This page is part of the Bidirectional Services eReferrals (BSeR) (v1.0.0: STU 1) based on FHIR R4. This is the current published version in it's permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

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StructureDefinition: BSeR_Diagnosis

A health condition of the referral patient.

The official URL for this profile is:

http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-Diagnosis

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

 

Other representations of profile: Schematron

Terminology Bindings

Terminology Bindings

Path	Conformance	ValueSet / Code
Condition.language	preferred	CommonLanguages Max Binding: AllLanguages
Condition.clinicalStatus	required	ConditionClinicalStatusCodes
Condition.verificationStatus	required	ConditionVerificationStatus
Condition.category	extensible	Fixed Value: problem-list-item("Problem List Item")
Condition.severity	preferred	Condition/DiagnosisSeverity
Condition.code	extensible	USCoreConditionCode
Condition.bodySite	example	SNOMEDCTBodyStructures
Condition.stage.summary	example	ConditionStage
Condition.stage.type	example	ConditionStageType
Condition.evidence.code	example	ManifestationAndSymptomCodes

Constraints

Constraints

Id	Path	Details	Requirements
con-3	Condition	Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item : clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
con-4	Condition	If condition is abated, then clinicalStatus must be either inactive, resolved, or remission : abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
con-5	Condition	Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
dom-2	Condition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	Condition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	Condition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	Condition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	Condition	A resource should have narrative for robust management : text.`div`.exists()
us-core-1	Condition	A code in Condition.category SHOULD be from US Core Condition Category Codes value set. : where(category in 'http://hl7.org/fhir/us/core/ValueSet/us-core-condition-category').exists()
ele-1	Condition.meta	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Condition.implicitRules	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Condition.language	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Condition.text	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Condition.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Condition.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Condition.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Condition.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Condition.identifier	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Condition.clinicalStatus	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Condition.verificationStatus	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Condition.category	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Condition.severity	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Condition.code	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Condition.code.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Condition.code.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Condition.code.coding	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Condition.code.coding.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Condition.code.coding.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Condition.code.coding.system	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Condition.code.coding.version	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Condition.code.coding.code	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Condition.code.coding.display	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Condition.code.coding.userSelected	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Condition.code.text	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Condition.bodySite	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Condition.subject	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Condition.encounter	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Condition.onset[x]	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Condition.abatement[x]	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Condition.recordedDate	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Condition.recorder	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Condition.asserter	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
con-1	Condition.stage	Stage SHALL have summary or assessment : summary.exists() or assessment.exists()
ele-1	Condition.stage	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Condition.stage.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Condition.stage.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Condition.stage.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Condition.stage.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Condition.stage.summary	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Condition.stage.assessment	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Condition.stage.type	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
con-2	Condition.evidence	evidence SHALL have code or details : code.exists() or detail.exists()
ele-1	Condition.evidence	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Condition.evidence.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Condition.evidence.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Condition.evidence.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Condition.evidence.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Condition.evidence.code	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Condition.evidence.detail	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Condition.note	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())