QI-Core Implementation Guide: STU 3.2 (v3.2.0 for FHIR 3.0.1)

This page is part of the Quality Improvement Core Framework (v3.2.0: STU 3) based on FHIR R3. 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

Examples:

Severe Burn Example

D.4.1.1 Formal Views of Profile Content

The official URL for this profile is: 

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

Profile of Condition for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors.

This profile builds on US Core Condition Profile.

This profile was published on Wed Aug 22 00:00:00 AEST 2018 as a draft by Health Level Seven, Inc. - CQI WG.

Description of Profiles, Differentials, and Snapshots.

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition 0..*
... id 0..1id
... condition-criticality 0..1CodeableConceptPotential impact of the condition
URL: http://hl7.org/fhir/StructureDefinition/condition-criticality
Binding: QICore Condition Criticality Codes (example)
... condition-dueTo 0..*CodeableConcept, Reference(Condition | Procedure | MedicationAdministration | Immunization | MedicationStatement)What caused the Condition?
URL: http://hl7.org/fhir/StructureDefinition/condition-dueTo
Binding: Condition Cause Codes (example)
... condition-occurredFollowing 0..*CodeableConcept, Reference(Condition | Procedure | MedicationAdministration | Immunization | MedicationStatement)Precedent for this Condition
URL: http://hl7.org/fhir/StructureDefinition/condition-occurredFollowing
Binding: Condition Predecessor Codes (example)
... clinicalStatus S0..1codeactive | recurrence | inactive | remission | resolved
Binding: Condition Clinical Status Codes (required)
... verificationStatus S1..1codeprovisional | differential | confirmed | refuted | entered-in-error | unknown
Binding: ConditionVerificationStatus (required)
... category S1..*CodeableConceptproblem-list-item | encounter-diagnosis | problem | health-concern
Binding: US Core 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: Problem Value Set (preferred)
... bodySite S0..*CodeableConceptAnatomical location, if relevant
Binding: SNOMED CT Body Structures (example)
... subject S1..1Reference(QICore-Patient)Who has the condition?
... context S0..1Reference(QICore-Encounter | EpisodeOfCare)Encounter or episode when condition first asserted
... onset[x] S0..1dateTime, Age, Period, RangeEstimated or actual date, date-time, or age
... abatement[x] S0..1dateTime, Age, boolean, Period, RangeIf/when in resolution/remission
... assertedDate S0..1dateTimeDate record was believed accurate
... asserter 0..1Reference(QICore-Patient | QICore-Practitioner | QICore-RelatedPerson)Person who asserts this condition
... stage S0..1BackboneElementStage/grade, usually assessed formally
.... summary S0..1CodeableConceptSimple summary (disease specific)
Binding: Condition Stage (example)
.... assessment 0..*Reference(ClinicalImpression | QICore-DiagnosticReport | QICore-Observation)Formal record of assessment
... evidence 0..*BackboneElementSupporting evidence
.... code 0..*CodeableConceptManifestation/symptom
Binding: Manifestation and Symptom Codes (example)
.... detail 0..*Reference(Resource)Supporting information found elsewhere

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition I0..*US Core Condition Profile
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: Common Languages (extensible)
Max Binding: All Languages
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... condition-criticality I0..1CodeableConceptPotential impact of the condition
URL: http://hl7.org/fhir/StructureDefinition/condition-criticality
... condition-dueTo I0..*CodeableConcept, Reference(Condition | Procedure | MedicationAdministration | Immunization | MedicationStatement)What caused the Condition?
URL: http://hl7.org/fhir/StructureDefinition/condition-dueTo
Binding: Condition Cause Codes (example)
... condition-occurredFollowing I0..*CodeableConcept, Reference(Condition | Procedure | MedicationAdministration | Immunization | MedicationStatement)Precedent for this Condition
URL: http://hl7.org/fhir/StructureDefinition/condition-occurredFollowing
Binding: Condition Predecessor Codes (example)
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierExternal Ids for this condition
... clinicalStatus ?!SΣI0..1codeactive | recurrence | inactive | remission | resolved
Binding: Condition Clinical Status Codes (required)
... verificationStatus ?!SΣI1..1codeprovisional | differential | confirmed | refuted | entered-in-error | unknown
Binding: ConditionVerificationStatus (required)
... category S1..*CodeableConceptproblem-list-item | encounter-diagnosis | problem | health-concern
Binding: US Core Condition Category Codes (preferred)
... severity S0..1CodeableConceptSubjective severity of condition
Binding: Condition/Diagnosis Severity (preferred)
... code SΣ1..1CodeableConceptIdentification of the condition, problem or diagnosis
Binding: Problem Value Set (preferred)
... bodySite SΣ0..*CodeableConceptAnatomical location, if relevant
Binding: SNOMED CT Body Structures (example)
... subject SΣ1..1Reference(QICore-Patient)Who has the condition?
... context SΣ0..1Reference(QICore-Encounter | EpisodeOfCare)Encounter or episode when condition first asserted
... onset[x] SΣ0..1dateTime, Age, Period, RangeEstimated or actual date, date-time, or age
... abatement[x] SI0..1dateTime, Age, boolean, Period, RangeIf/when in resolution/remission
... assertedDate SΣ0..1dateTimeDate record was believed accurate
... asserter Σ0..1Reference(QICore-Patient | QICore-Practitioner | QICore-RelatedPerson)Person who asserts this condition
... stage SI0..1BackboneElementStage/grade, usually assessed formally
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... summary SI0..1CodeableConceptSimple summary (disease specific)
Binding: Condition Stage (example)
.... assessment I0..*Reference(ClinicalImpression | QICore-DiagnosticReport | QICore-Observation)Formal record of assessment
... evidence I0..*BackboneElementSupporting evidence
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... code ΣI0..*CodeableConceptManifestation/symptom
Binding: Manifestation and Symptom Codes (example)
.... detail ΣI0..*Reference(Resource)Supporting information found elsewhere
... note 0..*AnnotationAdditional information about the Condition

doco Documentation for this format

Differential View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition 0..*
... id 0..1id
... condition-criticality 0..1CodeableConceptPotential impact of the condition
URL: http://hl7.org/fhir/StructureDefinition/condition-criticality
Binding: QICore Condition Criticality Codes (example)
... condition-dueTo 0..*CodeableConcept, Reference(Condition | Procedure | MedicationAdministration | Immunization | MedicationStatement)What caused the Condition?
URL: http://hl7.org/fhir/StructureDefinition/condition-dueTo
Binding: Condition Cause Codes (example)
... condition-occurredFollowing 0..*CodeableConcept, Reference(Condition | Procedure | MedicationAdministration | Immunization | MedicationStatement)Precedent for this Condition
URL: http://hl7.org/fhir/StructureDefinition/condition-occurredFollowing
Binding: Condition Predecessor Codes (example)
... clinicalStatus S0..1codeactive | recurrence | inactive | remission | resolved
Binding: Condition Clinical Status Codes (required)
... verificationStatus S1..1codeprovisional | differential | confirmed | refuted | entered-in-error | unknown
Binding: ConditionVerificationStatus (required)
... category S1..*CodeableConceptproblem-list-item | encounter-diagnosis | problem | health-concern
Binding: US Core 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: Problem Value Set (preferred)
... bodySite S0..*CodeableConceptAnatomical location, if relevant
Binding: SNOMED CT Body Structures (example)
... subject S1..1Reference(QICore-Patient)Who has the condition?
... context S0..1Reference(QICore-Encounter | EpisodeOfCare)Encounter or episode when condition first asserted
... onset[x] S0..1dateTime, Age, Period, RangeEstimated or actual date, date-time, or age
... abatement[x] S0..1dateTime, Age, boolean, Period, RangeIf/when in resolution/remission
... assertedDate S0..1dateTimeDate record was believed accurate
... asserter 0..1Reference(QICore-Patient | QICore-Practitioner | QICore-RelatedPerson)Person who asserts this condition
... stage S0..1BackboneElementStage/grade, usually assessed formally
.... summary S0..1CodeableConceptSimple summary (disease specific)
Binding: Condition Stage (example)
.... assessment 0..*Reference(ClinicalImpression | QICore-DiagnosticReport | QICore-Observation)Formal record of assessment
... evidence 0..*BackboneElementSupporting evidence
.... code 0..*CodeableConceptManifestation/symptom
Binding: Manifestation and Symptom Codes (example)
.... detail 0..*Reference(Resource)Supporting information found elsewhere

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition I0..*US Core Condition Profile
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: Common Languages (extensible)
Max Binding: All Languages
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... condition-criticality I0..1CodeableConceptPotential impact of the condition
URL: http://hl7.org/fhir/StructureDefinition/condition-criticality
... condition-dueTo I0..*CodeableConcept, Reference(Condition | Procedure | MedicationAdministration | Immunization | MedicationStatement)What caused the Condition?
URL: http://hl7.org/fhir/StructureDefinition/condition-dueTo
Binding: Condition Cause Codes (example)
... condition-occurredFollowing I0..*CodeableConcept, Reference(Condition | Procedure | MedicationAdministration | Immunization | MedicationStatement)Precedent for this Condition
URL: http://hl7.org/fhir/StructureDefinition/condition-occurredFollowing
Binding: Condition Predecessor Codes (example)
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierExternal Ids for this condition
... clinicalStatus ?!SΣI0..1codeactive | recurrence | inactive | remission | resolved
Binding: Condition Clinical Status Codes (required)
... verificationStatus ?!SΣI1..1codeprovisional | differential | confirmed | refuted | entered-in-error | unknown
Binding: ConditionVerificationStatus (required)
... category S1..*CodeableConceptproblem-list-item | encounter-diagnosis | problem | health-concern
Binding: US Core Condition Category Codes (preferred)
... severity S0..1CodeableConceptSubjective severity of condition
Binding: Condition/Diagnosis Severity (preferred)
... code SΣ1..1CodeableConceptIdentification of the condition, problem or diagnosis
Binding: Problem Value Set (preferred)
... bodySite SΣ0..*CodeableConceptAnatomical location, if relevant
Binding: SNOMED CT Body Structures (example)
... subject SΣ1..1Reference(QICore-Patient)Who has the condition?
... context SΣ0..1Reference(QICore-Encounter | EpisodeOfCare)Encounter or episode when condition first asserted
... onset[x] SΣ0..1dateTime, Age, Period, RangeEstimated or actual date, date-time, or age
... abatement[x] SI0..1dateTime, Age, boolean, Period, RangeIf/when in resolution/remission
... assertedDate SΣ0..1dateTimeDate record was believed accurate
... asserter Σ0..1Reference(QICore-Patient | QICore-Practitioner | QICore-RelatedPerson)Person who asserts this condition
... stage SI0..1BackboneElementStage/grade, usually assessed formally
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... summary SI0..1CodeableConceptSimple summary (disease specific)
Binding: Condition Stage (example)
.... assessment I0..*Reference(ClinicalImpression | QICore-DiagnosticReport | QICore-Observation)Formal record of assessment
... evidence I0..*BackboneElementSupporting evidence
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... code ΣI0..*CodeableConceptManifestation/symptom
Binding: Manifestation and Symptom Codes (example)
.... detail ΣI0..*Reference(Resource)Supporting information found elsewhere
... note 0..*AnnotationAdditional information about the Condition

doco Documentation for this format

 

D.4.1.2 Terminology Bindings

Terminology Bindings

PathConformanceValueSet
Condition.clinicalStatusrequiredCondition Clinical Status Codes
Condition.verificationStatusrequiredConditionVerificationStatus
Condition.categorypreferredUS Core Condition Category Codes
Condition.severitypreferredCondition/Diagnosis Severity
Condition.codepreferredProblem Value Set
Condition.bodySiteexampleSNOMED CT Body Structures
Condition.stage.summaryexampleCondition Stage

D.4.1.3 Constraints

Constraints

IdPathDetailsRequirements
dom-2ConditionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-1ConditionIf the resource is contained in another resource, it SHALL NOT contain any narrative
: contained.text.empty()
dom-4ConditionIf 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-3ConditionIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource
: contained.where(('#'+id in %resource.descendants().reference).not()).empty()
con-4ConditionIf condition is abated, then clinicalStatus must be either inactive, resolved, or remission
: abatement.empty() or (abatement as boolean).not() or clinicalStatus='resolved' or clinicalStatus='remission' or clinicalStatus='inactive'
con-3ConditionCondition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error
: verificationStatus='entered-in-error' or clinicalStatus.exists()
us-core-1ConditionA code in Condition.category SHOULD be from US Core Condition Category Codes value set.
: where(category in 'http://hl7.org/fhir/us/core/ValueSet/us-core-condition-category').exists()
ele-1Condition.extensionAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
ext-1Condition.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Condition.extensionAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
ext-1Condition.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Condition.extensionAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
ext-1Condition.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Condition.extensionAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
ext-1Condition.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Condition.stageAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
con-1Condition.stageStage SHALL have summary or assessment
: summary.exists() or assessment.exists()
ele-1Condition.evidenceAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
con-2Condition.evidenceevidence SHALL have code or details
: code.exists() or detail.exists()