HL7.FHIR.US.PHCP\PhCP-Medication-Therapy-Condition

This page is part of the Pharmacist Care Plan FHIR IG (v1.0.0: STU 1) based on FHIR R4. This is the current published version in it's permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Resource Profile: PhCP-Medication-Therapy-Condition

Defining URL:

http://hl7.org/fhir/us/phcp/StructureDefinition/PhCP-Medication-Therapy-Condition

Version:

1.0.0

Name:

PhCPMedicationTherapyCondition

Title:

PhCP Medication Therapy Condition

Status:

Draft as of 2021-02-11T17:05:52+00:00

Definition:

This profile represents a medication therapy problem. A medication therapy problem is any undesirable event experienced by a patient that involves, or is suspected to involve, drug therapy, and that interferes with achieving the desired goals of therapy and requires professional judgment to resolve. This profile constrains the US Core Condition profile. It includes value sets intended for use by pharmacy systems. Everywhere it is referenced, an unconstrained US Core Condition reference is also allowed.

Publisher:

HL7 Structured Documents Work Group

Source Resource:

XML / JSON / Turtle

The official URL for this profile is:

http://hl7.org/fhir/us/phcp/StructureDefinition/PhCP-Medication-Therapy-Condition

Formal Views of Profile Content

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

Text Summary
Differential Table
Snapshot Table
Snapshot Table (Must Support)
All

This structure is derived from USCoreCondition

Summary

Must-Support: 2 elements

This structure is derived from USCoreCondition

Name	Flags	Card.	Type	Description & Constraints
Condition		0..*	USCoreCondition	Detailed information about conditions, problems or diagnoses
code	S	1..1	CodeableConcept	Identification of the condition, problem or diagnosis Binding: VSAC 2.16.840.1.113762.1.4.1096.213 (preferred)
evidence	S	0..*	BackboneElement	Supporting evidence
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Condition	I	0..*	USCoreCondition	Detailed information about conditions, problems or diagnoses
id	Σ	0..1	string	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) Max Binding: AllLanguages: A human language.
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Ids for this condition
clinicalStatus	?!SΣI	0..1	CodeableConcept	active \| recurrence \| relapse \| inactive \| remission \| resolved Binding: ConditionClinicalStatusCodes (required)
verificationStatus	?!SΣI	0..1	CodeableConcept	unconfirmed \| provisional \| differential \| confirmed \| refuted \| entered-in-error Binding: ConditionVerificationStatus (required)
category	SI	1..*	CodeableConcept	problem-list-item \| encounter-diagnosis \| health-concern Binding: US Core Condition Category Codes (extensible)
severity		0..1	CodeableConcept	Subjective severity of condition Binding: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.
code	SΣ	1..1	CodeableConcept	Identification of the condition, problem or diagnosis Binding: VSAC 2.16.840.1.113762.1.4.1096.213 (preferred)
bodySite	Σ	0..*	CodeableConcept	Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
subject	SΣ	1..1	Reference(US Core Patient Profile)	Who has the condition?
encounter	Σ	0..1	Reference(Encounter)	Encounter created as part of
onset[x]	Σ	0..1		Estimated or actual date, date-time, or age
onsetDateTime			dateTime
onsetAge			Age
onsetPeriod			Period
onsetRange			Range
onsetString			string
abatement[x]	I	0..1		When in resolution/remission
abatementDateTime			dateTime
abatementAge			Age
abatementPeriod			Period
abatementRange			Range
abatementString			string
recordedDate	Σ	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	I	0..*	BackboneElement	Stage/grade, usually assessed formally con-1: Stage SHALL have summary or assessment
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	I	0..1	CodeableConcept	Simple summary (disease specific) Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).
assessment	I	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).
evidence	SI	0..*	BackboneElement	Supporting evidence
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	ΣI	0..*	CodeableConcept	Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.
detail	ΣI	0..*	Reference(Resource)	Supporting information found elsewhere
note		0..*	Annotation	Additional information about the Condition
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Condition	I	0..*	USCoreCondition	Detailed information about conditions, problems or diagnoses
clinicalStatus	?!ΣI	0..1	CodeableConcept	active \| recurrence \| relapse \| inactive \| remission \| resolved Binding: ConditionClinicalStatusCodes (required)
verificationStatus	?!ΣI	0..1	CodeableConcept	unconfirmed \| provisional \| differential \| confirmed \| refuted \| entered-in-error Binding: ConditionVerificationStatus (required)
category	I	1..*	CodeableConcept	problem-list-item \| encounter-diagnosis \| health-concern Binding: US Core Condition Category Codes (extensible)
code	Σ	1..1	CodeableConcept	Identification of the condition, problem or diagnosis Binding: VSAC 2.16.840.1.113762.1.4.1096.213 (preferred)
subject	Σ	1..1	Reference(US Core Patient Profile)	Who has the condition?
evidence	I	0..*	BackboneElement	Supporting evidence
Documentation for this format

This structure is derived from USCoreCondition

Summary

Must-Support: 2 elements

Differential View

This structure is derived from USCoreCondition

Name	Flags	Card.	Type	Description & Constraints
Condition		0..*	USCoreCondition	Detailed information about conditions, problems or diagnoses
code	S	1..1	CodeableConcept	Identification of the condition, problem or diagnosis Binding: VSAC 2.16.840.1.113762.1.4.1096.213 (preferred)
evidence	S	0..*	BackboneElement	Supporting evidence
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Condition	I	0..*	USCoreCondition	Detailed information about conditions, problems or diagnoses
id	Σ	0..1	string	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) Max Binding: AllLanguages: A human language.
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Ids for this condition
clinicalStatus	?!SΣI	0..1	CodeableConcept	active \| recurrence \| relapse \| inactive \| remission \| resolved Binding: ConditionClinicalStatusCodes (required)
verificationStatus	?!SΣI	0..1	CodeableConcept	unconfirmed \| provisional \| differential \| confirmed \| refuted \| entered-in-error Binding: ConditionVerificationStatus (required)
category	SI	1..*	CodeableConcept	problem-list-item \| encounter-diagnosis \| health-concern Binding: US Core Condition Category Codes (extensible)
severity		0..1	CodeableConcept	Subjective severity of condition Binding: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.
code	SΣ	1..1	CodeableConcept	Identification of the condition, problem or diagnosis Binding: VSAC 2.16.840.1.113762.1.4.1096.213 (preferred)
bodySite	Σ	0..*	CodeableConcept	Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
subject	SΣ	1..1	Reference(US Core Patient Profile)	Who has the condition?
encounter	Σ	0..1	Reference(Encounter)	Encounter created as part of
onset[x]	Σ	0..1		Estimated or actual date, date-time, or age
onsetDateTime			dateTime
onsetAge			Age
onsetPeriod			Period
onsetRange			Range
onsetString			string
abatement[x]	I	0..1		When in resolution/remission
abatementDateTime			dateTime
abatementAge			Age
abatementPeriod			Period
abatementRange			Range
abatementString			string
recordedDate	Σ	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	I	0..*	BackboneElement	Stage/grade, usually assessed formally con-1: Stage SHALL have summary or assessment
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	I	0..1	CodeableConcept	Simple summary (disease specific) Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).
assessment	I	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).
evidence	SI	0..*	BackboneElement	Supporting evidence
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	ΣI	0..*	CodeableConcept	Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.
detail	ΣI	0..*	Reference(Resource)	Supporting information found elsewhere
note		0..*	Annotation	Additional information about the Condition
Documentation for this format

Other representations of profile: Schematron

Terminology Bindings

Path	Conformance	ValueSet
Condition.language	preferred	CommonLanguages Max Binding: AllLanguages
Condition.clinicalStatus	required	ConditionClinicalStatusCodes
Condition.verificationStatus	required	ConditionVerificationStatus
Condition.category	extensible	USCoreConditionCategoryCodes
Condition.severity	preferred	Condition/DiagnosisSeverity
Condition.code	preferred	http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1096.213
Condition.bodySite	example	SNOMEDCTBodyStructures
Condition.stage.summary	example	ConditionStage
Condition.stage.type	example	ConditionStageType
Condition.evidence.code	example	ManifestationAndSymptomCodes

Constraints

Id	Path	Details	Requirements
con-3	Condition	Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item : clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
con-4	Condition	If condition is abated, then clinicalStatus must be either inactive, resolved, or remission : abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
con-5	Condition	Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
dom-2	Condition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	Condition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference \| %resource.descendants().as(canonical) \| %resource.descendants().as(uri) \| %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	Condition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	Condition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	Condition	A resource should have narrative for robust management : text.`div`.exists()
us-core-1	Condition	A code in Condition.category SHOULD be from US Core Condition Category Codes value set. : where(category.memberOf('http://hl7.org/fhir/us/core/ValueSet/us-core-condition-category')).exists()
ele-1	Condition.meta	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Condition.implicitRules	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Condition.language	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Condition.text	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Condition.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Condition.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Condition.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Condition.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Condition.identifier	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Condition.clinicalStatus	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Condition.verificationStatus	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Condition.category	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Condition.severity	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Condition.code	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Condition.bodySite	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Condition.subject	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Condition.encounter	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Condition.onset[x]	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Condition.abatement[x]	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Condition.recordedDate	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Condition.recorder	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Condition.asserter	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
con-1	Condition.stage	Stage SHALL have summary or assessment : summary.exists() or assessment.exists()
ele-1	Condition.stage	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Condition.stage.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Condition.stage.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Condition.stage.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Condition.stage.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Condition.stage.summary	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Condition.stage.assessment	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Condition.stage.type	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
con-2	Condition.evidence	evidence SHALL have code or details : code.exists() or detail.exists()
ele-1	Condition.evidence	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Condition.evidence.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Condition.evidence.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Condition.evidence.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Condition.evidence.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Condition.evidence.code	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Condition.evidence.detail	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Condition.note	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())