{
  "resourceType": "StructureDefinition",
  "id": "previous-history",
  "url": "http://StructureDefinition.hl7fhir.cn/previous-history",
  "name": "PreviousHistory",
  "title": "既往史",
  "status": "draft",
  "description": "既往史，既往史又称过去病史，即就医时医生向患者问询的患者既往的健康状况和过去曾经患过的疾病等方面的问题。\r\n既往健康状况包括饮食习惯等。病人平时健康状况，可能与其现患疾病有一定的关系，故对分析判断现发疾病的病情具有重要的参考价值。",
  "fhirVersion": "4.0.0",
  "mapping": [
    {
      "identity": "workflow",
      "uri": "http://hl7.org/fhir/workflow",
      "name": "Workflow Pattern"
    },
    {
      "identity": "sct-concept",
      "uri": "http://snomed.info/conceptdomain",
      "name": "SNOMED CT Concept Domain Binding"
    },
    {
      "identity": "v2",
      "uri": "http://hl7.org/v2",
      "name": "HL7 v2 Mapping"
    },
    {
      "identity": "rim",
      "uri": "http://hl7.org/v3",
      "name": "RIM Mapping"
    },
    {
      "identity": "w5",
      "uri": "http://hl7.org/fhir/fivews",
      "name": "FiveWs Pattern Mapping"
    },
    {
      "identity": "sct-attr",
      "uri": "http://snomed.org/attributebinding",
      "name": "SNOMED CT Attribute Binding"
    }
  ],
  "kind": "resource",
  "abstract": false,
  "type": "Condition",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Condition",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Condition",
        "path": "Condition",
        "short": "既往史",
        "definition": "既往史，既往史又称过去病史，即就医时医生向患者问询的患者既往的健康状况和过去曾经患过的疾病等方面的问题。\r\n既往健康状况包括饮食习惯等。病人平时健康状况，可能与其现患疾病有一定的关系，故对分析判断现发疾病的病情具有重要的参考价值。"
      },
      {
        "id": "Condition.identifier",
        "path": "Condition.identifier",
        "max": "0"
      },
      {
        "id": "Condition.clinicalStatus",
        "path": "Condition.clinicalStatus",
        "max": "0"
      },
      {
        "id": "Condition.verificationStatus",
        "path": "Condition.verificationStatus",
        "max": "0"
      },
      {
        "id": "Condition.category",
        "path": "Condition.category",
        "max": "0"
      },
      {
        "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",
          "valueSet": "http://ValueSet.hl7fhir.cn/condition-severity-vs"
        }
      },
      {
        "id": "Condition.code",
        "path": "Condition.code",
        "max": "0"
      },
      {
        "id": "Condition.bodySite",
        "path": "Condition.bodySite",
        "max": "0"
      },
      {
        "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": "创建此既往症状的过程中或与此记录的创建紧密相关的医疗事件。",
        "comment": "此既往症状是在这个医疗就诊活动期间产生的，或与这个医疗就诊活动密切相关，但一些活动可能在就诊活动之前或之后开始，但是任然认为和该医疗活动相关。",
        "type": [
          {
            "code": "Reference",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/Reference"
            ]
          }
        ]
      },
      {
        "id": "Condition.onset[x]",
        "path": "Condition.onset[x]",
        "short": "既往史病情",
        "definition": "既往史病情详细描述",
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "Condition.abatement[x]",
        "path": "Condition.abatement[x]",
        "short": "病情发展情况",
        "definition": "患者叙述病情发展情况",
        "max": "0",
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "Condition.recordedDate",
        "path": "Condition.recordedDate",
        "short": "记录日期",
        "definition": "描述该资源被详细记录的日期"
      },
      {
        "id": "Condition.recorder",
        "path": "Condition.recorder",
        "short": "既往史记录者",
        "type": [
          {
            "code": "Reference",
            "profile": [
              "http://StructureDefinition.hl7fhir.cn/Reference"
            ],
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Patient",
              "http://hl7.org/fhir/StructureDefinition/Practitioner",
              "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
              "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
              "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",
        "max": "0"
      },
      {
        "id": "Condition.stage",
        "path": "Condition.stage",
        "short": "临床评估",
        "max": "0"
      },
      {
        "id": "Condition.evidence",
        "path": "Condition.evidence",
        "short": "理论依据",
        "definition": "作为该既往史的理论依据，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。",
        "max": "0"
      },
      {
        "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"
            ]
          }
        ]
      }
    ]
  }
}