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Profile for condition
<Profile xmlns="http://hl7.org/fhir"> <text> <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><pre> <<a class="dict" href="condition-definitions.html#Condition" title="Use to record detailed information about conditions, problems or diagnoses recognized by a clinician. There are many uses including: recording a Diagnosis during an Encounter; populating a problem List or a Summary Statement, such as a Discharge Summary."><b>Condition</b></a> xmlns="http://hl7.org/fhir"> <span style="float: right"><a href="formats.html" title="Documentation for this format"><img alt="doco" src="help.png"/></a></span> <!-- from <a href="resources.html">Resource</a>: <a href="extensibility.html">extension</a>, <a href="extensibility.html#modifierExtension">modifierExtension</a>, language, <a href="narrative.html#Narrative">text</a>, and <a href="references.html#contained">contained</a> --> <<a class="dict" href="condition-definitions.html#Condition.identifier" title="This records identifiers associated with this condition that are defined by business processed and/ or used to refer to it when a direct URL reference to the resource itself is not appropriate (e.g. in CDA documents, or in written / printed documentation)."><b>identifier</b></a>><span style="color: Gray"><!--</span> <span style="color: brown"><b>0..*</b></span> <span style="color: darkgreen"><a href="datatypes.html#Identifier">Identifier</a></span> <span style="color: navy">External Ids for this condition</span><span style="color: Gray"> --></span></identifier> <<a class="dict" href="condition-definitions.html#Condition.subject" title="Indicates the patient who the condition record is associated with."><b>subject</b></a>><span style="color: Gray"><!--</span> <span style="color: brown"><b>1..1</b></span> <span style="color: darkgreen"><a href="references.html#Resource">Resource</a>(<a href="patient.html#Patient">Patient</a>)</span> <span style="color: navy">Who has the condition?</span><span style="color: Gray"> --></span></subject> <<a class="dict" href="condition-definitions.html#Condition.encounter" title="Encounter during which the condition was first asserted."><b>encounter</b></a>><span style="color: Gray"><!--</span> <span style="color: brown"><b>0..1</b></span> <span style="color: darkgreen"><a href="references.html#Resource">Resource</a>(<a href="encounter.html#Encounter">Encounter</a>)</span> <span style="color: navy">Encounter when condition first asserted</span><span style="color: Gray"> --></span></encounter> <<a class="dict" href="condition-definitions.html#Condition.asserter" title="Person who takes responsibility for asserting the existence of the condition as part of the electronic record."><b>asserter</b></a>><span style="color: Gray"><!--</span> <span style="color: brown"><b>0..1</b></span> <span style="color: darkgreen"><a href="references.html#Resource">Resource</a>(<a href="practitioner.html#Practitioner">Practitioner</a>|<a href="patient.html#Patient">Patient</a>)</span> <span style="color: navy">Person who asserts this condition</span><span style="color: Gray"> --></span></asserter> <<a class="dict" href="condition-definitions.html#Condition.dateAsserted" title="Estimated or actual date the condition/problem/diagnosis was first detected/suspected."><b>dateAsserted</b></a> value="[<span style="color: darkgreen"><a href="datatypes.html#date">date</a></span>]"/><span style="color: Gray"><!--</span> <span style="color: brown"><b>0..1</b></span> <span style="color: navy">When first detected/suspected/entered</span><span style="color: Gray"> --></span> <<a class="dict" href="condition-definitions.html#Condition.code" title="Identification of the condition, problem or diagnosis."><b>code</b></a>><span style="color: Gray"><!--</span> <span style="color: brown"><b>1..1</b></span> <span style="color: darkgreen"><a href="datatypes.html#CodeableConcept">CodeableConcept</a></span> <span style="color: navy"><a href="valueset-condition-code.html" style="color: navy">Identification of the condition, problem or diagnosis</a></span><span style="color: Gray"> --></span></code> <<a class="dict" href="condition-definitions.html#Condition.category" title="A category assigned to the condition. E.g. complaint | symptom | finding | diagnosis."><b>category</b></a>><span style="color: Gray"><!--</span> <span style="color: brown"><b>0..1</b></span> <span style="color: darkgreen"><a href="datatypes.html#CodeableConcept">CodeableConcept</a></span> <span style="color: navy"><a href="valueset-condition-category.html" style="color: navy">E.g. complaint | symptom | finding | diagnosis</a></span><span style="color: Gray"> --></span></category> <<a class="dict" href="condition-definitions.html#Condition.status" title="The clinical status of the condition (this element modifies the meaning of other elements)"><span style="text-decoration: underline"><b>status</b></span></a> value="[<span style="color: darkgreen"><a href="datatypes.html#code">code</a></span>]"/><span style="color: Gray"><!--</span> <span style="color: brown"><b>1..1</b></span> <span style="color: navy"><a href="condition-status.html" style="color: navy">provisional | working | confirmed | refuted</a></span><span style="color: Gray"> --></span> <<a class="dict" href="condition-definitions.html#Condition.certainty" title="The degree of confidence that this condition is correct (this element modifies the meaning of other elements)"><span style="text-decoration: underline"><b>certainty</b></span></a>><span style="color: Gray"><!--</span> <span style="color: brown"><b>0..1</b></span> <span style="color: darkgreen"><a href="datatypes.html#CodeableConcept">CodeableConcept</a></span> <span style="color: navy"><a href="valueset-condition-certainty.html" style="color: navy">Degree of confidence</a></span><span style="color: Gray"> --></span></certainty> <<a class="dict" href="condition-definitions.html#Condition.severity" title="A subjective assessment of the severity of the condition as evaluated by the clinician."><b>severity</b></a>><span style="color: Gray"><!--</span> <span style="color: brown"><b>0..1</b></span> <span style="color: darkgreen"><a href="datatypes.html#CodeableConcept">CodeableConcept</a></span> <span style="color: navy"><a href="valueset-condition-severity.html" style="color: navy">Subjective severity of condition</a></span><span style="color: Gray"> --></span></severity> <<a class="dict" href="condition-definitions.html#Condition.onset_x_" title="Estimated or actual date the condition began, in the opinion of the clinician."><b>onset[x]</b></a>><span style="color: Gray"><!--</span> <span style="color: brown"><b>0..1</b></span> <span style="color: darkgreen"><a href="datatypes.html#date">date</a>|<a href="datatypes.html#Age">Age</a></span> <span style="color: navy">Estimated or actual date, or age</span><span style="color: Gray"> --></span></onset[x]> <<a class="dict" href="condition-definitions.html#Condition.abatement_x_" title="The date or estimated date that the condition resolved or went into remission. This is called "abatement" because of the many overloaded connotations associated with "remission" or "resolution" - Conditions are never really resolved, but they can abate."><b>abatement[x]</b></a>><span style="color: Gray"><!--</span> <span style="color: brown"><b>0..1</b></span> <span style="color: darkgreen"><a href="datatypes.html#date">date</a>|<a href="datatypes.html#Age">Age</a>|<a href="datatypes.html#boolean">boolean</a></span> <span style="color: navy">If/when in resolution/remission</span><span style="color: Gray"> --></span></abatement[x]> <<a class="dict" href="condition-definitions.html#Condition.stage" title="Clinical stage or grade of a condition. May include formal severity assessments."><b>stage</b></a>> <span style="color: Gray"><!-- <span style="color: brown"><b>0..1</b></span> Stage/grade, usually assessed formally --></span> <<a class="dict" href="condition-definitions.html#Condition.stage.summary" title="A simple summary of the stage such as "Stage 3". The determination of the stage is disease-specific."><b>summary</b></a>><span style="color: Gray"><!--</span> <span style="color: brown" title="Inv-1: Stage SHALL have summary or assessment"><b><img alt="??" src="lock.png"/> 0..1</b></span> <span style="color: darkgreen"><a href="datatypes.html#CodeableConcept">CodeableConcept</a></span> <span style="color: navy">Simple summary (disease specific)</span><span style="color: Gray"> --></span></summary> <<a class="dict" href="condition-definitions.html#Condition.stage.assessment" title="Reference to a formal record of the evidence on which the staging assessment is based."><b>assessment</b></a>><span style="color: Gray"><!--</span> <span style="color: brown" title="Inv-1: Stage SHALL have summary or assessment"><b><img alt="??" src="lock.png"/> 0..*</b></span> <span style="color: darkgreen"><a href="references.html#Resource">Resource</a>(<a href="resourcelist.html">Any</a>)</span> <span style="color: navy">Formal record of assessment</span><span style="color: Gray"> --></span></assessment> </stage> <<a class="dict" href="condition-definitions.html#Condition.evidence" title="Supporting Evidence / manifestations that are the basis on which this condition is suspected or confirmed."><b>evidence</b></a>> <span style="color: Gray"><!-- <span style="color: brown"><b>0..*</b></span> Supporting evidence --></span> <<a class="dict" href="condition-definitions.html#Condition.evidence.code" title="A manifestation or symptom that led to the recording of this condition."><b>code</b></a>><span style="color: Gray"><!--</span> <span style="color: brown" title="Inv-2: evidence SHALL have code or details"><b><img alt="??" src="lock.png"/> 0..1</b></span> <span style="color: darkgreen"><a href="datatypes.html#CodeableConcept">CodeableConcept</a></span> <span style="color: navy">Manifestation/symptom</span><span style="color: Gray"> --></span></code> <<a class="dict" href="condition-definitions.html#Condition.evidence.detail" title="Links to other relevant information, including pathology reports."><b>detail</b></a>><span style="color: Gray"><!--</span> <span style="color: brown" title="Inv-2: evidence SHALL have code or details"><b><img alt="??" src="lock.png"/> 0..*</b></span> <span style="color: darkgreen"><a href="references.html#Resource">Resource</a>(<a href="resourcelist.html">Any</a>)</span> <span style="color: navy">Supporting information found elsewhere</span><span style="color: Gray"> --></span></detail> </evidence> <<a class="dict" href="condition-definitions.html#Condition.location" title="The anatomical location where this condition manifests itself."><b>location</b></a>> <span style="color: Gray"><!-- <span style="color: brown"><b>0..*</b></span> Anatomical location, if relevant --></span> <<a class="dict" href="condition-definitions.html#Condition.location.code" title="Code that identifies the structural location."><b>code</b></a>><span style="color: Gray"><!--</span> <span style="color: brown" title="Inv-3: location SHALL have code or details"><b><img alt="??" src="lock.png"/> 0..1</b></span> <span style="color: darkgreen"><a href="datatypes.html#CodeableConcept">CodeableConcept</a></span> <span style="color: navy">Location - may include laterality</span><span style="color: Gray"> --></span></code> <<a class="dict" href="condition-definitions.html#Condition.location.detail" title="Detailed anatomical location information."><b>detail</b></a> value="[<span style="color: darkgreen"><a href="datatypes.html#string">string</a></span>]"/><span style="color: Gray"><!--</span> <span style="color: brown" title="Inv-3: location SHALL have code or details"><b><img alt="??" src="lock.png"/> 0..1</b></span> <span style="color: navy">Precise location details</span><span style="color: Gray"> --></span> </location> <<a class="dict" href="condition-definitions.html#Condition.relatedItem" title="Further conditions, problems, diagnoses, procedures or events that are related in some way to this condition, or the substance that caused/triggered this Condition."><b>relatedItem</b></a>> <span style="color: Gray"><!-- <span style="color: brown"><b>0..*</b></span> Causes or precedents for this Condition --></span> <<a class="dict" href="condition-definitions.html#Condition.relatedItem.type" title="The type of relationship that this condition has to the related item."><b>type</b></a> value="[<span style="color: darkgreen"><a href="datatypes.html#code">code</a></span>]"/><span style="color: Gray"><!--</span> <span style="color: brown"><b>1..1</b></span> <span style="color: navy"><a href="condition-relationship-type.html" style="color: navy">due-to | following</a></span><span style="color: Gray"> --></span> <<a class="dict" href="condition-definitions.html#Condition.relatedItem.code" title="Code that identifies the target of this relationship. The code takes the place of a detailed instance target."><b>code</b></a>><span style="color: Gray"><!--</span> <span style="color: brown" title="Inv-4: Relationship SHALL have either a code or a target"><b><img alt="??" src="lock.png"/> 0..1</b></span> <span style="color: darkgreen"><a href="datatypes.html#CodeableConcept">CodeableConcept</a></span> <span style="color: navy"><a href="valueset-condition-code.html" style="color: navy">Relationship target by means of a predefined code</a></span><span style="color: Gray"> --></span></code> <<a class="dict" href="condition-definitions.html#Condition.relatedItem.target" title="Target of the relationship."><b>target</b></a>><span style="color: Gray"><!--</span> <span style="color: brown" title="Inv-4: Relationship SHALL have either a code or a target"><b><img alt="??" src="lock.png"/> 0..1</b></span> <span style="color: darkgreen"><a href="references.html#Resource">Resource</a>(<a href="condition.html#Condition">Condition</a>|<a href="procedure.html#Procedure">Procedure</a>|<a href="medicationadministration.html#MedicationAdministration">MedicationAdministration</a>| <a href="immunization.html#Immunization">Immunization</a>|<a href="medicationstatement.html#MedicationStatement">MedicationStatement</a>)</span> <span style="color: navy">Relationship target resource</span><span style="color: Gray"> --></span></target> </relatedItem> <<a class="dict" href="condition-definitions.html#Condition.notes" title="Additional information about the Condition. This is a general notes/comments entry for description of the Condition, its diagnosis and prognosis."><b>notes</b></a> value="[<span style="color: darkgreen"><a href="datatypes.html#string">string</a></span>]"/><span style="color: Gray"><!--</span> <span style="color: brown"><b>0..1</b></span> <span style="color: navy">Additional information about the Condition</span><span style="color: Gray"> --></span> </Condition> </pre></div> </text> <name value="condition"/> <publisher value="FHIR Project"/> <description value="Basic Profile. Use to record detailed information about conditions, problems or diagnoses recognized by a clinician. There are many uses including: recording a Diagnosis during an Encounter; populating a problem List or a Summary Statement, such as a Discharge Summary."/> <status value="draft"/> <date value="2014-09-30"/> <requirements value="Scope and Usage This resource is used to record detailed information about a specific aspect of or issue with the health state of a patient. It is intended for use for issues that have been identified as relevant for tracking and reporting purposes or where there's a need to capture a concrete diagnosis or the gathering of data such as signs and symptoms. There are situations where the same information might appear as both an observation as well as a condition. For example, the appearance of a rash or an instance of a fever are signs and symptoms that would typically be captured using the Observation resource. However, a pattern of ongoing fevers or a persistent or severe rash requiring treatment might be captured as a condition. The Condition resource specifically excludes AdverseReactions and AllergyIntolerances as those are handled with their own resources. The Condition resource may be used to record positive aspects of the health state of a patient (e.g. pregnancy) as well as the major use, which is for problems/concerns (e.g. hypertension). Conditions are frequently referenced by other resources as "reasons" for an action (Prescription, Procedure, DiagnosticOrder, etc.) The conditions represented in this resources are sometimes described as "Problems", and kept as part of a problem list."/> <mapping> <identity value="rim"/> <uri value="http://hl7.org/v3"/> <name value="RIM"/> </mapping> <mapping> <identity value="v2"/> <uri value="http://hl7.org/v2"/> <name value="HL7 v2"/> </mapping> <structure> <type value="Condition"/> <publish value="true"/> <element> <path value="Condition"/> <definition> <short value="Detailed information about conditions, problems or diagnoses"/> <formal value="Use to record detailed information about conditions, problems or diagnoses recognized by a clinician. There are many uses including: recording a Diagnosis during an Encounter; populating a problem List or a Summary Statement, such as a Discharge Summary."/> <min value="1"/> <max value="1"/> <type> <code value="Resource"/> </type> <isModifier value="false"/> <mapping> <identity value="rim"/> <map value="Observation[classCode=OBS, moodCode=EVN, code=ASSERTION, value<Diagnosis]"/> </mapping> <mapping> <identity value="v2"/> <map value="PPR message"/> </mapping> </definition> </element> <element> <path value="Condition.extension"/> <definition> <short value="Additional Content defined by implementations"/> <formal value="May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/> <comments value="there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone."/> <synonym value="extensions"/> <synonym value="user content"/> <min value="0"/> <max value="*"/> <type> <code value="Extension"/> </type> <isModifier value="false"/> </definition> </element> <element> <path value="Condition.modifierExtension"/> <definition> <short value="Extensions that cannot be ignored"/> <formal value="May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions."/> <comments value="there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone."/> <synonym value="extensions"/> <synonym value="user content"/> <min value="0"/> <max value="*"/> <type> <code value="Extension"/> </type> <isModifier value="false"/> </definition> </element> <element> <path value="Condition.text"/> <definition> <short value="Text summary of the resource, for human interpretation"/> <formal value="A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety."/> <comments value="Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative."/> <synonym value="narrative"/> <synonym value="html"/> <synonym value="xhtml"/> <synonym value="display"/> <min value="0"/> <max value="1"/> <type> <code value="Narrative"/> </type> <isModifier value="false"/> </definition> </element> <element> <path value="Condition.contained"/> <definition> <short value="Contained, inline Resources"/> <formal value="These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope."/> <comments value="This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again."/> <synonym value="inline resources"/> <synonym value="anonymous resources"/> <synonym value="contained resources"/> <min value="0"/> <max value="*"/> <type> <code value="Resource"/> </type> <isModifier value="false"/> </definition> </element> <element> <path value="Condition.identifier"/> <definition> <short value="External Ids for this condition"/> <formal value="This records identifiers associated with this condition that are defined by business processed and/ or used to refer to it when a direct URL reference to the resource itself is not appropriate (e.g. in CDA documents, or in written / printed documentation)."/> <min value="0"/> <max value="*"/> <type> <code value="Identifier"/> </type> <isModifier value="false"/> <mapping> <identity value="rim"/> <map value=".id"/> </mapping> </definition> </element> <element> <path value="Condition.subject"/> <definition> <short value="Who has the condition?"/> <formal value="Indicates the patient who the condition record is associated with."/> <min value="1"/> <max value="1"/> <type> <code value="ResourceReference"/> <profile value="http://hl7.org/fhir/profiles/Patient"/> </type> <isModifier value="false"/> <mapping> <identity value="rim"/> <map value=".participation[typeCode=SBJ].role[classCode=PAT]"/> </mapping> <mapping> <identity value="v2"/> <map value="PID-3"/> </mapping> </definition> </element> <element> <path value="Condition.encounter"/> <definition> <short value="Encounter when condition first asserted"/> <formal value="Encounter during which the condition was first asserted."/> <min value="0"/> <max value="1"/> <type> <code value="ResourceReference"/> <profile value="http://hl7.org/fhir/profiles/Encounter"/> </type> <isModifier value="false"/> <mapping> <identity value="rim"/> <map value=".inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]"/> </mapping> <mapping> <identity value="v2"/> <map value="PV1-19 (+PV1-54)"/> </mapping> </definition> </element> <element> <path value="Condition.asserter"/> <definition> <short value="Person who asserts this condition"/> <formal value="Person who takes responsibility for asserting the existence of the condition as part of the electronic record."/> <min value="0"/> <max value="1"/> <type> <code value="ResourceReference"/> <profile value="http://hl7.org/fhir/profiles/Practitioner"/> </type> <type> <code value="ResourceReference"/> <profile value="http://hl7.org/fhir/profiles/Patient"/> </type> <isModifier value="false"/> <mapping> <identity value="rim"/> <map value=".participation[typeCode=AUT].role"/> </mapping> <mapping> <identity value="v2"/> <map value="REL-7.1 identifier + REL-7.12 type code"/> </mapping> </definition> </element> <element> <path value="Condition.dateAsserted"/> <definition> <short value="When first detected/suspected/entered"/> <formal value="Estimated or actual date the condition/problem/diagnosis was first detected/suspected."/> <min value="0"/> <max value="1"/> <type> <code value="date"/> </type> <isModifier value="false"/> <mapping> <identity value="rim"/> <map value=".participation[typeCode=AUT].time"/> </mapping> <mapping> <identity value="v2"/> <map value="REL-11"/> </mapping> </definition> </element> <element> <path value="Condition.code"/> <definition> <short value="Identification of the condition, problem or diagnosis"/> <formal value="Identification of the condition, problem or diagnosis."/> <min value="1"/> <max value="1"/> <type> <code value="CodeableConcept"/> </type> <isModifier value="false"/> <binding> <name value="ConditionKind"/> <isExtensible value="true"/> <conformance value="example"/> <referenceResource> <reference value="http://hl7.org/fhir/vs/condition-code"/> </referenceResource> </binding> <mapping> <identity value="rim"/> <map value=".value"/> </mapping> <mapping> <identity value="v2"/> <map value="PRB-3"/> </mapping> </definition> </element> <element> <path value="Condition.category"/> <definition> <short value="E.g. complaint | symptom | finding | diagnosis"/> <formal value="A category assigned to the condition. E.g. complaint | symptom | finding | diagnosis."/> <comments value="The categorization is often highly contextual and may appear poorly differentiated or not very useful in other contexts."/> <min value="0"/> <max value="1"/> <type> <code value="CodeableConcept"/> </type> <isModifier value="false"/> <binding> <name value="ConditionCategory"/> <isExtensible value="true"/> <conformance value="preferred"/> <referenceResource> <reference value="http://hl7.org/fhir/vs/condition-category"/> </referenceResource> </binding> <mapping> <identity value="rim"/> <map value=".code"/> </mapping> <mapping> <identity value="v2"/> <map value="'problem' if from PRB-3. 'diagnosis' if from DG1 segment in PV1 message"/> </mapping> </definition> </element> <element> <path value="Condition.status"/> <definition> <short value="provisional | working | confirmed | refuted"/> <formal value="The clinical status of the condition."/> <min value="1"/> <max value="1"/> <type> <code value="code"/> </type> <isModifier value="true"/> <binding> <name value="ConditionStatus"/> <isExtensible value="false"/> <conformance value="required"/> <referenceResource> <reference value="http://hl7.org/fhir/vs/condition-status"/> </referenceResource> </binding> <mapping> <identity value="rim"/> <map value=".code (pre or post-coordinated in) Can use valueNegationInd for refuted"/> </mapping> <mapping> <identity value="v2"/> <map value="PRB-14 / DG1-6"/> </mapping> </definition> </element> <element> <path value="Condition.certainty"/> <definition> <short value="Degree of confidence"/> <formal value="The degree of confidence that this condition is correct."/> <comments value="May be a percentage."/> <min value="0"/> <max value="1"/> <type> <code value="CodeableConcept"/> </type> <isModifier value="true"/> <binding> <name value="ConditionCertainty"/> <isExtensible value="true"/> <conformance value="example"/> <referenceResource> <reference value="http://hl7.org/fhir/vs/condition-certainty"/> </referenceResource> </binding> <mapping> <identity value="rim"/> <map value=".uncertaintyCode"/> </mapping> <mapping> <identity value="v2"/> <map value="PRB-19"/> </mapping> </definition> </element> <element> <path value="Condition.severity"/> <definition> <short value="Subjective severity of condition"/> <formal value="A subjective assessment of the severity of the condition as evaluated by the clinician."/> <comments value="Coding of the severity with a terminology is preferred, where possible."/> <min value="0"/> <max value="1"/> <type> <code value="CodeableConcept"/> </type> <isModifier value="false"/> <binding> <name value="ConditionSeverity"/> <isExtensible value="true"/> <conformance value="example"/> <referenceResource> <reference value="http://hl7.org/fhir/vs/condition-severity"/> </referenceResource> </binding> <mapping> <identity value="rim"/> <map value="Can be pre/post-coordinated into value. Or ./inboundRelationship[typeCode=SUBJ].source[classCode=OB S, moodCode=EVN, code="severity"].value"/> </mapping> <mapping> <identity value="v2"/> <map value="PRB-26 / ABS-3"/> </mapping> </definition> </element> <element> <path value="Condition.onset[x]"/> <definition> <short value="Estimated or actual date, or age"/> <formal value="Estimated or actual date the condition began, in the opinion of the clinician."/> <comments value="Age is generally used when the patient reports an age at which the Condition began to occur."/> <min value="0"/> <max value="1"/> <type> <code value="date"/> </type> <type> <code value="Age"/> </type> <isModifier value="false"/> <mapping> <identity value="rim"/> <map value=".effectiveTime.low or .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="age at onset"].value"/> </mapping> <mapping> <identity value="v2"/> <map value="PRB-16"/> </mapping> </definition> </element> <element> <path value="Condition.abatement[x]"/> <definition> <short value="If/when in resolution/remission"/> <formal value="The date or estimated date that the condition resolved or went into remission. This is called "abatement" because of the many overloaded connotations associated with "remission" or "resolution" - Conditions are never really resolved, but they can abate."/> <comments value="There is no explicit distinction between resolution and remission because in many cases the distinction is not clear. Age is generally used when the patient reports an age at which the Condition abated. If there is no abatement element, it is unknown whether the condition has resolved or entered remission; applications and users should generally assume that the condition is still valid."/> <min value="0"/> <max value="1"/> <type> <code value="date"/> </type> <type> <code value="Age"/> </type> <type> <code value="boolean"/> </type> <isModifier value="false"/> <mapping> <identity value="rim"/> <map value=".effectiveTime.high or .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="age at remission"].value or .inboundRelationship[typeCode=SUBJ]source[classCode=CONC , moodCode=EVN].status=completed"/> </mapping> </definition> </element> <element> <path value="Condition.stage"/> <definition> <short value="Stage/grade, usually assessed formally"/> <formal value="Clinical stage or grade of a condition. May include formal severity assessments."/> <min value="0"/> <max value="1"/> <constraint> <key value="1"/> <name value="Stage rule"/> <severity value="error"/> <human value="Stage SHALL have summary or assessment"/> <xpath value="exists(f:summary) or exists(f:assessment)"/> </constraint> <isModifier value="false"/> <mapping> <identity value="rim"/> <map value="./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="stage/grade" ;]"/> </mapping> </definition> </element> <element> <path value="Condition.stage.extension"/> <definition> <short value="Additional Content defined by implementations"/> <formal value="May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/> <comments value="there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone."/> <synonym value="extensions"/> <synonym value="user content"/> <min value="0"/> <max value="*"/> <type> <code value="Extension"/> </type> <isModifier value="false"/> </definition> </element> <element> <path value="Condition.stage.modifierExtension"/> <definition> <short value="Extensions that cannot be ignored"/> <formal value="May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions."/> <comments value="there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone."/> <synonym value="extensions"/> <synonym value="user content"/> <min value="0"/> <max value="*"/> <type> <code value="Extension"/> </type> <isModifier value="false"/> </definition> </element> <element> <path value="Condition.stage.summary"/> <definition> <short value="Simple summary (disease specific)"/> <formal value="A simple summary of the stage such as "Stage 3". The determination of the stage is disease-specific."/> <min value="0"/> <max value="1"/> <type> <code value="CodeableConcept"/> </type> <isModifier value="false"/> <mapping> <identity value="rim"/> <map value=".value"/> </mapping> </definition> </element> <element> <path value="Condition.stage.assessment"/> <definition> <short value="Formal record of assessment"/> <formal value="Reference to a formal record of the evidence on which the staging assessment is based."/> <min value="0"/> <max value="*"/> <type> <code value="ResourceReference"/> <profile value="http://hl7.org/fhir/profiles/Any"/> </type> <isModifier value="false"/> <mapping> <identity value="rim"/> <map value=".self"/> </mapping> </definition> </element> <element> <path value="Condition.evidence"/> <definition> <short value="Supporting evidence"/> <formal value="Supporting Evidence / manifestations that are the basis on which this condition is suspected or confirmed."/> <comments value="The evidence may be a simple list of coded symptoms/manifestations, or references to observations or formal assessments, or both."/> <min value="0"/> <max value="*"/> <constraint> <key value="2"/> <name value="Evidence"/> <severity value="error"/> <human value="evidence SHALL have code or details"/> <xpath value="exists(f:code) or exists(f:detail)"/> </constraint> <isModifier value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=SPRT].target[classCode=OBS, moodCode=EVN]"/> </mapping> </definition> </element> <element> <path value="Condition.evidence.extension"/> <definition> <short value="Additional Content defined by implementations"/> <formal value="May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/> <comments value="there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone."/> <synonym value="extensions"/> <synonym value="user content"/> <min value="0"/> <max value="*"/> <type> <code value="Extension"/> </type> <isModifier value="false"/> </definition> </element> <element> <path value="Condition.evidence.modifierExtension"/> <definition> <short value="Extensions that cannot be ignored"/> <formal value="May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions."/> <comments value="there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone."/> <synonym value="extensions"/> <synonym value="user content"/> <min value="0"/> <max value="*"/> <type> <code value="Extension"/> </type> <isModifier value="false"/> </definition> </element> <element> <path value="Condition.evidence.code"/> <definition> <short value="Manifestation/symptom"/> <formal value="A manifestation or symptom that led to the recording of this condition."/> <min value="0"/> <max value="1"/> <type> <code value="CodeableConcept"/> </type> <isModifier value="false"/> <mapping> <identity value="rim"/> <map value="[code="diagnosis"].value"/> </mapping> </definition> </element> <element> <path value="Condition.evidence.detail"/> <definition> <short value="Supporting information found elsewhere"/> <formal value="Links to other relevant information, including pathology reports."/> <min value="0"/> <max value="*"/> <type> <code value="ResourceReference"/> <profile value="http://hl7.org/fhir/profiles/Any"/> </type> <isModifier value="false"/> <mapping> <identity value="rim"/> <map value=".self"/> </mapping> </definition> </element> <element> <path value="Condition.location"/> <definition> <short value="Anatomical location, if relevant"/> <formal value="The anatomical location where this condition manifests itself."/> <comments value="May be a summary code, or a reference to a very precise definition of the location, or both."/> <min value="0"/> <max value="*"/> <constraint> <key value="3"/> <name value="Location"/> <severity value="error"/> <human value="location SHALL have code or details"/> <xpath value="exists(f:code) or exists(f:detail)"/> </constraint> <isModifier value="false"/> <mapping> <identity value="rim"/> <map value=".targetBodySiteCode"/> </mapping> </definition> </element> <element> <path value="Condition.location.extension"/> <definition> <short value="Additional Content defined by implementations"/> <formal value="May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/> <comments value="there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone."/> <synonym value="extensions"/> <synonym value="user content"/> <min value="0"/> <max value="*"/> <type> <code value="Extension"/> </type> <isModifier value="false"/> </definition> </element> <element> <path value="Condition.location.modifierExtension"/> <definition> <short value="Extensions that cannot be ignored"/> <formal value="May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions."/> <comments value="there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone."/> <synonym value="extensions"/> <synonym value="user content"/> <min value="0"/> <max value="*"/> <type> <code value="Extension"/> </type> <isModifier value="false"/> </definition> </element> <element> <path value="Condition.location.code"/> <definition> <short value="Location - may include laterality"/> <formal value="Code that identifies the structural location."/> <comments value="May include laterality."/> <min value="0"/> <max value="1"/> <type> <code value="CodeableConcept"/> </type> <isModifier value="false"/> <mapping> <identity value="rim"/> <map value=".self"/> </mapping> </definition> </element> <element> <path value="Condition.location.detail"/> <definition> <short value="Precise location details"/> <formal value="Detailed anatomical location information."/> <min value="0"/> <max value="1"/> <type> <code value="string"/> </type> <isModifier value="false"/> <mapping> <identity value="rim"/> <map value=".originalText"/> </mapping> </definition> </element> <element> <path value="Condition.relatedItem"/> <definition> <short value="Causes or precedents for this Condition"/> <formal value="Further conditions, problems, diagnoses, procedures or events that are related in some way to this condition, or the substance that caused/triggered this Condition."/> <comments value="Although a condition may be caused by a substance, this is not intended to be used to record allergies/adverse reactions to substances."/> <min value="0"/> <max value="*"/> <constraint> <key value="4"/> <name value="Relationship"/> <severity value="error"/> <human value="Relationship SHALL have either a code or a target"/> <xpath value="exists(f:code) != exists(f:target)"/> </constraint> <isModifier value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=RSON, SAS]"/> </mapping> <mapping> <identity value="v2"/> <map value="could infer from presence of multiple PRB segments in a PPR message that the problems are related, but not clear how to communicate the nature of the relationship"/> </mapping> </definition> </element> <element> <path value="Condition.relatedItem.extension"/> <definition> <short value="Additional Content defined by implementations"/> <formal value="May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/> <comments value="there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone."/> <synonym value="extensions"/> <synonym value="user content"/> <min value="0"/> <max value="*"/> <type> <code value="Extension"/> </type> <isModifier value="false"/> </definition> </element> <element> <path value="Condition.relatedItem.modifierExtension"/> <definition> <short value="Extensions that cannot be ignored"/> <formal value="May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions."/> <comments value="there can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core simplicity for everyone."/> <synonym value="extensions"/> <synonym value="user content"/> <min value="0"/> <max value="*"/> <type> <code value="Extension"/> </type> <isModifier value="false"/> </definition> </element> <element> <path value="Condition.relatedItem.type"/> <definition> <short value="due-to | following"/> <formal value="The type of relationship that this condition has to the related item."/> <min value="1"/> <max value="1"/> <type> <code value="code"/> </type> <isModifier value="false"/> <binding> <name value="ConditionRelationshipType"/> <isExtensible value="false"/> <conformance value="required"/> <referenceResource> <reference value="http://hl7.org/fhir/vs/condition-relationship-type"/> </referenceResource> </binding> <mapping> <identity value="rim"/> <map value=".typeCode"/> </mapping> </definition> </element> <element> <path value="Condition.relatedItem.code"/> <definition> <short value="Relationship target by means of a predefined code"/> <formal value="Code that identifies the target of this relationship. The code takes the place of a detailed instance target."/> <min value="0"/> <max value="1"/> <type> <code value="CodeableConcept"/> </type> <isModifier value="false"/> <binding> <name value="ConditionKind"/> <isExtensible value="true"/> <conformance value="example"/> <referenceResource> <reference value="http://hl7.org/fhir/vs/condition-code"/> </referenceResource> </binding> <mapping> <identity value="rim"/> <map value=".target[classCode=OBS, moodCode=EVN].code"/> </mapping> </definition> </element> <element> <path value="Condition.relatedItem.target"/> <definition> <short value="Relationship target resource"/> <formal value="Target of the relationship."/> <min value="0"/> <max value="1"/> <type> <code value="ResourceReference"/> <profile value="http://hl7.org/fhir/profiles/Condition"/> </type> <type> <code value="ResourceReference"/> <profile value="http://hl7.org/fhir/profiles/Procedure"/> </type> <type> <code value="ResourceReference"/> <profile value="http://hl7.org/fhir/profiles/MedicationAdministration"/> </type> <type> <code value="ResourceReference"/> <profile value="http://hl7.org/fhir/profiles/Immunization"/> </type> <type> <code value="ResourceReference"/> <profile value="http://hl7.org/fhir/profiles/MedicationStatement"/> </type> <isModifier value="false"/> <mapping> <identity value="rim"/> <map value=".target[classCode=OBS, moodCode=EVN]"/> </mapping> </definition> </element> <element> <path value="Condition.notes"/> <definition> <short value="Additional information about the Condition"/> <formal value="Additional information about the Condition. This is a general notes/comments entry for description of the Condition, its diagnosis and prognosis."/> <min value="0"/> <max value="1"/> <type> <code value="string"/> </type> <isModifier value="false"/> <mapping> <identity value="rim"/> <map value=".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="annotation"] .value"/> </mapping> <mapping> <identity value="v2"/> <map value="NTE child of PRB"/> </mapping> </definition> </element> <searchParam> <name value="_id"/> <type value="token"/> <documentation value="The logical resource id associated with the resource (must be supported by all servers)"/> </searchParam> <searchParam> <name value="_language"/> <type value="token"/> <documentation value="The language of the resource"/> </searchParam> <searchParam> <name value="asserter"/> <type value="reference"/> <documentation value="Person who asserts this condition"/> <xpath value="f:Condition/f:asserter"/> </searchParam> <searchParam> <name value="category"/> <type value="token"/> <documentation value="The category of the condition"/> <xpath value="f:Condition/f:category"/> </searchParam> <searchParam> <name value="code"/> <type value="token"/> <documentation value="Code for the condition"/> <xpath value="f:Condition/f:code"/> </searchParam> <searchParam> <name value="date-asserted"/> <type value="date"/> <documentation value="When first detected/suspected/entered"/> <xpath value="f:Condition/f:dateAsserted"/> </searchParam> <searchParam> <name value="encounter"/> <type value="reference"/> <documentation value="Encounter when condition first asserted"/> <xpath value="f:Condition/f:encounter"/> </searchParam> <searchParam> <name value="evidence"/> <type value="token"/> <documentation value="Manifestation/symptom"/> <xpath value="f:Condition/f:evidence/f:code"/> </searchParam> <searchParam> <name value="location"/> <type value="token"/> <documentation value="Location - may include laterality"/> <xpath value="f:Condition/f:location/f:code"/> </searchParam> <searchParam> <name value="onset"/> <type value="date"/> <documentation value="When the Condition started (if started on a date)"/> <xpath value="f:Condition/f:onset[x]"/> </searchParam> <searchParam> <name value="related-code"/> <type value="token"/> <documentation value="Relationship target by means of a predefined code"/> <xpath value="f:Condition/f:relatedItem/f:code"/> </searchParam> <searchParam> <name value="related-item"/> <type value="reference"/> <documentation value="Relationship target resource"/> <xpath value="f:Condition/f:relatedItem/f:target"/> </searchParam> <searchParam> <name value="severity"/> <type value="token"/> <documentation value="The severity of the condition"/> <xpath value="f:Condition/f:severity"/> </searchParam> <searchParam> <name value="stage"/> <type value="token"/> <documentation value="Simple summary (disease specific)"/> <xpath value="f:Condition/f:stage/f:summary"/> </searchParam> <searchParam> <name value="status"/> <type value="token"/> <documentation value="The status of the condition"/> <xpath value="f:Condition/f:status"/> </searchParam> <searchParam> <name value="subject"/> <type value="reference"/> <documentation value="Who has the condition?"/> <xpath value="f:Condition/f:subject"/> </searchParam> </structure> </Profile>
© HL7.org 2011+. FHIR DSTU (v0.0.82.2943) generated on Tue, Sep 30, 2014 18:09+1000.
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