GAO Ballot Package

This page is part of the FHIR Specification (v1.1.0: STU 3 Ballot 1). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions

This is a frozen snapshot of the FHIR specification created for the purpose of balloting the GAO implementation Guide. It includes draft changes that may be part of the future DSTU 2.1 release but further change is expected. Readers should focus solely on the GAO implementation content, and FHIR DSTU 2 for other purposes.

F.7.1 StructureDefinition: QICore-Condition

The official URL for this profile is: 

http://hl7.org/fhir/StructureDefinition/qicore-condition

Profile of Condition for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors.

This profile was published on Fri, Feb 27, 2015 00:00+1100 as a draft by Health Level Seven International (Clinical Quality Information - QICore).

F.7.1.1 Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition ∑0..*ConditionDetailed information about conditions, problems or diagnoses
... meta ∑0..1MetaMetadata about the resource
... implicitRules ?! ∑0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: IETF BCP-47 (required)
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... condition-criticality 0..1CodeableConceptExtension
URL: http://hl7.org/fhir/StructureDefinition/condition-criticality
Binding: QICore Condition Criticality Codes (example)
... qicore-bodysite S0..*(Complex)Extension
URL: http://hl7.org/fhir/StructureDefinition/qicore-bodysite
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier ∑0..*IdentifierExternal Ids for this condition
... patient S ∑1..1Reference(QICore-Patient)Who has the condition?
... encounter S ∑0..1Reference(QICore-Encounter)Encounter when condition first asserted
... asserter ∑0..1Reference(QICore-Patient | QICore-Practitioner)Person who asserts this condition
... dateRecorded S ∑0..1dateWhen first entered
... code S ∑1..1CodeableConceptIdentification of the condition, problem or diagnosis
Binding: Problem Value Set (preferred)
... category S ∑0..1CodeableConceptcomplaint | symptom | finding | diagnosis
Binding: Condition Category Codes (preferred)
... clinicalStatus ?! S∑0..1codeactive | relapse | remission | resolved
Binding: Condition Clinical Status Codes (preferred)
... verificationStatus ?! ∑1..1codeprovisional | differential | confirmed | refuted | entered-in-error | unknown
Binding: ConditionVerificationStatus (required)
... severity S ∑0..1CodeableConceptSubjective severity of condition
Binding: Condition/Diagnosis Severity (preferred)
... onset[x] S ∑0..1dateTime, Age, Period, Range, stringEstimated or actual date, date-time, or age
... abatement[x] S ∑0..1dateTime, Age, boolean, Period, Range, stringIf/when in resolution/remission
... stage S ∑I0..1BackboneElementStage/grade, usually assessed formally
con-1: Stage SHALL have summary or assessment
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
.... summary S ∑I0..1CodeableConceptSimple summary (disease specific)
Binding: Condition Stage (example)
.... assessment ∑ I0..*Reference(ClinicalImpression | DiagnosticReport | Observation)Formal record of assessment
... evidence ∑ I0..*BackboneElementSupporting evidence
con-2: evidence SHALL have code or details
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
.... code ∑ I0..1CodeableConceptManifestation/symptom
Binding: Manifestation and Symptom Codes (example)
.... detail ∑ I0..*Reference(Resource)Supporting information found elsewhere
... bodySite S ∑0..*CodeableConceptAnatomical location, if relevant
Binding: SNOMED CT Body Structures (example)
... notes ∑0..1stringAdditional information about the Condition

doco Documentation for this format

todo

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition ∑0..*ConditionDetailed information about conditions, problems or diagnoses
... meta ∑0..1MetaMetadata about the resource
... implicitRules ?! ∑0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: IETF BCP-47 (required)
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... condition-criticality 0..1CodeableConceptExtension
URL: http://hl7.org/fhir/StructureDefinition/condition-criticality
Binding: QICore Condition Criticality Codes (example)
... qicore-bodysite S0..*(Complex)Extension
URL: http://hl7.org/fhir/StructureDefinition/qicore-bodysite
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier ∑0..*IdentifierExternal Ids for this condition
... patient S ∑1..1Reference(QICore-Patient)Who has the condition?
... encounter S ∑0..1Reference(QICore-Encounter)Encounter when condition first asserted
... asserter ∑0..1Reference(QICore-Patient | QICore-Practitioner)Person who asserts this condition
... dateRecorded S ∑0..1dateWhen first entered
... code S ∑1..1CodeableConceptIdentification of the condition, problem or diagnosis
Binding: Problem Value Set (preferred)
... category S ∑0..1CodeableConceptcomplaint | symptom | finding | diagnosis
Binding: Condition Category Codes (preferred)
... clinicalStatus ?! S∑0..1codeactive | relapse | remission | resolved
Binding: Condition Clinical Status Codes (preferred)
... verificationStatus ?! ∑1..1codeprovisional | differential | confirmed | refuted | entered-in-error | unknown
Binding: ConditionVerificationStatus (required)
... severity S ∑0..1CodeableConceptSubjective severity of condition
Binding: Condition/Diagnosis Severity (preferred)
... onset[x] S ∑0..1dateTime, Age, Period, Range, stringEstimated or actual date, date-time, or age
... abatement[x] S ∑0..1dateTime, Age, boolean, Period, Range, stringIf/when in resolution/remission
... stage S ∑I0..1BackboneElementStage/grade, usually assessed formally
con-1: Stage SHALL have summary or assessment
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
.... summary S ∑I0..1CodeableConceptSimple summary (disease specific)
Binding: Condition Stage (example)
.... assessment ∑ I0..*Reference(ClinicalImpression | DiagnosticReport | Observation)Formal record of assessment
... evidence ∑ I0..*BackboneElementSupporting evidence
con-2: evidence SHALL have code or details
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
.... code ∑ I0..1CodeableConceptManifestation/symptom
Binding: Manifestation and Symptom Codes (example)
.... detail ∑ I0..*Reference(Resource)Supporting information found elsewhere
... bodySite S ∑0..*CodeableConceptAnatomical location, if relevant
Binding: SNOMED CT Body Structures (example)
... notes ∑0..1stringAdditional information about the Condition

doco Documentation for this format

XML Template

JSON Template

todo

 

Other representations of profile: Schematron

F.7.1.2 Terminology Bindings

PathNameConformanceValueSet
Condition.language?extrequiredhttp://tools.ietf.org/html/bcp47
Condition.extension
[UriType[http://hl7.org/fhir/StructureDefinition/condition-criticality]]		QICore Condition Criticality CodesexampleQICore Condition Criticality Codes
Condition.codeProblem Value SetpreferredProblem Value Set
Condition.categoryCondition Category CodespreferredCondition Category Codes
Condition.clinicalStatusCondition Clinical Status CodespreferredCondition Clinical Status Codes
Condition.verificationStatusConditionVerificationStatusrequiredConditionVerificationStatus
Condition.severityCondition/Diagnosis SeveritypreferredCondition/Diagnosis Severity
Condition.stage.summaryCondition StageexampleCondition Stage
Condition.evidence.codeManifestation and Symptom CodesexampleManifestation and Symptom Codes
Condition.bodySiteSNOMED CT Body StructuresexampleSNOMED CT Body Structures

F.7.1.3 Constraints

IdPathDetailsRequirements
con-1Condition.stageStage SHALL have summary or assessment
XPath: exists(f:summary) or exists(f:assessment)
con-2Condition.evidenceevidence SHALL have code or details
XPath: exists(f:code) or exists(f:detail)
.