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. The current version which supercedes this version is 1.0.0. 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 .
The official URL for this profile is:
http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-condition-r4
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from Condition
This structure is derived from Condition
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Condition | I | 0..* | Detailed information about conditions, problems or diagnoses | |
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: 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 | Σ | 0..* | Identifier | External Ids for this condition |
clinicalStatus | ?!SΣI | 0..1 | CodeableConcept | active | recurrence | relapse | well-controlled | poorly-controlled | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required) |
verificationStatus | ?!SΣI | 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 | SΣ | 1..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: Condition/Problem/DiagnosisCodes (example) |
bodySite | Σ | 0..* | CodeableConcept | Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (example) |
subject | SΣ | 1..1 | Reference(CRD Patient) | Who has the condition? |
context | Σ | 0..1 | Reference(Encounter | EpisodeOfCare) | Encounter or episode when condition first asserted |
onset[x] | Σ | 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 | Σ | 0..1 | dateTime | Date record was first recorded |
recorder | Σ | 0..1 | Reference(Practitioner | Patient | RelatedPerson) | Who recorded the condition |
asserter | Σ | 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 | ?!Σ | 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 | ?!Σ | 0..* | Extension | Extensions that cannot be ignored if unrecognized |
code | ΣI | 0..* | CodeableConcept | Manifestation/symptom Binding: ManifestationAndSymptomCodes (example) |
detail | ΣI | 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
Differential View
This structure is derived from Condition
Snapshot View
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Condition | I | 0..* | Detailed information about conditions, problems or diagnoses | |
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: 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 | Σ | 0..* | Identifier | External Ids for this condition |
clinicalStatus | ?!SΣI | 0..1 | CodeableConcept | active | recurrence | relapse | well-controlled | poorly-controlled | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required) |
verificationStatus | ?!SΣI | 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 | SΣ | 1..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: Condition/Problem/DiagnosisCodes (example) |
bodySite | Σ | 0..* | CodeableConcept | Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (example) |
subject | SΣ | 1..1 | Reference(CRD Patient) | Who has the condition? |
context | Σ | 0..1 | Reference(Encounter | EpisodeOfCare) | Encounter or episode when condition first asserted |
onset[x] | Σ | 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 | Σ | 0..1 | dateTime | Date record was first recorded |
recorder | Σ | 0..1 | Reference(Practitioner | Patient | RelatedPerson) | Who recorded the condition |
asserter | Σ | 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 | ?!Σ | 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 | ?!Σ | 0..* | Extension | Extensions that cannot be ignored if unrecognized |
code | ΣI | 0..* | CodeableConcept | Manifestation/symptom Binding: ManifestationAndSymptomCodes (example) |
detail | ΣI | 0..* | Reference(Resource) | Supporting information found elsewhere |
note | 0..* | Annotation | Additional information about the Condition | |
Documentation for this format |
Other representations of profile: Schematron
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 |
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() |