Physical Activity Implementation Guide
1.0.0-ballot - STU1 ballot-draft
Physical Activity Implementation Guide
1.0.0-ballot - STU1 ballot-draft
This page is part of the U.S. Physical Activity IG (v1.0.0-ballot: STU 1.0 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 1.0.0. For a full list of available versions, see the Directory of published versions
| Official URL: http://hl7.org/fhir/us/physical-activity/StructureDefinition/pa-condition-low-pa | Version: 1.0.0-ballot | |||
| Active as of 2023-03-28 | Computable Name: PAConditionLowPA | |||
A condition that conveys the fact that a patient has a clinically significant and insufficient level of physical activity
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from USCoreCondition
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Condition | 0..* | USCoreCondition | Detailed information about conditions, problems or diagnoses | |
  implicitRules | 0..0 | |||
 modifierExtension | 0..0 | |||
  Slices for category | 1..* | CodeableConcept | problem-list-item | encounter-diagnosis | health-concern Slice: Unordered, Open by pattern:$this | |
   category:PA | S | 1..1 | CodeableConcept | problem-list-item | encounter-diagnosis | health-concern 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/physical-activity/CodeSystem/pa-temporary-codes | |
 code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: PhysicalActivity | |
| code | 1..1 | CodeableConcept | Lack of physical exercise 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/sid/icd-10-cm | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: Z72.3 | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Lack of physical exercise | |
| bodySite | 0..0 | |||
 onset[x] | S | 0..1 | Estimated or actual date, date-time, or age | |
 onsetDateTime | dateTime S | |||
 onsetPeriod | Period | |||
| abatement[x] | S | 0..1 | When in resolution/remission | |
| abatementDateTime | dateTime S | |||
| abatementPeriod | Period | |||
 asserter | S | 0..1 | Reference(US Core Practitioner Profile S | US Core PractitionerRole Profile S) | A reference from one resource to another |
| stage | 0..0 | |||
| evidence | S | 0..* | BackboneElement | Supporting evidence |
| modifierExtension | 0..0 | |||
| Slices for detail | 0..* | Reference(Resource) | Supporting information found elsewhere Slice: Unordered, Open by profile:resolve() | |
 detail:SupportedDetail | S | 0..* | Reference(PA Vital Sign Minutes per Day S | PA Vital Sign Days per Week S | PA Vital Sign Minutes per Week | PA Strength Days Week) | A reference from one resource to another |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Condition | C | 0..* | USCoreCondition | Detailed information about conditions, problems or diagnoses |
| 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 | SC | 1..* | CodeableConcept | problem-list-item | encounter-diagnosis | health-concern Slice: Unordered, Open by pattern:$this Binding: US Core Condition Category Codes (extensible) |
| category:PA | SC | 1..1 | CodeableConcept | problem-list-item | encounter-diagnosis | health-concern Binding: US Core Condition Category Codes (extensible) 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/physical-activity/CodeSystem/pa-temporary-codes | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: PhysicalActivity | |
| code | SΣ | 1..1 | CodeableConcept | Lack of physical exercise Binding: US Core Condition Code (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://hl7.org/fhir/sid/icd-10-cm | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: Z72.3 | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Lack of physical exercise | |
| subject | SΣ | 1..1 | Reference(US Core Patient Profile) | 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 | |||
| asserter | SΣ | 0..1 | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile) | A reference from one resource to another |
| evidence | SC | 0..* | BackboneElement | Supporting evidence |
| Slices for detail | ΣC | 0..* | Reference(Resource) | Supporting information found elsewhere Slice: Unordered, Open by profile:resolve() |
| detail:SupportedDetail | SΣC | 0..* | Reference(PA Vital Sign Minutes per Day | PA Vital Sign Days per Week) | A reference from one resource to another |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code |
| Condition.clinicalStatus | required | ConditionClinicalStatusCodes |
| Condition.verificationStatus | required | ConditionVerificationStatus |
| Condition.category | extensible | USCoreConditionCategoryCodes |
| Condition.category:PA | extensible | Pattern: PhysicalActivity |
| Condition.code | extensible | Pattern: Z72.3("Lack of physical exercise") |
| Id | Grade | Path(s) | Details | Requirements |
| con-2 | error | Condition.evidence | evidence SHALL have code or details : code.exists() or detail.exists() | |
| con-3 | best practice | 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 | error | 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 | error | 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 | error | Condition | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | 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 | error | 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 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Condition | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| us-core-1 | best practice | Condition | A code in Condition.category SHOULD be from US Core Condition Category Codes value set. : where(category.memberOf('http://hl7.org/fhir/us/core/ValueSet/us-core-condition-category')).exists() |
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Condition | C | 0..* | USCoreCondition | 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 | ||||
| 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 | |||||
 extension | 0..* | Extension | Additional content defined by implementations | |||||
| 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 | SC | 1..* | CodeableConcept | problem-list-item | encounter-diagnosis | health-concern Slice: Unordered, Open by pattern:$this Binding: US Core Condition Category Codes (extensible) | ||||
| category:PA | SC | 1..1 | CodeableConcept | problem-list-item | encounter-diagnosis | health-concern Binding: US Core Condition Category Codes (extensible) 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/physical-activity/CodeSystem/pa-temporary-codes | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: PhysicalActivity | |||||
| 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 | Lack of physical exercise Binding: US Core Condition Code (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://hl7.org/fhir/sid/icd-10-cm | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: Z72.3 | |||||
| display | 1..1 | string | Representation defined by the system Fixed Value: Lack of physical exercise | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| subject | SΣ | 1..1 | Reference(US Core Patient Profile) | 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 | |||||||
| onsetPeriod | Period | |||||||
| abatement[x] | SC | 0..1 | When in resolution/remission | |||||
| abatementDateTime | dateTime S | |||||||
| abatementPeriod | Period | |||||||
| recordedDate | Σ | 0..1 | dateTime | Date record was first recorded | ||||
| recorder | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Who recorded the condition | ||||
| asserter | SΣ | 0..1 | Reference(US Core Practitioner Profile S | US Core PractitionerRole Profile S) | A reference from one resource to another | ||||
| evidence | SC | 0..* | BackboneElement | Supporting evidence | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| code | ΣC | 0..* | CodeableConcept | Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition. | ||||
| Slices for detail | ΣC | 0..* | Reference(Resource) | Supporting information found elsewhere Slice: Unordered, Open by profile:resolve() | ||||
| detail:SupportedDetail | SΣC | 0..* | Reference(PA Vital Sign Minutes per Day S | PA Vital Sign Days per Week S | PA Vital Sign Minutes per Week | PA Strength Days Week) | A reference from one resource to another | ||||
| note | 0..* | Annotation | Additional information about the Condition | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | ||||
| Condition.language | preferred | CommonLanguages
| ||||
| Condition.clinicalStatus | required | ConditionClinicalStatusCodes | ||||
| Condition.verificationStatus | required | ConditionVerificationStatus | ||||
| Condition.category | extensible | USCoreConditionCategoryCodes | ||||
| Condition.category:PA | extensible | Pattern: PhysicalActivity | ||||
| Condition.severity | preferred | Condition/DiagnosisSeverity | ||||
| Condition.code | extensible | Pattern: Z72.3("Lack of physical exercise") | ||||
| Condition.stage.summary | example | ConditionStage | ||||
| Condition.stage.type | example | ConditionStageType | ||||
| Condition.evidence.code | example | ManifestationAndSymptomCodes |
| Id | Grade | Path(s) | Details | Requirements |
| con-2 | error | Condition.evidence | evidence SHALL have code or details : code.exists() or detail.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from USCoreCondition
Summary
Mandatory: 1 element
Must-Support: 6 elements
Prohibited: 5 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from USCoreCondition
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Condition | 0..* | USCoreCondition | Detailed information about conditions, problems or diagnoses | |
| implicitRules | 0..0 | |||
| modifierExtension | 0..0 | |||
| Slices for category | 1..* | CodeableConcept | problem-list-item | encounter-diagnosis | health-concern Slice: Unordered, Open by pattern:$this | |
| category:PA | S | 1..1 | CodeableConcept | problem-list-item | encounter-diagnosis | health-concern 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/physical-activity/CodeSystem/pa-temporary-codes | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: PhysicalActivity | |
| code | 1..1 | CodeableConcept | Lack of physical exercise 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/sid/icd-10-cm | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: Z72.3 | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Lack of physical exercise | |
| bodySite | 0..0 | |||
| onset[x] | S | 0..1 | Estimated or actual date, date-time, or age | |
| onsetDateTime | dateTime S | |||
| onsetPeriod | Period | |||
| abatement[x] | S | 0..1 | When in resolution/remission | |
| abatementDateTime | dateTime S | |||
| abatementPeriod | Period | |||
| asserter | S | 0..1 | Reference(US Core Practitioner Profile S | US Core PractitionerRole Profile S) | A reference from one resource to another |
| stage | 0..0 | |||
| evidence | S | 0..* | BackboneElement | Supporting evidence |
| modifierExtension | 0..0 | |||
| Slices for detail | 0..* | Reference(Resource) | Supporting information found elsewhere Slice: Unordered, Open by profile:resolve() | |
| detail:SupportedDetail | S | 0..* | Reference(PA Vital Sign Minutes per Day S | PA Vital Sign Days per Week S | PA Vital Sign Minutes per Week | PA Strength Days Week) | A reference from one resource to another |
| Documentation for this format | ||||
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Condition | C | 0..* | USCoreCondition | Detailed information about conditions, problems or diagnoses |
| 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 | SC | 1..* | CodeableConcept | problem-list-item | encounter-diagnosis | health-concern Slice: Unordered, Open by pattern:$this Binding: US Core Condition Category Codes (extensible) |
| category:PA | SC | 1..1 | CodeableConcept | problem-list-item | encounter-diagnosis | health-concern Binding: US Core Condition Category Codes (extensible) 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/physical-activity/CodeSystem/pa-temporary-codes | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: PhysicalActivity | |
| code | SΣ | 1..1 | CodeableConcept | Lack of physical exercise Binding: US Core Condition Code (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://hl7.org/fhir/sid/icd-10-cm | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: Z72.3 | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Lack of physical exercise | |
| subject | SΣ | 1..1 | Reference(US Core Patient Profile) | 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 | |||
| asserter | SΣ | 0..1 | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile) | A reference from one resource to another |
| evidence | SC | 0..* | BackboneElement | Supporting evidence |
| Slices for detail | ΣC | 0..* | Reference(Resource) | Supporting information found elsewhere Slice: Unordered, Open by profile:resolve() |
| detail:SupportedDetail | SΣC | 0..* | Reference(PA Vital Sign Minutes per Day | PA Vital Sign Days per Week) | A reference from one resource to another |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code |
| Condition.clinicalStatus | required | ConditionClinicalStatusCodes |
| Condition.verificationStatus | required | ConditionVerificationStatus |
| Condition.category | extensible | USCoreConditionCategoryCodes |
| Condition.category:PA | extensible | Pattern: PhysicalActivity |
| Condition.code | extensible | Pattern: Z72.3("Lack of physical exercise") |
| Id | Grade | Path(s) | Details | Requirements |
| con-2 | error | Condition.evidence | evidence SHALL have code or details : code.exists() or detail.exists() | |
| con-3 | best practice | 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 | error | 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 | error | 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 | error | Condition | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | 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 | error | 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 | error | Condition | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Condition | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| us-core-1 | best practice | Condition | A code in Condition.category SHOULD be from US Core Condition Category Codes value set. : where(category.memberOf('http://hl7.org/fhir/us/core/ValueSet/us-core-condition-category')).exists() |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Condition | C | 0..* | USCoreCondition | 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 | ||||
| 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 | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| 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 | SC | 1..* | CodeableConcept | problem-list-item | encounter-diagnosis | health-concern Slice: Unordered, Open by pattern:$this Binding: US Core Condition Category Codes (extensible) | ||||
| category:PA | SC | 1..1 | CodeableConcept | problem-list-item | encounter-diagnosis | health-concern Binding: US Core Condition Category Codes (extensible) 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/physical-activity/CodeSystem/pa-temporary-codes | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: PhysicalActivity | |||||
| 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 | Lack of physical exercise Binding: US Core Condition Code (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://hl7.org/fhir/sid/icd-10-cm | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: Z72.3 | |||||
| display | 1..1 | string | Representation defined by the system Fixed Value: Lack of physical exercise | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| subject | SΣ | 1..1 | Reference(US Core Patient Profile) | 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 | |||||||
| onsetPeriod | Period | |||||||
| abatement[x] | SC | 0..1 | When in resolution/remission | |||||
| abatementDateTime | dateTime S | |||||||
| abatementPeriod | Period | |||||||
| recordedDate | Σ | 0..1 | dateTime | Date record was first recorded | ||||
| recorder | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Who recorded the condition | ||||
| asserter | SΣ | 0..1 | Reference(US Core Practitioner Profile S | US Core PractitionerRole Profile S) | A reference from one resource to another | ||||
| evidence | SC | 0..* | BackboneElement | Supporting evidence | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| code | ΣC | 0..* | CodeableConcept | Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition. | ||||
| Slices for detail | ΣC | 0..* | Reference(Resource) | Supporting information found elsewhere Slice: Unordered, Open by profile:resolve() | ||||
| detail:SupportedDetail | SΣC | 0..* | Reference(PA Vital Sign Minutes per Day S | PA Vital Sign Days per Week S | PA Vital Sign Minutes per Week | PA Strength Days Week) | A reference from one resource to another | ||||
| note | 0..* | Annotation | Additional information about the Condition | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | ||||
| Condition.language | preferred | CommonLanguages
| ||||
| Condition.clinicalStatus | required | ConditionClinicalStatusCodes | ||||
| Condition.verificationStatus | required | ConditionVerificationStatus | ||||
| Condition.category | extensible | USCoreConditionCategoryCodes | ||||
| Condition.category:PA | extensible | Pattern: PhysicalActivity | ||||
| Condition.severity | preferred | Condition/DiagnosisSeverity | ||||
| Condition.code | extensible | Pattern: Z72.3("Lack of physical exercise") | ||||
| Condition.stage.summary | example | ConditionStage | ||||
| Condition.stage.type | example | ConditionStageType | ||||
| Condition.evidence.code | example | ManifestationAndSymptomCodes |
| Id | Grade | Path(s) | Details | Requirements |
| con-2 | error | Condition.evidence | evidence SHALL have code or details : code.exists() or detail.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from USCoreCondition
Summary
Mandatory: 1 element
Must-Support: 6 elements
Prohibited: 5 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron
IG © 2022+ HL7 International - Patient Care WG. Package hl7.fhir.us.physical-activity#1.0.0-ballot based on FHIR 4.0.1. Generated 2023-03-28
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