This page is part of a downloaded copy of this specification. This page is part of the Da Vinci Coverage Requirements Discovery (CRD) FHIR IG (v0.1.0: STU 1 Ballot 1) based on FHIR v3.5.0. . For a full list of available versions, see the Directory of published versions

This is a pre-release version (Ballot 1) of Coverage Requirements Discovery (CRD) R1/STU. There is no current official version.
For a full list of available versions, see the Directory of published versions .

## StructureDefinition: CRD Condition

The official URL for this profile is:

    http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-condition-r4

### Formal Views of Profile Content

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

- Text Summary
- Differential Table
- Snapshot Table
- All

This structure is derived from Condition

Summary

Mandatory: 3 elements
Must-Support: 5 elements

Structures

This structure refers to these other structures:

- http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-patient-r4

This structure is derived from Condition

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Condition |  | 0..* |  |
clinicalStatus | S | 0..1 | CodeableConcept |
verificationStatus | S | 1..1 | CodeableConcept |
category | S | 1..* | CodeableConcept |
code | S | 1..1 | CodeableConcept |
subject | S | 1..1 | Reference(CRD Patient) |
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Condition | I | 0..* |  | Detailed information about conditions, problems or diagnoses
id | Î£ | 0..1 | id | Logical id of this artifact
meta | Î£ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Î£ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: Common Languages (preferred)
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional Content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Î£ | 0..* | Identifier | External Ids for this condition
clinicalStatus | ?!S Î£I | 0..1 | CodeableConcept | active | recurrence | relapse | well-controlled | poorly-controlled | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required)
verificationStatus | ?!S Î£I | 1..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required)
category | S | 1..* | CodeableConcept | problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (example)
severity |  | 0..1 | CodeableConcept | Subjective severity of condition Binding: Condition/DiagnosisSeverity (preferred)
code | S Î£ | 1..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: Condition/Problem/DiagnosisCodes (example)
bodySite | Î£ | 0..* | CodeableConcept | Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (example)
subject | S Î£ | 1..1 | Reference(CRD Patient) | Who has the condition?
context | Î£ | 0..1 | Reference(Encounter | EpisodeOfCare) | Encounter or episode when condition first asserted
onset[x] | Î£ | 0..1 | dateTime, Age, Period, Range, string | Estimated or actual date, date-time, or age
abatement[x] | I | 0..1 | dateTime, Age, Period, Range, string | When in resolution/remission
recordedDate | Î£ | 0..1 | dateTime | Date record was first recorded
recorder | Î£ | 0..1 | Reference(Practitioner | Patient | RelatedPerson) | Who recorded the condition
asserter | Î£ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Person who asserts this condition
stage | I | 0..* | BackboneElement | Stage/grade, usually assessed formally con-1: Stage SHALL have summary or assessment
id |  | 0..1 | string | xml:id (or equivalent in JSON)
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Î£ | 0..* | Extension | Extensions that cannot be ignored if unrecognized
summary | I | 0..1 | CodeableConcept | Simple summary (disease specific) Binding: ConditionStage (example)
assessment | I | 0..* | Reference(ClinicalImpression | DiagnosticReport | Observation) | Formal record of assessment
type |  | 0..1 | CodeableConcept | Kind of staging Binding: ConditionStageType (example)
evidence | I | 0..* | BackboneElement | Supporting evidence con-2: evidence SHALL have code or details
id |  | 0..1 | string | xml:id (or equivalent in JSON)
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Î£ | 0..* | Extension | Extensions that cannot be ignored if unrecognized
code | Î£I | 0..* | CodeableConcept | Manifestation/symptom Binding: ManifestationAndSymptomCodes (example)
detail | Î£I | 0..* | Reference(Resource) | Supporting information found elsewhere
note |  | 0..* | Annotation | Additional information about the Condition
Documentation for this format

This structure is derived from Condition

Summary

Mandatory: 3 elements
Must-Support: 5 elements

Structures

This structure refers to these other structures:

- http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-patient-r4

Differential View

This structure is derived from Condition

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Condition |  | 0..* |  |
clinicalStatus | S | 0..1 | CodeableConcept |
verificationStatus | S | 1..1 | CodeableConcept |
category | S | 1..* | CodeableConcept |
code | S | 1..1 | CodeableConcept |
subject | S | 1..1 | Reference(CRD Patient) |
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Condition | I | 0..* |  | Detailed information about conditions, problems or diagnoses
id | Î£ | 0..1 | id | Logical id of this artifact
meta | Î£ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Î£ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: Common Languages (preferred)
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional Content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Î£ | 0..* | Identifier | External Ids for this condition
clinicalStatus | ?!S Î£I | 0..1 | CodeableConcept | active | recurrence | relapse | well-controlled | poorly-controlled | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required)
verificationStatus | ?!S Î£I | 1..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required)
category | S | 1..* | CodeableConcept | problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (example)
severity |  | 0..1 | CodeableConcept | Subjective severity of condition Binding: Condition/DiagnosisSeverity (preferred)
code | S Î£ | 1..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: Condition/Problem/DiagnosisCodes (example)
bodySite | Î£ | 0..* | CodeableConcept | Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (example)
subject | S Î£ | 1..1 | Reference(CRD Patient) | Who has the condition?
context | Î£ | 0..1 | Reference(Encounter | EpisodeOfCare) | Encounter or episode when condition first asserted
onset[x] | Î£ | 0..1 | dateTime, Age, Period, Range, string | Estimated or actual date, date-time, or age
abatement[x] | I | 0..1 | dateTime, Age, Period, Range, string | When in resolution/remission
recordedDate | Î£ | 0..1 | dateTime | Date record was first recorded
recorder | Î£ | 0..1 | Reference(Practitioner | Patient | RelatedPerson) | Who recorded the condition
asserter | Î£ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Person who asserts this condition
stage | I | 0..* | BackboneElement | Stage/grade, usually assessed formally con-1: Stage SHALL have summary or assessment
id |  | 0..1 | string | xml:id (or equivalent in JSON)
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Î£ | 0..* | Extension | Extensions that cannot be ignored if unrecognized
summary | I | 0..1 | CodeableConcept | Simple summary (disease specific) Binding: ConditionStage (example)
assessment | I | 0..* | Reference(ClinicalImpression | DiagnosticReport | Observation) | Formal record of assessment
type |  | 0..1 | CodeableConcept | Kind of staging Binding: ConditionStageType (example)
evidence | I | 0..* | BackboneElement | Supporting evidence con-2: evidence SHALL have code or details
id |  | 0..1 | string | xml:id (or equivalent in JSON)
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Î£ | 0..* | Extension | Extensions that cannot be ignored if unrecognized
code | Î£I | 0..* | CodeableConcept | Manifestation/symptom Binding: ManifestationAndSymptomCodes (example)
detail | Î£I | 0..* | Reference(Resource) | Supporting information found elsewhere
note |  | 0..* | Annotation | Additional information about the Condition
Documentation for this format

Other representations of profile: Schematron

### Terminology Bindings

Path | Name | Conformance | ValueSet
Condition.language | Language | preferred | Common Languages
Condition.clinicalStatus | Condition Clinical Status Codes | required | ConditionClinicalStatusCodes
Condition.verificationStatus | ConditionVerificationStatus | required | ConditionVerificationStatus
Condition.category | Condition Category Codes | example | ConditionCategoryCodes
Condition.severity | Condition/Diagnosis Severity | preferred | Condition/DiagnosisSeverity
Condition.code | Condition/Problem/Diagnosis Codes | example | Condition/Problem/DiagnosisCodes
Condition.bodySite | SNOMED CT Body Structures | example | SNOMEDCTBodyStructures
Condition.stage.summary | Condition Stage | example | ConditionStage
Condition.stage.type | Condition Stage Type | example | ConditionStageType
Condition.evidence.code | Manifestation and Symptom Codes | example | ManifestationAndSymptomCodes

### Constraints

Id | Path | Details | Requirements
dom-2 | Condition | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.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-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-6 | Condition | A resource should have narrative for robust management : text.div.exists() |
dom-5 | Condition | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
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() |
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-3 | Condition | Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error : verificationStatus='entered-in-error' or clinicalStatus.exists() |
ele-1 | Condition.stage | 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.evidence | 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() |