ProblemDiagnosis
type: StructureDefinition
node role: treeRoot
id:
  v: ProblemDiagnosis
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: StructureDefinition ProblemDiagnosis Name Flags Card. Type Description & Constraints<img src="[binary]" alt="doco" style="background-color: inherit"/> ProblemDiagnosis S 0..* Base Problem Diagnosis #xD; Protocol S 0..1 BackboneElement Protocol #xD; Lastupdated S 0..1 dateTime Last updated #xD; Extension S 0..* Reference() Extension #xD; Data S 0..1 BackboneElement Data #xD; ProblemDiagnosisname S 1..1 CodeableConcept Problem Diagnosis name #xD; Variant S 0..* string Variant #xD; Clinicaldescription S 0..1 string Clinical description #xD; Bodysite S 0..* CodeableConcept Body site #xD; Structuredbodysite S 0..* Reference() Structured body site #xD; Cause S 0..* string Cause #xD; Datetimeofonset S 0..1 dateTime Datetime of onset #xD; Datetimeclinicallyrecognised S 0..1 dateTime Datetime clinically recognised #xD; Severity S 0..1 CodeableConcept Severity #xD; Specificdetails S 0..* Reference() Specific details #xD; Coursedescription S 0..1 string Course description #xD; Datetimeofresolution S 0..1 dateTime Datetime of resolution #xD; Status S 0..* Coding Status #xD; Diagnosticcertainty S 0..1 CodeableConcept Diagnostic certainty #xD; Comment S 0..1 string Comment #xD; <img src="[binary]" alt="doco" style="background-color: inherit"/> Documentation for this format
url:
  v: https://aehrc.csiro.au/fhir/logical-models/ProblemDiagnosis
  l: ProblemDiagnosis
identifier:
  system:
    v: https://aehrc.csiro.au/id/archetype_id
    l: archetype id
  value:
    v: openEHR-EHR-EVALUATION.problem_diagnosis.v1
version:
  v: 0.0.1
name:
  v: ProblemDiagnosis
title:
  v: Problem Diagnosis
status:
  v: draft
experimental:
  v: false
date:
  v: 2023-09-11T00:54:09+10:00
publisher:
  v: CSIRO
contact:
  name:
    v: CSIRO
  telecom:
    system:
      v: url
    value:
      v: https://aehrc.csiro.au/
contact:
  name:
    v: AU logical models
  telecom:
    system:
      v: url
    value:
      v: https://aehrc.csiro.au/
description:
  v: The Problem Diagnosis Logical Model Mindmap is shown below. <img src='[binary]'/> Details about a single identified health condition, injury, disability or any other issue which impacts on the physical, mental and/or social well-being of an individual. **Purpose** For recording details about a single, identified health problem or diagnosis. The intended scope of a health problem is deliberately kept loose in the context of clinical documentation, so as to capture any real or perceived concerns that may adversely affect an individual's wellbeing to any degree. A health problem may be identified by the individual, a carer or a healthcare professional. However, a diagnosis is additionally defined based on objective clinical criteria, and usually determined only by a healthcare professional. **Misuse** Not to be used to record symptoms as described by the individual - use the CLUSTER.symptom archetype, usually within the OBSERVATION.story archetype. Not to be used to record examination findings - use the family of examination-related CLUSTER archetypes, usually nested within the OBSERVATION.exam archetype. Not to be used to record laboratory test results or related diagnoses, for example pathological diagnoses - use an appropriate archetype from the laboratory family of OBSERVATION archetypes. Not to be used to record imaging examination results or imaging diagnoses - use an appropriate archetype from the imaging family of OBSERVATION archetypes. Not to be used to record 'Differential Diagnoses' - use the EVALUATION.differential_diagnosis archetype. Not to be used to record 'Reason for Encounter' or 'Presenting Complaint' - use the EVALUATION.reason_for_encounter archetype. Not to be used to record procedures - use the ACTION.procedure archetype. Not to be used to record details about pregnancy - use the EVALUATION.pregnancy_bf_status and EVALUATION.pregnancy and related archetypes. Not to be used to record statements about health risk or potential problems - use the EV…
jurisdiction:
  coding:
    system:
      v: http://unstats.un.org/unsd/methods/m49/m49.htm
      l: m49.htm
    code:
      v: 036
    display:
      v: Australia (AUS)
fhir version:
  v: 4.0.1
kind:
  v: logical
abstract:
  v: false
type:
  v: https://aehrc.csiro.au/fhir/logical-models/ProblemDiagnosis
  l: ProblemDiagnosis
base definition:
  v: http://hl7.org/fhir/StructureDefinition/Base
  l: Base
derivation:
  v: specialization
snapshot:
  extension:
    url:
      v: http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version
      l: snapshot-base-version
    value: String
      v: 4.0.1
  element:
    id:
      v: ProblemDiagnosis
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/elementdefinition-identifier
        l: elementdefinition-identifier
      value: Identifier
    extension:
      url:
        v: https://aehrc.csiro.au/fhir/StructureDefinition/note-considerations
        l: note-considerations
      value: String
        v: Use for recording details about a single, identified health problem or diagnosis. Clear definitions that enable differentiation between a 'problem' and a 'diagnosis' are almost impossible in practice - we cannot reliably tell when a problem should be regarded as a diagnosis. When diagnostic or classification criteria are successfully met, then we can confidently call the condition a formal diagnosis, but prior to these conditions being met and while there is supportive evidence available, it can also be valid to use the term 'diagnosis'. The amount of supportive evidence required for the label of diagnosis is not easy to define and in reality probably varies from condition to condition. Many standards committees have grappled with this definitional conundrum for years without clear resolution. For the purposes of clinical documentation with this archetype, problem and diagnosis are regarded as a continuum, with increasing levels of detail and supportive evidence usually providing weight towards the label of 'diagnosis'. In this archetype it is not neccessary to classify the condition as a 'problem' or 'diagnosis'. The data requirements to support documentation of either are identical, with additional data structure required to support inclusion of the evidence if and when it becomes available. Examples of problems include: the individual's expressed desire to lose weight, but without a formal diagnosis of Obesity; or a relationship problem with a family member. Examples of formal diagnoses would include a cancer that is supported by historical information, examination findings, histopathological findings, radiological findings and meets all requirements for known diagnostic criteria. In practice, most problems or diagnoses do not sit at either end of the problem-diagnosis spectrum, but somewhere in between. This archetype can be used within many contexts. For example, recording a problem or a clinical diagnosis during a clinical consultation; populating a persistent…
    extension:
      url:
        v: https://aehrc.csiro.au/fhir/StructureDefinition/note-misuse
        l: note-misuse
      value: String
        v: Not to be used to record symptoms as described by the individual - use the CLUSTER.symptom archetype, usually within the OBSERVATION.story archetype. Not to be used to record examination findings - use the family of examination-related CLUSTER archetypes, usually nested within the OBSERVATION.exam archetype. Not to be used to record laboratory test results or related diagnoses, for example pathological diagnoses - use an appropriate archetype from the laboratory family of OBSERVATION archetypes. Not to be used to record imaging examination results or imaging diagnoses - use an appropriate archetype from the imaging family of OBSERVATION archetypes. Not to be used to record 'Differential Diagnoses' - use the EVALUATION.differential_diagnosis archetype. Not to be used to record 'Reason for Encounter' or 'Presenting Complaint' - use the EVALUATION.reason_for_encounter archetype. Not to be used to record procedures - use the ACTION.procedure archetype. Not to be used to record details about pregnancy - use the EVALUATION.pregnancy_bf_status and EVALUATION.pregnancy and related archetypes. Not to be used to record statements about health risk or potential problems - use the EVALUATION.health_risk archetype. Not to be used to record statements about adverse reactions, allergies or intolerances - use the EVALUATION.adverse_reaction archetype. Not to be used for the explicit recording of an absence (or negative presence) of a problem or diagnosis, for example ‘No known problem or diagnoses’ or ‘No known diabetes’. Use the EVALUATION.exclusion-problem_diagnosis archetype to express a positive statement about exclusion of a problem or diagnosis.
    extension:
      url:
        v: https://aehrc.csiro.au/fhir/StructureDefinition/note-purpose
        l: note-purpose
      value: String
        v: For recording details about a single, identified health problem or diagnosis. The intended scope of a health problem is deliberately kept loose in the context of clinical documentation, so as to capture any real or perceived concerns that may adversely affect an individual's wellbeing to any degree. A health problem may be identified by the individual, a carer or a healthcare professional. However, a diagnosis is additionally defined based on objective clinical criteria, and usually determined only by a healthcare professional.
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint
        l: structuredefinition-display-hint
      value: String
        v: orientation:right
    path:
      v: ProblemDiagnosis
    short:
      v: Problem Diagnosis
    definition:
      v: Details about a single identified health condition, injury, disability or any other issue which impacts on the physical, mental and/or social well-being of an individual.
    comment:
      v: **Purpose** For recording details about a single, identified health problem or diagnosis. The intended scope of a health problem is deliberately kept loose in the context of clinical documentation, so as to capture any real or perceived concerns that may adversely affect an individual's wellbeing to any degree. A health problem may be identified by the individual, a carer or a healthcare professional. However, a diagnosis is additionally defined based on objective clinical criteria, and usually determined only by a healthcare professional. **Misuse** Not to be used to record symptoms as described by the individual - use the CLUSTER.symptom archetype, usually within the OBSERVATION.story archetype. Not to be used to record examination findings - use the family of examination-related CLUSTER archetypes, usually nested within the OBSERVATION.exam archetype. Not to be used to record laboratory test results or related diagnoses, for example pathological diagnoses - use an appropriate archetype from the laboratory family of OBSERVATION archetypes. Not to be used to record imaging examination results or imaging diagnoses - use an appropriate archetype from the imaging family of OBSERVATION archetypes. Not to be used to record 'Differential Diagnoses' - use the EVALUATION.differential_diagnosis archetype. Not to be used to record 'Reason for Encounter' or 'Presenting Complaint' - use the EVALUATION.reason_for_encounter archetype. Not to be used to record procedures - use the ACTION.procedure archetype. Not to be used to record details about pregnancy - use the EVALUATION.pregnancy_bf_status and EVALUATION.pregnancy and related archetypes. Not to be used to record statements about health risk or potential problems - use the EVALUATION.health_risk archetype. Not to be used to record statements about adverse reactions, allergies or intolerances - use the EVALUATION.adverse_reaction archetype. Not to be used for the explicit recording of an absence (or negative presence) of a p…
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    id:
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    path:
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    representation:
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v: at0000

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code:
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v: false

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identity:
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id:
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definition:
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comment:
  v: 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.
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id:
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path:
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comment:
  v: 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:
  v: 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](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
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id:
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extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-identifier
    l: elementdefinition-identifier
  value: Identifier
    system:
      v: https://aehrc.csiro.au/id/archetype_id/openEHR-EHR-EVALUATION.problem_diagnosis.v1
      l: openEHR-EHR-EVALUATION.problem diagnosis.v1
    value:
      v: at0070
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short:
  v: Last updated
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id:
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      v: at0071
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    v: https://aehrc.csiro.au/fhir/StructureDefinition/note-considerations
    l: note-considerations
  value: String
    v: For example: local information requirements or additional metadata to align with FHIR or CIMI equivalents.
path:
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short:
  v: Extension
definition:
  v: Additional information required to capture local content or to align with other reference models/formalisms.
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id:
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comment:
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comment:
  v: 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:
  v: 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](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
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id:
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extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-identifier
    l: elementdefinition-identifier
  value: Identifier
    system:
      v: https://aehrc.csiro.au/id/archetype_id/openEHR-EHR-EVALUATION.problem_diagnosis.v1
      l: openEHR-EHR-EVALUATION.problem diagnosis.v1
    value:
      v: at0002
extension:
  url:
    v: https://aehrc.csiro.au/fhir/StructureDefinition/note-considerations
    l: note-considerations
  value: String
    v: Coding of the name of the problem or diagnosis with a terminology is preferred, where possible.
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint
    l: structuredefinition-display-hint
  value: String
    v: orientation:right
path:
  v: ProblemDiagnosis.Data.ProblemDiagnosisname
short:
  v: Problem Diagnosis name
definition:
  v: Identification of the problem or diagnosis, by name.
comment:
  v: **Considerations** Coding of the name of the problem or diagnosis with a terminology is preferred, where possible.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: ProblemDiagnosis.Data.ProblemDiagnosisname
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
must support:
  v: true

id:
  v: ProblemDiagnosis.Data.Variant
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-identifier
    l: elementdefinition-identifier
  value: Identifier
    system:
      v: https://aehrc.csiro.au/id/archetype_id/openEHR-EHR-EVALUATION.problem_diagnosis.v1
      l: openEHR-EHR-EVALUATION.problem diagnosis.v1
    value:
      v: at0079
extension:
  url:
    v: https://aehrc.csiro.au/fhir/StructureDefinition/note-considerations
    l: note-considerations
  value: String
    v: For example: 'acute motor axonal neuropathy' as a variant of Guillain-Barre Syndrome. Coding of the name of the variant with a terminology is preferred, where possible.
path:
  v: ProblemDiagnosis.Data.Variant
short:
  v: Variant
definition:
  v: Specific variant or subtype of the Diagnosis, if relevant.
comment:
  v: **Considerations** For example: 'acute motor axonal neuropathy' as a variant of Guillain-Barre Syndrome. Coding of the name of the variant with a terminology is preferred, where possible.
min:
  v: 0
max:
  v: *
base:
  path:
    v: ProblemDiagnosis.Data.Variant
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: string
    l: string
must support:
  v: true

id:
  v: ProblemDiagnosis.Data.Clinicaldescription
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-identifier
    l: elementdefinition-identifier
  value: Identifier
    system:
      v: https://aehrc.csiro.au/id/archetype_id/openEHR-EHR-EVALUATION.problem_diagnosis.v1
      l: openEHR-EHR-EVALUATION.problem diagnosis.v1
    value:
      v: at0009
extension:
  url:
    v: https://aehrc.csiro.au/fhir/StructureDefinition/note-considerations
    l: note-considerations
  value: String
    v: Use to provide background and context, including evolution, episodes or exacerbations, progress and any other relevant details, about the problem or diagnosis.
path:
  v: ProblemDiagnosis.Data.Clinicaldescription
short:
  v: Clinical description
definition:
  v: Narrative description about the problem or diagnosis.
comment:
  v: **Considerations** Use to provide background and context, including evolution, episodes or exacerbations, progress and any other relevant details, about the problem or diagnosis.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ProblemDiagnosis.Data.Clinicaldescription
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
must support:
  v: true

id:
  v: ProblemDiagnosis.Data.Bodysite
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-identifier
    l: elementdefinition-identifier
  value: Identifier
    system:
      v: https://aehrc.csiro.au/id/archetype_id/openEHR-EHR-EVALUATION.problem_diagnosis.v1
      l: openEHR-EHR-EVALUATION.problem diagnosis.v1
    value:
      v: at0012
extension:
  url:
    v: https://aehrc.csiro.au/fhir/StructureDefinition/note-considerations
    l: note-considerations
  value: String
    v: Coding of the name of the anatomical location with a terminology is preferred, where possible. Use this data element to record precoordinated anatomical locations. If the requirements for recording the anatomical location are determined at run-time by the application or require more complex modelling such as relative locations then use the CLUSTER.anatomical_location or CLUSTER.relative_location within the 'Structured anatomical location' SLOT in this archetype. Occurrences for this data element are unbounded to allow for clinical scenarios such as describing a rash in multiple locations but where all of the other attributes are identical. If the anatomical location is included in the Problem/diagnosis name via precoordinated codes, this data element becomes redundant.
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint
    l: structuredefinition-display-hint
  value: String
    v: orientation:right
path:
  v: ProblemDiagnosis.Data.Bodysite
short:
  v: Body site
definition:
  v: Identification of a simple body site for the location of the problem or diagnosis.
comment:
  v: **Considerations** Coding of the name of the anatomical location with a terminology is preferred, where possible. Use this data element to record precoordinated anatomical locations. If the requirements for recording the anatomical location are determined at run-time by the application or require more complex modelling such as relative locations then use the CLUSTER.anatomical_location or CLUSTER.relative_location within the 'Structured anatomical location' SLOT in this archetype. Occurrences for this data element are unbounded to allow for clinical scenarios such as describing a rash in multiple locations but where all of the other attributes are identical. If the anatomical location is included in the Problem/diagnosis name via precoordinated codes, this data element becomes redundant.
min:
  v: 0
max:
  v: *
base:
  path:
    v: ProblemDiagnosis.Data.Bodysite
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
must support:
  v: true

id:
  v: ProblemDiagnosis.Data.Structuredbodysite
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-identifier
    l: elementdefinition-identifier
  value: Identifier
    system:
      v: https://aehrc.csiro.au/id/archetype_id/openEHR-EHR-EVALUATION.problem_diagnosis.v1
      l: openEHR-EHR-EVALUATION.problem diagnosis.v1
    value:
      v: at0039
extension:
  url:
    v: https://aehrc.csiro.au/fhir/StructureDefinition/note-considerations
    l: note-considerations
  value: String
    v: Use this SLOT to insert the CLUSTER.anatomical_location or CLUSTER.relative_location archetypes if the requirements for recording the anatomical location are determined at run-time by the application or require more complex modelling such as relative locations. If the anatomical location is included in the Problem/diagnosis name via precoordinated codes, use of this SLOT becomes redundant.
path:
  v: ProblemDiagnosis.Data.Structuredbodysite
short:
  v: Structured body site
definition:
  v: A structured anatomical location for the problem or diagnosis.
comment:
  v: **Considerations** Use this SLOT to insert the CLUSTER.anatomical_location or CLUSTER.relative_location archetypes if the requirements for recording the anatomical location are determined at run-time by the application or require more complex modelling such as relative locations. If the anatomical location is included in the Problem/diagnosis name via precoordinated codes, use of this SLOT becomes redundant.
min:
  v: 0
max:
  v: *
base:
  path:
    v: ProblemDiagnosis.Data.Structuredbodysite
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Reference
    l: Reference
must support:
  v: true

id:
  v: ProblemDiagnosis.Data.Cause
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-identifier
    l: elementdefinition-identifier
  value: Identifier
    system:
      v: https://aehrc.csiro.au/id/archetype_id/openEHR-EHR-EVALUATION.problem_diagnosis.v1
      l: openEHR-EHR-EVALUATION.problem diagnosis.v1
    value:
      v: at0078
extension:
  url:
    v: https://aehrc.csiro.au/fhir/StructureDefinition/note-considerations
    l: note-considerations
  value: String
    v: Also known as 'aetiology' or 'etiology'. Coding with an external terminology is preferred, where possible.
path:
  v: ProblemDiagnosis.Data.Cause
short:
  v: Cause
definition:
  v: A cause, set of causes, or manner of causation of the problem or diagnosis.
comment:
  v: **Considerations** Also known as 'aetiology' or 'etiology'. Coding with an external terminology is preferred, where possible.
min:
  v: 0
max:
  v: *
base:
  path:
    v: ProblemDiagnosis.Data.Cause
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: string
    l: string
must support:
  v: true

id:
  v: ProblemDiagnosis.Data.Datetimeofonset
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-identifier
    l: elementdefinition-identifier
  value: Identifier
    system:
      v: https://aehrc.csiro.au/id/archetype_id/openEHR-EHR-EVALUATION.problem_diagnosis.v1
      l: openEHR-EHR-EVALUATION.problem diagnosis.v1
    value:
      v: at0077
extension:
  url:
    v: https://aehrc.csiro.au/fhir/StructureDefinition/note-considerations
    l: note-considerations
  value: String
    v: Data captured/imported as "Age at onset" should be converted to a date using the subject's date of birth.
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint
    l: structuredefinition-display-hint
  value: String
    v: orientation:right
path:
  v: ProblemDiagnosis.Data.Datetimeofonset
short:
  v: Datetime of onset
definition:
  v: Estimated or actual date/time that signs or symptoms of the problem/diagnosis were first observed.
comment:
  v: **Considerations** Data captured/imported as "Age at onset" should be converted to a date using the subject's date of birth.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ProblemDiagnosis.Data.Datetimeofonset
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: dateTime
    l: dateTime
must support:
  v: true

id:
  v: ProblemDiagnosis.Data.Datetimeclinicallyrecognised
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-identifier
    l: elementdefinition-identifier
  value: Identifier
    system:
      v: https://aehrc.csiro.au/id/archetype_id/openEHR-EHR-EVALUATION.problem_diagnosis.v1
      l: openEHR-EHR-EVALUATION.problem diagnosis.v1
    value:
      v: at0003
extension:
  url:
    v: https://aehrc.csiro.au/fhir/StructureDefinition/note-considerations
    l: note-considerations
  value: String
    v: Partial dates are acceptable. If the subject of care is under the age of one year, then the complete date or a minimum of the month and year is necessary to enable accurate age calculations - for example, if used to drive decision support. Data captured/imported as "Age at time of clinical recognition" should be converted to a date using the subject's date of birth.
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint
    l: structuredefinition-display-hint
  value: String
    v: orientation:right
path:
  v: ProblemDiagnosis.Data.Datetimeclinicallyrecognised
short:
  v: Datetime clinically recognised
definition:
  v: Estimated or actual date/time the diagnosis or problem was recognised by a healthcare professional.
comment:
  v: **Considerations** Partial dates are acceptable. If the subject of care is under the age of one year, then the complete date or a minimum of the month and year is necessary to enable accurate age calculations - for example, if used to drive decision support. Data captured/imported as "Age at time of clinical recognition" should be converted to a date using the subject's date of birth.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ProblemDiagnosis.Data.Datetimeclinicallyrecognised
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: dateTime
    l: dateTime
must support:
  v: true

id:
  v: ProblemDiagnosis.Data.Severity
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-identifier
    l: elementdefinition-identifier
  value: Identifier
    system:
      v: https://aehrc.csiro.au/id/archetype_id/openEHR-EHR-EVALUATION.problem_diagnosis.v1
      l: openEHR-EHR-EVALUATION.problem diagnosis.v1
    value:
      v: at0005
extension:
  url:
    v: https://aehrc.csiro.au/fhir/StructureDefinition/note-considerations
    l: note-considerations
  value: String
    v: If severity is included in the Problem/diagnosis name via precoordinated codes, this data element becomes redundant. Note: more specific grading of severity can be recorded using the Specific details SLOT.
path:
  v: ProblemDiagnosis.Data.Severity
short:
  v: Severity
definition:
  v: An assessment of the overall severity of the problem or diagnosis.
comment:
  v: **Considerations** If severity is included in the Problem/diagnosis name via precoordinated codes, this data element becomes redundant. Note: more specific grading of severity can be recorded using the Specific details SLOT.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ProblemDiagnosis.Data.Severity
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
must support:
  v: true

id:
  v: ProblemDiagnosis.Data.Specificdetails
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-identifier
    l: elementdefinition-identifier
  value: Identifier
    system:
      v: https://aehrc.csiro.au/id/archetype_id/openEHR-EHR-EVALUATION.problem_diagnosis.v1
      l: openEHR-EHR-EVALUATION.problem diagnosis.v1
    value:
      v: at0043
extension:
  url:
    v: https://aehrc.csiro.au/fhir/StructureDefinition/note-considerations
    l: note-considerations
  value: String
    v: May include structured detail about the grading or staging of the diagnosis; diagnostic criteria, classification criteria or formal severity assessments such as Common Terminology Criteria for Adverse Events.
path:
  v: ProblemDiagnosis.Data.Specificdetails
short:
  v: Specific details
definition:
  v: Details that are additionally required to record as unique attributes of this problem or diagnosis.
comment:
  v: **Considerations** May include structured detail about the grading or staging of the diagnosis; diagnostic criteria, classification criteria or formal severity assessments such as Common Terminology Criteria for Adverse Events.
min:
  v: 0
max:
  v: *
base:
  path:
    v: ProblemDiagnosis.Data.Specificdetails
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Reference
    l: Reference
must support:
  v: true

id:
  v: ProblemDiagnosis.Data.Coursedescription
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-identifier
    l: elementdefinition-identifier
  value: Identifier
    system:
      v: https://aehrc.csiro.au/id/archetype_id/openEHR-EHR-EVALUATION.problem_diagnosis.v1
      l: openEHR-EHR-EVALUATION.problem diagnosis.v1
    value:
      v: at0072
path:
  v: ProblemDiagnosis.Data.Coursedescription
short:
  v: Course description
definition:
  v: Narrative description about the course of the problem or diagnosis since onset.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ProblemDiagnosis.Data.Coursedescription
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
must support:
  v: true

id:
  v: ProblemDiagnosis.Data.Datetimeofresolution
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-identifier
    l: elementdefinition-identifier
  value: Identifier
    system:
      v: https://aehrc.csiro.au/id/archetype_id/openEHR-EHR-EVALUATION.problem_diagnosis.v1
      l: openEHR-EHR-EVALUATION.problem diagnosis.v1
    value:
      v: at0030
extension:
  url:
    v: https://aehrc.csiro.au/fhir/StructureDefinition/note-considerations
    l: note-considerations
  value: String
    v: Partial dates are acceptable. If the subject of care is under the age of one year, then the complete date or a minimum of the month and year is necessary to enable accurate age calculations - for example, if used to drive decision support. Data captured/imported as "Age at time of resolution" should be converted to a date using the subject's date of birth.
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint
    l: structuredefinition-display-hint
  value: String
    v: orientation:right
path:
  v: ProblemDiagnosis.Data.Datetimeofresolution
short:
  v: Datetime of resolution
definition:
  v: Estimated or actual date/time of resolution or remission for this problem or diagnosis, as determined by a healthcare professional.
comment:
  v: **Considerations** Partial dates are acceptable. If the subject of care is under the age of one year, then the complete date or a minimum of the month and year is necessary to enable accurate age calculations - for example, if used to drive decision support. Data captured/imported as "Age at time of resolution" should be converted to a date using the subject's date of birth.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ProblemDiagnosis.Data.Datetimeofresolution
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: dateTime
    l: dateTime
must support:
  v: true

id:
  v: ProblemDiagnosis.Data.Status
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-identifier
    l: elementdefinition-identifier
  value: Identifier
    system:
      v: https://aehrc.csiro.au/id/archetype_id/openEHR-EHR-EVALUATION.problem_diagnosis.v1
      l: openEHR-EHR-EVALUATION.problem diagnosis.v1
    value:
      v: at0046
extension:
  url:
    v: https://aehrc.csiro.au/fhir/StructureDefinition/note-considerations
    l: note-considerations
  value: String
    v: Use status or context qualifiers with care, as they are variably used in practice and interoperability cannot be assured unless usage is clearly defined with the community of use. For example: active status - active, inactive, resolved, in remission; evolution status - initial, interim/working, final; temporal status - current, past; episodicity status - first, new, ongoing; admission status - admission, discharge; or priority status - primary, secondary.
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint
    l: structuredefinition-display-hint
  value: String
    v: orientation:right
path:
  v: ProblemDiagnosis.Data.Status
short:
  v: Status
definition:
  v: Structured details for location-, domain-, episode- or workflow-specific aspects of the diagnostic process.
comment:
  v: **Considerations** Use status or context qualifiers with care, as they are variably used in practice and interoperability cannot be assured unless usage is clearly defined with the community of use. For example: active status - active, inactive, resolved, in remission; evolution status - initial, interim/working, final; temporal status - current, past; episodicity status - first, new, ongoing; admission status - admission, discharge; or priority status - primary, secondary.
min:
  v: 0
max:
  v: *
base:
  path:
    v: ProblemDiagnosis.Data.Status
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Coding
    l: Coding
must support:
  v: true

id:
  v: ProblemDiagnosis.Data.Diagnosticcertainty
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-identifier
    l: elementdefinition-identifier
  value: Identifier
    system:
      v: https://aehrc.csiro.au/id/archetype_id/openEHR-EHR-EVALUATION.problem_diagnosis.v1
      l: openEHR-EHR-EVALUATION.problem diagnosis.v1
    value:
      v: at0073
extension:
  url:
    v: https://aehrc.csiro.au/fhir/StructureDefinition/note-considerations
    l: note-considerations
  value: String
    v: If an alternative valueset is required, these values can be added to the DV_TEXT data type in a template.
path:
  v: ProblemDiagnosis.Data.Diagnosticcertainty
short:
  v: Diagnostic certainty
definition:
  v: The level of confidence in the identification of the diagnosis.
comment:
  v: **Considerations** If an alternative valueset is required, these values can be added to the DV_TEXT data type in a template.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ProblemDiagnosis.Data.Diagnosticcertainty
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
must support:
  v: true

id:
  v: ProblemDiagnosis.Data.Comment
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-identifier
    l: elementdefinition-identifier
  value: Identifier
    system:
      v: https://aehrc.csiro.au/id/archetype_id/openEHR-EHR-EVALUATION.problem_diagnosis.v1
      l: openEHR-EHR-EVALUATION.problem diagnosis.v1
    value:
      v: at0069
path:
  v: ProblemDiagnosis.Data.Comment
short:
  v: Comment
definition:
  v: Additional narrative about the problem or diagnosis not captured in other fields.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: ProblemDiagnosis.Data.Comment
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
must support:
  v: true

element:
  id:
    v: ProblemDiagnosis
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-identifier
      l: elementdefinition-identifier
    value: Identifier
      system:
        v: https://aehrc.csiro.au/id/archetype_id/openEHR-EHR-EVALUATION.problem_diagnosis.v1
        l: openEHR-EHR-EVALUATION.problem diagnosis.v1
      value:
        v: at0000
  extension:
    url:
      v: https://aehrc.csiro.au/fhir/StructureDefinition/note-considerations
      l: note-considerations
    value: String
      v: Use for recording details about a single, identified health problem or diagnosis. Clear definitions that enable differentiation between a 'problem' and a 'diagnosis' are almost impossible in practice - we cannot reliably tell when a problem should be regarded as a diagnosis. When diagnostic or classification criteria are successfully met, then we can confidently call the condition a formal diagnosis, but prior to these conditions being met and while there is supportive evidence available, it can also be valid to use the term 'diagnosis'. The amount of supportive evidence required for the label of diagnosis is not easy to define and in reality probably varies from condition to condition. Many standards committees have grappled with this definitional conundrum for years without clear resolution. For the purposes of clinical documentation with this archetype, problem and diagnosis are regarded as a continuum, with increasing levels of detail and supportive evidence usually providing weight towards the label of 'diagnosis'. In this archetype it is not neccessary to classify the condition as a 'problem' or 'diagnosis'. The data requirements to support documentation of either are identical, with additional data structure required to support inclusion of the evidence if and when it becomes available. Examples of problems include: the individual's expressed desire to lose weight, but without a formal diagnosis of Obesity; or a relationship problem with a family member. Examples of formal diagnoses would include a cancer that is supported by historical information, examination findings, histopathological findings, radiological findings and meets all requirements for known diagnostic criteria. In practice, most problems or diagnoses do not sit at either end of the problem-diagnosis spectrum, but somewhere in between. This archetype can be used within many contexts. For example, recording a problem or a clinical diagnosis during a clinical consultation; populating a persistent…
  extension:
    url:
      v: https://aehrc.csiro.au/fhir/StructureDefinition/note-misuse
      l: note-misuse
    value: String
      v: Not to be used to record symptoms as described by the individual - use the CLUSTER.symptom archetype, usually within the OBSERVATION.story archetype. Not to be used to record examination findings - use the family of examination-related CLUSTER archetypes, usually nested within the OBSERVATION.exam archetype. Not to be used to record laboratory test results or related diagnoses, for example pathological diagnoses - use an appropriate archetype from the laboratory family of OBSERVATION archetypes. Not to be used to record imaging examination results or imaging diagnoses - use an appropriate archetype from the imaging family of OBSERVATION archetypes. Not to be used to record 'Differential Diagnoses' - use the EVALUATION.differential_diagnosis archetype. Not to be used to record 'Reason for Encounter' or 'Presenting Complaint' - use the EVALUATION.reason_for_encounter archetype. Not to be used to record procedures - use the ACTION.procedure archetype. Not to be used to record details about pregnancy - use the EVALUATION.pregnancy_bf_status and EVALUATION.pregnancy and related archetypes. Not to be used to record statements about health risk or potential problems - use the EVALUATION.health_risk archetype. Not to be used to record statements about adverse reactions, allergies or intolerances - use the EVALUATION.adverse_reaction archetype. Not to be used for the explicit recording of an absence (or negative presence) of a problem or diagnosis, for example ‘No known problem or diagnoses’ or ‘No known diabetes’. Use the EVALUATION.exclusion-problem_diagnosis archetype to express a positive statement about exclusion of a problem or diagnosis.
  extension:
    url:
      v: https://aehrc.csiro.au/fhir/StructureDefinition/note-purpose
      l: note-purpose
    value: String
      v: For recording details about a single, identified health problem or diagnosis. The intended scope of a health problem is deliberately kept loose in the context of clinical documentation, so as to capture any real or perceived concerns that may adversely affect an individual's wellbeing to any degree. A health problem may be identified by the individual, a carer or a healthcare professional. However, a diagnosis is additionally defined based on objective clinical criteria, and usually determined only by a healthcare professional.
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint
      l: structuredefinition-display-hint
    value: String
      v: orientation:right
  path:
    v: ProblemDiagnosis
  short:
    v: Problem Diagnosis
  definition:
    v: Details about a single identified health condition, injury, disability or any other issue which impacts on the physical, mental and/or social well-being of an individual.
  comment:
    v: **Purpose** For recording details about a single, identified health problem or diagnosis. The intended scope of a health problem is deliberately kept loose in the context of clinical documentation, so as to capture any real or perceived concerns that may adversely affect an individual's wellbeing to any degree. A health problem may be identified by the individual, a carer or a healthcare professional. However, a diagnosis is additionally defined based on objective clinical criteria, and usually determined only by a healthcare professional. **Misuse** Not to be used to record symptoms as described by the individual - use the CLUSTER.symptom archetype, usually within the OBSERVATION.story archetype. Not to be used to record examination findings - use the family of examination-related CLUSTER archetypes, usually nested within the OBSERVATION.exam archetype. Not to be used to record laboratory test results or related diagnoses, for example pathological diagnoses - use an appropriate archetype from the laboratory family of OBSERVATION archetypes. Not to be used to record imaging examination results or imaging diagnoses - use an appropriate archetype from the imaging family of OBSERVATION archetypes. Not to be used to record 'Differential Diagnoses' - use the EVALUATION.differential_diagnosis archetype. Not to be used to record 'Reason for Encounter' or 'Presenting Complaint' - use the EVALUATION.reason_for_encounter archetype. Not to be used to record procedures - use the ACTION.procedure archetype. Not to be used to record details about pregnancy - use the EVALUATION.pregnancy_bf_status and EVALUATION.pregnancy and related archetypes. Not to be used to record statements about health risk or potential problems - use the EVALUATION.health_risk archetype. Not to be used to record statements about adverse reactions, allergies or intolerances - use the EVALUATION.adverse_reaction archetype. Not to be used for the explicit recording of an absence (or negative presence) of a p…
  alias:
    v: issue
  min:
    v: 0
  max:
    v: *
  must support:
    v: true
element:
  id:
    v: ProblemDiagnosis.Protocol
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-identifier
      l: elementdefinition-identifier
    value: Identifier
      system:
        v: https://aehrc.csiro.au/id/archetype_id/openEHR-EHR-EVALUATION.problem_diagnosis.v1
        l: openEHR-EHR-EVALUATION.problem diagnosis.v1
      value:
        v: protocol
  path:
    v: ProblemDiagnosis.Protocol
  short:
    v: Protocol
  definition:
    v: @ internal @
  min:
    v: 0
  max:
    v: 1
  type:
    code:
      v: BackboneElement
      l: BackboneElement
  must support:
    v: true
element:
  id:
    v: ProblemDiagnosis.Protocol.Lastupdated
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-identifier
      l: elementdefinition-identifier
    value: Identifier
      system:
        v: https://aehrc.csiro.au/id/archetype_id/openEHR-EHR-EVALUATION.problem_diagnosis.v1
        l: openEHR-EHR-EVALUATION.problem diagnosis.v1
      value:
        v: at0070
  path:
    v: ProblemDiagnosis.Protocol.Lastupdated
  short:
    v: Last updated
  definition:
    v: The date this problem or diagnosis was last updated.
  min:
    v: 0
  max:
    v: 1
  type:
    code:
      v: dateTime
      l: dateTime
  must support:
    v: true
element:
  id:
    v: ProblemDiagnosis.Protocol.Extension
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-identifier
      l: elementdefinition-identifier
    value: Identifier
      system:
        v: https://aehrc.csiro.au/id/archetype_id/openEHR-EHR-EVALUATION.problem_diagnosis.v1
        l: openEHR-EHR-EVALUATION.problem diagnosis.v1
      value:
        v: at0071
  extension:
    url:
      v: https://aehrc.csiro.au/fhir/StructureDefinition/note-considerations
      l: note-considerations
    value: String
      v: For example: local information requirements or additional metadata to align with FHIR or CIMI equivalents.
  path:
    v: ProblemDiagnosis.Protocol.Extension
  short:
    v: Extension
  definition:
    v: Additional information required to capture local content or to align with other reference models/formalisms.
  comment:
    v: **Considerations** For example: local information requirements or additional metadata to align with FHIR or CIMI equivalents.
  min:
    v: 0
  max:
    v: *
  type:
    code:
      v: Reference
      l: Reference
  must support:
    v: true
element:
  id:
    v: ProblemDiagnosis.Data
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-identifier
      l: elementdefinition-identifier
    value: Identifier
      system:
        v: https://aehrc.csiro.au/id/archetype_id/openEHR-EHR-EVALUATION.problem_diagnosis.v1
        l: openEHR-EHR-EVALUATION.problem diagnosis.v1
      value:
        v: data
  path:
    v: ProblemDiagnosis.Data
  short:
    v: Data
  definition:
    v: @ internal @
  min:
    v: 0
  max:
    v: 1
  type:
    code:
      v: BackboneElement
      l: BackboneElement
  must support:
    v: true
element:
  id:
    v: ProblemDiagnosis.Data.ProblemDiagnosisname
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-identifier
      l: elementdefinition-identifier
    value: Identifier
      system:
        v: https://aehrc.csiro.au/id/archetype_id/openEHR-EHR-EVALUATION.problem_diagnosis.v1
        l: openEHR-EHR-EVALUATION.problem diagnosis.v1
      value:
        v: at0002
  extension:
    url:
      v: https://aehrc.csiro.au/fhir/StructureDefinition/note-considerations
      l: note-considerations
    value: String
      v: Coding of the name of the problem or diagnosis with a terminology is preferred, where possible.
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint
      l: structuredefinition-display-hint
    value: String
      v: orientation:right

v: ProblemDiagnosis.Data.ProblemDiagnosisname

v: Problem Diagnosis name

v: Identification of the problem or diagnosis, by name.

v: **Considerations** Coding of the name of the problem or diagnosis with a terminology is preferred, where possible.

v: 1

v: 1

code:
  v: CodeableConcept
  l: CodeableConcept

v: true

id:
  v: ProblemDiagnosis.Data.Variant
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-identifier
    l: elementdefinition-identifier
  value: Identifier
    system:
      v: https://aehrc.csiro.au/id/archetype_id/openEHR-EHR-EVALUATION.problem_diagnosis.v1
      l: openEHR-EHR-EVALUATION.problem diagnosis.v1
    value:
      v: at0079
extension:
  url:
    v: https://aehrc.csiro.au/fhir/StructureDefinition/note-considerations
    l: note-considerations
  value: String
    v: For example: 'acute motor axonal neuropathy' as a variant of Guillain-Barre Syndrome. Coding of the name of the variant with a terminology is preferred, where possible.
path:
  v: ProblemDiagnosis.Data.Variant
short:
  v: Variant
definition:
  v: Specific variant or subtype of the Diagnosis, if relevant.
comment:
  v: **Considerations** For example: 'acute motor axonal neuropathy' as a variant of Guillain-Barre Syndrome. Coding of the name of the variant with a terminology is preferred, where possible.
min:
  v: 0
max:
  v: *
type:
  code:
    v: string
    l: string
must support:
  v: true

id:
  v: ProblemDiagnosis.Data.Clinicaldescription
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-identifier
    l: elementdefinition-identifier
  value: Identifier
    system:
      v: https://aehrc.csiro.au/id/archetype_id/openEHR-EHR-EVALUATION.problem_diagnosis.v1
      l: openEHR-EHR-EVALUATION.problem diagnosis.v1
    value:
      v: at0009
extension:
  url:
    v: https://aehrc.csiro.au/fhir/StructureDefinition/note-considerations
    l: note-considerations
  value: String
    v: Use to provide background and context, including evolution, episodes or exacerbations, progress and any other relevant details, about the problem or diagnosis.
path:
  v: ProblemDiagnosis.Data.Clinicaldescription
short:
  v: Clinical description
definition:
  v: Narrative description about the problem or diagnosis.
comment:
  v: **Considerations** Use to provide background and context, including evolution, episodes or exacerbations, progress and any other relevant details, about the problem or diagnosis.
min:
  v: 0
max:
  v: 1
type:
  code:
    v: string
    l: string
must support:
  v: true

id:
  v: ProblemDiagnosis.Data.Bodysite
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-identifier
    l: elementdefinition-identifier
  value: Identifier
    system:
      v: https://aehrc.csiro.au/id/archetype_id/openEHR-EHR-EVALUATION.problem_diagnosis.v1
      l: openEHR-EHR-EVALUATION.problem diagnosis.v1
    value:
      v: at0012
extension:
  url:
    v: https://aehrc.csiro.au/fhir/StructureDefinition/note-considerations
    l: note-considerations
  value: String
    v: Coding of the name of the anatomical location with a terminology is preferred, where possible. Use this data element to record precoordinated anatomical locations. If the requirements for recording the anatomical location are determined at run-time by the application or require more complex modelling such as relative locations then use the CLUSTER.anatomical_location or CLUSTER.relative_location within the 'Structured anatomical location' SLOT in this archetype. Occurrences for this data element are unbounded to allow for clinical scenarios such as describing a rash in multiple locations but where all of the other attributes are identical. If the anatomical location is included in the Problem/diagnosis name via precoordinated codes, this data element becomes redundant.
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint
    l: structuredefinition-display-hint
  value: String
    v: orientation:right
path:
  v: ProblemDiagnosis.Data.Bodysite
short:
  v: Body site
definition:
  v: Identification of a simple body site for the location of the problem or diagnosis.
comment:
  v: **Considerations** Coding of the name of the anatomical location with a terminology is preferred, where possible. Use this data element to record precoordinated anatomical locations. If the requirements for recording the anatomical location are determined at run-time by the application or require more complex modelling such as relative locations then use the CLUSTER.anatomical_location or CLUSTER.relative_location within the 'Structured anatomical location' SLOT in this archetype. Occurrences for this data element are unbounded to allow for clinical scenarios such as describing a rash in multiple locations but where all of the other attributes are identical. If the anatomical location is included in the Problem/diagnosis name via precoordinated codes, this data element becomes redundant.
min:
  v: 0
max:
  v: *
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
must support:
  v: true

id:
  v: ProblemDiagnosis.Data.Structuredbodysite
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-identifier
    l: elementdefinition-identifier
  value: Identifier
    system:
      v: https://aehrc.csiro.au/id/archetype_id/openEHR-EHR-EVALUATION.problem_diagnosis.v1
      l: openEHR-EHR-EVALUATION.problem diagnosis.v1
    value:
      v: at0039
extension:
  url:
    v: https://aehrc.csiro.au/fhir/StructureDefinition/note-considerations
    l: note-considerations
  value: String
    v: Use this SLOT to insert the CLUSTER.anatomical_location or CLUSTER.relative_location archetypes if the requirements for recording the anatomical location are determined at run-time by the application or require more complex modelling such as relative locations. If the anatomical location is included in the Problem/diagnosis name via precoordinated codes, use of this SLOT becomes redundant.
path:
  v: ProblemDiagnosis.Data.Structuredbodysite
short:
  v: Structured body site
definition:
  v: A structured anatomical location for the problem or diagnosis.
comment:
  v: **Considerations** Use this SLOT to insert the CLUSTER.anatomical_location or CLUSTER.relative_location archetypes if the requirements for recording the anatomical location are determined at run-time by the application or require more complex modelling such as relative locations. If the anatomical location is included in the Problem/diagnosis name via precoordinated codes, use of this SLOT becomes redundant.
min:
  v: 0
max:
  v: *
type:
  code:
    v: Reference
    l: Reference
must support:
  v: true

id:
  v: ProblemDiagnosis.Data.Cause
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-identifier
    l: elementdefinition-identifier
  value: Identifier
    system:
      v: https://aehrc.csiro.au/id/archetype_id/openEHR-EHR-EVALUATION.problem_diagnosis.v1
      l: openEHR-EHR-EVALUATION.problem diagnosis.v1
    value:
      v: at0078
extension:
  url:
    v: https://aehrc.csiro.au/fhir/StructureDefinition/note-considerations
    l: note-considerations
  value: String
    v: Also known as 'aetiology' or 'etiology'. Coding with an external terminology is preferred, where possible.
path:
  v: ProblemDiagnosis.Data.Cause
short:
  v: Cause
definition:
  v: A cause, set of causes, or manner of causation of the problem or diagnosis.
comment:
  v: **Considerations** Also known as 'aetiology' or 'etiology'. Coding with an external terminology is preferred, where possible.
min:
  v: 0
max:
  v: *
type:
  code:
    v: string
    l: string
must support:
  v: true

id:
  v: ProblemDiagnosis.Data.Datetimeofonset
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-identifier
    l: elementdefinition-identifier
  value: Identifier
    system:
      v: https://aehrc.csiro.au/id/archetype_id/openEHR-EHR-EVALUATION.problem_diagnosis.v1
      l: openEHR-EHR-EVALUATION.problem diagnosis.v1
    value:
      v: at0077
extension:
  url:
    v: https://aehrc.csiro.au/fhir/StructureDefinition/note-considerations
    l: note-considerations
  value: String
    v: Data captured/imported as "Age at onset" should be converted to a date using the subject's date of birth.
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint
    l: structuredefinition-display-hint
  value: String
    v: orientation:right
path:
  v: ProblemDiagnosis.Data.Datetimeofonset
short:
  v: Datetime of onset
definition:
  v: Estimated or actual date/time that signs or symptoms of the problem/diagnosis were first observed.
comment:
  v: **Considerations** Data captured/imported as "Age at onset" should be converted to a date using the subject's date of birth.
min:
  v: 0
max:
  v: 1
type:
  code:
    v: dateTime
    l: dateTime
must support:
  v: true

id:
  v: ProblemDiagnosis.Data.Datetimeclinicallyrecognised
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-identifier
    l: elementdefinition-identifier
  value: Identifier
    system:
      v: https://aehrc.csiro.au/id/archetype_id/openEHR-EHR-EVALUATION.problem_diagnosis.v1
      l: openEHR-EHR-EVALUATION.problem diagnosis.v1
    value:
      v: at0003
extension:
  url:
    v: https://aehrc.csiro.au/fhir/StructureDefinition/note-considerations
    l: note-considerations
  value: String
    v: Partial dates are acceptable. If the subject of care is under the age of one year, then the complete date or a minimum of the month and year is necessary to enable accurate age calculations - for example, if used to drive decision support. Data captured/imported as "Age at time of clinical recognition" should be converted to a date using the subject's date of birth.
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint
    l: structuredefinition-display-hint
  value: String
    v: orientation:right
path:
  v: ProblemDiagnosis.Data.Datetimeclinicallyrecognised
short:
  v: Datetime clinically recognised
definition:
  v: Estimated or actual date/time the diagnosis or problem was recognised by a healthcare professional.
comment:
  v: **Considerations** Partial dates are acceptable. If the subject of care is under the age of one year, then the complete date or a minimum of the month and year is necessary to enable accurate age calculations - for example, if used to drive decision support. Data captured/imported as "Age at time of clinical recognition" should be converted to a date using the subject's date of birth.
min:
  v: 0
max:
  v: 1
type:
  code:
    v: dateTime
    l: dateTime
must support:
  v: true

id:
  v: ProblemDiagnosis.Data.Severity
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-identifier
    l: elementdefinition-identifier
  value: Identifier
    system:
      v: https://aehrc.csiro.au/id/archetype_id/openEHR-EHR-EVALUATION.problem_diagnosis.v1
      l: openEHR-EHR-EVALUATION.problem diagnosis.v1
    value:
      v: at0005
extension:
  url:
    v: https://aehrc.csiro.au/fhir/StructureDefinition/note-considerations
    l: note-considerations
  value: String
    v: If severity is included in the Problem/diagnosis name via precoordinated codes, this data element becomes redundant. Note: more specific grading of severity can be recorded using the Specific details SLOT.
path:
  v: ProblemDiagnosis.Data.Severity
short:
  v: Severity
definition:
  v: An assessment of the overall severity of the problem or diagnosis.
comment:
  v: **Considerations** If severity is included in the Problem/diagnosis name via precoordinated codes, this data element becomes redundant. Note: more specific grading of severity can be recorded using the Specific details SLOT.
min:
  v: 0
max:
  v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
must support:
  v: true

id:
  v: ProblemDiagnosis.Data.Specificdetails
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-identifier
    l: elementdefinition-identifier
  value: Identifier
    system:
      v: https://aehrc.csiro.au/id/archetype_id/openEHR-EHR-EVALUATION.problem_diagnosis.v1
      l: openEHR-EHR-EVALUATION.problem diagnosis.v1
    value:
      v: at0043
extension:
  url:
    v: https://aehrc.csiro.au/fhir/StructureDefinition/note-considerations
    l: note-considerations
  value: String
    v: May include structured detail about the grading or staging of the diagnosis; diagnostic criteria, classification criteria or formal severity assessments such as Common Terminology Criteria for Adverse Events.
path:
  v: ProblemDiagnosis.Data.Specificdetails
short:
  v: Specific details
definition:
  v: Details that are additionally required to record as unique attributes of this problem or diagnosis.
comment:
  v: **Considerations** May include structured detail about the grading or staging of the diagnosis; diagnostic criteria, classification criteria or formal severity assessments such as Common Terminology Criteria for Adverse Events.
min:
  v: 0
max:
  v: *
type:
  code:
    v: Reference
    l: Reference
must support:
  v: true

id:
  v: ProblemDiagnosis.Data.Coursedescription
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-identifier
    l: elementdefinition-identifier
  value: Identifier
    system:
      v: https://aehrc.csiro.au/id/archetype_id/openEHR-EHR-EVALUATION.problem_diagnosis.v1
      l: openEHR-EHR-EVALUATION.problem diagnosis.v1
    value:
      v: at0072
path:
  v: ProblemDiagnosis.Data.Coursedescription
short:
  v: Course description
definition:
  v: Narrative description about the course of the problem or diagnosis since onset.
min:
  v: 0
max:
  v: 1
type:
  code:
    v: string
    l: string
must support:
  v: true

id:
  v: ProblemDiagnosis.Data.Datetimeofresolution
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-identifier
    l: elementdefinition-identifier
  value: Identifier
    system:
      v: https://aehrc.csiro.au/id/archetype_id/openEHR-EHR-EVALUATION.problem_diagnosis.v1
      l: openEHR-EHR-EVALUATION.problem diagnosis.v1
    value:
      v: at0030
extension:
  url:
    v: https://aehrc.csiro.au/fhir/StructureDefinition/note-considerations
    l: note-considerations
  value: String
    v: Partial dates are acceptable. If the subject of care is under the age of one year, then the complete date or a minimum of the month and year is necessary to enable accurate age calculations - for example, if used to drive decision support. Data captured/imported as "Age at time of resolution" should be converted to a date using the subject's date of birth.
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint
    l: structuredefinition-display-hint
  value: String
    v: orientation:right
path:
  v: ProblemDiagnosis.Data.Datetimeofresolution
short:
  v: Datetime of resolution
definition:
  v: Estimated or actual date/time of resolution or remission for this problem or diagnosis, as determined by a healthcare professional.
comment:
  v: **Considerations** Partial dates are acceptable. If the subject of care is under the age of one year, then the complete date or a minimum of the month and year is necessary to enable accurate age calculations - for example, if used to drive decision support. Data captured/imported as "Age at time of resolution" should be converted to a date using the subject's date of birth.
min:
  v: 0
max:
  v: 1
type:
  code:
    v: dateTime
    l: dateTime
must support:
  v: true

id:
  v: ProblemDiagnosis.Data.Status
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-identifier
    l: elementdefinition-identifier
  value: Identifier
    system:
      v: https://aehrc.csiro.au/id/archetype_id/openEHR-EHR-EVALUATION.problem_diagnosis.v1
      l: openEHR-EHR-EVALUATION.problem diagnosis.v1
    value:
      v: at0046
extension:
  url:
    v: https://aehrc.csiro.au/fhir/StructureDefinition/note-considerations
    l: note-considerations
  value: String
    v: Use status or context qualifiers with care, as they are variably used in practice and interoperability cannot be assured unless usage is clearly defined with the community of use. For example: active status - active, inactive, resolved, in remission; evolution status - initial, interim/working, final; temporal status - current, past; episodicity status - first, new, ongoing; admission status - admission, discharge; or priority status - primary, secondary.
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint
    l: structuredefinition-display-hint
  value: String
    v: orientation:right
path:
  v: ProblemDiagnosis.Data.Status
short:
  v: Status
definition:
  v: Structured details for location-, domain-, episode- or workflow-specific aspects of the diagnostic process.
comment:
  v: **Considerations** Use status or context qualifiers with care, as they are variably used in practice and interoperability cannot be assured unless usage is clearly defined with the community of use. For example: active status - active, inactive, resolved, in remission; evolution status - initial, interim/working, final; temporal status - current, past; episodicity status - first, new, ongoing; admission status - admission, discharge; or priority status - primary, secondary.
min:
  v: 0
max:
  v: *
type:
  code:
    v: Coding
    l: Coding
must support:
  v: true

id:
  v: ProblemDiagnosis.Data.Diagnosticcertainty
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-identifier
    l: elementdefinition-identifier
  value: Identifier
    system:
      v: https://aehrc.csiro.au/id/archetype_id/openEHR-EHR-EVALUATION.problem_diagnosis.v1
      l: openEHR-EHR-EVALUATION.problem diagnosis.v1
    value:
      v: at0073
extension:
  url:
    v: https://aehrc.csiro.au/fhir/StructureDefinition/note-considerations
    l: note-considerations
  value: String
    v: If an alternative valueset is required, these values can be added to the DV_TEXT data type in a template.
path:
  v: ProblemDiagnosis.Data.Diagnosticcertainty
short:
  v: Diagnostic certainty
definition:
  v: The level of confidence in the identification of the diagnosis.
comment:
  v: **Considerations** If an alternative valueset is required, these values can be added to the DV_TEXT data type in a template.
min:
  v: 0
max:
  v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
must support:
  v: true

id:
  v: ProblemDiagnosis.Data.Comment
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-identifier
    l: elementdefinition-identifier
  value: Identifier
    system:
      v: https://aehrc.csiro.au/id/archetype_id/openEHR-EHR-EVALUATION.problem_diagnosis.v1
      l: openEHR-EHR-EVALUATION.problem diagnosis.v1
    value:
      v: at0069
path:
  v: ProblemDiagnosis.Data.Comment
short:
  v: Comment
definition:
  v: Additional narrative about the problem or diagnosis not captured in other fields.
min:
  v: 0
max:
  v: 1
type:
  code:
    v: string
    l: string
must support:
  v: true