Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
TU | DomainResource | Detailed information about conditions, problems or diagnoses + Warning: If category is problems list item, the clinicalStatus should not be unknown + Rule: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission. + Rule: bodyStructure SHALL only be present if Condition.bodySite is not present Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension | ||
Σ | 0..* | Identifier | External Ids for this condition | |
?!ΣC | 1..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved | unknown Binding: Condition Clinical Status Codes (Required) | |
?!Σ | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: Condition Verification Status (Required) | |
C | 0..* | CodeableConcept | problem-list-item | encounter-diagnosis Binding: Condition Category Codes (Preferred) | |
0..1 | CodeableConcept | Subjective severity of condition Binding: Condition/Diagnosis Severity (Preferred) | ||
Σ | 0..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: Condition/Problem/Diagnosis Codes (Example) | |
ΣC | 0..* | CodeableConcept | Anatomical location, if relevant Binding: SNOMED CT Body Structures (Example) | |
C | 0..1 | Reference(BodyStructure) | Anatomical body structure | |
Σ | 1..1 | Reference(Patient | Group) | Who has the condition? | |
Σ | 0..1 | Reference(Encounter) | The Encounter during which this Condition was created | |
Σ | 0..1 | Estimated or actual date, date-time, or age | ||
dateTime | ||||
Age | ||||
Period | ||||
Range | ||||
string | ||||
C | 0..1 | When in resolution/remission | ||
dateTime | ||||
Age | ||||
Period | ||||
Range | ||||
string | ||||
Σ | 0..1 | dateTime | Date condition was first recorded | |
Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Who recorded the condition | |
Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device) | Person or device that asserts this condition | |
CTU | 0..* | BackboneElement | Stage/grade, usually assessed formally + Rule: Stage SHALL have summary or assessment | |
C | 0..1 | CodeableConcept | Simple summary (disease specific) Binding: Condition Stage (Example) | |
C | 0..* | Reference(ClinicalImpression | DiagnosticReport | Observation) | Formal record of assessment | |
0..1 | CodeableConcept | Kind of staging Binding: Condition Stage Type (Example) | ||
ΣTU | 0..* | CodeableReference(Any) | Supporting evidence for the condition Binding: SNOMED CT Clinical Findings (Example) | |
0..* | Annotation | Additional information about the Condition | ||