Birth And Fetal Death (BFDR) - STU2-ballot
2.0.0-ballot - ballot
Birth And Fetal Death (BFDR) - STU2-ballot
2.0.0-ballot - ballot
This page is part of the Vital Records Birth and Fetal Death Reporting (v2.0.0-ballot: STU 2 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 1.1.0. For a full list of available versions, see the Directory of published versions
| Official URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Condition-congenital-anomaly-of-newborn | Version: 2.0.0-ballot | |||
| Draft as of 2023-12-18 | Computable Name: ConditionCongenitalAnomalyOfNewborn | |||
This Condition profile represents information on whether the infant suffered from one or more of a list of known malformations diagnosed prenatally or after delivery.
| Use Case | # | Description | IJE Name | Field | Type | Value Set/Comments |
|---|---|---|---|---|---|---|
| Natality | 219 | Congenital Anomalies of the Newborn--Anencephaly | ANEN | code=89369001 (Anencephalus (disorder)) | na | See note on missing congenital anomaly data |
| Natality | 220 | Congenital Anomalies of the Newborn--Meningomyelocele/Spina Bifida | MNSB | code=67531005 (Spina bifida (disorder)) | na | See note on missing congenital anomaly data |
| Natality | 221 | Congenital Anomalies of the Newborn--Cyanotic congenital heart disease | CCHD | code=12770006 (Cyanotic congenital heart disease (disorder)) | na | See note on missing congenital anomaly data |
| Natality | 222 | Congenital Anomalies of the Newborn--Congenital diaphragmatic hernia | CDH | code=17190001 (Congenital diaphragmatic hernia (disorder)) | na | See note on missing congenital anomaly data |
| Natality | 223 | Congenital Anomalies of the Newborn--Omphalocele | OMPH | code=18735004 (Congenital omphalocele (disorder)) | na | See note on missing congenital anomaly data |
| Natality | 224 | Congenital Anomalies of the Newborn--Gastroschisis | GAST | code=72951007 (Gastroschisis (disorder)) | na | See note on missing congenital anomaly data |
| Natality | 225 | Congenital Anomalies of the Newborn--Limb Reduction Defect | LIMB | code=67341007 (Longitudinal deficiency of limb (disorder)) | na | See note on missing congenital anomaly data |
| Natality | 226 | Congenital Anomalies of the Newborn--Cleft Lip with or without Cleft Palate | CL | code=80281008 (Cleft lip (disorder)) | na | See note on missing congenital anomaly data |
| Natality | 227 | Congenital Anomalies of the Newborn--Cleft Palate Alone | CP | code=87979003 (Cleft palate (disorder)) | na | See note on missing congenital anomaly data |
| Natality | 228 | Congenital Anomalies of the Newborn--Down Syndrome | DOWT | code=70156005 (Anomaly of chromosome pair 21 (disorder)) | na | See note on missing congenital anomaly data |
| Natality | 229 | Congenital Anomalies of the Newborn--Suspected Chromosomal disorder | CDIT | code=409709004 (Chromosomal disorder (disorder)) | na | See note on missing congenital anomaly data |
| Natality | 230 | Congenital Anomalies of the Newborn--Hypospadias | HYPO | code=416010008 (Hypospadias (disorder)) | na | See note on missing congenital anomaly data |
| Item # | Form Field | FHIR Profile Field | Reference |
|---|---|---|---|
| 55 | Congenital Anomalies of the Newborn | - | Certificate of Live Birth |
| 37 | Congenital anomalies of the newborn | - | Facility Worksheet for the Live Birth Certificate |
| 37 | Congenital anomalies of the newborn | - | Attachment to the Facility Worksheet for the Live Birth Certificate for Multiple Births |
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from USCoreConditionProblemsHealthConcernsProfile
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Condition | 0..* | USCoreConditionProblemsHealthConcernsProfile | Information on whether the infant suffered from one or more of a list of known malformations diagnosed prenatally or after delivery. | |
  Slices for category | 2..* | CodeableConcept | category codes Slice: Unordered, Open by pattern:$this | |
   category:requiredCategory | 1..1 | CodeableConcept | Congenital anomalies of the newborn [US Standard Certificate of Live Birth] 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://loinc.org | |
 code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 73780-9 | |
 code | 1..1 | CodeableConcept | The value set contain the list of values use to specify malformations of the newborn diagnosed prenatally or after delivery. Binding: ValueSet - Newborn Congenital Anomalies (required): Newborn Congenital Anomalies (NCHS) | |
 subject | 1..1 | Reference(Patient - Child Vital Records) | Who has the condition? | |
 Slices for evidence | S | 0..2 | BackboneElement | Supporting evidence Slice: Unordered, Open by value:code |
 evidence:karyotypePending | S | 0..1 | BackboneElement | Karyotype pending if there is a diagnosis of suspected chromosomal disorder or Down syndrome, Trisomy 21. |
 code | S | 1..1 | CodeableConcept | Suspected chromosomal disorder or Down Syndrome: Karyotype pending 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://snomed.info/sct | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 312948004 | |
| evidence:karyotypeConfirmedAbmormal | S | 0..1 | BackboneElement | Karyotype confirmed if there is a diagnosis of suspected chromosomal disorder or Down syndrome, Trisomy 21. |
| code | S | 1..1 | CodeableConcept | Suspected chromosomal disorder or Down Syndrome: Karyotype confirmed 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://snomed.info/sct | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 442124003 | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| Condition.code | required | NewbornCongenitalAnomaliesVS |
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Condition | C | 0..* | USCoreConditionProblemsHealthConcernsProfile | Information on whether the infant suffered from one or more of a list of known malformations diagnosed prenatally or after delivery. |
 implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
| assertedDate | S | 0..1 | dateTime | Date the condition was first asserted URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate |
 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 | S | 2..* | CodeableConcept | category codes Slice: Unordered, Open by pattern:$this Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. |
 category:us-core | S | 1..* | CodeableConcept | problem-list-item | health-concern Binding: US Core Problem or Health Concern (required) |
| category:sdoh | S | 0..1 | CodeableConcept | problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. 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/core/CodeSystem/us-core-tags | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: sdoh | |
| category:requiredCategory | S | 1..1 | CodeableConcept | Congenital anomalies of the newborn [US Standard Certificate of Live Birth] Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. 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://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 73780-9 | |
| code | SΣ | 1..1 | CodeableConcept | The value set contain the list of values use to specify malformations of the newborn diagnosed prenatally or after delivery. Binding: ValueSet - Newborn Congenital Anomalies (required): Newborn Congenital Anomalies (NCHS) |
| subject | SΣ | 1..1 | Reference(Patient - Child Vital Records) | 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 | |||
| recordedDate | SΣ | 0..1 | dateTime | Date record was first recorded |
| Slices for evidence | SC | 0..2 | BackboneElement | Supporting evidence Slice: Unordered, Open by value:code |
| evidence:All Slices | Content/Rules for all slices | |||
 modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| evidence:karyotypePending | SC | 0..1 | BackboneElement | Karyotype pending if there is a diagnosis of suspected chromosomal disorder or Down syndrome, Trisomy 21. |
 modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | SΣC | 1..1 | CodeableConcept | Suspected chromosomal disorder or Down Syndrome: Karyotype pending Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition. 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://snomed.info/sct | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 312948004 | |
| evidence:karyotypeConfirmedAbmormal | SC | 0..1 | BackboneElement | Karyotype confirmed if there is a diagnosis of suspected chromosomal disorder or Down syndrome, Trisomy 21. |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | SΣC | 1..1 | CodeableConcept | Suspected chromosomal disorder or Down Syndrome: Karyotype confirmed Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition. 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://snomed.info/sct | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 442124003 | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code |
| Condition.clinicalStatus | required | ConditionClinicalStatusCodes |
| Condition.verificationStatus | required | ConditionVerificationStatus |
| Condition.category | extensible | ConditionCategoryCodes |
| Condition.category:us-core | required | USCoreProblemOrHealthConcern |
| Condition.category:sdoh | extensible | Pattern: sdoh |
| Condition.category:requiredCategory | extensible | Pattern: LOINC code 73780-9 |
| Condition.code | required | NewbornCongenitalAnomaliesVS |
| Condition.evidence:karyotypePending.code | example | Pattern: SNOMED CT code 312948004 |
| Condition.evidence:karyotypeConfirmedAbmormal.code | example | Pattern: SNOMED CT code 442124003 |
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Condition | C | 0..* | USCoreConditionProblemsHealthConcernsProfile | Information on whether the infant suffered from one or more of a list of known malformations diagnosed prenatally or after delivery. | ||||
| 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 | |||||
| assertedDate | S | 0..1 | dateTime | Date the condition was first asserted URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate | ||||
| 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 | S | 2..* | CodeableConcept | category codes Slice: Unordered, Open by pattern:$this Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. | ||||
| category:us-core | S | 1..* | CodeableConcept | problem-list-item | health-concern Binding: US Core Problem or Health Concern (required) | ||||
| category:sdoh | S | 0..1 | CodeableConcept | problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. 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/core/CodeSystem/us-core-tags | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: sdoh | |||||
| 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 | |||||
| category:requiredCategory | S | 1..1 | CodeableConcept | Congenital anomalies of the newborn [US Standard Certificate of Live Birth] Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. 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://loinc.org | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 73780-9 | |||||
| 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 | The value set contain the list of values use to specify malformations of the newborn diagnosed prenatally or after delivery. Binding: ValueSet - Newborn Congenital Anomalies (required): Newborn Congenital Anomalies (NCHS) | ||||
| bodySite | Σ | 0..* | CodeableConcept | Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | ||||
| subject | SΣ | 1..1 | Reference(Patient - Child Vital Records) | 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 | |||||||
| onsetAge | Age | |||||||
| onsetPeriod | Period | |||||||
| onsetRange | Range | |||||||
| onsetString | string | |||||||
| abatement[x] | SC | 0..1 | When in resolution/remission | |||||
| abatementDateTime | dateTime S | |||||||
| abatementAge | Age | |||||||
| abatementPeriod | Period | |||||||
| abatementRange | Range | |||||||
| abatementString | string | |||||||
| recordedDate | SΣ | 0..1 | dateTime | Date record was first recorded | ||||
| recorder | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Who recorded the condition | ||||
| asserter | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Person who asserts this condition | ||||
| stage | C | 0..* | BackboneElement | Stage/grade, usually assessed formally | ||||
| 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 | ||||
| summary | C | 0..1 | CodeableConcept | Simple summary (disease specific) Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages). | ||||
| assessment | C | 0..* | Reference(ClinicalImpression | DiagnosticReport | Observation) | Formal record of assessment | ||||
| type | 0..1 | CodeableConcept | Kind of staging Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological). | |||||
| Slices for evidence | SC | 0..2 | BackboneElement | Supporting evidence Slice: Unordered, Open by value:code | ||||
| evidence:All Slices | Content/Rules for all slices | |||||||
| 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. | ||||
| detail | ΣC | 0..* | Reference(Resource) | Supporting information found elsewhere | ||||
| evidence:karyotypePending | SC | 0..1 | BackboneElement | Karyotype pending if there is a diagnosis of suspected chromosomal disorder or Down syndrome, Trisomy 21. | ||||
| 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 | SΣC | 1..1 | CodeableConcept | Suspected chromosomal disorder or Down Syndrome: Karyotype pending Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition. 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://snomed.info/sct | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 312948004 | |||||
| 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 | |||||
| detail | ΣC | 0..* | Reference(Resource) | Supporting information found elsewhere | ||||
| evidence:karyotypeConfirmedAbmormal | SC | 0..1 | BackboneElement | Karyotype confirmed if there is a diagnosis of suspected chromosomal disorder or Down syndrome, Trisomy 21. | ||||
| 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 | SΣC | 1..1 | CodeableConcept | Suspected chromosomal disorder or Down Syndrome: Karyotype confirmed Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition. 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://snomed.info/sct | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 442124003 | |||||
| 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 | |||||
| detail | ΣC | 0..* | Reference(Resource) | 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 | ConditionVerificationStatus | ||||
| Condition.category | extensible | ConditionCategoryCodes | ||||
| Condition.category:us-core | required | USCoreProblemOrHealthConcern | ||||
| Condition.category:sdoh | extensible | Pattern: sdoh | ||||
| Condition.category:requiredCategory | extensible | Pattern: LOINC code 73780-9 | ||||
| Condition.severity | preferred | Condition/DiagnosisSeverity | ||||
| Condition.code | required | NewbornCongenitalAnomaliesVS | ||||
| Condition.bodySite | example | SNOMEDCTBodyStructures | ||||
| Condition.stage.summary | example | ConditionStage | ||||
| Condition.stage.type | example | ConditionStageType | ||||
| Condition.evidence.code | example | ManifestationAndSymptomCodes | ||||
| Condition.evidence:karyotypePending.code | example | Pattern: SNOMED CT code 312948004 | ||||
| Condition.evidence:karyotypeConfirmedAbmormal.code | example | Pattern: SNOMED CT code 442124003 |
This structure is derived from USCoreConditionProblemsHealthConcernsProfile
Summary
Mandatory: 1 element (2 nested mandatory elements)
Must-Support: 5 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from USCoreConditionProblemsHealthConcernsProfile
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Condition | 0..* | USCoreConditionProblemsHealthConcernsProfile | Information on whether the infant suffered from one or more of a list of known malformations diagnosed prenatally or after delivery. | |
| Slices for category | 2..* | CodeableConcept | category codes Slice: Unordered, Open by pattern:$this | |
| category:requiredCategory | 1..1 | CodeableConcept | Congenital anomalies of the newborn [US Standard Certificate of Live Birth] 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://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 73780-9 | |
| code | 1..1 | CodeableConcept | The value set contain the list of values use to specify malformations of the newborn diagnosed prenatally or after delivery. Binding: ValueSet - Newborn Congenital Anomalies (required): Newborn Congenital Anomalies (NCHS) | |
| subject | 1..1 | Reference(Patient - Child Vital Records) | Who has the condition? | |
| Slices for evidence | S | 0..2 | BackboneElement | Supporting evidence Slice: Unordered, Open by value:code |
| evidence:karyotypePending | S | 0..1 | BackboneElement | Karyotype pending if there is a diagnosis of suspected chromosomal disorder or Down syndrome, Trisomy 21. |
| code | S | 1..1 | CodeableConcept | Suspected chromosomal disorder or Down Syndrome: Karyotype pending 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://snomed.info/sct | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 312948004 | |
| evidence:karyotypeConfirmedAbmormal | S | 0..1 | BackboneElement | Karyotype confirmed if there is a diagnosis of suspected chromosomal disorder or Down syndrome, Trisomy 21. |
| code | S | 1..1 | CodeableConcept | Suspected chromosomal disorder or Down Syndrome: Karyotype confirmed 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://snomed.info/sct | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 442124003 | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| Condition.code | required | NewbornCongenitalAnomaliesVS |
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Condition | C | 0..* | USCoreConditionProblemsHealthConcernsProfile | Information on whether the infant suffered from one or more of a list of known malformations diagnosed prenatally or after delivery. |
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
| assertedDate | S | 0..1 | dateTime | Date the condition was first asserted URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate |
| 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 | S | 2..* | CodeableConcept | category codes Slice: Unordered, Open by pattern:$this Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. |
| category:us-core | S | 1..* | CodeableConcept | problem-list-item | health-concern Binding: US Core Problem or Health Concern (required) |
| category:sdoh | S | 0..1 | CodeableConcept | problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. 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/core/CodeSystem/us-core-tags | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: sdoh | |
| category:requiredCategory | S | 1..1 | CodeableConcept | Congenital anomalies of the newborn [US Standard Certificate of Live Birth] Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. 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://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 73780-9 | |
| code | SΣ | 1..1 | CodeableConcept | The value set contain the list of values use to specify malformations of the newborn diagnosed prenatally or after delivery. Binding: ValueSet - Newborn Congenital Anomalies (required): Newborn Congenital Anomalies (NCHS) |
| subject | SΣ | 1..1 | Reference(Patient - Child Vital Records) | 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 | |||
| recordedDate | SΣ | 0..1 | dateTime | Date record was first recorded |
| Slices for evidence | SC | 0..2 | BackboneElement | Supporting evidence Slice: Unordered, Open by value:code |
| evidence:All Slices | Content/Rules for all slices | |||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| evidence:karyotypePending | SC | 0..1 | BackboneElement | Karyotype pending if there is a diagnosis of suspected chromosomal disorder or Down syndrome, Trisomy 21. |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | SΣC | 1..1 | CodeableConcept | Suspected chromosomal disorder or Down Syndrome: Karyotype pending Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition. 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://snomed.info/sct | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 312948004 | |
| evidence:karyotypeConfirmedAbmormal | SC | 0..1 | BackboneElement | Karyotype confirmed if there is a diagnosis of suspected chromosomal disorder or Down syndrome, Trisomy 21. |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | SΣC | 1..1 | CodeableConcept | Suspected chromosomal disorder or Down Syndrome: Karyotype confirmed Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition. 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://snomed.info/sct | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 442124003 | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code |
| Condition.clinicalStatus | required | ConditionClinicalStatusCodes |
| Condition.verificationStatus | required | ConditionVerificationStatus |
| Condition.category | extensible | ConditionCategoryCodes |
| Condition.category:us-core | required | USCoreProblemOrHealthConcern |
| Condition.category:sdoh | extensible | Pattern: sdoh |
| Condition.category:requiredCategory | extensible | Pattern: LOINC code 73780-9 |
| Condition.code | required | NewbornCongenitalAnomaliesVS |
| Condition.evidence:karyotypePending.code | example | Pattern: SNOMED CT code 312948004 |
| Condition.evidence:karyotypeConfirmedAbmormal.code | example | Pattern: SNOMED CT code 442124003 |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Condition | C | 0..* | USCoreConditionProblemsHealthConcernsProfile | Information on whether the infant suffered from one or more of a list of known malformations diagnosed prenatally or after delivery. | ||||
| 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 | |||||
| assertedDate | S | 0..1 | dateTime | Date the condition was first asserted URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate | ||||
| 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 | S | 2..* | CodeableConcept | category codes Slice: Unordered, Open by pattern:$this Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. | ||||
| category:us-core | S | 1..* | CodeableConcept | problem-list-item | health-concern Binding: US Core Problem or Health Concern (required) | ||||
| category:sdoh | S | 0..1 | CodeableConcept | problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. 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/core/CodeSystem/us-core-tags | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: sdoh | |||||
| 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 | |||||
| category:requiredCategory | S | 1..1 | CodeableConcept | Congenital anomalies of the newborn [US Standard Certificate of Live Birth] Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. 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://loinc.org | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 73780-9 | |||||
| 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 | The value set contain the list of values use to specify malformations of the newborn diagnosed prenatally or after delivery. Binding: ValueSet - Newborn Congenital Anomalies (required): Newborn Congenital Anomalies (NCHS) | ||||
| bodySite | Σ | 0..* | CodeableConcept | Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | ||||
| subject | SΣ | 1..1 | Reference(Patient - Child Vital Records) | 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 | |||||||
| onsetAge | Age | |||||||
| onsetPeriod | Period | |||||||
| onsetRange | Range | |||||||
| onsetString | string | |||||||
| abatement[x] | SC | 0..1 | When in resolution/remission | |||||
| abatementDateTime | dateTime S | |||||||
| abatementAge | Age | |||||||
| abatementPeriod | Period | |||||||
| abatementRange | Range | |||||||
| abatementString | string | |||||||
| recordedDate | SΣ | 0..1 | dateTime | Date record was first recorded | ||||
| recorder | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Who recorded the condition | ||||
| asserter | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson) | Person who asserts this condition | ||||
| stage | C | 0..* | BackboneElement | Stage/grade, usually assessed formally | ||||
| 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 | ||||
| summary | C | 0..1 | CodeableConcept | Simple summary (disease specific) Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages). | ||||
| assessment | C | 0..* | Reference(ClinicalImpression | DiagnosticReport | Observation) | Formal record of assessment | ||||
| type | 0..1 | CodeableConcept | Kind of staging Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological). | |||||
| Slices for evidence | SC | 0..2 | BackboneElement | Supporting evidence Slice: Unordered, Open by value:code | ||||
| evidence:All Slices | Content/Rules for all slices | |||||||
| 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. | ||||
| detail | ΣC | 0..* | Reference(Resource) | Supporting information found elsewhere | ||||
| evidence:karyotypePending | SC | 0..1 | BackboneElement | Karyotype pending if there is a diagnosis of suspected chromosomal disorder or Down syndrome, Trisomy 21. | ||||
| 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 | SΣC | 1..1 | CodeableConcept | Suspected chromosomal disorder or Down Syndrome: Karyotype pending Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition. 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://snomed.info/sct | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 312948004 | |||||
| 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 | |||||
| detail | ΣC | 0..* | Reference(Resource) | Supporting information found elsewhere | ||||
| evidence:karyotypeConfirmedAbmormal | SC | 0..1 | BackboneElement | Karyotype confirmed if there is a diagnosis of suspected chromosomal disorder or Down syndrome, Trisomy 21. | ||||
| 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 | SΣC | 1..1 | CodeableConcept | Suspected chromosomal disorder or Down Syndrome: Karyotype confirmed Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition. 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://snomed.info/sct | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 442124003 | |||||
| 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 | |||||
| detail | ΣC | 0..* | Reference(Resource) | 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 | ConditionVerificationStatus | ||||
| Condition.category | extensible | ConditionCategoryCodes | ||||
| Condition.category:us-core | required | USCoreProblemOrHealthConcern | ||||
| Condition.category:sdoh | extensible | Pattern: sdoh | ||||
| Condition.category:requiredCategory | extensible | Pattern: LOINC code 73780-9 | ||||
| Condition.severity | preferred | Condition/DiagnosisSeverity | ||||
| Condition.code | required | NewbornCongenitalAnomaliesVS | ||||
| Condition.bodySite | example | SNOMEDCTBodyStructures | ||||
| Condition.stage.summary | example | ConditionStage | ||||
| Condition.stage.type | example | ConditionStageType | ||||
| Condition.evidence.code | example | ManifestationAndSymptomCodes | ||||
| Condition.evidence:karyotypePending.code | example | Pattern: SNOMED CT code 312948004 | ||||
| Condition.evidence:karyotypeConfirmedAbmormal.code | example | Pattern: SNOMED CT code 442124003 |
This structure is derived from USCoreConditionProblemsHealthConcernsProfile
Summary
Mandatory: 1 element (2 nested mandatory elements)
Must-Support: 5 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron
IG © 2023+ HL7 International / Public Health. Package hl7.fhir.us.bfdr#2.0.0-ballot based on FHIR 4.0.1. Generated 2023-12-18
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