Birth And Fetal Death (BFDR) - STU2-ballot
2.0.0-ballot - ballot United States of America flag

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

Resource Profile: Condition - Fetal Death Cause or Condition

Official URL: http://hl7.org/fhir/us/bfdr/StructureDefinition/Condition-fetal-death-cause-or-condition Version: 2.0.0-ballot
Draft as of 2023-12-18 Computable Name: ConditionFetalDeathCauseOrCondition

This Condition profile contains information provided by the clinician to indicate the cause or causes of the fetal death.

The type of cause or condition (code.coding) should be selected from the value set Fetal Death Cause or Condition and any further specification should be entered as free text (code.text) to fully record the provider’s view of the cause. One or more optional contained Other Significant Cause/Condition of Fetal Death profiles represent another significant cause or condition for the death of the fetus.

IJE Mapping

Fetal Death
Use Case # Description IJE Name Field Type Value Set/Comments
Fetal Death 180 Initiating cause/condition - Rupture of membranes prior to onset of labor COD18a1 code=44223004 (Premature rupture of membranes (disorder)) na
Fetal Death 181 Initiating cause/condition - Abruptio placenta COD18a2 code=415105001 (Placental abruption (disorder)) na
Fetal Death 182 Initiating cause/condition - Placental insufficiency COD18a3 code=237292005 (Placental insufficiency (disorder)) na
Fetal Death 183 Initiating cause/condition - Prolapsed cord COD18a4 code=270500004 (Prolapsed cord (disorder)) na
Fetal Death 184 Initiating cause/condition - Chorioamnionitis COD18a5 code=11612004 (Chorioamnionitis (disorder)) na
Fetal Death 185 Initiating cause/condition - Other complications of placenta, cord, or membranes COD18a6 code=FetalDeathCauseOrConditionCS#membranes na
Fetal Death 186 Initiating cause/condition - Unknown COD18a7 code=UNK na
Fetal Death 187 Initiating cause/condition - Maternal conditions/diseases literal COD18a8 code=FetalDeathCauseOrConditionCS#maternalconditions, code.text string code.text should contain description
Fetal Death 188 Initiating cause/condition - Other complications of placenta, cord, or membranes literal COD18a9 code=FetalDeathCauseOrConditionCS#membranes, code.text string code.text should contain description
Fetal Death 189 Initiating cause/condition - Other obstetrical or pregnancy complications literal COD18a10 code=FetalDeathCauseOrConditionCS#obstetricalcomplications, code.text string code.text should contain description
Fetal Death 190 Initiating cause/condition - Fetal anomaly literal COD18a11 code=702709008 (Fetal Anomaly (Specify)),
code.text
string code.text should contain description
Fetal Death 191 Initiating cause/condition - Fetal injury literal COD18a12 code=277489001 (Fetal trauma (disorder)),
code.text
string specific description of fetal trauma should be provided in the code.text field
Fetal Death 192 Initiating cause/condition - Fetal infection literal COD18a13 code=128270001 (Infectious disorder of the fetus (disorder)),
code.text
string specific description of fetal infection should be provided in the code.text field
Fetal Death 193 Initiating cause/condition - Other fetal conditions/disorders literal COD18a14 code=FetalDeathCauseOrConditionCS#fetalconditions,
code.text
string code.text should contain description

Form Mapping

Item # Form Field FHIR Profile Field Reference
18a Initiating Cause/Condition code Report of Fetal Death
26 Initiating Cause/Condition code Facility Worksheet for the Report of Fetal Death

Usage:

Formal Views of Profile Content

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

This structure is derived from USCoreConditionEncounterDiagnosisProfile

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition 0..*USCoreConditionEncounterDiagnosisProfileInformation provided by the clinician to indicate the cause or causes of the fetal death.
... category 2..*CodeableConceptcategory codes
... category:initiatingCauseOrCondition S1..1CodeableConceptInitiating cause or condition of fetal death [US Standard Report of Fetal Death]
Required Pattern: At least the following
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 76060-3
... code 1..1CodeableConceptThe value sets contains the list of values used to report initiating cause or condition or other significant causes or conditions contributing to fetal death.
Binding: ValueSet - Fetal Death Cause or Condition (required): Fetal Death Cause or Condition (NCHS)

.... coding S0..*CodingThe type of cause or condition should be selected from the bound value set.
.... text S0..1stringAny further specification should be entered as free text to fully record the provider's view of the cause.

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
Condition.coderequiredFetalDeathCauseOrConditionVS
NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition C0..*USCoreConditionEncounterDiagnosisProfileInformation provided by the clinician to indicate the cause or causes of the fetal death.
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... assertedDate S0..1dateTimeDate the condition was first asserted
URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... verificationStatus ?!SΣC0..1CodeableConceptunconfirmed | provisional | differential | confirmed | refuted | entered-in-error
Binding: ConditionVerificationStatus (required)
... Slices for category S2..*CodeableConceptcategory codes
Slice: Unordered, Open by pattern:$this
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.


.... category:us-core S1..1CodeableConceptencounter-diagnosis
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.



Required Pattern: At least the following
..... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
...... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/condition-category
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: encounter-diagnosis
.... category:initiatingCauseOrCondition S1..1CodeableConceptInitiating cause or condition of fetal death [US Standard Report of Fetal Death]
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.



Required Pattern: At least the following
..... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
...... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: 76060-3
... code SΣ1..1CodeableConceptThe value sets contains the list of values used to report initiating cause or condition or other significant causes or conditions contributing to fetal death.
Binding: ValueSet - Fetal Death Cause or Condition (required): Fetal Death Cause or Condition (NCHS)

.... coding SΣ0..*CodingThe type of cause or condition should be selected from the bound value set.
.... text SΣ0..1stringAny further specification should be entered as free text to fully record the provider's view of the cause.
... subject SΣ1..1Reference(Patient - Decedent Fetus)Who has the condition?
... encounter SΣ0..1Reference(US Core Encounter Profile)Encounter created as part of
... onset[x] SΣ0..1Estimated or actual date, date-time, or age
.... onsetDateTimedateTime
... abatement[x] SC0..1When in resolution/remission
.... abatementDateTimedateTime
... recordedDate SΣ0..1dateTimeDate record was first recorded

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Condition.clinicalStatusrequiredConditionClinicalStatusCodes
Condition.verificationStatusrequiredConditionVerificationStatus
Condition.categoryextensibleConditionCategoryCodes
Condition.category:us-coreextensiblePattern: encounter-diagnosis
Condition.category:initiatingCauseOrConditionextensiblePattern: LOINC code 76060-3
Condition.coderequiredFetalDeathCauseOrConditionVS
NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition C0..*USCoreConditionEncounterDiagnosisProfileInformation provided by the clinician to indicate the cause or causes of the fetal death.
... 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
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... assertedDate S0..1dateTimeDate the condition was first asserted
URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierExternal Ids for this condition
... clinicalStatus ?!SΣC0..1CodeableConceptactive | recurrence | relapse | inactive | remission | resolved
Binding: ConditionClinicalStatusCodes (required)
... verificationStatus ?!SΣC0..1CodeableConceptunconfirmed | provisional | differential | confirmed | refuted | entered-in-error
Binding: ConditionVerificationStatus (required)
... Slices for category S2..*CodeableConceptcategory codes
Slice: Unordered, Open by pattern:$this
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.


.... category:us-core S1..1CodeableConceptencounter-diagnosis
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.



Required Pattern: At least the following
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/condition-category
...... version0..1stringVersion of the system - if relevant
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: encounter-diagnosis
...... display0..1stringRepresentation defined by the system
...... userSelected0..1booleanIf this coding was chosen directly by the user
..... text0..1stringPlain text representation of the concept
.... category:initiatingCauseOrCondition S1..1CodeableConceptInitiating cause or condition of fetal death [US Standard Report of Fetal Death]
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.



Required Pattern: At least the following
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
...... version0..1stringVersion of the system - if relevant
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: 76060-3
...... display0..1stringRepresentation defined by the system
...... userSelected0..1booleanIf this coding was chosen directly by the user
..... text0..1stringPlain text representation of the concept
... severity 0..1CodeableConceptSubjective severity of condition
Binding: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.

... code SΣ1..1CodeableConceptThe value sets contains the list of values used to report initiating cause or condition or other significant causes or conditions contributing to fetal death.
Binding: ValueSet - Fetal Death Cause or Condition (required): Fetal Death Cause or Condition (NCHS)

.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... coding SΣ0..*CodingThe type of cause or condition should be selected from the bound value set.
.... text SΣ0..1stringAny further specification should be entered as free text to fully record the provider's view of the cause.
... bodySite Σ0..*CodeableConceptAnatomical location, if relevant
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.


... subject SΣ1..1Reference(Patient - Decedent Fetus)Who has the condition?
... encounter SΣ0..1Reference(US Core Encounter Profile)Encounter created as part of
... onset[x] SΣ0..1Estimated or actual date, date-time, or age
.... onsetDateTimedateTime S
.... onsetAgeAge
.... onsetPeriodPeriod
.... onsetRangeRange
.... onsetStringstring
... abatement[x] SC0..1When in resolution/remission
.... abatementDateTimedateTime S
.... abatementAgeAge
.... abatementPeriodPeriod
.... abatementRangeRange
.... abatementStringstring
... recordedDate SΣ0..1dateTimeDate record was first recorded
... recorder Σ0..1Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)Who recorded the condition
... asserter Σ0..1Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)Person who asserts this condition
... stage C0..*BackboneElementStage/grade, usually assessed formally
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... summary C0..1CodeableConceptSimple summary (disease specific)
Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).

.... assessment C0..*Reference(ClinicalImpression | DiagnosticReport | Observation)Formal record of assessment
.... type 0..1CodeableConceptKind of staging
Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).

... evidence C0..*BackboneElementSupporting evidence
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code ΣC0..*CodeableConceptManifestation/symptom
Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.


.... detail ΣC0..*Reference(Resource)Supporting information found elsewhere
... note 0..*AnnotationAdditional information about the Condition

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Condition.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
Condition.clinicalStatusrequiredConditionClinicalStatusCodes
Condition.verificationStatusrequiredConditionVerificationStatus
Condition.categoryextensibleConditionCategoryCodes
Condition.category:us-coreextensiblePattern: encounter-diagnosis
Condition.category:initiatingCauseOrConditionextensiblePattern: LOINC code 76060-3
Condition.severitypreferredCondition/DiagnosisSeverity
Condition.coderequiredFetalDeathCauseOrConditionVS
Condition.bodySiteexampleSNOMEDCTBodyStructures
Condition.stage.summaryexampleConditionStage
Condition.stage.typeexampleConditionStageType
Condition.evidence.codeexampleManifestationAndSymptomCodes

This structure is derived from USCoreConditionEncounterDiagnosisProfile

Summary

Mandatory: 1 element
Must-Support: 3 elements

Structures

This structure refers to these other structures:

Differential View

This structure is derived from USCoreConditionEncounterDiagnosisProfile

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition 0..*USCoreConditionEncounterDiagnosisProfileInformation provided by the clinician to indicate the cause or causes of the fetal death.
... category 2..*CodeableConceptcategory codes
... category:initiatingCauseOrCondition S1..1CodeableConceptInitiating cause or condition of fetal death [US Standard Report of Fetal Death]
Required Pattern: At least the following
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 76060-3
... code 1..1CodeableConceptThe value sets contains the list of values used to report initiating cause or condition or other significant causes or conditions contributing to fetal death.
Binding: ValueSet - Fetal Death Cause or Condition (required): Fetal Death Cause or Condition (NCHS)

.... coding S0..*CodingThe type of cause or condition should be selected from the bound value set.
.... text S0..1stringAny further specification should be entered as free text to fully record the provider's view of the cause.

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
Condition.coderequiredFetalDeathCauseOrConditionVS

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition C0..*USCoreConditionEncounterDiagnosisProfileInformation provided by the clinician to indicate the cause or causes of the fetal death.
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... assertedDate S0..1dateTimeDate the condition was first asserted
URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... verificationStatus ?!SΣC0..1CodeableConceptunconfirmed | provisional | differential | confirmed | refuted | entered-in-error
Binding: ConditionVerificationStatus (required)
... Slices for category S2..*CodeableConceptcategory codes
Slice: Unordered, Open by pattern:$this
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.


.... category:us-core S1..1CodeableConceptencounter-diagnosis
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.



Required Pattern: At least the following
..... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
...... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/condition-category
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: encounter-diagnosis
.... category:initiatingCauseOrCondition S1..1CodeableConceptInitiating cause or condition of fetal death [US Standard Report of Fetal Death]
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.



Required Pattern: At least the following
..... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
...... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: 76060-3
... code SΣ1..1CodeableConceptThe value sets contains the list of values used to report initiating cause or condition or other significant causes or conditions contributing to fetal death.
Binding: ValueSet - Fetal Death Cause or Condition (required): Fetal Death Cause or Condition (NCHS)

.... coding SΣ0..*CodingThe type of cause or condition should be selected from the bound value set.
.... text SΣ0..1stringAny further specification should be entered as free text to fully record the provider's view of the cause.
... subject SΣ1..1Reference(Patient - Decedent Fetus)Who has the condition?
... encounter SΣ0..1Reference(US Core Encounter Profile)Encounter created as part of
... onset[x] SΣ0..1Estimated or actual date, date-time, or age
.... onsetDateTimedateTime
... abatement[x] SC0..1When in resolution/remission
.... abatementDateTimedateTime
... recordedDate SΣ0..1dateTimeDate record was first recorded

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Condition.clinicalStatusrequiredConditionClinicalStatusCodes
Condition.verificationStatusrequiredConditionVerificationStatus
Condition.categoryextensibleConditionCategoryCodes
Condition.category:us-coreextensiblePattern: encounter-diagnosis
Condition.category:initiatingCauseOrConditionextensiblePattern: LOINC code 76060-3
Condition.coderequiredFetalDeathCauseOrConditionVS

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Condition C0..*USCoreConditionEncounterDiagnosisProfileInformation provided by the clinician to indicate the cause or causes of the fetal death.
... 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
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... assertedDate S0..1dateTimeDate the condition was first asserted
URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierExternal Ids for this condition
... clinicalStatus ?!SΣC0..1CodeableConceptactive | recurrence | relapse | inactive | remission | resolved
Binding: ConditionClinicalStatusCodes (required)
... verificationStatus ?!SΣC0..1CodeableConceptunconfirmed | provisional | differential | confirmed | refuted | entered-in-error
Binding: ConditionVerificationStatus (required)
... Slices for category S2..*CodeableConceptcategory codes
Slice: Unordered, Open by pattern:$this
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.


.... category:us-core S1..1CodeableConceptencounter-diagnosis
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.



Required Pattern: At least the following
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/condition-category
...... version0..1stringVersion of the system - if relevant
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: encounter-diagnosis
...... display0..1stringRepresentation defined by the system
...... userSelected0..1booleanIf this coding was chosen directly by the user
..... text0..1stringPlain text representation of the concept
.... category:initiatingCauseOrCondition S1..1CodeableConceptInitiating cause or condition of fetal death [US Standard Report of Fetal Death]
Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.



Required Pattern: At least the following
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... system1..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
...... version0..1stringVersion of the system - if relevant
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: 76060-3
...... display0..1stringRepresentation defined by the system
...... userSelected0..1booleanIf this coding was chosen directly by the user
..... text0..1stringPlain text representation of the concept
... severity 0..1CodeableConceptSubjective severity of condition
Binding: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.

... code SΣ1..1CodeableConceptThe value sets contains the list of values used to report initiating cause or condition or other significant causes or conditions contributing to fetal death.
Binding: ValueSet - Fetal Death Cause or Condition (required): Fetal Death Cause or Condition (NCHS)

.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... coding SΣ0..*CodingThe type of cause or condition should be selected from the bound value set.
.... text SΣ0..1stringAny further specification should be entered as free text to fully record the provider's view of the cause.
... bodySite Σ0..*CodeableConceptAnatomical location, if relevant
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.


... subject SΣ1..1Reference(Patient - Decedent Fetus)Who has the condition?
... encounter SΣ0..1Reference(US Core Encounter Profile)Encounter created as part of
... onset[x] SΣ0..1Estimated or actual date, date-time, or age
.... onsetDateTimedateTime S
.... onsetAgeAge
.... onsetPeriodPeriod
.... onsetRangeRange
.... onsetStringstring
... abatement[x] SC0..1When in resolution/remission
.... abatementDateTimedateTime S
.... abatementAgeAge
.... abatementPeriodPeriod
.... abatementRangeRange
.... abatementStringstring
... recordedDate SΣ0..1dateTimeDate record was first recorded
... recorder Σ0..1Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)Who recorded the condition
... asserter Σ0..1Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)Person who asserts this condition
... stage C0..*BackboneElementStage/grade, usually assessed formally
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... summary C0..1CodeableConceptSimple summary (disease specific)
Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).

.... assessment C0..*Reference(ClinicalImpression | DiagnosticReport | Observation)Formal record of assessment
.... type 0..1CodeableConceptKind of staging
Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).

... evidence C0..*BackboneElementSupporting evidence
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code ΣC0..*CodeableConceptManifestation/symptom
Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.


.... detail ΣC0..*Reference(Resource)Supporting information found elsewhere
... note 0..*AnnotationAdditional information about the Condition

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Condition.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
Condition.clinicalStatusrequiredConditionClinicalStatusCodes
Condition.verificationStatusrequiredConditionVerificationStatus
Condition.categoryextensibleConditionCategoryCodes
Condition.category:us-coreextensiblePattern: encounter-diagnosis
Condition.category:initiatingCauseOrConditionextensiblePattern: LOINC code 76060-3
Condition.severitypreferredCondition/DiagnosisSeverity
Condition.coderequiredFetalDeathCauseOrConditionVS
Condition.bodySiteexampleSNOMEDCTBodyStructures
Condition.stage.summaryexampleConditionStage
Condition.stage.typeexampleConditionStageType
Condition.evidence.codeexampleManifestationAndSymptomCodes

This structure is derived from USCoreConditionEncounterDiagnosisProfile

Summary

Mandatory: 1 element
Must-Support: 3 elements

Structures

This structure refers to these other structures:

 

Other representations of profile: CSV, Excel, Schematron