DSTU2 QA Preview

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A.?? StructureDefinition: USlab-ReasonForStudy

The official URL for this profile is: 

http://hl7.org/fhir/StructureDefinition/uslab-reasonforstudy

The Condition(s) referenced in USRealm laboratory test and reporting in ambulatory care setting.

This profile was published on Mon, Nov 17, 2014 00:00+1100 as a draft by Health Level Seven International (Orders and Observations - US Lab).

A.??.1 Formal Views of Profile Content

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

This structure is derived from Condition.

Summary

Mandatory: 7 elements (+2 nested mandatory elements)
Must-Support: 12 elements

Structures

This structure refers to these other structures:

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
... extension 0..*ExtensionAdditional Content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier ∑0..*IdentifierExternal Ids for this condition
... patient S ∑1..1Reference(US Laboratory Patient Profile | US Laboratory Patient Profile)Patient
... encounter ∑0..1Reference(Encounter)Encounter when condition first asserted
... asserter ∑0..1Reference(Practitioner | Patient)Person who asserts this condition
... dateRecorded ∑0..1dateWhen first entered
... code S ∑1..1CodeableConceptIdentification of the condition, problem or diagnosis
Binding: USlabConditonCodes (required)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... coding S ∑1..1CodingCode defined by a terminology system
..... extension 0..*ExtensionAdditional Content defined by implementations
..... system S ∑1..1uriIdentity of the terminology system
..... version ∑0..1stringVersion of the system - if relevant
..... code S ∑1..1codeSymbol in syntax defined by the system
..... display S ∑0..1stringRepresentation defined by the system
..... userSelected ∑0..1booleanIf this coding was chosen directly by the user
.... text ∑0..1stringPlain text representation of the concept
... category S ∑1..1CodeableConceptcomplaint | symptom | finding | diagnosis
Binding: Condition Category Codes (preferred)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... coding S ∑0..1CodingCode defined by a terminology system
..... extension 0..*ExtensionAdditional Content defined by implementations
..... system S ∑1..1uriIdentity of the terminology system
..... version ∑0..1stringVersion of the system - if relevant
..... code S ∑1..1codeSymbol in syntax defined by the system
..... display S ∑0..1stringRepresentation defined by the system
..... userSelected ∑0..1booleanIf this coding was chosen directly by the user
.... text ∑0..1stringPlain text representation of the concept
... clinicalStatus ?! S∑1..1codeactive | relapse | remission | resolved
Binding: Condition Clinical Status Codes (preferred)
... verificationStatus ?! ∑1..1codeprovisional | differential | confirmed | refuted | entered-in-error | unknown
Binding: ConditionVerificationStatus (required)
... severity ∑0..1CodeableConceptSubjective severity of condition
Binding: Condition/Diagnosis Severity (preferred)
... onset[x] ∑0..1dateTime, Age, Period, Range, stringEstimated or actual date, date-time, or age
... abatement[x] ∑0..1dateTime, Age, boolean, Period, Range, stringIf/when in resolution/remission
... stage ∑ 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 ∑ 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 ∑0..*CodeableConceptAnatomical location, if relevant
Binding: SNOMED CT Body Structures (example)
... notes ∑0..1stringAdditional information about the Condition

doco Documentation for this format

todo

This structure is derived from Condition.

Summary

Mandatory: 7 elements (+2 nested mandatory elements)
Must-Support: 12 elements

Structures

This structure refers to these other structures:

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
... extension 0..*ExtensionAdditional Content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier ∑0..*IdentifierExternal Ids for this condition
... patient S ∑1..1Reference(US Laboratory Patient Profile | US Laboratory Patient Profile)Patient
... encounter ∑0..1Reference(Encounter)Encounter when condition first asserted
... asserter ∑0..1Reference(Practitioner | Patient)Person who asserts this condition
... dateRecorded ∑0..1dateWhen first entered
... code S ∑1..1CodeableConceptIdentification of the condition, problem or diagnosis
Binding: USlabConditonCodes (required)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... coding S ∑1..1CodingCode defined by a terminology system
..... extension 0..*ExtensionAdditional Content defined by implementations
..... system S ∑1..1uriIdentity of the terminology system
..... version ∑0..1stringVersion of the system - if relevant
..... code S ∑1..1codeSymbol in syntax defined by the system
..... display S ∑0..1stringRepresentation defined by the system
..... userSelected ∑0..1booleanIf this coding was chosen directly by the user
.... text ∑0..1stringPlain text representation of the concept
... category S ∑1..1CodeableConceptcomplaint | symptom | finding | diagnosis
Binding: Condition Category Codes (preferred)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... coding S ∑0..1CodingCode defined by a terminology system
..... extension 0..*ExtensionAdditional Content defined by implementations
..... system S ∑1..1uriIdentity of the terminology system
..... version ∑0..1stringVersion of the system - if relevant
..... code S ∑1..1codeSymbol in syntax defined by the system
..... display S ∑0..1stringRepresentation defined by the system
..... userSelected ∑0..1booleanIf this coding was chosen directly by the user
.... text ∑0..1stringPlain text representation of the concept
... clinicalStatus ?! S∑1..1codeactive | relapse | remission | resolved
Binding: Condition Clinical Status Codes (preferred)
... verificationStatus ?! ∑1..1codeprovisional | differential | confirmed | refuted | entered-in-error | unknown
Binding: ConditionVerificationStatus (required)
... severity ∑0..1CodeableConceptSubjective severity of condition
Binding: Condition/Diagnosis Severity (preferred)
... onset[x] ∑0..1dateTime, Age, Period, Range, stringEstimated or actual date, date-time, or age
... abatement[x] ∑0..1dateTime, Age, boolean, Period, Range, stringIf/when in resolution/remission
... stage ∑ 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 ∑ 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 ∑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

A.??.2 Terminology Bindings

PathNameConformanceValueSet
Condition.language?extrequiredhttp://tools.ietf.org/html/bcp47
Condition.codeUSlabConditonCodesrequiredUSlabConditonCodes
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

A.??.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)
.