity\"].value" }, { "identity": "sct-attr", "map": "246112005" } ] }, { "id": "Condition.code", "path": "Condition.code", "short": "诊断编码", "definition": "ICD-10 诊断编码", "comment": "这是表示术语的常用模型，但并不适用于所有的术语。在某些情况下，会直接使用编码，并使用自己的结构来管理描述文本、编码、翻译、元素之间的关系、前协调（预置映射规则）和后协调（映射后置处理）。", "requirements": "0..1 to account for primarily narrative only resources.", "alias": [ "type" ], "min": 1, "max": "1", "base": { "path": "Condition.code", "min": 0, "max": "1" }, "type": [ { "code": "CodeableConcept", "profile": [ "http://StructureDefinition.hl7fhir.cn/CodeableConcept" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "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" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity": "workflow", "map": "Event.code" }, { "identity": "w5", "map": "FiveWs.what[x]" }, { "identity": "sct-concept", "map": "code 246090004 |Associated finding| (< 404684003 |Clinical finding| MINUS\n<< 420134006 |Propensity to adverse reactions| MINUS \n<< 473010000 |Hypersensitivity condition| MINUS \n<< 79899007 |Drug interaction| MINUS\n<< 69449002 |Drug action| MINUS \n<< 441742003 |Evaluation finding| MINUS \n<< 307824009 |Administrative status| MINUS \n<< 385356007 |Tumor stage finding|) \nOR < 413350009 |Finding with explicit context|\nOR < 272379006 |Event|" }, { "identity": "v2", "map": "PRB-3" }, { "identity": "rim", "map": ".value" }, { "identity": "sct-attr", "map": "246090004" } ] }, { "id": "Condition.bodySite", "path": "Condition.bodySite", "short": "部位", "definition": "症状出现的部位 ，", "comment": "这是表示术语的常用模型，但并不适用于所有的术语。在某些情况下，会直接使用编码，并使用自己的结构来管理描述文本、编码、翻译、元素之间的关系、前协调（预置映射规则）和后协调（映射后置处理）。", "min": 0, "max": "*", "base": { "path": "Condition.bodySite", "min": 0, "max": "*" }, "type": [ { "code": "CodeableConcept", "profile": [ "http://StructureDefinition.hl7fhir.cn/CodeableConcept" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "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" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity": "sct-concept", "map": "< 442083009 |Anatomical or acquired body structure|" }, { "identity": "rim", "map": ".targetBodySiteCode" }, { "identity": "sct-attr", "map": "363698007" } ] }, { "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。", "comment": "引用应该是对实际FHIR资源的引用，并且应该是可解析的(允许访问控制、临时不可用等)。解析可以通过从URL检索来实现，也可以在适用的情况下通过资源类型来实现，将绝对引用作为标准URL处理并在本地注册表/存储库中查找它。", "requirements": "Group is typically used for veterinary or public health use cases.", "alias": [ "patient" ], "min": 1, "max": "1", "base": { "path": "Condition.subject", "min": 1, "max": "1" }, "type": [ { "code": "Reference", "profile": [ "http://StructureDefinition.hl7fhir.cn/Reference" ], "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Patient", "http://hl7.org/fhir/StructureDefinition/Group" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "workflow", "map": "Event.subject" }, { "identity": "w5", "map": "FiveWs.subject[x]" }, { "identity": "v2", "map": "PID-3" }, { "identity": "rim", "map": ".participation[typeCode=SBJ].role[classCode=PAT]" }, { "identity": "w5", "map": "FiveWs.subject" } ] }, { "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。", "comment": "引用应该是对实际FHIR资源的引用，并且应该是可解析的(允许访问控制、临时不可用等)。解析可以通过从URL检索来实现，也可以在适用的情况下通过资源类型来实现，将绝对引用作为标准URL处理并在本地注册表/存储库中查找它。", "min": 0, "max": "1", "base": { "path": "Condition.encounter", "min": 0, "max": "1" }, "type": [ { "code": "Reference", "profile": [ "http://StructureDefinition.hl7fhir.cn/Reference" ], "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Encounter" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "workflow", "map": "Event.context" }, { "identity": "w5", "map": "FiveWs.context" }, { "identity": "v2", "map": "PV1-19 (+PV1-54)" }, { "identity": "rim", "map": ".inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]" } ] }, { "id": "Condition.onset[x]", "path": "Condition.onset[x]", "short": "Estimated or actual date, date-time, or age", "definition": "Estimated or actual date or date-time the condition began, in the opinion of the clinician.", "comment": "Age is generally used when the patient reports an age at which the Condition began to occur.", "min": 0, "max": "0", "base": { "path": "Condition.onset[x]", "min": 0, "max": "1" }, "type": [ { "code": "dateTime" }, { "code": "Age" }, { "code": "Period" }, { "code": "Range" }, { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "workflow", "map": "Event.occurrence[x]" }, { "identity": "w5", "map": "FiveWs.init" }, { "identity": "v2", "map": "PRB-16" }, { "identity": "rim", "map": ".effectiveTime.low or .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"age at onset\"].value" } ] }, { "id": "Condition.abatement[x]", "path": "Condition.abatement[x]", "short": "When in resolution/remission", "definition": "The date or estimated date that the condition resolved or went into remission. This is called \"abatement\" because of the many overloaded connotations associated with \"remission\" or \"resolution\" - Conditions are never really resolved, but they can abate.", "comment": "There is no explicit distinction between resolution and remission because in many cases the distinction is not clear. Age is generally used when the patient reports an age at which the Condition abated. If there is no abatement element, it is unknown whether the condition has resolved or entered remission; applications and users should generally assume that the condition is still valid. When abatementString exists, it implies the condition is abated.", "min": 0, "max": "0", "base": { "path": "Condition.abatement[x]", "min": 0, "max": "1" }, "type": [ { "code": "dateTime" }, { "code": "Age" }, { "code": "Period" }, { "code": "Range" }, { "code": "string" } ], "condition": [ "ele-1", "con-4" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "w5", "map": "FiveWs.done[x]" }, { "identity": "rim", "map": ".effectiveTime.high or .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"age at remission\"].value or .inboundRelationship[typeCode=SUBJ]source[classCode=CONC, moodCode=EVN].status=completed" } ] }, { "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", "min": 0, "max": "1", "base": { "path": "Condition.recordedDate", "min": 0, "max": "1" }, "type": [ { "code": "dateTime" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "w5", "map": "FiveWs.recorded" }, { "identity": "v2", "map": "REL-11" }, { "identity": "rim", "map": ".participation[typeCode=AUT].time" } ] }, { "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。", "comment": "引用应该是对实际FHIR资源的引用，并且应该是可解析的(允许访问控制、临时不可用等)。解析可以通过从URL检索来实现，也可以在适用的情况下通过资源类型来实现，将绝对引用作为标准URL处理并在本地注册表/存储库中查找它。", "min": 0, "max": "1", "base": { "path": "Condition.recorder", "min": 0, "max": "1" }, "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" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "w5", "map": "FiveWs.author" }, { "identity": "rim", "map": ".participation[typeCode=AUT].role" } ] }, { "id": "Condition.asserter", "path": "Condition.asserter", "short": "确定诊断者", "definition": "下达诊断的医生", "comment": "引用应该是对实际FHIR资源的引用，并且应该是可解析的(允许访问控制、临时不可用等)。解析可以通过从URL检索来实现，也可以在适用的情况下通过资源类型来实现，将绝对引用作为标准URL处理并在本地注册表/存储库中查找它。", "min": 0, "max": "1", "base": { "path": "Condition.asserter", "min": 0, "max": "1" }, "type": [ { "code": "Reference", "profile": [ "http://StructureDefinition.hl7fhir.cn/Reference" ], "targetProfile": [ "http://StructureDefinition.hl7fhir.cn/Practitioner", "http://StructureDefinition.hl7fhir.cn/PractitionerRole" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "w5", "map": "FiveWs.source" }, { "identity": "v2", "map": "REL-7.1 identifier + REL-7.12 type code" }, { "identity": "rim", "map": ".participation[typeCode=INF].role" } ] }, { "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", "min": 0, "max": "*", "base": { "path": "Condition.stage", "min": 0, "max": "*" }, "type": [ { "code": "BackboneElement" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "con-1", "severity": "error", "human": "Stage SHALL have summary or assessment", "expression": "summary.exists() or assessment.exists()", "xpath": "exists(f:summary) or exists(f:assessment)", "source": "http://hl7.org/fhir/StructureDefinition/Condition" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"stage/grade\"]" } ] }, { "id": "Condition.stage.id", "path": "Condition.stage.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Condition.stage.extension", "path": "Condition.stage.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Condition.stage.modifierExtension", "path": "Condition.stage.modifierExtension", "short": "Extensions that cannot be ignored even if unrecognized", "definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).", "alias": [ "extensions", "user content", "modifiers" ], "min": 0, "max": "*", "base": { "path": "BackboneElement.modifierExtension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "isModifier": true, "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them", "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "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。", "comment": "这是表示术语的常用模型，但并不适用于所有的术语。在某些情况下，会直接使用编码，并使用自己的结构来管理描述文本、编码、翻译、元素之间的关系、前协调（预置映射规则）和后协调（映射后置处理）。", "min": 0, "max": "1", "base": { "path": "Condition.stage.summary", "min": 0, "max": "1" }, "type": [ { "code": "CodeableConcept", "profile": [ "http://StructureDefinition.hl7fhir.cn/CodeableConcept" ] } ], "condition": [ "ele-1", "con-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "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" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity": "sct-concept", "map": "< 254291000 |Staging and scales|" }, { "identity": "v2", "map": "PRB-14" }, { "identity": "rim", "map": ".value" } ] }, { "id": "Condition.stage.assessment", "path": "Condition.stage.assessment", "short": "引用类型", "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。", "comment": "引用应该是对实际FHIR资源的引用，并且应该是可解析的(允许访问控制、临时不可用等)。解析可以通过从URL检索来实现，也可以在适用的情况下通过资源类型来实现，将绝对引用作为标准URL处理并在本地注册表/存储库中查找它。", "min": 0, "max": "*", "base": { "path": "Condition.stage.assessment", "min": 0, "max": "*" }, "type": [ { "code": "Reference", "profile": [ "http://StructureDefinition.hl7fhir.cn/Reference" ], "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/ClinicalImpression", "http://hl7.org/fhir/StructureDefinition/DiagnosticReport", "http://hl7.org/fhir/StructureDefinition/Observation" ] } ], "condition": [ "ele-1", "con-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "rim", "map": ".self" } ] }, { "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。", "comment": "这是表示术语的常用模型，但并不适用于所有的术语。在某些情况下，会直接使用编码，并使用自己的结构来管理描述文本、编码、翻译、元素之间的关系、前协调（预置映射规则）和后协调（映射后置处理）。", "min": 0, "max": "1", "base": { "path": "Condition.stage.type", "min": 0, "max": "1" }, "type": [ { "code": "CodeableConcept", "profile": [ "http://StructureDefinition.hl7fhir.cn/CodeableConcept" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "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" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity": "rim", "map": "./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"stage type\"]" } ] }, { "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。", "min": 0, "max": "*", "base": { "path": "Condition.evidence", "min": 0, "max": "*" }, "type": [ { "code": "BackboneElement" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "con-2", "severity": "error", "human": "evidence SHALL have code or details", "expression": "code.exists() or detail.exists()", "xpath": "exists(f:code) or exists(f:detail)", "source": "http://hl7.org/fhir/StructureDefinition/Condition" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": ".outboundRelationship[typeCode=SPRT].target[classCode=OBS, moodCode=EVN]" } ] }, { "id": "Condition.evidence.id", "path": "Condition.evidence.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Condition.evidence.extension", "path": "Condition.evidence.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Condition.evidence.modifierExtension", "path": "Condition.evidence.modifierExtension", "short": "Extensions that cannot be ignored even if unrecognized", "definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).", "alias": [ "extensions", "user content", "modifiers" ], "min": 0, "max": "*", "base": { "path": "BackboneElement.modifierExtension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "isModifier": true, "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them", "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "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。", "comment": "这是表示术语的常用模型，但并不适用于所有的术语。在某些情况下，会直接使用编码，并使用自己的结构来管理描述文本、编码、翻译、元素之间的关系、前协调（预置映射规则）和后协调（映射后置处理）。", "min": 0, "max": "*", "base": { "path": "Condition.evidence.code", "min": 0, "max": "*" }, "type": [ { "code": "CodeableConcept", "profile": [ "http://StructureDefinition.hl7fhir.cn/CodeableConcept" ] } ], "condition": [ "ele-1", "con-2" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "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" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity": "workflow", "map": "Event.reasonCode" }, { "identity": "w5", "map": "FiveWs.why[x]" }, { "identity": "sct-concept", "map": "< 404684003 |Clinical finding|" }, { "identity": "rim", "map": "[code=\"diagnosis\"].value" } ] }, { "id": "Condition.evidence.detail", "path": "Condition.evidence.detail", "short": "引用类型", "definition": "从一个资源到另一个资源的引用", "comment": "引用应该是对实际FHIR资源的引用，并且应该是可解析的(允许访问控制、临时不可用等)。解析可以通过从URL检索来实现，也可以在适用的情况下通过资源类型来实现，将绝对引用作为标准URL处理并在本地注册表/存储库中查找它。", "min": 0, "max": "*", "base": { "path": "Condition.evidence.detail", "min": 0, "max": "*" }, "type": [ { "code": "Reference", "profile": [ "http://StructureDefinition.hl7fhir.cn/Reference" ], "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Resource" ] } ], "condition": [ "ele-1", "con-2" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "w5", "map": "FiveWs.why[x]" }, { "identity": "rim", "map": ".self" } ] }, { "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。", "min": 0, "max": "*", "base": { "path": "Condition.note", "min": 0, "max": "*" }, "type": [ { "code": "Annotation", "profile": [ "http://StructureDefinition.hl7fhir.cn/Annotation" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "N/A" }, { "identity": "rim", "map": "Act" }, { "identity": "workflow", "map": "Event.note" }, { "identity": "v2", "map": "NTE child of PRB" }, { "identity": "rim", "map": ".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"annotation\"].value" } ] } ] }, "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" ] } ] } ] } }