R6 Ballot (2nd Draft)

Publish-box (todo)

Patient Care icon Work GroupMaturity Level: 0 Trial UseSecurity Category: Anonymous Compartments: No defined compartments

Detailed Descriptions for the elements in the ConditionDefinition resource.

ConditionDefinition
Element Id ConditionDefinition
Definition

A definition of a condition and information relevant to managing it.

Short Display A definition of a condition
Cardinality 0..*
Type MetadataResource
Summary false
Invariants
Defined on this element
cnl-0Warning Name should be usable as an identifier for the module by machine processing applications such as code generationname.exists() implies name.matches('^[A-Z]([A-Za-z0-9_]){1,254}$')
ConditionDefinition.url
Element Id ConditionDefinition.url
Definition

An absolute URI that is used to identify this condition definition when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which an authoritative instance of this condition definition is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the condition definition is stored on different servers.

Short Display Canonical identifier for this condition definition, represented as a URI (globally unique)
Cardinality 0..1
Type uri
Requirements

Allows the condition definition to be referenced by a single globally unique identifier.

Summary true
Comments

Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred. Multiple instances may share the same URL if they have a distinct version.

The determination of when to create a new version of a resource (same url, new version) vs. defining a new artifact is up to the author. Considerations for making this decision are found in Technical and Business Versions.

In some cases, the resource can no longer be found at the stated url, but the url itself cannot change. Implementations can use the meta.source element to indicate where the current master source of the resource can be found.

Invariants
Defined on this element
cnl-1Warning URL should not contain | or # - these characters make processing canonical references problematicexists() implies matches('^[^|# ]+$')
ConditionDefinition.identifier
Element Id ConditionDefinition.identifier
Definition

A formal identifier that is used to identify this condition definition when it is represented in other formats, or referenced in a specification, model, design or an instance.

Short Display Additional identifier for the condition definition
Note This is a business identifier, not a resource identifier (see discussion)
Cardinality 0..*
Type Identifier
Requirements

Allows externally provided and/or usable business identifiers to be easily associated with the module.

Summary true
Comments

Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, and can then identify this condition definition outside of FHIR, where it is not possible to use the logical URI.

ConditionDefinition.version
Element Id ConditionDefinition.version
Definition

The identifier that is used to identify this version of the condition definition when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the condition definition author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions can be placed in a lexicographical sequence.

Short Display Business version of the condition definition
Note This is a business versionId, not a resource version id (see discussion)
Cardinality 0..1
Type string
Summary true
Comments

There may be different condition definition instances that have the same identifier but different versions. The version can be appended to the url in a reference to allow a reference to a particular business version of the condition definition with the format [url]|[version]. The version SHOULD NOT contain a '#' - see Business Version.

ConditionDefinition.versionAlgorithm[x]
Element Id ConditionDefinition.versionAlgorithm[x]
Definition

Indicates the mechanism used to compare versions to determine which is more current.

Short Display How to compare versions
Cardinality 0..1
Terminology Binding Version Algorithm (Extensible)
Type string|Coding
[x] Note See Choice of Datatypes for further information about how to use [x]
Summary true
Comments

If set as a string, this is a FHIRPath expression that has two additional context variables passed in - %version1 and %version2 and will return a negative number if version1 is newer, a positive number if version2 and a 0 if the version ordering can't be successfully be determined.

ConditionDefinition.name
Element Id ConditionDefinition.name
Definition

A natural language name identifying the condition definition. This name should be usable as an identifier for the module by machine processing applications such as code generation.

Short Display Name for this condition definition (computer friendly)
Cardinality 0..1
Type string
Requirements

Support human navigation and code generation.

Summary true
Comments

The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly.

Invariants
Affect this element
cnl-0Warning Name should be usable as an identifier for the module by machine processing applications such as code generationname.exists() implies name.matches('^[A-Z]([A-Za-z0-9_]){1,254}$')
ConditionDefinition.title
Element Id ConditionDefinition.title
Definition

A short, descriptive, user-friendly title for the condition definition.

Short Display Name for this condition definition (human friendly)
Cardinality 0..1
Type string
Summary true
Comments

This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc.

ConditionDefinition.subtitle
Element Id ConditionDefinition.subtitle
Definition

An explanatory or alternate title for the event definition giving additional information about its content.

Short Display Subordinate title of the event definition
Cardinality 0..1
Type string
Summary false
ConditionDefinition.status
Element Id ConditionDefinition.status
Definition

The status of this condition definition. Enables tracking the life-cycle of the content.

Short Display draft | active | retired | unknown
Cardinality 1..1
Terminology Binding PublicationStatus (Required)
Type code
Is Modifier true (Reason: This is labeled as "Is Modifier" because applications should not use a retired {{title}} without due consideration)
Summary true
Comments

Allows filtering of condition definitions that are appropriate for use versus not.

See guidance around (not) making local changes to elements here.

ConditionDefinition.experimental
Element Id ConditionDefinition.experimental
Definition

A Boolean value to indicate that this condition definition is authored for testing purposes (or education/evaluation/marketing) and is not intended to be used for genuine usage.

Short Display For testing purposes, not real usage
Cardinality 0..1
Type boolean
Meaning if Missing If absent, this resource is treated as though it is not experimental.
Requirements

Enables experimental content to be developed following the same lifecycle that would be used for a production-level condition definition.

Summary true
Comments

Allows filtering of condition definitions that are appropriate for use versus not.

ConditionDefinition.date
Element Id ConditionDefinition.date
Definition

The date (and optionally time) when the condition definition was last significantly changed. The date must change when the business version changes and it must change if the status code changes. In addition, it should change when the substantive content of the condition definition changes.

Short Display Date last changed
Cardinality 0..1
Type dateTime
Alternate Names Revision Date
Summary true
Comments

The date is often not tracked until the resource is published, but may be present on draft content. Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the condition definition. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource.

See guidance around (not) making local changes to elements here.

ConditionDefinition.publisher
Element Id ConditionDefinition.publisher
Definition

The name of the organization or individual responsible for the release and ongoing maintenance of the condition definition.

Short Display Name of the publisher/steward (organization or individual)
Cardinality 0..1
Type string
Requirements

Helps establish the "authority/credibility" of the condition definition. May also allow for contact.

Summary true
Comments

Usually an organization but may be an individual. The publisher (or steward) of the condition definition is the organization or individual primarily responsible for the maintenance and upkeep of the condition definition. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the condition definition. This item SHOULD be populated unless the information is available from context.

ConditionDefinition.contact
Element Id ConditionDefinition.contact
Definition

Contact details to assist a user in finding and communicating with the publisher.

Short Display Contact details for the publisher
Cardinality 0..*
Type ContactDetail
Summary true
Comments

May be a web site, an email address, a telephone number, etc.

See guidance around (not) making local changes to elements here.

ConditionDefinition.description
Element Id ConditionDefinition.description
Definition

A free text natural language description of the condition definition from a consumer's perspective.

Short Display Natural language description of the condition definition
Cardinality 0..1
Type markdown
Summary false
Comments

This description can be used to capture details such as comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the condition definition as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the condition definition is presumed to be the predominant language in the place the condition definition was created).

ConditionDefinition.useContext
Element Id ConditionDefinition.useContext
Definition

The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate condition definition instances.

Short Display The context that the content is intended to support
Cardinality 0..*
Type UsageContext
Requirements

Assist in searching for appropriate content.

Summary true
Comments

When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.

ConditionDefinition.jurisdiction
Standards Status This element has a standards status of "Deprecated" which is different from the status of the whole resource
Element Id ConditionDefinition.jurisdiction
Definition

A legal or geographic region in which the condition definition is intended to be used.

Short Display Intended jurisdiction for condition definition (if applicable)
Cardinality 0..*
Terminology Binding Jurisdiction ValueSet (Extensible)
Type CodeableConcept
Summary true
Comments

It may be possible for the condition definition to be used in jurisdictions other than those for which it was originally designed or intended.

DEPRECATION NOTE: For consistency, implementations are encouraged to migrate to using the new 'jurisdiction' code in the useContext element. (I.e. useContext.code indicating http://terminology.hl7.org/CodeSystem/usage-context-type#jurisdiction and useContext.valueCodeableConcept indicating the jurisdiction.)

ConditionDefinition.code
Element Id ConditionDefinition.code
Definition

Identification of the condition, problem or diagnosis.

Short Display Identification of the condition, problem or diagnosis
Cardinality 1..1
Terminology Binding Condition/Problem/Diagnosis Codes (Example)
Type CodeableConcept
Requirements

0..1 to account for primarily narrative only resources.

Summary true
ConditionDefinition.severity
Element Id ConditionDefinition.severity
Definition

A subjective assessment of the severity of the condition as evaluated by the clinician.

Short Display Subjective severity of condition
Cardinality 0..1
Terminology Binding Condition/Diagnosis Severity (Preferred)
Type CodeableConcept
Summary true
Comments

Coding of the severity with a terminology is preferred, where possible.

ConditionDefinition.bodySite
Element Id ConditionDefinition.bodySite
Definition

The anatomical location where this condition manifests itself.

Short Display Anatomical location, if relevant
Cardinality 0..1
Terminology Binding SNOMED CT Body Structures (Example)
Type CodeableConcept
Summary true
Comments

Only used if not implicit in code found in ConditionDefinition.code. If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension http://hl7.org/fhir/StructureDefinition/bodySite. May be a summary code, or a reference to a very precise definition of the location, or both.

ConditionDefinition.stage
Element Id ConditionDefinition.stage
Definition

Clinical stage or grade of a condition. May include formal severity assessments.

Short Display Stage/grade, usually assessed formally
Cardinality 0..1
Terminology Binding Condition Stage (Example)
Type CodeableConcept
Summary true
ConditionDefinition.hasSeverity
Element Id ConditionDefinition.hasSeverity
Definition

Whether Severity is appropriate to collect for this condition.

Short Display Whether Severity is appropriate
Cardinality 0..1
Type boolean
Summary false
ConditionDefinition.hasBodySite
Element Id ConditionDefinition.hasBodySite
Definition

Whether bodySite is appropriate to collect for this condition.

Short Display Whether bodySite is appropriate
Cardinality 0..1
Type boolean
Summary false
ConditionDefinition.hasStage
Element Id ConditionDefinition.hasStage
Definition

Whether stage is appropriate to collect for this condition.

Short Display Whether stage is appropriate
Cardinality 0..1
Type boolean
Summary false
ConditionDefinition.definition
Element Id ConditionDefinition.definition
Definition

Formal definitions of the condition. These may be references to ontologies, published clinical protocols or research papers.

Short Display Formal Definition for the condition
Cardinality 0..*
Type uri
Summary false
ConditionDefinition.observation
Element Id ConditionDefinition.observation
Definition

Observations particularly relevant to this condition.

Short Display Observations particularly relevant to this condition
Cardinality 0..*
Type canonical(ObservationDefinition)
Summary false
ConditionDefinition.medication
Element Id ConditionDefinition.medication
Definition

Medications particularly relevant for this condition.

Short Display Medications particularly relevant for this condition
Cardinality 0..*
Summary false
ConditionDefinition.medication.category
Element Id ConditionDefinition.medication.category
Definition

Category that is relevant.

Short Display Category that is relevant
Cardinality 0..1
Terminology Binding Medication request category codes icon (Example)
Type CodeableConcept
Summary false
ConditionDefinition.medication.code
Element Id ConditionDefinition.medication.code
Definition

Code for relevant Medication.

Short Display Code for relevant Medication
Cardinality 0..1
Terminology Binding SNOMED CT Medication Codes (Example)
Type CodeableConcept
Summary false
ConditionDefinition.precondition
Element Id ConditionDefinition.precondition
Definition

An observation that suggests that this condition applies.

Short Display Observation that suggets this condition
Cardinality 0..*
Summary false
ConditionDefinition.precondition.type
Element Id ConditionDefinition.precondition.type
Definition

Kind of pre-condition.

Short Display sensitive | specific
Cardinality 1..1
Terminology Binding Condition Precondition Type (Required)
Type code
Summary false
ConditionDefinition.precondition.code
Element Id ConditionDefinition.precondition.code
Definition

Code for relevant Observation.

Short Display Code for relevant Observation
Cardinality 1..1
Terminology Binding LOINC Codes (Example)
Type CodeableConcept
Summary false
ConditionDefinition.precondition.value[x]
Element Id ConditionDefinition.precondition.value[x]
Definition

Value of Observation.

Short Display Value of Observation
Cardinality 0..1
Type CodeableConcept|Quantity
[x] Note See Choice of Datatypes for further information about how to use [x]
Summary false
ConditionDefinition.team
Element Id ConditionDefinition.team
Definition

Appropriate team for this condition.

Short Display Appropriate team for this condition
Cardinality 0..*
Type Reference(CareTeam)
Summary false
ConditionDefinition.questionnaire
Element Id ConditionDefinition.questionnaire
Definition

Questionnaire for this condition.

Short Display Questionnaire for this condition
Cardinality 0..*
Summary false
ConditionDefinition.questionnaire.purpose
Element Id ConditionDefinition.questionnaire.purpose
Definition

Use of the questionnaire.

Short Display preadmit | diff-diagnosis | outcome
Cardinality 1..1
Terminology Binding Condition Questionnaire Purpose (Required)
Type code
Summary false
ConditionDefinition.questionnaire.reference
Element Id ConditionDefinition.questionnaire.reference
Definition

Specific Questionnaire.

Short Display Specific Questionnaire
Cardinality 1..1
Type Reference(Questionnaire)
Summary false
ConditionDefinition.plan
Element Id ConditionDefinition.plan
Definition

Plan that is appropriate.

Short Display Plan that is appropriate
Cardinality 0..*
Summary false
ConditionDefinition.plan.role
Element Id ConditionDefinition.plan.role
Definition

Use for the plan.

Short Display Use for the plan
Cardinality 0..1
Type CodeableConcept
Summary false
ConditionDefinition.plan.reference
Element Id ConditionDefinition.plan.reference
Definition

The actual plan.

Short Display The actual plan
Cardinality 1..1
Type Reference(PlanDefinition)
Summary false