International Patient Summary Implementation Guide Implementation Guide: STU2 Ballot

This page is part of the International Patient Summary Implementation Guide (v0.2.0: STU 1 Ballot 2) based on FHIR v3.5.0. The current version which supercedes this version is 1.1.0. For a full list of available versions, see the Directory of published versions

SD.1 StructureDefinition-condition-uv-ips

This profile represents the constraints applied to the Condition resource by the International Patient Summary (IPS) FHIR Implementation Guide. A record of problem is represented in the patient summary as an instance of the Condition resource constrained by this profile.

Conformance resource variables defined here

SD.1.1 Formal Views of Profile Content

Description of Profiles, Differentials, and Snapshots.

The official URL for this profile is: http://hl7.org/fhir/uv/ips/StructureDefinition/condition-uv-ips

Published on Tue Mar 20 00:00:00 AEST 2018 as a draft by HL7 International.

This profile builds on Condition

Summary

Mandatory: 6 elements
Must-Support: 9 elements
Prohibited: 2 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element Condition.code.coding is sliced based on the value of value:binding.valueSet (Closed)

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition I0..*Documentation of a health problem of the patient
... 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 (preferred)
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional Content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..1IdentifierExternal Ids for this condition
... clinicalStatus ?!SΣI1..1CodeableConceptactive | recurrence | relapse | well-controlled | poorly-controlled | inactive | remission | resolved
Binding: ConditionClinicalStatusCodes (required)
... verificationStatus ?!SΣI1..1CodeableConceptunconfirmed | provisional | differential | confirmed | refuted | entered-in-error
Binding: ConditionVerificationStatus (required)
... category S0..1CodeableConcept-uv-ipsproblem-list-item | encounter-diagnosis
Binding: Problem Type (required)
... severity S0..1CodeableConcept-uv-ipsSubjective severity of condition
Binding: Problem Severity (preferred)
... code SΣ1..1CodeableConceptIdentification of the condition, problem or diagnosis
Binding: Condition/Problem/DiagnosisCodes (example)
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... coding SΣCodingCode defined by a terminology system
Slice: Unordered, Closed by value:binding.valueSet
.... coding Σ1..1coding-uv-ipsCode for absent problem or for unknown problem
Binding: Absent or Unknown Problems (required)
.... coding Σ0..1coding-uv-ipsCode defined by a terminology system
Binding: CORE Problem List Disorders (preferred)
.... text Σ0..1stringPlain text representation of the concept
... bodySite Σ0..*CodeableConcept-uv-ipsAnatomical location, if relevant
Binding: SNOMEDCTBodyStructures (example)
... subject SΣ1..1Reference(Patient)Who has the condition?
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣI0..1stringLiteral reference, Relative, internal or absolute URL
.... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible)
.... display Σ0..1stringText alternative for the resource
... context Σ0..1Reference(Encounter | EpisodeOfCare)Encounter or episode when condition first asserted
... onsetDateTime SΣ1..1dateTimeEstimated or actual date, date-time, or age
... abatement[x] SI0..1dateTime, Age, Period, Range, stringWhen in resolution/remission
... recordedDate Σ0..1dateTimeDate record was first recorded
... recorder Σ0..1Reference(Practitioner | Patient | RelatedPerson)Who recorded the condition
... asserter Σ0..1Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)Person who asserts this condition
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣI0..1stringLiteral reference, Relative, internal or absolute URL
.... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible)
.... display Σ0..1stringText alternative for the resource
... stage I0..*BackboneElementStage/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 ?!Σ0..*ExtensionExtensions that cannot be ignored if unrecognized
.... summary I0..1CodeableConceptSimple summary (disease specific)
Binding: ConditionStage (example)
.... assessment I0..*Reference(ClinicalImpression | DiagnosticReport | Observation)Formal record of assessment
.... type 0..1CodeableConceptKind of staging
Binding: ConditionStageType (example)
... 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 ?!Σ0..*ExtensionExtensions that cannot be ignored if unrecognized
.... code ΣI0..*CodeableConceptManifestation/symptom
Binding: ManifestationAndSymptomCodes (example)
.... detail ΣI0..*Reference(Resource)Supporting information found elsewhere
... note 0..*AnnotationAdditional information about the Condition

doco Documentation for this format

Downloads: StructureDefinition: (XML, JSON), Schema: XML Schematron