STU 3 Candidate

This page is part of the FHIR Specification (v1.4.0: STU 3 Ballot 3). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions

D.18.1 StructureDefinition: DAF-Condition

The official URL for this profile is: 

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

Defines constraints and extensions on the condition resource for use in querying and retrieving patient's information related to problems which includes conditions, findings, symptoms etc.

This profile was published on Thu, Aug 21, 2014 00:00+1000 as a draft by Health Level Seven International (Infrastructure and Messaging - Data Access Framework).

D.18.1.1 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: 3 elements
Must-Support: 13 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element Condition.onset[x] is sliced based on the value of @type
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 S ∑0..*IdentifierExternal Ids for this condition
... patient S ∑1..1Reference(DAF-Patient)Who has the condition?
... encounter S ∑0..1Reference(DAF-Encounter)Encounter when condition first asserted
... asserter S ∑0..1Reference(DAF-Pract | DAF-Patient)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 (extensible)
... category S ∑0..1CodeableConceptcomplaint | symptom | finding | diagnosis
Binding: Condition Category Codes (preferred)
... 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 S ∑0..1CodeableConceptmild | moderate | severe | fatal
Binding: Condition/Diagnosis Severity (extensible)
... onset[x] ∑dateTime, Age, Period, Range, stringEstimated or actual date, date-time, or age
Slice: Unordered, Open, by @type
... onset[x] ∑0..1dateTime, Age, Period, Range, stringEstimated or actual date, date-time, or age
... onsetQuantity S I0..1AgeEstimated or actual date, date-time, or age
qty-3: If a code for the unit is present, the system SHALL also be present
age-1: There SHALL be a code if there is a value and it SHALL be an expression of time. If system is present, it SHALL be UCUM. If value is present, it SHALL be positive.
... onsetDateTime S ∑0..1dateTimeEstimated or actual date, date-time, or age
... abatementBoolean S ∑0..1booleanIf/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 S ∑0..1stringAdditional information about the Condition

doco Documentation for this format

todo

This structure is derived from Condition.

Summary

Mandatory: 3 elements
Must-Support: 13 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element Condition.onset[x] is sliced based on the value of @type

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 S ∑0..*IdentifierExternal Ids for this condition
... patient S ∑1..1Reference(DAF-Patient)Who has the condition?
... encounter S ∑0..1Reference(DAF-Encounter)Encounter when condition first asserted
... asserter S ∑0..1Reference(DAF-Pract | DAF-Patient)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 (extensible)
... category S ∑0..1CodeableConceptcomplaint | symptom | finding | diagnosis
Binding: Condition Category Codes (preferred)
... 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 S ∑0..1CodeableConceptmild | moderate | severe | fatal
Binding: Condition/Diagnosis Severity (extensible)
... onset[x] ∑dateTime, Age, Period, Range, stringEstimated or actual date, date-time, or age
Slice: Unordered, Open, by @type
... onset[x] ∑0..1dateTime, Age, Period, Range, stringEstimated or actual date, date-time, or age
... onsetQuantity S I0..1AgeEstimated or actual date, date-time, or age
qty-3: If a code for the unit is present, the system SHALL also be present
age-1: There SHALL be a code if there is a value and it SHALL be an expression of time. If system is present, it SHALL be UCUM. If value is present, it SHALL be positive.
... onsetDateTime S ∑0..1dateTimeEstimated or actual date, date-time, or age
... abatementBoolean S ∑0..1booleanIf/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 S ∑0..1stringAdditional information about the Condition

doco Documentation for this format

XML Template

JSON Template

todo

 

Other representations of profile: Schematron

D.18.1.2 Terminology Bindings

PathNameConformanceValueSet
Condition.language?extrequiredhttp://tools.ietf.org/html/bcp47
Condition.codeProblem Value SetextensibleProblem Value Set
Condition.categoryCondition Category CodespreferredCondition Category Codes
Condition.clinicalStatusCondition Clinical Status CodespreferredCondition Clinical Status Codes
Condition.verificationStatusConditionVerificationStatusrequiredConditionVerificationStatus
Condition.severityCondition/Diagnosis SeverityextensibleCondition/Diagnosis Severity
Condition.stage.summaryCondition StageexampleCondition Stage
Condition.evidence.codeManifestation and Symptom CodesexampleManifestation and Symptom Codes
Condition.bodySiteSNOMED CT Body StructuresexampleSNOMED CT Body Structures

D.18.1.3 Constraints

IdPathDetailsRequirements
qty-3Condition.onsetQuantityIf a code for the unit is present, the system SHALL also be present
XPath: not(exists(f:code)) or exists(f:system)
age-1Condition.onsetQuantityThere SHALL be a code if there is a value and it SHALL be an expression of time. If system is present, it SHALL be UCUM. If value is present, it SHALL be positive.
XPath: (f:code or not(f:value)) and (not(exists(f:system)) or f:system/@value='http://unitsofmeasure.org') and not(contains(f:value/@value, '-'))
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)
.