This page is part of the Vital Records Birth and Fetal Death Reporting (v2.0.0: STU2) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions
| Official URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Condition-perineal-laceration | Version: 2.0.0 | |||
| Active as of 2024-10-15 | Computable Name: ConditionPerinealLaceration | |||
| Other Identifiers: OID:2.16.840.1.113883.4.642.40.13.42.21 | ||||
This Condition profile indicates a maternal morbidity of perineal laceration.
| Use Case | # | Description | IJE Name | Field | Type | Value Set/Comments | 
|---|---|---|---|---|---|---|
| Natality | 196 | Maternal Morbidity--Perineal Laceration | PLAC | - | na | See note on missing maternal morbidity data | 
| Item # | Form Field | FHIR Profile Field | Reference | 
|---|---|---|---|
| 47.2 | Maternal Morbidity: Third or fourth degree perineal laceration | - | Certificate of Live Birth | 
| 28.2 | Maternal Morbidity: Third or fourth degree perineal laceration | - | Facility Worksheet for the Live Birth Certificate | 
| 28.2 | Maternal Morbidity: Third or fourth degree perineal laceration | - | Attachment to the Facility Worksheet for the Live Birth Certificate for Multiple Births | 
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from USCoreConditionProblemsHealthConcernsProfile
| Name | Flags | Card. | Type | Description & Constraints  | 
|---|---|---|---|---|
|   Condition | 0..* | USCoreConditionProblemsHealthConcernsProfile | This Condition profile indicates a maternal morbidity of perineal laceration. | |
|    Slices for category | 2..* | CodeableConcept | category codes Slice: Unordered, Open by pattern:$this | |
|     category:requiredCategory | 1..1 | CodeableConcept | Maternal morbidity [US Standard Certificate of Live Birth] Required Pattern: At least the following | |
|      coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
|       system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
|       code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 73781-7 | |
|    code | 1..1 | CodeableConcept | Perineal laceration during delivery (disorder) Required Pattern: At least the following | |
|     coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
|      system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
|      code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 398019008 | |
|    subject | 1..1 | Reference(Patient - Mother Vital Records) | Who has the condition? | |
|  Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints  | 
|---|---|---|---|---|
|   Condition | C | 0..* | USCoreConditionProblemsHealthConcernsProfile | This Condition profile indicates a maternal morbidity of perineal laceration. con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error | 
|    implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | 
|    Slices for extension | Content/Rules for all slices | |||
|     assertedDate | S | 0..1 | dateTime | Date the condition was first asserted URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate | 
|    modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | 
|    clinicalStatus | ?!SΣC | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required) | 
|    verificationStatus | ?!SΣC | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required) | 
|    Slices for category | S | 2..* | CodeableConcept | category codes Slice: Unordered, Open by pattern:$this Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. | 
|     category:us-core | S | 1..* | CodeableConcept | problem-list-item | health-concern Binding: US Core Problem or Health Concern (required) | 
|     category:sdoh | S | 0..1 | CodeableConcept | problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. Required Pattern: At least the following | 
|      coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
|       system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/core/CodeSystem/us-core-tags | |
|       code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: sdoh | |
|     category:requiredCategory | S | 1..1 | CodeableConcept | Maternal morbidity [US Standard Certificate of Live Birth] Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. Required Pattern: At least the following | 
|      coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
|       system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
|       code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 73781-7 | |
|    code | SΣ | 1..1 | CodeableConcept | Perineal laceration during delivery (disorder) Binding: US Core Condition Codes (extensible): Valueset to describe the actual problem experienced by the patient Required Pattern: At least the following | 
|     coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
|      system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
|      code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 398019008 | |
|    subject | SΣ | 1..1 | Reference(Patient - Mother Vital Records) | Who has the condition? | 
|    onset[x] | SΣ | 0..1 | Estimated or actual date, date-time, or age | |
|     onsetDateTime | dateTime | |||
|    abatement[x] | SC | 0..1 | When in resolution/remission | |
|     abatementDateTime | dateTime | |||
|    recordedDate | SΣ | 0..1 | dateTime | Date record was first recorded | 
|  Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI | 
| Condition.clinicalStatus | required | ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinicalfrom the FHIR Standard | |
| Condition.verificationStatus | required | ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-statusfrom the FHIR Standard | |
| Condition.category | extensible | ConditionCategoryCodes http://hl7.org/fhir/ValueSet/condition-categoryfrom the FHIR Standard | |
| Condition.category:us-core | required | USCoreProblemOrHealthConcern http://hl7.org/fhir/us/core/ValueSet/us-core-problem-or-health-concern | |
| Condition.category:sdoh | extensible | Pattern: sdoh http://hl7.org/fhir/ValueSet/condition-categoryfrom the FHIR Standard | |
| Condition.category:requiredCategory | extensible | Pattern: LOINC Code 73781-7 http://hl7.org/fhir/ValueSet/condition-categoryfrom the FHIR Standard | |
| Condition.code | extensible | Pattern: SNOMED-CT Code 398019008 http://hl7.org/fhir/us/core/ValueSet/us-core-condition-code | 
| Name | Flags | Card. | Type | Description & Constraints  | ||||
|---|---|---|---|---|---|---|---|---|
|   Condition | C | 0..* | USCoreConditionProblemsHealthConcernsProfile | This Condition profile indicates a maternal morbidity of perineal laceration. con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error | ||||
|    id | Σ | 0..1 | id | Logical id of this artifact | ||||
|    meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
|    implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
|    language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language. 
 | |||||
|    text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
|    contained | 0..* | Resource | Contained, inline Resources | |||||
|    Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
|     assertedDate | S | 0..1 | dateTime | Date the condition was first asserted URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate | ||||
|    modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
|    identifier | Σ | 0..* | Identifier | External Ids for this condition | ||||
|    clinicalStatus | ?!SΣC | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required) | ||||
|    verificationStatus | ?!SΣC | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required) | ||||
|    Slices for category | S | 2..* | CodeableConcept | category codes Slice: Unordered, Open by pattern:$this Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. | ||||
|     category:us-core | S | 1..* | CodeableConcept | problem-list-item | health-concern Binding: US Core Problem or Health Concern (required) | ||||
|     category:sdoh | S | 0..1 | CodeableConcept | problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. Required Pattern: At least the following | ||||
|      id | 0..1 | string | Unique id for inter-element referencing | |||||
|      extension | 0..* | Extension | Additional content defined by implementations | |||||
|      coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
|       id | 0..1 | string | Unique id for inter-element referencing | |||||
|       extension | 0..* | Extension | Additional content defined by implementations | |||||
|       system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/core/CodeSystem/us-core-tags | |||||
|       version | 0..1 | string | Version of the system - if relevant | |||||
|       code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: sdoh | |||||
|       display | 0..1 | string | Representation defined by the system | |||||
|       userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
|      text | 0..1 | string | Plain text representation of the concept | |||||
|     category:requiredCategory | S | 1..1 | CodeableConcept | Maternal morbidity [US Standard Certificate of Live Birth] Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. Required Pattern: At least the following | ||||
|      id | 0..1 | string | Unique id for inter-element referencing | |||||
|      extension | 0..* | Extension | Additional content defined by implementations | |||||
|      coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
|       id | 0..1 | string | Unique id for inter-element referencing | |||||
|       extension | 0..* | Extension | Additional content defined by implementations | |||||
|       system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
|       version | 0..1 | string | Version of the system - if relevant | |||||
|       code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 73781-7 | |||||
|       display | 0..1 | string | Representation defined by the system | |||||
|       userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
|      text | 0..1 | string | Plain text representation of the concept | |||||
|    severity | 0..1 | CodeableConcept | Subjective severity of condition Binding: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician. | |||||
|    code | SΣ | 1..1 | CodeableConcept | Perineal laceration during delivery (disorder) Binding: US Core Condition Codes (extensible): Valueset to describe the actual problem experienced by the patient Required Pattern: At least the following | ||||
|     id | 0..1 | string | Unique id for inter-element referencing | |||||
|     extension | 0..* | Extension | Additional content defined by implementations | |||||
|     coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
|      id | 0..1 | string | Unique id for inter-element referencing | |||||
|      extension | 0..* | Extension | Additional content defined by implementations | |||||
|      system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |||||
|      version | 0..1 | string | Version of the system - if relevant | |||||
|      code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 398019008 | |||||
|      display | 0..1 | string | Representation defined by the system | |||||
|      userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
|     text | 0..1 | string | Plain text representation of the concept | |||||
|    bodySite | Σ | 0..* | CodeableConcept | Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | ||||
|    subject | SΣ | 1..1 | Reference(Patient - Mother Vital Records) | Who has the condition? | ||||
|    encounter | Σ | 0..1 | Reference(Encounter) | Encounter created as part of | ||||
|    onset[x] | SΣ | 0..1 | Estimated or actual date, date-time, or age | |||||
|     onsetDateTime | dateTime S | |||||||
|     onsetAge | Age | |||||||
|     onsetPeriod | Period | |||||||
|     onsetRange | Range | |||||||
|     onsetString | string | |||||||
|    abatement[x] | SC | 0..1 | When in resolution/remission | |||||
|     abatementDateTime | dateTime S | |||||||
|     abatementAge | Age | |||||||
|     abatementPeriod | Period | |||||||
|     abatementRange | Range | |||||||
|     abatementString | string | |||||||
|    recordedDate | SΣ | 0..1 | dateTime | Date record was first recorded | ||||
|    recorder | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Who recorded the condition | ||||
|    asserter | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Person who asserts this condition | ||||
|    stage | C | 0..* | BackboneElement | Stage/grade, usually assessed formally con-1: Stage SHALL have summary or assessment | ||||
|     id | 0..1 | string | Unique id for inter-element referencing | |||||
|     extension | 0..* | Extension | Additional content defined by implementations | |||||
|     modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
|     summary | C | 0..1 | CodeableConcept | Simple summary (disease specific) Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages). | ||||
|     assessment | C | 0..* | Reference(ClinicalImpression | DiagnosticReport | Observation) | Formal record of assessment | ||||
|     type | 0..1 | CodeableConcept | Kind of staging Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological). | |||||
|    evidence | C | 0..* | BackboneElement | Supporting evidence con-2: evidence SHALL have code or details | ||||
|     id | 0..1 | string | Unique id for inter-element referencing | |||||
|     extension | 0..* | Extension | Additional content defined by implementations | |||||
|     modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
|     code | ΣC | 0..* | CodeableConcept | Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition. | ||||
|     detail | ΣC | 0..* | Reference(Resource) | Supporting information found elsewhere | ||||
|    note | 0..* | Annotation | Additional information about the Condition | |||||
|  Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | URI | |||
| Condition.language | preferred | CommonLanguages 
 http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| Condition.clinicalStatus | required | ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinicalfrom the FHIR Standard | ||||
| Condition.verificationStatus | required | ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-statusfrom the FHIR Standard | ||||
| Condition.category | extensible | ConditionCategoryCodes http://hl7.org/fhir/ValueSet/condition-categoryfrom the FHIR Standard | ||||
| Condition.category:us-core | required | USCoreProblemOrHealthConcern http://hl7.org/fhir/us/core/ValueSet/us-core-problem-or-health-concern | ||||
| Condition.category:sdoh | extensible | Pattern: sdoh http://hl7.org/fhir/ValueSet/condition-categoryfrom the FHIR Standard | ||||
| Condition.category:requiredCategory | extensible | Pattern: LOINC Code 73781-7 http://hl7.org/fhir/ValueSet/condition-categoryfrom the FHIR Standard | ||||
| Condition.severity | preferred | Condition/DiagnosisSeverity http://hl7.org/fhir/ValueSet/condition-severityfrom the FHIR Standard | ||||
| Condition.code | extensible | Pattern: SNOMED-CT Code 398019008 http://hl7.org/fhir/us/core/ValueSet/us-core-condition-code | ||||
| Condition.bodySite | example | SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-sitefrom the FHIR Standard | ||||
| Condition.stage.summary | example | ConditionStage http://hl7.org/fhir/ValueSet/condition-stagefrom the FHIR Standard | ||||
| Condition.stage.type | example | ConditionStageType http://hl7.org/fhir/ValueSet/condition-stage-typefrom the FHIR Standard | ||||
| Condition.evidence.code | example | ManifestationAndSymptomCodes http://hl7.org/fhir/ValueSet/manifestation-or-symptomfrom the FHIR Standard | 
This structure is derived from USCoreConditionProblemsHealthConcernsProfile
Summary
Mandatory: 1 element
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from USCoreConditionProblemsHealthConcernsProfile
| Name | Flags | Card. | Type | Description & Constraints  | 
|---|---|---|---|---|
|   Condition | 0..* | USCoreConditionProblemsHealthConcernsProfile | This Condition profile indicates a maternal morbidity of perineal laceration. | |
|    Slices for category | 2..* | CodeableConcept | category codes Slice: Unordered, Open by pattern:$this | |
|     category:requiredCategory | 1..1 | CodeableConcept | Maternal morbidity [US Standard Certificate of Live Birth] Required Pattern: At least the following | |
|      coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
|       system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
|       code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 73781-7 | |
|    code | 1..1 | CodeableConcept | Perineal laceration during delivery (disorder) Required Pattern: At least the following | |
|     coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
|      system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
|      code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 398019008 | |
|    subject | 1..1 | Reference(Patient - Mother Vital Records) | Who has the condition? | |
|  Documentation for this format | ||||
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints  | 
|---|---|---|---|---|
|   Condition | C | 0..* | USCoreConditionProblemsHealthConcernsProfile | This Condition profile indicates a maternal morbidity of perineal laceration. con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error | 
|    implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | 
|    Slices for extension | Content/Rules for all slices | |||
|     assertedDate | S | 0..1 | dateTime | Date the condition was first asserted URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate | 
|    modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | 
|    clinicalStatus | ?!SΣC | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required) | 
|    verificationStatus | ?!SΣC | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required) | 
|    Slices for category | S | 2..* | CodeableConcept | category codes Slice: Unordered, Open by pattern:$this Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. | 
|     category:us-core | S | 1..* | CodeableConcept | problem-list-item | health-concern Binding: US Core Problem or Health Concern (required) | 
|     category:sdoh | S | 0..1 | CodeableConcept | problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. Required Pattern: At least the following | 
|      coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
|       system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/core/CodeSystem/us-core-tags | |
|       code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: sdoh | |
|     category:requiredCategory | S | 1..1 | CodeableConcept | Maternal morbidity [US Standard Certificate of Live Birth] Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. Required Pattern: At least the following | 
|      coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
|       system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
|       code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 73781-7 | |
|    code | SΣ | 1..1 | CodeableConcept | Perineal laceration during delivery (disorder) Binding: US Core Condition Codes (extensible): Valueset to describe the actual problem experienced by the patient Required Pattern: At least the following | 
|     coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
|      system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
|      code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 398019008 | |
|    subject | SΣ | 1..1 | Reference(Patient - Mother Vital Records) | Who has the condition? | 
|    onset[x] | SΣ | 0..1 | Estimated or actual date, date-time, or age | |
|     onsetDateTime | dateTime | |||
|    abatement[x] | SC | 0..1 | When in resolution/remission | |
|     abatementDateTime | dateTime | |||
|    recordedDate | SΣ | 0..1 | dateTime | Date record was first recorded | 
|  Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI | 
| Condition.clinicalStatus | required | ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinicalfrom the FHIR Standard | |
| Condition.verificationStatus | required | ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-statusfrom the FHIR Standard | |
| Condition.category | extensible | ConditionCategoryCodes http://hl7.org/fhir/ValueSet/condition-categoryfrom the FHIR Standard | |
| Condition.category:us-core | required | USCoreProblemOrHealthConcern http://hl7.org/fhir/us/core/ValueSet/us-core-problem-or-health-concern | |
| Condition.category:sdoh | extensible | Pattern: sdoh http://hl7.org/fhir/ValueSet/condition-categoryfrom the FHIR Standard | |
| Condition.category:requiredCategory | extensible | Pattern: LOINC Code 73781-7 http://hl7.org/fhir/ValueSet/condition-categoryfrom the FHIR Standard | |
| Condition.code | extensible | Pattern: SNOMED-CT Code 398019008 http://hl7.org/fhir/us/core/ValueSet/us-core-condition-code | 
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints  | ||||
|---|---|---|---|---|---|---|---|---|
|   Condition | C | 0..* | USCoreConditionProblemsHealthConcernsProfile | This Condition profile indicates a maternal morbidity of perineal laceration. con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error | ||||
|    id | Σ | 0..1 | id | Logical id of this artifact | ||||
|    meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
|    implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
|    language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language. 
 | |||||
|    text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
|    contained | 0..* | Resource | Contained, inline Resources | |||||
|    Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
|     assertedDate | S | 0..1 | dateTime | Date the condition was first asserted URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate | ||||
|    modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
|    identifier | Σ | 0..* | Identifier | External Ids for this condition | ||||
|    clinicalStatus | ?!SΣC | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required) | ||||
|    verificationStatus | ?!SΣC | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required) | ||||
|    Slices for category | S | 2..* | CodeableConcept | category codes Slice: Unordered, Open by pattern:$this Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. | ||||
|     category:us-core | S | 1..* | CodeableConcept | problem-list-item | health-concern Binding: US Core Problem or Health Concern (required) | ||||
|     category:sdoh | S | 0..1 | CodeableConcept | problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. Required Pattern: At least the following | ||||
|      id | 0..1 | string | Unique id for inter-element referencing | |||||
|      extension | 0..* | Extension | Additional content defined by implementations | |||||
|      coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
|       id | 0..1 | string | Unique id for inter-element referencing | |||||
|       extension | 0..* | Extension | Additional content defined by implementations | |||||
|       system | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/core/CodeSystem/us-core-tags | |||||
|       version | 0..1 | string | Version of the system - if relevant | |||||
|       code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: sdoh | |||||
|       display | 0..1 | string | Representation defined by the system | |||||
|       userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
|      text | 0..1 | string | Plain text representation of the concept | |||||
|     category:requiredCategory | S | 1..1 | CodeableConcept | Maternal morbidity [US Standard Certificate of Live Birth] Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. Required Pattern: At least the following | ||||
|      id | 0..1 | string | Unique id for inter-element referencing | |||||
|      extension | 0..* | Extension | Additional content defined by implementations | |||||
|      coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
|       id | 0..1 | string | Unique id for inter-element referencing | |||||
|       extension | 0..* | Extension | Additional content defined by implementations | |||||
|       system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
|       version | 0..1 | string | Version of the system - if relevant | |||||
|       code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 73781-7 | |||||
|       display | 0..1 | string | Representation defined by the system | |||||
|       userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
|      text | 0..1 | string | Plain text representation of the concept | |||||
|    severity | 0..1 | CodeableConcept | Subjective severity of condition Binding: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician. | |||||
|    code | SΣ | 1..1 | CodeableConcept | Perineal laceration during delivery (disorder) Binding: US Core Condition Codes (extensible): Valueset to describe the actual problem experienced by the patient Required Pattern: At least the following | ||||
|     id | 0..1 | string | Unique id for inter-element referencing | |||||
|     extension | 0..* | Extension | Additional content defined by implementations | |||||
|     coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
|      id | 0..1 | string | Unique id for inter-element referencing | |||||
|      extension | 0..* | Extension | Additional content defined by implementations | |||||
|      system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |||||
|      version | 0..1 | string | Version of the system - if relevant | |||||
|      code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 398019008 | |||||
|      display | 0..1 | string | Representation defined by the system | |||||
|      userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
|     text | 0..1 | string | Plain text representation of the concept | |||||
|    bodySite | Σ | 0..* | CodeableConcept | Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | ||||
|    subject | SΣ | 1..1 | Reference(Patient - Mother Vital Records) | Who has the condition? | ||||
|    encounter | Σ | 0..1 | Reference(Encounter) | Encounter created as part of | ||||
|    onset[x] | SΣ | 0..1 | Estimated or actual date, date-time, or age | |||||
|     onsetDateTime | dateTime S | |||||||
|     onsetAge | Age | |||||||
|     onsetPeriod | Period | |||||||
|     onsetRange | Range | |||||||
|     onsetString | string | |||||||
|    abatement[x] | SC | 0..1 | When in resolution/remission | |||||
|     abatementDateTime | dateTime S | |||||||
|     abatementAge | Age | |||||||
|     abatementPeriod | Period | |||||||
|     abatementRange | Range | |||||||
|     abatementString | string | |||||||
|    recordedDate | SΣ | 0..1 | dateTime | Date record was first recorded | ||||
|    recorder | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Who recorded the condition | ||||
|    asserter | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Person who asserts this condition | ||||
|    stage | C | 0..* | BackboneElement | Stage/grade, usually assessed formally con-1: Stage SHALL have summary or assessment | ||||
|     id | 0..1 | string | Unique id for inter-element referencing | |||||
|     extension | 0..* | Extension | Additional content defined by implementations | |||||
|     modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
|     summary | C | 0..1 | CodeableConcept | Simple summary (disease specific) Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages). | ||||
|     assessment | C | 0..* | Reference(ClinicalImpression | DiagnosticReport | Observation) | Formal record of assessment | ||||
|     type | 0..1 | CodeableConcept | Kind of staging Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological). | |||||
|    evidence | C | 0..* | BackboneElement | Supporting evidence con-2: evidence SHALL have code or details | ||||
|     id | 0..1 | string | Unique id for inter-element referencing | |||||
|     extension | 0..* | Extension | Additional content defined by implementations | |||||
|     modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
|     code | ΣC | 0..* | CodeableConcept | Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition. | ||||
|     detail | ΣC | 0..* | Reference(Resource) | Supporting information found elsewhere | ||||
|    note | 0..* | Annotation | Additional information about the Condition | |||||
|  Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | URI | |||
| Condition.language | preferred | CommonLanguages 
 http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| Condition.clinicalStatus | required | ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinicalfrom the FHIR Standard | ||||
| Condition.verificationStatus | required | ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-statusfrom the FHIR Standard | ||||
| Condition.category | extensible | ConditionCategoryCodes http://hl7.org/fhir/ValueSet/condition-categoryfrom the FHIR Standard | ||||
| Condition.category:us-core | required | USCoreProblemOrHealthConcern http://hl7.org/fhir/us/core/ValueSet/us-core-problem-or-health-concern | ||||
| Condition.category:sdoh | extensible | Pattern: sdoh http://hl7.org/fhir/ValueSet/condition-categoryfrom the FHIR Standard | ||||
| Condition.category:requiredCategory | extensible | Pattern: LOINC Code 73781-7 http://hl7.org/fhir/ValueSet/condition-categoryfrom the FHIR Standard | ||||
| Condition.severity | preferred | Condition/DiagnosisSeverity http://hl7.org/fhir/ValueSet/condition-severityfrom the FHIR Standard | ||||
| Condition.code | extensible | Pattern: SNOMED-CT Code 398019008 http://hl7.org/fhir/us/core/ValueSet/us-core-condition-code | ||||
| Condition.bodySite | example | SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-sitefrom the FHIR Standard | ||||
| Condition.stage.summary | example | ConditionStage http://hl7.org/fhir/ValueSet/condition-stagefrom the FHIR Standard | ||||
| Condition.stage.type | example | ConditionStageType http://hl7.org/fhir/ValueSet/condition-stage-typefrom the FHIR Standard | ||||
| Condition.evidence.code | example | ManifestationAndSymptomCodes http://hl7.org/fhir/ValueSet/manifestation-or-symptomfrom the FHIR Standard | 
This structure is derived from USCoreConditionProblemsHealthConcernsProfile
Summary
Mandatory: 1 element
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron