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Condition.profile.json

Patient Care Work GroupMaturity Level: N/ABallot Status: InformativeCompartments: Encounter, Patient, Practitioner, RelatedPerson

Raw JSON (каноническая форма + also see JSON Format Specification)

StructureDefinition for condition

{
  "resourceType" : "StructureDefinition",
  "id" : "Condition",
  "meta" : {
    "lastUpdated" : "2019-05-17T12:34:53.932+00:00"
  },
  "text" : {
    "status" : "generated",
    "div" : "<div>!-- Snipped for Brevity --></div>"
  },
  "extension" : [{
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
    "valueCode" : "trial-use"
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
    "valueInteger" : 3
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
    "valueCode" : "patient"
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
    "valueCode" : "pc"
  }],
  "url" : "http://hl7.org/fhir/StructureDefinition/Condition",
  "version" : "3.6.0",
  "name" : "Condition",
  "status" : "draft",
  "date" : "2019-05-17T12:34:53+00:00",
  "publisher" : "Health Level Seven International (Patient Care)",
  "contact" : [{
    "telecom" : [{
      "system" : "url",
      "value" : "http://hl7.org/fhir"
    }]
  },
  {
    "telecom" : [{
      "system" : "url",
      "value" : "http://www.hl7.org/Special/committees/patientcare/index.cfm"
    }]
  }],
  "description" : "A clinical condition, problem, diagnosis, or other event, situation, issue, or clinical concept that has risen to a level of concern.",
  "fhirVersion" : "3.6.0",
  "mapping" : [{
    "identity" : "workflow",
    "uri" : "http://hl7.org/fhir/workflow",
    "name" : "Workflow Pattern"
  },
  {
    "identity" : "sct-concept",
    "uri" : "http://snomed.info/conceptdomain",
    "name" : "SNOMED CT Concept Domain Binding"
  },
  {
    "identity" : "v2",
    "uri" : "http://hl7.org/v2",
    "name" : "HL7 v2 Mapping"
  },
  {
    "identity" : "rim",
    "uri" : "http://hl7.org/v3",
    "name" : "RIM Mapping"
  },
  {
    "identity" : "w5",
    "uri" : "http://hl7.org/fhir/fivews",
    "name" : "FiveWs Pattern"
  },
  {
    "identity" : "sct-attr",
    "uri" : "http://snomed.info/sct",
    "name" : "SNOMED CT Attribute Binding"
  }],
  "kind" : "resource",
  "abstract" : false,
  "type" : "Condition",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
  "derivation" : "specialization",
  "snapshot" : {
    "element" : [{
      "id" : "Condition",
      "path" : "Condition",
      "short" : "Detailed information about conditions, problems or diagnoses",
      "definition" : "A clinical condition, problem, diagnosis, or other event, situation, issue, or clinical concept that has risen to a level of concern.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Condition",
        "min" : 0,
        "max" : "*"
      },
      "constraint" : [{
        "key" : "dom-2",
        "severity" : "error",
        "human" : "Если ресурс встроен в другой ресурс, он НЕ ДОЛЖЕН содержать описательной части",
        "expression" : "contained.contained.empty()",
        "xpath" : "not(parent::f:contained and f:contained)",
        "source" : "DomainResource"
      },
      {
        "key" : "dom-4",
        "severity" : "error",
        "human" : "Если ресурс встроен в другой ресурс, он НЕ ДОЛЖЕН иметь meta.versionId или meta.lastUpdated",
        "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
        "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
        "source" : "DomainResource"
      },
      {
        "key" : "dom-3",
        "severity" : "error",
        "human" : "Если ресурс встроен в другой ресурс, где-то в родительском ресурсе на него ДОЛЖНА БЫТЬ дана ссылка or SHALL refer to the containing resource",
        "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
        "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
        "source" : "DomainResource"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
          "valueBoolean" : true
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
          "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
        }],
        "key" : "dom-6",
        "severity" : "warning",
        "human" : "A resource should have narrative for robust management",
        "expression" : "text.div.exists()",
        "xpath" : "exists(f:text/h:div)",
        "source" : "DomainResource"
      },
      {
        "key" : "dom-5",
        "severity" : "error",
        "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
        "expression" : "contained.meta.security.empty()",
        "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
        "source" : "DomainResource"
      },
      {
        "key" : "con-5",
        "severity" : "error",
        "human" : "Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error",
        "expression" : "verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()",
        "xpath" : "not(exists(f:verificationStatus/f:coding[f:system/@value='http://terminology.hl7.org/CodeSystem/condition-ver-status' and f:code/@value='entered-in-error'])) or not(exists(f:clinicalStatus))"
      },
      {
        "key" : "con-4",
        "severity" : "error",
        "human" : "If condition is abated, then clinicalStatus must be either inactive, resolved, or remission",
        "expression" : "abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()",
        "xpath" : "not(exists(*[starts-with(local-name(.), 'abatement')])) or exists(f:clinicalStatus/f:coding[f:system/@value='http://terminology.hl7.org/CodeSystem/condition-clinical' and f:code/@value=('resolved', 'remission', 'inactive')])"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
          "valueBoolean" : true
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
          "valueMarkdown" : "Most systems will expect a clinicalStatus to be valued for problem-list-items that are managed over time, but might not need a clinicalStatus for point in time encounter-diagnosis."
        }],
        "key" : "con-3",
        "severity" : "warning",
        "human" : "Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item",
        "expression" : "clinicalStatus.exists() or verificationStatus='entered-in-error' or category.select($this='problem-list-item').empty()",
        "xpath" : "exists(f:clinicalStatus) or f:verificationStatus/@value='entered-in-error' or not(exists(category[@value='problem-list-item']))"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "Entity. Role, or Act"
      },
      {
        "identity" : "workflow",
        "map" : "Event"
      },
      {
        "identity" : "sct-concept",
        "map" : "< 243796009 |Situation with explicit context| : 246090004 |Associated finding| = ( ( < 404684003 |Clinical finding| MINUS ( << 420134006 |Propensity to adverse reactions| OR << 473010000 |Hypersensitivity condition| OR << 79899007 |Drug interaction| OR << 69449002 |Drug action| OR << 441742003 |Evaluation finding| OR << 307824009 |Administrative status| OR << 385356007 |Tumor stage finding|)) OR < 272379006 |Event|)"
      },
      {
        "identity" : "v2",
        "map" : "PPR message"
      },
      {
        "identity" : "rim",
        "map" : "Observation[classCode=OBS, moodCode=EVN, code=ASSERTION, value<Diagnosis]"
      }]
    },
    {
      "id" : "Condition.id",
      "path" : "Condition.id",
      "short" : "Logical id of this artifact",
      "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
      "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Resource.id",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "id"
      }],
      "isModifier" : false,
      "isSummary" : true
    },
    {
      "id" : "Condition.meta",
      "path" : "Condition.meta",
      "short" : "Метаданные ресурса",
      "definition" : "Метаданные ресурса. Это такая информация, которая поддерживается инфраструктурой. Изменения этой информации не всегда можно ассоциировать с версионными изменениями ресурса.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Resource.meta",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "Meta"
      }],
      "isModifier" : false,
      "isSummary" : true
    },
    {
      "id" : "Condition.implicitRules",
      "path" : "Condition.implicitRules",
      "short" : "Свод правил, в соответствии с которыми создавалось это содержимое",
      "definition" : "Ссылка на свод правил, которым следовали при создании этого ресурса и которые необходимо понимать при обработке этого содержимого. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
      "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Resource.implicitRules",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "uri"
      }],
      "isModifier" : true,
      "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
      "isSummary" : true
    },
    {
      "id" : "Condition.language",
      "path" : "Condition.language",
      "short" : "Язык содержимого ресурса",
      "definition" : "Основной язык, на котором написан ресурс.",
      "comment" : "Язык указывается для поддержки предварительной обработки текстов и доступности для понимания (например при преобразовании текста в речь используется языковой тег). HTML-тег language в описательной части применяется к этой описательной части. Языковой тег ресурса может использоваться для указания языков других представлений, генерируемых из данных ресурса\n\nНе все содержание ресурса должно быть на указанном основном языке. Resource.language нельзя автоматически принимать за язык описательной части. Если язык указан, его также следует указать в элементе div в HTML (информацию о связи между xml:lang и HTML-атрибутом lang см. в правилах HTML5).",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Resource.language",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "code"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
          "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "Language"
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
          "valueBoolean" : true
        }],
        "strength" : "preferred",
        "description" : "Естественный язык.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
      }
    },
    {
      "id" : "Condition.text",
      "path" : "Condition.text",
      "short" : "Краткое текстовое изложение ресурса для интерпретации человеком",
      "definition" : "Человекочитаемая описательная часть, содержащая краткое изложение ресурса, которая может использоваться для представления содержимого ресурса человеку. От описательной части не требуется кодировать все структурированные данные, но она должна содержать достаточно сведений, чтобы простое её прочтение человеком было \"клинически безопасным\". Определения ресурсов могут описывать, какое содержимое должно быть представлено в описательной части для обеспечения клинической безопасной.",
      "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
      "alias" : ["narrative",
      "html",
      "xhtml",
      "display"],
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "DomainResource.text",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "Narrative"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "Act.text?"
      }]
    },
    {
      "id" : "Condition.contained",
      "path" : "Condition.contained",
      "short" : "Вложенные, встроенные инлайн ресурсы",
      "definition" : "Эти ресурсы не обладают независимым существованием вне ресурса, который их содержит - их нельзя идентифицировать независимо, и они не могут иметь своей собственной независимой транзакционной области действия.",
      "comment" : "Этого не следует делать, когда содержимое может быть идентифицировано должным образом, поскольку, потеряв идентификацию, будет чрезвычайно сложно (и контекстно-зависимо) снова восстановить её. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
      "alias" : ["inline resources",
      "anonymous resources",
      "contained resources"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "DomainResource.contained",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Resource"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "id" : "Condition.extension",
      "path" : "Condition.extension",
      "short" : "Дополнительное содержимое, определенное реализаторами",
      "definition" : "Может использоваться для представления дополнительной информации, не являющейся частью базового определения ресурса. Чтобы сделать использование расширений надежным и управляемым, существует строгий набор управления применительно к определению и использованию расширений. Хотя каждому реализатору разрешается определять расширения, имеется набор требований, которые должны выполняться в рамках определения расширения.",
      "comment" : "Не должно быть никаких предрассудков по использованию расширений любыми приложениями, проектами или стандартами - вне зависимости от учреждения или юрисдикции, которые используют или задают расширение. Именно использование расширений позволяет спецификации FHIR сохранять простоту для всех.",
      "alias" : ["extensions",
      "user content"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "DomainResource.extension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "id" : "Condition.modifierExtension",
      "path" : "Condition.modifierExtension",
      "short" : "Расширения, которые нельзя игнорировать",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
      "comment" : "Не должно быть никаких предрассудков по использованию расширений любыми приложениями, проектами или стандартами - вне зависимости от учреждения или юрисдикции, которые используют или задают расширение. Именно использование расширений позволяет спецификации FHIR сохранять простоту для всех.",
      "alias" : ["extensions",
      "user content"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "DomainResource.modifierExtension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "isModifier" : true,
      "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "id" : "Condition.identifier",
      "path" : "Condition.identifier",
      "short" : "Внешние идентификаторы для этого состояния",
      "definition" : "Business identifiers assigned to this condition by the performer or other systems which remain constant as the resource is updated and propagates from server to server.",
      "comment" : "This is a business identifier, not a resource identifier (see [discussion](resource.html#identifiers)).  It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types.  For example, multiple Patient and a Person resource instance might share the same social insurance number.",
      "requirements" : "Allows identification of the condition as it is known by various participating systems and in a way that remains consistent across servers.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Condition.identifier",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Identifier"
      }],
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.identifier"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.identifier"
      },
      {
        "identity" : "rim",
        "map" : ".id"
      }]
    },
    {
      "id" : "Condition.clinicalStatus",
      "path" : "Condition.clinicalStatus",
      "short" : "active | recurrence | relapse | inactive | remission | resolved",
      "definition" : "Клинический статус состояния.",
      "comment" : "It is possible that the well-controlled or poorly-controlled clinical status could alternatively be conveyed via a pre-coordinated Condition.code.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Condition.clinicalStatus",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "condition" : ["con-3",
      "con-4",
      "con-5"],
      "isModifier" : true,
      "isModifierReason" : "This element is labeled as a modifier because the status contains codes that mark the condition as no longer active.",
      "isSummary" : true,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "ConditionClinicalStatus"
        }],
        "strength" : "required",
        "description" : "Клинический статус состояния или диагноза.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/condition-clinical"
      },
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.status"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.status"
      },
      {
        "identity" : "sct-concept",
        "map" : "< 303105007 |Disease phases|"
      },
      {
        "identity" : "v2",
        "map" : "PRB-14"
      },
      {
        "identity" : "rim",
        "map" : "Observation ACT\n.inboundRelationship[typeCode=COMP].source[classCode=OBS, code=\"clinicalStatus\", moodCode=EVN].value"
      }]
    },
    {
      "id" : "Condition.verificationStatus",
      "path" : "Condition.verificationStatus",
      "short" : "unconfirmed | provisional | differential | confirmed | refuted | entered-in-error",
      "definition" : "Статус подтверждения клинического состояния.",
      "comment" : "verificationStatus is not required.  For example, when a patient has abdominal pain in the ED, there is not likely going to be a verification status.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Condition.verificationStatus",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "condition" : ["con-3",
      "con-5"],
      "isModifier" : true,
      "isModifierReason" : "This element is labeled as a modifier because the status contains the code refuted and entered-in-error that mark the Condition as not currently valid.",
      "isSummary" : true,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "ConditionVerificationStatus"
        }],
        "strength" : "required",
        "description" : "Статус подтверждения клинического состояния.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/condition-ver-status"
      },
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.status"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.status"
      },
      {
        "identity" : "sct-concept",
        "map" : "< 410514004 |Finding context value|"
      },
      {
        "identity" : "v2",
        "map" : "PRB-13"
      },
      {
        "identity" : "rim",
        "map" : "Observation ACT\n.inboundRelationship[typeCode=COMP].source[classCode=OBS, code=\"verificationStatus\", moodCode=EVN].value"
      },
      {
        "identity" : "sct-attr",
        "map" : "408729009"
      }]
    },
    {
      "id" : "Condition.category",
      "path" : "Condition.category",
      "short" : "problem-list-item | encounter-diagnosis",
      "definition" : "Категория данного клинического состояния.",
      "comment" : "Эта классификация часто очень зависит от контекста и может оказаться слабо дифференцированной или не слишком полезной в других контекстах.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Condition.category",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "ConditionCategory"
        }],
        "strength" : "extensible",
        "description" : "Категория данного клинического состояния.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/condition-category"
      },
      "mapping" : [{
        "identity" : "w5",
        "map" : "FiveWs.class"
      },
      {
        "identity" : "sct-concept",
        "map" : "< 404684003 |Clinical finding|"
      },
      {
        "identity" : "v2",
        "map" : "'problem' if from PRB-3. 'diagnosis' if from DG1 segment in PV1 message"
      },
      {
        "identity" : "rim",
        "map" : ".code"
      }]
    },
    {
      "id" : "Condition.severity",
      "path" : "Condition.severity",
      "short" : "Субъективная оценка тяжести состояния",
      "definition" : "Субъективная оценка тяжести состояния, оценённая клиницистом.",
      "comment" : "Coding of the severity with a terminology is preferred, where possible.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Condition.severity",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "ConditionSeverity"
        }],
        "strength" : "preferred",
        "description" : "Субъективная оценка тяжести состояния, оценённая клиницистом.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/condition-severity"
      },
      "mapping" : [{
        "identity" : "w5",
        "map" : "FiveWs.grade"
      },
      {
        "identity" : "sct-concept",
        "map" : "< 272141005 |Severities|"
      },
      {
        "identity" : "v2",
        "map" : "PRB-26 / ABS-3"
      },
      {
        "identity" : "rim",
        "map" : "Can be pre/post-coordinated into value.  Or ./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"severity\"].value"
      },
      {
        "identity" : "sct-attr",
        "map" : "246112005"
      }]
    },
    {
      "id" : "Condition.code",
      "path" : "Condition.code",
      "short" : "Идентификация состояния, проблемы или диагноза",
      "definition" : "Идентификация состояния, проблемы или диагноза.",
      "requirements" : "0..1 to account for primarily narrative only resources.",
      "alias" : ["type"],
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Condition.code",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isModifier" : false,
      "isSummary" : true,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "ConditionKind"
        }],
        "strength" : "example",
        "description" : "Определение условия или диагноза.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/condition-code"
      },
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.code"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.what[x]"
      },
      {
        "identity" : "sct-concept",
        "map" : "code 246090004 |Associated finding| (< 404684003 |Clinical finding| MINUS\n<< 420134006 |Propensity to adverse reactions| MINUS \n<< 473010000 |Hypersensitivity condition| MINUS \n<< 79899007 |Drug interaction| MINUS\n<< 69449002 |Drug action| MINUS \n<< 441742003 |Evaluation finding| MINUS \n<< 307824009 |Administrative status| MINUS \n<< 385356007 |Tumor stage finding|) \nOR < 413350009 |Finding with explicit context|\nOR < 272379006 |Event|"
      },
      {
        "identity" : "v2",
        "map" : "PRB-3"
      },
      {
        "identity" : "rim",
        "map" : ".value"
      },
      {
        "identity" : "sct-attr",
        "map" : "246090004"
      }]
    },
    {
      "id" : "Condition.bodySite",
      "path" : "Condition.bodySite",
      "short" : "Анатомическое местоположение, если уместно",
      "definition" : "Анатомическое местоположение, в котором данное состояние проявляет себя.",
      "comment" : "Only used if not implicit in code found in Condition.code. If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension [bodySite](extension-bodysite.html).  May be a summary code, or a reference to a very precise definition of the location, or both.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Condition.bodySite",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isModifier" : false,
      "isSummary" : true,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "BodySite"
        }],
        "strength" : "example",
        "description" : "Коды анатомического расположения. Могут включать указание латеральности.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/body-site"
      },
      "mapping" : [{
        "identity" : "sct-concept",
        "map" : "< 442083009  |Anatomical or acquired body structure|"
      },
      {
        "identity" : "rim",
        "map" : ".targetBodySiteCode"
      },
      {
        "identity" : "sct-attr",
        "map" : "363698007"
      }]
    },
    {
      "id" : "Condition.subject",
      "path" : "Condition.subject",
      "short" : "Чье это состояние?",
      "definition" : "Указывает пациента, с которым связана эта запись состояния.",
      "requirements" : "Group is typically used for veterinary or public health use cases.",
      "alias" : ["patient"],
      "min" : 1,
      "max" : "1",
      "base" : {
        "path" : "Condition.subject",
        "min" : 1,
        "max" : "1"
      },
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
        "http://hl7.org/fhir/StructureDefinition/Group"]
      }],
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.subject"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.subject[x]"
      },
      {
        "identity" : "v2",
        "map" : "PID-3"
      },
      {
        "identity" : "rim",
        "map" : ".participation[typeCode=SBJ].role[classCode=PAT]"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.subject"
      }]
    },
    {
      "id" : "Condition.encounter",
      "path" : "Condition.encounter",
      "short" : "Encounter created as part of",
      "definition" : "The Encounter during which this Condition was created or to which the creation of this record is tightly associated.",
      "comment" : "This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter. This record indicates the encounter this particular record is associated with.  In the case of a \"new\" diagnosis reflecting ongoing/revised information about the condition, this might be distinct from the first encounter in which the underlying condition was first \"known\".",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Condition.encounter",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Encounter"]
      }],
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.context"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.context"
      },
      {
        "identity" : "v2",
        "map" : "PV1-19 (+PV1-54)"
      },
      {
        "identity" : "rim",
        "map" : ".inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]"
      }]
    },
    {
      "id" : "Condition.onset[x]",
      "path" : "Condition.onset[x]",
      "short" : "Предполагаемая или фактическая дата, дата/время или возраст",
      "definition" : "Предполагаемая или фактическая дата или дата/время начала состояния по мнению клинициста.",
      "comment" : "Возраст, как правило, используют, когда пациент сообщает возраст, в котором стало проявляться состояние.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Condition.onset[x]",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "dateTime"
      },
      {
        "code" : "Age"
      },
      {
        "code" : "Period"
      },
      {
        "code" : "Range"
      },
      {
        "code" : "string"
      }],
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.occurrence[x]"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.init"
      },
      {
        "identity" : "v2",
        "map" : "PRB-16"
      },
      {
        "identity" : "rim",
        "map" : ".effectiveTime.low or .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"age at onset\"].value"
      }]
    },
    {
      "id" : "Condition.abatement[x]",
      "path" : "Condition.abatement[x]",
      "short" : "When in resolution/remission",
      "definition" : "Дата или предполагаемая дата разрешения состояния или перехода в ремиссию. Это названо \"abatement\" (уменьшение боли или выраженности симптома, ослабление боли или выраженности симптома, смягчение боли или выраженности симптома) из-за перегруженности терминов \"remission\" или \"resolution\" - состояния никогда по-настоящему не проходят, но могут быть улучшения.",
      "comment" : "There is no explicit distinction between resolution and remission because in many cases the distinction is not clear. Age is generally used when the patient reports an age at which the Condition abated.  If there is no abatement element, it is unknown whether the condition has resolved or entered remission; applications and users should generally assume that the condition is still valid.  When abatementString exists, it implies the condition is abated.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Condition.abatement[x]",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "dateTime"
      },
      {
        "code" : "Age"
      },
      {
        "code" : "Period"
      },
      {
        "code" : "Range"
      },
      {
        "code" : "string"
      }],
      "condition" : ["con-4"],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "w5",
        "map" : "FiveWs.done[x]"
      },
      {
        "identity" : "rim",
        "map" : ".effectiveTime.high or .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"age at remission\"].value or .inboundRelationship[typeCode=SUBJ]source[classCode=CONC, moodCode=EVN].status=completed"
      }]
    },
    {
      "id" : "Condition.recordedDate",
      "path" : "Condition.recordedDate",
      "short" : "Date record was first recorded",
      "definition" : "The recordedDate represents when this particular Condition record was created in the system, which is often a system-generated date.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Condition.recordedDate",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "dateTime"
      }],
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "w5",
        "map" : "FiveWs.recorded"
      },
      {
        "identity" : "v2",
        "map" : "REL-11"
      },
      {
        "identity" : "rim",
        "map" : ".participation[typeCode=AUT].time"
      }]
    },
    {
      "id" : "Condition.recorder",
      "path" : "Condition.recorder",
      "short" : "Who recorded the condition",
      "definition" : "Individual who recorded the record and takes responsibility for its content.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Condition.recorder",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
        "http://hl7.org/fhir/StructureDefinition/Patient",
        "http://hl7.org/fhir/StructureDefinition/RelatedPerson"]
      }],
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "w5",
        "map" : "FiveWs.author"
      },
      {
        "identity" : "rim",
        "map" : ".participation[typeCode=AUT].role"
      }]
    },
    {
      "id" : "Condition.asserter",
      "path" : "Condition.asserter",
      "short" : "Человек, который установил это клиническое состояние",
      "definition" : "Человек, который установил это клиническое состояние.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Condition.asserter",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
        "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
        "http://hl7.org/fhir/StructureDefinition/Patient",
        "http://hl7.org/fhir/StructureDefinition/RelatedPerson"]
      }],
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "w5",
        "map" : "FiveWs.source"
      },
      {
        "identity" : "v2",
        "map" : "REL-7.1 identifier + REL-7.12 type code"
      },
      {
        "identity" : "rim",
        "map" : ".participation[typeCode=INF].role"
      }]
    },
    {
      "id" : "Condition.stage",
      "path" : "Condition.stage",
      "short" : "Стадия/степень, как правило, оценивается формально",
      "definition" : "Клиническая стадия или степень состояния. Может включать формальные оценки тяжести.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Condition.stage",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "BackboneElement"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "Element"
      },
      {
        "key" : "con-1",
        "severity" : "error",
        "human" : "Стадия должна иметь краткое изложение или оценку",
        "expression" : "summary.exists() or assessment.exists()",
        "xpath" : "exists(f:summary) or exists(f:assessment)"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"stage/grade\"]"
      }]
    },
    {
      "id" : "Condition.stage.id",
      "path" : "Condition.stage.id",
      "representation" : ["xmlAttr"],
      "short" : "xml:id (or equivalent in JSON)",
      "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Element.id",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "string"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "Condition.stage.extension",
      "path" : "Condition.stage.extension",
      "short" : "Additional content defined by implementations",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "comment" : "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.",
      "alias" : ["extensions",
      "user content"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Element.extension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "Condition.stage.modifierExtension",
      "path" : "Condition.stage.modifierExtension",
      "short" : "Extensions that cannot be ignored even if unrecognized",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
      "comment" : "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.",
      "alias" : ["extensions",
      "user content",
      "modifiers"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "BackboneElement.modifierExtension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "isModifier" : true,
      "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
      "isSummary" : true,
      "mapping" : [{
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "id" : "Condition.stage.summary",
      "path" : "Condition.stage.summary",
      "short" : "Простое заключение (характерное для болезни)",
      "definition" : "Простое заключение о стадии, например \"Stage 3\". Установление стадии зависит от болезни.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Condition.stage.summary",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "condition" : ["con-1"],
      "isModifier" : false,
      "isSummary" : false,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "ConditionStage"
        }],
        "strength" : "example",
        "description" : "Коды, описывающие стадии клинического состояния (например стадии рака).",
        "valueSet" : "http://hl7.org/fhir/ValueSet/condition-stage"
      },
      "mapping" : [{
        "identity" : "sct-concept",
        "map" : "< 254291000 |Staging and scales|"
      },
      {
        "identity" : "v2",
        "map" : "PRB-14"
      },
      {
        "identity" : "rim",
        "map" : ".value"
      }]
    },
    {
      "id" : "Condition.stage.assessment",
      "path" : "Condition.stage.assessment",
      "short" : "Официальная запись оценки",
      "definition" : "Ссылка на официальную запись основания, на котором основывается оценка стадии.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Condition.stage.assessment",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ClinicalImpression",
        "http://hl7.org/fhir/StructureDefinition/DiagnosticReport",
        "http://hl7.org/fhir/StructureDefinition/Observation"]
      }],
      "condition" : ["con-1"],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : ".self"
      }]
    },
    {
      "id" : "Condition.stage.type",
      "path" : "Condition.stage.type",
      "short" : "Kind of staging",
      "definition" : "The kind of staging, such as pathological or clinical staging.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Condition.stage.type",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "ConditionStageType"
        }],
        "strength" : "example",
        "description" : "Codes describing the kind of condition staging (e.g. clinical or pathological).",
        "valueSet" : "http://hl7.org/fhir/ValueSet/condition-stage-type"
      },
      "mapping" : [{
        "identity" : "rim",
        "map" : "./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"stage type\"]"
      }]
    },
    {
      "id" : "Condition.evidence",
      "path" : "Condition.evidence",
      "short" : "Подтверждающие данные",
      "definition" : "Supporting evidence / manifestations that are the basis of the Condition's verification status, such as evidence that confirmed or refuted the condition.",
      "comment" : "Основания могут быть простым перечислением кодированных симптомов/проявлений или ссылками на наблюдения или официальные оценки, или и на то, и другое одновременно.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Condition.evidence",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "BackboneElement"
      }],
      "constraint" : [{
        "key" : "ele-1",
        "severity" : "error",
        "human" : "All FHIR elements must have a @value or children",
        "expression" : "hasValue() or (children().count() > id.count())",
        "xpath" : "@value|f:*|h:div",
        "source" : "Element"
      },
      {
        "key" : "con-2",
        "severity" : "error",
        "human" : "Элемент evidence должен иметь code или detail",
        "expression" : "code.exists() or detail.exists()",
        "xpath" : "exists(f:code) or exists(f:detail)"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : ".outboundRelationship[typeCode=SPRT].target[classCode=OBS, moodCode=EVN]"
      }]
    },
    {
      "id" : "Condition.evidence.id",
      "path" : "Condition.evidence.id",
      "representation" : ["xmlAttr"],
      "short" : "xml:id (or equivalent in JSON)",
      "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "min" : 0,
      "max" : "1",
      "base" : {
        "path" : "Element.id",
        "min" : 0,
        "max" : "1"
      },
      "type" : [{
        "code" : "string"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "Condition.evidence.extension",
      "path" : "Condition.evidence.extension",
      "short" : "Additional content defined by implementations",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "comment" : "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.",
      "alias" : ["extensions",
      "user content"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Element.extension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "rim",
        "map" : "n/a"
      }]
    },
    {
      "id" : "Condition.evidence.modifierExtension",
      "path" : "Condition.evidence.modifierExtension",
      "short" : "Extensions that cannot be ignored even if unrecognized",
      "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
      "comment" : "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.",
      "alias" : ["extensions",
      "user content",
      "modifiers"],
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "BackboneElement.modifierExtension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension"
      }],
      "isModifier" : true,
      "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
      "isSummary" : true,
      "mapping" : [{
        "identity" : "rim",
        "map" : "N/A"
      }]
    },
    {
      "id" : "Condition.evidence.code",
      "path" : "Condition.evidence.code",
      "short" : "Проявление/симптом",
      "definition" : "Проявление или симптом, который привел к записи об этом состоянии.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Condition.evidence.code",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "condition" : ["con-2"],
      "isModifier" : false,
      "isSummary" : true,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "ManifestationOrSymptom"
        }],
        "strength" : "example",
        "description" : "Коды, описывающие проявление или симптомы состояния.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/manifestation-or-symptom"
      },
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.reasonCode"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.why[x]"
      },
      {
        "identity" : "sct-concept",
        "map" : "< 404684003 |Clinical finding|"
      },
      {
        "identity" : "rim",
        "map" : "[code=\"diagnosis\"].value"
      }]
    },
    {
      "id" : "Condition.evidence.detail",
      "path" : "Condition.evidence.detail",
      "short" : "Вспомогательная информация из других источников",
      "definition" : "Ссылки на другую существенную информацию, в том числе патологические отчеты.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Condition.evidence.detail",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
      }],
      "condition" : ["con-2"],
      "isModifier" : false,
      "isSummary" : true,
      "mapping" : [{
        "identity" : "w5",
        "map" : "FiveWs.why[x]"
      },
      {
        "identity" : "rim",
        "map" : ".self"
      }]
    },
    {
      "id" : "Condition.note",
      "path" : "Condition.note",
      "short" : "Дополнительная информация о состоянии",
      "definition" : "Дополнительная информация о состоянии. Это общая запись текстовых заметок/комментариев к описанию состояния, его диагноз и прогноз.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Condition.note",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Annotation"
      }],
      "isModifier" : false,
      "isSummary" : false,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.note"
      },
      {
        "identity" : "v2",
        "map" : "NTE child of PRB"
      },
      {
        "identity" : "rim",
        "map" : ".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"annotation\"].value"
      }]
    }]
  },
  "differential" : {
    "element" : [{
      "id" : "Condition",
      "path" : "Condition",
      "short" : "Detailed information about conditions, problems or diagnoses",
      "definition" : "A clinical condition, problem, diagnosis, or other event, situation, issue, or clinical concept that has risen to a level of concern.",
      "min" : 0,
      "max" : "*",
      "constraint" : [{
        "key" : "con-5",
        "severity" : "error",
        "human" : "Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error",
        "expression" : "verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()",
        "xpath" : "not(exists(f:verificationStatus/f:coding[f:system/@value='http://terminology.hl7.org/CodeSystem/condition-ver-status' and f:code/@value='entered-in-error'])) or not(exists(f:clinicalStatus))"
      },
      {
        "key" : "con-4",
        "severity" : "error",
        "human" : "If condition is abated, then clinicalStatus must be either inactive, resolved, or remission",
        "expression" : "abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()",
        "xpath" : "not(exists(*[starts-with(local-name(.), 'abatement')])) or exists(f:clinicalStatus/f:coding[f:system/@value='http://terminology.hl7.org/CodeSystem/condition-clinical' and f:code/@value=('resolved', 'remission', 'inactive')])"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
          "valueBoolean" : true
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
          "valueMarkdown" : "Most systems will expect a clinicalStatus to be valued for problem-list-items that are managed over time, but might not need a clinicalStatus for point in time encounter-diagnosis."
        }],
        "key" : "con-3",
        "severity" : "warning",
        "human" : "Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item",
        "expression" : "clinicalStatus.exists() or verificationStatus='entered-in-error' or category.select($this='problem-list-item').empty()",
        "xpath" : "exists(f:clinicalStatus) or f:verificationStatus/@value='entered-in-error' or not(exists(category[@value='problem-list-item']))"
      }],
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event"
      },
      {
        "identity" : "sct-concept",
        "map" : "< 243796009 |Situation with explicit context| : 246090004 |Associated finding| = ( ( < 404684003 |Clinical finding| MINUS ( << 420134006 |Propensity to adverse reactions| OR << 473010000 |Hypersensitivity condition| OR << 79899007 |Drug interaction| OR << 69449002 |Drug action| OR << 441742003 |Evaluation finding| OR << 307824009 |Administrative status| OR << 385356007 |Tumor stage finding|)) OR < 272379006 |Event|)"
      },
      {
        "identity" : "v2",
        "map" : "PPR message"
      },
      {
        "identity" : "rim",
        "map" : "Observation[classCode=OBS, moodCode=EVN, code=ASSERTION, value<Diagnosis]"
      }]
    },
    {
      "id" : "Condition.identifier",
      "path" : "Condition.identifier",
      "short" : "Внешние идентификаторы для этого состояния",
      "definition" : "Business identifiers assigned to this condition by the performer or other systems which remain constant as the resource is updated and propagates from server to server.",
      "comment" : "This is a business identifier, not a resource identifier (see [discussion](resource.html#identifiers)).  It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types.  For example, multiple Patient and a Person resource instance might share the same social insurance number.",
      "requirements" : "Allows identification of the condition as it is known by various participating systems and in a way that remains consistent across servers.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Identifier"
      }],
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.identifier"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.identifier"
      },
      {
        "identity" : "rim",
        "map" : ".id"
      }]
    },
    {
      "id" : "Condition.clinicalStatus",
      "path" : "Condition.clinicalStatus",
      "short" : "active | recurrence | relapse | inactive | remission | resolved",
      "definition" : "Клинический статус состояния.",
      "comment" : "It is possible that the well-controlled or poorly-controlled clinical status could alternatively be conveyed via a pre-coordinated Condition.code.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "condition" : ["con-3",
      "con-4",
      "con-5"],
      "isModifier" : true,
      "isModifierReason" : "This element is labeled as a modifier because the status contains codes that mark the condition as no longer active.",
      "isSummary" : true,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "ConditionClinicalStatus"
        }],
        "strength" : "required",
        "description" : "Клинический статус состояния или диагноза.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/condition-clinical"
      },
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.status"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.status"
      },
      {
        "identity" : "sct-concept",
        "map" : "< 303105007 |Disease phases|"
      },
      {
        "identity" : "v2",
        "map" : "PRB-14"
      },
      {
        "identity" : "rim",
        "map" : "Observation ACT\n.inboundRelationship[typeCode=COMP].source[classCode=OBS, code=\"clinicalStatus\", moodCode=EVN].value"
      }]
    },
    {
      "id" : "Condition.verificationStatus",
      "path" : "Condition.verificationStatus",
      "short" : "unconfirmed | provisional | differential | confirmed | refuted | entered-in-error",
      "definition" : "Статус подтверждения клинического состояния.",
      "comment" : "verificationStatus is not required.  For example, when a patient has abdominal pain in the ED, there is not likely going to be a verification status.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "condition" : ["con-3",
      "con-5"],
      "isModifier" : true,
      "isModifierReason" : "This element is labeled as a modifier because the status contains the code refuted and entered-in-error that mark the Condition as not currently valid.",
      "isSummary" : true,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "ConditionVerificationStatus"
        }],
        "strength" : "required",
        "description" : "Статус подтверждения клинического состояния.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/condition-ver-status"
      },
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.status"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.status"
      },
      {
        "identity" : "sct-concept",
        "map" : "< 410514004 |Finding context value|"
      },
      {
        "identity" : "v2",
        "map" : "PRB-13"
      },
      {
        "identity" : "rim",
        "map" : "Observation ACT\n.inboundRelationship[typeCode=COMP].source[classCode=OBS, code=\"verificationStatus\", moodCode=EVN].value"
      },
      {
        "identity" : "sct-attr",
        "map" : "408729009"
      }]
    },
    {
      "id" : "Condition.category",
      "path" : "Condition.category",
      "short" : "problem-list-item | encounter-diagnosis",
      "definition" : "Категория данного клинического состояния.",
      "comment" : "Эта классификация часто очень зависит от контекста и может оказаться слабо дифференцированной или не слишком полезной в других контекстах.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "ConditionCategory"
        }],
        "strength" : "extensible",
        "description" : "Категория данного клинического состояния.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/condition-category"
      },
      "mapping" : [{
        "identity" : "w5",
        "map" : "FiveWs.class"
      },
      {
        "identity" : "sct-concept",
        "map" : "< 404684003 |Clinical finding|"
      },
      {
        "identity" : "v2",
        "map" : "'problem' if from PRB-3. 'diagnosis' if from DG1 segment in PV1 message"
      },
      {
        "identity" : "rim",
        "map" : ".code"
      }]
    },
    {
      "id" : "Condition.severity",
      "path" : "Condition.severity",
      "short" : "Субъективная оценка тяжести состояния",
      "definition" : "Субъективная оценка тяжести состояния, оценённая клиницистом.",
      "comment" : "Coding of the severity with a terminology is preferred, where possible.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "ConditionSeverity"
        }],
        "strength" : "preferred",
        "description" : "Субъективная оценка тяжести состояния, оценённая клиницистом.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/condition-severity"
      },
      "mapping" : [{
        "identity" : "w5",
        "map" : "FiveWs.grade"
      },
      {
        "identity" : "sct-concept",
        "map" : "< 272141005 |Severities|"
      },
      {
        "identity" : "v2",
        "map" : "PRB-26 / ABS-3"
      },
      {
        "identity" : "rim",
        "map" : "Can be pre/post-coordinated into value.  Or ./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"severity\"].value"
      },
      {
        "identity" : "sct-attr",
        "map" : "246112005"
      }]
    },
    {
      "id" : "Condition.code",
      "path" : "Condition.code",
      "short" : "Идентификация состояния, проблемы или диагноза",
      "definition" : "Идентификация состояния, проблемы или диагноза.",
      "requirements" : "0..1 to account for primarily narrative only resources.",
      "alias" : ["type"],
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isSummary" : true,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "ConditionKind"
        }],
        "strength" : "example",
        "description" : "Определение условия или диагноза.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/condition-code"
      },
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.code"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.what[x]"
      },
      {
        "identity" : "sct-concept",
        "map" : "code 246090004 |Associated finding| (< 404684003 |Clinical finding| MINUS\n<< 420134006 |Propensity to adverse reactions| MINUS \n<< 473010000 |Hypersensitivity condition| MINUS \n<< 79899007 |Drug interaction| MINUS\n<< 69449002 |Drug action| MINUS \n<< 441742003 |Evaluation finding| MINUS \n<< 307824009 |Administrative status| MINUS \n<< 385356007 |Tumor stage finding|) \nOR < 413350009 |Finding with explicit context|\nOR < 272379006 |Event|"
      },
      {
        "identity" : "v2",
        "map" : "PRB-3"
      },
      {
        "identity" : "rim",
        "map" : ".value"
      },
      {
        "identity" : "sct-attr",
        "map" : "246090004"
      }]
    },
    {
      "id" : "Condition.bodySite",
      "path" : "Condition.bodySite",
      "short" : "Анатомическое местоположение, если уместно",
      "definition" : "Анатомическое местоположение, в котором данное состояние проявляет себя.",
      "comment" : "Only used if not implicit in code found in Condition.code. If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension [bodySite](extension-bodysite.html).  May be a summary code, or a reference to a very precise definition of the location, or both.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isSummary" : true,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "BodySite"
        }],
        "strength" : "example",
        "description" : "Коды анатомического расположения. Могут включать указание латеральности.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/body-site"
      },
      "mapping" : [{
        "identity" : "sct-concept",
        "map" : "< 442083009  |Anatomical or acquired body structure|"
      },
      {
        "identity" : "rim",
        "map" : ".targetBodySiteCode"
      },
      {
        "identity" : "sct-attr",
        "map" : "363698007"
      }]
    },
    {
      "id" : "Condition.subject",
      "path" : "Condition.subject",
      "short" : "Чье это состояние?",
      "definition" : "Указывает пациента, с которым связана эта запись состояния.",
      "requirements" : "Group is typically used for veterinary or public health use cases.",
      "alias" : ["patient"],
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
        "http://hl7.org/fhir/StructureDefinition/Group"]
      }],
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.subject"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.subject[x]"
      },
      {
        "identity" : "v2",
        "map" : "PID-3"
      },
      {
        "identity" : "rim",
        "map" : ".participation[typeCode=SBJ].role[classCode=PAT]"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.subject"
      }]
    },
    {
      "id" : "Condition.encounter",
      "path" : "Condition.encounter",
      "short" : "Encounter created as part of",
      "definition" : "The Encounter during which this Condition was created or to which the creation of this record is tightly associated.",
      "comment" : "This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter. This record indicates the encounter this particular record is associated with.  In the case of a \"new\" diagnosis reflecting ongoing/revised information about the condition, this might be distinct from the first encounter in which the underlying condition was first \"known\".",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Encounter"]
      }],
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.context"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.context"
      },
      {
        "identity" : "v2",
        "map" : "PV1-19 (+PV1-54)"
      },
      {
        "identity" : "rim",
        "map" : ".inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]"
      }]
    },
    {
      "id" : "Condition.onset[x]",
      "path" : "Condition.onset[x]",
      "short" : "Предполагаемая или фактическая дата, дата/время или возраст",
      "definition" : "Предполагаемая или фактическая дата или дата/время начала состояния по мнению клинициста.",
      "comment" : "Возраст, как правило, используют, когда пациент сообщает возраст, в котором стало проявляться состояние.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "dateTime"
      },
      {
        "code" : "Age"
      },
      {
        "code" : "Period"
      },
      {
        "code" : "Range"
      },
      {
        "code" : "string"
      }],
      "isSummary" : true,
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.occurrence[x]"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.init"
      },
      {
        "identity" : "v2",
        "map" : "PRB-16"
      },
      {
        "identity" : "rim",
        "map" : ".effectiveTime.low or .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"age at onset\"].value"
      }]
    },
    {
      "id" : "Condition.abatement[x]",
      "path" : "Condition.abatement[x]",
      "short" : "When in resolution/remission",
      "definition" : "Дата или предполагаемая дата разрешения состояния или перехода в ремиссию. Это названо \"abatement\" (уменьшение боли или выраженности симптома, ослабление боли или выраженности симптома, смягчение боли или выраженности симптома) из-за перегруженности терминов \"remission\" или \"resolution\" - состояния никогда по-настоящему не проходят, но могут быть улучшения.",
      "comment" : "There is no explicit distinction between resolution and remission because in many cases the distinction is not clear. Age is generally used when the patient reports an age at which the Condition abated.  If there is no abatement element, it is unknown whether the condition has resolved or entered remission; applications and users should generally assume that the condition is still valid.  When abatementString exists, it implies the condition is abated.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "dateTime"
      },
      {
        "code" : "Age"
      },
      {
        "code" : "Period"
      },
      {
        "code" : "Range"
      },
      {
        "code" : "string"
      }],
      "condition" : ["con-4"],
      "mapping" : [{
        "identity" : "w5",
        "map" : "FiveWs.done[x]"
      },
      {
        "identity" : "rim",
        "map" : ".effectiveTime.high or .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"age at remission\"].value or .inboundRelationship[typeCode=SUBJ]source[classCode=CONC, moodCode=EVN].status=completed"
      }]
    },
    {
      "id" : "Condition.recordedDate",
      "path" : "Condition.recordedDate",
      "short" : "Date record was first recorded",
      "definition" : "The recordedDate represents when this particular Condition record was created in the system, which is often a system-generated date.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "dateTime"
      }],
      "isSummary" : true,
      "mapping" : [{
        "identity" : "w5",
        "map" : "FiveWs.recorded"
      },
      {
        "identity" : "v2",
        "map" : "REL-11"
      },
      {
        "identity" : "rim",
        "map" : ".participation[typeCode=AUT].time"
      }]
    },
    {
      "id" : "Condition.recorder",
      "path" : "Condition.recorder",
      "short" : "Who recorded the condition",
      "definition" : "Individual who recorded the record and takes responsibility for its content.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
        "http://hl7.org/fhir/StructureDefinition/Patient",
        "http://hl7.org/fhir/StructureDefinition/RelatedPerson"]
      }],
      "isSummary" : true,
      "mapping" : [{
        "identity" : "w5",
        "map" : "FiveWs.author"
      },
      {
        "identity" : "rim",
        "map" : ".participation[typeCode=AUT].role"
      }]
    },
    {
      "id" : "Condition.asserter",
      "path" : "Condition.asserter",
      "short" : "Человек, который установил это клиническое состояние",
      "definition" : "Человек, который установил это клиническое состояние.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
        "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
        "http://hl7.org/fhir/StructureDefinition/Patient",
        "http://hl7.org/fhir/StructureDefinition/RelatedPerson"]
      }],
      "isSummary" : true,
      "mapping" : [{
        "identity" : "w5",
        "map" : "FiveWs.source"
      },
      {
        "identity" : "v2",
        "map" : "REL-7.1 identifier + REL-7.12 type code"
      },
      {
        "identity" : "rim",
        "map" : ".participation[typeCode=INF].role"
      }]
    },
    {
      "id" : "Condition.stage",
      "path" : "Condition.stage",
      "short" : "Стадия/степень, как правило, оценивается формально",
      "definition" : "Клиническая стадия или степень состояния. Может включать формальные оценки тяжести.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "BackboneElement"
      }],
      "constraint" : [{
        "key" : "con-1",
        "severity" : "error",
        "human" : "Стадия должна иметь краткое изложение или оценку",
        "expression" : "summary.exists() or assessment.exists()",
        "xpath" : "exists(f:summary) or exists(f:assessment)"
      }],
      "mapping" : [{
        "identity" : "rim",
        "map" : "./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"stage/grade\"]"
      }]
    },
    {
      "id" : "Condition.stage.summary",
      "path" : "Condition.stage.summary",
      "short" : "Простое заключение (характерное для болезни)",
      "definition" : "Простое заключение о стадии, например \"Stage 3\". Установление стадии зависит от болезни.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "condition" : ["con-1"],
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "ConditionStage"
        }],
        "strength" : "example",
        "description" : "Коды, описывающие стадии клинического состояния (например стадии рака).",
        "valueSet" : "http://hl7.org/fhir/ValueSet/condition-stage"
      },
      "mapping" : [{
        "identity" : "sct-concept",
        "map" : "< 254291000 |Staging and scales|"
      },
      {
        "identity" : "v2",
        "map" : "PRB-14"
      },
      {
        "identity" : "rim",
        "map" : ".value"
      }]
    },
    {
      "id" : "Condition.stage.assessment",
      "path" : "Condition.stage.assessment",
      "short" : "Официальная запись оценки",
      "definition" : "Ссылка на официальную запись основания, на котором основывается оценка стадии.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ClinicalImpression",
        "http://hl7.org/fhir/StructureDefinition/DiagnosticReport",
        "http://hl7.org/fhir/StructureDefinition/Observation"]
      }],
      "condition" : ["con-1"],
      "mapping" : [{
        "identity" : "rim",
        "map" : ".self"
      }]
    },
    {
      "id" : "Condition.stage.type",
      "path" : "Condition.stage.type",
      "short" : "Kind of staging",
      "definition" : "The kind of staging, such as pathological or clinical staging.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "ConditionStageType"
        }],
        "strength" : "example",
        "description" : "Codes describing the kind of condition staging (e.g. clinical or pathological).",
        "valueSet" : "http://hl7.org/fhir/ValueSet/condition-stage-type"
      },
      "mapping" : [{
        "identity" : "rim",
        "map" : "./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"stage type\"]"
      }]
    },
    {
      "id" : "Condition.evidence",
      "path" : "Condition.evidence",
      "short" : "Подтверждающие данные",
      "definition" : "Supporting evidence / manifestations that are the basis of the Condition's verification status, such as evidence that confirmed or refuted the condition.",
      "comment" : "Основания могут быть простым перечислением кодированных симптомов/проявлений или ссылками на наблюдения или официальные оценки, или и на то, и другое одновременно.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "BackboneElement"
      }],
      "constraint" : [{
        "key" : "con-2",
        "severity" : "error",
        "human" : "Элемент evidence должен иметь code или detail",
        "expression" : "code.exists() or detail.exists()",
        "xpath" : "exists(f:code) or exists(f:detail)"
      }],
      "mapping" : [{
        "identity" : "rim",
        "map" : ".outboundRelationship[typeCode=SPRT].target[classCode=OBS, moodCode=EVN]"
      }]
    },
    {
      "id" : "Condition.evidence.code",
      "path" : "Condition.evidence.code",
      "short" : "Проявление/симптом",
      "definition" : "Проявление или симптом, который привел к записи об этом состоянии.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "condition" : ["con-2"],
      "isSummary" : true,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "ManifestationOrSymptom"
        }],
        "strength" : "example",
        "description" : "Коды, описывающие проявление или симптомы состояния.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/manifestation-or-symptom"
      },
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.reasonCode"
      },
      {
        "identity" : "w5",
        "map" : "FiveWs.why[x]"
      },
      {
        "identity" : "sct-concept",
        "map" : "< 404684003 |Clinical finding|"
      },
      {
        "identity" : "rim",
        "map" : "[code=\"diagnosis\"].value"
      }]
    },
    {
      "id" : "Condition.evidence.detail",
      "path" : "Condition.evidence.detail",
      "short" : "Вспомогательная информация из других источников",
      "definition" : "Ссылки на другую существенную информацию, в том числе патологические отчеты.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
      }],
      "condition" : ["con-2"],
      "isSummary" : true,
      "mapping" : [{
        "identity" : "w5",
        "map" : "FiveWs.why[x]"
      },
      {
        "identity" : "rim",
        "map" : ".self"
      }]
    },
    {
      "id" : "Condition.note",
      "path" : "Condition.note",
      "short" : "Дополнительная информация о состоянии",
      "definition" : "Дополнительная информация о состоянии. Это общая запись текстовых заметок/комментариев к описанию состояния, его диагноз и прогноз.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Annotation"
      }],
      "mapping" : [{
        "identity" : "workflow",
        "map" : "Event.note"
      },
      {
        "identity" : "v2",
        "map" : "NTE child of PRB"
      },
      {
        "identity" : "rim",
        "map" : ".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"annotation\"].value"
      }]
    }]
  }
}

Примечание к использованию: мы очень стараемся приводить корректные и полезные примеры, но нормативно они не являются частью спецификации.