HL7中国FHIR Connectathon测试实施指南 - Local Development build (v2025.3.12) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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Resource Profile: 诊断结构定义

诊断本地化定义。

Usage:

• This Resource Profile is not used by any profiles in this Implementation Guide

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

• 关键元素表
• 差异表
• 快照表
• 统计/引用
• 所有

Name	Flags	Card.	Type	Description & Constraints
Condition	C	0..*	Condition	Detailed information about conditions, problems or diagnoses con-2: If category is problems list item, the clinicalStatus should not be unknown con-3: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission. dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
contained		0..*	Resource	Contained, inline Resources
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
clinicalStatus	?!ΣC	1..1	CodeableConcept	记录诊断的临床状态。例如：活跃、不活跃、已解决等 Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis. ele-1: All FHIR elements must have a @value or children
verificationStatus	?!Σ	0..1	CodeableConcept	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis. ele-1: All FHIR elements must have a @value or children
category	C	1..1	CodeableConcept	记录诊断的分类 Binding: ConditionCategoryCodes (preferred): A category assigned to the condition. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/condition-category
code		1..1	code	Symbol in syntax defined by the system Fixed Value: encounter-diagnosis
display		1..1	string	Representation defined by the system Fixed Value: 诊断
code	Σ	1..1	CodeableConcept	诊断的编码 Binding: http://hl7.org/fhir/sid/icd-10 (preferred) ele-1: All FHIR elements must have a @value or children
subject	Σ	1..1	Reference(患者信息结构定义)	指向患者的引用 ele-1: All FHIR elements must have a @value or children
encounter	Σ	1..1	Reference(门诊就诊服务结构定义 | 住院就诊服务结构定义)	指向诊疗活动资源，例如：随访、门诊、住院等 ele-1: All FHIR elements must have a @value or children
onset[x]	Σ	0..1	dateTime	诊断开始时间，可以是估计时间 ele-1: All FHIR elements must have a @value or children
participant	Σ	1..*	BackboneElement	问题记录医师 ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
actor	Σ	1..1	Reference(卫生服务人员信息结构定义)	Who or what participated in the activities related to the condition ele-1: All FHIR elements must have a @value or children
note		0..*	Annotation	关于该症状的附加信息 ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Condition.clinicalStatus	required	ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinical|5.0.0 from the FHIR Standard
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status|5.0.0 from the FHIR Standard
Condition.category	preferred	Pattern: encounter-diagnosis("诊断") http://hl7.org/fhir/ValueSet/condition-category from the FHIR Standard
Condition.code	preferred	http://hl7.org/fhir/sid/icd-10 http://hl7.org/fhir/sid/icd-10

Constraints

Id	Grade	Path(s)	Details	Requirements
con-2	warning	Condition	If category is problems list item, the clinicalStatus should not be unknown : category.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-category' and code='problem-list-item').exists() implies clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and code='unknown').exists().not()
con-3	error	Condition	If condition is abated, then clinicalStatus must be either inactive, resolved, or remission. : abatement.exists() implies (clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='inactive' or code='resolved' or code='remission')).exists())
dom-2	error	Condition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Condition	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 : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Condition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Condition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Condition	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

该结构继承自 Condition 。

Name	Flags	Card.	Type	Description & Constraints
Condition		0..*	Condition	Detailed information about conditions, problems or diagnoses
clinicalStatus		1..1	CodeableConcept	记录诊断的临床状态。例如：活跃、不活跃、已解决等
category		1..1	CodeableConcept	记录诊断的分类 Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/condition-category
code		1..1	code	Symbol in syntax defined by the system Fixed Value: encounter-diagnosis
display		1..1	string	Representation defined by the system Fixed Value: 诊断
code		1..1	CodeableConcept	诊断的编码 Binding: http://hl7.org/fhir/sid/icd-10 (preferred)
subject		1..1	Reference(患者信息结构定义)	指向患者的引用
encounter		1..1	Reference(门诊就诊服务结构定义 | 住院就诊服务结构定义)	指向诊疗活动资源，例如：随访、门诊、住院等
onset[x]		0..1	dateTime	诊断开始时间，可以是估计时间
participant		1..*	BackboneElement	问题记录医师
actor		1..1	Reference(卫生服务人员信息结构定义)	Who or what participated in the activities related to the condition
note		0..*	Annotation	关于该症状的附加信息
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Condition.code	preferred	http://hl7.org/fhir/sid/icd-10 http://hl7.org/fhir/sid/icd-10

Name	Flags	Card.	Type	Description & Constraints
Condition	C	0..*	Condition	Detailed information about conditions, problems or diagnoses con-2: If category is problems list item, the clinicalStatus should not be unknown con-3: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission.
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter Set
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Ids for this condition
clinicalStatus	?!ΣC	1..1	CodeableConcept	记录诊断的临床状态。例如：活跃、不活跃、已解决等 Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
verificationStatus	?!Σ	0..1	CodeableConcept	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
category	C	1..1	CodeableConcept	记录诊断的分类 Binding: ConditionCategoryCodes (preferred): A category assigned to the condition. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/condition-category
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: encounter-diagnosis
display		1..1	string	Representation defined by the system Fixed Value: 诊断
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
severity		0..1	CodeableConcept	Subjective severity of condition Binding: ConditionDiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.
code	Σ	1..1	CodeableConcept	诊断的编码 Binding: http://hl7.org/fhir/sid/icd-10 (preferred)
bodySite	Σ	0..*	CodeableConcept	Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts
subject	Σ	1..1	Reference(患者信息结构定义)	指向患者的引用
encounter	Σ	1..1	Reference(门诊就诊服务结构定义 | 住院就诊服务结构定义)	指向诊疗活动资源，例如：随访、门诊、住院等
onset[x]	Σ	0..1	dateTime	诊断开始时间，可以是估计时间
abatement[x]	C	0..1		When in resolution/remission
abatementDateTime			dateTime
abatementAge			Age
abatementPeriod			Period
abatementRange			Range
abatementString			string
recordedDate	Σ	0..1	dateTime	Date condition was first recorded
participant	Σ	1..*	BackboneElement	问题记录医师
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
function	Σ	0..1	CodeableConcept	Type of involvement Binding: ParticipationRoleType (extensible)
actor	Σ	1..1	Reference(卫生服务人员信息结构定义)	Who or what participated in the activities related to the condition
stage	C	0..*	BackboneElement	Stage/grade, usually assessed formally con-1: Stage SHALL have summary or assessment
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
summary	C	0..1	CodeableConcept	Simple summary (disease specific) Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).
assessment	C	0..*	Reference(ClinicalImpression | DiagnosticReport | Observation)	Formal record of assessment
type		0..1	CodeableConcept	Kind of staging Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).
evidence	Σ	0..*	CodeableReference(Resource)	Supporting evidence for the verification status Binding: SNOMEDCTClinicalFindings (example)
note		0..*	Annotation	关于该症状的附加信息
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Condition.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 from the FHIR Standard
Condition.clinicalStatus	required	ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinical|5.0.0 from the FHIR Standard
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status|5.0.0 from the FHIR Standard
Condition.category	preferred	Pattern: encounter-diagnosis("诊断") http://hl7.org/fhir/ValueSet/condition-category from the FHIR Standard
Condition.severity	preferred	ConditionDiagnosisSeverity http://hl7.org/fhir/ValueSet/condition-severity from the FHIR Standard
Condition.code	preferred	http://hl7.org/fhir/sid/icd-10 http://hl7.org/fhir/sid/icd-10
Condition.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
Condition.participant.function	extensible	ParticipationRoleType http://hl7.org/fhir/ValueSet/participation-role-type from the FHIR Standard
Condition.stage.summary	example	ConditionStage http://hl7.org/fhir/ValueSet/condition-stage from the FHIR Standard
Condition.stage.type	example	ConditionStageType http://hl7.org/fhir/ValueSet/condition-stage-type from the FHIR Standard
Condition.evidence	example	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
con-1	error	Condition.stage	Stage SHALL have summary or assessment : summary.exists() or assessment.exists()
con-2	warning	Condition	If category is problems list item, the clinicalStatus should not be unknown : category.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-category' and code='problem-list-item').exists() implies clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and code='unknown').exists().not()
con-3	error	Condition	If condition is abated, then clinicalStatus must be either inactive, resolved, or remission. : abatement.exists() implies (clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='inactive' or code='resolved' or code='remission')).exists())
dom-2	error	Condition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Condition	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 : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Condition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Condition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Condition	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

该结构继承自 Condition 。

Summary

Mandatory: 4 elements

Structures

This structure refers to these other structures:

• 患者信息结构定义 (http://hl7.org.cn/fhir/connectathon/StructureDefinition/core-patient)
• 门诊就诊服务结构定义 (http://hl7.org.cn/fhir/connectathon/StructureDefinition/core-outpatient-encounter)
• 住院就诊服务结构定义 (http://hl7.org.cn/fhir/connectathon/StructureDefinition/core-inpatient-encounter)
• 卫生服务人员信息结构定义 (http://hl7.org.cn/fhir/connectathon/StructureDefinition/core-practitioner)

关键元素视图

Name	Flags	Card.	Type	Description & Constraints
Condition	C	0..*	Condition	Detailed information about conditions, problems or diagnoses con-2: If category is problems list item, the clinicalStatus should not be unknown con-3: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission. dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
contained		0..*	Resource	Contained, inline Resources
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
clinicalStatus	?!ΣC	1..1	CodeableConcept	记录诊断的临床状态。例如：活跃、不活跃、已解决等 Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis. ele-1: All FHIR elements must have a @value or children
verificationStatus	?!Σ	0..1	CodeableConcept	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis. ele-1: All FHIR elements must have a @value or children
category	C	1..1	CodeableConcept	记录诊断的分类 Binding: ConditionCategoryCodes (preferred): A category assigned to the condition. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/condition-category
code		1..1	code	Symbol in syntax defined by the system Fixed Value: encounter-diagnosis
display		1..1	string	Representation defined by the system Fixed Value: 诊断
code	Σ	1..1	CodeableConcept	诊断的编码 Binding: http://hl7.org/fhir/sid/icd-10 (preferred) ele-1: All FHIR elements must have a @value or children
subject	Σ	1..1	Reference(患者信息结构定义)	指向患者的引用 ele-1: All FHIR elements must have a @value or children
encounter	Σ	1..1	Reference(门诊就诊服务结构定义 | 住院就诊服务结构定义)	指向诊疗活动资源，例如：随访、门诊、住院等 ele-1: All FHIR elements must have a @value or children
onset[x]	Σ	0..1	dateTime	诊断开始时间，可以是估计时间 ele-1: All FHIR elements must have a @value or children
participant	Σ	1..*	BackboneElement	问题记录医师 ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
actor	Σ	1..1	Reference(卫生服务人员信息结构定义)	Who or what participated in the activities related to the condition ele-1: All FHIR elements must have a @value or children
note		0..*	Annotation	关于该症状的附加信息 ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Condition.clinicalStatus	required	ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinical|5.0.0 from the FHIR Standard
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status|5.0.0 from the FHIR Standard
Condition.category	preferred	Pattern: encounter-diagnosis("诊断") http://hl7.org/fhir/ValueSet/condition-category from the FHIR Standard
Condition.code	preferred	http://hl7.org/fhir/sid/icd-10 http://hl7.org/fhir/sid/icd-10

Constraints

Id	Grade	Path(s)	Details	Requirements
con-2	warning	Condition	If category is problems list item, the clinicalStatus should not be unknown : category.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-category' and code='problem-list-item').exists() implies clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and code='unknown').exists().not()
con-3	error	Condition	If condition is abated, then clinicalStatus must be either inactive, resolved, or remission. : abatement.exists() implies (clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='inactive' or code='resolved' or code='remission')).exists())
dom-2	error	Condition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Condition	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 : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Condition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Condition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Condition	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

差异视图

该结构继承自 Condition 。

Name	Flags	Card.	Type	Description & Constraints
Condition		0..*	Condition	Detailed information about conditions, problems or diagnoses
clinicalStatus		1..1	CodeableConcept	记录诊断的临床状态。例如：活跃、不活跃、已解决等
category		1..1	CodeableConcept	记录诊断的分类 Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/condition-category
code		1..1	code	Symbol in syntax defined by the system Fixed Value: encounter-diagnosis
display		1..1	string	Representation defined by the system Fixed Value: 诊断
code		1..1	CodeableConcept	诊断的编码 Binding: http://hl7.org/fhir/sid/icd-10 (preferred)
subject		1..1	Reference(患者信息结构定义)	指向患者的引用
encounter		1..1	Reference(门诊就诊服务结构定义 | 住院就诊服务结构定义)	指向诊疗活动资源，例如：随访、门诊、住院等
onset[x]		0..1	dateTime	诊断开始时间，可以是估计时间
participant		1..*	BackboneElement	问题记录医师
actor		1..1	Reference(卫生服务人员信息结构定义)	Who or what participated in the activities related to the condition
note		0..*	Annotation	关于该症状的附加信息
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Condition.code	preferred	http://hl7.org/fhir/sid/icd-10 http://hl7.org/fhir/sid/icd-10

快照视图

Name	Flags	Card.	Type	Description & Constraints
Condition	C	0..*	Condition	Detailed information about conditions, problems or diagnoses con-2: If category is problems list item, the clinicalStatus should not be unknown con-3: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission.
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter Set
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Ids for this condition
clinicalStatus	?!ΣC	1..1	CodeableConcept	记录诊断的临床状态。例如：活跃、不活跃、已解决等 Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis.
verificationStatus	?!Σ	0..1	CodeableConcept	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
category	C	1..1	CodeableConcept	记录诊断的分类 Binding: ConditionCategoryCodes (preferred): A category assigned to the condition. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/condition-category
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: encounter-diagnosis
display		1..1	string	Representation defined by the system Fixed Value: 诊断
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
severity		0..1	CodeableConcept	Subjective severity of condition Binding: ConditionDiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.
code	Σ	1..1	CodeableConcept	诊断的编码 Binding: http://hl7.org/fhir/sid/icd-10 (preferred)
bodySite	Σ	0..*	CodeableConcept	Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts
subject	Σ	1..1	Reference(患者信息结构定义)	指向患者的引用
encounter	Σ	1..1	Reference(门诊就诊服务结构定义 | 住院就诊服务结构定义)	指向诊疗活动资源，例如：随访、门诊、住院等
onset[x]	Σ	0..1	dateTime	诊断开始时间，可以是估计时间
abatement[x]	C	0..1		When in resolution/remission
abatementDateTime			dateTime
abatementAge			Age
abatementPeriod			Period
abatementRange			Range
abatementString			string
recordedDate	Σ	0..1	dateTime	Date condition was first recorded
participant	Σ	1..*	BackboneElement	问题记录医师
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
function	Σ	0..1	CodeableConcept	Type of involvement Binding: ParticipationRoleType (extensible)
actor	Σ	1..1	Reference(卫生服务人员信息结构定义)	Who or what participated in the activities related to the condition
stage	C	0..*	BackboneElement	Stage/grade, usually assessed formally con-1: Stage SHALL have summary or assessment
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
summary	C	0..1	CodeableConcept	Simple summary (disease specific) Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).
assessment	C	0..*	Reference(ClinicalImpression | DiagnosticReport | Observation)	Formal record of assessment
type		0..1	CodeableConcept	Kind of staging Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).
evidence	Σ	0..*	CodeableReference(Resource)	Supporting evidence for the verification status Binding: SNOMEDCTClinicalFindings (example)
note		0..*	Annotation	关于该症状的附加信息
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Condition.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 from the FHIR Standard
Condition.clinicalStatus	required	ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinical|5.0.0 from the FHIR Standard
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status|5.0.0 from the FHIR Standard
Condition.category	preferred	Pattern: encounter-diagnosis("诊断") http://hl7.org/fhir/ValueSet/condition-category from the FHIR Standard
Condition.severity	preferred	ConditionDiagnosisSeverity http://hl7.org/fhir/ValueSet/condition-severity from the FHIR Standard
Condition.code	preferred	http://hl7.org/fhir/sid/icd-10 http://hl7.org/fhir/sid/icd-10
Condition.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
Condition.participant.function	extensible	ParticipationRoleType http://hl7.org/fhir/ValueSet/participation-role-type from the FHIR Standard
Condition.stage.summary	example	ConditionStage http://hl7.org/fhir/ValueSet/condition-stage from the FHIR Standard
Condition.stage.type	example	ConditionStageType http://hl7.org/fhir/ValueSet/condition-stage-type from the FHIR Standard
Condition.evidence	example	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
con-1	error	Condition.stage	Stage SHALL have summary or assessment : summary.exists() or assessment.exists()
con-2	warning	Condition	If category is problems list item, the clinicalStatus should not be unknown : category.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-category' and code='problem-list-item').exists() implies clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and code='unknown').exists().not()
con-3	error	Condition	If condition is abated, then clinicalStatus must be either inactive, resolved, or remission. : abatement.exists() implies (clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='inactive' or code='resolved' or code='remission')).exists())
dom-2	error	Condition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Condition	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 : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Condition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Condition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Condition	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

该结构继承自 Condition 。

Summary

Mandatory: 4 elements

Structures

This structure refers to these other structures:

• 患者信息结构定义 (http://hl7.org.cn/fhir/connectathon/StructureDefinition/core-patient)
• 门诊就诊服务结构定义 (http://hl7.org.cn/fhir/connectathon/StructureDefinition/core-outpatient-encounter)
• 住院就诊服务结构定义 (http://hl7.org.cn/fhir/connectathon/StructureDefinition/core-inpatient-encounter)
• 卫生服务人员信息结构定义 (http://hl7.org.cn/fhir/connectathon/StructureDefinition/core-practitioner)

本 Profile 的其它表示法: CSV, Excel, Schematron