SDOH Clinical Care
2.0.0 - STU 2
US
SDOH Clinical Care
2.0.0 - STU 2
US
This page is part of the SDOH Clinical Care for Multiple Domains (v2.0.0: STU 2) 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/sdoh-clinicalcare/StructureDefinition/SDOHCC-Condition | Version: 2.0.0 | |||
| Draft as of 2020-12-14 | Computable Name: SDOHCCCondition | |||
Profile for Social Determinants of Health (SDOH) conditions.
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 | C | 0..* | USCoreCondition | Detailed information about SDOH conditions, problems or diagnoses SDOH-Con-1: Can only have a max of one asserter. |
  Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
  asserterDevice | SC | 0..1 | Reference() | Extension URL: http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ExtensionConditionAsserter |
   value[x] | 0..1 | Reference(Device) | Value of extension | |
 verificationStatus | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error | |
 Slices for category | 1..* | CodeableConcept | problem-list-item | encounter-diagnosis | health-concern Slice: Unordered, Open by value:$this | |
 category:SDOH | 0..* | CodeableConcept | e.g., food-insecurity | transportation-insecurity Binding: SDOHCC ValueSet SDOH Category (required): Codes for high-level SDOH categories. | |
| code | 1..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: US Core Condition Code (required) | |
| bodySite | 0..0 | |||
| subject | 1..1 | Reference(US Core Patient Profile) | Who has the condition? | |
 onset[x] | S | 0..1 | Estimated dateTime or Period | |
 onsetDateTime | dateTime | |||
  onsetPeriod | Period | |||
| abatement[x] | S | 0..1 | When in resolution/remission | |
| abatementDateTime | dateTime | |||
| abatementPeriod | Period | |||
| recorder | 0..1 | Reference(Practitioner | PractitionerRole) | Who recorded the condition | |
| asserter | SC | 0..1 | Reference(RelatedPerson | US Core Patient Profile | US Core Practitioner Profile | US Core PractitionerRole Profile) | Person or device that asserts this condition |
| stage | 0..0 | |||
 evidence | S | 0..* | BackboneElement | Supporting evidence |
 code | 0..* | CodeableConcept | Manifestation/symptom | |
| Slices for detail | 0..* | Reference(Resource) | Supporting information found elsewhere Slice: Unordered, Open by profile:resolve() | |
| detail:SupportedDetail | S | 0..* | Reference(SDOHCC Observation Screening Response | SDOHCC Condition | SDOHCC Observation Assessment) | Supporting information found elsewhere |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| Condition.category:SDOH | required | SDOHCCValueSetSDOHCategory |
| Condition.code | required | USCoreConditionCode |
| Id | Grade | Path(s) | Details | Requirements |
| SDOH-Con-1 | error | Condition | Can only have a max of one asserter. : extension('http://hl7.org/fhir/us/sdoh-clinicalcare/extension-Condition.asserter').count()+asserter.count()<=1 |
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Condition | C | 0..* | USCoreCondition | Detailed information about SDOH conditions, problems or diagnoses SDOH-Con-1: Can only have a max of one asserter. |
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| asserterDevice | SC | 0..1 | Reference() | Optional Extensions Element URL: http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ExtensionConditionAsserter |
 url | 1..1 | uri | "http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ExtensionConditionAsserter" | |
| value[x] | 0..1 | Reference(Device) | Value of extension | |
 modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| 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 value:$this Binding: US Core Condition Category Codes (extensible) |
| category:SDOH | SC | 0..* | CodeableConcept | e.g., food-insecurity | transportation-insecurity Binding: SDOHCC ValueSet SDOH Category (required): Codes for high-level SDOH categories. |
| code | SΣ | 1..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: US Core Condition Code (required) |
| subject | SΣ | 1..1 | Reference(US Core Patient Profile) | Who has the condition? |
| onset[x] | SΣ | 0..1 | Estimated dateTime or Period | |
| onsetDateTime | dateTime | |||
| onsetPeriod | Period | |||
| abatement[x] | SC | 0..1 | When in resolution/remission | |
| abatementDateTime | dateTime | |||
| abatementPeriod | Period | |||
| recorder | Σ | 0..1 | Reference(Practitioner | PractitionerRole) | Who recorded the condition |
| asserter | SΣC | 0..1 | Reference(RelatedPerson | US Core Patient Profile | US Core Practitioner Profile | US Core PractitionerRole Profile) | Person or device that asserts this condition |
| evidence | SC | 0..* | BackboneElement | Supporting evidence |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| 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(SDOHCC Observation Screening Response | SDOHCC Condition | SDOHCC Observation Assessment) | Supporting information found elsewhere |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| Condition.clinicalStatus | required | ConditionClinicalStatusCodes |
| Condition.verificationStatus | required | ConditionVerificationStatus |
| Condition.category | extensible | USCoreConditionCategoryCodes |
| Condition.category:SDOH | required | SDOHCCValueSetSDOHCategory |
| Condition.code | required | USCoreConditionCode |
| Condition.evidence.code | example | ManifestationAndSymptomCodes |
| Id | Grade | Path(s) | Details | Requirements |
| SDOH-Con-1 | error | Condition | Can only have a max of one asserter. : extension('http://hl7.org/fhir/us/sdoh-clinicalcare/extension-Condition.asserter').count()+asserter.count()<=1 | |
| 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 SDOH conditions, problems or diagnoses SDOH-Con-1: Can only have a max of one asserter. | ||||
| id | Σ | 0..1 | id | Logical id of this artifact | ||||
| meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained | 0..* | Resource | Contained, inline Resources | |||||
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| asserterDevice | SC | 0..1 | Reference() | Optional Extensions Element URL: http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ExtensionConditionAsserter | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| url | 1..1 | uri | "http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ExtensionConditionAsserter" | |||||
| value[x] | 0..1 | Reference(Device) | Value of extension | |||||
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| 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 value:$this Binding: US Core Condition Category Codes (extensible) | ||||
| category:SDOH | SC | 0..* | CodeableConcept | e.g., food-insecurity | transportation-insecurity Binding: SDOHCC ValueSet SDOH Category (required): Codes for high-level SDOH categories. | ||||
| 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 | Identification of the condition, problem or diagnosis Binding: US Core Condition Code (required) | ||||
| 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 dateTime or Period | |||||
| onsetDateTime | dateTime | |||||||
| onsetPeriod | Period | |||||||
| abatement[x] | SC | 0..1 | When in resolution/remission | |||||
| abatementDateTime | dateTime | |||||||
| abatementPeriod | Period | |||||||
| recordedDate | Σ | 0..1 | dateTime | Date record was first recorded | ||||
| recorder | Σ | 0..1 | Reference(Practitioner | PractitionerRole) | Who recorded the condition | ||||
| asserter | SΣC | 0..1 | Reference(RelatedPerson | US Core Patient Profile | US Core Practitioner Profile | US Core PractitionerRole Profile) | Person or device that 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 | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| 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(SDOHCC Observation Screening Response | SDOHCC Condition | SDOHCC Observation Assessment) | Supporting information found elsewhere | ||||
| note | 0..* | Annotation | Additional information about the Condition | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | ||||
| Condition.language | preferred | CommonLanguages
| ||||
| Condition.clinicalStatus | required | ConditionClinicalStatusCodes | ||||
| Condition.verificationStatus | required | ConditionVerificationStatus | ||||
| Condition.category | extensible | USCoreConditionCategoryCodes | ||||
| Condition.category:SDOH | required | SDOHCCValueSetSDOHCategory | ||||
| Condition.severity | preferred | Condition/DiagnosisSeverity | ||||
| Condition.code | required | USCoreConditionCode | ||||
| 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
Must-Support: 6 elements
Prohibited: 2 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from USCoreCondition
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Condition | C | 0..* | USCoreCondition | Detailed information about SDOH conditions, problems or diagnoses SDOH-Con-1: Can only have a max of one asserter. |
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| asserterDevice | SC | 0..1 | Reference() | Extension URL: http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ExtensionConditionAsserter |
| value[x] | 0..1 | Reference(Device) | Value of extension | |
| verificationStatus | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error | |
| Slices for category | 1..* | CodeableConcept | problem-list-item | encounter-diagnosis | health-concern Slice: Unordered, Open by value:$this | |
| category:SDOH | 0..* | CodeableConcept | e.g., food-insecurity | transportation-insecurity Binding: SDOHCC ValueSet SDOH Category (required): Codes for high-level SDOH categories. | |
| code | 1..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: US Core Condition Code (required) | |
| bodySite | 0..0 | |||
| subject | 1..1 | Reference(US Core Patient Profile) | Who has the condition? | |
| onset[x] | S | 0..1 | Estimated dateTime or Period | |
| onsetDateTime | dateTime | |||
| onsetPeriod | Period | |||
| abatement[x] | S | 0..1 | When in resolution/remission | |
| abatementDateTime | dateTime | |||
| abatementPeriod | Period | |||
| recorder | 0..1 | Reference(Practitioner | PractitionerRole) | Who recorded the condition | |
| asserter | SC | 0..1 | Reference(RelatedPerson | US Core Patient Profile | US Core Practitioner Profile | US Core PractitionerRole Profile) | Person or device that asserts this condition |
| stage | 0..0 | |||
| evidence | S | 0..* | BackboneElement | Supporting evidence |
| code | 0..* | CodeableConcept | Manifestation/symptom | |
| Slices for detail | 0..* | Reference(Resource) | Supporting information found elsewhere Slice: Unordered, Open by profile:resolve() | |
| detail:SupportedDetail | S | 0..* | Reference(SDOHCC Observation Screening Response | SDOHCC Condition | SDOHCC Observation Assessment) | Supporting information found elsewhere |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| Condition.category:SDOH | required | SDOHCCValueSetSDOHCategory |
| Condition.code | required | USCoreConditionCode |
| Id | Grade | Path(s) | Details | Requirements |
| SDOH-Con-1 | error | Condition | Can only have a max of one asserter. : extension('http://hl7.org/fhir/us/sdoh-clinicalcare/extension-Condition.asserter').count()+asserter.count()<=1 |
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Condition | C | 0..* | USCoreCondition | Detailed information about SDOH conditions, problems or diagnoses SDOH-Con-1: Can only have a max of one asserter. |
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| asserterDevice | SC | 0..1 | Reference() | Optional Extensions Element URL: http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ExtensionConditionAsserter |
| url | 1..1 | uri | "http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ExtensionConditionAsserter" | |
| value[x] | 0..1 | Reference(Device) | Value of extension | |
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| 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 value:$this Binding: US Core Condition Category Codes (extensible) |
| category:SDOH | SC | 0..* | CodeableConcept | e.g., food-insecurity | transportation-insecurity Binding: SDOHCC ValueSet SDOH Category (required): Codes for high-level SDOH categories. |
| code | SΣ | 1..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: US Core Condition Code (required) |
| subject | SΣ | 1..1 | Reference(US Core Patient Profile) | Who has the condition? |
| onset[x] | SΣ | 0..1 | Estimated dateTime or Period | |
| onsetDateTime | dateTime | |||
| onsetPeriod | Period | |||
| abatement[x] | SC | 0..1 | When in resolution/remission | |
| abatementDateTime | dateTime | |||
| abatementPeriod | Period | |||
| recorder | Σ | 0..1 | Reference(Practitioner | PractitionerRole) | Who recorded the condition |
| asserter | SΣC | 0..1 | Reference(RelatedPerson | US Core Patient Profile | US Core Practitioner Profile | US Core PractitionerRole Profile) | Person or device that asserts this condition |
| evidence | SC | 0..* | BackboneElement | Supporting evidence |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| 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(SDOHCC Observation Screening Response | SDOHCC Condition | SDOHCC Observation Assessment) | Supporting information found elsewhere |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| Condition.clinicalStatus | required | ConditionClinicalStatusCodes |
| Condition.verificationStatus | required | ConditionVerificationStatus |
| Condition.category | extensible | USCoreConditionCategoryCodes |
| Condition.category:SDOH | required | SDOHCCValueSetSDOHCategory |
| Condition.code | required | USCoreConditionCode |
| Condition.evidence.code | example | ManifestationAndSymptomCodes |
| Id | Grade | Path(s) | Details | Requirements |
| SDOH-Con-1 | error | Condition | Can only have a max of one asserter. : extension('http://hl7.org/fhir/us/sdoh-clinicalcare/extension-Condition.asserter').count()+asserter.count()<=1 | |
| 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 SDOH conditions, problems or diagnoses SDOH-Con-1: Can only have a max of one asserter. | ||||
| id | Σ | 0..1 | id | Logical id of this artifact | ||||
| meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained | 0..* | Resource | Contained, inline Resources | |||||
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| asserterDevice | SC | 0..1 | Reference() | Optional Extensions Element URL: http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ExtensionConditionAsserter | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| url | 1..1 | uri | "http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ExtensionConditionAsserter" | |||||
| value[x] | 0..1 | Reference(Device) | Value of extension | |||||
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| 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 value:$this Binding: US Core Condition Category Codes (extensible) | ||||
| category:SDOH | SC | 0..* | CodeableConcept | e.g., food-insecurity | transportation-insecurity Binding: SDOHCC ValueSet SDOH Category (required): Codes for high-level SDOH categories. | ||||
| 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 | Identification of the condition, problem or diagnosis Binding: US Core Condition Code (required) | ||||
| 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 dateTime or Period | |||||
| onsetDateTime | dateTime | |||||||
| onsetPeriod | Period | |||||||
| abatement[x] | SC | 0..1 | When in resolution/remission | |||||
| abatementDateTime | dateTime | |||||||
| abatementPeriod | Period | |||||||
| recordedDate | Σ | 0..1 | dateTime | Date record was first recorded | ||||
| recorder | Σ | 0..1 | Reference(Practitioner | PractitionerRole) | Who recorded the condition | ||||
| asserter | SΣC | 0..1 | Reference(RelatedPerson | US Core Patient Profile | US Core Practitioner Profile | US Core PractitionerRole Profile) | Person or device that 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 | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| 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(SDOHCC Observation Screening Response | SDOHCC Condition | SDOHCC Observation Assessment) | Supporting information found elsewhere | ||||
| note | 0..* | Annotation | Additional information about the Condition | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | ||||
| Condition.language | preferred | CommonLanguages
| ||||
| Condition.clinicalStatus | required | ConditionClinicalStatusCodes | ||||
| Condition.verificationStatus | required | ConditionVerificationStatus | ||||
| Condition.category | extensible | USCoreConditionCategoryCodes | ||||
| Condition.category:SDOH | required | SDOHCCValueSetSDOHCategory | ||||
| Condition.severity | preferred | Condition/DiagnosisSeverity | ||||
| Condition.code | required | USCoreConditionCode | ||||
| 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
Must-Support: 6 elements
Prohibited: 2 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron
IG © 2020+ HL7 International - Patient Care WG. Package hl7.fhir.us.sdoh-clinicalcare#2.0.0 based on FHIR 4.0.1. Generated 2022-11-21
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