This page is part of the Breast Cancer Data Logical Models and FHIR Profiles (v0.1.0: STU 1 Draft) based on FHIR R3. . For a full list of available versions, see the Directory of published versions
The official URL for this profile is:
http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-statement-ConditionPresenceStatement
A condition that is or may be present in a subject. 'Condition' is interpreted broadly and could be a disorder, abnormality, problem, injury, complaint, functionality, illness, disease, ailment, sickness, affliction, upset, difficulty, disorder, symptom, worry, or trouble.
In CIMI terms, it is an archetype of ClinicalStatement that combines a ConditionTopic with the ConditionPresenceContext context. The core attributes of ClinicalStatement are not included here because of mapping difficulties to FHIR DomainResource.
This profile builds on US Core Condition (a.k.a Problem) Profile.
This profile was published on Sun Apr 01 00:00:00 AEDT 2018 as a draft by The HL7 Cancer Interoperability Group sponsored by Clinical Interoperability Council Work Group (CIC).
View the corresponding ConditionPresenceStatementModel logical model.
Summary
Mandatory: 0 element (1 nested mandatory element)
Prohibited: 1 element
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
BC Mapping Source
This structure represents the following BC mapping definition:
cimi.statement.ConditionPresenceStatement maps to http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition: ConditionTopic.CodeableConcept maps to code ConditionTopic.Category maps to category ConditionPresenceContext.ClinicalStatus maps to clinicalStatus ConditionPresenceContext.VerificationStatus maps to verificationStatus ConditionPresenceContext.Onset maps to onset[x] ConditionPresenceContext.Abatement maps to abatement[x] constrain bodySite to 0..0 ConditionPresenceContext.Severity maps to severity Stage maps to stage Stage.CodeableConcept maps to stage.summary Stage.StageDetail maps to stage.assessment
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Condition | BC ConditionPresenceStatement Profile | |||
cimi-Encounter-extension | 0..1 | (Complex) | BC Encounter Extension URL: http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-Encounter-extension | |
clinicalStatus | 1..1 | |||
severity | Binding: Condition/Diagnosis Severity (required) | |||
bodySite | 0..0 | |||
onset[x] | dateTime, Age, Period, RangeProfile, string | |||
abatement[x] | dateTime, Age, boolean, Period, RangeProfile, string | |||
stage | ||||
assessment | 0..1 | Reference(BC EvaluationResultRecorded Profile) | ||
Documentation for this format |
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Condition | I | 0..* | BC ConditionPresenceStatement Profile us-core-1: A code in Condition.category SHOULD be from US Core Condition Category Codes value set. | |
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: Common Languages (extensible) | |
text | I | 0..1 | Narrative | Text summary of the resource, for human interpretation |
contained | 0..* | Resource | Contained, inline Resources | |
cimi-Encounter-extension | 0..1 | (Complex) | BC Encounter Extension URL: http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-Encounter-extension | |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
identifier | Σ | 0..* | Identifier | External Ids for this condition |
clinicalStatus | ?!SΣI | 1..1 | code | active | recurrence | inactive | remission | resolved Binding: Condition Clinical Status Codes (required) |
verificationStatus | ?!SΣI | 1..1 | code | provisional | differential | confirmed | refuted | entered-in-error | unknown Binding: ConditionVerificationStatus (required) |
category | S | 1..* | CodeableConcept | problem-list-item | encounter-diagnosis Binding: US Core Condition Category Codes (preferred) |
severity | 0..1 | CodeableConcept | Subjective severity of condition Binding: Condition/Diagnosis Severity (required) | |
code | SΣ | 1..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: Problem Value Set (extensible) |
subject | SΣ | 1..1 | Reference(US Core Patient Profile) | Who has the condition? |
context | Σ | 0..1 | Reference(Encounter | EpisodeOfCare) | Encounter or episode when condition first asserted |
onset[x] | Σ | 0..1 | dateTime, Age, Period, RangeProfile, string | Estimated or actual date, date-time, or age |
abatement[x] | I | 0..1 | dateTime, Age, boolean, Period, RangeProfile, string | If/when in resolution/remission |
assertedDate | Σ | 0..1 | dateTime | Date record was believed accurate |
asserter | Σ | 0..1 | Reference(Practitioner | Patient | RelatedPerson) | Person who asserts this condition |
stage | I | 0..1 | BackboneElement | Stage/grade, usually assessed formally con-1: Stage SHALL have summary or assessment |
id | 0..1 | string | xml:id (or equivalent in JSON) | |
extension | 0..* | Extension | Additional Content defined by implementations | |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored |
summary | I | 0..1 | CodeableConcept | Simple summary (disease specific) Binding: Condition Stage (example) |
assessment | I | 0..1 | Reference(BC EvaluationResultRecorded Profile) | Formal record of assessment |
evidence | I | 0..* | BackboneElement | Supporting evidence con-2: evidence SHALL have code or details |
id | 0..1 | string | xml:id (or equivalent in JSON) | |
extension | 0..* | Extension | Additional Content defined by implementations | |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored |
code | ΣI | 0..* | CodeableConcept | Manifestation/symptom Binding: Manifestation and Symptom Codes (example) |
detail | ΣI | 0..* | Reference(Resource) | Supporting information found elsewhere |
note | 0..* | Annotation | Additional information about the Condition | |
Documentation for this format |
Summary
Mandatory: 0 element (1 nested mandatory element)
Prohibited: 1 element
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
BC Mapping Source
This structure represents the following BC mapping definition:
cimi.statement.ConditionPresenceStatement maps to http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition: ConditionTopic.CodeableConcept maps to code ConditionTopic.Category maps to category ConditionPresenceContext.ClinicalStatus maps to clinicalStatus ConditionPresenceContext.VerificationStatus maps to verificationStatus ConditionPresenceContext.Onset maps to onset[x] ConditionPresenceContext.Abatement maps to abatement[x] constrain bodySite to 0..0 ConditionPresenceContext.Severity maps to severity Stage maps to stage Stage.CodeableConcept maps to stage.summary Stage.StageDetail maps to stage.assessment
Differential View
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Condition | BC ConditionPresenceStatement Profile | |||
cimi-Encounter-extension | 0..1 | (Complex) | BC Encounter Extension URL: http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-Encounter-extension | |
clinicalStatus | 1..1 | |||
severity | Binding: Condition/Diagnosis Severity (required) | |||
bodySite | 0..0 | |||
onset[x] | dateTime, Age, Period, RangeProfile, string | |||
abatement[x] | dateTime, Age, boolean, Period, RangeProfile, string | |||
stage | ||||
assessment | 0..1 | Reference(BC EvaluationResultRecorded Profile) | ||
Documentation for this format |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Condition | I | 0..* | BC ConditionPresenceStatement Profile us-core-1: A code in Condition.category SHOULD be from US Core Condition Category Codes value set. | |
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: Common Languages (extensible) | |
text | I | 0..1 | Narrative | Text summary of the resource, for human interpretation |
contained | 0..* | Resource | Contained, inline Resources | |
cimi-Encounter-extension | 0..1 | (Complex) | BC Encounter Extension URL: http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-Encounter-extension | |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
identifier | Σ | 0..* | Identifier | External Ids for this condition |
clinicalStatus | ?!SΣI | 1..1 | code | active | recurrence | inactive | remission | resolved Binding: Condition Clinical Status Codes (required) |
verificationStatus | ?!SΣI | 1..1 | code | provisional | differential | confirmed | refuted | entered-in-error | unknown Binding: ConditionVerificationStatus (required) |
category | S | 1..* | CodeableConcept | problem-list-item | encounter-diagnosis Binding: US Core Condition Category Codes (preferred) |
severity | 0..1 | CodeableConcept | Subjective severity of condition Binding: Condition/Diagnosis Severity (required) | |
code | SΣ | 1..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: Problem Value Set (extensible) |
subject | SΣ | 1..1 | Reference(US Core Patient Profile) | Who has the condition? |
context | Σ | 0..1 | Reference(Encounter | EpisodeOfCare) | Encounter or episode when condition first asserted |
onset[x] | Σ | 0..1 | dateTime, Age, Period, RangeProfile, string | Estimated or actual date, date-time, or age |
abatement[x] | I | 0..1 | dateTime, Age, boolean, Period, RangeProfile, string | If/when in resolution/remission |
assertedDate | Σ | 0..1 | dateTime | Date record was believed accurate |
asserter | Σ | 0..1 | Reference(Practitioner | Patient | RelatedPerson) | Person who asserts this condition |
stage | I | 0..1 | BackboneElement | Stage/grade, usually assessed formally con-1: Stage SHALL have summary or assessment |
id | 0..1 | string | xml:id (or equivalent in JSON) | |
extension | 0..* | Extension | Additional Content defined by implementations | |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored |
summary | I | 0..1 | CodeableConcept | Simple summary (disease specific) Binding: Condition Stage (example) |
assessment | I | 0..1 | Reference(BC EvaluationResultRecorded Profile) | Formal record of assessment |
evidence | I | 0..* | BackboneElement | Supporting evidence con-2: evidence SHALL have code or details |
id | 0..1 | string | xml:id (or equivalent in JSON) | |
extension | 0..* | Extension | Additional Content defined by implementations | |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored |
code | ΣI | 0..* | CodeableConcept | Manifestation/symptom Binding: Manifestation and Symptom Codes (example) |
detail | ΣI | 0..* | Reference(Resource) | Supporting information found elsewhere |
note | 0..* | Annotation | Additional information about the Condition | |
Documentation for this format |
Downloads: StructureDefinition: (XML, JSON, TTL), Schema: XML Schematron
Path | Name | Conformance | ValueSet |
Condition.language | Common Languages | extensible | Common Languages |
Condition.clinicalStatus | Condition Clinical Status Codes | required | Condition Clinical Status Codes |
Condition.verificationStatus | ConditionVerificationStatus | required | ConditionVerificationStatus |
Condition.category | US Core Condition Category Codes | preferred | US Core Condition Category Codes |
Condition.severity | Condition/Diagnosis Severity | required | Condition/Diagnosis Severity |
Condition.code | Problem Value Set | extensible | Problem Value Set |
Condition.stage.summary | Condition Stage | example | Condition Stage |
Condition.evidence.code | Manifestation and Symptom Codes | example | Manifestation and Symptom Codes |
Id | Path | Details | Requirements |
dom-2 | Condition | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-1 | Condition | If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty() | |
dom-4 | 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-3 | Condition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource : contained.where(('#'+id in %resource.descendants().reference).not()).empty() | |
con-4 | Condition | If condition is abated, then clinicalStatus must be either inactive, resolved, or remission : abatement.empty() or (abatement as boolean).not() or clinicalStatus='resolved' or clinicalStatus='remission' or clinicalStatus='inactive' | |
con-3 | Condition | Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error : verificationStatus='entered-in-error' or clinicalStatus.exists() | |
us-core-1 | Condition | A code in Condition.category SHOULD be from US Core Condition Category Codes value set. : where(category in 'http://hl7.org/fhir/us/core/ValueSet/us-core-condition-category').exists() | |
ele-1 | Condition.stage | All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count()) | |
con-1 | Condition.stage | Stage SHALL have summary or assessment : summary.exists() or assessment.exists() | |
ele-1 | Condition.evidence | All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count()) | |
con-2 | Condition.evidence | evidence SHALL have code or details : code.exists() or detail.exists() |