## Union of https://hl7.fi/fhir/finnish-smart/StructureDefinition/fi-smart-problem-list-item and https://hl7.fi/fhir/finnish-smart/StructureDefinition/fi-smart-problem-list-item

This is the set of resources that conform to either of the profiles FI SMART Problem List Item (https://hl7.fi/fhir/finnish-smart/StructureDefinition/fi-smart-problem-list-item) and FI SMART Problem List Item (https://hl7.fi/fhir/finnish-smart/StructureDefinition/fi-smart-problem-list-item). E.g. what you have to deal with if you get resources conforming to one of them

### Structure

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Condition | C | 0..* |  | Detailed information about conditions, problems or diagnoses con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error 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
meta | Σ | 0..1 | Meta | Metadata about the resource ele-1: All FHIR elements must have a @value or children
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
language |  | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language. ele-1: All FHIR elements must have a @value or children
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation ele-1: All FHIR elements must have a @value or children
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension | ?! | 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
identifier | Σ | 0..* | Identifier | External Ids for this condition ele-1: All FHIR elements must have a @value or children
clinicalStatus | ?!S Σ | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: ?? (required): The clinical status of the condition or diagnosis. ele-1: All FHIR elements must have a @value or children
verificationStatus | ?!S Σ | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ?? (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 | S | 0..* | CodeableConcept | problem-list-item | encounter-diagnosis Binding: ?? (extensible): A category assigned to the condition. ele-1: All FHIR elements must have a @value or children
severity |  | 0..1 | CodeableConcept | Subjective severity of condition Binding: ?? (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician. ele-1: All FHIR elements must have a @value or children
code | S Σ | 1..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: ?? (example): Identification of the condition or diagnosis. ele-1: All FHIR elements must have a @value or children
bodySite | Σ | 0..* | CodeableConcept | Anatomical location, if relevant Binding: ?? (example): Codes describing anatomical locations. May include laterality. ele-1: All FHIR elements must have a @value or children
subject | S Σ | 1..1 | Reference(FI Base Patient) | Who has the condition? ele-1: All FHIR elements must have a @value or children
encounter | Σ | 0..1 | Reference(Encounter) | Encounter created as part of ele-1: All FHIR elements must have a @value or children
onset[x] | Σ | 0..1 |  | Estimated or actual date, date-time, or age ele-1: All FHIR elements must have a @value or children
onsetDateTime |  |  | dateTime |
onsetAge |  |  | Age |
onsetPeriod |  |  | Period |
onsetRange |  |  | Range |
onsetString |  |  | string |
abatement[x] |  | 0..1 |  | When in resolution/remission ele-1: All FHIR elements must have a @value or children
abatementDateTime |  |  | dateTime |
abatementAge |  |  | Age |
abatementPeriod |  |  | Period |
abatementRange |  |  | Range |
abatementString |  |  | string |
recordedDate | Σ | 0..1 | dateTime | Date record was first recorded ele-1: All FHIR elements must have a @value or children
recorder | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Who recorded the condition ele-1: All FHIR elements must have a @value or children
asserter | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Person who asserts this condition ele-1: All FHIR elements must have a @value or children
stage | C | 0..* | BackboneElement | Stage/grade, usually assessed formally con-1: Stage SHALL have summary or assessment ele-1: All FHIR elements must have a @value or children
extension |  | 0..* | Extension | Additional content defined by implementations ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
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
summary |  | 0..1 | CodeableConcept | Simple summary (disease specific) Binding: ?? (example): Codes describing condition stages (e.g. Cancer stages). ele-1: All FHIR elements must have a @value or children
assessment |  | 0..* | Reference(ClinicalImpression | DiagnosticReport | Observation) | Formal record of assessment ele-1: All FHIR elements must have a @value or children
type |  | 0..1 | CodeableConcept | Kind of staging Binding: ?? (example): Codes describing the kind of condition staging (e.g. clinical or pathological). ele-1: All FHIR elements must have a @value or children
evidence | C | 0..* | BackboneElement | Supporting evidence con-2: evidence SHALL have code or details ele-1: All FHIR elements must have a @value or children
extension |  | 0..* | Extension | Additional content defined by implementations ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
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
code | Σ | 0..* | CodeableConcept | Manifestation/symptom Binding: ?? (example): Codes that describe the manifestation or symptoms of a condition. ele-1: All FHIR elements must have a @value or children
detail | Σ | 0..* | Reference(Resource) | Supporting information found elsewhere ele-1: All FHIR elements must have a @value or children
note |  | 0..* | Annotation | Additional information about the Condition ele-1: All FHIR elements must have a @value or children
Documentation for this format