Physical Activity Implementation Guide
1.0.0 - STU Release 1
Physical Activity Implementation Guide
1.0.0 - STU Release 1
This page is part of the U.S. Physical Activity IG (v1.0.0: STU 1.0) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). 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 | |||
| Standards status: Trial-use | Maturity Level: 2 | Computable Name: PAConditionLowPA | ||
A condition that conveys the fact that a patient has a clinically significant and insufficient level of physical activity
This will typically be the outcome of a clinical assessment based on the base measures, including the exercise vital sign if the determination is that the patient is not meeting national guidelines for their age. It can serve as the reason for subsequent Referrals and Exercise Prescriptions and may be necessary for payers to provide coverage for physical activity-related services. In this IG, creation or updating of a Condition is always done internally by a Care Manager. However, external systems (i.e. Service Providers and Patient Engagement systems) can search for and retrieve these records.
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 | |||
| verificationStatus | 0..1 | CodeableConcept | confirmed | refuted | entered-in-error Binding: PA Condition Verification Status (required) | |
  Slices for category | 2..* | CodeableConcept | problem-list-item | encounter-diagnosis | health-concern Slice: Unordered, Open by pattern:$this | |
   category:PA | S | 1..1 | CodeableConcept | Additional category indicating the condition is related to physical activity 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) | Person who asserts this condition |
| 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 Observation - EVS, Minutes/Day S | PA Observation - EVS, Days/Week S | PA Observation - EVS, Minutes/Week | PA Observation - EVS, Strength Days/Week) | Supporting information found elsewhere |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| Condition.verificationStatus | required | PAConditionVerificationStatus |
| 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 | confirmed | refuted | entered-in-error Binding: PA Condition Verification Status (required) |
| Slices for category | SC | 2..* | 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 | Additional category indicating the condition is related to physical activity 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) | Person who asserts this condition |
| 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 Observation - EVS, Minutes/Day | PA Observation - EVS, Days/Week) | Supporting information found elsewhere |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code |
| Condition.clinicalStatus | required | ConditionClinicalStatusCodes |
| Condition.verificationStatus | required | PAConditionVerificationStatus |
| 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 | confirmed | refuted | entered-in-error Binding: PA Condition Verification Status (required) | ||||
| Slices for category | SC | 2..* | 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 | Additional category indicating the condition is related to physical activity 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) | Person who asserts this condition | ||||
| 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 Observation - EVS, Minutes/Day S | PA Observation - EVS, Days/Week S | PA Observation - EVS, Minutes/Week | PA Observation - EVS, Strength Days/Week) | Supporting information found elsewhere | ||||
| 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 | PAConditionVerificationStatus | ||||
| 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() | |
| 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() |
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:
Maturity: 2
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 | |||
| verificationStatus | 0..1 | CodeableConcept | confirmed | refuted | entered-in-error Binding: PA Condition Verification Status (required) | |
| Slices for category | 2..* | CodeableConcept | problem-list-item | encounter-diagnosis | health-concern Slice: Unordered, Open by pattern:$this | |
| category:PA | S | 1..1 | CodeableConcept | Additional category indicating the condition is related to physical activity 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) | Person who asserts this condition |
| 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 Observation - EVS, Minutes/Day S | PA Observation - EVS, Days/Week S | PA Observation - EVS, Minutes/Week | PA Observation - EVS, Strength Days/Week) | Supporting information found elsewhere |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| Condition.verificationStatus | required | PAConditionVerificationStatus |
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 | confirmed | refuted | entered-in-error Binding: PA Condition Verification Status (required) |
| Slices for category | SC | 2..* | 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 | Additional category indicating the condition is related to physical activity 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) | Person who asserts this condition |
| 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 Observation - EVS, Minutes/Day | PA Observation - EVS, Days/Week) | Supporting information found elsewhere |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code |
| Condition.clinicalStatus | required | ConditionClinicalStatusCodes |
| Condition.verificationStatus | required | PAConditionVerificationStatus |
| 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 | confirmed | refuted | entered-in-error Binding: PA Condition Verification Status (required) | ||||
| Slices for category | SC | 2..* | 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 | Additional category indicating the condition is related to physical activity 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) | Person who asserts this condition | ||||
| 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 Observation - EVS, Minutes/Day S | PA Observation - EVS, Days/Week S | PA Observation - EVS, Minutes/Week | PA Observation - EVS, Strength Days/Week) | Supporting information found elsewhere | ||||
| 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 | PAConditionVerificationStatus | ||||
| 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() | |
| 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() |
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:
Maturity: 2
Other representations of profile: CSV, Excel, Schematron
IG © 2022+ HL7 International - Patient Care WG. Package hl7.fhir.us.physical-activity#1.0.0 based on FHIR 4.0.1. Generated 2023-08-25
Links: Table of Contents |
QA Report
| Version History |
|
Propose a change