STU 2 Ballot

This page is part of the Quality Improvement Core Framework (v1.6.0: STU 2 Ballot 1) based on FHIR v1.6.0. The current version which supercedes this version is 4.1.1. For a full list of available versions, see the Directory of published versions

D.4.1 StructureDefinition: qicore-condition

D.4.1.1 Formal Views of Profile Content

The official URL for this profile is: 

http://hl7.org/fhir/qicore/StructureDefinition/qicore-condition

This profile was published on Fri Feb 27 00:00:00 AEDT 2015 as a draft by Health Level Seven International (Clinical Quality Information - QICore).

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

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition I0..*Detailed information about conditions, problems or diagnoses
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
dom-1: If the resource is contained in another resource, it SHALL NOT contain any narrative
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource
... id ∑0..1idLogical id of this artifact
... meta ∑0..1MetaMetadata about the resource
... implicitRules ?!∑0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: Common Languages (extensible)
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... condition-criticality I0..1CodeableConceptExtension
URL: http://hl7.org/fhir/StructureDefinition/condition-criticality
Binding: QICore Condition Criticality Codes (example)
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... qicore-bodysite S0..*(Complex)Extension
URL: http://hl7.org/fhir/qicore/StructureDefinition/qicore-bodysite
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier ∑0..*IdentifierExternal Ids for this condition
... clinicalStatus ?!S0..1codeactive | relapse | remission | resolved
Binding: Condition Clinical Status Codes (required)
... verificationStatus ?!∑1..1codeprovisional | differential | confirmed | refuted | entered-in-error | unknown
Binding: ConditionVerificationStatus (required)
... category S0..1CodeableConceptcomplaint | symptom | finding | diagnosis
Binding: Condition Category Codes (preferred)
... severity S0..1CodeableConceptSubjective severity of condition
Binding: Condition/Diagnosis Severity (preferred)
... code S1..1CodeableConceptIdentification of the condition, problem or diagnosis
Binding: 7.org/fhir/daf/ValueSet/daf-problem (preferred)
... bodySite S0..*CodeableConceptAnatomical location, if relevant
Binding: SNOMED CT Body Structures (example)
... subject S1..1Reference(Profile qicore-patient)Who has the condition?
... context S0..1Reference(Profile qicore-encounter)Encounter when condition first asserted
... onset[x] S0..1dateTime, Age, Period, Range, stringEstimated or actual date, date-time, or age
... abatement[x] S0..1dateTime, Age, boolean, Period, Range, stringIf/when in resolution/remission
... dateRecorded S0..1dateWhen first entered
... asserter 0..1Reference(Profile qicore-patient | Profile qicore-practitioner)Person who asserts this condition
... stage SI0..1BackboneElementStage/grade, usually assessed formally
con-1: Stage SHALL have summary or assessment
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!∑0..*ExtensionExtensions that cannot be ignored
.... summary SI0..1CodeableConceptSimple summary (disease specific)
Binding: Condition Stage (example)
.... assessment ∑I0..*Reference(ClinicalImpression | DiagnosticReport | Observation)Formal record of assessment
... evidence ∑I0..*BackboneElementSupporting evidence
con-2: evidence SHALL have code or details
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!∑0..*ExtensionExtensions that cannot be ignored
.... code ∑I0..1CodeableConceptManifestation/symptom
Binding: Manifestation and Symptom Codes (example)
.... detail ∑I0..*Reference(Resource)Supporting information found elsewhere
... note ∑0..*AnnotationAdditional information about the Condition

doco Documentation for this format

yet to be done: Xml template

yet to be done: Json template

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition I0..*Detailed information about conditions, problems or diagnoses
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
dom-1: If the resource is contained in another resource, it SHALL NOT contain any narrative
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource
... id ∑0..1idLogical id of this artifact
... meta ∑0..1MetaMetadata about the resource
... implicitRules ?!∑0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: Common Languages (extensible)
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... condition-criticality I0..1CodeableConceptExtension
URL: http://hl7.org/fhir/StructureDefinition/condition-criticality
Binding: QICore Condition Criticality Codes (example)
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... qicore-bodysite S0..*(Complex)Extension
URL: http://hl7.org/fhir/qicore/StructureDefinition/qicore-bodysite
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier ∑0..*IdentifierExternal Ids for this condition
... clinicalStatus ?!S0..1codeactive | relapse | remission | resolved
Binding: Condition Clinical Status Codes (required)
... verificationStatus ?!∑1..1codeprovisional | differential | confirmed | refuted | entered-in-error | unknown
Binding: ConditionVerificationStatus (required)
... category S0..1CodeableConceptcomplaint | symptom | finding | diagnosis
Binding: Condition Category Codes (preferred)
... severity S0..1CodeableConceptSubjective severity of condition
Binding: Condition/Diagnosis Severity (preferred)
... code S1..1CodeableConceptIdentification of the condition, problem or diagnosis
Binding: 7.org/fhir/daf/ValueSet/daf-problem (preferred)
... bodySite S0..*CodeableConceptAnatomical location, if relevant
Binding: SNOMED CT Body Structures (example)
... subject S1..1Reference(Profile qicore-patient)Who has the condition?
... context S0..1Reference(Profile qicore-encounter)Encounter when condition first asserted
... onset[x] S0..1dateTime, Age, Period, Range, stringEstimated or actual date, date-time, or age
... abatement[x] S0..1dateTime, Age, boolean, Period, Range, stringIf/when in resolution/remission
... dateRecorded S0..1dateWhen first entered
... asserter 0..1Reference(Profile qicore-patient | Profile qicore-practitioner)Person who asserts this condition
... stage SI0..1BackboneElementStage/grade, usually assessed formally
con-1: Stage SHALL have summary or assessment
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!∑0..*ExtensionExtensions that cannot be ignored
.... summary SI0..1CodeableConceptSimple summary (disease specific)
Binding: Condition Stage (example)
.... assessment ∑I0..*Reference(ClinicalImpression | DiagnosticReport | Observation)Formal record of assessment
... evidence ∑I0..*BackboneElementSupporting evidence
con-2: evidence SHALL have code or details
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!∑0..*ExtensionExtensions that cannot be ignored
.... code ∑I0..1CodeableConceptManifestation/symptom
Binding: Manifestation and Symptom Codes (example)
.... detail ∑I0..*Reference(Resource)Supporting information found elsewhere
... note ∑0..*AnnotationAdditional information about the Condition

doco Documentation for this format

XML Template

yet to be done: Xml template

JSON Template

yet to be done: Json template

 

D.4.1.2 Terminology Bindings

Terminology Bindings

PathNameConformanceValueSet
Condition.languageCommon LanguagesextensibleCommon Languages
Condition.extension
http://hl7.org/fhir/StructureDefinition/condition-criticality		QICore Condition Criticality CodesexampleQICore Condition Criticality Codes
Condition.clinicalStatusCondition Clinical Status CodesrequiredCondition Clinical Status Codes
Condition.verificationStatusConditionVerificationStatusrequiredConditionVerificationStatus
Condition.categoryCondition Category CodespreferredCondition Category Codes
Condition.severityCondition/Diagnosis SeveritypreferredCondition/Diagnosis Severity
Condition.code?extpreferredhttp://hl7.org/fhir/daf/ValueSet/daf-problem
Condition.bodySiteSNOMED CT Body StructuresexampleSNOMED CT Body Structures
Condition.stage.summaryCondition StageexampleCondition Stage
Condition.evidence.codeManifestation and Symptom CodesexampleManifestation and Symptom Codes

D.4.1.3 Constraints

Constraints

IdPathDetailsRequirements
dom-2ConditionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
XPath: not(parent::f:contained and f:contained)
dom-1ConditionIf the resource is contained in another resource, it SHALL NOT contain any narrative
XPath: not(parent::f:contained and f:text)
dom-4ConditionIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
XPath: not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))
dom-3ConditionIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource
XPath: not(exists(for $id in f:contained/*/@id return $id[not(ancestor::f:contained/parent::*/descendant::f:reference/@value=concat('#', $id))]))
con-1Condition.stageStage SHALL have summary or assessment
XPath: exists(f:summary) or exists(f:assessment)
con-2Condition.evidenceevidence SHALL have code or details
XPath: exists(f:code) or exists(f:detail)
.