{ "description": "Reprsents any diagnosis that is made for a patient in the context of an encounter in the CYEHR system. This might be a diagnosed problem (entered to the CYEHR system as the diagnosis made for a patient after the assessment of the patient during the encounter) or a differential diagnosis (entered to the CYEHR system as a potential diagnosis based on the medical history, clinical examination and laboratory and imaging results information).", "_filename": "CYEHRSDDiagnosis.StructureDefinition.json", "package_name": "ehealth4u.package", "date": null, "derivation": "constraint", "publisher": "eHealth4U", "fhirVersion": "4.0.1", "name": "CYEHRSDDiagnosis", "abstract": false, "type": "Condition", "experimental": null, "resourceType": "StructureDefinition", "title": "Cyprus EHR Diagnosis profile", "package_version": "1.0.0", "status": "draft", "id": "e404ed5f-c022-47df-8ec8-880f15329aaf", "kind": "resource", "url": "http://ig.ehealth4u.eu/fhir/StructureDefinition/cyehr-sd-diagnosis-r4", "version": null, "differential": { "element": [ { "id": "Condition.meta", "path": "Condition.meta" }, { "id": "Condition.meta.profile", "min": 1, "path": "Condition.meta.profile", "slicing": { "rules": "open", "discriminator": [ { "path": "$this", "type": "value" } ] } }, { "id": "Condition.meta.profile:CyprusEHRProfile", "max": "1", "min": 1, "path": "Condition.meta.profile", "sliceName": "CyprusEHRProfile", "fixedCanonical": "http://ig.ehealth4u.eu/fhir/StructureDefinition/cyehr-sd-diagnosis-r4" }, { "id": "Condition.identifier.type", "path": "Condition.identifier.type", "type": [ { "code": "CodeableConcept", "profile": [ "http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips" ] } ] }, { "id": "Condition.identifier.type.coding.system", "min": 1, "path": "Condition.identifier.type.coding.system" }, { "id": "Condition.identifier.type.coding.code", "min": 1, "path": "Condition.identifier.type.coding.code" }, { "id": "Condition.identifier.type.coding.display", "min": 1, "path": "Condition.identifier.type.coding.display" }, { "id": "Condition.clinicalStatus", "path": "Condition.clinicalStatus", "type": [ { "code": "CodeableConcept", "profile": [ "http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips" ] } ], "comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.\r\n\r\nCyprusEHR: Clinical status must be used when this profile records a diagnosed problem.", "mustSupport": true }, { "id": "Condition.clinicalStatus.coding.system", "min": 1, "path": "Condition.clinicalStatus.coding.system" }, { "id": "Condition.clinicalStatus.coding.code", "min": 1, "path": "Condition.clinicalStatus.coding.code" }, { "id": "Condition.clinicalStatus.coding.display", "min": 1, "path": "Condition.clinicalStatus.coding.display" }, { "id": "Condition.verificationStatus", "path": "Condition.verificationStatus", "type": [ { "code": "CodeableConcept", "profile": [ "http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips" ] } ] }, { "id": "Condition.verificationStatus.coding.system", "min": 1, "path": "Condition.verificationStatus.coding.system" }, { "id": "Condition.verificationStatus.coding.code", "min": 1, "path": "Condition.verificationStatus.coding.code" }, { "id": "Condition.verificationStatus.coding.display", "min": 1, "path": "Condition.verificationStatus.coding.display" }, { "id": "Condition.category", "path": "Condition.category", "type": [ { "code": "CodeableConcept", "profile": [ "http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips" ] } ], "slicing": { "rules": "open", "discriminator": [ { "path": "$this", "type": "pattern" } ] }, "mustSupport": true, "patternCodeableConcept": { "coding": [ { "code": "encounter-diagnosis", "system": "http://terminology.hl7.org/CodeSystem/condition-category" } ] } }, { "id": "Condition.category.coding.system", "min": 1, "path": "Condition.category.coding.system" }, { "id": "Condition.category.coding.code", "min": 1, "path": "Condition.category.coding.code" }, { "id": "Condition.category.coding.display", "min": 1, "path": "Condition.category.coding.display" }, { "id": "Condition.category:diagnosedProblem", "path": "Condition.category", "short": "CY EHR diagnosis extra categories", "binding": { "strength": "extensible", "valueSet": "http://ig.ehealth4u.eu/fhir/ValueSet/cyehr-vs-diagnosiscategory" }, "comment": "The categorization is often highly contextual and may appear poorly differentiated or not very useful in other contexts.\r\n\r\nCyprusEHR: Use this category to record a diagnosed problem in the \"First Impression\" EHR section.", "sliceName": "diagnosedProblem", "patternCodeableConcept": { "coding": [ { "code": "encounter-diagnosis", "system": "http://terminology.hl7.org/CodeSystem/condition-category" }, { "code": "problem-list-item", "system": "http://terminology.hl7.org/CodeSystem/condition-category" } ] } }, { "id": "Condition.category:differentialDiagnosis", "path": "Condition.category", "short": "CY EHR diagnosis extra categories", "binding": { "strength": "extensible", "valueSet": "http://ig.ehealth4u.eu/fhir/ValueSet/cyehr-vs-diagnosiscategory" }, "comment": "The categorization is often highly contextual and may appear poorly differentiated or not very useful in other contexts.\r\n\r\nCyprusEHR: Use this category to record a differential problem in the \"First Impression\" EHR section.", "sliceName": "differentialDiagnosis", "patternCodeableConcept": { "coding": [ { "code": "92238-5", "system": "http://loinc.org" }, { "code": "encounter-diagnosis", "system": "http://terminology.hl7.org/CodeSystem/condition-category" } ] } }, { "id": "Condition.severity", "path": "Condition.severity", "type": [ { "code": "CodeableConcept", "profile": [ "http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips" ] } ], "binding": { "strength": "preferred", "valueSet": "http://ig.ehealth4u.eu/fhir/ValueSet/cyehr-vs-ehdsiseverity" }, "mustSupport": true }, { "id": "Condition.severity.coding.system", "min": 1, "path": "Condition.severity.coding.system" }, { "id": "Condition.severity.coding.code", "min": 1, "path": "Condition.severity.coding.code" }, { "id": "Condition.severity.coding.display", "min": 1, "path": "Condition.severity.coding.display" }, { "id": "Condition.code", "min": 1, "path": "Condition.code", "type": [ { "code": "CodeableConcept", "profile": [ "http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips" ] } ], "binding": { "strength": "extensible", "valueSet": "http://ig.ehealth4u.eu/fhir/ValueSet/cyehr-vs-ehdsiillnessanddisorder" }, "mustSupport": true }, { "id": "Condition.code.coding.system", "min": 1, "path": "Condition.code.coding.system" }, { "id": "Condition.code.coding.code", "min": 1, "path": "Condition.code.coding.code" }, { "id": "Condition.code.coding.display", "min": 1, "path": "Condition.code.coding.display" }, { "id": "Condition.bodySite", "path": "Condition.bodySite", "type": [ { "code": "CodeableConcept", "profile": [ "http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips" ] } ] }, { "id": "Condition.bodySite.coding.system", "min": 1, "path": "Condition.bodySite.coding.system" }, { "id": "Condition.bodySite.coding.code", "min": 1, "path": "Condition.bodySite.coding.code" }, { "id": "Condition.bodySite.coding.display", "min": 1, "path": "Condition.bodySite.coding.display" }, { "id": "Condition.subject", "path": "Condition.subject", "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Patient", "http://hl7.org/fhir/StructureDefinition/Group", "http://ig.ehealth4u.eu/fhir/StructureDefinition/cyehr-sd-patient" ] } ], "mustSupport": true }, { "id": "Condition.subject.identifier.type", "path": "Condition.subject.identifier.type", "type": [ { "code": "CodeableConcept", "profile": [ "http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips" ] } ] }, { "id": "Condition.subject.identifier.type.coding.system", "min": 1, "path": "Condition.subject.identifier.type.coding.system" }, { "id": "Condition.subject.identifier.type.coding.code", "min": 1, "path": "Condition.subject.identifier.type.coding.code" }, { "id": "Condition.subject.identifier.type.coding.display", "min": 1, "path": "Condition.subject.identifier.type.coding.display" }, { "id": "Condition.encounter", "min": 1, "path": "Condition.encounter", "mustSupport": true }, { "id": "Condition.encounter.reference", "min": 1, "path": "Condition.encounter.reference" }, { "id": "Condition.encounter.identifier.type", "path": "Condition.encounter.identifier.type", "type": [ { "code": "CodeableConcept", "profile": [ "http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips" ] } ] }, { "id": "Condition.encounter.identifier.type.coding.system", "min": 1, "path": "Condition.encounter.identifier.type.coding.system" }, { "id": "Condition.encounter.identifier.type.coding.code", "min": 1, "path": "Condition.encounter.identifier.type.coding.code" }, { "id": "Condition.encounter.identifier.type.coding.display", "min": 1, "path": "Condition.encounter.identifier.type.coding.display" }, { "id": "Condition.onset[x]", "path": "Condition.onset[x]", "type": [ { "code": "Period" } ], "mustSupport": true }, { "id": "Condition.recorder.identifier.type", "path": "Condition.recorder.identifier.type", "type": [ { "code": "CodeableConcept", "profile": [ "http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips" ] } ] }, { "id": "Condition.asserter.identifier.type", "path": "Condition.asserter.identifier.type", "type": [ { "code": "CodeableConcept", "profile": [ "http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips" ] } ] }, { "id": "Condition.stage.summary", "path": "Condition.stage.summary", "type": [ { "code": "CodeableConcept", "profile": [ "http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips" ] } ] }, { "id": "Condition.stage.assessment.identifier.type", "path": "Condition.stage.assessment.identifier.type", "type": [ { "code": "CodeableConcept", "profile": [ "http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips" ] } ] }, { "id": "Condition.stage.assessment.identifier.type.coding.system", "min": 1, "path": "Condition.stage.assessment.identifier.type.coding.system" }, { "id": "Condition.stage.assessment.identifier.type.coding.code", "min": 1, "path": "Condition.stage.assessment.identifier.type.coding.code" }, { "id": "Condition.stage.assessment.identifier.type.coding.display", "min": 1, "path": "Condition.stage.assessment.identifier.type.coding.display" }, { "id": "Condition.stage.type", "path": "Condition.stage.type", "type": [ { "code": "CodeableConcept", "profile": [ "http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips" ] } ] }, { "id": "Condition.stage.type.coding.system", "min": 1, "path": "Condition.stage.type.coding.system" }, { "id": "Condition.stage.type.coding.code", "min": 1, "path": "Condition.stage.type.coding.code" }, { "id": "Condition.stage.type.coding.display", "min": 1, "path": "Condition.stage.type.coding.display" }, { "id": "Condition.evidence.code", "path": "Condition.evidence.code", "type": [ { "code": "CodeableConcept", "profile": [ "http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips" ] } ] }, { "id": "Condition.evidence.detail.identifier.type", "path": "Condition.evidence.detail.identifier.type", "type": [ { "code": "CodeableConcept", "profile": [ "http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips" ] } ] }, { "id": "Condition.evidence.detail.identifier.type.coding.system", "min": 1, "path": "Condition.evidence.detail.identifier.type.coding.system" }, { "id": "Condition.evidence.detail.identifier.type.coding.code", "min": 1, "path": "Condition.evidence.detail.identifier.type.coding.code" }, { "id": "Condition.evidence.detail.identifier.type.coding.display", "min": 1, "path": "Condition.evidence.detail.identifier.type.coding.display" } ] }, "contact": [ { "name": "eHealth Lab (University of Cyprus)", "telecom": [ { "use": "work", "value": "ehealthl@ucy.ac.cy", "system": "email" } ] } ], "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Condition" }